Ngaba unazo ezi mpawu ukuba ungumnini wekati? Masifunde ngeSifo sokuKrwela iikati (CSD)!

Sonke siyazithanda iikati neekati, akunjalo? Siyakuthanda ukubukela ubuhle bazo nokudlala. Nangona ukudlala nazo nokuzibamba rhoqo kusenza sonwabe, ngamanye amaxesha ezi zilwanyana zinokusasaza izifo ezithile kuthi ngokungazi. Namhlanje, siza kuthetha ngesifo esinokusasazwa ziikati, kodwa esingaziwayo kakhulu. Oku kubizwa ngokuba yi "Cat Scratch Disease".

Yintoni iCat Scratch Disease (CSD)? Ngamafutshane...

Ngamafutshane, iCat Scratch Disease (CSD) sisifo esibangelwa yibhaktheriya ebizwa ngokuba yi `(Bartonella henselae)`. Ungasifumana ukuba ikati ikukrwela, ikulume, okanye ikhotha inxeba emzimbeni wakho. Iimpawu eziphambili zesi sifo ziindlala ezidumbileyo (ezikwabizwa ngokuba yi `(lymph nodes)` ngoogqirha), amaqhuma amancinci eluswini (`(papules)`), kunye nomkhuhlane.

Ingaba oku kuqhelekile? Ngaba kuyinto enzulu kangako?

Enyanisweni, esi sifo sibizwa ngokuba yi-`(CSD)` asixhaphakanga kangako. Umzekelo, kwilizwe elifana neMelika, ngabantu abamalunga ne-12,000 kuphela abafumana esi sifo ngonyaka. Oko kuthetha ukuba sinokuba sincinci nangakumbi eSri Lanka.

Eyona nto ingcono kukuba uninzi lwexesha esi sifo asibi yingozi kangako kwaye siya siphucuka ngaphandle konyango olukhethekileyo. Nangona kunjalo, kunqabile kakhulu, oko kukuthi, inani elincinci labantu, malunga nama-500 ngonyaka, abafumana iingxaki kwaye kufuneka balale esibhedlele. Ngoko ke, akukho nto yokoyika, kodwa kubaluleke kakhulu ukuba uqaphele.

Ngubani osengozini enkulu yokuhlaselwa sesi sifo?

Nabani na osebenzisana neekati unokufumana esi sifo ``(CSD)''. Nangona kunjalo, uphando lufumanise ukuba esi sifo sixhaphake kakhulu kubantwana abangaphantsi kweminyaka eli-15 ubudala. Oku kungenxa yokuba abantwana abancinci banamathuba amaninzi okukrwelwa nokulunywa ziikati xa zidlala nazo, ziziphatha, kwaye ngamanye amaxesha zide zikrwelwe kwaye zilunywe zizo.

Enye ingongoma ebalulekileyo kukuba ukuba wosulelwe yi-`(HIV)` okanye ukuba amasosha omzimba wakho abuthathaka ngenxa yesinye isizathu, usengozini enkulu yokufumana iingxaki ezinkulu ezivela kwesi sifo. Ngoko ke, abantu abanjalo kufuneka balumke ngakumbi xa bejongene neekati zabo.

Zithini iimpawu zeSifo sokuKrwela iikati (CSD)?

Ezi mpawu zihlala ziqala ukubonakala phakathi kweentsuku ezi-3 ukuya kwezili-10 emva kokuba ikati ilunywe okanye yenzakele. Makhe sijonge ukuba zeziphi ezi mpawu:

• Amaqhuma amancinci okanye amaqhuma (iipapules) angabonakala eluswini, okanye abonakale ngathi kukuqhambuka: La maqhuma ahlala efumaneka kufutshane nendawo apho ikati yayikrwela khona. Ngamanye amaxesha anokuba bomvu kwaye aphakame kancinci.
• I-Lymphadenopathy (ukudumba kunye nentlungu):Le yenye yeempawu eziphambili zesi sifo. Amaqhuma akufutshane nomkrwelo (umzekelo, amaqhuma ekhwapheni ukuba ngumkrwelo esandleni) anokudumba kwaye abe buhlungu xa echukunyiswa.
• Umkhuhlane: Usenokuziva ushushu kancinci.
• Intlungu yomzimba: Intlungu inokubakho kwiimisipha, emathanjeni, nasemalungeni.
• Ukulahlekelwa ngumdla wokutya okanye ukwehla kobunzima: Ukuziva ungafuni ukutya, nto leyo enokubangela ukwehla kobunzima.
• Ukudinwa emzimbeni: Usenokuziva udiniwe kwaye ungenabomi.

