Typhus

Typhus chirwere chebhakitiriya chinoparadzirwa neinda kana nhata.

Typhus inokonzerwa nemhando mbiri dzehutachiona: Rickettsia typhi kana Rickettsia prowazekii.

Rickettsia typhi inokonzera endemic kana murine typhus.

• Endemic typhus haina kujairika muUnited States. Inowanzoonekwa munzvimbo dzisina hutsanana, uye tembiricha inotonhora. Endemic typhus dzimwe nguva inonzi "jail fever." Utachiona hunokonzera mhando iyi yetyphus hunowanzopararira kubva kumakonzo kuenda kuflea kuvanhu.
• Murine typhus inowanikwa kumaodzanyemba kweUnited States, kunyanya California neTexas. Inowanzoonekwa munguva yezhizha nekudonha. Kashoma kuuraya. Iwe unokwanisa kuwana mhando iyi yetyphus kana iwe uripedyo nemakonzo endove kana nhata, uye dzimwe mhuka dzakadai sekatsi, possums, raccoons, uye skunks.

Rickettsia prowazekii inokonzera chirwere che typhus. Inoparadzirwa neinda.

Chirwere cheBrill-Zinsser chinyoro chimiro chehosha typhus. Izvo zvinoitika kana hutachiona hukashanda zvakare mumunhu anga atapukirwa kare. Izvo zvinowanzoitika kune vakura vakuru.

Zviratidzo zvemurine kana endemic typhus zvinogona kusanganisira:

• Marwadzo emudumbu
• Musana
• Hosha tsvuku inoputika iyo inotangira pakati pemuviri uye inopararira
• Fivha, inogona kuve yakanyanya kukwirira, 105 ° F kusvika 106 ° F (40.6 ° C kusvika 41.1 ° C), iyo inogona kutora kusvika kumavhiki maviri
• Kugura, kuoma kukosora
• Kutemwa nemusoro
• Joint uye mhasuru kurwadziwa
• Kusvotwa uye kurutsa

Zviratidzo zvehosha typhus zvinogona kusanganisira:

• High fever, kutonhora
• Kuvhiringidzika, kudzika kwekusvinura, delirium
• Kukosora
• Yakanyanya mhasuru uye musana marwadzo
• Mwenje inoita kunge yakajeka kwazvo; chiedza chingakuvadza maziso
• Kuderera kweropa
• Rash inotangira pachipfuva uye inopararira kune iyo yese muviri (kunze kwemichindwe yemaoko uye tsoka dzetsoka)
• Musoro wakanyanya

Iko kumhanyisa kwekutanga ihuremu hwakamuka ruvara uye hunopera kana iwe ukadhinda pairi. Gare gare, mapundu anova asina kujeka uye akatsvuka uye haapere. Vanhu vane typhus yakasimba vanogona zvakare kukura nzvimbo diki dzekubuda ropa mukati meganda.

Kuongororwa kunowanzoenderana nekuongororwa kwemuviri uye ruzivo rwakadzama nezvezviratidzo. Unogona kubvunzwa kana uchirangarira uchirumwa nhata. Kana mupi wezvehutano achifungidzira typhus, iwe unozotangwa pamishonga ipapo ipapo. Bvunzo dzeRopa dzinozorairwa kuti dzisimbise kuongororwa.

Kurapa kunosanganisira anotevera maantibayoti:

• Doxycycline
• Tetracycline
• Chloramphenicol (isingawanzo kujairika)

Tetracycline inotorwa nemuromo inogona kusvibisa mazino zvachose ayo achiri kuumba. Kazhinji haina kupihwa vana kudzamara mushure mekunge mazino avo ese ekukura akura.

Vanhu vane denda typhus vangangoda okisijeni uye intravenous (IV) zvinwiwa.

Vanhu vane chirwere chetyphus vanogamuchira kurapwa nekukurumidza vanofanirwa kupora zvizere. Pasina kurapwa, rufu runogona kuitika, kune avo vanopfuura makore makumi matanhatu vane njodzi huru yekufa.

Chete vashoma chete vanhu vasina kurapwa vane murine typhus vanogona kufa. Kurapa kwemishonga inorwisa mabhakitiriya kucharapa vangangoita vanhu vese vane murine typhus.

Typhus inogona kukonzera matambudziko aya:

• Renal insufficiency (itsvo haigone kushanda zvakajairika)
• Chirwere chemabayo
• Central nervous system kukuvara

Fonera mupiki wako kana iwe ukava nezviratidzo zve typhus. Dambudziko rakakomba iri rinogona kuda kutarisirwa nekukurumidza.

Dzivisa kuve munzvimbo dzaungangosangana nemakonzo kana inda. Hutsanana hwakanaka uye hutano hweveruzhinji matanho anoderedza huwandu hwemakonzo.

Matanho ekubvisa inda kana hutachiona hwawanikwa hunosanganisira:

• Kugeza
• Kubika mbatya kana kudzivirira mbatya dzakazara kwemazuva mashanu (inda dzinofa dzisina kudya ropa)
• Kushandisa zvipembenene (10% DDT, 1% malathion, kana 1% permethrin)

Murine typhus; Epidemic typhus; Endemic typhus; Chirwere cheBrill-Zinsser; Jail fever

Blanton LS, Dumler JS, Walker DH. Rickettsia typhi (murine typhus). 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: chits. 192.

Blanton LS, Walker DH. Rickettsia prowazekii (chirwere kana chirwere chinotakurwa nehuta). 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: chits.

Raoult D. Rickettsial hutachiona. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 327.