Cat-kukwenya chirwere

Cat-scratch chirwere hutachiona hwebartonella bacteria iyo inofungidzirwa kuti inopfuudzwa nekatsi kukwenya, kurumwa kwekati, kana kuruma nhata.

Cat-scratch chirwere chinokonzerwa nehutachionaBartonella henselae. Chirwere ichi chinopararira kuburikidza nekusangana nekatsi ine hutachiona (kuruma kana kukwenya) kana kuratidzwa nekatsi nhata. Izvo zvinogona zvakare kupararira kuburikidza nekubata nekatsi mate pane rakapunzika ganda kana mucosal huso senge iwo ari mumhino, muromo, uye maziso.

Munhu akambosangana nekati ine hutachiona anogona kuratidza zviratidzo zvakajairika, zvinosanganisira:

• Bump (papule) kana blister (pustule) panzvimbo yekukuvara (kazhinji chiratidzo chekutanga)
• Kuneta
• Fivhiri (mune vamwe vanhu)
• Kutemwa nemusoro
• Lymph node kuzvimba (lymphadenopathy) padhuze nenzvimbo yekukwaya kana kuruma
• Kwose kusagadzikana (malaise)

Zviratidzo zvishoma zvinozivikanwa zvinogona kusanganisira:

• Kupererwa nechido
• Huro inorwadza
• Kuonda

Kana iwe uine kuzvimba lymph node uye kukwenya kana kuruma kubva kukati, wako mupi wekuchengetedza hutano anogona kufungidzira kati-kukwenya chirwere.

Kuongorora kwepanyama kunogona zvakare kuratidza yakakwidziridzwa spleen.

Dzimwe nguva, lymph node ine hutachiona inogona kugadzira tunnel (fistula) kuburikidza neganda uye kubuda (kubuda mvura).

Chirwere ichi hachiwanzo kuwanikwa nekuti chakaoma kuongorora. Iyo Bartonella henselaeimmunofluorescence assay (IFA) kuongororwa kweropa inzira chaiyo yekuona hutachiona hunokonzerwa nema bacteria aya. Mhedzisiro yeiyi bvunzo inofanirwa kutariswa pamwe nerumwe ruzivo kubva kunhoroondo yako yezvokurapa, bvunzo bhu, kana biopsy.

Lymph node biopsy inogona zvakare kuitwa kutsvaga zvimwe zvikonzero zvekuputika glands.

Kazhinji, katsi-kukwenya chirwere hachisi chakakomba. Kurapwa kunogona kunge kusingadiwe. Mune zvimwe zviitiko, kurapwa nemishonga inorwisa mabhakitiriya senge azithromycin kunogona kubatsira. Mamwe maantibayoti anogona kushandiswa, kusanganisira clarithromycin, rifampin, trimethoprim-sulfamethoxazole, kana ciprofloxacin.

Muvanhu vane HIV / AIDS nevamwe, vane hutachiona husina simba, chirwere chekatsi-chikara chakanyanya. Kurapa nemishonga inorwisa mabhakitiriya inokurudzirwa.

Vanhu vane immune system ine hutano vanofanirwa kupora zvizere vasina kurapwa. Mune vanhu vane immune system isina kusimba, kurapwa nemishonga inorwisa mabhakitiriya kazhinji kunotungamira kupora.

Vanhu vane immune system vasina simba vanogona kuita matambudziko akadai se:

• Encephalopathy (kurasikirwa kwehuropi basa)
• Neuroretinitis (kuzvimba kwetina uye optic nerve yeziso)
• Osteomyelitis (hutachiona hutachiona)
• Parinaud syndrome (dzvuku, rinotsamwiswa, uye rinorwadza ziso)

Fonera mupiki wako kana iwe wakawedzera lymph node uye iwe wakaratidzirwa kune katsi.

Kudzivirira katsi-kukwenya chirwere:

• Shamba maoko ako zvakakwana nesipo nemvura mushure mekutamba nekatsi yako. Kunyanya geza chero kurumwa kana kukwenya.
• Tamba zvinyoronyoro nekatsi kuti vasatsvaire uye kuruma.
• Usatendere katsi kunanzva ganda rako, maziso, muromo, kana kuvhura maronda kana kukwenya.
• Shandisa nhata kudzora matanho ekuderedza njodzi katsi yako inokura chirwere.
• Usabata bata fati katsi.

CSD; Cat-kukwenya fever; Bartonellosis

• Cat scratch chirwere
• Antibodies

Dzoka JM, Raoult D. Bartonella zvirwere. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 299.

Rose SR, Koehler JE. Bartonella, kusanganisira chirwere chekatsi. 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 234.