Chishambwe kuruma

Zvikwekwe itsikidzi dzinogona kubatirira kwauri paunenge uchikwesha pamakwenzi apfuura, zvirimwa, nehuswa. Kamwe pauri, zvikwekwe zvinowanzo enda kunzvimbo inodziya, ine hunyoro pamuviri wako, kunge muhapwa, kugomera, uye vhudzi. Ikoko, ivo vanonamatira zvakasimba kuganda rako uye vanotanga kutora ropa. Kudzivirira zvikwekwe kwakakosha nekuti anokwanisa kukutapurira hutachiona nezvimwewo zvinhu zvinokonzeresa kurwara.

Zvikwekwe zvinogona kunge zvakakura chaizvo, zvakaenzana nehukuru hwepenzura, kana zvidiki zvekuti hazvigoneke kuona. Kune angangoita mazana masere nemakumi mashanu emhando dzakasiyana dzezvikwekwe. Kakawanda kurumwa nechikwekwe hakukuvadze, asi zvimwe zvinogona kukonzera zvinyoro kusvika kune zvakakomba hutano mamiriro.

Ichi chinyorwa chinotsanangura zvinoitika zvekurumwa nechikwekwe.

Ichi chinyorwa ndechekuziva chete. USASHANDISE kurapa kana kubata kurumwa nechikwekwe. Kana iwe kana mumwe munhu wauinaye akarumwa nechikwekwe, fonera nhare yako yemuno yechimbichimbi (yakadai se911), kana nzvimbo yako yepfu yepfu inogona kusvikwa yakananga nekufonera nhare yenyika isingabhadhariswe Yemahara (1-800-222- 1222) kubva chero kupi muUnited States.

Zvikwekwe zvakaomarara uye zvakapfava zvevakadzi zvinotendwa kuti zvinogadzira huturu hunogona kukonzeresa kuora mitezo muvana.

Zvikwekwe zvizhinji hazvina zvirwere, asi zvimwe zvinotakura mabhakitiriya kana zvimwe zvipuka zvinogona kukonzera:

• Colorado tick fever
• Chirwere cheLyme
• Rocky Mountain yakaonekwa nefivha
• Tularemia

Izvi nezvimwewo zvirwere zvinogona kukonzera moyo, tsinga, itsvo, adrenal gland, uye kukuvara kwechiropa, uye zvinogona kukonzera kufa.

Zvikwekwe zvinogara munzvimbo dzine matanda kana muminda ine huswa.

Tarisa uone zviratidzo zvezvirwere zvinotakurwa nezvikwekwe mumavhiki mushure mekurumwa nechikwekwe. Izvi zvinosanganisira mhasuru kana majoini akabatana, mutsipa wakaomarara, kutemwa nemusoro, kushaya simba, kupisa muviri, kuzvimba lymph node, uye zvimwe zviratidzo zvinoita hosha Tarisa nzvimbo tsvuku kana kuputika kunotanga panzvimbo yekuruma.

Zviratidzo pazasi zvinobva pakuruma pachako, kwete kubva kuzvirwere zvinokonzerwa nekurumwa. Zvimwe zvezviratidzo zvinokonzerwa nekusiyana kwechikwekwe kana chimwe, asi zvinogona kunge zvisingawanzo neti tiki.

• Kumira kufema
• Kunetseka kufema
• Blisters
• Mapundu
• Kushungurudzika kwakanyanya panzvimbo, kugara kwevhiki dzinoverengeka (kubva kune mamwe marudzi ezvikwekwe)
• Kuzvimba panzvimbo (kubva kune mamwe marudzi ezvikwekwe)
• Kushaya simba
• Kusafambidzana kufamba

Bvisa chikwekwe. Ngwarira kuti usasiye musoro wechikwekwe wakanamatira muganda. Kana zvichibvira, isa chikwekwe mumudziyo wakavharwa woenda nawo kuimba yekukurumidzira. Wobva wachenesa nzvimbo yacho nesipo nemvura.

