Viral Hemorrhagic Fevers
Pane, asi izvi zvakanaka.
Zvimwe zvirwere zvinokonzera kupisa uye kubuda ropa uye zvinonzi Viral Hemorrhagic Fever.
Zvimwe zvinopararira kuburikidza. Vanogona kupfutidza maitiro ekuvhara uye varwere vakabuda kubva mumhino uye gums kana IV nzvimbo.
Zvizhinji hazviwanzoitiki. Havana kufanana neZombie movie.
Zviitiko zvizhinji zvehutachiona hwehutachiona hunokonzerwa nehutachiona hunokonzera kubuda ropa. Izvo zvisingawaniki kunyange muEbola nokuti pane kubuda ropa zviratidzo.
Zviitiko zvizhinji - kunyange izvo zvinouraya - kwete.
Vangave vakavhiringidzika nemarariya zvinowanzowanikwa pedyo. Izvi zvinogona kunonoka kusurukirwa uye kuisa vatarisiri pangozi.
Dengue, inokonzera mamiriyoni 50 kusvika ku100 pagore, inogona kukonzera utachiona hwemhepo inopisa. Verengai pano .
Kune zvimwe zvikonzero zvisingazivikanwi zvakanyanya:
Chipatara cheSierra Leone chakatanga kuva chipatara cheEbola chakanga chiri chipatara cheLassa. Mune zvimwe zvikamu zveLiberia neSierra Leone, zvinogona kuva dzakawanda zve10% -16% yezvipatara varwere vane Lassa .
Lassa, annavirus kuWest Africa, inokura masvondo matatu mushure mekutsvaga. Vazhinji (80%) vane zviratidzo zvishoma: fever ine simba, kuneta, kuora musoro; 20% inoita kubuda ropa (gums, mhino), zvakanyanya mimba / pfupa / marwadzo shure, kurutsira, kuputika kwepiso, zvichida kuvhiringidzika, kudengenyeka. Kushungurudzwa kunogona kuitika. Vamwe kurasikirwa kunowanikwa mu 1/3 nezviratidzo.
Pakati pezvipatara, anenge 15-20% anofa (zvakanyanya pakuita pamuviri). Iga 1% chete inowanzofa.
300 000-500,000 mhaka dzinokonzera vanenge 5 000 vakafa gore negore.
Lassa inopararira apo uriniti yemartimammate urwizi / madonhi anosvibisa zvokudya kana ganda rakaputsika, kana kuti rinoputika. Kuendesa munhu kune mumwe munhu kunogona kuitika, kunyanya muzvipatara-zvisingatarisirwi zvipatara.
Ribavirin, chirwere chinoshandiswa nemishonga, inoshandiswa. Kuongororwa kwakavakirwa kuongororwa kwePCR kana ELISAs.
Hakuchina mushonga.
Dare rekupedzisira reUnited States raiva mumhanyi anodzoka achibva kuWest Africa muna 2014.
Kune dzimwe dzakawanda dzine hutachiona hwemafivha (HF) arinaviruses muSouth America: Junin (Argentine HF), Machupo (Bolivian HF), Guanarito (Venezuelan HF), Sabia (Brazilian HF), Chapare virus (muBolivia).
Marburg
Marburg yakabatana nemumwe filovirus, Ebola. Chokutanga chakazivikanwa muna 1967 pakati peEuropean labor lab inotapurirwa nemonke.
5-10 mazuva mashure mushure mekutsvaga, varwere vanokura fivhiri, misoro, maziso aches, nausea, kurutsa. Vanogona kubuda pamasikati 5-8, vachitungamirirwa nekutyisidzika, kuvhiringidzika.
Kufa kwehuwandu hunosiyana zvichienderana nenzvimbo, zvichida kuoma uye zvigadzirwa; kufa kwaive 21% muna 1967 uye kusvika 80-90% muAngola neRDC muna 2000-5. Kuongororwa kunosanganisira PCR kana ELISA. Hapana hutano hwakananga, zvakadaro. Iko kune basa pane chirwere.
Chirwere chinowanikwa muUganda, Zimbabwe, DRC, Kenya, Angola, uye South Africa. Kudengenyeka kunobva kumakandani eAfrica yemichero - kunoshandisa varimi (kana vatashanyi) mumapako akazara-batwa kuburikidza ne droppings (kana kunyange aerosolization). Kudengenyeka kunowanikwa kubva kune vanhu vasiri vanhu uye kubva kuvarwere kana kudzivirirwa kusina kukwana kubva mumvura yemuviri miviri kana madonhwe.
