Umkhuhlane ongaqhelekanga ovela kwizilwanyana? Masithethe nge-'Tularemia'!

Ngaba wakha weva ngesifo esibizwa ngokuba yi-"Tularemia"? Mhlawumbi eli gama litsha kancinci. Kodwa yinto ekufuneka siyazi, kuba sisifo esinokudluliselwa kuthi sisuka kwizilwanyana, kwaye sinokuba sibi kakhulu. Abanye abantu basibiza ngokuba yi-"rabbit fever". Ngoko ke, ungakhathazeki, namhlanje siza kuthetha nge-"Tularemia" ngendlela elula onokuyiqonda.

Yintoni 'iTularemia'? Ngamafutshane...

I-Tularemia sisifo esibangelwa yintsholongwane ebizwa ngokuba yiFrancisella tularensis (F. tularensis). Sisifo sezilwanyana. Ngokuchanekileyo, sidluliselwa ebantwini ngokudibana nezilwanyana ezineentsholongwane okanye ngokudibana nezilwanyana ezithwala le ntsholongwane, njengeentakumba kunye neenkozo.

Xa unesi sifo, ii-lymph nodes zakho zinokudumba kabuhlungu . Akupheleli apho, kodwa kuxhomekeke ekubeni intsholongwane ingene phi emzimbeni wakho, unokufumana iimpawu ezahlukeneyo emiphungeni yakho, emehlweni, emqaleni, nasemathunjini. Cinga ngako, ngamanye amaxesha xa sihambahamba ehlathini, ukuba isilwanyana esincinci siyasikrwela okanye sisiluma, njengekhalane, sifumana inxeba, kwaye le ntsholongwane inokungena emizimbeni yethu ngaloo nxeba.

Ibonakala njani i-tularemia emzimbeni?

Uphawu oluphambili lwe-tularemia kukudumba kwama-lymph nodes, anokubonakala njengamaqhuma amakhulu emzimbeni, njengasentanyeni nasemakhwapheni. Ngamanye amaxesha, izilonda zinokwenzeka apho intsholongwane ingene emzimbeni. Oku kuthetha ukuba ibukeka njengesilonda esincinci.

Ngubani onokuthi abe ne-'tularemia'? Ngubani osengozini?

Nabani na unokufumana i-tularemia. Nangona kunjalo, umsebenzi wakho, izinto ozithandayo, okanye indawo ohlala kuyo inokunyusa umngcipheko wakho wokufumana le ntsholongwane. Jonga ukuba ungomnye waba bantu:

• Abantu abazingela okanye abaphatha inyama engaphekwanga kakuhle : Oku kungadluliselwa ngenyama yezilwanyana.
• Abantu abasebenza rhoqo nezilwanyana, njengoogqirha bezilwanyana kunye namagosa olawulo lwezilwanyana : basengozini enkulu ngenxa yokusondelana nezilwanyana ezineentsholongwane.
• Abantu abahlala kwiindawo apho kukho inani elikhulu lezinambuzane ezilumayo ezifana neengcongconi kunye neentakumba .
• Abantu abane-immune system ebuthathaka : Umzekelo, abantu abane-HIV, abaguli abanomhlaza, okanye abo basebenzisa amayeza okunciphisa amajoni omzimba.
• Abasebenzi basefama, abachebi beegusha, kunye nabo basebenza nebhaktheriya ethi `F. tularensis` kwiilebhu : Aba bantu basengozini enkulu yokufumana `i-Pneumonic tularemia`, echaphazela imiphunga.

Nangona esi sifo sixelwa kakhulu kwamanye amazwe, ingakumbi amanye amazwe aseMelika, nabani na angasosulelwa sesi sifo nakweyiphi na indawo apho kukho le ntsholongwane. Nangona ingakhange ixelwe kangako eSri Lanka, kulungile ukuba silumke.

Ixhaphake kangakanani iTularemia?

Asisisifo esibonwa kuyo yonke indawo kwihlabathi liphela, sinqabile . Kodwa, njengoko benditshilo ngaphambili, sinokuba sibi kakhulu ukuba siyenzeka, ngoko ke kubaluleke kakhulu ukuba sikuqaphele oku.

