Cholera inogona kukurumidza kubudisa muviri wemvura, saka kurapwa kwakakodzera kunokosha. Imwe nzira inoshandiswa pakurapa chirwere ichi chirwere chekudzorerazve, kunyange maantibayoti angasarudzwawo pane dzimwe nguva.
Rehydration Therapy
Nokuti chinonyanya kukosha nekodera ndiyo njodzi yekudzikisa mvura, remishonga yezvekugadzirisa muviri inowanzova mutsara wekutanga wezvidziviriro kune vanhu vane zviratidzo.
Izvi zvingaitwa kakawanda pamba, kunyange mumatambudziko akaoma, kudzokazve kunogona kudiwa kuitika pamwe nekubatsirwa neboka rezvechiremba.
Mishonga yeMakemikari yeMishonga
Izvo zvakawanda zvevanhu vane kolera zvinokwanisa kubata zviratidzo zvekudzikisa mvura pachavo-kazhinji nezvipfeko zvavanenge vaine.
Kunwa mvura uye mvura yakasvibiswa inowanika mune pharmacy, asi mumhinje, chirongwa chemuviri chinoshandiswa mumuromo (ORS) chinogona kuitwa kumba uchishandisa musarudzo inotevera:
- 1/2 chipukanana chiduku chemuyu
- 6 mazinga spoonfuls e shuga
- 1 litre yemvura
Zvakawanda zveAORS zvinofanira kutorwa zvinotarisana nekukura kweunhu uye zera. Vacheche vari pasi pemwedzi mina yekare, somuenzaniso, vanofanira kuwana pakati pemamiriyoni 200 kusvika ku400 mumaawa mana okutanga, asi vanhu vakuru vanoda 2200 kusvika 4000 milliliters munguva iyoyo. Zvakakosha kucherechedza, zvisinei, kuti kana uine ORS pamba (kusanganisira kushandiswa kushandiswa kwakasvibiswa), zvakakosha kuti mvura yakachena, inonwisa inoshandiswa kushandiswa kuwedzera kusvibiswa.
Mune kusakwana kweAORS, mvura yakajeka inokwanisawo kubatsira kusvikira imwe inogona kutorwa, uye kunwisa vana vanofanira kuramba vachiyamwisa kana vachigona.
Intravenous (IV) Kuderedza Kurapa
Muzviitiko zvekushaya mvura yakaoma, zvingave zvisina kukwana kuedza nekudzokazve kumba. Rubatsiro rwezvechiremba uchishandisa zvirwere zve IV zvinogona kudiwa kuti urege kugumburwa kana kufa-zvikurukuru muvana vaduku.
Aya aya emvura mana akafanana neAORS mune zvekuti anodzorera mishonga mumutumbi, pamwe chete nemafuta anonzi electrolytes asingadi, asi nokuti anowanikwa zvakananga muropa raanokwanisa kukurumidza kukunda zvinokonzerwa nekudzikisa mvura mumuviri.
Mune zvimwe zviitiko, munhu achapiwa ORS panguva imwechete iyo yeVV inoputika, zvino ichishandurwa pane kungotora ORS imwechete iyo hydration yezinga inogona kutarisa.
Nguva
Zvikwereti uye nguva dzese dzeAIDS uye IV dzingave dzichida kuchinjwa zvichienderana nekusuruvara kwekudzikisa mvura uye kuti chirwere uye kurutsa zvinoramba zvichienderera mberi. Muzviitiko zvose, muwandu wemvura inopinda inofanira kuva yakawanda kudarika mari inofungidzirwa inobva mumuviri.
Nguva pfupi mushure mekugamuchira idzirapi, vazhinji vachazotanga kuona zviratidzo zvekudzokazve, zvakadai se:
- Chitubu chaenda
- Needing kuti urinate zvakare pamwero wakakwana, uye urineni iine chiedza uye yakajeka
- Mutengo wemwoyo wakadzokera kune wakajairika
- Kana ganda ranyungudzwa, rinodzokera kunzvimbo yayo chaiyo
Zvose zviri zviviri zvezvekugadzirisazve zvirwere zvine simba rekugadzirisa zvakanyanya dambudziko rekufa nekuda kwekushaya simba kwakanyanya kunokonzerwa nekolera. Kana ikashandiswa nokukurumidza uye zvakakodzera, inogona kuderedza kuurawa kusvika pasi pe1% yematambudziko.
Antibiotics
Vanhu vazhinji vane kolera (inofungidzirwa makumi mapfumbamwe) vanogona kudzoka vachishandisa kurapwa kwemaitiro chete. Muzviitiko zvinorwara zvakanyanya, zvisinei, mishonga inorwisa mabhakitiriya inogona kushandiswa kupfupika nguva yekuti mumwe munhu anorwara, pamwe nekureba kwenguva yakadii mabhakiteriya muzvigaro zvavo.
Iyi mishonga inoshandiswa mukuwedzera pakugadzirisazve mvura-kwete panzvimbo yavo. Mishonga inorwisa mabhakitiriya iga haina kukwana kuchengetedza mumwe munhu kubva pakufa kubva kuKamera, kunyange zvazvo inogona kuderedza kuwanda kwemvura inonaya mvura inoda munhu.
Pari zvino, doxycycline ndiyo mishonga yekutanga yekusarudza kurapa korila, asi mamwe-akadai seetetracycline, azithromycin, erythromycin, nevamwe-akave akaratidzwawo kuti ari pakati pemishonga inobatsira zvikuru uye inogona kukurudzirwa kuvanhu vanokosha.
Chimwe chikonzero mishonga iyi haisi yakanyanya kushandiswa ndeyekuwedzera kwekutya kwemishonga inorwisana nekemera yekodera iyo iri kuwedzera kusakanganiswa ne tetracycline, pakati pemamwe mishonga inorwisa mishonga. Zvinofungidzirwa kuti kunyanya kushandiswa kwemhando iyi yemishonga kunotungamirira kubhakitiriya kuchinamatira kwavari, zvichiita kuti kurapwa kusapindike. Somugumisiro, vanachiremba vanokurudzirwa kuti vanongorayira maantibayoti kuti vaenzanise nematambudziko akaoma avo vatotanga kugamuchira zvirwere zve IV.
Chimwe chikonzero nei mishonga iyi isingashandiswi nguva dzose ndeyokuti imwe yemaawa aya antimicrobial inosuruvarisa uye kurutsa, kuwedzera zviratidzo zvisingafadzi uye dzimwe nguva zvinotyisa zvinowanzojairika mumatambudziko ekororera .
Zinc
Kutsvakurudza kwakaratidza kuti zInc zvigadzirwa zvevana zvinokonzerwa nekororera zvinogona kuderedza nguva yenguva iyo mwana ane chirwere uye anoita kuti isanyanya kuoma. Kana ichipiwa pamwe nemishonga inorwisa mabhakitiriya uye remishonga yekudzivirirazve mvura, kupa 10 kusvika ku20mg yeZinc pazuva kunoratidzira kuvhara mararita 8 maawa apfuura uye ne10 muzana shoma yepamusoro pane dzimwe nguva apo kuwedzera kwacho hakuna kupiwa.
Iyi tsvakurudzo inopindirana neongororo dzinoratidza kufanana kwakadaro kune dzimwe zvirwere zvekurara, kwete kungoita chete.
> Sources:
> Centres for Disease Control and Prevention. Cholera - Vibrio cholerae utachiona: Mishonga inorwisa mabhakitiriya.
> Centres for Disease Control and Prevention. Cholera - Vibrio cholerae utachiona: Rehydration therapy.