Matenda achilengedwe

Typhus ndi matenda a bakiteriya omwe amafalikira ndi nsabwe kapena utitiri.

Typhus amayamba ndi mitundu iwiri ya mabakiteriya: Rickettsia typhi kapena Rickettsia prowazekii.

Rickettsia typhi zimayambitsa typhus endine kapena murine.

• Matenda a typhus siachilendo ku United States. Nthawi zambiri imawonedwa m'malo opanda ukhondo, ndipo kuzizira kumakhala kozizira. Matenda a typhus nthawi zina amatchedwa "fever fever." Mabakiteriya omwe amayambitsa matenda amtunduwu nthawi zambiri amafalikira kuchokera ku makoswe kupita ku utitiri kupita kwa anthu.
• Matenda a Murine amapezeka kumwera kwa United States, makamaka California ndi Texas. Nthawi zambiri zimawoneka nthawi yachilimwe komanso kugwa. Sichimapha kawirikawiri. Mutha kutenga mtundu uwu wa typhus ngati muli pafupi ndi ndowe kapena utitiri, ndi nyama zina monga amphaka, possums, raccoons, ndi skunks.

Rickettsia prowazekii imayambitsa mliri wa typhus. Imafalikira ndi nsabwe.

Matenda a Brill-Zinsser ndi mtundu wofatsa wa mliri wa typhus. Zimachitika mabakiteriya atayambanso kugwira ntchito mwa munthu yemwe anali ndi kachilombo koyambitsa matendawa. Amakonda kwambiri okalamba.

Zizindikiro za murine kapena typhus typhus mwina ndi monga:

• Kupweteka m'mimba
• Msana
• Kutupa kofiira kofiyira komwe kumayambira pakati pa thupi ndikufalikira
• Fever, itha kukhala yayitali kwambiri, 105 ° F mpaka 106 ° F (40.6 ° C mpaka 41.1 ° C), yomwe imatha kukhala mpaka milungu iwiri
• Kuwakhadzula, chifuwa chouma
• Mutu
• Ululu wophatikizana ndi minofu
• Nseru ndi kusanza

Zizindikiro za mliri wa typhus zingaphatikizepo:

• Kutentha kwakukulu, kuzizira
• Kusokonezeka, kuchepa kwa chidwi, kusokonekera
• Tsokomola
• Kupweteka kwambiri kwa minofu ndi mafupa
• Kuwala komwe kumawoneka kowala kwambiri; kuwala kungapweteke maso
• Kuthamanga kwa magazi
• Kutupa komwe kumayambira pachifuwa ndikufalikira kuthupi lonse (kupatula zikhato za manja ndi mapazi)
• Mutu wopweteka kwambiri

Ziphuphu zoyambirira ndimtundu wonyezimira ndipo zimazimiririka mukazikakamira. Pambuyo pake, zotupa zimayamba kuzimiririka komanso kufiira ndipo sizimatha. Anthu omwe ali ndi typhus wamphamvu amathanso kutenga magawo ang'onoang'ono otuluka magazi pakhungu.

Kusanthula nthawi zambiri kumadalira pakuwunika kwakuthupi ndikudziwitsa zambiri za zizindikirazo. Mutha kufunsidwa ngati mukukumbukira kuti mudalumidwa ndi utitiri. Ngati wothandizira zaumoyo akukayikira typhus, mudzayambitsidwa mankhwala nthawi yomweyo. Kuyezetsa magazi kudzalamulidwa kuti zitsimikizire matendawa.

Chithandizochi chimaphatikizapo maantibayotiki otsatirawa:

• Doxycycline
• Makhalidwe
• Chloramphenicol (kofala kwambiri)

Tetracycline yotengedwa pakamwa imatha kudetsa mano omwe akupangidwabe. Sizimaperekedwa kwa ana mpaka mano awo atakula.

Anthu omwe ali ndi mliri wa typhus angafunike mpweya komanso madzi am'mitsempha (IV).

Anthu omwe ali ndi mliri wa typhus omwe amalandira chithandizo mwachangu ayenera kuchira. Popanda chithandizo, imfayo imatha kuchitika, pomwe anthu azaka zopitilira 60 amakhala pachiwopsezo chachikulu chofa.

Ndi anthu ochepa okha omwe sanalandire chithandizo cha murine typhus omwe angafe. Chithandizo cha maantibayotiki mwachangu chimachiritsa pafupifupi anthu onse omwe ali ndi typus typhus.

Matenda achilengedwe angayambitse mavuto awa:

• Kulephera kwaimpso (impso sizingagwire bwino ntchito)
• Chibayo
• Kuwonongeka kwamanjenje apakati

Itanani omwe akukuthandizani ngati mukudwala matenda a typhus. Vutoli limafunikira chisamaliro chadzidzidzi.

Pewani kukhala m'malo omwe mungakumane ndi utitiri kapena nsabwe. Njira zaukhondo komanso zaumoyo zimachepetsa makoswe.

Njira zothanirana ndi nsabwe matenda akapezeka ndi awa:

• Kusamba
• Zophika kapena kupewa zovala zodzadza masiku asanu (nsabwe zitha kufa osadya magazi)
• Kugwiritsa ntchito mankhwala ophera tizilombo (10% DDT, 1% malathion, kapena 1% permethrin)

Matenda a Murine typhus; Mliri wa typhus; Tizilombo toyambitsa matenda; Matenda a Brill-Zinsser; Malungo a ndende

Blanton LS, Dumler JS, Walker DH. Rickettsia typhi (murine typhus). Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Mfundo za Bennett ndi Kuchita kwa Matenda Opatsirana, Kusinthidwa. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 192.

Blanton LS, Walker DH. Rickettsia prowazekii (mliri kapena matenda ofala ndi nsabwe). Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Mfundo za Bennett ndi Kuchita kwa Matenda Opatsirana, Kusinthidwa. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: mutu 191.

Raoult D. Matenda a Rickettsial. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 327.