Kubuda kweMarburg kunowanzoshamisa. Kuputika kukuru 2 chete kwakaitika kubva muna 1970.
Zvimwe masumbu akabatisa vanhu 1-15.
Nyaya yokupedzisira yakaonekwa muUnited States yaiva muna 2008 mufambi anodzoka achibva kumapako akazara-bata muUganda.
Yellow Fever
Yellow Fever, inopararira zvikurukuru neAedes utsi, inonzi flavivirus yakafanana neDengue, Kyasanur, uye inokonzera kupisa kwemafivha. Yellow Fever inowanikwa munzvimbo dzeSouth America asi kunyanya muAfrica. 200 000 mamiriyoni gore gore rinotungamirira kufa 30 000. Vanhu vakawanda vane utachiona vane zviratidzo zvishomanana kana zvisiri izvo. Zviratidzo zvinopera mazuva matatu kusvika kwemaviri mushure mekutsvaga: fivha, musoro, kuneta, muviri-aches, kushungurudza, kurutsa. Zvizhinji zvinowedzera, asi vamwe (vanenge 15%) vanoita zviratidzo zvakakomba maawa kana zuva gare gare: kubuda ropa, ganda rejena, zvinetso zvechiropa, high fever, shock.
Nehosha dzakaoma, 20-50% anofa.
Hakuchina kurapa kwakananga. Kuongorora kwechirwere chepachirwere kunogona kubatsira rubatsiro
Imwe chirwere chekudzivirira chinodzivirira kwemakore gumi. Mushonga ndewe - uye chete - avo vanoenda kunzvimbo dzeChief Fever. Zviitiko zvakakomba zvakaipa zvinogona kuitika; vanhu vari voga vanofanira kukurukura vachipinyoresheni nechiremba wavo.
Kudzivirira kunosanganisira: utsi hunodzoka (DEET), huchivhara, kudzivirira nzvimbo dzeJenopu, kushandisa mambure (nevanhu vane utachiona, zvakare).
Hemorrhagic fever ne renal syndrome (HFRS)
Hemorrhagic fever ne renal syndrome (HFRS) inokonzerwa neVunyaviridae viruses .: Hantaan, Seoul, Puumala, uye Dobrava. Iko kune mamiriyoni 200 000 munyika yose gore roga roga, rinoparadzirwa neaerosolized urine / droppings kubva kune dzimwe makonzo muAsia neEurope. Chirwere chinokonzera zvinetso zvepfungwa, fever, uye zvisingaiti, kubuda ropa. IAmerican Southwest Hantavirus inokonzera chirwere chakasiyana pasina ropa.
Zvirwere zvinowedzera mumasvondo maviri (kusvika kune 8) mushure mekunge mava nemusoro, fever, blurry vision, kurwadziwa kwepamuviri / shure. Vamwe vanozove nekukurumidza: tsvete kusakatika, kushamiswa, kuputika kwevasculaya. Kufa kunokonzera kubva <1 kusvika ku15% zvichienderana nematambudziko.
Izvo zvakaita Bunyaviruses, Rift Valley neCrimea-Congo , zvinokonzera kupisa kwemhepo zvakare.
Kune zvimwe zvirwere zvinopisa pamwe chete.
Izvi zvinosanganisira Rift Valley Fever neCrimean Congo Hemorrhagic Fever , asi kashoma kuti zvirwere zvinotungamirira pakuita ropa. Dengue inogonawo kukonzera kuparara, asi kazhinji. Fulminant hepatitis, yakadai seHepatitis B, inogona kukanganisa coagulation nekuvhara. Icho icteric leptospirosis yakawanda inogonawo kukonzera zviratidzo zvinopisa , zvisingaiti uye kwete zvakanyanya.
Zvimwe zvirwere zvinogona kuonekwa zvakafanana - kubva kumarariya kusvika kune typhoid kune zvimwe zvirwere zvehupachipatara uye ruckettsial zvirwere.
Viral Hemorrhagic Fever is rare.
Kana fivha kana zvimwe zviratidzo zvekurwara zvinokura mushure mokushanyira nzvimbo yakakanganiswa:
Tsvaga kurapwa nokukurumidza. Zvinogona kuva chimwe chinhu chinowanzozivikanwa - kufanana nemarariya, dengue, leptospirosis , asi izvi zvinoda kurapwa uye kutarisirwawo zvakare.
Ratidza kuchenjerera kune chero munhu anorwara uye muviri wemvura - sezvo akawanda aya anogona kuparadzirwa nemvura.
Usatora aspirin, advisil / ibuprofen, alleve / naproxen (kurega kubuda ropa).