ULujo Ufana njani namanye amaSilly Syndromes njengoEbola?
Sibanzi
Uninzi lwezifo ziyingqayizivele ekufikeleleni kwabo kunye nemiphumo, kwaye asiyi kuva njalo ngabo. Ngethuba siva malunga nokuqubuka kwe-Ebola, umzekelo, kukho izifo ezithatha ubomi abaninzi kune- Ebola . I-TB yathatha ubomi malunga neepiliyoni eziyi-1.5 ngo-2015. I-HIV yathatha ubomi abayizigidi ezi-1.2 ngo-2015. I-Malaria yathatha ubomi abangaba ngu-400 000 ngo-2015.
Kukho ezinye iindiza ezingasasazeka ngakumbi kwaye zikhawuleze kune-Ebola.
Ezi ziyakwazi ukusabalala kwizibhedlele nakwimoya, njengomkhuhlane, okanye ngokutya, njenge- salmonella , okanye imfuyo, njenge- Fever Valley Fever . Zikhona ezinye ezibangelwa iifompy femrricic fever (VHFs).
I-VHFs, nangona ichazwe njengeyingozi, ngokuqhelekileyo ayiyi kubangela ukuphuma kwamanzi. Ukuphuma kwegazi okwenzekayo kunokuvela kwi-IV, ukusuka empumlweni okanye emlonyeni, okanye ngokuhlanza nokululaza. Ezi zintsholongwane zibandakanya iCrimean Congo Hemorrhagic Fever, iLassa , iNipah , neMarburg , kunye negciwane elibulalayo elinomntu oyedwa kwabahlanu abasasazileyo: uLujo.
Lujo Yintoni?
U-Lujo unokuthi uthetha ukunethezeka ngesiSpanish, kodwa le ntshogulo ibizwa ngokuba yileta ezimbini zokuqala zeedolophu ezimbini zokuqala apho kubonakala khona-eLusaka naseGoli.
Njengoko kuthethwe, uLujo unomkhuhlane we-viral hemorrhagic, eyona iqela le-viral syndromes elikhokelela kumfiva kunye nokuphuma kwamanzi. ULujo uhlobene neLassa Fever-yi-Arenavirus njengeLassa.
ULujo uqala ukudala ukugula okucokisekileyo kunye nomkhuhlane, intloko, kunye neentsimbi zomzimba.
Kungenza ukuba i-rash (ngamanye amaxesha ibomvu njengama-measle) ebusweni, esifubeni, nasesisu. Ingakhokelela ebusweni nasentanyeni yokuvuvukala, kunye nomqala wesifo. Abanye baya kuhlakulela ihudo. Isigulane sinokubonakala ngathi siphucula, kodwa emva koko siva iimpawu ezinzima njengokuphefumula, ukudideka, ukunyaniseka, kunye nokunyanzeliswa kwegazi.
NjengamaVHF amaninzi, ngokuqhelekileyo akuyiyo loo ndoda ephuma ngegazi.
Emva kokuvalelwa kwintsholongwane, ngokuqhelekileyo kuthatha iiveki ezimbini ukuya kugula. Ukugula kuqala ngokulula. Ngelishwa, nangona kunjalo, intsholongwane ayinayo isiphumo esihle. Uninzi lwabantu abanesifo sengculaza badlulayo kwiintsuku ezili-10 ukuya kwiiveki ezimbini.
Kwiindawo eziMngciphekweni
Nangona isiphumo esingathandekiyo, uninzi lwabemi behlabathi alukho engozini. Intsholongwane ibonwe kuphela kwiMzantsi Afrika. Icala lokuqala lenzeke eZambia; isiguli esichukumisayo sagqithiselwa eMzantsi Afrika apho intsholongwane isasazeka esibhedlele kubaxhasi.
Indlela Esasazeka ngayo
Intsholongwane, isicatshulwa njengeLUJV, isasazeka kumntu-kuya kumntu esibhedlele, mhlawumbi ngokuqhagamshelana nezifo zomzimba. Ekubeni kubekho amacala ambalwa kangaka, asazi zonke iinkcukacha malunga nokuba kunokwenzeka njani ukusabalalisa phakathi kwabantu.
Icala lokuqala lenza ukuba usulele kwi-paramedic eyamnceda; Kamva abathathu ababandakanyekayo ekucoceni kunye / okanye ngononophala esibhedlele baphinde bahlaselwa.
Ngaphandle kwezibhedlele, asiyazi ngokwenene. Kucingelwa ukuba kusasazeka ngoqhagamshelwano kunye namagundane, njengaLassa. Kungenzeka ukuba umntu ufanele achukumise i-rodent, okanye i-droppings okanye umchamo.
