Ngakhale kuti sizinali zachizolowezi ku United States, chiwewe chimakhala chiopsezo choopsa chifukwa cha zizindikiro za ubongo zokhudzana ndi ubongo zingapangitse ndikukula. Matenda oyambirira amatha kusindikizidwa ndi chimfine ndi mutu. Zizindikiro zowonjezera nthawi yopuma (masiku 20 mpaka 90) nthawi zonse zidzakhala zovuta ndipo zimaphatikizapo chisokonezo, kunyalanyaza, kukhumudwa, kufooka, kukhumudwa, ndi kukhumudwa.
Pamene zizindikiro zikuwoneka, imfa ndi, zomvetsa chisoni, zosayembekezereka.
Mtundu woterewu, womwe umadziwika ndi lyssavirus, umadutsa mumtundu wa maselo a mitsempha, zomwe zimachititsa kuti zizindikiro ziziyenda bwino pang'onopang'ono zimalowa mkati mwa ubongo ndi pakatikati. Ndicho chifukwa chake, mosiyana ndi matenda ena opatsirana, simungakhoze kudikira kuti zizindikiro za matenda ziwonekere. Muyenera kufunafuna chithandizo mukamabwera mukamenyedwa kapena kumenyedwa ndi nyama yomwe mukuganiza kuti muli ndi rabies.
Zizindikiro za rabies zimatha kudziwika ndi masitepe a matenda, otchulidwa kwambiri ngati nthawi yotsitsimula, nthawi ya prodromal, ndi nthawi yodzidzimutsa kwa ubongo.
Nthawi Yowonjezera
Nthawi yopangira makina ndi nthawi yomwe imapezeka pakati pa kachilombo ka HIV ndi maonekedwe oyambirira. Nthawiyi ikhoza kuthamanga masiku 20 mpaka 90 pafupipafupi, koma ikhoza kukhala yayifupi kapena yotalikirapo chifukwa cha kuuma kwake. Mwachitsanzo, zizindikiro za munthu amene akuluma pang'ono zingatenge miyezi kuti ikule.
Amene ali ndi mabala aakulu kapena ambiri a khosi kapena mutu akhoza kuona kupitirira kwa zizindikiro mkati mwa masabata.
Zizindikiro za matenda a chiwewe panthawi yopuma zimaphatikizapo:
- Fever
- Mutu
- Kusinkhasinkha kapena kuyaka pamoto pa malo otchedwa ( paresthesia )
Nthawi Yotsatsa
Nthawi ya prodromal ikufotokozedwa ndi maonekedwe oyambirira a zizindikiro.
Izi ndi pamene kachilombo koyamba kamalowa m'katikati mwa mitsempha yambiri ndikuyamba kuwononga.
Pulogalamu ya prodromal imatha kuthamanga kuyambira masiku awiri mpaka 10 pafupipafupi ndipo ikhoza kuyambitsa zizindikiro monga:
- Kutopa
- Kumverera kwakukulu kwa kusagwirizana (malaise)
- Kutaya njala (anorexia)
- Chifuwa, kutupa khosi ( pharyngitis )
- Nausea
- Kuthamanga
- Kutsekula m'mimba
- Kusokonezeka
- Kusagona
- Nkhawa ndi kupsinjika maganizo
Nthawi Yokwanira ya Neurologic
Nthawi yochuluka ya ubongo imakhala paliponse kuyambira masiku awiri mpaka asanu ndi awiri ndipo nthawi zonse imatha kufa. Mitundu ndi zizindikiro za zizindikiro zimasiyana, malingana ndi momwe kuwonetsera koyamba kunali kovuta kapena kofatsa.
Chiwewe choopsa ndi mtundu wa anthu omwe ali ndi chidziwitso. Monga momwe dzina lake limasonyezera, mtundu uwu wa rabies umakhala ndi ziwawa zowopsa komanso zam'mimba. Zizindikiro zingabwere ndikupita, ndipo nthawi zambiri zimasokonezedwa ndi nthawi ya bata ndi chidziwitso. Imfa imayambitsidwa chifukwa cha kumangidwa kwa cardio-respiratory.
Mliri wa chimfine umakhudza anthu 30 peresenti ndipo izi zimapangitsa kuti minofu ikhale yofooketsa, kuyambira pa malo owonetseredwa ndi kutulukira panja. Kufa ziwalo ndi imfa zidzatha (kawirikawiri ndi kupuma kupuma). Ambiri opunduka ziwalo amakhulupirira kuti amayambitsidwa ndi kuvulazidwa kochepa, monga kusokoneza, komwe sikudziwika.
