Rickettsialpox

I-Rickettsialpox sisifo esisasazeka ngesikhukukazi. Ibangela irhashalala-efana nerhashalala emzimbeni.

I-Rickettsialpox ibangelwa yintsholongwane, Rickettsia akari. Ngokuqhelekileyo kufumaneka eUnited States kwisixeko saseNew York nakwezinye iindawo zedolophu. Kuye kwabonakala eYurophu, eMzantsi Afrika, eKorea naseRashiya.

Iibhaktheriya zisasazeka ngokulunywa zizinambuzane ezihlala kwiimpuku.

Esi sifo siqala kwindawo ekulunywa kuyo ziintsholongwane njengesigaqa esibuhlungu, esiqinileyo, esibomvu (nodule). I-nodule ikhula iblister egcwele ulwelo olugqabhuka luze luqhume. Esi siqhuma sinokuba yi-intshi enye (2.5 iisentimitha) ububanzi. La maqhuma ahlala evela ebusweni, esiqwini, ezingalweni nasemilenzeni. Aziveli ezintendeni zezandla kunye nasezinyaweni zeenyawo. Iimpawu zihlala zikhula kwiintsuku ezi-6 ukuya kwezi-15 emva kokudibana neebhaktiriya.

Ezinye iimpawu zingabandakanya:

• Ukuphazamiseka ekukhanyeni okukhanyayo (photophobia)
• Umkhuhlane kunye nokubanda
• Intloko ebuhlungu
• Intlungu yezihlunu
• Irash ebonakala ngathi yirhashalala
• Ukubila
• Impumlo enemifinya
• Umqala obuhkungu
• Khohlela
• Kwandiswe iindawo nkovu
• Ukuphelelwa ngumdla wokutya
• Isihlunu okanye ukugabha

Irhashalala ayibuhlungu kwaye ihlala icoca ngaphakathi kweveki.

Umboneleli wezempilo uya kwenza uviwo ukukhangela irhashalala efana naleyo yenkukhu yenkukhu.

Ukuba kukrokrelwa i-rickettsialpox, olu vavanyo lunokwenzeka:

• Gcwalisa ubalo lwegazi (CBC)
• Uvavanyo lwe-serum yegazi (izifundo zeserologic)
• Ukugcwala kunye nenkcubeko yokukhawuleza

Injongo yonyango kukunyanga usulelo ngokuthatha i-antibiotics. I-Doxycycline sisiyobisi esikhethiweyo. Unyango ngamayeza okubulala iintsholongwane lunciphisa ixesha leempawu rhoqo ukuya kwiiyure ezingama-24 ukuya kuma-48.

Ngaphandle konyango, esi sifo sizisombulula ngaphakathi kweentsuku ezi-7 ukuya kwezi-10.

Ukuchacha ngokupheleleyo kulindeleke xa kuthathwa ii-antibiotics njengoko kuyalelwe.

Kudla ngokungabikho zingxaki ukuba unyango luyanyangwa.

Fowunela umboneleli wakho ukuba wena okanye umntwana wakho uneempawu ze-rickettsialpox.

Ukulawula iimpuku kunceda ukuthintela ukusasazeka kwe-rickettsialpox.

Rickettsia akari

Elston DM. Izifo zebhakteria kunye neeriketi. Ku: Callen JP, Jorizzo JL, Zone JJ, Piette WW, Rosenbach MA, Vleugels RA, ii-eds. Iimpawu zesifo seSifo seNkqubo. Umhla we-5. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 32.

I-Fournier PE, uRaoult D. Rickettsia akari (Rickettsialpox). Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahl. 187.