Kodi Lujo Amayenderana Bwanji ndi Mavuto Ena a Edzi Monga Ebola?
Mwachidule
Matenda ambiri ndi osiyana ndi omwe amawapeza, ndipo samamva nthawi zonse. Pamene tamva za kuphulika kwa Ebola, mwachitsanzo, pali matenda omwe amatenga miyoyo yambiri kuposa Ebola . TB inatenga anthu pafupifupi 1.5 miliyoni mu 2015. HIV inatenga anthu pafupifupi 1.2 miliyoni mu 2015. Malaria inatenga anthu pafupifupi 400,000 mu 2015.
Pali ma ARV ena omwe angathe kufalikira mofulumira kuposa Ebola.
Izi zikhoza kufalikira muzipatala ndi mlengalenga, monga chimfine chimakhala , kapena kudzera mu chakudya, monga salmonella , kapena ziweto, monga Fever Valley Fever . Palinso zina zomwe zimayambitsa matenda a mavenda (VHFs).
VHF, ngakhale kuti imatchulidwa ngati magazi, nthawi zambiri sizimayambitsa magazi ambiri. Kutuluka kwa magazi kumene kumachitika kungakhale kochokera ku IV, kuchokera pakamwa kapena pakamwa, kapena kupyolera mu kusanza ndi kuvulaza mosavuta. Mavairasi awa ndi Crimean Congo Hemorrhagic Fever, Lassa , Nipah , ndi Marburg , komanso kachilombo koopsa kwambiri kamodzi kokha mwa anthu asanu omwe anapulumukapo: Lujo.
Kodi Lujo N'chiyani?
Lujo angatanthauzire kukhala okongola kwambiri m'Chisipanishi, koma kachilomboka kanatchulidwa mayina awiri oyambirira a mizinda iwiri yoyamba yomwe Lusaka ndi Johannesburg.
Monga tanenera, Lujo ndi malungo omwe amachititsa kuti thupi likhale ndi malungo komanso magazi. Lujo ndi wokhudzana ndi Fever ya Lassa-ndi Arenavirus ngati Lassa.
Lujo amayamba kuchititsa matenda ofooka ndi malungo, mutu, ndi minofu.
Zingathe kuyambitsa kutentha (nthawi zina wofiira ngati chikuku) pamaso, chifuwa, ndi m'mimba. Zingapangitse nkhope ndi khosi kutupa, pamodzi ndi pakhosi. Ena amayamba kutsekula m'mimba. Wodwala angawoneke ngati akukulirakulira, koma amawona zizindikiro monga kupuma, kusokonezeka, kuthamanga, komanso kutsika kwa magazi.
Mofanana ndi ma VHF ambiri, nthawi zambiri sikumayambitsa magazi.
Atatha kutenga kachilomboka, nthawi zambiri amatenga masabata awiri kapena awiri kuti adwale. Matendawa ayamba kufatsa. Tsoka ilo, komabe, kachilomboko sikhala ndi zotsatira zabwino. Anthu ambiri omwe adatengera kachilomboka adatha masiku 10 mpaka masabata awiri.
Malo Oopsya
Ngakhale kuti zotsatira zake sizingatheke, ambiri padziko lonse sali pangozi. Vutoli lapezeka ku Southern Africa. Nkhani yoyamba inachitika ku Zambia; ndiye wodwala wodwalayo adasamutsira ku South Africa kumene kachilomboka kakufalikira kuchipatala kwa osamalira.
Momwe Iwo Ukufalikira
Vutoli, lophiphiritsira ngati LUJV, likufalikira kuchokera kwa munthu-kwa-munthu mu chipatala, mwinamwake mwa kukhudzana ndi madzi a thupi. Popeza pakhala pali zochepa zochepa, sitidziwa zonse zomwe zikufalikira pakati pa anthu.
Nkhani yoyamba inachititsa kuti athandizidwe ndi azimayi omwe amuthandiza; Patapita nthawi, atatu omwe ankagwira ntchito yoyeretsa komanso / kapena kusamaliranso kuchipatala adalinso ndi kachilombo ka HIV.
Kunja kwa zipatala, ife sitidziwa kwenikweni. Ikuganiza kuti imafalikira mwa kukhudzana ndi makoswe, monga ndi Lassa. Zikhoza kukhala kuti munthu ayenera kugwira pa rodent, kapena droppings kapena urine.
Zingakhalenso kuti wina akhoza kupuma mu kachirombo ka HIV, makamaka ngati wina akung'amba kapena kuyeretsa chisa kapena ntchentche.
