Q malungo

Q fever ndi matenda opatsirana omwe amabwera chifukwa cha mabakiteriya omwe amafalikira ndi nyama zoweta ndi nkhupakupa.

Q fever imayambitsidwa ndi mabakiteriya Coxiella burnetii, zomwe zimakhala ndi ziweto monga ng'ombe, nkhosa, mbuzi, mbalame, ndi amphaka. Nyama zina zakutchire ndi nkhupakupa zilinso ndi mabakiteriyawa.

Mutha kutenga Q fever pomwa mkaka wauvi (wosasakanizidwa), kapena mutapumira mu fumbi kapena m'malovu mumlengalenga omwe ali ndi ndowe za nyama, magazi, kapena zinthu zobadwa nazo.

Anthu omwe ali pachiopsezo chotenga kachilombo amaphatikizapo ogwira ntchito zophera nyama, owona za ziweto, ochita kafukufuku, opanga chakudya, ndi nkhosa ndi ng'ombe. Amuna amatenga kachilombo kawirikawiri kuposa akazi. Anthu ambiri omwe amadwala Q fever ali pakati pa 30 ndi 70 wazaka.

Nthawi zambiri, matendawa amakhudza ana, makamaka omwe amakhala pafamu. Mwa ana omwe ali ndi kachilomboka ochepera zaka zitatu, Q fever nthawi zambiri imawoneka ikufufuza chomwe chimayambitsa chibayo.

Zizindikiro zimayamba pakadutsa milungu iwiri kapena itatu mutakumana ndi mabakiteriya. Nthawi imeneyi imatchedwa nthawi yosakaniza. Anthu ambiri alibe zisonyezo. Ena akhoza kukhala ndi zizindikilo zochepa zofanana ndi chimfine. Ngati zizindikiro zikuchitika, zimatha milungu ingapo.

Zizindikiro zodziwika zimaphatikizapo:

• Chifuwa chowuma (chosabereka)
• Malungo
• Mutu
• Ululu wophatikizana (arthralgia)
• Kupweteka kwa minofu

Zizindikiro zina zomwe zingachitike ndi izi:

• Kupweteka m'mimba
• Kupweteka pachifuwa
• Jaundice (chikasu chachikopa ndi azungu amaso)
• Kutupa

Kuyezetsa thupi kumatha kuwonetsa phokoso losakhazikika m'mapapu kapena chiwindi chokulirapo ndi ndulu. Chakumapeto kwa matendawa, kumveka kung'ung'udza mtima.

Mayeso omwe angachitike ndi awa:

• X-ray pachifuwa kuti azindikire chibayo kapena kusintha kwina
• Kuyezetsa magazi kuti muwone ngati ma antibodies ku Coxiella burnetti
• Kuyesa kwa chiwindi
• Kuwerengera kwathunthu kwamagazi (CBC) mosiyanasiyana
• Matenda a khungu omwe ali ndi kachilombo koyambitsa matendawa kuti adziwe mabakiteriya
• Electrocardiogram (ECG) kapena echocardiogram (echo) kuyang'ana pamtima kuti zisinthe

Kuchiza ndi maantibayotiki kumatha kufupikitsa kutalika kwa matendawo. Maantibayotiki omwe amagwiritsidwa ntchito kwambiri amaphatikizapo tetracycline ndi doxycycline. Amayi oyembekezera kapena ana omwe adakali ndi mano a mwana sayenera kumwa tetracycline pakamwa chifukwa amatha kusungunula mano okula.

Anthu ambiri amachira ndi chithandizo chamankhwala. Komabe, zovuta zimakhala zazikulu ndipo nthawi zina zimawopseza moyo. Malungo a Q amayenera kuthandizidwa nthawi zonse ngati yayambitsa zizindikiro.

Nthawi zambiri, Q fever imayambitsa matenda amtima omwe angayambitse matenda akulu kapena kufa ngati sanalandire chithandizo. Zovuta zina zingaphatikizepo:

• Matenda a mafupa (osteomyelitis)
• Matenda a ubongo (encephalitis)
• Matenda a chiwindi (matenda a chiwindi)
• Matenda a m'mapapo (chibayo)

Itanani okhudzana ndiumoyo wanu mukakhala ndi matenda a Q fever. Komanso itanani ngati mwalandira chithandizo cha matenda a Q fever ndipo zizindikiro zimabweranso kapena zizindikiro zatsopano zimayamba.

Kusakaniza mkaka kumawononga mabakiteriya omwe amayambitsa Q fever. Zinyama zapakhomo ziyenera kuyang'aniridwa ngati zili ndi matenda a Q fever ngati anthu omwe awapeza ali ndi zizindikilo za matendawa.

• Kuyeza kwa kutentha

Bolgiano EB, Sexton J. Matenda omwe amapezeka ndi nkhupakupa. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 126.

Hartzell JD, Marrie TJ, Raoult D. Coxiella burnetti (Q malungo). Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 188.