Izimpukane , eyaziwa nangokuthi i-rubeola, zitholwa yizimpawu zakho, ikakhulukazi umkhuhlane, amabala emlonyeni wakho, nokushaywa kwesishukela, kanye nokuhlolwa kwegazi ukuqinisekisa ukuthi unesisulu futhi awukho omunye wezimo eziningana ezingalingisa ezinye zazo izimpawu nezimpawu, ezifana nomfutho obomvu noma mono. Abantu abangaba ngu-246 emhlabeni wonke, ngokuvamile izingane, bafa ngosuku ngalesi sifo esivinjelwe.
Ukufa okuhlobene nama-measles kuvame ukuvela emazweni asathuthuka anezinhlelo zokunakekelwa kwempilo embi, kodwa kuneziqhumane eziningi zokuvinjelwa e-United States naseYurophu ngenxa yokunciphisa izinga lokugoma .
I-Self-Checks
Uma wena noma umntanakho uye wakhula izimpawu zesimungumungwane , ikakhulukazi umkhuhlane onokushiswa kwesimungumanga namabala obomvu okukhanyayo ngamagala amhlophe emlonyeni wakho (izindawo zikaKoplik), kungenzeka ukuthi uphephile ukuthi uthi unesisulu. Uma wena noma ingane yakho ingavunyelwe futhi uye wavezwa umuntu onomunyu noma ohamba emhlabeni wonke, isisimungumzimba sinamathuba amaningi nakakhulu.
Nakuba izifo eziningi zobuntwana zihambisana nokuqhuma, ukukhishwa kwesimungumungwane kuhle kakhulu ukuhlukanisa kwezinye iziqhumane. Ezinsukwini ezimbili kuya kwezine emva kokuba ezinye izimpawu ziqale, ukuqhuma kuqala ezandleni nasebusweni, kunokuba ku-trunk yakho, njengamanye ama-rashes amaningi amagciwane. Isakazeka emzimbeni wakho wonke, izandla, nezinyawo ngezinsuku ezimbalwa ezilandelayo.
Omunye umehluko wukuthi umkhuhlane wakho uvame ukuqhubeka futhi ungase ufike ngisho nakakhulu phakathi nenkathi yokuqhuma, okuhlala izinsuku ezinhlanu kuya kweziyisithupha.
Uma ucabanga ukuthi wena noma ingane yakho unesisisi, shayela udokotela wakho ngokushesha, kodwa ungashiyi indlu yakho ngaphandle kokuthi udokotela wakho akufundise. Ngokucabangela ukuthi abantu abayisishiyagalolunye kwabangu-10 abangavunyelwanga abavuleleke kumuntu onesimungumzimba bayitholile, ungaphetha ukubeka abantu abaningi engozini.
Udokotela wakho angenza amalungiselelo akhethekile nawe ukuze ahlolwe.
Ama-Labs nezivivinyo
Udokotela wakho uzobheka izibonakaliso kanye nezimpawu ezifanayo ozenzayo ekuhloleni kwakho uma ucubungula imilenze, futhi ubuze ngokugoma kwakho nomlando wokuhamba. Ngisho noma ngabe uye wagonwa, kungenzeka ukuthi uthole imilenze, nakuba kungenakwenzeka njengemigopho yesimungumungwane, ama-mumps no-rubella (MMR). Amacala asolwa ngesimungumane kufanele adluliselwe eminyangweni yezempilo yangakini kungakapheli amahora angu-24.
Ukuze uqinisekise icala lokuyisimungulu, udokotela wakho cishe uzogijima ukuhlolwa kwegazi futhi athathe umphunga we-throat kanye / noma i-noseb. Lezi zivivinyo zibona i-immunoglobulin M (IgM) engaqondakali ngqo yegciwane, i-antibody ngokuvamile ekhona cishe ngezinsuku ezintathu ngemuva kokuvela kwe-rash yakho. I-antibody ingase ingabonakali ngaphambi kwalokho, izovame ukuphakama ngosuku lweshumi nanhlanu, futhi ivame ukuhamba cishe izinsuku ezingu-30 ngemuva kokuvela kwakho kokuqala. Ungase futhi ube nesampula yomchamo esithathwe kusukela igciwane lesirayisishi lingase likhona lapho.
Ama-sampuli akho angathunyelwa kumnyango wezempilo wombuso wakho noma amaCenter for Disease Control and Prevention (CDC) lapho angakhuliswa ukuze athole uhlobo lwegciwane. I-genotyping ingasiza ekutholeni noma ukukhipha izixhumanisi phakathi kwezimo zesimungumungwane kanye nokugqashuka, nokuhlukanisa ukuthi ngabe ngempela unesivumelwano segciwane lesigqebhezana noma usabela kanjani ekugodweni kwesigqebhezana samanje.
