Uhlala eduze kwepulazi? Noma ingabe umsebenzi wakho uhilela ukusebenza nezilwane? Mhlawumbe ungudokotela wezilwane noma othile osebenza epulazini. Uma kunjalo, engizokusho kuzoba kubaluleke kakhulu kuwe. Namuhla sikhuluma ngomkhuhlane ongajwayelekile oqala ngezinye izikhathi njengomkhuhlane ojwayelekile futhi ungaphenduka isimo esibi ngokuhamba kwesikhathi. Lokhu kubizwa ngokuthi i-Q Fever . Nakuba leli gama lingajwayelekile kithi eSri Lanka, kubaluleke kakhulu ukuqaphela lokhu.
Kalula nje, iyini i-Q Fever?
Umkhuhlane we-Q ukutheleleka okubangelwa yibhaktheriya ebizwa ngokuthi i-Coxiella burnetii . Leli bhaktheriya lihlala kakhulu emizimbeni yezilwane ezifana nezinkomo, izimbuzi nezimvu. Into emangalisayo ukuthi lezi zilwane zingatheleleka ngaleli bhaktheriya ngaphandle kokubonisa izimpawu.
Ngakho-ke lokhu kungena kanjani kubantu? Sicabanga ngakho njengokutholakala kwesifo ngokuthinta isilwane. Kodwa lokhu kuhlukile kancane. Amabhaktheriya akhishwa endaweni ezungezile ngobisi, umchamo, indle, futhi ikakhulukazi uketshezi oluphuma esilwaneni esinegciwane lapho sizala (isibonelo, i-placenta). Bese ehlala enhlabathini nasothulini. La mabhaktheriya angena emizimbeni yethu lapho siphefumula lolu hlobo lomoya olunothuli. Lokhu kusho ukuthi ngisho nangaphandle kokuthintana ngqo nesilwane, ungasithola lesi sifo ngokuba sendaweni lapho kunezilwane ezinegciwane khona.
Kungani lokhu kubizwa ngokuthi "umkhuhlane we-Q"?
Lena futhi indaba ethakazelisayo kakhulu. Uhlamvu "Q" lumelela "Umbuzo" . Lisho "umbuzo" noma "ukungabaza". Lapho lesi sifo siqala ukutholakala ngawo-1930, odokotela babengazi ukuthi yini ebangele lo mkhuhlane ongavamile. Ngakho-ke kwakuyinkinga enkulu kubo. Kwakungenxa yalowo "mbuzo" ukuthi wawubizwa ngokuthi "Umkhuhlane Wombuzo" noma umkhuhlane we-Q.
Izinhlobo eziyinhloko zomkhuhlane we-Q kanye nezimpawu zawo
Umkhuhlane we-Q ungafika ngezindlela ezimbili eziyinhloko. Esinye yisimo esibi kakhulu esenzeka ekuqaleni. Esinye yisimo esibi nesingapheli esikhula ngokuhamba kwesikhathi. Ake siqonde ngokucacile umehluko phakathi kwalokhu okubili.
| U-Q wagula kanjani? | Incazelo |
|---|---|
| Umkhuhlane we-Q obukhali | Lesi yisigaba sokuqala, esenzeka zingakapheli izinsuku ezintathu kuya kwezingama-30 ngemva kokungena kwamagciwane emzimbeni. Izimpawu zifana kakhulu nomkhuhlane ovamile wegciwane. Iningi labantu liyalulama ngokuphelele ngokwelashwa. |
| Umkhuhlane we-Q ongapheli | Lesi yisigaba esiyingozi kakhulu. Singavela ezinyangeni, ngisho neminyaka, ngemva kokutheleleka kokuqala. Abanye abantu bangase bangabi nazimpawu ngesikhathi sokutheleleka kokuqala, kodwa kamuva babe nalesi simo esingamahlalakhona. Singalimaza inhliziyo, imithambo yegazi, amathambo, nezinye izitho zomzimba. |
Izimpawu Zomkhuhlane Onamandla We-Q
Izimpawu zokuqala zomkhuhlane we-Q obukhali zifana nezomkhuhlane we-dengue kanye ne-influenza.
