I-Rocky Mountain Spotted Fever (i-RMSF) yisifo esibulalayo esenzeka kaningi e-Oklahoma naseNingizimu South Atlantic, nakuba sitholakala emazweni amaningi. Kubangelwa ukutheleleka ngama-bacterium Rickettsia rickettsii . Amabhaktheriya adluliselwa kubantu ngezinhlobo ezintathu zemikhaza:
- I-Eastern United States - I-Dermacentor variabilis (Umklamo wenja waseMelika )
- I-West South Central States - i-Amblyomma americanum (i-Lone Star tick)
- Amazwe aseNtshonalanga - iDermacentor andersoni (uphawu lomuthi)
Amaqiniso ayisisekelo
Ngemuva kokuba umuthi othelelekile uluma umuntu, amabhaktheriya akhishwa egazini. Lapho bahlasela amangqamuzana ahlanganisa imithwalo yegazi nemisipha ebushelelezi elawula ukunqunywa kwesitsha segazi. Bayeka ukuzivikela komzimba emzimbeni wegazi okwenza umkhumbi uphuphuke futhi ugoceke. Le nqubo ingenzeka kunoma yiluphi uhlelo lwesitho emzimbeni obangela izimpawu ezihlukahlukene.
Izimpawu
Isikhathi sokugxilonga sinezinsuku ezimbili kuya kwezingu-14 emva kokulunywa komkhaza. Isikhathi sokufaka incubation isilinganiso siyizinsuku ezingu-7. Izimpawu ezivame kakhulu zomkhuhlane weRoyy Mountain otholakala kalula yi-fever, i-headache, i-muscle aches, nokuhlanza. Ezinye izimpawu ezingavamile kakhulu ubuhlungu besisu, izilonda zomshoshaphansi, ukukhwehlela, intamo eqinile, ukudideka, kanye ne-coma.
Okushiwo yiRash
Ukuqhuma okuhambisana ne-Rocky Mountain ebonakalayo emkhuhlane ngokuvamile uqala cishe izinsuku ezingu-4 ekuguleni.
Ibukeka njengezindawo ezincane, ezibomvu, eziphambili eziqala kaningi emagqatsheni nasezinsikeni, bese zihamba ezintendeni, emagcekeni, kanye nesikhuni. Njengoba ukuqhuma kuqhubekela phambili, kuba i-bumpier. Cishe ngo-10% kulabo abathintekile abatholanga ukushona.
Izithombe
- Ngesandleni
- Ebusweni
- Ngengalo
- Ngonyawo
Kunzima Kangakanani?
Ngokuvamile, ukushisa komlilo i-Rocky Mountain kubulala ngamaphesenti amathathu kuya kwangu-7%.
Kodwa-ke, kuyingozi kuma-30% kulabo abangaphathwa. Ukufa kuphakeme kubantu abangaphezu kweminyaka engama-40 ubudala. Ukufa ngokuvamile kubangelwa ukwehluleka kokushaqeka kanye nezinso.
Indlela Eyaziwa Ngayo
I-Rocky Mountain ebonakalayo imfiva ibhekwa ngokuyinhloko ngokusekelwe ezimpawu. Azikho izivivinyo zokwelapha ezinokwethenjelwa ukuze zihlolwe umkhuhlane weDoyy Mountain lapho isiguli sinesifo. Izivivinyo eziningi ze-laboratory ezicacile amabhaktheriya zihilela ukuthola ukuhlolwa kwegazi elilodwa ngenkathi isiguli sigula futhi enye emasontweni angu-4 ukubona ukuthi amasosha omzimba akhiwe ama-antibodies amabhaktheriya. Ngokusobala, ukulinda lesi sivivinyo sesibili ukubuyela ngaphambi kokuthola ukuxilongwa akusizi ngalutho futhi kuyasiza kuphela ekubuyiseleni. Ezinye izivivinyo zelabhu ezingase zibonise i-Rocky Mountain ebonakalayo imfiva yilezibalo ezingaphansi kwegazi eliphansi, isibalo esincane seplatelet, noma izivivinyo zokusebenza zesibindi eziphakeme. Ukuvuthwa ngokuvamile kuyisihluthulelo sokuxilongwa ngoba izidakamizwa eziningi azithinti izintende nezindwangu.
Ukwelapha
Umkhuhlane we-Rocky Mountain utholakala ngama-antibiotic afana ne-doxycycline, i-tetracycline, noma i-chloramphenicol. Abahlinzeki abaningi bayomisa enye yalezi zinambuzane ekucatshangweni ukuthi lesi sifo siwumkhuhlane weRoyy Mountain futhi siqinisekisa ukuthi ukuhlolwa kwesifo segazi kuvivinywa ngezinye izikhathi emavikini amane.
Abesifazane abakhulelwe akufanele bathathe i-doxycycline noma i-tetracycline. Njengoba i-chloramphenicol itholakala e-US kuphela kwifomu le-IV, abesifazane abakhulelwe kufanele bavunyelwe esibhedlela.
Ukuvimbela
Ukuvimbela ukushisa komlilo i-Rocky Mountain kuhilela ukuvimbela umkhaza ukukhala. Izingane kanye nabantu abadala abangaphandle kwamakhansela aphethwe yizikhawu kumele bagqoke izingubo ezinde futhi bafike ekugcineni kwebhulukwe emasokisini. Insect repellant kufanele isetshenziswe ezicathulweni nasemasokisi. Imikhiqizo ye-Permethrin iphumelela kakhulu ngokumelene nemikhaza kunemikhiqizo ye-DEET. Hlola amakizane afakwe esikhumbeni njalo ngamahora angu-2-3 ngenkathi engaphandle, hlola kahle kanye ngosuku.
Izindawo zokufihla izintandokazi ezithandwayo zikhona ezinyaweni ngakho hlola isikhumba, intamo, izimpondo, nokubola.