Utyando lujoliswe ekulawuleni iimpawu kunye neengxaki
Ingxaki yesifo se-Zika inokusazela kuba ungeke ube nolwazi lokuba unesifo kuze kube yinkinga. Ezi zingabandakanya ukuphuphuma kwesisu kunye neziphoso zokuzalwa. Kwiimeko ezinqabileyo, ukusuleleka kwe-Zika kunokukhokelela ku-Guillain-Barré syndrome, ingxaki yentsholongwane engakhokelela ekulahlekelweni kwemoto.
Ngelishwa, ayikho imishanguzo okanye iigonyi zokunyanga okanye ukuthintela intsholongwane.
Ngoko ke unyango lusekelwe kuphela ekulawuleni iimpawu kunye neengxaki.
Ukunyanga izifo ezingathandekiyo
Kwimizuzu engama-80 e-Zika izifo, akukho zibonakalo. Ukuba kubonakala ukuba iimpawu ziba nobubele kunye nobuthakathaka, kufaka phakathi intloko, intlungu kunye kunye kunye, intlungu yomzimba, kunye ne-conjunctivitis , phakathi kwabanye.
Kwinkoliso yabantu, i-immune system iya kukwazi ukulawula nokucima intsholongwane phakathi kweveki okanye ezimbini. Ngelo xesha, iTylenol (i-acetaminophen), ukuphumla kombhede, kunye nokutya kwamanzi kungakho konke okufunayo ukukubona ngokugula.
Ngakolunye uhlangothi, kufuneka ugweme izidakamizwa ezichasene nezidakamizwa (i-NSAID) njenge-aspirin, i-Aleve (naproxen), okanye i-Advil (ibuprofen) kude kube yintsholongwane ye- dengue , intsholongwane yentsholongwane ehlobene ngokusondeleyo neZika, ingalawulwa ngaphandle. Ezi ziyobisi zingabangela ukuphuma kwamanzi esisisu.
Ngokufanayo, i-aspirin ayifanele isetyenziswe kubantwana abanentsholongwane ye-virus njengokuba oku kungakhokelela kwisimo esisongela ubomi esibizwa ngokuba yi- Reyes syndrome .
Conjunctivitis Treatment
I-conjunctivitis ye-Viral ayiphathwa kakubi; ukuhla okanye ukucola kuya kwenza nto encinci, ukunceda. Iinyembezi zokuziqhenqa kunye nelaphu ephothiweyo ekhuhlileyo inokukunceda ukukhulula ezinye zezinto ezintle kwaye zincinci.
Ukuba unxibe ii-lens, ungafuna ukutshintshela kwiiglasi uze uphumelele ukunika amehlo akho ukuphumla.
Kufuneka uphinde ugweme ukuhlutha amehlo akho, njengoko oku kunokutshintshe intsholongwane kwiso kwelinye ukuya kwelinye. Kuyafana nokukwabelana kwamehlo okwenza, amathuwa ezandla, okanye amaconsi asehlo.
Kwiimeko ezinqabileyo, i-conjunctivitis edibeneyo ye-Zika ingakhokelela kwi- uveitis (ukuvuvukala kwendawo ephakathi kweso). Oku kuya kuphuculwa ngekhosi emfutshane ye-corticosteroid isohlo.
Ukuphatha uGuillain-Barré Syndrome
I-Guillain-Barré syndrome (i-GBS) yinkinga engavamile yenkqubo ye-nervous system apho i-immune system ihlasela amangqamuzana ayo omzimba, okwenza ubuthakathaka obuthakathaka, ukulahleka kokulawulwa kwemisipha, kwaye, kwiimeko ezinqabileyo, ukukhubazeka.
I-GBS echaphazelekayo ye-GBS, ngoku, iyanqandwa kwiimeko ezili-13 kumazwe angama-13 (eBrazil, eColombia, eRiphablikhi yaseDominican, e-El Salvador, eFrench Guiana, eFrench Polynesia, eHaiti, eHonduras, eMartinique, ePanama, ePuerto Rico, ESuriname naseVenezuela).
Isizathu esibangeleyo se-GBS asiqondwa kakuhle kodwa sisoloko sandulela ukusuleleka kohlobo oluthile. Ngaphandle kwegciwane leZika, ezinye izizathu eziqhelekileyo ziyi- cytomegalovirus ne- Campylobacter jejuni.
Unyango lunokuquka ukusetyenziswa kwe-immunoglobulins (IVIg) esetyenziswa ngokuqhelekileyo ekuphatheni izifo ezizimelayo kunye ne- plasmapheresis , uhlobo lwe-dialysis yegazi elususa amangqindi omzimba omonakalo egazini.
Inkxaso yokuphefumula kunye nokuvuselelwa ngokomzimba kunokufuneka kwakhona.