Zeziphi iindawo zomzimba ezichaphazeleka sesi sifo?

I-Tularemia inokuchaphazela ikakhulu ii-lymph nodes zakho, ulusu, amehlo, umphimbo, amathumbu, okanye imiphunga . Nangona kunjalo, kwiimeko ezinzima, inokubangela ukudumba nakweyiphi na ilungu lomzimba, kuquka ingqondo nentliziyo.

Isebenza njani le bhaktheriya emzimbeni?

Ngamafutshane, xa iintsholongwane ze-'F. tularensis' zingena emizimbeni yethu, iiseli zenkqubo yethu yokuzikhusela komzimba "zizalisa" iintsholongwane. Ngokwesiqhelo, ezi seli ziyazitshabalalisa iintsholongwane. Nangona kunjalo, iintsholongwane ze-'F. tularensis' zinobuqili kakhulu. Kungaphakathi kwezo seli apho iintsholongwane ziphindaphindeka khona . Ekugqibeleni, iiseli zokuzikhusela komzimba ziyatshatyalaliswa, kwaye inani elikhulu leentsholongwane lisasazeka emzimbeni wonke, lisulela ezinye iiseli.

Oku kutshatyalaliswa kweeseli kunye nokusabela kwenkqubo yethu yomzimba yokuzikhusela kule ntsholongwane yiyo ebangela iimpawu kwilungu lomzimba elinentsholongwane.

Ngaba kukho iintlobo ezahlukeneyo zeTularemia?

Ewe, kukho iintlobo ezininzi eziphambili ze-tularemia. Ezi zahlulwe ngokwendlela osulelwe ngayo yintsholongwane kunye nendawo ezibonakala kuyo iimpawu.

1. I-ulceroglandular tularemia

Olu lolona hlobo luqhelekileyo lwe-tularemia . Idla ngokufunyanwa ngokulunywa sisilwanyana esifana nekhakhayi okanye isilwanyana esinesifo. Ichaphazela ulusu lwakho kunye namadlala e-sebaceous. Uphawu oluphambili kukudumba kwe-sebaceous gland kunye nesilonda sesikhumba.

2. I-tularemia ye-Glandular

Oku kufana nohlobo olukhankanyiweyo apha ngasentla, kodwa akubanga zizilonda zesikhumba, kuphela zii-gill ezidumbayo . Kungabangelwa kukulunywa ziincukuthu okanye ukudibana ngqo nesilwanyana esinesifo.

3. Uhlobo oluchaphazela amehlo (i-Oculoglandular tularemia)

Olu hlobo losulelo lwenzeka xa ufumana amanzi okanye ulwelo lomzimba wesilwanyana esweni lakho. Lubangela iimpawu esweni . Ludla ngokuchaphazela iliso elinye kuphela.

4. Uhlobo oluchaphazela umphimbo kunye nendlela yokugaya ukutya (i-Oropharyngeal tularemia)

Olu hlobo lunokufunyanwa ngokutya ukutya okungcolisiweyo, ukusela amanzi angcolisiweyo, okanye ngokubeka izandla ezineentsholongwane emlonyeni ngaphandle kokuzihlamba. Uphawu oluphambili kukukhala komphimbo obuhlungu kakhulu . Ngamanye amaxesha iimpawu zesisu nazo zinokuvela.

5. Uhlobo oluchaphazela imiphunga (i-Pneumonic tularemia)

Olu lolona hlobo lubi kakhulu lwe-tularemia . Lubangela iimpawu ezifana ne-pneumonia. Zimbini iindlela olunokuthi luvele ngazo:

• Ukuphefumla ngokuthe ngqo kwebhaktheriya ethi `F. tularensis`Ukungena emiphungeni.
• Ukusasazeka kosulelo lwe-F. tularensis kwenye indawo emzimbeni ukuya emiphungeni .

6. I-typhoidal tularemia

Olu hlobo lwe-tularemia luphawulwa ngumkhuhlane ophezulu kwaye luchaphazela iindawo ezahlukeneyo zomzimba . Lunokukhula ngendlela efanayo nezinye iintlobo ze-tularemia.

