Kule mihla, sihlala sisiva ngeentlobo ezahlukeneyo zemikhuhlane, akunjalo? Kunye nezinto ezifana ne-dengue kunye ne-influenza, elinye igama elifika engqondweni yi-"flea fever". Abanye abantu bayayoyika le nto. Ngoko ke, yintoni kanye kanye le flea fever? Ingaba iyingozi? Singalumkela njani? Namhlanje, siza kuthetha ngayo yonke le nto ngokulula, ngokungathi sithetha nomhlobo.
Ngamafutshane, yintoni iScrub Typhus?
I-Scrub typhus, okanye `(Scrub Typhus),` ayisosifo esidluliselwa ziintakumba. Sidluliselwa ngokulunywa ziimpungutye zeentlobo zeentakumba ezincinci kakhulu ukuba amehlo ethu angazibona. Ezi ntakumba zibizwa ngokuba yi `(chiggers).` Esi sifo sibangelwa yintsholongwane ebizwa ngokuba yi
`Orientia tsutsugamushi.` Khawucinge nje ngendlela ezi ntakumba ezincinci eziyifumana ngayo le ntsholongwane. Uninzi lwexesha, le ntsholongwane idluliselwa kwezi ntakumba zisuka eluswini lwezilwanyana ezifana neempuku. Emva koko, xa loo ntakumba isiluma, intsholongwane ingena emizimbeni yethu. Ezi ntakumba zincinci kangangokuba ngamanye amaxesha asikwazi nokuzibona. Zihlala zibomvu, zimthubi, okanye ziorenji ngombala.
Siphi esi sifo sixhaphake kakhulu?
Esi sifo sixhaphake kakhulu kumazwe aseAsia, ingakumbi kwiindawo zasemaphandleni, ezinamahlathi.
- Amazwe akuMzantsi-mpuma weAsia
- Indiya
- Indoneshiya
- iTshayina
- Japhan
- Iindawo ezisemantla eOstreliya
Ezi zinambuzane zithanda ukuhlala
kwindawo enengca, ezinamagqabi, ezifumileyo nezinomthunzi . Oku kuthetha ukuba zinokufumaneka kwindawo engakhathalelwanga kakuhle emyezweni wakho, emaphethelweni ehlathi, kwinqwaba yamagqabi abolayo, okanye phantsi kwesihlahla esinamanzi amaninzi. Ezi zinambuzane zisebenza kakhulu ekupheleni kwentwasahlobo nasehlotyeni.
Zithini iimpawu ze-flea fever?
Usenokungaziva nokulunywa yile ncukuthu. Ayibuhlungu. Kodwa emva kweeyure ezimbalwa, indawo iya kuqala ukurhawuzelela kakhulu kwaye unokubona irhashalala encinci ebomvu. Usenokungaziva nto kangangeentsuku ezi-6-10 emva kokuba ibhaktheriya ingene emzimbeni. Iimpawu ziqala ukubonakala ngequbuliso emva kweentsuku ezili-10-12. Kubaluleke kakhulu ukwazi ezi mpawu ngokuchanekileyo.
| Uphawu | Inkcazo |
|---|
| Ifiva | Ukuqala ngequbuliso komkhuhlane ophezulu kunye nokubanda. |
| Isikhumba esimnyama (Eschar) | Olu lolona phawu lubalaseleyo lwesi sifo. Kwindawo ekulunywe yikhalane, emva kokuba umkhuhlane uqalile, kuvela amaqhakuva amnyama, amancinci, afana nerhashalala. |
| Irhashalala lolusu | Kusenokubakho irhashalala ebomvu emzimbeni. |
| Intlungu yomzimba | Intloko ebuhlungu kakhulu, iintlungu zomzimba, kunye nentlungu yemisipha. |
| Ezinye iimpawu | Ukudideka, ukudumba kwama-lymph nodes, amehlo abomvu, ukuhlanza, urhudo, kunye nosulelo lwemiphunga. |
Eyona nto ibalulekileyo: Ukuba ezi mpawu azinyangwa ngokukhawuleza kwaye akukho ncedo lwezonyango olufunekayo, esi sifo sinokuba mandundu size sibangele iimeko ezinzima ezifana ne-coma okanye ukungasebenzi kakuhle kwamalungu omzimba.
Ugqirha ufumanisa njani ngokuchanekileyo umkhuhlane weentakumba?
Ukuba unale mpawu, ingakumbi ukuba ubukhe waya ehlathini okanye kwindawo enamahlathi,
bonana nogqirha wakho ngoko nangoko . Ugqirha uza kuqala ahlole umzimba wakho, ngakumbi i-black scab (eschar). Ukongeza, kuya kwenziwa uvavanyo lwegazi ukuqinisekisa isifo, kunye nokujonga ii-antibodies ezenziwa ngumzimba ngokuchasene nebhaktheriya. Omnye umngeni koku kukuba iimpawu zomkhuhlane weentaka zifana kakhulu neempawu zezifo eziqhelekileyo kwilizwe lethu, ezifana ne-dengue, i-leptospirosis, kunye nomkhuhlane we-typhoid. Ke ngoko, ugqirha kufuneka acinge ngazo zonke ezi zifo aze afumane isigulo. Ngamanye amaxesha, ukuba uvavanyo lokuqala lwegazi alufumaneki ngokuchanekileyo, kunokufuneka ukuba kwenziwe olunye uvavanyo emva kweeveki ezi-1-3. Kwimeko enjalo, ugqirha unokuqala unyango olusekelwe kwiimpawu ngaphandle kokulinda iziphumo.
