Kudzokorora fivhiri

Kudzokorora fivhiri chirwere chebhakitiriya chinotapuritswa negonzo kana chishambwe. Inozivikanwa nekudzokorora zvikamu zvefivha.

Kudzokorora fivhiri chirwere chinokonzerwa nemhando dzakasiyana dzebhakitiriya mumhuri ye borrelia.

Kune maviri makuru mafomu ekudzokazve kwefivha:

• Chikwekwe chinotakurwa zvakare nefivhiri (TBRF) inopfuudzwa neyenithodoros chishambwe. Inoitika muAfrica, Spain, Saudi Arabia, Asia, nedzimwe nzvimbo kumadokero kweUnited States neCanada. Mhando dzehutachiona dzakabatana neTBRF dziri Borrelia duttoni, Borrelia hermsii, uye Borrelia parkerii.
• Furu inotakura zvakare fivhiri (LBRF) inopfuudzwa nehunhu hwemuviri. Inowanzoitika muAsia, Africa, uye Central neSouth America. Mhando yebhakitiriya inosangana neLBRF iri Borrelia inodzokororwa.

Kamwe kamwe fivha inoitika mukati memavhiki maviri ehutachiona.

• MuTrBF, akawanda episheni efivhiri anoitika, uye yega yega inogona kusvika mazuva matatu. Vanhu vanogona kusava nefivhiri kwemasvondo maviri, uyezve inodzoka.
• MuLBRF, fivhiri inowanzo kutora mazuva matatu kusvika matanhatu. Inowanzoteverwa nechimwe chete, chakasimba chikamu chefivha.

Mune mafomu ese ari maviri, iyo fever episode inogona kuperera mu "dambudziko." Izvi zvine kuzungunuka kutonhora, kunoteverwa nekudikitira kwakanyanya, kudonha tembiricha yemuviri, uye yakadzika BP Iyi nhanho inogona kukonzeresa murufu.

MuUnited States, TBRF inowanzoitika kumadokero kweRwizi rweMississippi, kunyanya mumakomo ekuMadokero uye magwenga akakwirira nemapani eSouthwest. Mumakomo eCalifornia, Utah, Arizona, New Mexico, Colorado, Oregon, neWashington, hutachiona hunowanzo kukonzerwa ne Borrelia hermsii uye inowanzo simudzwa mumakamuri mumasango. Iyo njodzi inogona kuwedzera zvino kumaodzanyemba kwakadziva kumabvazuva kweUnited States.

LBRF inonyanya hosha yenyika iri kusimukira. Izvozvi inoonekwa muEthiopia neSudan. Nzara, hondo, uye kufamba kwemapoka evapoteri zvinowanzo kukonzera hosha dzeLBRF.

Zviratidzo zvekudzokazve kwefivha zvinosanganisira:

• Kubuda ropa
• Coma
• Kutemwa nemusoro
• Joint aches, mhasuru aches
• Kusvotwa uye kurutsa
• Kusvetuka kune rumwe rutivi rwechiso (kumeso kudonha)
• Mutsipa wakaoma
• Pakarepo kupisa kwakanyanya, kuzunza kutonhora, kufenda
• Kusvipa
• Kushaya simba, kusagadzikana paunenge uchifamba

Kudzokorora fivhiri kunofanirwa kufungidzirwa kana mumwe munhu achibva kunzvimbo ine njodzi zvakanyanya akadzokorora zvikamu zvefivha. Izvi zvinonyanya kuitika kana fivha ichiteverwa nedanho re "dambudziko", uye kana munhu angave akafumurwa neinda kana zvinyoronyoro.

Miedzo inogona kuitwa inosanganisira:

• Ropa smear kuti uone chinokonzera hutachiona
• Ropa antibody bvunzo (dzimwe nguva rinoshandiswa, asi kubatsira kwavo kushoma)

Mishonga inorwisa mabhakitiriya inosanganisira penicillin uye tetracycline inoshandiswa kurapa mamiriro aya.

Vanhu vane chirwere ichi vakagadzira coma, kuzvimba kwemoyo, matambudziko echiropa, kana mabayo vanogona kufa. Nekurapa kwekutanga, mwero wekufa wakadzikira.

Aya matambudziko anogona kuitika:

• Kudonhedza kumeso
• Coma
• Zvinetso zvechiropa
• Kuzvimba kwetete rakatetepa rakakomberedza huropi uye musana
• Kuzvimba kweiyo moyo mhasuru, izvo zvinogona kutungamira kune zvisina kujairika moyo kurovera
• Chirwere chemabayo
• Kufenda
• Stupor
• Kuvhunduka kwakanangana nekutora mishonga inorwisa mabhakitiriya (Jarisch-Herxheimer reaction, umo kufa nekukurumidza kwenhamba huru kwazvo dzebherrelia bacteria inokatyamadza)
• Kushaya simba
• Ropa rakapararira

Bata wako mupi wezvehutano pakarepo kana iwe ukava nefivha mushure mekudzoka kubva parwendo. Zvirwere zvinogona kuitika zvinofanirwa kuongororwa nenzira yakakodzera.

Kupfeka zvipfeko zvinofukidza zvizere maoko nemakumbo kana iwe uri panze zvinogona kubatsira kudzivirira utachiona hweTBRF. Zvipembenene zvinodzinga senge DEET pane ganda uye zvipfeko zvinoshandawo. Tikiti uye kudzora inda munzvimbo dzine njodzi huru chimwe chakakosha hutano hweveruzhinji.

Chikwekwe chinotakurwazve nefivha; Furu inotakurwazve nefuru

Horton JM. Kudzoreredza fivha inokonzerwa nemarudzi e borrelia. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Principles uye Practice yeInfectious Diseases, Yakagadziridzwa Edhisheni. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 242.

Petri WA. Kudzokorora fivhiri uye zvimwe hutachiona hwe borrelia. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 322.