Matenda owopsa: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro za malungo
• Kutentha Kwamtambo
• Chithandizo cha malungo
• Kuteteza malungo

Matenda otentha, omwe amadziwikanso kuti matenda a nkhupakupa, malungo a Rocky Mountain otentha thupi ndi malungo obwera chifukwa cha nkhupakupa, ndi matenda omwe amayambitsidwa ndi bakiteriyaRickettsia rickettsii zomwe zimafalitsa nkhupakupa.

Matenda owopsa amapezeka kwambiri miyezi ya Juni mpaka Okutobala, chifukwa ndipamene nkhupakupa zimagwira ntchito kwambiri, komabe kuti mukhale ndi matendawa ndikofunikira kulumikizana ndi nkhupakupa kwa maola 6 mpaka 10 kuti athe kufalitsa mabakiteriya omwe ali ndi matenda.

Matenda owopsa amatha kuchiritsidwa, koma chithandizo chake chiyenera kuyambitsidwa ndi maantibayotiki pambuyo poti zizindikiro zoyambirira ziwoneka kuti zikupewera zovuta, monga kutupa kwaubongo, kufooka, kupuma bwino kapena impso kulephera, zomwe zingaike moyo wa wodwalayo pangozi.

Zizindikiro za malungo

Zizindikiro za malungo zimatha kukhala zovuta kuzizindikira, chifukwa chake, nthawi zonse zikaoneka ngati pali kukayikira kuti akudwala matendawa, tikulimbikitsidwa kupita kuchipinda chodzidzimutsa kukayezetsa magazi ndikutsimikizira kuti ali ndi matendawa, pomwepo kuyamba kulandira mankhwala ndi maantibayotiki.

Zizindikiro za kutentha thupi zimatha kutenga masiku awiri mpaka milungu iwiri kuti ziwonekere, zazikulu ndizo:

• Malungo apamwamba kuposa 39ºC ndikuzizira;
• Kupweteka mutu;
• Conjunctivitis;
• Nseru ndi kusanza;
• Kutsekula m'mimba ndi kupweteka m'mimba;
• Kupweteka kwa minofu nthawi zonse;
• Kusowa tulo komanso kuvutika kupumula;
• Kutupa ndi kufiira m'manja ndi m'mapazi;
• Phokoso m'zala ndi makutu;
• Kufa ziwalo za miyendo zomwe zimayambira m'miyendo ndikupita kumapapu kumayambitsa kupuma.

Kuphatikiza apo, pambuyo pakukula kwa malungo kumakhala kofala kupanga mawanga ofiira pamikono ndi akakolo, omwe samachita kuyabwa, koma omwe amatha kukulira m'manja, mikono kapena mapazi.

Matendawa amatha kupangidwa ndi mayeso monga kuwerengetsa magazi, komwe kumawonetsa kuchepa kwa magazi, thrombocytopenia ndikuchepetsa kuchuluka kwa ma platelet. Kuphatikiza apo, kuwunika kwa michere CK, LDH, ALT ndi AST kukuwonetsedwanso.

Kutentha Kwamtambo

Kufala kumachitika kudzera mwa kuluma kwa nkhupakupa za nyenyezi zomwe zakhudzana ndi mabakiteriyaRickettsia rickettsii. Mukaluma ndi kudya magazi, nkhupakupa imafalitsa mabakiteriya kudzera m'malovu ake. Koma ndikofunikira kulumikizana pakati pa maola 6 mpaka 10 kuti izi zichitike, komabe kuluma kwa mphutsi za matendawa kumatha kupatsiranso matendawa ndipo sizotheka kudziwa komwe alumako, chifukwa sichimapweteka, ngakhale ndikokwanira kufalitsa kwa bakiteriya.

Khungu likadutsa chotchinga, mabakiteriya amafika kuubongo, mapapo, mtima, chiwindi, ndulu, kapamba ndi malo am'mimba, kotero ndikofunikira kudziwa momwe mungadziwire ndikuchizira matendawa posachedwa kuti mupewe zovuta zina ngakhale imfa .

Chithandizo cha malungo

Chithandizo cha malungo omwe ali ndimatenda ayenera kutsogozedwa ndi asing'anga ndipo amayamba mpaka masiku asanu chiyambireni zizindikiro, nthawi zambiri ndimankhwala opha tizilombo monga chloramphenicol kapena tetracyclines, kupewa mavuto akulu.

Kuperewera kwamankhwala kumatha kukhudza dongosolo lamanjenje lamkati ndikupangitsa encephalitis, kusokonezeka kwamaganizidwe, kunyenga, khunyu komanso kukomoka. Poterepa, mabakiteriya amatha kudziwika pamayeso a CSF, ngakhale zotsatira zake sizikhala zabwino nthawi zonse. Impso zimatha kukhudzidwa ngati pali kulephera kwa impso, ndikutupa mthupi lonse. Pamene mapapo akukhudzidwa, pakhoza kukhala chibayo ndikuchepetsa kupuma, komwe kumafuna kugwiritsa ntchito mpweya.

Kuteteza malungo

Kupewa malungo omwe atha kutha kumachitika motere:

• Valani mathalauza, malaya amanja ndi nsapato, makamaka pakafunika kukhala m'malo okhala ndi udzu wamtali;
• Gwiritsani ntchito zothamangitsa tizilombo, kuwonjezeretsa maola awiri aliwonse kapena pakufunika;
• Yeretsani tchire ndikusunga dimba lanu lisaname masamba;
• Onetsetsani tsiku lililonse ngati pali nkhupakupa pa thupi kapena pa ziweto;
• Sungani ziweto, monga agalu ndi amphaka, mankhwala ophera tizilombo toyambitsa nthata ndi nkhupakupa.

Ngati nkhupakupa ikudziwika pakhungu, tikulimbikitsidwa kuti mupite kuchipinda chodzidzimutsa kapena kuchipatala kuti mukachotsere bwino ndikupewa kuwonekera kwa malungo.