Ukunyanga i-Zika Virus Syndrome
Ukuba umama unesifo sikaZika ngexesha okanye ngaphambi kokukhulelwa, akukho nto enokuyenza ukuze kuthintele ukudlulisela intsholongwane yakhe kwintsana . Xa kuthethwa oko, nangona ukuba isasazo senzeke, umngcipheko wenkxalabo enzima kuphela malunga neepesenti ezingama-2.3, ngokutsho kophando olupapashwe kwi-International Journal of Medicine Molecular.
Emva kwenkqubela ye-2016, iziganeko ezingama-51 zeZika-ezihlobene neziphoso zokuzalwa-ezibizwa ngokuba yi-Zika virus-congenital syndrome-zabikwa eUnited States, zitsho abaphandi abavela kwiZiko loLawulo lweNtsholongwane kunye nokuKhusela.
Ukongezelela, i-77 imfucu edibeneyo idibene ngokuthe ngqo kunye nezifo eziqinisekisiweyo.
Ulawulo lweengxaki
I-Zena ye-Congenital syndrome ye-Congenital ibonakaliswe yimpawu ezinokuthi zihluke kwinani kunye nobunzima obunobunzima obunobomi obungozini. Oyintloko phakathi kwabo yintlungu yokuzalwa eyingozi eyayibizwa ngokuba yi- microcephaly , apho umntwana ezalwa enekhanda elincinci kunye nengqondo.
Ezinye iinkathazo zokuzalwa zingabandakanya ukungabikho koxinzelelo kunye nokuthinteka, ukulahleka kwengqondo, ukulimala kwamehlo okubuyisela amehlo, kunye nokukhubazeka ngokomzimba njenge- clubfoot okanye i- arthrogryposis (izivumelwano kunye nezivumelwano ezinqamlekileyo).
Utyando, njengaloo nto, aluyi kugxininisa kwisifo sosulelo seZika kodwa kunoko emva kwesifo. Phakathi kwezi ndlela:
- Unyango lwe- microcephaly luxhasa kakhulu. Nangona abanye abantwana bengenayo nayiphi na impawu ngaphandle kobunzima bekhanda elinciphileyo, abanye bangadinga ukunakekelwa ngonaphakade kwinqela leengcali ezininzi, kuquka neurologists, i-psychiatrists, i-therapists, kunye neengcali zempilo.
- Ukuxhatshazwa kunye nokuthinjelwa kungaphathwa ngamachiza e- antiepileptic .
- Ukulimala kwe-retinal , kubandakanywa ukubola kwe-macular kunye ne- chorioretinal atrophy , kunokufuna ukuhlinzwa ukuze kuthintela ukulahlekelwa kombono kunye nokungaboni.
- Ukukhubazeka ngokomzimba njenge-clubfoot okanye i-arthrogryposis inokuphathwa nge-braces, unyango lomsebenzi, iinkqubo zonyango (njengoluhlu lwe- serial stretching and casting ), kunye nokuhlinzwa njenge-Achilles tenotomy.
Uphuhliso lweSitofu
Ngaphandle kwemishanguzo yokuphatha isifo soGawulayo okanye ukuthintela ukusasazeka komama ukuya kumntwana, ukugxilwa kokugxilwa kuye kwafakwa ekuqhubeni uphando lokugonya.
Ngeli xesha akukho zitofu ezifumanekayo ukukhusela iZika, isilingo sesigaba se-II sagqitywa ngo-Matshi 2017 ukuvavanya isitofu sokugonywa ngokwemizimba esekelwe kwimodeli efanayo eya kusetyenziswa ukukhusela igciwane lesigobito seNtshonalanga yeNayile . Ukuba iziphumo zokuqala zilungile, isigaba esikhulu se-III singasungulwa kwangaphambili ngo-2020.
> Imithombo:
> Campos Coelho, A. kunye neCrovella, S. "Ukunyamezeka kwe-Microcephaly kwiintsana ezizalwe kwi-Zika Virus-Infected Women: Uhlolo lokuHlola kunye ne-Meta-Analysis." Int J Mol Sci. 2017; 19 (8): 1714. INGXELO: 10.3390 / ijms18081714.
> Amacandelo okuLawula nokuLawula izifo. Isikhokelo seZikliniki kubaNcedisi bezeMpilo zokuThuthiswa koTyhini lwe-Zika Virus. "E-Atlanta, eGeorgia; hlaziywa ngoDisemba 13, 2016.
> Mlakar, J .; Korva, M .; Tul. N. "I-Zika Virus edibene ne-Microcephaly." N Engl J Med. 2016; 374: 951-958. INGXELO: 10.1056 / NEJMoa1600651.
> AmaZiko eNational Health. "I-NIH iqala ukuvavanya isifo sokugonywa kweZika kubantu." UBetdada, eMaryne; kukhutshwa ngo-Agasti 3, 2016.
> Reynolds, M .; Jones, A .; Petersen, E. et al. "Izimpawu ezibalulekileyo: Ukuhlaziywa kwiZika Virus-Associated Defects Births and Assessment of All Intsana zase-US ezinobungozi be-Zika Virus Exposure - US Registry Pregnancy Registry, 2016." 2017; 66 (13): 366-373. INGXELO: 10.15585 / mmwr.mm6613e1.