Kungakho nokuba umntu unokuphefumla intsholongwane, ingakumbi xa umntu ehlamba okanye ehlambulule isidleke se-rodent okanye i-droppings.
Unyango
Isondlo sonyango "lunonophelo lokuncedisa." Oku kuthetha ukuqiniseka ukuba isigulane:
- i-hydrated, mhlawumbi ngokusela okanye nge-IV fluids
- unamachiza ukugcina uxinzelelo lwegazi luphezulu ngokwaneleyo ukuba umbane awunelanga
- uncedisa ukuphefumula, kunye ne-oksijini ngeempumlo okanye emlonyeni, ngokusebenzisa oomatshini abancedisa ukuphefumula, okanye nge-intubation ngomshini 'onokuphefumula'
- ukhululekile-ngeemithi zentlungu, ukuxhalabisa, okanye ukutshatyalaliswa njengoko kuyimfuneko
- unobungozi bokuphuma kwegazi kumncinci (ngokukhetha ngokunyamekileyo unyango kunye nokunciphisa ingozi yokulimala)
- unokumpontshelwa igazi, mhlawumbi, ukuba kuyimfuneko
Kukho inxaxheba kwezinye iyeza. Isiza se ribavirin sisetyenziswe eLassa. Kwakusetyenziswe kwakhona kwisigulana esisodwa esasinda eLujo.
Ukunyangwa kwamayeza e-arenavirus kunye ne-inflammenti ye-plasma yonyango iyanciphisa ukufa kwabantu ngokugqithiseleyo kwaye ubungqina be-anecdot ephuma kuphela kwi-patient yeLujo ebonisa ukuba i-anti-drug antibiotic ribavirin inokubamba isithembiso ekunyangeni kwe-LUHF. I-Ribavirin ithathelwe ingqalelo ekukhuseleni ukuphuhliswa kwezifo kubantu abachazwe kwezinye i-arnavirus.
Umlinganiselo wokuSinda
Asizi kakuhle. Into esiyaziyo kukuba aba-4 kwabangu-5 abaswelekileyo bafa, nangona unyango lwezempilo. Isigulane sesesihlanu-sokuqala kunye nokuphela kokusinda-siphathwe nge ribavirin ekuqaleni kwexesha.
Ngaba umntu unokusasaza i-Virus emva kokuba ilunge?
Njengoko sibonile nezinye iigciwane, njengeZika ne-Ebola, amanzi omzimba angasasazeka emva kokuba iimpawu ziphelile. Abo basuleleke kwiintsholongwane ezinxulumene nazo banokuchitha igciwane kwi-urine okanye kwi-semen. Kungenzeka ukuba uLujo angakwazi, mhlawumbi ukubeka umngcipheko kwiintlobo zesini kunye nezigulane ezifunyenweyo.
Iimpawu
Iiplatelet ezantsi zegazi, inani elisezantsi legazi lamhlophe (ekuqaleni, ukuphakama kamva) kunye nemilinganiselo yokusebenza kwesibindi yayikho kuzo zonke izigulane.
Ekubeni i-arenavirus ingangena kumntwana ngokusuleleka ngumama, kwaye ubungqina be-anecdotal bubonisa ukuba abasetyhini abakhulelweyo abanokukhulelwa, banengqiqo ukucinga ukuba zombini usulelo lwe-fetus kunye nokukhulelwa komzimba lungabandakanywa nokusuleleka koLujo kumama.
Ukuxilongwa
Ngenxa yokuba bambalwa abaye bafumanisa, uLujo akaqhelekanga.
Ngexesha le-febrile yesigaba, i-virus yeLujo yayingasuki kwigazi ukusuka kwiintsuku ezi-2 kuya kwe-13 emva kokuqala. Intsholongwane yayiye yahlukunyezwa kwimizimba yesibindi efunyenwe emva kokufa. Uhlalutyo olupheleleyo olulandelayo lwe-genomic lwe-virus yeLujo luququzelele ukuphuhliswa kwee-molecular molecular detection (RT-PCR).
Ukuxilongwa kwe-Serologic yeLujo isifo somkhuhlane singenziwa yilingo elichanekileyo le-immunofluorescent test and ELISA. Nangona kunjalo, abantu abavela kwimimandla ebonakalayo ebonisa imfiva, ukukhawuleza, i-pharyngitis, ihamba kunye neziphumo zebhubhoratri zokubalwa kweeplatelet kunye ne-enzyme ezinobindi, zimele zikhankanywe ukuba zineentsholongwane zentsholongwane ye-fiver virus. Iimpawu zezonyango kufuneka zivavanywe kusetyenziswa izilingo ezithile.
> Imithombo:
> CDC. Lujo Hemorrhagic Fever (LUHF). http://www.cdc.gov/vhf/lujo/