Khawuthelekelele ukuba unomkhuhlane ophezulu kangangeentsuku ezimbalwa. Emva koko umkhuhlane uyaphela ngokwawo. Ucinga ukuba uphilile. Kodwa emva kweveki, ngaphandle kwesizathu esicacileyo, uphinde ube nomkhuhlane ophezulu. Olu hlobo lomkhuhlane luyafika luze luphele... Ayimangalisi na loo nto? Olu luphawu oluphambili lwe- Tick-Borne Relapsing Fever (TBRF) . Esi asisosifo siqhelekileyo, kodwa kubaluleke kakhulu ukuba siqaphele.
Esi sifo sikhula njani?
Ngamafutshane, esi sifo sibangelwa luhlobo oluthile lwebhaktheriya . Le bhaktheriya ingena emizimbeni yethu ngokulunywa luhlobo oluthile lwekhakha . Sibiza la makhakha ngokuthi 'ziikhakha ezithambileyo'.
Ngokungafaniyo neenkonjane eziqinileyo esizaziyo, ezi nkonjane ezithambileyo azihlali zinamathele emizimbeni yethu kangangeentsuku. Zifunxa igazi kwixesha elifutshane, malunga nemizuzu eli-15 ukuya kwengama-30, zize zibuyele apho zivela khona. Eyona nto ibalulekileyo kukuba xa ezi nkonjane ziluma, asiziva ntlungu. Ngoko ke ngamanye amaxesha asazi nokuba silunywe yinkonjane.
Ezi zinambuzane zihlala kwizidleke zezilwanyana ezincinci ezifana neempuku nee-squirrels. Yiyo loo nto esi sifo sinxulunyaniswa kakhulu neekhabhathi zasemaphandleni kwiindawo zeentaba. Kuba kwiindawo ezinjalo, izilwanyana ezifana neempuku zakha izidleke ngaphakathi kweendonga kunye nophahla. Ebusuku, xa silele, izinambuzane ezikwezi zidleke ziyaphuma zize zifunxe igazi lethu.
Nangona esi sifo singaxelwa rhoqo eSri Lanka, kubaluleke kakhulu ukukwazi oku ukuba uhambela iindawo ezineentaba kumazwe angaphandle, ingakumbi kumazwe afana ne-United States, iKhanada, neMexico.
Zithini iimpawu zoku?
Kudla ngokuthatha malunga neveki ukuba iimpawu zibonakale emva kokuluma ikhalane. Uphawu oluphambili, njengoko benditshilo ngaphambili, ngumkhuhlane ophezulu oza ubuye uphele.
Umkhuhlane uhlala malunga neentsuku ezi-3 ukuya kwezi-5. Emva koko, emva kweentsuku ezi-5 ukuya kwezi-7 ngaphandle komkhuhlane, umkhuhlane uphinda uvele. Ukuba awunyangwa, lo mjikelo uyaqhubeka.
Ekupheleni kwesiganeko ngasinye somkhuhlane, ubushushu bomzimba wakho bunokunyuka ngequbuliso bufikelele kwinqanaba eliphezulu kakhulu (mhlawumbi bufikelele kwi-106.7 F). Oku kungathatha malunga nemizuzu eli-10-30. Emva koko umkhuhlane uyehla ngequbuliso, kwaye usenokubila kakhulu.
Ukongeza kolu phawu luphambili, kukho nezinye iimpawu ezininzi ezinokubonwa.
| Uphawu | Inkcazo |
|---|---|
| Intloko ebuhlungu | Intloko ebuhlungu kakhulu. |
| Intlungu yemisipha kunye namalungu | Iintlungu zomzimba kunye nentlungu yamalungu. |
| Kubanda kwaye kungcangcazela | Umkhuhlane omkhulu ohamba nomkhuhlane. |
| Ukuhlanza kunye nentlungu yesisu | Isicaphucaphu, ukuhlanza, kunye nentlungu esiswini. |
| Ezinye iimpawu | Iimpawu ezinje ngokukhohlela, umphimbo obuhlungu, iintlungu zamehlo, urhudo, ukurhawuzelela kolusu, kunye nokudideka nazo zinokubonakala. |
Yenziwa njani le nto yokuxilonga?
Ukuba ubonakalisa ezi mpawu, ugqirha wakho uza kuqala akuhlole ngononophelo. Uza kubuza nangohambo lwakutshanje, ingakumbi kwiindawo zeentaba kunye nezindlu ezindala zomthi apho ezi zinambuzane zithambileyo zinokuhlala khona.
Ukuqinisekisa ukuxilongwa, kuthathwa isampulu yegazi lakho. Le sampulu yegazi idla ngokuthathwa xa unomkhuhlane. Kwilabhoratri, isazinzulu sihlola isampulu encinci yegazi lakho phantsi kwemakroskopu. Oku kuya kukubonisa ukuba ngaba iibhaktheriya ezibangela esi sifo, ezibizwa ngokuba yi *Borrelia*, zikhona na egazini lakho. Phantsi kwemakroskopu, ezi bhaktheriya zifana nesikhonkwane esincinci.
