Chithandizo chimayang'ana pa kayendedwe ka zizindikiro ndi mavuto
Zika kachilombo zingakhale zoopsa chifukwa simudziwa kuti mwatenga kachilomboka mpaka zovuta zikuwonekera. Izi zingaphatikizepo kuperewera kwa amayi ndi zilema zobereka. Nthawi zambiri, matenda a Zika angapangitse matenda a Guillain-Barré, matenda a mitsempha omwe angayambitse kutayika kwa magalimoto.
Tsoka ilo, palibe mankhwala kapena katemera kuti athetse kapena kuteteza matenda.
Choncho, chithandizo chimadalira kokha kayendedwe ka zizindikiro ndi mavuto.
Kuchiza Matenda Ovuta
Pa zoposa 80 peresenti ya Zika matenda, sipadzakhalanso zizindikiro. Ngati zizindikiro zikuwonekera zimakhala zofewa komanso zamfine, kuphatikizapo kupweteka mutu, kupweteka kwa minofu ndi kuphatikiza, kutentha thupi, ndi conjunctivitis , pakati pa ena.
Kwa anthu ambiri, chitetezo cha mthupi chidzatha kuchepetsa ndi kuthetsa matenda mkati mwa sabata kapena awiri. Panthawi imeneyo, Tylenol (acetaminophen), mpumulo wa mphasa, ndipo madzi ambiri amatha kukhala nonse omwe mukufunikira kukuwonani kudzera mu matenda.
Komabe, muyenera kupewa mankhwala osokoneza bongo omwe amatsutsana ndi zotupa ( aspirin, Aleve (naproxen), kapena Advil (ibuprofen) mpaka matenda opatsirana pogonana, omwe ali ndi kachilombo koyambitsa matendawa kamene amatha kufanana nawo. Mankhwalawa angayambitse magazi m'mimba.
Mofananamo, aspirin sayenera kugwiritsidwanso ntchito kwa ana omwe ali ndi kachilombo ka HIV chifukwa izi zingachititse kuti matenda a Reyes ayambe kuopseza moyo.
Conjunctivitis Treatment
Viral conjunctivitis nthawi zambiri samachiritsidwa; madontho kapena mafuta onunkhira sadzachita pang'ono, mulimonse, kuthandiza. Misozi yonyamulira ndi nsalu yotayidwa yosakanizidwa ingathandize kuthetsa ena mwachisomo ndi zovuta.
Ngati muvala ma lens, mungasinthe magalasi mpaka mutha kupumula maso anu.
Muyeneranso kupeŵa kupukuta maso anu, chifukwa izi zingathe kutulutsa kachilombo ku diso limodzi kupita kumbuyo. Zomwezo zimagwiranso ntchito kugawana maso, mawonekedwe a manja, kapena madontho a maso.
Nthawi zambiri, Zika-kugwirizana conjunctivitis kungayambitse uveitis (kutupa pakati pakati pa diso). Izi zingatheke bwino ndi mafupipafupi a maso a corticosteroid.
Akuchiritsa Guillain-Barré Syndrome
Matenda a Guillain-Barré (GBS) ndi matenda osadziwika a dongosolo la mitsempha momwe chitetezo cha mthupi chimagonjetsera maselo ake a mitsempha, kumayambitsa kufooka kwa minofu, kutaya minofu, komanso nthawi zina, kufooka.
Zaka zokhudzana ndi GBS zokhudzana ndi Zika zakhala zikuletsedwa ku mayiko 13 (Brazil, Colombia, Dominican Republic, El Salvador, French Guiana, French Polynesia, Haiti, Honduras, Martinique, Panama, Puerto Rico, Suriname, ndi Venezuela).
Chifukwa chachikulu cha GBS sichimveka bwino koma pafupifupi nthawi zonse chisanachitike ndi matenda a mtundu wina. Kuwonjezera pa Zika kachilombo, zifukwa zina zomwe zimayambitsa matendawa ndi cytomegalovirus ndi Campylobacter jejuni.
Chithandizochi chingaphatikizepo kugwiritsa ntchito ma immunoglobulins (IVIg) omwe amagwiritsidwa ntchito kwambiri pochiza matenda opatsirana ndi plasmapheresis , mawonekedwe a magazi a dialysis omwe amachotsa maselo owopsa a chitetezo ku magazi.
Thandizo la kupuma komanso kuthandizira thupi kumathandizanso.
Kuchiza Zika Virus Syndrome Yokha
Ngati mayi ali ndi kachilombo ka Zika pa nthawi yomwe ali ndi mimba, palibe chomwe chingachitike kuti mwanayo asatenge kachilomboka . Pomwe zikunenedwa, ngakhale ngati matendawa atuluka, chiopsezo chachikulu chokhala ndi vuto ndi pafupifupi 2.3 peresenti, malinga ndi kafukufuku wofalitsidwa mu International Journal of Molecular Medicine.