Khawucinge nje, emva kweentsuku ezimbalwa umntwana wakho edlale nekati, kuvela ithumba elincinci kwindawo ekrwelekileyo yesandla sakhe, iqhuma elisekhwapheni lakhe lidumbile, kwaye banomkhuhlane omncinci. Ngamaxesha anje, kuya kufuneka ucinge ngale `(CSD)`.

Yintoni ebangela oku? Kusasazeka njani?

Njengoko besitshilo ngaphambili, unobangela wesi sifo `(CSD)` yintsholongwane ebizwa ngokuba yi`(Bartonella henselae).` Ngoku makhe sibone indlela le ntsholongwane edluliselwa ngayo kwiikati nakwikati isuka kuthi.

Le ntsholongwane idluliselwa kwiikati ziintakumba. Into emangalisayo kukuba iikati (ingakumbi iintaka zekati) zinokuthwala le ntsholongwane kangangeenyanga ngaphandle kokubonisa zimpawu. Oku kuthetha ukuba ikati yakho inokuba nale ntsholongwane emizimbeni yayo nokuba ibonakala iphilile.

Emva koko, intsholongwane idluliselwa kuthi ngamathe ekati . Oku kuthetha ukuba ukuba ikati ikukrwela, ikulume, okanye ifumana amathe ayo enxebeni emzimbeni wakho, ungayifumana loo ntsholongwane.

Abanye abantu bacinga ukuba ukulunywa ngqo yintakumba kunokubangela esi sifo, kodwa oku akukaqinisekiswa.

Ugqirha uyibona njani le nto?

Ukuba uneempawu ze-`(CSD)`, ugqirha uya kwenza oku kulandelayo:

• Uvavanyo lomzimba:
• Umkrwelo okanye inxeba lakho (ukuba likho) liza kuhlolwa.
• Jonga ulusu ukuba alunazo na iirhashalala okanye amaqhuma.
• Baza kuziva iingono zakho baze bajonge ukuba ziyadumba okanye zibuhlungu na.
• Amaxesha amaninzi, esi sifo sinokufunyaniswa ngolu vavanyo lomzimba.
• Ngamanye amaxesha, ugqirha unokuthi:
• Kuthathwa isampuli yegazi ize ivavanywe ukuze kubonwe ukuba ingaba ikho na intsholongwane (i-B. henselae).
• Kunqabile kakhulu ukuba kuthathwe isampuli yolwelo oluvela kwiblister evuvukileyo luze luvavanywe ukuba lukhona na olu gciwane.

Iphathwa njani?

Uninzi lwexesha, i-CSD iyaphela yodwa ngaphandle konyango oluthile . Ke ngoko, oogqirha badla ngokunceda ekunciphiseni iimpawu.

Nangona kunjalo, ukuba inkqubo yakho yomzimba yokuzikhusela ibuthathaka, okanye ukuba iimpawu zakho aziphucuki emva kweenyanga ezimbini, ugqirha angakunika isibulali-ntsholongwane esifana ne-azithromycin. Oku kuya kuzama ukubulala iintsholongwane.

Ungazilawula njani iimpawu ekhaya?

Kukho izinto ezilula onokuzenza ekhaya ukunceda ukulawula iimpawu:

• Sela amayeza okudambisa iintlungu: Xa umkhuhlane kunye neentlungu zomzimba, sebenzisa amayeza okubulala iintlungu athengiswa ngaphandle kwemvume kagqirha afana ne-ibuprofen (umz., i-Advil®) okanye i-naproxen (umz., i-Aleve®). Nangona kunjalo, kungcono ukubonana nogqirha.
• Faka i-compress efudumeleyo kwii-blister ezibuhlungu: Nciphisa ilaphu elicocekileyo emanzini ashushu, ulihluze, uze ulibeke phezu kwe-blister ebuhlungu. Oku kunokunceda ukunciphisa ezinye zentlungu.

