Kulezi zinsuku, sivame ukuzwa ngezinhlobo ezahlukene zemfiva, akunjalo? Kanye nezinto ezifana ne-dengue kanye ne-influenza, elinye igama elifika engqondweni yi-"flea fever". Abanye abantu bayayesaba ngempela le nto. Ngakho-ke, iyini ngempela le flea fever? Ingabe iyingozi? Singayiqaphela kanjani? Namuhla, sizokhuluma ngakho konke lokhu kalula, njengokungathi sikhuluma nomngane.
Kalula nje, iyini i-Scrub Typhus?
I-Scrub typhus, noma `(Scrub Typhus),` empeleni akuyona isifo esidluliselwa yizimpukane. Sidluliselwa ngokulunywa yizibungu zohlobo lwezimpukane ezincane kakhulu ukuba amehlo ethu angazibona. Lezi zimpukane zibizwa ngokuthi `(chiggers).` Lesi sifo sibangelwa igciwane elibizwa ngokuthi
`Orientia tsutsugamushi.` Cabanga ukuthi lezi zimpukane ezincane zithola kanjani leli gciwane. Isikhathi esiningi, leli gciwane lidluliselwa kulezi zimpukane lisuka esikhumbeni sezilwane ezifana namagundane. Bese kuthi, lapho leso simpukane sisiluma, igciwane lingene emizimbeni yethu. Lezi zimpukane zincane kangangokuthi ngezinye izikhathi asikwazi nokuzibona. Ngokuvamile zinombala obomvu, ophuzi, noma o-orenji.
Kuphi lapho lesi sifo sivame kakhulu khona?
Lesi sifo sivame ukubonakala emazweni ase-Asia, ikakhulukazi ezindaweni zasemakhaya, ezinamahlathi.
- Amazwe aseNingizimu-mpumalanga ye-Asia
- I-India
- I-Indonesia
- IShayina
- I-Japan
- Izindawo Ezisenyakatho ye-Australia
Lezi zinambuzane zithanda ukuhlala
ezindaweni ezinotshani, ezinamahlathi, ezimanzi, nezinomthunzi . Lokhu kusho ukuthi zingatholakala endaweni enganakekelwa kahle engadini yakho, emaphethelweni ehlathi, enqwabeni yamaqabunga abolayo, noma ngaphansi kwesihlahla esigcwele amanzi. Lezi zinambuzane zisebenza kakhulu ekupheleni kwentwasahlobo nasehlobo.
Ziyini izimpawu zomkhuhlane wezimpukane?
Ungase ungakuzwa ngisho nokulunywa yilesi sibungu. Asibuhlungu. Kodwa ngemva kwamahora ambalwa, indawo izoqala ukulunywa kakhulu futhi ungase ubone ukuqubuka okuncane okubomvu. Ungase ungezwa lutho cishe izinsuku eziyi-6-10 ngemva kokuba igciwane selingene emzimbeni. Izimpawu ziqala ukuvela ngokuzumayo ngemva kwezinsuku eziyi-10-12. Kubaluleke kakhulu ukwazi lezi zimpawu kahle.
| Isibonakaliso | Incazelo |
|---|
| Imfiva | Ukuqala ngokuzumayo komkhuhlane omkhulu kanye nokubanda. |
| Isikhumba esimnyama (Eschar) | Lesi yisici esivelele kakhulu salesi sifo. Endaweni lapho kuluma khona imikhaza, ngemva kokuba umkhuhlane usuqalile, kuvela amaqhubu amnyama, amancane, afana nesikhuhlane. |
| Ukuqubuka kwesikhumba | Kungase kube nokuqhuma okubomvu emzimbeni. |
| Ubuhlungu bomzimba | Ikhanda elibuhlungu kakhulu, izinhlungu zomzimba, kanye nobuhlungu bemisipha. |
| Ezinye izici | Ukudideka, ama-lymph node avuvukele, amehlo abomvu, ukuhlanza, isifo sohudo kanye nezifo zamaphaphu. |
Okubaluleke kakhulu: Uma lezi zimpawu zingelashwa ngokushesha futhi kungafunwa usizo lwezokwelapha, lesi sifo singaba sibi kakhulu futhi siholele ezimweni ezimbi kakhulu ezifana nokuquleka noma ukwehluleka kwezitho zomzimba.
Udokotela uwuthola kanjani ngokunembile umkhuhlane wezimpukane?
Uma unalezi zimpawu, ikakhulukazi uma uke waya ehlathini noma endaweni enamahlathi,
bona udokotela wakho ngokushesha . Udokotela uzoqala ahlole umzimba wakho, ikakhulukazi uqweqwe olumnyama (eschar). Ngaphezu kwalokho, kuzokwenziwa ukuhlolwa kwegazi ukuqinisekisa lesi sifo, nokuhlola ama-antibodies umzimba owakhayo ngokumelene namagciwane. Enye inselele ngalokhu ukuthi izimpawu zomkhuhlane wezintwala zifana kakhulu nezimpawu zezifo ezivame ezweni lethu, njenge-dengue, i-leptospirosis, kanye nomkhuhlane we-typhoid. Ngakho-ke, udokotela kufanele acabange ngazo zonke lezi zifo futhi athole ukuxilongwa. Ngezinye izikhathi, uma ukuhlolwa kwegazi kokuqala kungatholakali kahle, kungadingeka ukuthi kwenziwe olunye ukuhlolwa ngemva kwamasonto angu-1-3. Esimweni esinjalo, udokotela angaqala ukwelashwa ngokusekelwe ezimpawini ngaphandle kokulinda imiphumela.
