Matenda a chiwewe amafala kwambiri ku United States, omwe ali ndi 23 milandu yokhayokha kuyambira 2008 mpaka 2017. Komabe, ndikofunika kumvetsetsa njira yothandizira matenda a chiwewe, matenda opatsirana omwe amachititsa kutupa kwa ubongo ndi msana. Monga momwe bungwe la World Health Organization (WHO) limanenera, chithandizo choyenera mwamsanga mutangodziwoneka ndi chiwewe chothetsa chiwewe chingathe kuchepetsa kuyambira kwa zizindikiro, ndipo potsirizira pake kupulumutsa moyo wanu.
Ngati walumidwa ndi nyama, funsani kuchipatala mwamsanga. Dokotala adzapereka chisamaliro cha zilonda ndi kupereka mankhwala ngati pali chiopsezo cha matenda.
Kusamalidwa Kwambiri
Kuchitapo kanthu mwamsanga n'kofunika pankhani ya kuchiza matenda a chiwewe. Kuwonjezera pa kupeza chithandizo chamankhwala pokhapokha nyama italuma (makamaka kuchokera ku bat, nkhandwe, kapena skunk), chilonda chiyenera kuyeretsedwa mwamsanga ndi bwino.
Pogwiritsa ntchito chithandizo choyamba chotsatira, WHO imalimbikitsa kupukuta ndi kusamba bala kwasachepera mphindi 15. Kuyeretsa kumeneku kumaphatikizapo kugwiritsa ntchito sopo ndi madzi, detergent, ndi / kapena mankhwala a povidone-ayodini.
Malingana ndi Centers for Disease Control and Prevention (CDC), kafukufuku wanyama wasonyeza kuti kuyeretsa kwapala kwaokha kungachepetse kwambiri mwayi wokhala ndi matenda a chiwewe. Koma ngati zizindikirozo zakhala zikuchitika, imfa imachokera kumapeto kwa masiku asanu ndi awiri-ngakhale mankhwala ataperekedwa.
Tiyenera kukumbukira kuti matendawa ndi mawotchi tsopano ndi omwe amachokera ku imfa zakufa za anthu amtundu wa rabies ku United States. Matenda a chiwewe amatha kufalitsidwa ndi nyama ngati mkhandwe, skunks, ndi raccoons. Padziko lonse lapansi, 99 peresenti ya anthu amtundu wa chiwewe amayamba chifukwa cha matenda opatsirana pogonana ndi agalu.
Kumbukirani kuti, mosasamala kuti chiwopsezo cha mfuti chimayambitsa ngozi, kulumidwa kwa nyama kungawononge kwambiri pamene chilonda ndi choopsa. Mwachitsanzo, kuluma kungayambitse matenda a m'deralo komanso / kapena systemic, komanso kutentha kwa mitsempha. Choncho, nthawi zonse nkofunika kupeza chithandizo chamankhwala mutatha kudwala nyama iliyonse.
Post-Exposure Prophylaxis
Post-exposure prophylaxis (PEP) ndi njira yokhayo yothandizira kupewa matenda okhudzana ndi chiwewe. Chithandizochi chimaphatikizapo kutsuka kwakukulu ndi kuchipatala kwa chilonda chotsatira ndondomeko yoteteza katemera wochuluka kwambiri.
Mukapatsidwa nthawi, PEP ikhoza kuyambitsa matenda a chiwewe (HIV / AIDS) kuti asayambe kulowa m'katikati mwa mitsempha, komanso kuti asamayambitse matenda a chiwewe. Mpaka lero, palibe wina ku United States amene ali ndi matenda opatsirana pogonana pamene amapatsidwa katemera mwamsanga komanso moyenera, malinga ndi National Institutes of Health.
Kuwonjezera pa PEP, dokotala wanu angapereke mankhwala opha tizilombo. Mungafunike kuwombera katemera wa tetanasi malingana ndi tsiku la fodya lanu lomaliza la tetanasi.
Katemera wa Rabies
Monga katemera onse, katemera wa rabies ali ndi kachilombo koyambitsa matenda omwe sungathe kuchititsa matenda kapena kubereka. Poyankha katemera, thupi lanu limapanga tizilombo toyambitsa matenda ndi matenda a chiwewe.
Chifukwa chakuti katemera wonse wa anthu amtundu wa rabies sungatheke, sizingatheke kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Katemera uliwonse umayesedwa mndandanda wa mayesero okhwima, omwe amaphatikizapo mayesero a potency, poizoni, chitetezo, ndi sterility.
Kusankha
Kawirikawiri amapatsidwa ndondomeko ya mlingo wa mankhwala asanu pa masiku 28 (kuyambira tsiku lotsekula), katemera wa chiwewe amathandizidwa ndi jekeseni. Kuonjezera apo, anthu ambiri amalandira chithandizo chotchedwa rabies immunoglobulin (HRIG) pokhapokha atapatsidwa kale katemera kapena akulandira katemera wosagwiritsidwa ntchito kale. Komanso amagwiritsidwa ntchito ndi jekeseni, HRIG imapatsidwa tsiku limene nyama imaluma.
Zotsatira Zotsatira
Ngakhale kuti katemera wodwala matenda a chiwewe ndi HRIG sakhala wamba, amatha kuyambitsa zotsatira zina zochepa pa malo opangira jekeseni. Izi zikuphatikizapo:
- ululu
- zofiira
- kutupa
- kuyabwa
Nthawi zambiri, odwala amatha kuona zizindikiro monga mutu, kunyowa, kupweteka m'mimba, minofu, ndi chizungulire.
Musanayambe kulandira katemera wa chiwewe, dokotala wanu ngati mwakhalapo ndi vuto lalikulu la mankhwala opatsirana pogonana. Muyeneranso kuuza dokotala wanu ngati muli ndi matenda aakulu, kapena ngati muli ndi mphamvu yoteteza thupi lanu chifukwa cha matenda aakulu kapena kugwiritsa ntchito mankhwala ena (monga steroids).
> Zotsatira:
> Zolinga za Kuletsa ndi Kuteteza Matenda. "Amayi: Ndili ndi chisamaliro chanji?" January 29, 2018.
> Chitukuko cha National Institute of Zigwiritsidwe ndi Matenda Opatsirana. "Katemera." July 2016.
> Ma Institutes of Health. "Katemera wa Amayi." April 2018.
Salve H, Kumar S, Sa R, Rai SK, Kant S, Pandav CS. "Kukhala ndi mwayi wokwanira wa intradermal post exposure prophylaxis motsutsana ndi matenda a chiwewe pamsinkhu woyamwitsa - umboni wochokera kumidzi ya Haryana." BMC Health Serv Res. 2014 Jun 25; 14: 278.
> Bungwe la Padziko Lonse la Umoyo. " Mafunso Omwe Amafunsidwa Kawirikawiri pa Ma Raabi ." Potsirizira pake anafika pa April 2018.