Pambuyo pa kuphulika kwa 2016, 51 milandu ya Zika-yobereka zobadwazo-zomwe zimatchedwa matenda a congenital Zika-zinafotokozedwa ku United States, akuti openda ku Center for Disease Control and Prevention.
Kuwonjezera pamenepo, 77 zolakwika zapadera zinagwirizanitsidwa mwachindunji ndi zitsimikizo za matenda.
Kusamalira Mavuto
Matenda a Congenital Zika matendawa amadziwika ndi zizindikiro zomwe zingakhale zosiyana komanso zimakhala zovuta kwambiri kuchokera ku kufalikira mpaka kuopseza moyo. Mmodzi mwa iwo ndi vuto lalikulu lobadwa lobadwa ngati microcephaly , limene mwana amabadwa ali ndi mutu waung'ono ndi ubongo.
Zovuta zina zowonongeka zingaphatikizepo kupatsirana ndi kupweteka, kuwonongeka kwa nzeru, kupweteka maso kwa retina, ndi kuwonongeka kwa thupi monga clubfoot kapena arthrogryposis (mgwirizano ndi ziwalo).
Kuchiza, kotero, sikungayang'ane pa matenda a Zika koma m'malo mwa matendawa. Zina mwazochita:
- Chithandizo cha microcephaly chimathandiza kwambiri. Ngakhale ana ena sangakhale ndi zizindikilo zina kupatula kukula kwa mutu, ena angafunike chisamaliro cha moyo wonse kuchokera ku gulu la akatswiri a zamagulu osiyanasiyana, kuphatikizapo odwala matenda a ubongo, odwala matenda a maganizo, opaleshoni ya thupi, ndi olemba malankhulidwe.
- Kupweteka komanso kupweteka kungapangidwe ndi mankhwala a antiepileptic .
- Kuvulala kwa retinal , kuphatikizapo macular scarring ndi chorioretinal atrophy , kungafunikire opaleshoni kuti asamasowe masomphenya komanso akhungu.
- Ziphuphu zakuthupi monga clubfoot kapena arthrogryposis zimatha kupatsidwa mankhwala, kupatsirana ntchito, njira zamankhwala (monga kutambasula ndi kuponyera ), ndi opaleshoni monga Achilles tenotomy.
Chithandizo cha katemera
Popanda mankhwala ochizira matenda a Zika kapena kupewa kutengera kwa mayi kupita kwa mwana, kuwonjezeka kwapadera kwaikidwa pa kufufuza kwa katemera.
Ngakhale pakalipano palibe katemera omwe amapezeka pofuna kuteteza Zika, kuyesedwa kwa chigawo chachiwiri cha anthu kunavomerezedwa mu March 2017 kukayezetsa katemera wobadwa ndi mafupa omwe akugwiritsidwa ntchito popanga katemera wa ku West Nile . Ngati zotsatira zoyambazo ndi zabwino, gawo lalikulu lachitatu lingayambidwe kuyambira 2020.
> Zotsatira:
> Campos Coelho, A. ndi Crovella, S. "Kukula kwa Microcephaly kwa Atsikana Obadwa ndi Zika-Akazi Okhudzidwa: Kukonzekera Mwadongosolo ndi Kufufuza Meta." Int J Mol Sci. 2017; 19 (8): 1714. DOI: 10.3390 / ijms18081714.
> Zolinga za Kuletsa ndi Kuteteza Matenda. "Chithandizo Chachipatala Chothandizira Odwala pa Ntchito Yopewera Kugonana kwa Zika Virus." Atlanta, Georgia; zasinthidwa pa December 13, 2016.
> Mlakar, J .; Korva, M .; Tul. N. "Zika Virus Yogwirizana ndi Microcephaly." N Engl J Med. 2016; 374: 951-958. DOI: 10.1056 / NEJMoa1600651.
> Ma Institutes of Health. "NIH imayamba kuyesa katemera wa Zika pakati pa anthu." Bethesda, Maryland; adatulutsidwa pa August 3, 2016.
> Reynolds, M .; Jones, A .; Petersen, E. et al. "Zizindikiro Zofunika: Zindikirani Zachilombo za Zika-Zowonongeka Zowonongeka ndi Kuwonetsetsa Ana Onse a US omwe ali ndi matenda a Congenital Zika Virus - US Registry Pregnancy Registry, 2016." 2017; 66 (13): 366-373. DOI: 10.15585 / mmwr.mm6613e1.