Nile fever: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro za malungo a Nile
• Momwe matendawa amapangidwira
• Momwe mankhwalawa amachitikira

Nile fever, yomwe imadziwikanso kuti West Nile matenda, ndi matenda opatsirana omwe amabwera chifukwa cha kuluma kwa udzudzu wa mtunduwo Culex ali ndi kachilombo ka West Nile. Ngakhale samakhala pafupipafupi, kutentha thupi kwa Nile kumachitika mosavuta pakati pa okalamba, chifukwa ali ndi chitetezo chamthupi chocheperako, chomwe chimapangitsa matenda ndikukula kwa zizindikilo za matendawa kukhala kosavuta.

Zizindikiro za malungo a Nile zimatha kuwonekera patatha masiku 14 udzudzu utaluma ndipo umatha kusiyanasiyana ndi malungo odutsa mpaka meninjaitisi, momwe kachilomboka kamafika ndikutentha nembanemba yomwe ili mozungulira ubongo ndi m'mafupa, pomwe munthu amene ali ndi minofu ululu, mutu ndi khosi lolimba.

Zizindikiro za malungo a Nile

Matenda ambiri a Nile satsogolera kuzizindikiro, komabe munthu akakhala ndi chitetezo chamthupi chofooka, monga momwe zimakhalira ndi ana, okalamba, amayi apakati komanso anthu omwe ali ndi matenda osachiritsika, ndizotheka kuzindikira kuonekera kwa zizindikiro pasanathe masiku 14 mutatenga kachilomboka, zazikuluzikulu ndizo:

• Malungo;
• Malaise;
• Chizungulire;
• Kulemera kwakukulu;
• Kutsekula m'mimba;
• Nseru;
• Kusanza;
• Kupweteka m'maso;
• Mutu;
• Kupweteka kwa minofu kapena mafupa;
• Mawanga ofiira pakhungu ndi thovu, nthawi zina;
• Kutopa kwambiri;
• Minofu kufooka.

Milandu yovuta kwambiri, ngati matendawa sakudziwika ndikuchiritsidwa kapena munthu atakhala kuti ali ndi chitetezo chamthupi chovuta kwambiri, ndizotheka kuti kachilomboka kamakafika pamanjenje ndikumabweretsa zovuta monga encephalitis, polio ndi meningitis, makamaka, yodziwika ndi khosi lolimba. Dziwani momwe mungazindikire zizindikiro za meningitis.

Momwe matendawa amapangidwira

Matenda a Nile fever amapangidwa ndi dokotala kapena wothandizira kudzera pakuwunika zizindikilo zomwe zimaperekedwa ndi munthuyo, kuwonjezera pazotsatira zoyesa magazi, makamaka kuyesa kwa serological, komwe cholinga chake ndi kuzindikira kupezeka kwa ma antigen komanso ma antibodies olimbana ndi matendawa.

Kuphatikiza apo, kuwerengetsa magazi kumalimbikitsidwa ndi adotolo, momwe nthawi zambiri pamakhala kuchepa kwa ma lymphocyte ndi hemoglobin, kuphatikiza pakuyeza kwa C-reactive protein (CRP) ndi kuwunika kwa CSF, makamaka ngati meningitis akuganiziridwa.

Kutengera ndi zizindikiritsozo, adotolo atha kuwonetsa kuyeserera kwa kuyerekezera kukula kwa matendawa, polimbikitsidwa kuti apange makompyuta owerengera komanso maginito omvera.

Momwe mankhwalawa amachitikira

Pakadalibe katemera kapena mankhwala enaake othandiza kuchiza malungo a Nile kapena kuthetseratu kachilomboka mthupi, chifukwa chake chithandizo chothandizidwa ndi adotolo chimathandizira kuthetsa zizindikilo zokhudzana ndi matendawa, ndipo kugwiritsa ntchito Paracetamol ndi Metoclopramide kungasonyezedwe Mwachitsanzo, zomwe ziyenera kutengedwa molingana ndi malingaliro a dokotala.

Milandu yovuta kwambiri, kuchipatala kungakhale kofunikira, kotero kuti kutsata kokwanira kumachitidwa ndipo chithandizo chokhala ndi seramu mumtsinje chimachitika kuti chinyereke.