Ukuhlonza okuhlukile
Udokotela wakho angadinga ukulawula ezinye izifo ngaphambi kokukuthola ukuthi unesimungulu. Lokhu kuyiqiniso ikakhulukazi ngoba isishukela singavamile kakhulu e-United States futhi odokotela abaningi abakaze babone noma ubani. Lokho kusho ukuthi amasosha omzimba alula kakhulu ukuxilonga uma wazi ukuthi ufunani futhi ukuhlolwa kwegazi kungakuqinisekisa. Ezinye izifo udokotela wakho angakwazi ukuzenza zixhomeke ekutheni ubude isikhathi eside ubonisa izimpawu zesimungumungwane.
Ngaphambi kokuba iRash ibonakale
Phakathi nezinsuku ezimbalwa ngaphambi kokuba kuvele ukujula kwesimungumungwane, kungase kubonakale sengathi unegciwane lokuphefumula njengetshefu, igciwane lesifo sokuphefumula (RSV), noma i-rhinovirus, okuyinto evamile igciwane elibhekene nomkhuhlane ovamile.
Amabala kaKoplik emlonyeni wakho angahle aphuthelwe izindawo ze-Fordyce, eziyizicucu zamafutha okhulisiwe.
Kodwa-ke, umkhuhlane wakho uvame ukuphakama nesimungumungwane kunezinye izifo ezithathelwanayo, okuyisici esisodwa sokuthi awunayo igciwane lesandulela ngculaza. Ama-measles angaphutha futhi nge-dengue fever ngaphambi noma emva kokuvela kokushona, kepha lokhu kungenziwa ngaphandle kokuhlolwa kwegazi.
Ngemuva kokuthi iRash ibonakale
Uma ukuqhuma sekuvele izinsuku ezimbili kuya kwezine ngemuva kweminye impawu zakho, ezinye izifo udokotela wakho angase azifune ukuzenza zingabandakanya:
- Amanye amagciwane angabangela ukuqhuma: Lokhu kuhlanganisa inkukhu, i-roseola, i-rubella, isifo sonyawo nomlomo, kanye ne-parvovirus, eyaziwa nangokuthi isifo sesihlanu. Ngokuvamile, odokotela bangakwazi ukulawula kalula lezi ezinye amagciwane ngokuthi ukubukeka kwakho kubukeka kanjani, kanye nezinye izimpawu zakho.
- Umkhuhlane we-Scarlet ne-toxic shock syndrome (i-TSS): Leli qembu Ukutheleleka kwe- Streptococcus kungabangela ukubola, kepha ukushisa komzimba kungabonakaliswa ezinye izimpawu zakho; i-syndrome shock syndrome ivame ukuhambisana nokucindezeleka okuphansi kwegazi nezinkinga zezinso.
- Ukubhekana nezidakamizwa: Ukuhlaselwa okubangelwa ukucindezeleka kwesinye isidakamizwa kungahle kubonakale kufana nokushiswa kwesimungumungwane, kodwa udokotela wakho angakwazi ukulawula ngokushesha lokhu uma ungakabonakali kunoma yimiphi imithi. Uma kusekhona umbuzo, kuzobonakala uma ushiye ukuthatha lesi sidakamizwa ngoba ukuqhuma kuzodlula uma isidakamizwa singekho ohlelweni lwakho.
- I-Meningococemia: Lokhu kutheleleka kwebhaktheriya, okubangelwa uhlobo olufanayo lwebhaktheriya olubangela ukuba i-meningitis, libe nezimpawu ezifanayo kakhulu nesimungumungwane, kufaka phakathi ukuqhuma. Ukuhlolwa kwegazi kuyonquma ukuthi unalo ukutheleleka noma isishukela.
- Umkhuhlane we-Rocky Mountain: Lesi sifo se-bacterial sisakazwa ngamakhiza futhi sinamabonakali afanayo nesimungumungwane, kufaka phakathi ukuqhuma. Itholakala ukuthi ihlolwa ngegazi noma i-biopsy yesikhumba.
- I-mononucleosis esithathelwanayo: Eyaziwa iningi lethu nje ngokuthi "mono," lokhu kutholakala kwegciwane kungase kuvele nezimpawu ezifanayo, kufaka phakathi ukuqhuma, ikakhulukazi ngemuva kokuthi uthathe ama-antibiotic athile. Ukuhlolwa kwegazi kungaphumelela noma kuqinisekiswe i-mono.
> Imithombo:
> Amasevisi Okulawula Nokuvimbela Izifo (CDC). Ama-Measles (Rubeola): Ochwepheshe bezeMpilo. Kubuyekezwe ngo-Februwari 5, 2018.
> I-Gans H. Measles: Ukubonakaliswa Kwemitholampilo, Ukuxilongwa, Ukwelashwa Nokuvimbela. Kusesikhathini. Kubuyekezwe i-Disemba 5, 2017.
> I-World Health Organization (WHO). Izisulu. Ibuyekezwe ngoJanuwari 2018.