Inonziwo 'breakbone fever'
Dengue inorwadza dzimwe nguva inozivikanwa se "breakbone fever."
Kune mamiriyoni anopfuura mamiriyoni makumi matatu eiri flavivirus gore negore pasi rose. Kufamba uye kutakura zvakapararira pasi rose, pamwe chete neserotypes yayo ina (DENV1-4) kuparadzira matambudziko matsva munzvimbo itsva. Chimwe chezvinyorwa zvayo, utsi hwemambure (Aedes Albopictus), yakapararira muU.S. kunyange kune kuchamhembe seChicago neNew York City.
Inenge hafu yematambudziko asina kuonekwa zviratidzo. Vamwe vane fivha chete kana kuti zviratidzo zvishoma. Zvirwere zvechiratidzo zvinogona kuva Dengue fever kana maitiro akaipisisa: Dengue hemorrhagic fever kana Dengue shock syndrome.
Zviratidzo
- Nenguva isipi fivha yakawanda (dzimwe nguva yakatarwa nechiso chekudzikisa)
- Kutambura kweziso kwakanyanya ("maziso omeso")
- Headache
- Yose, kurwadziwa kwepfungwa
- Nausea, kurutsa, kurasikirwa nechido
- Zvichida kuvhupa lymph nodes kana musurupa.
- Rab inokosha: platelets uye nyeredzi inogona kunge yakaderera.
- Mwoyo yemitengo inogona kunge yakaderera kupfuura inotarisirwa munguva yefivha.
Mushure memazuva mashoma (2-5)
- Zvichida rash (flat flat spots coalescing). Inogona kuchenesa uye kuvhara, kusanganisira miti yemichindwe.
- Rash inogona kuitikawo pakutanga nefivha.
- Zviratidzo izvi zvinowanzopedza mazuva matatu kusvika kune manomwe.
Pashure pezviratidzo zvekutanga. vamwe vanokura Dengue hemorrhagic fever (DHF)
- Sezvo fever madonhe, zviratidzo zvekunyevera zvinogona kukura uye mitsipa yeropa inogona kuve "yakasviba".
- Kupera - kubva mumhino, muromo, gums
- Kukuvadza ropa kana kuomesera kweropa ropa
- Dema tarry stools (muviri wekubuda ropa)
- Kusatsanangurwa kweganda bruising
- Ita mavara matsvuku anonzi petechiae
Vamwe vanokura kunyange zviratidzo zvakare uye vane Dengue shock syndrome (DSS)
- Kushungurudza (kuderera kweropa, kupesana, kuderedza urination)
- Low Blood Pressure
Zviratidzo zvekubuda ropa nekutyisidzirwa zvinoda KUTAURA chirwere chekurapa.
Chii Chinorapwa?
Vanhu vazhinji vanogona kuzorora, kuchengetedza hydrated, uye zvichida kutora zvishoma zvishoma zveacetaminophen (Tylenol, paracetamol) yefivha, pasi pezano rechiremba. Varwere havafaniri kutora aspirin, naproxen (Aleve), kana ibuprofen (Advil) sezvavanogona kuwedzera kubuda ropa.
Hospitali inoda kuti zviitiko zvakakomba zve dengue zvichibuda ropa (Dengue Hemorrhagic Fever) kana kushamiswa (Dengue Shock Syndrome), kana zvimwe zviratidzo kana zviratidzo zvekurwara kwakanyanya (kunyanya mu dengue reinfection).
Hakuchina mishonga chaiyo kana kurapwa kwei dengue kunze kwekuchengetedza kwakabatana (mumvura inopisa, mumidziyo yeropa, electrolytes, oksijeni). Nekuwana rubatsiro rwekurapa kwakanaka, kushaya huwandu huri pasi pe1% kune dengue.
Kune matanho akachengetwa ari kuitwa kune chirwere chinonzi dengue (kubudirira kwePekutanga III).
Dengue inogona kuongororwa neropa rekuongorora (PCR uye serology).
Inotumirwa Sei?
Mafungu anowanzotanga mazuva 4 kusvika ku7 (asi anokwanisa kuva mazuva 3-14) mushure mekuruma nemukomana mutevedzeri ( Aedes aegypti uye Aedes albopictus ). Mafivha anotanga mavhiki maviri mushure mekutsvaga haafaniri kunge ari dengue. Miti inogona kuruma mumba, kudya masikati, uye kubereka mumvura yakamira (matairi, mapuranga, vases). Shandisa zvipembenene zvinokonzera (DEET), zvivhare kuitira kuti usatumidzwa, uye dzivisa nzvimbo Dengue.
Haisi kuparadzirwa munhu-kune-munhu.
Inogona kuparadzirwa nemuswechetechete seZika .
Iri kupi?
Dengue inowanikwa munzvimbo dzinopisa uye dzinotyisa, kazhinji mumaguta - kubva kuCaribbean, Central uye South America kuenda kuAfrica kusvika kuAsia uye kuchamhembe kweAustralia. Zvakawanda zvirwere muUnited States zvinotengeswa. Kuparuka kwakaitika muFlorida (Key West; Marin County 2013), kuchamhembe kweTexas, neHawaii. Chero upi hwekupisa hunogona kuwedzera kupararira. Zvirwere zvinotakura zvirwere zvinowedzera kuva dambudziko apo vaifungidzirwa kuti havasi nyaya.
Ndingawana Dengue Zvakare Here?
Ehe. Kutaura zvazviri, hutachiwana hwehumwe hunotevera hunova hutsva.
Kuvharirwa ne 1 serotype kunokonzera kusachengetedzwa kune serotype iyo asi kungozvidzivirira kune imwe nguva serotypes 3. Kurwara nehumwe dambudziko kunogona kukonzera kupindura kwakanyanya kwemasimba emune, kuumba DHF neDSS inotyisa.
Ndezvipi Zvingave Zvichida?
Marariya , inowanzowanikwa munzvimbo imwe chete, inogona kutanga yakafanana nedengue uye inogona kuuraya kana chirwere chinonoka. Saizvozvowo, chirwere chakakomba chinonzi dengue chinogona kubva kune isina kutorwa Leptospirosis (iyo inowedzerawo pashure pemafashamo). Chikungunya inoparadzirwa nemamwe muteko uye inokanganisa dengue (asi hainazve mamwe mushonga).