Zithini iindlela zonyango?
Uninzi lwexesha, esi sifo sinokunyangwa ngaphandle konyango. Nangona kunjalo, ukuba isifo siqinisekisiwe, ugqirha wakho uya kukunika amayeza okubulala iintsholongwane . La mayeza abulala iintsholongwane ezibangela esi sifo. Amayeza asetyenziswa kakhulu yi-tetracycline kunye ne-doxycycline. Abafazi abakhulelweyo kunye nabantwana abancinci badla ngokunikwa amanye amayeza, njenge-erythromycin.Kunikwa i-antibiotic. Uninzi lwabantu luziva lungcono kwiintsuku ezimbalwa emva kokuba beqalile ukusebenzisa iyeza.
Into ekhethekileyo ekufuneka uyikhumbule!
Nantsi into ekhethekileyo ekufuneka uyazi: Abantu abangaphezu kwesiqingatha abafumana unyango banokufumana ukwanda okwethutyana kweempawu (umkhuhlane ophezulu, ukubanda) kwiiyure ezimbalwa zokuqala emva kokuqala amayeza okubulala iintsholongwane.
Musani ukoyika! Oogqirha babiza le meko ngokuthi yi- Jarisch-Herxheimer reaction . Iyenzeka xa iintsholongwane zibulawa zii-antibiotics, kwaye iityhefu zikhutshwa kwezo ntsholongwane zifileyo.
Uninzi lwexesha, ezi mpawu ziyaphela zodwa kwiiyure ezimbalwa. Ugqirha wakho angakucela ukuba uhlale esibhedlele ukuze ujongwe iiyure ezimbalwa zokuqala emva kokuqala amayeza. Amaxesha amaninzi, abanye abantu banokufumana ubunzima bokuphefumla. Ukuba oku kuyenzeka, kubalulekile ukufuna ingcebiso yezonyango okanye uye kwiSebe leNgxamiseko (ETU) ngoko nangoko.
Ngaba iingxaki zinokwenzeka?
Ngonyango olufanelekileyo lwe-antibiotic, olu sulelo luya kuphela ngokupheleleyo kwiintsuku ezimbalwa. Iingxaki azixhaphakanga.
Nangona kunjalo, kwiimeko ezingaqhelekanga, i-TBRF inokonakalisa imithambo-luvo edibanisa amehlo okanye iindlebe zakho. Oku kunokubangela ukulahleka kokuva okanye ukubona. Kunokubangela ukukhubazeka okwethutyana kwemisipha yobuso, okubizwa ngokuba yi-Bell's palsy . Kwiimeko ezingaqhelekanga, ukudumba kwentliziyo kunokwenzeka.
Ukuba ufumana esi sifo ngexesha lokukhulelwa, umngcipheko weengxaki ezifana nokuzalwa ngaphambi kwexesha okanye ukuzalwa komntwana obunzima obuphantsi unokunyuka kancinci. Ngoko ke, umama okhulelweyo kufuneka alumke kakhulu ngale nto.
Ungazikhusela njani kwesi sifo?
Eyona nto ingcono onokuyenza kukuphepha ukulunywa ziincukuthu.
- Ukuba uya kwindawo apho kunokwenzeka ukuba kubekho iimpukane, sebenzisa isixovuli sezinambuzane xa ungaphandle. Ungasebenzisa ulwelo olune-permethrin kwimpahla, okanye imveliso ene-DEET kwisikhumba nakwimpahla.
- Ukuba uhlala kwindawo endala yokuphumla eyenziwe ngamaplanga, khangela iimpuku. Jonga izinto ezifana neenyosi. Ukuba uzibona, susa iimpuku kunye nezidleke zazo ngoncedo lwengcali yokulawula izinambuzane.
Umyalezo Wokuya Ekhaya
- I-Tick-Borne Relapsing Fever (TBRF) sisifo esithwalwa ziincukuthu esibangela ukuba umkhuhlane ubuye uphele, uze uphele uze ubuye.
- Oku kubangelwa 'zii-soft tick' ezihlala emingxunyeni yezilwanyana ezifana neempuku. Le ngozi iphezulu kakhulu kwiikhabhini ezindala zokhuni (iikhabhini zasemakhaya) kwiindawo zeentaba.
- Ukuba ufumana ezi mpawu, ingakumbi emva kohambo, bonana nogqirha wakho ngoko nangoko.
- Esi sifo sinokunyangwa ngokupheleleyo ngamayeza okubulala iintsholongwane.
- Iimpawu zinokwanda okwethutyana ngexesha leeyure zokuqala zonyango (impendulo kaJarisch-Herxheimer). Musa ukoyika oku kwaye ulandele iingcebiso zonyango.
- Eyona nto ingcono onokuyenza kukuthintela ukusuleleka sesi sifo. Thatha amanyathelo afunekayo ukuze uzikhusele kwiinkozo.
Umkhuhlane, Amakhakhayi, i-TBRF, Umkhuhlane obuyela umva, iBorrelia, Unyango, Iimpawu, Usulelo
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