Nenguva inokurumidza, fever, kuvhuvhuta, uye zvimwe zviratidzo zvekukutuka (varicella) dzinotanga kuonekwa, hutachiona huchave huri mumuviri womunhu kwevhiki kana kupfuura. Maererano neCenters for Disease Control and Prevention (CDC), iyo inowanzoitwa nguva yekudzivirira utachiona hwevaricella-nguva yakawanda apo mumwe munhu anenge aripo uye apo zviratidzo zvinotanga kuratidzira-mazuva gumi nemasere, ane gumi 10 kusvika mumazuva makumi maviri.
Munhu anonzi anopararira imwe kwemazuva maviri kusati kwasvika kuonekwa kusvikira iyo ichikwira zvakakwana.
Zviratidzo Zvakare
Kana zvisina kudaro vanhu vane hutano avo vanorwara mushure mokunge varatidzirwa varicella vachaita musango wezviratidzo izvo zvinowanikwa kune hutachiona hwehutachiona huri kuwedzera kune telltale chickenpox rash. Mune vamwe vanhu, zvikurukuru vanhu vakuru, zviratidzo zvisiri zvekutsvaira zvichaonekwa vasati vaita. Muvana, kuputika kunowanzova chiratidzo chekutanga chekukutuka.
Zvisiri-Rash Zviratidzo
Zvizhinji zvezviratidzo izvi zvinopera kwezuva rimwe kana maviri ndokubva zanyangarika sezvo kuratidzika kuchioneka. Dzinosanganisira:
- Fever (inowanzova yenyoro, inotenderera 102 degrees, kunyange zvazvo inogona kuenda zvakakwirira se10 degrees)
- Malaise
- Headache
- Kufirwa kwechido
- Urombo huri mudumbu
- Dzorera glands
Yeuka kuti munhu ane utachiona hwevaricella chirwere chinogona kupararira mukati memazuva mashoma vane izvozvi zvisati zvaitika, zviratidzo zvisiri izvo.
Chickenpox Rash
Ikoko chickenpox rash inowanzotanga kuonekwa pakutanga, chikafu, uye chiso, uye inozopararira kumaoko nemakumbo. Izvo zvinogona kukonzera zvipembenene mumucheka membrane mumeso, mumuromo, uye mumudzimai (asi izvi hazvisi zvisiri).
Nhengo yega yega yeikupupox inotanga se 2 kusvika ku 4-millimeter yepepuli yepepuru ine rudimbu rwakasarudzwa, iyo yakagadziriswa nemadziro, yakajeka vesicle yakazadzwa nemvura inopararira zvikuru.
Iyo vesicle inowanzotsanangurwa seinoita se "dova inodonha." Mushure memaawa masere kusvika pa12, mvura inenge iri mu vesicle inova yakasviba uye vesicle inoputsika, ichisiya mushure.
Pane imwe nguva chironda chakanyura pamusoro payo hachina kuzotaridzika. Iyo yakagadzika kazhinji inowira shure kwemazuva anenge manomwe. Zvisinei, sezvo zvipembenene zvekare zvakapera uye zvichiwa, zvitsva zvinoramba zvichigadzira, saka zvinowanzova nezvipembenene mumatanho akasiyana ose panguva imwechete. Kusvikira zvipembenene zvose zvakapera uye pasina zvitsva zvakagadzirwa, munhu anonzi anotapukisa.
Kana iwe kana mwana wako achiuya nekoko, iwe uchada kugara kumba kubva kuchikoro, basa, uye mamwe mabasa kuti urege kupararira chirwere, kunyange iwe uri kunzwa zvakanaka.
Ikoko chickenpox rash inotyisa zvikuru, asi zvakakosha kuti isarambe. Kana zvipembenene kana zvipfeko zvikanyangarika kana kutapukirwa kubva pakusangana netsvina pasi peminwe, maziso asina kuona anogona kuumba. Nokuda kwechikonzero ichocho, kubata nechechi ndicho chikamu chinokosha chekuchengetedza huku.
Nhamba yezvipembenene zvechickenpox munhu anowanzosiyana. Izvo zvinowanzo ndeyezvipembenene zana kusvika ku300. Vakuru nevana vaduku vanowanzova nezviremera zvakawanda kupfuura vana vaduku. Vanhu avo vakamboshungurudzika rweganda, rakadai sekudziya kwezuva kana eczema, vanogona kukura nekukurumidza kupfuura vamwe.
