Leptospirosis

Leptospirosis chirwere chinokonzerwa ne leptospira bacteria.

Aya mabhakitiriya anowanikwa mumvura nyowani yakasvibiswa neweti yemhuka. Unogona kutapukirwa kana ukadya kana ukasangana nemvura yakasviba kana ivhu. Utachiona hunoitika munzvimbo dzinodziya. Leptospirosis haina kupararira kubva kumunhu kuenda kumunhu, kunze kwezviitiko zvisingawanzoitika.

Njodzi zvinhu zvinosanganisira:

• Kurovedzwa pabasa - varimi, vafudzi, vanouraya vashandi, vabati, varapi vezvipfuyo, vatemi vematanda, vanogadzira sewer, vashandi vemumunda wemupunga, nemauto.
• Zvekuvaraidza zviitiko - kutsva kwemvura kushambira, ngarava, kayaking, uye nzira yekuchovha bhasikoro munzvimbo dzinodziya
• Kudzivirirwa kwemhuri - imbwa dzinovaraidza, zvipfuyo zvakapfuyiwa, masisitimu emvura anonaya, uye makonzo ane hutachiona

Chirwere cheWeil, chimiro chakakomba che leptospirosis, hachiwanzo kuitika mu Continental United States. Hawaii ine nhamba yepamusoro yezviitiko muUnited States.

Zviratidzo zvinogona kutora mazuva maviri kusvika makumi matatu (avhareji mazuva gumi) kukura, uye zvinogona kusanganisira:

• Kuoma kukosora
• Kupindwa nechando
• Kutemwa nemusoro
• Kutambudzika kwemhasuru
• Kusvotwa, kurutsa, uye manyoka
• Kuzunza chills

Zviratidzo zvishoma zvinozivikanwa zvinosanganisira:

• Marwadzo emudumbu
• Mapapu asina kujairika anonzwika
• Kurwadziwa kwepfupa
• Conjunctival kutsvuka pasina fluid
• Yakawedzera lymph gland
• Yakawedzera spleen kana chiropa
• Joint aches
• Tsigisa kuomarara
• Tsitsi nyoro
• Mapundu eganda
• Huro inorwadza

Ropa rinoongororwa maantibhakitiriya kubhakitiriya. Pakati pezvimwe zvikamu zvechirwere, mabhakitiriya pachawo anogona kuwanikwa uchishandisa polymerase chain reaction (PCR) kuyedza.

Mimwe bvunzo inogona kuitwa:

• Yakazara kuverenga ropa (CBC)
• Creatine kinase
• Chiropa enzymes
• Kuongorora urinal
• Tsika dzeropa

Mishonga yekurapa leptospirosis inosanganisira:

• Ampicillin
• Azithromycin
• Ceftriaxone
• Doxycycline
• Penicillin

Matambudziko akaomeswa kana akakomba angangoda kuchengetedzwa. Ungangoda kurapwa muchipatara chevanotarisira zvakanyanya (ICU).

Maonero acho kazhinji akanaka. Nekudaro, kesi yakaoma inogona kuuraya kana ikasarapwa nekukurumidza.

Zvinetso zvinogona kusanganisira:

• Jarisch-Herxheimer reaction panopihwa penicillin
• Meningitis
• Kubuda ropa kwakanyanya

Bata wako mupi wezvehutano kana iwe uine chero zviratidzo zve, kana njodzi zvinhu zve, leptospirosis.

Dzivisa nzvimbo dzemvura dzakamira kana mvura yemafashama, kunyanya munzvimbo dzinopisa. Kana iwe ukaiswa munzvimbo ine njodzi huru, chenjerera kudzivirira hutachiona. Pfeka mbatya dzekudzivirira, shangu, kana bhutsu kana uri pedyo nemvura kana ivhu rakasvibiswa neweti yemhuka. Iwe unogona kutora doxycycline kudzikisa njodzi.

Weil chirwere; Fever, iccterohemorrhagic; Chirwere cheSwineherd; Mupunga-munda fivha; Kane-cutter fever; Swamp fever; Fivha yematope; Hemorrhagic jaundice; Stuttgart chirwere; Canicola fever

• Antibodies

Galloway RL, Stoddard RA, Schafer IJ. Leptospirosis. CDC Yero Bhuku 2020: Ruzivo rwehutano rweMunyika Yekufamba. Nzvimbo dzekudzivirira nekudzivirira hosha. wwwnc.cdc.gov/travel/page/yellowbook-home. Yakagadziridzwa Chikunguru 18, 2019. Yakasvika Gumiguru 7, 2020.

Haake DA, Levett PN. Leptospira marudzi (leptospirosis). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 239.

Zaki S, Shieh WJ. Leptospirosis. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 307.