Kuyaziwa nangokuthi 'i-breakbone fever'
Ngezinye izikhathi i-Dengue ebuhlungu ibizwa ngokuthi "i-breakbone fever."
Kunamacala angaphezu kwezigidi ezingu-100 ale flavivirus unyaka wonke emhlabeni jikelele. Ukuhamba nokuthutha kuye kwasakazeka emhlabeni jikelele, kanye nezinhlobo ezine ze-serotypes (i-DENV1-4) ekusakazeni izinkinga ezintsha ezindaweni ezintsha. Enye yezilwane zayo, umlenze we-tiger (Aedes Albopictus), isakaze e-US ngisho nasenyakatho njenge-Chicago neNew York City.
Cishe isigamu samacala asinayo izimpawu eziphawulwe. Abanye banesifo izimpawu zodwa noma ezinomusa. Izifo zesifo zingase zibe yi-Dengue fever noma izinhlobo eziyingozi kakhulu: I-Dengue femorrhagic fever noma i-Dengue shock syndrome.
Izimpawu
- I-fever ephezulu engazelelwe (ngezinye izikhathi ilandelwa ukuqhuma kwesibuso)
- Ubuhlungu obukhulu be-Eye ("ubuhlungu bamehlo")
- Izinwele
- Ubuhlungu obuhlangene, obunamahloni
- Ukudabuka, ukuhlanza, ukulahlekelwa ukudla
- Kungenzeka ukuthi i-lymph nodes evuvukile noma emqaleni.
- Amanani we-Lab: amapulelet kanye nokubala okumhlophe kungase kube phansi.
- Amanani we-Heart angase aphansi kunalindeleke ngesikhathi somkhuhlane.
Ngemuva kwezinsuku ezimbalwa (2-5)
- Ukukhwabanzeka okungenzeka (izindawo ezibomvu zamacala coalescing). Kungabetha futhi kuhlanganise, kufaka nezintende.
- I-Rash ingenzeka futhi ekuqaleni nge-fever.
- Lezi zimpawu ngokuvamile zihlala phakathi kwezinsuku ezintathu kuya kwezingu-7.
Ngemuva kwezimpawu zokuqala. amanye athuthukisa umkhuhlane we-Dengue (DHF)
- Njengomkhuhlane we-fever, izimpawu zokuxwayisa zingase zithuthuke futhi imithwalo yegazi ingase ibe "evulekile".
- Ukweqa - kusuka ekhaleni, emlonyeni, ezinsini
- Ukwehla igazi noma ukuphuma kwegazi okwesindayo
- Ama-tarry amnyama (ukuphuma kwamathumbu emathunjini)
- Isikhumba esingachaziwe
- Khomba amachashazi abomvu okuthiwa i- petechiae
Abanye bahlakulela izimpawu ezingaphezu kwalokho futhi bane-Dengue shock syndrome (DSS)
- Ukwethuka (ukucindezela kwegazi okuphansi, ukudideka, ukuchama okuncane)
- Ukucindezelwa Kwegazi Eliphansi
Izimpawu zokuphuma kwegazi nokushaqeka zidinga ukunakekelwa kwezempilo OKUPHAKATHI.
Kuyini Ukwelashwa?
Iningi labantu liyakwazi ukuphumula, ligcine i-hydrated, futhi mhlawumbe lingathathi isilinganiso se-acetaminophen (iTylenol, i-paracetamol) ye-fever, ngaphansi kweseluleko sikadokotela. Iziguli akufanele zithathe i-aspirin, i-naproxen (i-Aleve), noma i- ibuprofen (Advil) njengoba ingakhuphula ukuphuma kwegazi.
Ukwamukela izihambi kuyadingeka ezimweni ezinzima ze-dengue ngegazi (i-Dengue Hemorrhagic Fever) noma ukushaqeka (iDengue Shock Syndrome), noma ezinye izimpawu noma izimpawu zokugula okubi (ikakhulukazi ekuguqulweni kwesidumbu).
Akukho muthi othize noma ukwelashwa kwe-dengue ngaphandle kokunakekelwa okusekelayo (uketshezi olumaphakathi, imikhiqizo yegazi, electrolytes, oksijeni). Ngokuthola ukunakekelwa okuhle kwezokwelapha, ukulahlekelwa phansi kungaphansi kuka-1% we-dengue.
Kukhona izinyathelo ezizinzile ezenziwa ekwenzeni umgomo wokuguqulwa kwe-dengue (ukuhlolwa okuphumelelayo kwesigaba III).
I-Dengue ingatholwa yizivivinyo zegazi (i-PCR ne-serology).
Idluliselwa kanjani?
Imifula ivame ukuqala izinsuku ezingu-4 kuya kwezingu-7 (kodwa zingase zibe izinsuku ezingu-3-14) emva kokulunywa umlenze wesifazane onegciwane ( Aedes aegypti no- Aedes albopictus ). Amafungu aqala amasonto amabili emva kokuchayeka cishe akunakudliwa. Izinambuzane zingaluma endlini, zondle emini, futhi zikhiqize emanzini amile (amathayi, imigoqo, izitsha). Sebenzisa i-DEET), ukumboza ukuze ugweme ukukhala, futhi ugweme izindawo ezine-Dengue.
Akudluliswanga muntu ngomuntu.
Kungasakazeka ngumunyo ofanayo njengoZika .
Kuphi?
I-dengue itholakala ezindaweni ezishisayo nezomdabu, ngokuvamile emadolobheni - kusukela eCaribbean, Central naseNingizimu Melika kuya e-Afrika kuya e-Asia naseNyakatho ye-Australia. Izifo eziningi eMelika ziyangeniswa. Iziqhumane zenzeke eFlorida (Key West; Marin County 2013), eningizimu yeTexas naseHawaii. Noma yikuphi ukukhuphuka kwezinga lokushisa kungandisa ukwanda. Izifo ezithwala umkhuhlane ziba yinkinga lapho zicatshangwa ukuthi aziyona inkinga.
Ngingayithola I-Dengue Again?
Yebo. Eqinisweni, ukutheleleka ngalunye okulandelayo kuyingozi kakhulu.
Ukutheleleka nge-serotype engu-1 kuholela ekuzivikelweni kuleso serotype kodwa kuphela ukuzivikela okungapheli kwamanye ama-serotypes amathathu. Ukutheleleka nge-strain eyengeziwe kungabangela ukuphendula kwamagciwane okunamandla kakhulu, okwenza i-DHF ne-DSS eyingozi.
Yini Okunye Okungaba Khona?
I-Malaria , evame ukutholakala ezindaweni ezifanayo, ingaqala ukufana ne-dengue futhi ingaba yingozi uma ukwelashwa kwephuzile. Ngokufanayo, ukugula okunzima okubangelwa i-dengue kungase kuvela kuLeptospirosis engasetshenziswanga (ephinde ikhuphuke emva kokukhukhula). I-Chikungunya isakazwa yizinyosi ezifanayo futhi iphutha ngo-dengue (kodwa ayikho ukwelashwa okunye).