Yiziphi izindlela zokwelapha lokhu?
Izindaba ezinhle ukuthi i-flea fever yisifo
esingelapheka ngokuphelele ngama-antibiotic. Into ebaluleke kakhulu ukuqala ukwelashwa ngokushesha okukhulu. Ngemuva kwalokho ungalulama ngokushesha. Udokotela cishe uzokutshela
I-doxycycline ye-antibiotic inikezwa. Lokhu kunikezwa ngomlomo izinsuku eziyi-7 noma ngaphezulu. Ngezinye izikhathi inganikezwa nge-intravenous (IV). Ezinganeni ezincane, ikakhulukazi uma lesi sifo sincane, kunconywa inkambo emfushane yezinsuku ezi-5. Lokhu kwenzelwa ukugwema imiphumela emibi njengokudaya amazinyo uma lo muthi usetshenziswa isikhathi eside. Kwabesifazane abakhulelwe noma abantu abangezwani ne-doxycycline, kunikezwa amanye ama-antibiotic aphephile njenge- azithromycin . Izinkinga ezinkulu ezingaba khona uma zingelashwa
Uma lesi sifo singelashwa, sicabanga ukuthi siwumkhuhlane nje, singalimaza izitho ezibalulekile emzimbeni. | Uhlelo lomzimba | Inkinga engaba khona |
|---|
| Inhliziyo | Izimo ezinjengokuphazamiseka kwesigqi senhliziyo kanye nokuvuvukala kwemisipha yenhliziyo (i-myocarditis). |
| Uhlelo lokugaya ukudla | Ukuhlanza, isifo sohudo, izinkinga zesibindi, i-pancreatitis, kanye nokopha kwangaphakathi. |
| Uhlelo lokuphefumula | Ezimweni ezimbi kakhulu, uketshezi luyanqwabelana emaphashini, okwenza kube nzima ukuphefumula, okuholela esimweni esisongela ukuphila esibizwa ngokuthi i-'Acute Respiratory Distress Syndrome (ARDS).` |
| Izinso | Ukulimala kwezinso okubukhali (AKI) kanye nokwehluleka kwezinso. |
| Uhlelo lwezinzwa | Izimo ezifana ne-meningitis kanye ne-meningoencephalitis, ezingabangela ukuquleka kanye nokushintsha kokuziphatha. |
Ingabe ukhona umuthi wokugomela umkhuhlane wezimpukane? Singazivikela kanjani?
Kuze kube manje, akukho muthi wokugomela oye wathuthukiswa ukuvimbela umkhuhlane wezimpukane. Ngakho-ke, into engcono kakhulu ongayenza ukuzivikela kulesi sifo ngaphambi kokuba siqale. Okusho ukuthi, ukugwema ukulunywa yikhikhi.
- Gqoka ngendlela emboza umzimba wakho wonke. Gqoka amabhulukwe amade kanye namahembe anemikhono emide. Kungcono nakakhulu uma ungafaka iziphetho zebhulukwe lakho emasokisini akho.
- Sebenzisa isixoshi sezinambuzane. Faka isixoshi sezinambuzane esiqukethe i- 'DEET' esikhumbeni nasezingutsheni eziveziwe.
- Ungahlali ngqo otshanini noma ezihlahleni.
- Uma ukhipha izingane ezincane nezincane ngaphandle, zimboze kahle izingalo nemilenze yazo. Mboza inqola yazo noma inqola yokuthwala ngenetha lokuphepha.
- Ungafuthi umuthi wokuxosha izinambuzane ngqo esikhumbeni sezingane. Futha esandleni sakho kuqala, bese uwufaka esikhumbeni sengane yakho. Buza udokotela ngaphambi kokuwusebenzisa ezinganeni ezingaphansi kweminyaka emi-2 ubudala.
- Ngemva kokubuya ngaphandle, cwilisa zonke izingubo zakho emanzini ashisayo cishe imizuzu engama-30. Futhi, geza umzimba wakho kahle ngensipho namanzi ashisayo.
- Uma uhamba njalo ezindaweni ezinamahlathi, ungazihlanza izingubo nezicathulo zakho kusengaphambili ngoketshezi oluqukethe i-'Permethrin' engu-0.5% . Lokhu kubulala izibungu futhi kuhlala kusebenza ngisho nangemva kokuzigeza kaningi. Ungakusebenzisi lokhu esikhumbeni sakho. Kwezingubo kuphela.
Umlayezo Wokuya Nawe Ekhaya
- I-Scrub Typhus iyisifo esibangelwa amagciwane . Singaba sibi kakhulu, kodwa singelapheka ngokuphelele ngama -antibiotic .
- Kusakazeka ngokuluma izibungu ezincane (ama-chigger) ezitholakala ezindaweni ezifana notshani nezihlahla.
- Izimpawu eziyinhloko umkhuhlane, ubuhlungu bomzimba, kanye nokwakheka koqweqwe olumnyama (eschar) endaweni yokulunywa yizikhakhane.
- Uma unalezi zimpawu, ungesabi futhi ubone udokotela ngokushesha. Uma uqala ukwelashwa ngokushesha, kungcono.
- Into engcono kakhulu ongayenza ukuvimbela lesi sifo. Mboza umzimba wakho uma uya ezindaweni ezinamahlathi, bese usebenzisa umuthi wokuxosha izinambuzane.
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