Ukuba i-cyst yakho idumbile kakhulu kwaye ibangela iintlungu ezinganyamezelekiyo, ungathetha nogqirha ubuze ukuba bangayikhupha na inxalenye yolwelo.

Ungazikhusela njani koku? Iindlela zokuthintela

Kukho izinto ezimbalwa ezilula onokuzenza ukuze uzikhusele kwesi sifo (CSD) ngelixa uhlala neekati:

• Zama ukunqanda ukukrwelwa okanye ukulunywa ziikati: Lumka xa udlala ngeekati kwaye uziphatha. Musa ukudlala ngendlela enokuzoyikisa okanye iziphazamise.
• Hlamba izandla zakho kakuhle ngesepha emva kokudlala, ukubamba, okanye ukuchukumisa ikati.
• Zama ukugcina ikati yakho ingaphakathi: Iikati eziphuma ngaphandle zinengxaki yokuphepha iintakumba. Zikhuselekile ngakumbi kwiintakumba xa zingaphakathi.
• Musa ukuchukumisa okanye ukuqokelela iikati neekati ezilahlekileyo ezitalatweni. Asazi ukuba zizifo ezinjani.
• Musa ukuvumela ikati yakho ikukhotha imikrwelo namanxeba.
• Buza ugqirha wezilwanyana ukuba ungayikhusela njani ikati yakho kwiintakumba. Kukho amayeza kunye neendlela ezisebenzayo koku.
• Ukuba inkqubo yakho yokuzikhusela yomzimba ibuthathaka, kungcono ukukhulisa ikati eneminyaka engaphezu konyaka ubudala endaweni yekati , kuba amantshontsho anokuba nale ntsholongwane.

Linjani ikamva lesi sifo?

Uninzi lwexesha, i-CSD sisifo esizithintelayo . Oko kukuthi, iba ngcono ngokwayo ngaphandle kweengxaki okanye iziphumo zexesha elide. Nangona kunjalo, kubantu abambalwa kakhulu, esi sifo sinokusasazeka kwamanye amalungu omzimba size sibangele iimeko ezinzulu ngakumbi.

Oku kungahlala ixesha elingakanani?

Uphawu oluphambili lwe-CSD kukudumba kweentsini, okuhlala iiveki ezimbini ukuya kwezisibhozo . Kodwa kudla ngokuba ngcono ngokwako.

Ziziphi iingxaki ezinokubakho ezinzulu?

Nangona ezi zinqabile, kubalulekile ukuba uzazi. Ukuba i-CSD isasazeka kwamanye amalungu omzimba, ezi ngxaki zilandelayo zinokwenzeka:

• I-Endocarditis: Oku kukudumba kwengaphakathi lentliziyo. Oku kunokubangela iimpawu ezifana neentlungu zemisipha kunye namalungu, iintlungu zesifuba, kunye nokubila ebusuku.Le yimeko enokuba yingozi ebomini.
• I-Hepatosplenomegaly: Kulapho isibindi sakho kunye ne-spleen zivuvukala khona. Oku kunokubangela iintlungu zesisu, isicaphucaphu, kunye nokuhlanza.
• Isifo sikaParinaud's oculoglandular: Kule meko, i -conjunctiva iba bomvu kwaye ivuvuke, kwaye namadlala akufutshane nendlebe nawo ayavuvukala.
• I-Neuroretinitis: Ukudumba kweliso kunye nomthambo we-optic. Oku kunokubangela ukulahleka kokubona.
• I-Encephalopathy: Iingxaki zokusebenza kwengqondo. Oku kunokubangela ukudideka, iintloko ezibuhlungu, kwaye ngamanye amaxesha ukuxhuzula.

Andizange ndithethe ngezi ngxaki ukuze ndikoyikise, kodwa kulungile ukuba nokuqonda okuncinci ngezinto ezinjalo.