Ingaba 'iTularemia' iyafana 'nesifo seLyme'?

Lo ngumbuzo abanye abantu abawubuzayo. Nangona ezinye zeempawu ze-"Tularemia" zifana nesifo seLyme, ezi zifo zimbini zichaphazela umzimba ngokwahlukileyo. I-"Tularemia" sisifo esinokuchaphazela iindawo ezahlukeneyo zomzimba kwaye sinokusongela ubomi . I-"Lyme disease" idla ngokuba yingxaki encinci kubomi, kodwa ngamanye amaxesha inokubangela iimpawu ezinzima ukunyangwa ixesha elide.

Ziziphi iimpawu zeTularemia?

Iimpawu ze-tularemia ziyahluka ngokuxhomekeke kuhlobo onalo. Uninzi lweentlobo ziquka umkhuhlane kunye neentlobo ezahlukeneyo zamaqhuqhuva eluswini . Ukongeza, iimpawu ezithile zivela ngokuxhomekeke kwindawo yosulelo.

Iimpawu zeentlobo zezilonda zesikhumba kunye namaqhuqhuva e-Ulceroglandular kunye ne-Glandular:

• Ifiva.
• Ii-lymph nodes ezinkulu kakhulu, ezivuvukileyo nezibuhlungu .
• Isilonda esivulekileyo (isilonda okanye isilonda) eluswini - oku kwenzelwa kuphela i-'Ulceroglandular tularemia'.

Iimpawu zohlobo lwe-Oculoglandular:

• Intlungu yamehlo.
• Ukukrazuka kwamehlo.
• Uvelwano ekukhanyeni (photophobia) - oko kuthetha ukuba kunzima ukujonga ukukhanya.
• Ukudumba kunye nentlungu ejikeleze iindlebe okanye intamo.
• Inxeba elivulekileyo elisweni (isilonda se-cornea).

Iimpawu zohlobo lwe-Oropharyngeal ezichaphazela umphimbo kunye nomqala:

• Ifiva.
• Umphimbo obuhlungu kakhulu .
• Ukudumba komphimbo, ukuba bomvu, kunye namabala amhlophe.

Abanye abantu banokufumana oku:

• Ukuhlanza.
• Urhudo (mhlawumbi lunegazi).
• Intlungu zesisu.

Iimpawu zohlobo lwe-Pneumonic ezichaphazela imiphunga:

• Ifiva.
• Ukukhwehlela.
• Ubunzima bokuphefumla (ukuphelelwa ngamandla).
• Intlungu yesifuba okanye ukuxinana.
• Intlungu yemisipha.
• Amaqhuma abomvu okanye izilonda eluswini (i-erythema nodosum).
• Ukukhohlela igazi (i-hemoptysis).

Iimpawu zeTyphoid Fever:

• Umkhuhlane ophezulu.
• Ukugodola.
• Intloko ebuhlungu (intloko ebuhlungu).
• Ukutya akunancasa.
• Intlungu yemisipha.
• Umqala obuhkungu.
• Intlungu yesisu.
• Urhudo.
• Isicaphucaphu okanye ukuhlanza.
• Ukudideka.

Kuthatha ixesha elingakanani ukuba iintsholongwane zingene emzimbeni ngaphambi kokuba isifo sibonakale?

Ixesha lokufukama kwe-tularemia, ixesha eliqala ukususela ekuchatshazelweni yintsholongwane de kuvele iimpawu, lidla ngokuba lixeshaMalunga neentsuku ezintathu ukuya kwezintlanu , kodwa abanye abantu basenokungabonakalisi zimpawu ukuya kuthi ga kwiiveki ezimbini.

Yintoni unobangela wesi sifo 'iTularemia'?

