I-Rocky Mountain Intsholongwane Ebizwa ngokuba yi-RMSF iyisifo esichengelayo esenzeka rhoqo kwi-Oklahoma kunye ne-South Atlantic, nangona sele ifunyenwe kumazwe amaninzi. Kubangelwa usulelo lwebhakteria uRickettsia rickettsii . Ibhaktheriya idluliselwa kubantu ngabantu abathathu beetidi ezahlukeneyo:
- I-Eastern United States - I-Dermacentor variabilis (i- Dog dog tick )
- I-West South Central States - i-Amblyomma americanum (i-Lone Star tick)
- Amazwe aseNtshona - iDermacentor andersoni (umthi wokhuni)
IiNqobo eziSiseko
Emva kokuba umthi osulelekile ukhupha umntu, iibhaktheriya zikhishwa kwigazi. Apho bahlasele iiseli ezijikeleza imithana yegazi kunye nezihlunu ezigqithisileyo ezilawula ukubethelwa kwesitya segazi. Bayeka ukumelana nomzimba kwisiphatho segazi esibangela ukuba inqanawa ivule kwaye ilahleke. Le nkqubo inokuvela kunoma iyiphi nayiphi inkqubo yomzimba emzimbeni obangela iimpawu ezahlukahlukeneyo.
Iimpawu
Ixesha lokuxubusha liyi-2 kuya kwiintsuku ezili-14 emva kokukhawula kwekhayi. Ixesha lokutshala ngokuqhelekileyo liintsuku ezi-7. Iimpawu eziqhelekileyo ze-Rocky Intaba yefestile ebonakalayo yinto eqala ngokukhawuleza yomkhuhlane, ikhanda elibi, i-muscle aches, nokuhlanza. Ezinye iimpawu ezingaqhelekanga ziziintlungu zesisu, i-lymph nodes evuvukileyo, ukukhwehlela, intamo eqinile, ukudideka, kunye ne-coma.
Oko iRash ibonakala
Ukukhawuleza okubandakanyeka ne-Rocky Mountain ebonakalayo imfiva ngokuqhelekileyo iqala ngeentsuku ezi-4 kwisifo.
Kubukeka njengento encinci, ebomvu, iindawo eziphathekayo eziqala ngokuqhelekileyo kwiinqindi kunye nezibilini, kwaye zifudukela kwiintendelezo, i-soles, ne-trunk. Njengoko ukukhawuleza kuqhubekela phambili, kuya kuba yintsipho. Phantse i-10% yabantu abasulelekileyo abanakufumana ukukhawuleza.
Iifoto
- Ngesandla
- Ebusweni
- Ngengalo
- Ngeenyawo
Ngaba Kunzima Kangakanani?
Ngokubanzi, i-Rocky Mountain ebonakalayo imfiva iyingozi kwi-3% ukuya kwi-7% yamatyala.
Nangona kunjalo, libulala kuma-30% abo bangaphathwa. Ukufa kukuphezulu kubantu abangaphezu kweminyaka engama-40 ubudala. Ukufa ngokuqhelekileyo kubangelwa kukutshatyalaliswa nokungaphumeleli kwezintso.
Indlela echongwa ngayo
I-Rocky Intaba yeentaba ebonakalayo ifunyanwe ikakhulu ngokusekelwe kwiimpawu. Akukho zivavanyo zonyango ezithembekileyo zokuxilonga i-Rocky Mountain ebonakalayo yindlala xa isigulane sinesi sifo. Uninzi lweemvavanyo zelabhoratri ezikhethekileyo kwiibhaktheriya zibandakanya ukufumana uvavanyo olulodwa lwegazi ngelixa isigulane sigula kwaye enye kwiiveki ezi-4 ukujonga ukuba isistim somzimba sisebenzise izixhobo ezikhuselekileyo kwiibhaktheriya. Kuyacaca ukuba ulinde ukuhlolwa kwesi sibini ukubuyela ngaphambi kokuba ukuxilongwa kungenasiphelo kwaye kululeke kuphela ekubuyiseleni. Ezinye iimvavanyo zelabhu ezinokuthi zibonise i-Rocky Mountain inomfutho ebonakalayo yi-white white cell count, count count platelet, okanye uvavanyo oluphezulu lwe-fover function. Ukukhawuleza ngokuqhelekileyo kuyona nto ebalulekileyo ekuxilongweni ngenxa yokuba ingekho ininzi yeengcambu ezichaphazela iintende kunye neengcambu.
Unyango
I-Rocky Intaba ye-Mountainy fever iphathwa nge antibiotics ezifana ne-doxycycline, tetracycline, okanye i-chloramphenicol. Uninzi lwababoneleli liya kunika enye yalezi ziza-antibiotics ngokucinga ukuba isifo siyi-Rocky Mountain ebonakalayo kunye nokuqinisekisa ukuxilongwa kunye nokuhlolwa kwegazi kwiiveki ezi-4.
Abafazi abakhulelweyo akufanele bathathe i-doxycycline okanye i-tetracycline. Ekubeni i-chloramphenicol iyatholakala kwi-US kuphela kwi-IV ifom, abafazi abakhulelweyo kufuneka bangeniswe esibhedlele.
Thintelo
Ukukhusela i-Rocky Mountain entangantsi yomkhuhlane kubandakanya ukuthintela ikiti. Abantwana kunye nabantu abadala abangaphandle kwimihlaba echaphazelekayo kufuneka banxibe iimpahla ezinde kwaye bafikelele ekupheleni kwebhulukwe kwiisokisi. Inambuzane ehlaziyekileyo kufuneka ifakwe kwizihlangu kunye neesokisi. Imveliso ye-Permethrin isebenza ngokubhekiselele kwiikhiza kunezinto ze-DEET. Hlola iikhiza ezihlanganiswe nesikhumba zonke iiyure ezingama-2-3 ngelixa ngaphandle, jonga ngokukhawuleza kanye ngosuku.
Izintando zokufihla indawo zeengqungquthela zisezinwele zihlolisise i-scalp, intamo, i-armpits, kunye ne-groin.