Ndingazinyamekela njani?

Ukuba ikati ikukrwela okanye ikulume, into yokuqala omawuyenze kukucoca inxeba kakuhle . Lihlambe ngesepha namanzi. Emva koko qwalasela inxeba kakuhle. Khangela iimpawu zosulelo (ububomvu, ukudumba, ubomvu) okanye iimpawu ze-"CSD" (ukudumba kolusu, umkhuhlane). Ukuba ubona nayiphi na kwezi, bona ugqirha ngokukhawuleza.

Ikati kufuneka idibane nogqirha nini?

Ukuba ubona nayiphi na kwezi zinto, kungcono ukubona ugqirha emva kokuba ikati ihlanze:

• Ukuba umkrwelo awupholi, okanye ukuba ububomvu obujikeleze wona buhlala ixesha elingaphezu kweentsuku ezimbini.
• Ukuba unomkhuhlane kangangeentsuku ezininzi.
• Ukuba isinqe sesifuba sidumbile kabuhlungu.
• Ukuba unentlungu kwizihlunu zakho, emathanjeni, okanye emalungeni.

Kunini apho kufuneka uye kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba inxeba lakho alipholi kwaye ubonisa iimpawu zokuba usulelo lusasazeke kwamanye amalungu omzimba wakho, kuya kufuneka uye kwigumbi likaxakeka ngokukhawuleza. Ezi mpawu ziquka:

• Umkhuhlane ophezulu.
• Ukudideka kwengqondo.
• Intloko ebuhlungu kakhulu.
• Ukuxhuzula.
• Intlungu esifubeni okanye ubunzima bokuphefumla.
• Intlungu yesisu kunye nokucaphuka okanye ukuhlanza.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, kuyanceda ukubuza imibuzo efana nale:

• Ngaba kulungile ukuba ndithathe amayeza okubulala iintsholongwane?
• Zeziphi ezinye iimpawu ekufuneka ndizijonge?
• Ndingabuya nini ndize kukubona kwakhona?
• Kuphantsi kweziphi iimeko apho kufuneka ndikubize okanye ndiye kwigumbi longxamiseko?

Ngaba iikati ezihlala emakhaya nazo zingafumana esi sifo?

Iikati zosulelwe yintsholongwane ethi `(B. henselae)` evela kwiintakumba, ngoko ke ikati engaphumiyo ngaphandle ize ihlale ngaphakathi ayinakwenzeka ukuba ifumane esi sifo. Nangona kunjalo, ukuba ikati yakho ikhe yaba neentakumba ngaphambili, okanye ukuba unekati entsha (ingakumbi ikati yekati), isenokuba nayo le ntsholongwane ethi `(B. henselae)`. Ke ngoko, kubaluleke kakhulu ukukhusela neekati zasekhaya kwiintakumba.

Ngaba ikati kufuneka ifumane ugonyo lwe-tetanus?

Ikati ayisoloko ifuna ukugonyelwa i-tetanus. Nangona kunjalo, kubaluleke kakhulu ukuba ne-series yokuqala kunye nee-booster shots ngexesha elifanelekileyo ukukhusela i-tetanus, njengoko i-tetanus inokuthi ifumaneke ngezinye iindlela ngaphandle kokukrwela ikati.

Izinto ezibaluleke kakhulu ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, "iCat Scratch Fever" okanye `(CSD)` sisifo sokwenyani. Kodwa, bathandi beekati, akukho nto yokoyika. Kukho iindlela ezilula zokuzikhusela wena kunye nekati yakho oyithandayo kwiintsholongwane ezinjalo. Ukuhlala ucocekile, ukulumka xa usebenzisana neekati, kunye nokukhusela ikati yakho kwiintakumba zezona zinto zibalulekileyo.

Ukuba ucinga ukuba uneempawu ze-`(CSD)`, qiniseka ukuba ubona ugqirha. Uza kukunika iingcebiso ezifunekayo aze akujongele naziphi na iingxaki.

Izifo ezithwalwa ziikati , Isifo sokukrwela iikati, i-CSD, iBartonella henselae, umkhuhlane wokukrwela iikati, Impilo yeekati