UTyphus

UTyphus sisifo esosasazeka ziintwala okanye iintakumba.

UTyphus ubangelwa ziindidi ezimbini zebacteria: URickettsia typhi okanye Rickettsia prowazekii.

URickettsia typhi kubangela i-endemic okanye i-murine typhus.

• I-typusic typhus ayiqhelekanga eMelika. Ihlala ibonakala kwiindawo apho ucoceko luphantsi, kwaye iqondo lobushushu liyabanda. I-typhus endemic ngamanye amaxesha ibizwa ngokuba yi "fever fever." Iibhaktheriya ezibangela olu hlobo lwe-typhus zihlala zisasazeka ukusuka kwiigundane ukuya kwiintakumba ebantwini.
• I-Murine typhus yenzeka emazantsi e-United States, ngakumbi eCalifornia naseTexas. Ihlala ibonwa ehlotyeni nasekwindla. Kunqabile ukuba kubulale. Usengozini yokufumana olu hlobo lwe-typhus ukuba ujikeleze ilindle okanye iintakumba, kunye nezinye izilwanyana ezinjengeekati, ii-possums, ii-raccoons kunye ne-skunks.

Rickettsia prowazekii kubangela ubhubhane wesifo sephepha. Isasazeka ziintwala.

Isifo seBrill-Zinsser luhlobo olungephi lwesifo sobhubhane. Kwenzeka xa iintsholongwane zisebenza kwakhona emntwini owayesulelekile ngaphambili. Kuqheleke kakhulu kubantu abadala abadala.

Iimpawu ze-murine okanye i-typemic typhus inokubandakanya:

• Intlungu zesisu
• Umqolo obuhlungu
• Ukukhawuleza okubomvu okuqala phakathi komzimba nokusasazeka
• Umkhuhlane, unokuphakama kakhulu, u-105 ° F uye ku-106 ° F (40.6 ° C ukuya ku-41.1 ° C), onokuhlala kwiiveki ezi-2
• Ukukhwabanisa, ukukhwehlela okomileyo
• Intloko ebuhlungu
• Intlungu edibeneyo neyomzimba
• Isicaphucaphu nokugabha

Iimpawu zesifo sobhubhane sinokubandakanya:

• Umkhuhlane ophezulu, ukubanda
• Ukudideka, ukunciphisa ukulumkisa, ukuphambana
• Khohlela
• Iintlungu ezinzima kunye neentlungu ezidibeneyo
• Izibane ezibonakala ziqaqambe kakhulu; ukukhanya kunokulimaza amehlo
• Uxinzelelo lwegazi oluphantsi
• I-Rash eqala esifubeni kwaye isasazeka kuwo wonke umzimba (ngaphandle kweentende zezandla kunye neenyawo)
• Intloko ebuhlungu

Ukukhawuleza kwangoko ngumbala okhanyayo kwaye kuyaphela xa ucinezela kuyo. Emva kwexesha, irhashalala iba buthuntu kwaye ibomvu kwaye ayipheli. Abantu abane-typhus enzima banokuvelisa iindawo ezincinci zokopha kulusu.

Ukuxilongwa kuhlala kusekelwe kuvavanyo lomzimba kunye nolwazi oluneenkcukacha malunga neempawu. Usenokubuzwa ukuba uyakhumbula na ukuba ulunywa ziintakumba. Ukuba umboneleli wezempilo ukrokrela i-typhus, uya kuqaliswa kumayeza kwangoko. Uvavanyo lwegazi luya kuyalelwa ukuqinisekisa isifo.

Unyango lubandakanya la mayeza:

• Uncedo
• Itetracycline
• I-chloramphenicol (engaqhelekanga kakhulu)

I-Tetracycline ethathwe ngomlomo inokuwabala ngokusisigxina amazinyo asaqokelelayo. Ngokwesiqhelo ayimiselwanga bantwana de kube sele ekhulile onke amazinyo abo esisigxina.

Abantu abanesifo se-typhus banokufuna ioksijini kunye ne-intravenous (IV) fluid.

Abantu abanesifo sobhubhane abafumana unyango ngokukhawuleza kufuneka bachache ngokupheleleyo. Ngaphandle konyango, ukufa kunokwenzeka, abo baneminyaka engaphezulu kwe-60 benomngcipheko omkhulu wokufa.

Kuphela linani elincinci labantu abanganyangekiyo abanesifo se-murine typhus abanokufa. Unyango olukhawulezayo lonyango luya kunyanga phantse bonke abantu abane-murine typhus.

I-Typhus inokubangela ezi ngxaki:

• Ukungasebenzi kakuhle kwezintso (izintso azikwazi ukusebenza ngesiqhelo)
• Ukukrala kwemiphunga
• Inkqubo ye-nervous system

Shayela umnikezeli wakho ukuba uhlakulela iimpawu zetyphus. Esi sifo sinzima sinokufuna ukhathalelo olungxamisekileyo.

Kuphephe ukuba kwiindawo apho ungadibana neentakumba okanye iintwala. Ucoceko olufanelekileyo kunye nemilinganiselo yempilo yoluntu iyabanciphisa abantu.

Amanyathelo okuphelisa iintwala xa usulelo lufunyenwe zibandakanya:

• Ukuhlamba
• Impahla yokubilisa okanye ukunqanda iimpahla ezosulelekileyo ubuncinci iintsuku ezi-5 (iintwala ziya kufa zingatyanga gazi)
• Sebenzisa i-insecticide (10% DDT, 1% malathion, okanye 1% permethrin)

I-Murine typhus; Ubhubhane wesifo sephepha; I-typhus yesifo esinganyangekiyo; Isifo seBrill-Zinsser; Umkhuhlane wejele

IBlanton LS, iDumler JS, i-Walker DH. URickettsia typhi (murine typhus). Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. UMandell, uDouglas, kunye neMigaqo yeBennett kunye nokuSebenza kwezifo ezosulelayo, uHlelo oluHlaziyiweyo. Ngomhla we-8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 192.

IBlanton LS, i-Walker DH. Rickettsia prowazekii (ubhubhane okanye isithwathwa esithwelwe ziintwala). Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. UMandell, uDouglas, kunye neMigaqo yeBennett kunye nokuSebenza kwezifo ezosulelayo, uHlelo oluHlaziyiweyo. Ngomhla we-8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 191.

URaoult D. Rickettsial usulelo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 327.