Mankhwala a chiwewe ndi mtundu womwe nthawi zambiri umawoneka ndi mabala. Izi zikhoza kukhala ndi zizindikiro za matenda onse oopsa komanso opunduka. Kusiyanitsa kwa zizindikiro ndi kuuma kungapangitse kuti zikhale zovuta kuzindikira vuto monga chiwewe.
Zizindikiro za matenda a chiwewe zimachitika panthawi yovuta ya ubongo zingaphatikizepo:
- Kusasamala
- Kunyalanyaza kwakukulu
- Hydrophobia (chizindikiro chodetsa nkhaŵa chomwe chimadziwika ndi ludzu losadziŵika bwino, osakhoza kumeza, ndi mantha pokhapokha atapatsidwa madzi akumwa)
- Kunyengerera (kupitiriza ndikupweteka kwa mbolo)
- Kutsimikizika kwambiri kuunika (photophobia)
- Paranoia
- Kusokonezeka ndi kusagwirizana
- Kumenyana (kuphatikizapo kukakamiza ndi kukulira)
- Hallucinations
- Kugonjetsa
- Kufa ziwalo
- Delirium
Zizindikiro zimenezi posachedwapa zimayambitsa matendawa ngati matenda a chiwewe amachititsa kuti ubongo ukhale wotupa kwambiri. Popanda kuthandizira, nthawi zambiri imfa imakhala mkati mwa maola kapena masiku.
Nthawi Yomwe Muwone Dokotala
Chilombochi chikayamba kuoneka, matendawa nthawi zambiri amafa. Kuti izi zitheke, muyenera kusamala mukamalumidwa ndi nyama zakutchire-kapena ngakhale nyama yoweta.
Yambani ndi kutsuka chilonda bwinobwino ndi sopo ndi madzi ofunda. Ngakhale kuti dokotala ayenera kuwonedwa kuti ndi wotsogolera, vutoli silikudziwika kuti ndilo vuto lachipatala panthawiyi. Ndikofunikira kuti muwone dokotala, tsiku lomwelo, ndikupatseni zowonjezereka zambiri zokhudzana ndi kuukira. Ngakhale mutapatsidwa kale katemera wa chiwewe , muyenera kulandira chilonda chanu chifukwa katemerawo amapereka zaka khumi zokha za chitetezo.
Ngati chinyamacho chagwidwa (kapena chokayikidwapo chokhala ndi pet), akhoza kuyesa kuti adziwe ngati ali ndi chiwewe. Koma, ngakhale apo, chithandizo sichingachedwe kuchepetsedwa podikira zotsatira. Izi zili choncho chifukwa njira yokhayo yotsimikizirira kuti matenda a rabies ndi othandizira kuti nyamayo ikhale yowonjezera ndikupeza zitsanzo ziwiri kuchokera mu ubongo. Mwachiwonekere, ndi chinyama, izi sizingakhale zosavuta ngati zizindikirozo n'zosavuta, osati zenizeni, kapena sizikupezeka.
Mulimonse mmene zingakhalire, ngati pali kukayikira koyenera, mankhwala ayenera kuyambika mwamsanga.
Komabe, ngati mwakopeka ndi nyama yodandaula kapena mwakhala mukukumana ndi madzi a thupi kuchokera kwa wodwala kapena nyama yakufa, muyenera kuwona dokotala ngati mutakhala ndi mtendere wamumtima. Izi ndi zoona makamaka ngati mumakhala kudera limene nyama zakutchire zadziwika.
Ngakhale kuti chiwerewere chimatha kuperekedwa kudzera m'matumbo kapena ubongo / mitsempha ya mitsempha, zilizonse zomwe zingakhalepo, ngakhale zing'onozing'ono, ziyenera kuchitidwa mozama. Ngati zilipo, zingakulimbikitseni kupeza katemera wa rabies komanso kuchepetsa chiopsezo chanu chamtsogolo.
> Zotsatira:
> Zomwe Zingathetsere Kudwala ndi Kuteteza Matenda (CDC). "Amuna Amtundu." Atlanta, Georgia; zasinthidwa pa August 23, 2017.
> CDC. "Amayi: Ndiyenera kupita liti kuchipatala?" Yatulutsidwa pa April 22, 2011.
> Inusaf, M .; Qasim, M ;; Zia, S. ndi al. "Rabies molecular virology, matenda, matenda, komanso chithandizo." Virol J. 2012; 9:50. Kodi 10.1186 / 1743-422X-9-50.