Q fivha

Q fever chirwere chinotapukira chinokonzerwa nehutachiona hunoparadzirwa nezvipfuyo uye mhuka dzesango nezvikwekwe.

Q fever inokonzerwa nehutachiona Coxiella burnetii, iyo inogara mumhuka dzinochengetwa dzakadai semombe, hwai, mbudzi, shiri, uye katsi. Dzimwe mhuka dzesango nezvikwekwe zvinotakurawo utachiona uhu.

Unogona kuwana Q fever nekunwa mukaka wakasvibira (usina kuiswa mushonga), kana mushure mekufema muguruva kana madonhwe mumhepo akasvibiswa netsvina yemhuka, ropa, kana zvigadzirwa zvekuzvarwa.

Vanhu vari panjodzi yekutapukirwa vanosanganisira vanouraya vashandi, veterinarians, vaongorori, vanogadzira chikafu, uye makwai uye vashandi vemombe. Varume vanotapukirwa kakawanda kupfuura vakadzi. Vanhu vazhinji vanowana Q fever vari pakati pemakore makumi matatu nemakumi manomwe ekuberekwa.

Muzviitiko zvisingawanzoitiki, chirwere ichi chinobata vana, kunyanya avo vanogara papurazi. Muvana vane hutachiona vari pasi pemakore matatu ekuberekwa, Q fever inowanzoonekwa ichitsvaga chinokonzeresa mabayo.

Zviratidzo zvinowanzo gadzira mavhiki maviri kusvika matatu mushure mekubatana nehutachiona. Ino nguva inodaidzwa kunzi incubation nguva. Vanhu vazhinji havana zviratidzo. Vamwe vanogona kunge vaine zviratidzo zvine mwero zvakafanana nefuruu. Kana zviratidzo zvikaitika, zvinogona kugara kwemavhiki akati wandei.

Zviratidzo zvakajairika zvinogona kusanganisira:

• Dry chikosoro (isina kubereka)
• Kupindwa nechando
• Kutemwa nemusoro
• Marwadzo akabatana (arthralgia)
• Tsandanyama marwadzo

Zvimwe zviratidzo zvinogona kukura zvinosanganisira:

• Marwadzo emudumbu
• Kurwadziwa pachifuva
• Jaundice (yero yeganda uye vachena vemeso)
• Mapundu

Kuongorora kwepanyama kunogona kuratidza kurira kusingaenzanisike (kutsemuka) mumapapu kana kuwedzerwa chiropa uye spleen. Mumatanho ekupedzisira echirwere, kugunun'una kwemoyo kunogona kunzwika.

Miedzo inogona kuitwa inosanganisira:

• X-ray yechipfuva yekuona mabayo kana zvimwe shanduko
• Kuongororwa kweropa kuti utarise ma antibodies ku Coxiella burnetti
• Chiropa basa bvunzo
• Yakazara kuverenga ropa (CBC) nemusiyano
• Kuchenesa matishu ematukisi ane hutachiona kuti aone hutachiona
• Electrocardiogram (ECG) kana echocardiogram (echo) kutarisa pamwoyo shanduko

Kurapa nemishonga inorwisa mabhakitiriya kunogona kupfupisa hurefu hwechirwere. Mishonga inorwisa mabhakitiriya iyo inowanzo shandiswa inosanganisira tetracycline uye doxycycline. Vakadzi vane nhumbu kana vana vachiri nemazino evacheche havafanirwe kutora tetracycline nemuromo nekuti inogona kushatisa zvachose mazino ari kukura.

Vanhu vazhinji vanova nani nekurapwa. Zvisinei, zvinetso zvinogona kuva zvakakomba uye dzimwe nguva kunyange kutyisidzira hupenyu. Q fever inofanira kugara ichirapwa kana yakakonzera zviratidzo.

Muzviitiko zvisingawanzoitika, Q fever inokonzeresa hutachiona hwemwoyo hunogona kutungamira kuzviratidzo zvakakomba kana kutofa kana ukasarapwa. Zvimwe zvinonetsa zvinogona kusanganisira:

• Utachiona hwepfupa (osteomyelitis)
• Utachiona hwehuropi (encephalitis)
• Chiropa chirwere (chisingaperi hepatitis)
• Utachiona hwemapapu (pneumonia)

Fonera wako mupi wezvehutano kana iwe ukaita zviratidzo zveQ fever. Zvakare fona kana iwe wakarapwa Q fever uye zviratidzo zvinodzoka kana zviratidzo zvitsva zvinokura.

Kunamatira kwemukaka kunoparadza hutachiona hunokonzera kutanga Q fivha. Mhuka dzekumba dzinofanirwa kuongororwa zviratidzo zveQ fever kana vanhu vakaoneswa kwavari vakave nezviratidzo zvechirwere.

• Kuyera kupisa

Bolgiano EB, Sexton J. Kurwara-kutakurwa nezvirwere. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 126.

Hartzell JD, Marrie TJ, Raoult D. Coxiella burnetti (Q fivha). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chits. 188.