Kazhinji Zviratidzo
Pazviitiko zvisingawanzoitiki, vana vakambotanga vachirwe vachirwe (vaiva nechirwere chimwe chete chechirwere chevaricella) kana kunyange zvakakwana vachirwe (vakave nemafuta maviri) vanoburuka nehokupupox zvakadaro. Vana vane izvo zvinonzi "kubudirira kwekukutu" havatapukidzi kudarika avo vasina kuporwa.
Zviratidzo zvavo zvakanyanya, zvakare-zvinyoro mune zvimwe zviitiko izvo kuputika kwechickenpox kunogona kunzwisiswa zvisina kunaka sezvinongoita chirwere kana zvimwe zvinetso zvehuduku. Zviratidzo zvekupedza chickenpox zvinosanganisira:
- Zvishomanana kupfuura makumi mashanu kana kupfuura
- Vashomanana kana vasina vesicles (ndicho chikonzero ivo vasina kupararira)
- Low kana pasina fever
- Kurumidza kupora (mumazuva matatu kusvika mashanu)
Matambudziko
Kune vanhu vane hutano hwakanaka kwazvo, chickenpox haigone kutungamirira kune zvinetso zvakakomba. Zvisinei, vanenge 14 000 vanhu vari muchipatara muUnited States gore roga roga sechikonzero chechirwere. Kwemazana zana avo, ichava kuuraya. Vose vanoita chetatu chevanhu vanotora chickenpox sevanhu vakuru vari pangozi yezvinetso zvakakomba, zvikurukuru vakwegura nevaya vane maitiro ekudzivirira zvirwere.
Bhakteria Infection
Kunyanya kunetseka kwevaricella kune hutachiona hutachiona hwechickenpox hunowanzokonzerwa neStaplanlococcus aureu s kana Streptococcus pyogenes, kuwedzera muzvirwere zveganda zvakadai se impetigo , furunculosis , cellulitis, uye erysipelas, pamwe nehutachiona hwemakirini inozivikanwa se lymphadenitis.
Zvirwere izvi zvinonyanya kuitika uye zvinongobatwa nyore nemishonga inorwisa mabhakitiriya, Zvisinei, kune ngozi yokuti mabhakitiriya anogona kupararira muropa, zvichiita kuti ave nemamiriro ezvinhu anonzi bacteremia. Vanhu vane bacteremia vari pangozi yebhakitiriya pneumonia pamwe nezvimwe zvirwere zvakakomba zvakakomba, kusanganisira meningitis, arthritis, osteomyelitis, uye sepsis.
Matambudziko Neurologic
Chechi yechipiri chinowanzosangana nezvinetso zvekuchipopo inosanganisira hurongwa hwemagetsi. Chimwe chezvinetso zvakakomba zvepfungwa zvinokonzerwa nechickenpox inhu hwehuduku hunonzi acute cerebellar ataxia. Zviratidzo zvinosanganisira fivha, kutsamwa kunowedzera kupfuura nguva, kuoma kufamba, uye kutadza kutaura kwemazuva kunogona kupfuurira kwemazuva kana kwevhiki. Nenzira yakanaka, zviratidzo izvi zvinowanzogadzirisa pachavo pachavo.
Imwe nzira inogona kushaya maitiro eurological chickenpox ndeye varicella meningoencephalitis, utachiona hunokonzera mazamu akakomberedza nekuchengetedza zvivako muhurongwa hwemagandanga kuti azvimba uye anopiswa.
Zviratidzo zvinogona kusanganisira kuora musoro, kunzwisiswa kwechiedza, kuoma kwemutsipa uye kurwadziwa, kupera, uye kugumburwa. Vanhu vakawanda vari pangozi yekukura meningoencephalitis mushure mekunge vaine hutachiwana hwevaricella chirwere ndevaya vakagadziriswa zvirwere zvemuviri, zvakadai sevarwere munguva yekupedzisira yeutachiona nehutachiona hwehutachiona hweHIV.
Zvinokonzera kuporesa
Varicella pneumonia ndiyo inokonzera zvirwere zvevaricella-nerufu kuvanhu vakuru. Chirwere ichi chinoitika apo hutachiona hunoenda kumapapu neropa, uko kunokonzera utachiona. Inenge imwechete muvanhu vakuru mazana mana vanouya nehukupupox vachapindwa muchipatara nekuda kwechirwere ichi.
