UBrown uhamba ngesigcawu

I-brown recluse spider iphakathi kwe-1 ne-1 1/2 ye-intshi (2.5 ukuya kwi-3.5 yeesentimitha) ubude. Banombala omdaka mnyama, omile okwevayolin kwimizimba yabo ephezulu kunye nemilenze emdaka ebomvu. Umzimba wabo osezantsi unokuba mnyama mnyama, mnyama, tyheli, okanye luhlaza. Kananjalo zinezibini ezi-3 zamehlo, endaweni yesiqhelo esi-4 sesinye isigcawu esinaso. Ukulunywa sisigcawu esimdaka esimnyama inetyhefu.

Eli nqaku lelolwazi kuphela. SUKUYISETYENZISE ukuphatha okanye ukulawula ukubakho kwesigcawu esimnyama. Ukuba wena okanye umntu onaye uyalunywa, tsalela inombolo yakho yongxamiseko yendawo (enje nge-911), okanye indawo yakho yetyhefu yengingqi inokufikelelwa ngokuthe ngqo ngokutsalela umnxeba wenombolo yasimahla yoNcedo lweTyhefu (1-800-222-1222) naphina eUnited States.

Ubuhlungu besigcawu esibomvu esimnyama buqulethe imichiza enetyhefu egulisa abantu.

Isigcawu esimdaka somdaka siqhelekile kumazantsi nakumbindi we-United States, ngakumbi eMissouri, Kansas, Arkansas, Louisiana, empuma yeTexas, nase-Oklahoma. Nangona kunjalo, zifunyenwe kwizixeko ezininzi ezikhulu ngaphandle kwale mimandla.

Isigcawu esibomvu esimnyama sikhetha indawo ezimnyama, ezikhuselekileyo, ezinje phantsi kweeveranda nakwimithi yeenkuni.

Xa isigcawu sikuluma, usenokuziva uluma kabuhlungu okanye ungabinanto kwaphela. Iintlungu zihlala zikhula ngaphakathi kweeyure zokuqala emva kokulunywa, kwaye zinokuba nzima. Abantwana banokuba neziphumo ezibi kakhulu.

Iimpawu zingabandakanya:

• Ukugodola
• Ukurhawuzelela
• Ukuziva ungonwabanga ngokubanzi okanye ukungonwabi
• Ifiva
• Isicaphucaphu
• Umbala obomvu okanye o-purplish kwisangqa esijikeleze ukuluma
• Ukubila
• Isilonda esikhulu kwindawo yokuluma

Rhoqo, ezi mpawu zinokwenzeka:

• Coma (ukunqongophala kokuphendula)
• Igazi kumchamo
• Ukuluhlaza kwesikhumba kunye nabamhlophe bamehlo (i-jaundice)
• Ukungaphumeleli kwezintso
• Ukuxhuzula

Kwiimeko ezinzima, ukunikezelwa kwegazi kunqunyulwa kwindawo yokuluma. Oku kubangela ukunqunyulwa kwamathambo amnyama (eschar) kwindawo leyo. I-eschar sloughs icime emva kweeveki ezi-2 ukuya kwezi-5, ishiya isilonda ngesikhumba nakwizicubu ezinamafutha. Isilonda sinokuthatha iinyanga ezininzi ukuphola kwaye sishiye isikhumba esinzulu.

Funa unyango olukhawulezileyo kwangoko. Tsalela umnxeba ku-911 okanye inombolo yongxamiseko yendawo, okanye ulawulo lwetyhefu.

Landela la manyathelo ade anikwe uncedo lwezonyango:

• Coca indawo ngesepha namanzi.
• Gquba umkhenkce kwilaphu elicocekileyo uze ulibeke kwindawo yokuluma. Yiyeke imizuzu eli-10 kwaye emva koko ucime imizuzu eli-10. Phinda le nkqubo. Ukuba umntu uneengxaki zokuhamba kwegazi, nciphisa ixesha apho umkhenkce ukule ndawo ukuthintela ukonakala kolusu.
• Gcina indawo echaphazelekayo, ukuba kunokwenzeka, ukuthintela ukusasazeka kwetyhefu. Ukuqhekeka okwenziweyo kunokuba luncedo ukuba ukuluma bekusezingalweni, emilenzeni, ezandleni okanye ezinyaweni.
• Khulula iimpahla ususe amakhonkco nezinye izinto eziqinileyo.

Ngaba olu lwazi lukulungele:

• Ubudala bomntu, ubunzima, kunye nemeko
• Ilungu lomzimba elichaphazelekayo
• Ixesha lokuluma kwenzeka
• Uhlobo lwesigcawu, ukuba luyaziwa

Thatha umntu amse kwigumbi likaxakeka afumane unyango. Ukuluma kungakhangeleki kubi, kodwa kungathatha ixesha ukuba buhlungu. Unyango kubalulekile ukunciphisa iingxaki. Ukuba kuyenzeka, beka isigcawu kwisitya esikhuselekileyo uze naso kwigumbi likaxakeka ukuze uchongwe.

