Ingabe ungumuntu othanda ukuhamba ezindaweni ezinhle, ukukhuphuka izintaba, nokuvakashela izimpophoma? Noma uthanda ukugijima nokudlala emadlelweni amahle? Okuhlangenwe nakho okunjalo kuyamangalisa ngempela. Kodwa ezindaweni ezinhle kangaka, ikakhulukazi ezindaweni ezinotshani obuningi nezihlahla, kunesilwane esincane esingenakusibona, futhi leso yisilwane esinomkhuhlane. Ubuwazi ukuthi lesi silwane esincane singasibangela izifo ezinkulu? Namuhla sikhuluma ngesifo esidluliselwa yizinja ezinjalo, kodwa abantu abaningi ezweni lethu abangazi ngaso, kodwa kubalulekile ukwazi ngaso. Leso yi -Ehrlichiosis (Er-li-ki-yo-sis) .
Kalula nje, iyini i-Ehrlichiosis?
I-Ehrlichiosis iyigciwane elibangelwa amagciwane. Njengoba nje igciwane le-dengue lidluliselwa lapho umiyane usiluma, lapho ikhizane eliphethe igciwane i-Ehrlichia linamathela kithi futhi limunca igazi lethu, amagciwane angena egazini lethu. Yilapho-ke sithola lesi sifo. Amagciwane ayinhloko abangela lesi sifo yi-`(Ehrlichia chaffeensis)`, `(E. ewingii)` kanye ne-`(E. muris eauclairensis)`.
Ezigabeni zokuqala zalesi sifo, izimpawu zingase zibonakale njenge-viral flu evamile. Ngakho-ke abantu abaningi bangase bangayinaki kakhulu. Kodwa uma ingelashwa ngendlela efanele futhi ngokushesha, lesi yisimo esibi esingaba yingozi ngisho nokuphila.
Abanye abantu bayabuza, "Ingabe lokhu kuyafana nesifo seLyme?" Yebo, zombili lezi zifo zidluliselwa ngamakhizane. Kodwa-ke, izimpawu nezinhlobo zamagciwane abangela lezi zifo ezimbili zihlukile. I-Ehrlichiosis ingaba yingozi kakhulu uma ingelashwa ngokushesha.
Ingabe lesi sifo sibi kangakanani ngempela?
Lokhu kungase kuzwakale kuyesabisa, kodwa kubalulekile ukwazi iqiniso. Akuwona wonke umuntu othola i-ehrlichiosis ozoba nesifo esibi kakhulu. Kodwa-ke, uma ukwelashwa kwephuza, cishe ama-60% eziguli kuzodingeka alaliswe esibhedlela. Futhi, akuvamile kakhulu, cishe ama-1% amacala angaba yingozi.
Okudingeka sikuqonde kulezi zibalo ukuthi lesi akusona isifo esingabhekwa kalula njengesifo somkhuhlane ojwayelekile. Ukutholwa kusenesikhathi kanye nokwelashwa okusheshayo yizinto ezibaluleke kakhulu lapha.
Ubani osengozini enkulu?
Noma ubani ohlala endaweni enehlathi elinotshani obude angathola lesi sifo esikhumbeni. Kodwa-ke, abanye abantu banamathuba amaningi okuba nezinkinga ezinkulu uma bethola lesi sifo. Lokhu kufaka phakathi:
- Abantu abangaphezu kweminyaka engu-50: Njengoba sikhula, amasosha omzimba wethu ayawohloka, okunciphisa ikhono lethu lokulwa nezifo.
- Abantu abanezivikeli mzimba ezibuthakathaka: Abantu abane-HIV, iziguli ezinomdlavuza, labo abathatha imithi yomdlavuza, noma labo abathatha imithi ecindezela izivikeli mzimba zabo ngenxa yesinye isifo basengozini enkulu.
- Abantu abanezinye izifo zesikhathi eside:Abantu abanezifo ezifana nesifo sikashukela bangase babe nekhono elinciphile lokulwa nezifo.
Ziyini izimpawu ze-Ehrlichiosis?
Izimpawu zivame ukuvela phakathi kwezinsuku ezi-5 nezingu-14 ngemva kokuba umkhaza ukukulumile. Izimpawu zivame ukuqala ngomkhuhlane. Ezinye izimpawu zingase zivele ngemva kwezinsuku ezimbalwa. Izingane ezincane zinamathuba amaningi okuba nomkhuhlane kunabantu abadala.