Zvinokonzera ngozi kune varicella pneumonia zvinosanganisira:
- Kuwana chickenpox panguva yakwegura
- Rash ine nhamba huru yezvipembenene
- A immune system compromised system
- Kuberekwa (zvikurukuru mumatatu matatu)
- Kusvuta
- Chirwere chekudzivirira chirwere chepachimona (COPD)
Matambudziko echiropa
Chimwe chinetso chechickenpox chinowanzoitika hepatitis, kuputika kwenguva pfupi kwechiropa icho kazhinji hachisi kukonzera zviratidzo uye kunowedzera kuva nani pasina kurapwa.
Maererano neMayo Clinic, vamwe vana uye vechidiki vanorwara kubva kune utachiona hwehutachiona-kunyanya chickenpox kana chirwere-vari pangozi yekuvandudza Reye's syndrome, chinhu chisingawanzoiti chinokonzera kubatwa kwechiropa uye neuropi. Reye's syndrome yave ichibatanidzwa ne aspirin, naizvozvo kunyange zvazvo aspirin inobvumirwa kuti vana vaduku vanopfuura 2, zvakanakisa kuti vasapa ichi chirwere kwavari kuti vararame zviratidzo zvekukutuka (kana zvimwe zvirwere zvehutachiona).
Shingles
Mushure mekunge munhu ane utachiona hwekukutu, hutachiona hahubviswa zvachose kubva mumuviri. Pane kudaro, inofamba kuenda kune dzimwe nheyo muhurongwa hwemagetsi unonzi ganglia, apo mapazi emitsipa anouya pamwe, achigara asingachaiti uye asina kumira.
Zvimwe zvinokonzera zvinogona kumanikidza hutachiona hwehutachiona kuti hurumende huve nekushanda zvakare, kazhinji makumi emakore mushure mekutanga kwehutachiona. Kana izvi zvikaitika, hutachiona huchadzoka huchienda kuchiganda, zvichikonzera zvinorwadza, zvinopisa blisters paganda rebazi-chirwere chinonzi shingles, kana herpes zoster. Shingles kazhinji inobata vanhu vakuru kupfuura makumi mashanu.
Nguva Yokuona Chiremba
Chickenpox chirwere chakadaro chakajeka iwe unowanzogona kuwana kuongororwa kubva kuna chiremba pamusoro pefoni. Uye kufanana nehutachiona hwehutachiona, kazhinji huri nani huri nani.
Zvisinei, kana uine chickenpox iwe unotanga zvimwe zviratidzo zvinoratidza iwe unogona kuva nechirwere chechipiri kana zvimwe zvinetso, unofanirwa kudana chiremba kuti asangane. Izvi zvinosanganisira:
- Mabheteti anova akajeka uye ane tsitsi; kunzwa uchidziya; kuva huru, maronda akazaruka; uye kudhonza pus
- Ifivha yakasimba inopfuurira kwemazuva mashoma
- Kupfigira glands mumutsipa une tsitsi kune wekubata
- Rash inopararira kune rimwe kana maziso maviri
- Kukundikana kunwa
- Kuderedza mvura
- Matambudziko kufema kana kugara uchikanganiswa, izvo zvinogona kuva zviratidzo zvevaricella pneumonia
- Kusuruvara kwakanyanya, kushushikana nechiedza, kurara kusina kujairika, kuvhiringidzika, kana kurutsa nguva dzose, iyo pamwe pamwe inogona kuratidza uropi kuputika
Zviratidzo izvi zvinokonzera kushungurudzwa muvana nevakuru. Kana uine mwana muduku ane chickenpox uyo anochema nguva dzose uye asinganyunyuti, ndicho chikonzero chekutarisa nechiremba wevana pamwe chete.
> Sources:
> Abro, AH, et.al. Hepatic Dysfunction is Frequent in Varicella Infection. Rawal Med Jour. July 2008. 33 (2).
> American Academy of Dermatology. Shingles: Overview. Oct 27, 2017.
> Centers for Disease Control and Prevention (CDC). Chickenpox (Varicella) | Clinical Overview. July 1, 2016.
> Mayo Clinic. Reye's Syndrome. Aug 12, 2014.
> Michigan Medicine, University of Michigan. Chickenpox (Varicella): When To Call a Doctor. May 4 2017.