Iva neruzivo urwu rwakagadzirira:

• Zera remunhu, huremu, uye mamiriro
• Nguva iyo kurumwa nechikwekwe kwakaitika
• Chikamu chemuviri chakakanganiswa

Nzvimbo yako yemunharaunda ine chepfu inogona kusvikwa yakananga nekufonera iyo yenyika yemahara-isina Poison Rubatsiro nhare (1-800-222-1222) kubva chero kupi muUnited States. Ivo vanozokupa iwe kumwe kuraira.

Iri ibasa remahara uye rakavanzika. Nzvimbo dzese dzemunharaunda dzekudzora chepfu muUnited States dzinoshandisa iyi nhamba yenyika. Iwe unofanirwa kufona kana iwe uine chero mibvunzo nezve chepfu kana kudzivirira chepfu. Hazvidi kuti ive emergency. Iwe unogona kufona chero chikonzero, maawa makumi maviri nemana pazuva, mazuva manomwe pavhiki.

Zviratidzo zvicharapwa. Kurapa kwenguva refu kunogona kudikanwa kana matambudziko akura. Mishonga inorwisa mabhakitiriya inowanzo kupihwa kuvanhu vanogara munzvimbo dzinowanikwa chirwere cheLyme.

Munhu wacho anogona kugamuchira:

• Ropa uye weti kuongororwa
• Kufema kwekutsigira, kusanganisira oxygen, chubhu pasi pehuro uye muchina wekufema (ventilator) mune zvakakomba zviitiko
• Chest x-ray
• ECG (electrocardiogram, kana moyo wekutsvagisa)
• Intravenous fluid (kuburikidza nevevheni)
• Mishonga yekurapa zviratidzo

Kurumwa nezvikwekwe kwakawanda hakukuvadzi. Mhedzisiro yacho inoenderana nerudzii rwehutachiona iyo chiti ingave yakatakura uye nekukurumidza kuti kurapwa kwakakodzera kwakatangwa sei. Kana warumwa nechikwekwe chakatakura chirwere ukasabatwa nemazvo, mhedzisiro yehutano kwenguva refu inogona kuitika mwedzi kana kunyangwe makore gare gare.

Kudzivirirwa pachedu pakurumwa kunogona kuwanikwa nekudzivirira nzvimbo dzinozivikanwa nezvezvikwekwe nekushandisa zvinodzinga zvipembenene.

Kuti uzvidzivirire kubva pazvikwekwe, edza kugara kure nenzvimbo kunozivikanwa zvikwekwe. Kana iwe uri munzvimbo inogara zvikwekwe, zora zvipembenene mumuviri wako uye pfeka mbatya dzekudzivirira. Wongorora ganda rako nezviratidzo zvekurumwa nezvikwekwe kana zvikwekwe mushure mekufamba kwako.

• Chirwere cheLyme - erythema migrans
• Chirwere cheLyme muviri - Borrelia burgdorferi
• Mhembwe nondo
• Zvikwekwe
• Tiki - mhembwe dzakasungwa paganda
• Chirwere cheLyme - Borrelia burgdorferi muviri
• Tick, mhembwe - mukuru mukadzi
• Mhara nembwa zvikwekwe
• Tiki yakasimbiswa mukati meganda

Bryant K. Tickborne hutachiona. Mu: Yakareba SS, Prober CG, Fischer M, eds. Misimboti uye Maitiro ePediatric Infectious Zvirwere. 5 ed. Philadelphia, PA: Elsevier; 2018: chits. 90.

Cummins GA, Traub SJ. Zvikwekwe zvinotapukira. Mune: Auerbach PS, Cushing TA, Harris NS, eds. Auerbach's Wilderness Mushonga. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsuwa 42.

James WD, Elston DM, Bata JR, Rosenbach MA, Neuhaus IM. Zvirwere zvehutachiona, kurumwa, uye kurumwa. Muna: James WD, Elston DM, Bata JR, Rosenbach MA, Neuhaus IM, eds. Andrews 'Zvirwere zveGanda: Clinical Dermatology. 13 ed. Philadelphia, PA: Elsevier; 2020: chitsiko 20.

Otten EJ. Kukuvara kwemhuka zvine huturu. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 55.