Nakhu ukuthi lezi zimpawu ziyini.
| Uhlobo lwesibonakaliso | Izimpawu ezibonisa |
|---|---|
| Ezinsukwini zokuqala (njengomkhuhlane) |
|
| Ngemva kwezinsuku ezimbalwa |
Lesi sifo sidluliselwa kanjani? Ingabe sidluliselwa kusuka kumuntu kuya komunye?
Lokhu kuyinto edinga ukuqondwa kahle. I-Ehrlichiosis ayisabalali isuka komunye umuntu iye komunye. Lokho kusho ukuthi akusona isifo esithelelanayo. Awukwazi ukusithola ngokuthinta, ukukhuluma, noma ukusebenzisa umuntu onaso.
Lokhu kusakazwa ngendlela efanayo:
1. Ikhakhayi limunca igazi lesilwane (njengenyamazane noma inja) esinalesi sifo.
2. Bese kufika umkhaza onegciwane, unamathele kumuntu bese umunca igazi.
3. Ngemuva kwalokho amabhaktheriya afika egazini lesilwane angena egazini lomuntu.
Akuvamile kakhulu ukuthi lesi sifo sidluliselwe ngokumpontshelwa igazi kusuka kumuntu onegciwane kuya kumuntu ophilile noma ngokufakelwa isitho. Kodwa lokhu akuvamile kakhulu.
Udokotela usithola kanjani lesi sifo?
Uma uya kudokotela onezimpawu ozishilo ngenhla, uzoqala akuhlole bese ekubuza imibuzo embalwa. Izimpendulo ozinikezayo lapha zibaluleke kakhulu.
- "Uke wahambahamba ehlathini muva nje, endaweni enotshani obude, noma endaweni enezintaba?"
- "Uyibonile ikhithi inamathele emzimbeni wakho?"
Ngisho noma ungakhumbuli ukulunywa yi-tick, uma ubusendaweni enjalo, qiniseka ukuthi utshela udokotela wakho. Ngenxa yokuthi ama-tick mancane kakhulu, ngezinye izikhathi asazi nokuthi anamathele nini emzimbeni, amunce igazi, bese ephuma eyedwa.
Uma udokotela wakho esola ukuthi une-Ehrlichiosis ngokusekelwe olwazini olunikezayo kanye nezimpawu zakho, uzoyala ukuhlolwa kwegazi. Lokhu kuhlolwa kwegazi kuzohlola amangqamuzana amhlophe egazi aphansi (amasosha emzimbeni wakho alwa nesifo) kanye nezimpawu zokutheleleka ngamagciwane.
Ngezinye izikhathi amabhaktheriya asesampula yegazi ayahlungwa bese ethunyelwa ukuze ayohlolwa. Kodwa njengoba imiphumela yalolo hlolo ingathatha amasonto ukuthi ibuye, odokotela abalindi ukuthi ibuye. Uma kukhona ukusolakala kwesifo ngokusekelwe ezimpawu kanye nomlando wakho, ukwelashwa kuzoqala ngaphambi kokuba imiphumela ibuye. Ngoba into ebaluleke kakhulu kulesi sifo ukuqala ukwelashwa ngokushesha okukhulu.
Yiziphi izindlela zokwelapha? Ngizolulama ngokushesha kangakanani?
I-Ehrlichiosis yelashwa ngama -antibiotic . Udokotela wakho uvame ukukunikeza le mithi okungenani izinsuku ezintathu ezengeziwe ngemuva kokuba umkhuhlane wakho usuphelile ngokuphelele futhi izimpawu zakho sezithuthuke kakhulu. Lokho kungaba yizinsuku ezi-5 kuya kwezi-7.
Into ebaluleke kakhulu ukuthi, ungayeki ukuthatha imithi yakho ngoba nje uzizwa ungcono kancane. Udinga ukuthatha imithi izinsuku eziphelele udokotela wakho akunike zona. Uma ungayeki, ukugula kungase kubuye.
Uma uqala ukwelashwa ngokushesha nje lapho izimpawu zakho ziqala, kufanele uqale ukuzizwa ungcono zingakapheli amahora angama-24 kuya kwangu-48. Uma ungazizwa ungcono ngemva kwezinsuku ezimbalwa, tshela udokotela wakho ngokushesha.
Ungazivikela kanjani ezinkingeni? - Ukuvimbela kungcono kakhulu!
Indlela engcono kakhulu newukuphela kwayo yokuzivikela kulesi sifo ukugwema ukulunywa yizimpukane. Kunezinto eziningana ongayenza ukuze wenze lokhu:
- Nakekela ingadi yakho: Ungavumeli utshani bukhule bube ngaphezu kwamasentimitha angu-1.5. Gcina ingadi ihlanzekile ngokususa izihlahla nezihlahla ezingafuneki.
