Kurapa kwehutachiona hweWest Nile hunoenderana nekuoma kwehutano hunokonzera. Inogona kukonzera utachiona hwakasiyana-siyana hwechirwere, kubva kune chirwere chinorwara chechirwere (kana kuti hapana zviratidzo zvachose) kuhutachiona hwehupenyu hwehutano hwehutachiona hwemainitis kana kuti encephalitis .
Tsvaga izvo zvinowanzokurudzirwa mumamiriro ose maviri, uyewo mazano ekudzivirira uye nezvimwe.
Dild West West Nile Infections
Vanhu vanoita chikwata chinyoro cheWest Nile fever vanowanzoona kumwe kusanganiswa kwefivhiri, misumbu yemakumbo, misoro, kushaya simba uye kuneta, maronda, uye pamwe zvinetso zvepachiviri.
Vanhu ava vanowanzozviongororesa ne "shungu dzinotonhora yezhizha," uye vanozvichengetedza nenzira dzakasununguka nekuzorora, mvura, uye analgesics. Vanachiremba havawanzobatanidzi, uye vanhu vane chirwere cheWest Nile chinowanzopora zvizere mukati memazuva mashoma.
Zviremera West West Nile Infections
Zvinosuruvarisa kuti utachiona hweWest Nile hunogona kukonzera chirwere chikuru kwazvo, kunyanya kana chinopinda mukati memagetsi ehurumende uye chinokonzera meningitis kana encephalitis. Vanhu vane chimiro chechirwere ichi vanogona kunangana nefivha yakanyanya, kupora simba, kuvhiringidzika, kugumburwa, kurwara, nekufa. Kurwisana nehasha kune munhu ane utachiona hwakanyanya hwekuWest Nile inotenderwa.
Kurapa kwevanhu vane utachiona hwakanyanya hweWest Nile zvirwere zvinonyanya kutsigira.
Ikozvino, zviyero zvechisimba zvinotorwa kuti zvibvise pasi fivhiri, zvichengetedze huwandu hwemhepo, uye huchengetedze kugadzikana kwemagetsi nemoyo-paunenge wakamirira maitiro ezvirwere zvemuviri kuti ekupedzisira ajekese utachiona. Matanho akadaro angadikanwa kurapwa mune imwe nhengo huru yekuchengetedza, zvichida kwemavhiki kana kupfuura.
Antiviral mishonga
Chirwere cheAntiviral hachina kuratidzirwa mumakiriniki ekuedzwa kuti ave nerubatsiro runoyera kuvanhu vane zvirwere zvakakomba zveWest Nile. Zvisinei, dzakawanda zvezvirapa izvi zvakaedzwa, uye kune mamwe mahedheni anecdotal anobatsira.
Antiviral agents avo vakaedzwa vakaisanganisira:
- Ribavarin : Kubatsirwa kwechirwere ichi kune hutachiona hweWest Nile kunonyanya kufungidzira-haina kumboonekwa kuti inoshanda mumhuka dzemhando. Muchimwe chirwere chisina kudzora chemakiriniki muWest Nile kuputika muIsrael, mushonga uyu wakawanikwa usina kukwana.
- Intravenous immunoglobulin: Pano zvakare, iyo inogona kubatsirwa neyokudzivirira immunoglobulin (IVIG) inyanzvi. Kuita zvirwere zvinopesana (immunoglobulin) kurwisana neWest Nile zvinofungidzirwa kuti ndizvo zvinoshandiswa nevanhu kuti vabvise hutachiona, saka kupa IVIG ine marefu ekurwisana neWest-West Nile "anofanira" kushanda. Zvinosuruvarisa, kuongororwa kwekliniki chete kunongororwa kwakaitwa kuti kuongororwe zvinoitwa neVIG kuWest Nile vhesi yakakundikana kuratidza kubatsirwa.
- Interferon. Interferon inoratidzika yakakunda kurwisa kweWest Nile kana ichiedzwa mune dzimwe mhando dzemhuka. Asi zvishomanana zvinyorwa zvakapararira zvebatsiro kuvarwere vanobatwa ne interferon vave vakataurwa; mamwe mimwe mitsara yakataura kuti interferon inogona kukuvadza.