Zithini iindlela zonyango zoku?
Iindaba ezimnandi zezokuba i-flea fever sisifo
esinokunyangwa ngokupheleleyo ngamayeza okubulala iintsholongwane. Eyona nto ibalulekileyo kukuqala unyango ngokukhawuleza. Emva koko ungaphila ngokukhawuleza. Ugqirha mhlawumbi uza kukuxelela
I-antibiotic i-doxycycline iyanikwa. Le inikwa ngomlomo iintsuku ezisi-7 nangaphezulu. Ngamanye amaxesha inokunikwa ngemithambo yegazi (IV). Kubantwana abancinci, ingakumbi ukuba isifo sincinci, kuyacetyiswa ukuba bathathe ikhosi emfutshane yeentsuku ezi-5. Oku kwenzelwa ukuphepha iziphumo ebezingalindelekanga ezifana nokudaya amazinyo ukuba eli yeza lisetyenziswa ixesha elide. Kubafazi abakhulelweyo okanye abantu abane-allergies kwi-doxycycline, kunikwa ezinye ii-antibiotics ezikhuselekileyo ezifana ne -azithromycin . Iingxaki ezinzulu ezinokwenzeka ukuba azinyangwa
Ukuba esi sifo asinyangwa, sicinga ukuba ngumkhuhlane nje, singonakalisa amalungu abalulekileyo emzimbeni. | Inkqubo yomzimba | Ingxaki enokwenzeka |
|---|
| Intliziyo | Iimeko ezinje ngokuphazamiseka kwesantya sentliziyo kunye nokudumba kwemisipha yentliziyo (i-myocarditis). |
| Inkqubo yokugaya ukutya | Ukugabha, urhudo, iingxaki zesibindi, i-pancreatitis, kunye nokopha ngaphakathi. |
| Inkqubo yokuphefumla | Kwiimeko ezinzima kakhulu, ulwelo luyaqokelelana emiphungeni, nto leyo eyenza kube nzima ukuphefumla, nto leyo ekhokelela kwimeko esongela ubomi ebizwa ngokuba yi-'Acute Respiratory Distress Syndrome (ARDS).` |
| Izintso | Ukulimala kwezintso okukhawulezileyo (AKI) kunye nokungasebenzi kakuhle kwezintso. |
| Inkqubo yemithambo-luvo | Iimeko ezifana ne-meningitis kunye ne-meningoencephalitis, ezinokubangela ukuxhuzula kunye notshintsho kwindlela yokuziphatha. |
Ngaba ikho imichiza yokugonya i-flea fever? Singazikhusela njani?
Ukuza kuthi ga ngoku, akukho gonyo liphuhlisiweyo lokuthintela umkhuhlane weentakumba. Ngoko ke, eyona nto ingcono onokuyenza kukuzikhusela kwesi sifo ngaphambi kokuba sivele. Oko kukuthi, ukuphepha ukulunywa yikhalane.
- Nxiba ngendlela egquma umzimba wakho wonke. Nxiba iibhulukhwe ezinde kunye neehempe ezineemikhono emide. Kungcono nangakumbi ukuba ungazifaka iziphelo zebhulukhwe yakho kwiikawusi zakho.
- Sebenzisa isixovuli sezinambuzane. Faka isixovuli esine- 'DEET' kulusu oluvezwe elubala kunye nempahla.
- Musa ukuhlala ngqo engceni okanye ematyholweni.
- Xa ukhupha abantwana abancinci nabancinci ngaphandle, gquma iingalo nemilenze yabo kakuhle. Gquma istroller okanye isithuthi sabo ngenethi yokhuseleko.
- Musa ukutshiza isibulali-zinambuzane ngqo eluswini lwabantwana. Sitshize esandleni sakho kuqala, uze usifake eluswini lomntwana wakho. Buza ugqirha ngaphambi kokuba usisebenzise kubantwana abangaphantsi kweminyaka emi-2 ubudala.
- Emva kokubuya ngaphandle, faka zonke iimpahla zakho emanzini ashushu kangangemizuzu engama-30. Kwakhona, hlamba umzimba wakho kakuhle ngesepha namanzi ashushu.
- Ukuba uhamba rhoqo kwiindawo ezinamahlathi, unganyanga iimpahla zakho kunye nezihlangu zakho kwangaphambili ngolwelo olune-'Permethrin' 0.5% . Oku kubulala izinambuzane kwaye kuhlala kusebenza nasemva kokuhlamba izihlandlo ezininzi. Musa ukuyifaka eluswini lwakho. Kwimpahla kuphela.
Umyalezo Wokuya Ekhaya
- I-Scrub Typhus sisifo esibangelwa yintsholongwane . Sinokuba sibi kakhulu, kodwa sinokunyangwa ngokupheleleyo ngamayeza okubulala iintsholongwane .
- Isasazeka ngokuluma izinambuzane ezincinci (ii-chiggers) ezifumaneka kwiindawo ezifana nengca nezihlahla.
- Iimpawu eziphambili ngumkhuhlane, iintlungu zomzimba, kunye nokwakheka kwesikhumba esimnyama (eschar) kwindawo yokulunywa ziincukuthu.
- Ukuba unale mpawu, ungoyiki kwaye ubone ugqirha ngoko nangoko. Okukhona uqala unyango ngokukhawuleza, kokukhona kungcono.
- Eyona nto ingcono onokuyenza kukuthintela esi sifo. Gquma umzimba wakho xa usiya kwiindawo ezinamahlathi, kwaye usebenzise isixovuli sezinambuzane.
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