- Hlala uphephile uma ungaphandle: Uma uhamba ehlathini noma endaweni enotshani, namathela ezindleleni ezimisiwe ngangokunokwenzeka. Kuphephile kunokuhamba otshanini nasezihlahleni.
- Gqoka ngendlela efanele:Gqoka amabhulukwe amade nezingubo ezinemikhono emide. Kungcono nakakhulu uma ungawafaka amasokisi akho ebhulukweni lakho. Ukugqoka izingubo ezinombala okhanyayo kwenza kube lula ukubona umkhaza uhambahamba.
- Sebenzisa imithi yokuxosha izinambuzane: Faka izifutho zezinambuzane esikhumbeni sakho nasezingutsheni zakho eziqukethe amakhemikhali afana ne-DEET okufakazelwe ukuthi axosha izinambuzane.
- Hlola umzimba wakho ngokushesha nje lapho ufika ekhaya: Uma ufika ekhaya uvela ngaphandle, shintsha izingubo zakho bese uhlola umzimba wakho wonke kahle. Amakhizane athanda ukucasha ezindaweni ezifudumele nezimnyama. Ngakho hlola amakhwapha akho, imbobo, ngemuva kwezindlebe zakho, ngaphansi kwezinwele zakho, kanye nasezindaweni ezizungezile isisu sakho . Cela omunye umuntu ukuthi ahlole izindawo okunzima ukuzibona, njengomhlane wakho.
- Nakekela izilwane zakho ezifuywayo: Hlola njalo inja noma ikati lakho ukuthi alinazo yini izimpukane uma libuya ekudlaleni ngaphandle. Cela udokotela wezilwane akunike iseluleko sendlela engcono kakhulu yokuzivikela ezimpukaneni.
Kunini lapho kudingeka uye egumbini lezimo eziphuthumayo (i-ETU)?
Uma unezimpawu ezijwayelekile, kwanele ukuvakashela udokotela womndeni wakho. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ezimbi, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
| Isimo Esiphuthumayo - iya ku-ETU ngokushesha! | |
|---|---|
| 🌡️ | Umkhuhlane ophakeme ongaphezu kwama-Fahrenheit angu-103 (39.4 Celsius). |
| 😮💨 | Ubunzima obukhulu bokuphefumula. |
| 🩸 | Ukukhwehlela igazi. |
| 🧠 | Ukudideka okukhulu kwengqondo noma ushintsho ekuziphatheni. |
| 😖 | Ubuhlungu obukhulu esiswini. |
| 😵 | Isimo esifana nokuquleka. |
Uma kungelashwa, izinto ezinkulu zingenzeka.
Lokhu akukhona ukukwesabisa, kodwa ukukwenza uqonde ukuthi kungani kufanele ukhathazeke ngalesi sifo. Uma ukwelashwa kwephuza, i-Ehrlichiosis ingaholela ezinkingeni ezinkulu.
- Ukwehluleka kwezinso
- Ukwehluleka kokuphefumula
- Ukwehluleka kwenhliziyo
- Ukusabalala kokutheleleka emzimbeni wonke (i-Sepsis)
- Ukutheleleka kobuchopho (i-Meningoencephalitis)
- I-Coma nokufa
Kodwa khumbula, konke lokhu kungagwenywa uma ubona udokotela ngokushesha nje lapho uzwa izimpawu futhi uthola ukwelashwa okufanele.
Umlayezo Wokuya Nawe Ekhaya
- I-Ehrlichiosis ukutheleleka ngamagciwane okudluliselwa ngamakhizane okungaba kubi kakhulu uma kungelashwa ngokushesha.
- Uma usezindaweni ezinamahlathi, izihlahla, noma utshani obude, gqoka izingubo ezifanele ukuze uzivikele ezinkingeni futhi usebenzise imithi yokuxosha izinambuzane.
- Ngemva kokubuya ekhaya evela ngaphandle, zihlole ngokucophelela wena, izingane zakho, kanye nezilwane ezifuywayo ukuze zingabi namakhaza.
- Uma usola ukuthi ulunywe yikhikhi noma ukhombisa izimpawu ezifana nomkhuhlane, izinhlungu zomzimba, kanye nekhanda elibuhlungu ngemva kokuba sendaweni enjalo, ungakunaki njengomkhuhlane ovamile bese ucela iseluleko sezokwelapha ngokushesha.
- Uma kutholakale kusenesikhathi futhi kwelashwa ngama-antibiotic, lesi sifo singalapheka ngokuphelele.
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