Njengoko benditshilo ngaphambili, ibangelwa yintsholongwane ebizwa ngokuba yi-`Francisella tularensis` (`F. tularensis`). Le ntsholongwane idla ngokuhlala emizimbeni yezilwanyana (ezi zilwanyana zithwala izifo zikwabizwa ngokuba "ziindawo zokugcina amanzi") – ingakumbi onogwaja, imivundla, izilwanyana ezincinci ezifana neempuku, kunye neekati. Ingadluliselwa naziincukuthu kunye nezinambuzane ezilumayo.

Kukho iintlobo ezimbini eziphambili zale ntsholongwane ethi 'F. tularensis' - uhlobo A kunye nohlobo B. Uhlobo A ludla ngokubangela isifo esibi kakhulu, kwaye luxhaphake kakhulu eMelika. Uhlobo B ludla ngokubangela iimpawu ezingabalulekanga kangako, kwaye lufumaneka eMntla Melika nakwezinye iindawo ezininzi zehlabathi.

Esi sifo sisasazeka njani kuthi?

Kukho iindlela ezahlukeneyo zokudlulisela i-Tularemia kuthi:

• Ukulunywa zizinambuzane ezilumayo ezifana neengcongconi, iingcongconi, kunye neempukane zenyamakazi .
• Ngokulunywa zizilwanyana ezineentsholongwane.
• Ngokuchukumisa izilwanyana ezineentsholongwane . Ukuba uchukumisa izicwili okanye ulwelo lomzimba lwesilwanyana esineentsholongwane, iintsholongwane zinokungena emzimbeni wakho ngesithuba esincinci eluswini lwakho. Ungazifumana ezi ntsholongwane ngokuchukumisa izinto ezineentsholongwane ze-'F. tularensis' uze uchukumise ubuso bakho, amehlo, impumlo, okanye umlomo.
• Ngokusela amanzi anentsholongwane okanye ngokutya ukutya okunentsholongwane.
• Ngokuphefumla amathontsi amancinci (i-aerosol okanye inkungu) aqulethe intsholongwane ethi `F. tularensis` . Oku kunokwenzeka, umzekelo, ukuba isilwanyana esinentsholongwane sinqunyulwe ngumsiki wengca okanye izixhobo zasefama, kwaye iintsholongwane zinokukhutshwa emoyeni zize ziphefumle.

Ngaba i-tularemia iyosulela umntu komnye umntu?

Hayi, i-tularemia ayosuleli. Oko kukuthi, ayisasazeki ngokuthetha okanye ngokuxhawulana nomntu osulelekileyo. Nangona kunjalo, iyosulela kakhulu . Oko kukuthi, nokuba inani elincinci kakhulu leebhaktheriya lingena emzimbeni, umngcipheko wokufumana esi sifo uphezulu.

Ingaba kukhuselekile ukutya isilwanyana esine-tularemia?

Xa inyama iphekiwe kakuhle, iintsholongwane ziyabulawa. Nangona kunjalo, ukuba uyazi ukuba isilwanyana sikhe saba ne-"Tularemia", akulunganga ukutya inyama yeso silwanyana .

Ugqirha uyifumanisa njani iTularemia?

Ukuze afumanise i-tularemia, ugqirha uza kukuxilonga, akubuze ngeempawu zakho, aze akuyalele uvavanyo egazini lakho okanye kolunye ulwelo lomzimba. Ngokuxhomekeke kwiimpawu zakho, uza kuxilonga iintsini, umphimbo, amehlo kunye nolusu lwakho ukuze abone izilonda, amaqhuma, okanye izilonda.

Zeziphi iimvavanyo ezenziwayo koku?

Ugqirha wakho angenza ezi mvavanyo zilandelayo ukuze afumanise ukuba une-tularemia:

