Katemera wa kachilombo ka West Nile umadalira kuopsa kwa matenda omwe amachititsa. Zimatha kuyambitsa matenda osiyanasiyana a matenda a chimfine (kapena kuti palibe zizindikiro zonse) ku matenda opatsirana pogwiritsa ntchito matenda opatsirana pogonana kapena encephalitis .
Fufuzani zomwe kawirikawiri zimalimbikitsidwa pa zochitika ziwirizi, komanso ndondomeko zopewera ndi zina.
Matenda Oyera a Kumadzulo kwa Nile
Anthu omwe amakhala ndi chiwopsezo cha West Nile fever nthawi zambiri amakhala ndi malungo, minofu, mutu, kufooka ndi kutopa, pakhosi, komanso mavuto a m'mimba.
Anthuwa nthawi zambiri amadziona kuti ndi "nyengo yozizira yozizira," ndipo amadzichitira okha momwe amachitira ndi mpumulo, madzi, ndi analgesics. Madokotala sagwirizane nawo, ndipo anthu okhala ndi matenda ochepa a West West ambiri amachira bwinobwino masiku angapo.
Matenda akuluakulu a ku West Nile
Mwamwayi, kachilombo ka West Nile ingayambitsenso matenda aakulu kwambiri, makamaka ngati imalowa m'katikati mwa mitsempha yambiri komanso imayambitsa matenda a meningitis kapena encephalitis. Anthu omwe ali ndi matendawa amatha kukhala ndi malungo aakulu, kuuma ziwalo, kusokonezeka, kukhumudwa, kufa, ndi kufa. Kuchitira nkhanza munthu yemwe ali ndi matenda akuluakulu a ku West Nile ndilololedwa.
Chithandizo cha anthu omwe ali ndi matenda akuluakulu a West Nile ndi othandiza kwambiri.
Izi zikutanthauza kuti nkhanza zimatengedwa kuti zithetse malungo, zimasungunuka, komanso zimakhala ndi bata lamtima komanso zimakhala zolimba-podikirira chitetezo cha thupi kuti chiteteze chitetezo. Zoterezi zingafunike chithandizo kuchipatala chokwanira, mwina kwa masabata kapena kupitirira.
Mankhwala osokoneza bongo
Mankhwala osokoneza bongo sanawonetsedwe m'mayesero a kachipatala kuti akhale opindulitsa kwa anthu omwe ali ndi matenda akuluakulu a ku West Nile. Komabe, zingapo za mankhwalawa zakhala zikuyesedwa, ndipo pali mauthenga ena amtengo wapatali.
Agwiritsira ntchito mankhwala osokoneza bongo omwe ayesedwa ndi awa:
- Ribavarin : Madalitso a mankhwalawa ku ma ARV a West Nile makamaka amatsenga-sanawonetsere kuti amagwira ntchito zanyama. Mu mayesero amodzi osatetezedwa kuchipatala ku West Nile kuphulika kwa Israeli, mankhwalawa anapezeka kuti alibe ntchito.
- Intravenous immunoglobulin: Pano kachiwiri, phindu lopangidwa ndi intravenous immunoglobulin (IVIG) ndilo lingaliro. Kupanga ma antibodies (immunoglobulin) motsutsana ndi matenda a West Nile akuganiza kuti ndi njira yaikulu yomwe anthu amachotsera kachilomboko, kotero kupereka IVIG yomwe ili ndi ma antibodies a anti-West Nile "ayenera" kugwira ntchito. Mwamwayi, mayesero okhawo omwe anachitidwa kuti awonetse zotsatira za HIV ku West Nile virus sanathe kuwonetsa phindu.
- Interferon. Interferon ikuwoneka kuti ikugwira ntchito motsutsana ndi matenda a West Nile pamene ayesedwa mu zitsanzo zina za nyama. Koma mauthenga ochepa owazikana omwe amapindula nawo odwala omwe amagwidwa ndi interferon adanenedwa; Malipoti ena adanena kuti interferon ingawonongeke.
Chifukwa cha izi ndi mankhwala oletsa tizilombo toyambitsa matenda, tingathe kunena kuti njirayi siinali yodalirika kwambiri. Kotero chisamaliro chothandizira chimakhala chithandizo chachikulu cha matenda opatsirana a West Nile.
Kupewa
Njira yabwino kwambiri yochizira matenda a West Nile ndiko kupewa. Njira zoteteza matenda opatsirana ndi West Nile ndi awa:
- Mapulogalamu oletsa udzudzu. Mapulogalamu oletsa udzudzu angagwiritsidwe ntchito kuthetseratu malo oweta udzudzu, ndipo othamanga akhoza kupopedwa kuti aphe mphutsi za udzudzu asanakhale akuluakulu. Njira zotere za thanzi la anthu, zikagwiritsidwa ntchito mwachikhalidwe, zasonyezedwa kuti zimachepetsa kwambiri zotsatira za matenda a West Nile m'madera ena.
- Zomwe mungateteze. Muyenera kusunga malo anu poyerekeza ndi mabwinja kapena madzi omwe angakhale malo osungira udzudzu. Ali kunja, makamaka madzulo kapena madzulo pamene udzudzu umakhala wotanganidwa kwambiri, muyenera kugwiritsa ntchito tizilombo toyambitsa matenda, ndipo tiziteteza khungu lanu lonse.
- Mapulogalamu owonetsera magazi. M'mayiko ambiri otukuka, amapereka mankhwala opangidwa ndi magazi amayesedwa kuti akhalepo kwa kachilombo ka West Nile asanagwidwe. Izi zimatsimikiziridwa kuti zachepetsa chiopsezo chotenga kachilombo ka West Nile kuikidwa magazi (ndipo chiopsezocho chinali chochepa kwambiri).
Katemera
Ntchito yogwira ntchito kwambiri ikukonzekera katemera wa HIV Nile. Ndipotu, katemera ambiri atha kale kukhala ndi chilolezo cha mahatchi (omwe angadwale kwambiri ndi matenda a West Nile). Komabe, kupeza chivomerezo cha anthu, ndi izi kapena mankhwala ena onse, ndizovuta kwambiri komanso nthawi yochuluka kuposa zinyama.
Komabe, katemera wambiri wotsutsana ndi West Nile pakalipano akuyesedwa, ndipo malipoti oyambirira amasonyeza kuti ena mwa iwo ali odalirika kwambiri. Koma palibe katemera woterewu yemwe wayambitsa mayesero amachilombo a Phase 3 (otsiriza, kutalika kwambiri pamaso pa chivomerezo cha FDA), ndipo palibe kuyembekezera kuti katemera wa West Nile sungavomerezedwe kuti ugwiritsidwe ntchito anthu asanafike 2020, poyamba.
> Zotsatira:
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> Lothrop HD, Lothrop BB, Gomsi DE, et al. Mapulogalamu Ovuta Kwambiri Kugwiritsa Ntchito Malangizo Ochepetsa Matenda Ochepetsa Matenda a Arbovirus Ponseponse ku Coachella Valley, Riverside County, California. Vector Borne Zoonotic Dis 2008; 8: 475.
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