Tichipa chiitiko ichi nemishonga yemishonga yemishonga, tinogona kungotaura kuti nzira iyi haina kunyanya kuvimbisa. Saka kuchengetedza kwakasara kunoramba kuripo kwekurapa kweAtest Nile zvirwere.
Kudzivirira
Iyo yakanakisisa "kurapa" yeWest Nile virus ndeyokudzivirira. Nzira dzekudzivirira hutachiona hweWest Nile dzinosanganisira:
- Mapurogiramu ekudzivirira utsi. Mapurogiramu ekudzora misiki anogona kushandiswa kubvisa masango anokonzera mimwe misiki, uye zvinokonzerwa nemarara zvinogona kupinzwa kuti zviuraye mabukira vasati vakura. Miitiro yehutano yakadaro yevanhu, iyo yakashandiswa zvakarongeka, yakaratidzwa kuti inogadzirisa zviitiko zvehutachiona hweWest Nile mune dzimwe nzvimbo.
- Zvidziviriro zvevanhu pachavo. Iwe unofanirwa kuchengetedza zvinhu zvako zvakajeka kubva mumadziva asina simba kana kuti mapurusi anogona kuva nzvimbo dzinokonzera utsi. Paunenge uri panze, kunyanya panguva yemasikati kana mambakwedza apo masquitos anowanzova anoshanda zvikuru, unofanirwa kushandisa zvipembenene zvinodzora, uye chengetedza ganda rako rose rakavharwa sezvinobvira.
- Zvirongwa zvekuona kuisira ropa. Munyika dzakawanda dzakabudirira, zvakapa zviwanikwa zveropa zvinongororwa kuvepo kwehutachiona hweWest Nile vasati vawedzerwa. Izvi zvinofungidzirwa kuti zvakaderedza zvakanyanya dambudziko rekuwana chirwere cheWest Nile kubva kuwedzerwa ropa (uye iyo ngozi yaiva yakaderera zvikuru pakutanga).
Vaccination
Kushanda nesimba kwakanyanya kuri kuitika kukura zvirwere zvinorwisa utachiona hweWest Nile. Ichokwadi, mishonga yakawanda yakatove yakabvumirwa nemabhiza (iyo inogonawo kurwara zvikuru neWest Nile virus). Zvisinei, kugamuchira kubvumirwa kushandiswa kwevanhu, neichi kana chimwe chekurapa, inonyanyisa uye inopedza nguva kudarika mhuka.
Kunyange zvakadaro, zvirwere zvakawanda zvevanhu zvinorwisa utachiona hweWest Nile zviri kuongororwa zvino, uye mapepa okutanga anoratidza kuti zvimwe humwe hwavo huri kuvimbisa. Asi hapana chimwe chezviitiko izvi zvinogona kutanga zvirwere zvechipatara zvikamu zvechitatu (iyo yekupedzisira, yakatora nguva yakareba pamberi pemvumo ye FDA), uye zvinotarisirwa kuti hapana chirwere cheWest Nile chinogona kubvumidzwa kushandiswa kwevanhu vasati vasvika 2020, pakutanga.
> Sources:
> Dayan GH, Bevilacqua J, Coleman D, et al. Phase Ii, Dose Ranging Kudzidza Kwekuchengetedzwa uye Kuzvidzivirira Kwemhando Dzevha Dzechipiri West West Chirwere Muhutano Hukuru ≥ 50 Makore Emazera. Vaccine 2012; 30: 6656.
> Lothrop HD, Lothrop BB, Gomsi DE, et al. Intensive Early Season Adulticide Applications Kurambidza Arbovirus Transmission KuCoachella Valley, Riverside County, California. Vector Borne Zoonotic Dis 2008; 8: 475.
> Morrey JD, Day CW, Julander JG, et al. Migumisiro yeInterferon-Alpha neInferferon-Inobatsira Pamusana Wemavirazuva eNyeri MuMouse neHamster Mhuka dzeMadzimai. Antivir Chem Chemother 2004; 15: 101.