Rocky Mountain yakaonekwa nefivha

Rocky Mountain spotted fever (RMSF) chirwere chinokonzerwa nerudzi rwehutachiona hunotakurwa nezvikwekwe.

RMSF inokonzerwa nebhakitiriyaRickettsia rickettsii (R Rickettsii), inotakurwa nezvikwekwe. Utachiona hunopararira kuvanhu kuburikidza nekurumwa nechikwekwe.

Kumadokero kweUnited States, hutachiona hunotakurwa nechikwekwe chehuni. Kumabvazuva kweUS, vanotakurwa nembwa chishambwe. Zvimwe zvikwekwe zvinoparadzira hutachiona kumaodzanyemba kweUS uye muCentral neSouth America.

Kupesana nezita rekuti "Rocky Mountain," nyaya dzichangoburwa dzakataurwa kumabvazuva kweUS. Nyika dzinosanganisira North neSouth Carolina, Virginia, Georgia, Tennessee, uye Oklahoma. Zviitiko zvakawanda zvinoitika muchirimo nemuzhizha uye zvinowanikwa muvana.

Zvinhu zvine njodzi zvinosanganisira kukwira makomo kuchangobva kuitika kana kusvikirwa nezvikwekwe munzvimbo inozivikanwa chirwere ichi. Iyo bhakitiriya haigone kuendeswa kumunhu nechikwekwe chakabatanidzwa kwemaawa asingasviki makumi maviri. Inongove 1 mune chiuru chehuni uye imbwa zvikwekwe zvinotakura hutachiona. Hutachiona hunogona zvakare kubata vanhu vanopwanya zvikwekwe zvavakabvisa kubva kumhuka dzinovaraidza nezvigunwe zvavo zvisina chinhu

Zviratidzo zvinowanzo kukura mazuva maviri kusvika gumi nemana mushure mekurumwa kwechikwekwe. Zvinogona kusanganisira:

• Chills uye fever
• Kuvhiringidzika
• Kutemwa nemusoro
• Kutambudzika kwemhasuru
• Rash - kazhinji inotanga mazuva mashoma mushure mefivha; inotanga kuoneka pamaoko nemaoko emakumbo semavara ari 1 kusvika 5 mm dhayamita, yobva yapararira kune yakawanda yemuviri. Vamwe vanhu vane hutachiwana havawani mapundu.

Zvimwe zviratidzo zvinogona kuitika nechirwere ichi:

• Manyoka
• Chiedza chekunzwisisa
• Hallucinations
• Kupererwa nechido
• Kusvotwa uye kurutsa
• Marwadzo emudumbu
• Nyota

Anopa hutano anozoongorora muviri uye obvunza nezve zviratidzo.

Miedzo inogona kuitwa inosanganisira:

• Antibody titer nekukonzeresa kugadzirisa kana immunofluorescence
• Yakazara kuverenga ropa (CBC)
• Itsvo basa rekuyedza
• Yakasarudzika thromboplastin nguva (PTT)
• Prothrombin nguva (PT)
• Ganda biopsy rinotorwa kubva kumhanyisa kutarisa R rickettsii
• Urinalysis kutarisa ropa kana mapuroteni mumuguta

Kurapa kunosanganisira kubvisa nokungwarira chikwekwe paganda. Kuti ubvise hutachiona, mishonga inorwisa mabhakitiriya yakaita se doxycycline kana tetracycline inoda kutorwa. Vakadzi vane nhumbu vanowanzo kupihwa chloramphenicol.

Kurapa kunowanzoporesa hutachiona. Vanenge 3% yevanhu vanowana chirwere ichi vanofa.

Pasina kurapwa, hutachiona hunogona kutungamira kumatambudziko ehutano se:

• Kukuvara kwehuropi
• Kuvhara matambudziko
• Kutadza kwemoyo
• Itsvo kutadza
• Kukundikana kwemapapu
• Meningitis
• Pneumonitis (kuputika kwemapapu)
• Shock

Fonera mupiki wako kana iwe ukava nezviratidzo mushure mekuratidzwa nezvikwekwe kana kurumwa nechikwekwe. Zvinetso zveRMSF zvisina kurapwa zvinowanzo kutyisidzira hupenyu.

Paunenge uchifamba kana kukwira munzvimbo dzakazara zvikwekwe, bata matirauzi marefu mumasokisi kuchengetedza makumbo. Pfeka shangu uye mahembe ane maoko marefu. Zvikwekwe zvicharatidzira pane chena kana yakajeka mavara zvirinani pane pane erima mavara, zvichiita kuti zvive nyore kuona uye kubvisa.

Bvisa zvikwekwe nekukasira uchishandisa tweezers, uchidhonza zvine hungwaru uye zvakadzikama. Zvipembenene zvinodzinga zvinogona kubatsira. Nekuti zvirinani zvishoma pane 1% yezvikwekwe zvinotakura hutachiona uhu, maantibayoti haawanzo kupihwa mushure mekurumwa nechikwekwe.

Hosha yakapararira

• Rocky makomo anoonekwa fever - maronda paruoko
• Zvikwekwe
• Gomo rine matombo rakaona fivha paruoko
• Tiki yakasimbiswa mukati meganda
• Dombo rine matombo rakaona fivha patsoka
• Rocky Mountain yakaonekwa nefivha - petechial mapundu
• Antibodies
• Mhara nembwa zvikwekwe

Blanton LS, Walker DH. Rickettsia rickettsii uye rimwe rinoonekwa nefivha boka rickettsiae (Rocky Mountain yakaonekwa nefivhiri uye mamwe mafivhiri ane mavara). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 186.

Bolgiano EB, Sexton J. Kurwara kweTickborne. 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.