Fungo la RMSF (Mountainy Mountain Spotted Fever) ndi matenda omwe amawopsa kwambiri omwe amapezeka nthawi zambiri ku Oklahoma ndi South Atlantic, ngakhale kuti amapezeka m'mayiko ambiri. Amayambitsa matendawa ndi mabakiteriya Rickettsia rickettsii . Mabakiteriya amafalitsidwa kwa anthu ndi mitundu itatu ya nkhupakupa:
- Kum'mawa kwa United States - Dermacentor variabilis ( mbendera ya ku America )
- West South Central States - Amblyomma americanum (Lone Star nkhuku)
- Madera akumadzulo - Dermacentor andersoni (nkhuni ya nkhuni)
Mfundo Zenizeni
Pambuyo pake, nkhuku imaluma munthu, mabakiteriya amasulidwa m'magazi. Kumeneko amamenyana ndi maselo omwe amayendetsa mitsempha ya mitsempha ndi minofu yosalala yomwe imawongolera kupopera kwa chotengera cha magazi. Amachotsa chitetezo cha mthupi m'magazi omwe amachititsa kuti chiwiyacho chifufuke komanso chitayika. Izi zimachitika m'thupi lililonse lomwe limapangitsa zizindikiro zosiyanasiyana.
Zizindikiro
Nthawi yosakaniza ndi masiku awiri kapena 14 mutengowo utakoma. Nthawi yosakaniza nthawi ndi masiku asanu ndi awiri. Zizindikiro zofala za Rocky Mountain zomwe zimapezeka ndi malungo ndi chiwombankhanza cha fever, mutu waukulu, minofu, ndi kusanza. Zisonyezo zina zomwe sizodziwika kwambiri ndi ululu m'mimba, kutupa maselo a mitsempha, chifuwa, khosi lolimba, chisokonezo, ndi zovuta.
Zimene Rash Zikuwoneka
Chiwombankhanga chomwe chimagwirizanitsidwa ndi Rocky Mountain malo amodzi amayamba masiku 4 ndikudwala.
Zikuwoneka ngati zazing'ono, zofiira, zapanyumba zowonongeka zomwe zimayambira kawirikawiri pamagulu ndi maulendo, kenako zimasunthira ku mitengo ya palmu, matope, ndi thunthu. Pamene mphukira ikupita, imakhala yovuta. Pafupifupi 10 peresenti ya anthu omwe ali ndi kachilombo ka HIV sanathenso kulandira.
Zithunzi
- Pa dzanja
- Pamaso
- Pa mkono
- Pa phazi
Ndizovuta Kwambiri?
Powonjezera, Rocky Mountain imawoneka kuti imakhala ndi malungo amatha kupha 3% mpaka 7%.
Komabe, imapha anthu opitirira 30 peresenti ya anthu omwe sachitidwa. Anthu akufa ndi apamwamba kuposa anthu oposa zaka 40. Imfa imayamba chifukwa cha mantha ndi impso kulephera.
Momwe Iwo Amadziwira
Mphepo ya Rocky yomwe imapezeka kuti imakhala ndi malungo imapezeka makamaka makamaka chifukwa cha zizindikiro. Palibe mayesero odalirika a ma laboratory kuti azindikire fever yamapiri a Rocky pamene wodwalayo ali ndi matendawa. Mayesero ambiri a ma laboratories omwe ali oyenera kwa mabakiteriya amatanthauza kupeza magazi amodzi pamene wodwala akudwala ndipo wina mu masabata anayi kuti aone ngati chitetezo cha mthupi chimapanga ma antibiotic kwa mabakiteriya. Mwachiwonekere, kuyembekezera mayeso achiwiriwa kuti abwerere asanayambe kudziŵa kuti n'kopanda phindu ndipo kumathandiza pokhapokha. Mayesero ena a ma labwino omwe angasonyeze kuti Phiri lamapiri lotchedwa Rocky ndilopansi la maselo oyera, magazi ochepa, kapena kuchuluka kwa chiwindi. Kuthamanga kawirikawiri ndikofunika kwambiri kuti munthu apeze matendawa chifukwa chakuti sizinthu zambiri zomwe zimakhudza mitengo ndi mitengo.
Chithandizo
Mphepo ya Rocky yomwe imapezeka kuti imakhala ndi malungo imakhala ndi mankhwala opha tizilombo monga doxycycline, tetracycline, kapena chloramphenicol. Anthu ambiri opereka mankhwalawa amapereka mankhwalawa mwachindunji poganiza kuti matendawa ndi Rocky Mountain omwe amawoneka ndi malungo ndipo amatsimikizira kuti ali ndi kachilombo ka magazi m'masabata 4.
Azimayi sayenera kutenga doxycycline kapena tetracycline. Popeza chloramphenicol imapezeka ku US kokha m'ma IV, amayi apakati ayenera kulandiridwa kuchipatala.
Kupewa
Kupewa kutentha kwa mapiri a Rocky kumaphatikizapo kuteteza nkhuku. Ana ndi akulu omwe ali kunja kwa malo okhudzidwa ndi nkhupakupa ayenera kuvala zovala zambiri ndipo amatha mapeto a mathalauza m'masiketi. Tizilombo toyambitsa matenda tiyenera kugwiritsa ntchito nsapato ndi masokosi. Mankhwala a Permetrin ndi othandiza kwambiri motsutsana ndi nkhupakupa kuposa mankhwala a DEET. Onetsetsani nkhupakupa pakhungu pa maola awiri alionse kunja, kenako fufuzani kamodzi pa tsiku.
Malo okonda malo obisala nkhupakupa ali mu tsitsi kuti muwone scalp, khosi, ziphuphu, ndi kubuula.