• Uvavanyo lwegazi: Isampuli yegazi ethathwe engalweni yakho iya kuthunyelwa kwilebhu ukuze ivavanywe iimpawu ze-tularemia kwaye kubonwe ukuba ingaba iintsholongwane ze-F. tularensis ziyakhula na. Ngenxa yokuba iintsholongwane ze-F. tularensis zikhula kancinci, uvavanyo lokuqala lwegazi lusenokuba loluqhelekileyo. Ngoko ke kunokufuneka uphinde wenze uvavanyo lwegazi kwiiveki ezimbalwa kamva.
• I-biopsy : Ukuba irhashalala yakho idumbile kakhulu okanye kukho izilonda eluswini, ugqirha wakho uza kuthatha iqhekeza elincinci lesicwili (i-'biopsy') kuloo ndawo aze alithumele kwilebhu ukuze abone ukuba ingaba intsholongwane ye-'F. tularensis' ikhona okanye iyanda na.
• I-swab yempumlo okanye yomphimbo : Ugqirha uza kusebenzisa i-swab enamathele kwintonga ende ukuze athathe isampuli ye-mucus empumlweni okanye emqaleni wakho, ayithumele kwilebhu, aze ajonge ukuba ikhona na kwaye ikhula na i-F. tularensis bacteria.
• Uvavanyo lwe-Pleural fluid / thoracentesis : Ukuba unesixa esikhulu se-fluid esijikeleze imiphunga yakho (i-pleural effusion), ugqirha wakho uza kuthatha isampuli yaso ngenkqubo ebizwa ngokuba yi-thoracentesis aze asithumele ukuba sivavanywe.

Kaloku, zeziphi iindlela zonyango zesi sifo 'iTularemia'?

I-Tularemia inyangwa ngamayeza okubulala iintsholongwane e-broad-spectrum . La mayeza anokunikwa njengenaliti okanye njengeepilisi. Ukuba uneengxaki ezinkulu, unokufuna olunye unyango.

Kubaluleke kakhulu ukuqala unyango lwe-tularemia ngokukhawuleza. Ngamanye amaxesha, oogqirha baya kuqala amayeza okubulala iintsholongwane ngaphambi kokuba iingxelo zelebhu yakho zifike kuba bafuna ukuyithintela ekubeni ibe yingozi.

Ngaba abantu banokuchacha ngokupheleleyo kwesi sifo, iTularemia?

Ewe, kunokwenzeka. I-Tularemia sisifo esinyangekayo. Ii-antibiotics zinokubulala iintsholongwane ezisibangelayo.

Ngawaphi amayeza anikwa i-Tularemia?

Iindidi zee-antibiotics ezisetyenziselwa ukunyanga i-tularemia zezi:

• 'I-Streptomycin'
• `IGentamicin`
• I- Doxycycline (iDoxycycline)
• `I-Azithromycin`
• `Ciprofloxacin' okanye `levofloxacin'

Ndingazinyamekela njani ekhaya ngelixa ndisela amayeza? Ndingazilawula njani iimpawu?

Kubalulekile ukuthatha onke amayeza okubulala iintsholongwane amiselwe ngugqirha wakho ixesha elipheleleyo . Musa ukuyeka ukuthatha amayeza de ugqirha wakho akuxelele ukuba wenjenjalo. Ukuba uyeka ukuthatha amayeza okubulala iintsholongwane kwangethuba, ezinye zebhaktheriya zisenokuhlala emzimbeni wakho zize zibangele ukuba usulelo lubuye.

Ukongeza kwii-antibiotics ezimiselweyo, unokulawula ezinye zeempawu ze-tularemia ekhaya. Buza ugqirha wakho malunga namayeza athengiswa ngaphandle kwe-odolo (OTC) okanye ezinye iindlela zonyango ezinokukunceda kwiimpawu zakho.

Singenza ntoni ukuze sihlale sikhuselekile kwesi sifo 'seTularemia'?

Unganciphisa umngcipheko we-tularemia ngokuzikhusela wena nezilwanyana zasekhaya ekulunyweni zizinambuzane, uqaphele xa usebenzisana nezilwanyana, kwaye upheke inyama kakuhle.

