Umkhuhlane othathelweyo: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu zomkhuhlane
• Uhamba njani uMkhuhlane weFiva
• Unyango lwefiva ebonakalayo
• Uthintelo lomkhuhlane

Umkhuhlane othathelweyo, okwaziwa ngokuba sisifo samakhalane, iRocky Mountain inamachiza omkhuhlane kunye nepetenquial fever ehanjiswa yinkwekazi, sisifo esibangelwa yintsholongwaneRickettsia rickettsii esifo ikakhulu amakhalane.

Umkhuhlane onamachaphaza uxhaphake kakhulu kwinyanga kaJuni ukuya kweyeDwarha, kuba kuxa amakhalane asebenza kakhulu, kodwa ke ukuze kuphuculwe esi sifo kufuneka unxibelelane nekhalane iiyure ezi-6 ukuya kwezili-10 ukuze kube nokusasazeka Iibhaktheriya ezijongene nesi sifo.

Umkhuhlane oyingozi uyanyangeka, kodwa unyango lwawo kufuneka luqalwe ngamayeza okubulala iintsholongwane emva kokubonakala kweempawu zokuqala ukuthintela iingxaki ezinje, njengokudumba kwengqondo, ukukhubazeka komzimba, ukusilela ekuphefumuleni okanye ukusilela kwezintso, nto leyo enokububeka esichengeni ubomi besigulana.

Iimpawu zomkhuhlane

Iimpawu zomkhuhlane obonwe kunokuba nzima ukuzibona kwaye, ke ngoko, nanini na xa kukho urhano lokuba sisifo, kuyacetyiswa ukuba uye kwigumbi likaxakeka ukuya kuvavanya igazi kwaye uqinisekise usulelo, kwangoko uqala unyango ngamayeza okubulala iintsholongwane.

Iimpawu zokubonakala komkhuhlane zinokuthatha ukusuka kwiintsuku ezimbini ukuya kwiiveki ezi-2 ukuba zivele, eyona iphambili yile:

• Umkhuhlane ongaphezu ko-39ºC kunye nokubanda;
• Intloko ebuhlungu;
• Ukudibana;
• Isicaphucaphu nokugabha;
• Urhudo kunye neentlungu esiswini;
• Iintlungu ezihlala zihleli;
• Ukuphuthelwa kunye nobunzima bokuphumla;
• Ukudumba kunye nokuba bomvu ezintendeni nasezinyaweni zeenyawo;
• Ubunzima kwiminwe nangeendlebe;
• Ukukhubazeka kwamalungu aqala emilenzeni kunyuke kuye emiphungeni kubangela ukubanjwa ngokuphefumla.

Ukongeza, emva kokukhula komkhuhlane kuyinto eqhelekileyo ukuphuhlisa amabala abomvu ezihlahleni nasezinqeni, ezingarhawuzeleliyo, kodwa ezinokunyuka ziye entendeni, iingalo okanye iinyawo.

Ukuxilongwa kungenziwa kuvavanyo olufana nokubala kwegazi, olubonisa i-anemia, thrombocytopenia kunye nokunciphisa inani leeplatelets. Ukongeza, kuvavanyo lwee-enzymes CK, LDH, ALT kunye ne-AST zikwabonakalisiwe.

Uhamba njani uMkhuhlane weFiva

Ukuhanjiswa kwenzeka ngokulunywa kwenkwenkwezi enesifo esineentsholongwaneRickettsia rickettsii. Xa uluma kwaye utyisa igazi, eli khalane lidlulisa iintsholongwane ngamathe alo. Kodwa kuyafuneka ukuba uqhakamshelane phakathi kweeyure ezi-6 ukuya kwezi-10 ukuze oku kwenzeke, nangona kunjalo ukuluma kwemibungu yeli khalane kunokudlulisela esi sifo kwaye akunakwenzeka ukuba uchonge indawo yokuluma kwayo, kuba ayibangeli zintlungu, nangona kwanele ukuhanjiswa kwebhaktiriya.

Xa ulusu luwela umqobo, intsholongwane ifikelela kwingqondo, imiphunga, intliziyo, isibindi, udakada, injeke kunye nendlela yokwetyisa, ngoko kubalulekile ukwazi ukuba ungasichonga njani kwaye usinyange njani esi sifo ngokukhawuleza ukuze kuthintelwe ezinye iingxaki nokufa .

Unyango lwefiva ebonakalayo

Unyango lwefiva enamachaphaza kufuneka ikhokelwe ngugqirha oqhelekileyo kwaye iqale ukuya kwiintsuku ezi-5 emva kokuqala kweempawu, zihlala zinezibulala-ntsholongwane ezinje nge-chloramphenicol okanye i-tetracyclines, ukunqanda iingxaki ezinzulu.

Ukungabikho konyango kunokuchaphazela inkqubo ye-nervous central kwaye kubangele i-encephalitis, ukudideka kwengqondo, ukukhohlisa, ukuxhamla kunye ne-coma. Kule meko, iibhaktheriya zinokuchongwa kuvavanyo lwe-CSF, nangona iziphumo zingasoloko zilungile. Izintso zinokuchaphazeleka ukuba kukho ukusilela kwezintso, ukudumba emzimbeni wonke. Xa imiphunga ichaphazelekile, kunokubakho inyumoniya kunye nokwehla kokuphefumla, okufuna ukusetyenziswa kweoksijini.

Uthintelo lomkhuhlane

Uthintelo lwefiva enamabala lunokwenziwa ngolu hlobo lulandelayo:

• Nxiba iibhulukhwe, iihempe ezinemikhono emide nezihlangu, ngakumbi xa kufuneka ubekho kwiindawo ezinengca ende;
• Sebenzisa izinto zokugxotha izinambuzane, uvuselele zonke iiyure ezi-2 okanye xa kufuneka njalo;
• Coca amatyholo uze ugcine igadi ingenamagqabi engceni;
• Jonga yonke imihla ubukho bamakhalane emzimbeni okanye kwizilwanyana zasekhaya;
• Gcina izilwanyana zasekhaya, ezinjengezinja neekati, zibulale iintsholongwane kwiintakumba nakwikhalane.

Ukuba uphawu lokukorekisha luchongiwe kulusu, kuyacetyiswa ukuba uye kwigumbi likaxakeka okanye kwiziko lempilo ukuze ulisuse ngokufanelekileyo kwaye uphephe ukubonakala komkhuhlane obonakalayo, umzekelo.