- Kushisa kakhulu.
- Ukuzizwa ukhathele kakhulu, ukhathele
- Ukuthuthumela ngenxa yokubanda
- Ukujuluka kakhulu
- Ikhanda elibuhlungu kakhulu, ikakhulukazi ngemuva kwamehlo
- Ubuhlungu bomzimba nemisipha
- Isicanucanu nokuhlanza
- Ubuhlungu besisu kanye nesifo sohudo
- Ukukhwehlela okomile kanye nobuhlungu besifuba
- Abanye abantu bangase babe nezimo ezifana ne-pneumonia, i-hepatitis, noma i-encephalitis.
Isifo Sokukhathala Somkhuhlane we-Q (QFS)
Cishe abantu abangu-20% abathola umkhuhlane we-Q bangase babe nokukhathala okukhulu okuhlala izinyanga, ngisho neminyaka, ngisho nangemva kokuba ukutheleleka kokuqala sekuphelile. Lokhu kubizwa ngokuthi i-QFS.
- Ukukhathala kakhulu ukwenza noma yini
- Ikhanda elibuhlungu eliqhubekayo
- Ubuhlungu bamalunga nemisipha
- Ukujuluka ebusuku
Izimpawu Zomkhuhlane We-Q Ongapheli
Lesi yisimo okudingeka sisinake kakhulu, ngoba singaba yingozi ngisho nokuphila.
- Umkhuhlane ofika ngokuzumayo
- Ukujuluka ngokweqile, ikakhulukazi ebusuku
- Ukwehlisa isisindo ngaphandle kwesizathu
- Ukukhathala okuqhubekayo
- Ubunzima bokuphefumula ngisho noma uzikhandla kancane
- Ukuvuvukala emilenzeni noma emaqakaleni (lokhu kungenzeka uma inhliziyo ithintekile)
Into eyingozi kakhulu ngomkhuhlane we-Q ongapheli ukuthi ungabangela ukutheleleka kolwelwesi lwangaphakathi lwenhliziyo, isimo esibizwa ngokuthi i-endocarditis . Lesi yisimo esibi kakhulu.
Ubani osengozini enkulu yokuthola lesi sifo?
Nakuba noma ubani engathola umkhuhlane we-Q, abanye abantu basengozini enkulu kakhulu.
- Odokotela bezilwane kanye nalabo abasebenza emkhakheni wezilwane
- Abantu abasebenza emapulazini, emapulazini ezilwane, kanye nasezimbonini zenyama
- Abantu abasiza izilwane ukuzala
- Abagundi bezimvu nezimbuzi
Ngaphezu kwalokho, umkhuhlane we-Q obukhali noma umkhuhlane we-Q ongapheliKukhona nabantu abasengozini enkulu.
- Omama abakhulelwe: Ngoba lokhu kungabangela ukuphuphuma kwesisu noma ezinye izinkinga.
- Abantu abanezinkinga ze-valve yenhliziyo noma abake baba ne-endocarditis ngaphambilini.
- Abantu abake baba nezitho zokufakelwa zemithambo yegazi.
- Abantu abanezivikeli mzimba ezibuthakathaka (isibonelo, iziguli ezinomdlavuza, abantu abanegciwane lesandulela ngculaza).
- Abantu abanesifo sezinso esingamahlalakhona.
Ukuxilongwa nokwelashwa komkhuhlane we-Q
Uma unezimpawu ezishiwo ngenhla futhi ungumuntu oxhumana nezilwane, kufanele nakanjani ubone udokotela.
Udokotela uzokubuza ngezimpawu zakho, umsebenzi wakho, kanye nokuxhumana kwakho nezilwane. Uzobe eseyala ukuhlolwa kwegazi okukhethekile ukuqinisekisa ukuthi une-Q fever. Lokhu kuhlola ukubona ukuthi umzimba wakho une-antibodies yini ngokumelene namagciwane i-Coxiella burnetii. Ngezinye izikhathi kungathatha amasonto ambalwa ukuthi imiphumela yalezi zivivinyo ibuye. Ngakho-ke, uma udokotela wakho esola ukuthi ungase ube ne-Q fever ngokusekelwe ezimpawu zakho, angase aqale ukwelashwa ngaphandle kokulinda imiphumela.