• Nanini na xa kunokwenzeka, nxiba impahla egquma umzimba wakho kakuhle xa ungaphandle, ingakumbi engceni ende okanye kwiindawo ezinemithi. Sebenzisa isitshizi sezinambuzane esine-DEET.
• Emva kokubuya ngaphandle, zihlole wena nezilwanyana zasekhaya zakho ukuba azinazo na iimpukane . Kungcono ukuba omnye umntu ahlole iindawo ongenakuzibona lula, njengentloko.
• Buza ugqirha wezilwanyana ukuba ungenza ntoni ukukhusela izilwanyana zakho zasekhaya kwiinkumbi. Iikati eziphuma ngaphandle zinokufumana i-tularemia.
• Jonga izilwanyana zakho zasekhaya xa ziphuma ngaphandle. I-Tularemia inokudluliselwa ngokulunywa zezinye izilwanyana.
• Nxiba iiglavu xa uphatha izilwanyana (eziphilayo okanye ezifileyo) . Ungaze uchukumise isilwanyana sasendle ngezandla zakho. Nokuba unxibe iiglavu, hlamba izandla zakho kakuhle ngesepha namanzi emva kokuphatha izilwanyana.
• Pheka inyama kakuhle ukuya kubushushu obukhuselekileyo . Hlamba izandla, imiphezulu, kunye nezixhobo kakuhle emva kokulungisa ukutya. Izilwanyana zasendle zingaqulatha iintsholongwane ezibangela i-tularemia.
• Musa ukusela amanzi anganyangwanga.
• Ukuba kunokwenzeka, kuphephe ukucheba okanye ukusebenzisa ezinye izixhobo kufutshane nezidumbu zezilwanyana . Ukuba kunokwenzeka, musa ukubeka izilwanyana kwizixhobo. Ukunxiba imaski yobuso xa usebenzisa umatshini wokusika ingca okanye izixhobo zezolimo kunokunceda ekuthinteleni ukuphefumla amasuntswana amancinci emoyeni, kodwa kufuneka uphando oluthe kratya ukuqinisekisa oku.
• Ukuba ucinga ukuba ukhe wachaphazeleka yi-tularemia, buza ugqirha wakho ukuba kufuneka uthathe amayeza okubulala iintsholongwane ukuthintela ukuba esi sifo singabikho.

Kwenzeka ntoni ukuba une-tularemia? Kuthatha ixesha elingakanani ukuba uphile?

Uninzi lwabantu abafumana i-tularemia bayaphila ngokupheleleyo . Kuya kufuneka uthathe amayeza okubulala iintsholongwane kangangeentsuku ezili-10 ukuya kwezingama-21.

Ngokuxhomekeke kwiimpawu zakho, ugqirha wakho uza kukujonga ngokusondeleyo kwiintsuku ezimbalwa zokuqala emva kokuba uqalile unyango. Ukuba uqala amayeza okubulala iintsholongwane kwangethuba emva kokuba iimpawu zakho ziqalile, unokuba neengxaki ezinkulu.

Iimpawu zabanye abantu zinokubuya emva kokuba bephilile (ukubuyela umva). Ukuba oko kuyenzeka kuwe, kunokufuneka uthathe olunye unyango lokubulala iintsholongwane.

Unyango lwe-tularemia ludla ngokuthatha iiveki ezimbini ukuya kwezintathu. Nangona kunjalo, kungathatha ixesha elide ukuba uzive uphilile ngokupheleleyo. Ngamanye amaxesha, izilonda zesikhumba ezibangelwa yi-tularemia zinokubangela amanxeba angapheliyo.

Ndingabuyela nini emsebenzini/esikolweni?

Ekubeni i-tularemia ingasuleli, ungabuyela emsebenzini okanye esikolweni nanini na xa uziva uphilile .

Iyintoni ingqikelelo ye-tularemia?

Ithemba le-tularemia lihle ukuba linyangwa ngokukhawuleza . Ukuba linyangwa ngokukhawuleza ngamayeza okubulala iintsholongwane, izinga lokufa ngenxa ye-tularemia lingaphantsi kwe-1%.

Ziziphi iingxaki ezinokubakho zeTularemia?

Iingxaki ze-tularemia zihlala zenzeka xa kukho i-pneumonic okanye i-typhoid fever. Ezinye zezi ziquka:

• Ubunzima obukhulu bokuphefumla (i-Acute Respiratory Distress Syndrome - ARDS).
• Umkhuhlane wobuchopho (i-meningitis okanye i-meningoencephalitis).
• Ukudumba kwentliziyo (`myocarditis`, `pericarditis` okanye `endocarditis`).
• Ukudumba kwamathambo, umongo wethambo, okanye amalungu (i-osteomyelitis okanye i-arthritis).
• Ukudumba kwesibindi (i-hepatitis).
• Ukungasebenzi kakuhle kwezintso.
• Ukopha ngaphakathi (ukopha kwegazi).

