I-Chikungunya yi-infection ye-alphavirus. Ngokuvamile izimpawu zalo zikhula izinsuku ezintathu kuya kweziyisikhombisa ngemuva kokuluma, kodwa zingenzeka ezinsukwini ezilodwa kuya kwezinsuku ezingu-12.
Abaningi abanesandulela ngculaza bathola izimpawu. Ku-Dengue namanye amagciwane, noma kunjalo, amaningi (ngisho ngisho nengxenye), awayikuthuthukisa izinhlelo. Abanye, mhlawumbe oyedwa kwabayishumi (noma abambalwa noma ngaphezulu), abanayo izimpawu.
Izimpawu
Iningi lihlakulela i-fever ephezulu ngokuzumayo kanye nobuhlungu obuhlangene.
Ubuhlungu buvame ukuvela eminwe nasezinzwaneni ezingezoni ezingase zizizwe njengamathambo aphukile. Ubuhlungu bubuye buvele emadolweni, emaqotsheni, nangemuva ephansi. Ubuhlungu buvame ukuvela kumasayithi okulimala okudlule.
Ukukhathala okukhulu okuhambisana nokuqwashisa kanye nemisipha yezinyosi kuvamile. Abaningi bakuthola kunzima ukuphuma embhedeni izinsuku. Ezinye zine-lymph nodes, i-nausea, i-rash (ama-bumps amancane, aphindwe kaningi).
Ezimweni ezingavamile, isiguli singaba nezilonda zomlomo, ukucasuka kweso, noma ukudideka (encephalitis) nokuphefumula ubunzima. Kunezinamba eziningi ezingavamile ezihambisana nesifo. Kukhona ububanzi obukhulu ebuqilini bezimpawu. Lesi sifo asivami ukuholela ekufeni.
Labo abasengozini kakhulu bangabantwana asebekhulile, abasanda kuzalwa abanesandulela ngukuzalwa, nalabo abanezinye izifo, ezifana nesifo sikashukela noma izinkinga ezingenangqondo noma izinkinga zenhliziyo. Amanani we-laboratory angabonisa inani legazi elimhlophe (ukutheleleka ukulwa namaseli) ukwehla ngesifo.
Abanye bangabe besengozini kakhulu kwezinye izifo noma izifo zezokwelapha.
Bangase bathuthukise ukutheleleka okusha noma ukukhathazeka okungokweqile kwezokwelapha okudinga ukwelashwa.
Labo abanesandulela ngculaza cishe bangenakho ukutheleleka kwezifo ezizayo. Kodwa-ke, abanye banezimpawu eziqhubekayo izinyanga; Abanye banezibonakaliso eziza futhi zihamba ngaphandle kokuthola isifo esisha.
Kuhlala isikhathi esingakanani?
Izimpawu eziningi zixazulula ngezinsuku noma phakathi kwamasonto amabili, ikakhulu kulabo abancane. Imfiva ivame ukuphela kwezinsuku ezimbili kuya kwezintathu kuphela bese iphela ngokushesha.
Labo abancane banamathuba okuba nezifo ezincane. Kwabanye, lesi sifo sihlala isikhathi eside, ngezimpawu eziphikelela noma eziphindaphindiwe, ikakhulukazi ama-aches ahlangene, izinyanga ezihlala njalo noma ngisho neminyaka .
Izifo eziqhubekayo zivame kakhulu kulabo asebekhulile, ngisho nangaphezulu kweminyaka engama-35 noma engu-40. Abantu abadala, amaphesenti angu-30 kuya kwangu-60 bangase babe nezimpawu ezingaphezu konyaka. Labo abanezibonakaliso ezinzima kakhulu bangase babe namabonakude aphikisayo. Ubuhlungu obungapheli bangathinta isimo sengqondo ezigulini ezifuna ukubuya ikhwalithi yokuphila yangaphambili.
Ukuxilongwa
Ukuxilongwa okuningi kuncike ezimpawu zomtholampilo phakathi nesifo esiwumshayabhuqe esivame ukusabalalisa. Kodwa-ke, ezinye izifo, ezifana ne-dengue, zingase ziphuthelwe yi-chikungunya.
I-PCR nokuhlolwa kwe-antibody kungaveza i-chikungunya (nge-CDC uma kudingekile e-US). Amanani aseBathole abonisa amapulelet aphansi kufanele aphakamise ukusola nge-dengue esikhundleni se-chikungunya.
Ukwelapha
Ayikho ukwelashwa okuqondile. I-CDC itusa ukuphumula, ukugcina ubuhlungu obukhulu, nokulawula umkhuhlane nge-acetaminophen, ibuprofen, noma naproxen.
Abanye odokotela baye babheka ezinye izindlela zokwelapha isifo samathambo esingapheli.
Izimpawu zezinye izifo, njenge-dengue, mhlawumbe i-malaria, noma ezinye izifo ezidinga ukwelashwa, zingahle ziphuthelwe yi-chikungunya. Kubalulekile ukufuna usizo lwezokwelapha kulokhu. (Ibuprofen / Advil ne Naproxen / Aleve akufanele kuthathwe nge-Dengue.)
Ngezinye izikhathi i-chikungunya ihlala futhi ihlala. Kuzizwa sengathi uthola ngokuphindaphindiwe. Uma usukhululekile kwe-chikungunya, awulindelekile ukuthi uyifinyelele futhi. Kwenzekani noma yilokho i-Chikungunya ingabangela ukuphikelela okuqhubekayo noma ukubuyela emuva. Kungase kube negciwane eliphikelela noma liqhubeke nokuhlupheka kusukela ekuvukeni kokuhlanganyela okuqala.
Lokhu kungase kwenzeke ngisho nangemva kokuba umuntu eshiye indawo ngeChikungunya. Kungenzeka akumele ukutheleleka okusha. I-Biopsies yalabo abanezifo eziphindaphindiwe noma eziphikisanayo ngezinye izikhathi zibonise ukuphikelela kwegciwane ezindaweni ezithile ezithintekile, njengama-muscle noma amalunga.
Kukhona ithemba lomuthi wokugoma - umgomo uhlolisiswa (owuqedile ukuhlolwa kwesigaba I) futhi ubonakala uthembisa. Sethemba ukuthi izotholakala maduzane.