Yiziphi izindlela zokwelapha?
Umkhuhlane we-Q ukutheleleka ngamagciwane, ngakho-ke welashwa ngama -antibiotic .
- Umkhuhlane we-Acute Q uvame ukwelashwa nge-antibiotic ebizwa ngokuthi i-doxycycline ( Doxycycline ) cishe amasonto amabili. Iningi labantu liyalulama ngokuphelele kulokhu kwelashwa.
- Umkhuhlane we-Q ongapheli kunzima kakhulu ukwelapha. Udinga ama-antibiotic amaningi athathwa ndawonye izinyanga ezingu-18 noma ngaphezulu. Lokhu kuyindlela yokwelapha eyinkimbinkimbi kakhulu.
Kubaluleke kakhulu: Kubalulekile ukuthatha umuthi onikezwe udokotela ngesilinganiso esinqunyiwe kanye nesikhathi esinqunyiwe ngaphandle kokulahlekelwa usuku olulodwa. Ngaphandle kwalokho, lesi sifo singase singalapheki ngokuphelele futhi singase sibe yisifo esingamahlalakhona.
U Ngingazivikela kanjani kumkhuhlane?
Kunezindlela eziningana zokuvimbela lesi sifo, ikakhulukazi kulabo abasemaqenjini asengozini enkulu.
- Uma usebenza ngokuzalwa kwezilwane noma uketshezi lwezilwane (i-placenta, uketshezi lwe-amniotic), qiniseka ukuthi ugqoka imaski namagilavu .
- Gwema ngokuphelele ukudla nokuphuza ubisi olungaphekiwe/olungaphekiwe kanye nemikhiqizo eyenziwe ngalo, njengoshizi neyogathi.
- Izinyathelo ezinjengokumanzisa njalo zingathathwa ukuze kuncishiswe uthuli ezindaweni ezinamapulazi nezindawo ezivalekile zezilwane.
- Uma unesifo esiyingozi, njengesifo se-valve yenhliziyo, futhi usebenza nezilwane, khuluma nodokotela wakho ngalokhu bese uthola iseluleko esidingekayo.
Buza udokotela wakho le mibuzo:
- Ingabe kukhona engingakwenza ukuze nginciphise ingozi yami yomkhuhlane we-Q ongapheli?
- Ingabe ngidinga ukuhlolwa ukuthi anginazo yini izinkinga ngenhliziyo yami kanye nemithambo yegazi?
- Ngiwuthatha kanjani ngempela umuthi onginike wona?
- Kufanele ngiphinde ngikubone nini futhi?
Nakuba umkhuhlane we-Q uyisifo esingakhulunywa ngaso kakhulu ezweni lethu, kubaluleke kakhulu ukuqaphela izingozi zaso nemiphumela emibi. Ikakhulukazi njengoba ukulima nokufuya izilwane sekuyingxenye yempilo yethu, sonke masiqaphele ukuzivikela ezifweni ezinjalo.
Umlayezo Wokuya Nawe Ekhaya
- Umkhuhlane we-Q yisifo esibangelwa yibhaktheriya i-'Coxiella burnetii' , edluliselwa ezilwaneni ezifana nezinkomo, izimbuzi nezimvu.
- Ayidluliselwa ngokuxhumana ngqo nezilwane, kodwa ngokuhogela uthuli olungcoliswe uketshezi lwezilwane ezinalesi sifo.
- Nakuba isimo sokuqala esibi singase sifane nomkhuhlane ovamile, uma singelashwa, singaba yisimo esingamahlalakhona esingalimaza inhliziyo nezinye izitho ngokuhamba kwesikhathi.
- Uma usebenza nezilwane futhi unezimpawu ezifana nomkhuhlane, izinhlungu zomzimba, kanye nekhanda elibuhlungu, bona udokotela ngokushesha.
- Umkhuhlane we-Q obukhali ungelapheka ngokuphelele ngama-antibiotic, ngakho-ke ukuxilongwa kusenesikhathi kanye nokwelashwa okufanele kubaluleke kakhulu.
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