Iziko lakho lendawo yetyhefu linokufikelelwa ngokuthe ngqo ngokutsalela umnxeba wasimahla kwiNombolo yoNcedo (1-800-222-1222) naphi na eUnited States. Inombolo yomnxeba iya kukuvumela ukuba uthethe neengcali kwiityhefu, kubandakanya ukulunywa zizinambuzane. Baza kukunika eminye imiyalelo.

Le yinkonzo yasimahla neyimfihlo. Onke amaziko olawulo lwetyhefu aseMelika asebenzisa le nombolo yesizwe. Kuya kufuneka ubize ukuba unemibuzo malunga netyhefu okanye ukuthintela ityhefu. AKUFUNI ukuba ibe yingxakeko. Ungatsalela umnxeba nangasiphi na isizathu, iiyure ezingama-24 ngosuku, iintsuku ezisi-7 ngeveki.

Thatha isigcawu esibhedlele nawe, ukuba kunokwenzeka. Qiniseka ukuba ikwisikhongozeli esikhuselekileyo.

Umboneleli wezempilo uya kulinganisa kwaye abeke esweni iimpawu ezibalulekileyo zomntu, kubandakanya iqondo lobushushu, ukubetha kwentliziyo, inqanaba lokuphefumla, kunye noxinzelelo lwegazi.

Iimpawu ziya kunyangwa. Ngenxa yokuba ukulunywa sisigcawu esimdaka kungababuhlungu, amayeza eentlungu anokunikwa. Amayeza okubulala iintsholongwane nawo anokumiselwa ukuba inxeba lisulelekile.

Ukuba inxeba lisondele kwilungu (elifana nedolo okanye ingqiniba), ingalo okanye umlenze ungabekwa kulungelelwaniso okanye isilingi. Ukuba kunokwenzeka, ingalo okanye umlenze uya kuphakanyiswa.

Ngeempendulo ezinzulu, umntu unokufumana:

• Uvavanyo lwegazi kunye nomchamo
• Ukuxhasa ukuphefumla, kubandakanya ioksijini, ityhubhu emlonyeni ukuya emqaleni, kunye nomatshini wokuphefumla (i-ventilator)
• I-x-ray yesifuba
• I-ECG (i-electrocardiogram, okanye ukulandelwa kwentliziyo)
• Amanzi afakwa ngaphakathi (IV, okanye ngethambo)
• Amayeza okunyanga iimpawu

Ngonyango olufanelekileyo, ukusinda kwiiyure ezingama-48 ezidlulileyo kungumqondiso wokuba ukuchacha kuya kulandela. Nokuba unyango olufanelekileyo nolukhawulezayo, iimpawu zinokuhlala iintsuku ezininzi ukuya kwiiveki. Ukulunywa kwasekuqaleni, okunokuba kuncinci, kunokuqhubela phambili kwibhabhalazi legazi kwaye kujongeka njengeliso lenkunzi yenkomo. Isenokuba nzulu emva koko, kwaye iimpawu ezongezelelekileyo ezinje ngomkhuhlane, ukugodola, kunye neminye imiqondiso yokubandakanyeka kwenkqubo yokubandakanyeka komzimba. Ukuba isikhumba sesilonda siphuhlile, kunokufuneka kwenziwe utyando ukuphucula ukubonakala kwesibetho esenziwe kwindawo yokuluma.

Ukufa ngenxa yokulunywa sisigcawu esimdaka kuxhaphakile ebantwaneni kunabantu abadala.

Nxiba impahla yokuzikhusela xa uhamba kwiindawo ezihlala ezi zigcawu. SUKUBEKA izandla okanye iinyawo ezindlwaneni zabo okanye kwiindawo zabo zokuzimela, ezinje ngeendawo ezimnyama, ezikhuselekileyo phantsi kweengodo okanye ibrashi yangaphantsi, okanye enye indawo efumileyo, efumileyo.

I-Loxosceles ihamba kwakhona

• IArthropods - iimpawu ezisisiseko
• Arachnids - iimpawu ezisisiseko
• UBrown unciphisa ukulunywa sisigcawu esandleni

IBoyer LV, uBinford GJ, uDegan JA. Isigcawu siyaluma. Ku: IAuerbach PS, Cushing TA, Harris NS, ii-eds. Amayeza ase-Aurebach Wilderness. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 43.

UJames WD, u-Elston DM, nyanga i-JR, i-Rosenbach MA, i-IM ye-Neuhaus. Uhlaselo lweParasitic, ukuhlaba kunye nokulunywa. Ku: James WD, Elston DM, Phatha uJR, Rosenbach MA, Neuhaus IM, ii-eds. Izifo zikaAndrews zolusu: Unyango lweKlinikhi. Umhla we-13. IPhiladelphia, PA: Elsevier; 2020: isahluko 20.

I-Otten EJ. Ukulimala kwezilwanyana ezinobungozi. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 55.