Chithandizo
Njira yaikulu yothandizira ndi "chithandizo chochirikiza." Izi zikutanthauza kutsimikizira kuti wodwalayo:
- ndi hydrated, mwina mwakumwa kapena kudzera m'madzi amadzimadzi
- ali ndi mankhwala kuti magazi awo asakwanire mokwanira ngati madzi sali okwanira
- amathandiza kupuma, ndi mpweya kudzera m'mphuno kapena pakamwa, pogwiritsa ntchito makina omwe amawathandiza kupuma, kapena kupyolera mu chimbudzi ndi makina omwe 'angawapumire'
- amakhala omasuka-ndi mankhwala opweteka, nkhawa, kapena sedation ngati pakufunika
- ali ndi ngozi zochotsa magazi (posankha mosamala mankhwala ndi kuchepetsa chiopsezo cha kuvulala)
- ali ndi kuikidwa magazi, mwinamwake, ngati kuli kofunikira
Pangakhale mankhwala ena. Chida cha ribavirin chimagwiritsidwa ntchito ku Lassa. Anagwiritsidwanso ntchito pa wodwala yekha amene anapulumuka ku Lujo.
Chithandizo cha mawere a arenavirus ndi mankhwala opatsirana a plasma amachepetsa kwambiri imfa komanso umboni wodalirika kuchokera kwa wodwalayo wa Lujo yekhayo amene akuwonetsa kuti mankhwala oletsa tizilombo toyambitsa matenda a ribavirin angakhale ndi lonjezo pakuchiza LUHF. Ribavirin yakhala ikuonedwa kuti ikulepheretsa chitukuko cha matenda mwa anthu omwe ali ndi mayinavirusi ena.
Chiwerengero cha Survival
Ife sitikudziwa chimodzimodzi. Chimene tikudziwa ndi chakuti 4 mwa anthu asanu aliwonse omwe adatengera kachilombo anafa, ngakhale kuti akudwala. Wodwala wachisanu-woyamba ndi wopulumuka yekha-anachitidwa ndi ribavirin mwamsanga.
Kodi Wina Angathe Kufalitsa Virus Atatha Kupeza Bwino?
Monga momwe taonera ndi mavairasi ena, monga Zika ndi Ebola, madzi amadzimadzi amatha kukhalabe opatsirana pakatha zizindikirozo. Anthu omwe ali ndi mavairasi okhudzana ndi matendawa amatha kutulutsa kachilombo mu mkodzo kapena umuna. N'zotheka kuti Lujo akhoza, mwina kuika odwala opatsirana pogonana.
Zizindikiro
Mapepala otsika a magazi, chiwerengero chochepa cha maselo oyera (kumayambiriro, akukwera kenako) komanso chiwerengero cha chiwindi chapamwamba chinalipo kwa odwala onse.
Popeza mayinaviruses angalowe m'mimba mwa amayi, ndipo umboni wosonyeza kuti amayi omwe ali ndi kachilombo ka HIV amatha kuvutika, ndizomveka kuganiza kuti onse omwe ali ndi kachilombo ka HIV ndi amayi amatha kutenga matenda a Lujo kwa amayi.
Kudziwa
Chifukwa chakuti ndi ochepa chabe omwe apezekapo, Lujo nthawi zambiri saganiziridwa.
Pakati pa febrile phase, kachirombo ka Lujo kanali kochepa ndi magazi kuyambira masiku 2 mpaka 13 mutayamba. Tizilombo toyambitsa matenda tizilombo toyambitsa matenda timatulutsidwa ndi chiwindi cha chiwindi chomwe chimapezeka pambuyo pa imfa. Kuwunika kwathunthu kwa majeremusi a Lujo kunathandiza kuti chitukuko cha RT-PCR chidziwe bwino.
Kufufuza kwa serologic kwa Lujo kutentha kwa thupi kungathe kupangidwa ndi mayesero osadziwika omwe amadziwika bwino ndi ELISA. Komabe, anthu omwe amachokera kumadera otetezeka omwe amawonetsa malungo, kuthamanga, pharyngitis, limodzi ndi ma laboratory omwe apeza mapulaneti otsika apamwamba ndi michere yambiri ya chiwindi, ayenera kuganiza kuti ali ndi kachilombo koyambitsa matenda a chiwindi. Zitsanzo zachipatala ziyenera kuyesedwa pogwiritsa ntchito mayeso enieni.
> Zotsatira:
> CDC. Lujo Hemorrhagic Fever (LUHF). http://www.cdc.gov/vhf/lujo/