Kwaziwa nangokuthi 'i-breakbone fever'
Ngezinye izikhathi iDengue ebizwa ngokuba yi "breakbone fever."
Kukho iimeko ezingaphezu kwezigidi eziyi-100 zeli flavivirus minyaka yonke emhlabeni. Ukuhamba kunye nezothutho ziye zazisasaza ngehlabathi, kunye ne-serotypes zayo ezine (DENV1-4) zisasaza iintlobo ezintsha kwiindawo ezintsha. Enye yezilwanyana zayo, umlingo we-tiger (Aedes Albopictus), isasazeke e-US nakwi-North njengase-Chicago naseNew York City.
Phantse isiqingatha seemeko azibonakalwanga iimpawu. Abanye banentsholongwane yodwa okanye impawu ezinobumnene. Izifo zesimpawu zingenza i-Dengue fever okanye iifom eziyingozi: I-Dengue imvula enkulu okanye i-Dengue shock syndrome.
Iimpawu
- Umkhuhlane ophezulu ongathandabuzekiyo (ngamanye amaxesha uphambi kobuso bokushenxisa ubuso)
- Ubunzima beNtlungu ("iso iso")
- Intloko
- Intlungu edibeneyo, isisu
- Ukudabuka, ukuhlanza, ukulahleka kwesidlo
- Mhlawumbi i-lymph nodes okanye isifo somqala.
- Ixabiso leBab: iiplatelet kunye nokubala okumhlophe kungase kube phantsi.
- Ixabiso lentliziyo lingaba liphantsi kunalindelwe ngexesha lomkhuhlane.
Emva kweentsuku ezimbalwa (2-5)
- Ukurhoxeka okunokwenzeka (amabala obomvu amacala coalescing). Unokutshixa nokucima, kuquka iintende.
- I-Rash nayo inokuqala ngokuqala ngomkhuhlane.
- Ezi zimpawu zihlala zihlala phakathi kweentsuku ezi-3 ukuya kwezi-7.
Emva kweempawu zokuqala. ezinye zihlakulela i-Dengue imfivhagic fever (DHF)
- Njengoko umkhuhlane wehla, iimpawu zokulumkisa zingathuthuka kunye nemithambo yegazi ingaba "ihlazo".
- Ukuhlamba - ukusuka ekhaleni, emlonyeni, kwizinsini
- Ukuchitha igazi okanye ukuphuma kwegazi lomzimba
- Amacweba amnyama asetsheni (ukuphuma kwamanzi)
- Ukukhwabanisa isikhumba esingachazwanga
- Phakamisa amachashazi abomvu okuthiwa i- petechiae
Abanye bahlakulela iimpawu ezingaphezulu kunye ne-Dengue shock syndrome (DSS)
- Ukutshitshiswa (uxinzelelo oluphantsi lwegazi, ukudideka, ukucola okuncinci)
- Uxinzelelo lwegazi
Iimpawu zokuphuma kwegazi kunye nokutshitshiswa kufuna i-IMMEDIATE yonyango.
Yintoni Eyonyango?
Uninzi lwabantu luyakwazi ukuphumla, ugcine amanzi, kwaye mhlawumbi uthathe amanani athile e-acetaminophen (iTylenol, paracetamol) yomshushu, phantsi kweengcebiso zogqirha. Izigulane akufanele zithathe i-aspirin, i-naproxen (i-Aleve), okanye i-ibuprofen (Advil) njengoko inokunyusa igazi.
Izibhedlele zifunekayo kwiimeko ezinzima ze-dengue ngegazi (iDengue Hemorrhagic Fever) okanye ukutshitshiswa (iDengue Shock Syndrome), okanye ezinye iimpawu okanye iimpawu zesifo esibi (ingakumbi kwi-dengue reinfection).
Akukho nkunkuma ethile okanye unyango lweengqungquthela ngaphandle kwenkathalo yokuxhaswa (i-intravenous fluids, imveliso yegazi, i-electrolytes, i-oksijeni). Xa unokufumana unyango olungileyo, ukubulawa kwamatyala kungaphantsi kwe-1% yodengue.
Kukho amanyathelo athatyathwayo ngokubhekiselele kwisitofu sokugonya kwe-dengue (isilingo esiphumeleleyo seSigaba III).
I-Dengue iyakwazi ukufunyanwa ngeemvavanyo zegazi (i-PCR ne-serology).
Kutshintshelwa njani?
Iimvama zivame ukuqala iintsuku ezi-4 ukuya kwezingama-7 (kodwa zinokuba iintsuku ezi-3 ukuya kwe-14) emva kokulunywa ngumlumzane wesifo one-HIV ( Aedes aegypti kunye ne- Aedes albopictus ). Iifama ziqala iiiveki ezimbini emva kokungabonakali kubonakala kungekhona. Iingcambu zingaluma ngaphakathi, zondle ngemini, kwaye zivelise emanzini amile (amathayi, imivalo, izitya). Sebenzisa i-DETue ye-insect (DEET), gquba ukukhusela, kwaye ugweme indawo kunye neDengue.
Akudluliswanga ngumuntu kumntu.
Iyakwazi ukusasazwa yimiyane enjalo njengoZika .
Iphi?
Ingqungquthela ifumaneka kwiindawo ezishushu nakwiindawo ezinqabileyo, ngokuqhelekileyo kwizixeko-ukusuka kwiiCaribbean, kwiCentral naseMzantsi Melika ukuya e-Afrika ukuya e-Asia nakwintshona ye-Australia. Uninzi lwezifo eMelika ziyangeniswa. Ukuqubuka kuye kwenzeke eFlorida (iWest West; i-Marin County 2013), esezantsi kweTexas, neHawaii. Nayiphi na ukunyuka kwamaqondo okunyuka kunokwandiswa. Izifo ezithwala izidumbu ziya kuba yinkathazo apho babecingelwa ukuba bangabi ngxaki.
Ngaba Ndiyakwazi Ukufumana Ingqumbo?
Ewe. Enyanisweni, usulelo olulandelayo luyingozi.
Usulelo lwe-serotype eli-1 lubangela ukukhuseleka kwi-serotype kodwa kuphela ukukhuselwa komzimba kwamanye ama-serotypes amathathu. Usulelo lwesifo esongezelelweyo lunokubangela ukuba uphendule ngamandla omzimba, ukudala i-DHF ne-DSS eyingozi.
Yiyiphi enye into enokuba nayo?
I-Malaria , efumaneka rhoqo kwiindawo ezifanayo, inokuqala ifana ne-dengue kwaye ingaba yingozi xa unyango lwexesha lusiba. Ngokufanayo, isifo esibi esibangelwa yi-dengue sinokuvela kwi-Leptospirosis engaqhutywayo (ephakama emva kokukhukula). I-Chikungunya isasazwa ngamangqungquthela kwaye iphosakele nge-dengue (kodwa ayinakho unyango olongezelelweyo).