I-Chikungunya yintsholongwane ye-alphavirus. Iimpawu zayo ziba ziintsuku ezintathu ukuya kwe sixhenxe emva kokuluma, kodwa zenzeke kwiintsuku ezili-12.
Abaninzi abanesifo banokufumana iimpawu. Kwi-Dengue nakwezinye iigciwane, nangona kunjalo, uninzi (nakwisiqingatha), musa ukuvelisa iinkqubo. Abanye, mhlawumbi omnye kwi-10 (okanye ngaphantsi okanye ngaphezulu), abanalo iimpawu.
Iimpawu
Uninzi luphuhlisa umkhuhlane omkhulu kunye nentlungu edibeneyo.
Ubunzima buvame ukuvela eminwe nasezintwaneni ezinokuthi zive ngathi amathambo aphukileyo. Ubuhlungu buya kwenzeka nasemadolweni, emaqotsheni, nangaphantsi. Ubuhlungu buvame ukuvela kwiindawo zokulimala kwangaphambili.
Ukukhathala okuninzi kunye nokungazinzi kunye nezihlunu eziqhelekileyo ziqhelekile. Abaninzi bakuthola kunzima ukuphuma ebhedini iintsuku. Abanye banesifo se-lymph nodea, i-nausea, i-rash (amancinci amancinane, amaninzi amaninzi).
Kwiimeko ezinqabileyo, isigulane sinokuba nezilonda zomlomo, ukucasuka kweso, okanye ukudideka (encephalitis) nokuphefumula. Kukho impawu ezinqabileyo ezinxulumene nesi sifo. Kukho uluhlu olubanzi kwiimeko ezinzima. Esi sifo asikho nto esibangela ukufa.
Abo baninzi abasengozini bahlala bekhulile, abantwana abasandul 'ulwasuleleka ekuzalweni, kunye nalabo abanezinye izifo, ezifana nesifo sikashukela okanye iintsholongwane ezingapheliyo okanye iingxaki zentliziyo. Ixabiso leLebhu lingabonisa inani legazi elimhlophe (ukulwa nesifo sesifo) ukuhlaselwa isifo.
Abanye banokuba besengozini kwezinye izifo okanye izifo zonyango.
Basenokuhlakulela ukusulelwa kwintsholongwane okanye ukuxhalabisa kweengxaki zonyango ezifuna unyango.
Abo banesifo abasulelekileyo banokukhululeka kwiintsholongwane ezizayo. Nangona kunjalo, abanye banempawu eziqhubekayo kwiinyanga; abanye baneempawu eziza kwaye zihamba ngaphandle kokufumana isifo esitsha.
Lihlala ixesha elingakanani?
Uninzi lweempawu zigqiba kwiintsuku okanye kwiiveki ezimbini ukuya kubini, ingakumbi kulabo abaselula. Imfiva idla ngokuphela kweentsuku ezimbini ukuya kwethathu kwaye iphelile ngokukhawuleza.
Abo bancinci banako ukufumana izifo ezincinane. Kwabanye, lesi sifo sihlala ixesha elide, kunye neempawu eziqhubekayo okanye eziphindaphindiweyo, ngokugqithiseleyo, iinyanga ezidlulileyo okanye neminyaka .
Izifo eziqhubekayo ziqhelekileyo kulabo abadala, nangaphezulu kweminyaka yobudala engama-35 okanye-40. Abantu abadala, ama-30 ukuya kuma-60 ekhulwini banempawu ezingaphezu konyaka. Abo baneempawu ezinzima kakhulu ziyakwazi ukuba neempawu eziqhubekayo. Ubuhlungu obungapheliyo bunokuphazamisa isimo sengqondo kwizigulana ezifuna ukubuyela kwi-quality pre-chikungunya yobomi.
Ukuxilongwa
Uninzi lwezifo zixhomekeke kwizibonakaliso zeklinikhi ngexesha lobhubhane oludla ngokusasazeka. Nangona kunjalo, ezinye izifo, ezinjenge-dengue, zingahle ziphosakele nge-chikungunya.
I-PCR kunye nokuhlolwa kwe-antibody kungabonakalisa i-chikungunya (ngokusebenzisa i-CDC ukuba kuyimfuneko e-US). Ixabiso leLebhuthi elibonisa iiplatelet eziphantsi kufuneka liphakamise ukukrokra kwi-dengue kunokuba i-chikungunya.
Unyango
Akukho zodwa unyango. I-CDC icebisa ukuphumla, ukugcina i-hydrated, nokulawula intlungu kunye nomkhuhlane nge-acetaminophen, ibuprofen, okanye naproxen.
Abanye oogqirha baye bajonga ezinye iindlela zonyango lwe-arthritis engapheliyo.
Iimpawu zezinye izifo, ezinjenge-dengue, mhlawumbi i-malaria, okanye ezinye izifo ezifuna unyango, zinokuphosakela nge-chikungunya. Kubalulekile ukufuna unyango kule nkalo. (Ibuprofen / Advil ne Naproxen / Aleve akufanele kuthathwe ngeDengue.)
Maxa wambi i-chikungunya ihlala kwaye ihlala. Kuvakalelwa ngathi ufumene kwakhona. Emva kokuba ukhululekile kwe-chikungunya, awukulindelanga ukuwufumana kwakhona. Yintoni eyenzekayo nangona kunjalo ukuba i-Chikungunya ingabangela ukugula okuqhubekayo okanye ukuhlaziya. Kukho ntsho intsholongwane eqhubekayo okanye iqhube intlungu ebuhlungu bokuqala.
Oku kusenokwenzeka nokuba emva kokuba umntu eshiye indawo kunye neChikungunya. Kusenokwenzeka ukuba ayifaki isifo esitsha. Iibhoopi zalabo abanezifo eziphindaphindiweyo okanye eziqhubekayo baye babonisa ukuphikelela kwintsholongwane kwimimandla ethile echaphazelekayo, njengama-muscle okanye amajoyina.
Kukho ithemba lokugonya igciwane lokugonywa lugqitywa (oluye lugqiba izilingo zesigaba I) kwaye luvela luthembisa. Ngethemba, kuya kufumaneka kungekudala.