Ngaba i-Tularemia inganyangeka ngaphandle kwee-antibiotics?

Abanye abantu banokuphila emva kwe-tularemia ngaphandle kwee-antibiotics. Nangona kunjalo, umngcipheko weengxaki ezinkulu, kuquka nokonakala kwamalungu omzimba, uphezulu kakhulu . Ukuba ayinyangwa, i-tularemia yohlobo lwe-A inokubangela ukufa kwi-30% yamatyala. Ke ngoko, ukuba kukho amathandabuzo, kububulumko ukufuna ingcebiso kagqirha ngokukhawuleza.

Ndifanele ndimbone nini ugqirha?

Bona ugqirha ukuba:

• Ukuba uneempawu ze-'Tularemia'.
• Ukuba ucinga ukuba ukhe wachaphazeleka yi-tularemia, ugqirha unokucebisa ukuba uthathe amayeza okubulala iintsholongwane ukuthintela ukuba esi sifo singabikho.
• Ukuba iimpawu ze-tularemia ziyaphinda zibuye ngexesha okanye emva kokuba unyango lugqityiwe.

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

Ukuba unezi mpawu zibalulekileyo , yiya kwigumbi likaxakeka elikufutshane ngoko nangoko:

• Ukuba umkhuhlane ungaphezulu kwe-103 Fahrenheit (39.4 Celsius).
• Ukudideka okanye olunye utshintsho lwengqondo.
• Ukuba kukho igazi emhlanzweni okanye esitulweni.
• Ukuba ukhwehlela igazi.
• Ukuba ubona umbala oluhlaza okwesibhakabhaka eluswini lwakho, emilebeni, okanye ezinziphoni (olu luphawu lokunqongophala kweoksijini - `ukungabikho koxia`).
• Intlungu ebuhlungu yesisu.
• Ubunzima obukhulu okanye obukhawulezileyo bokuphefumla.

Zeziphi izinto ezibalulekileyo ekufuneka ndizibuze ugqirha wam?

Kungcono ukubuza le mibuzo xa ubona ugqirha wakho:

• Ndingawasela njani amayeza am ngokuchanekileyo?
• Ndingenza ntoni ukuze ndinciphise iimpawu zam ekhaya?
• Ndingabuya nini ndize kukubona kwakhona?
• Ndingaya nini kwigumbi likaxakeka?

Ngaba i-tularemia isetyenzisiwe njengesixhobo sebhayoloji?

Ngenxa yokuba inokudluliselwa ngokukhawuleza kangaka, kukho inkxalabo yokuba intsholongwane i-F. tularensis, ebangela i-tularemia, ingasetyenziswa njengesixhobo sebhayoloji. Nangona kunjalo, akukho zibhengezo okanye ziqinisekisiweyo zokuqhambuka kwe-tularemia okunxulunyaniswa nezixhobo zebhayoloji .

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, le 'Tularemia' sisifo esingaqhelekanga, kodwa ngamanye amaxesha esinzima ekufuneka sinyanyekelwe . Ukuba ucinga ukuba ukhe wachaphazeleka yiso, okanye ukuba uneempawu, bona ugqirha ngoko nangoko . Ukuba ufumana unyango ngokukhawuleza, ungaphila ngokupheleleyo. Ngoko ke, eyona nto ibalulekileyo kukungabi naloyiko, kodwa kukuqaphela nokulumka. Uyayazi?

I- Tularemia, iFrancisella tularensis, umkhuhlane werabbit, umkhuhlane weempukane zeenyamakazi, isifo sezilwanyana ezizalwa zizilwanyana, ii-lymph nodes, isifo esithwalwa ziincukuthu, usulelo lweebhaktheriya, izifo ezithwalwa ziincukuthu