Zviratidzo zvinyoro, zvinopisa-furu zvinogona kutendeuka kune vamwe
West Nile fever chirwere chinokonzerwa nehutachiona hunokonzerwa nehutachiona hunenge 75 muzana yehutachiwana huchava nezvishoma zvisingagoni kuonekwa zviratidzo. Zvasara 25 kubva muzana zvinogona kuva nefivhiri, kuora musoro, kusuruvara, kana kuputika. Kunyange zvazvo chirwere cheWest Nile chisingawanzokonzera zvirwere zvakakura muvanhu vakuru kana vana vane utano hwakanaka, avo vane maitiro ezvirwere zvekuzvidzivirira (zvakadai sevakwegura uye vanhu vanorarama neHIV) vari kuwedzera mungozi yezvinetso zvakakomba, kusanganisira meningitis uye encephalitis.
Zviratidzo Zvakare
Vanhu vane utachiona hweWest Nile vanowanzoita zviratidzo mukati memazuva maviri kusvika kumasere ekubuda. Zviratidzo zvinowanzosanganisira:
- Headache
- Fever
- Muscle aches (myalgia)
- Joint pain (arthralgia)
- Kuwedzerwa kwekufukura
- Nausea
- Kudzora
- Diarrhea
- Kupfigira lymph glands ( lymphadenopathy )
- Rush maculopapular (yakaratidzwa nediki, tsvuku dzvuku)
Zviratidzo zvinowanzova zvinyoro uye zvinogona kugara kwemazuva mashoma kana vhiki. Mukusina kwekukurumidza, vanhu vanowanzotsanangurira hutachiona sehwakafanana nehuturu hwemhepo kana kuti kutonhora kwechando kwezhizha. Kazhinji pane zvisiri izvo, zviratidzo zvingagadzirisa pachavo pasina kurapwa.
Matambudziko
Hondo yeWest Nile ine chirwere chinonzi neurotropic, zvinoreva kuti inotarisa zvinoshungurudza hurongwa hwekutya. Muzvizhinji zvezviitiko, kudzivirirwa kwezvirwere zvemuviri kunogona kudzora uye pakupedzisira kunoderedza hutachiwana pachavo.
Zvisinei, izvozvi zvingasave zvechokwadi kune vanhu vane masimba avo ekudzivirira zvirwere .
Izvi zvinogadza mamwe mapoka-akadai sevakwegura, avo vanogadzira chigadzirwa chemuviri, vanhu vane HIV yakareba , uye avo vari kurwara nekenza chemotherapy-pahuwandu hwehutano hwakanyanya uye hunogona kutyisa upenyu.
Mhando uye kusimba kwezviratidzo zvakanyanya kunobva pane zvikamu zvehutachiona hunovhiringidzwa.
Pamwe chete, zvinetso zvinonzi West Nile neuroinvasive chirwere (WNND) uye dzinosanganisira encephalitis, meningitis, meningoencephalitis, uye poliomyelitis. Pasi pose, WNND inobatanidzwa ne 9 muzana yengozi yekufa. Mutengo unofanirwa kuva mukuru kune vakwegura.
West Nile Encephalitis
West Nile encephalitis mamiriro ezvinhu umo hutachiona hunoita kupisa kweuropi. Zvinodaro kuburikidza nokuyambuka ropa-brain rekuvhara iyo inopoteredza uropi uye inosvina kunze zvinokuvadza. Utachiona hweWest Nile ndihwo humwe hutachiona hutachiona husingakwanisi kuita izvi.
West Nile encephalitis ndiyo inonyanya kuratidzwa kweWNND. Inowanzokonzera kupisa, kuora musoro, kurwadziwa kwemutsipa kana kuoma, kuvhiringidzika, kukanganwa, kunyanya kunetseka, chiedza chekunzwisisa (photophobia), uye kuchinja muunhu kana mufambiro.
Pakati pe30 muzana uye 50 muzana yevanhu vane West Nile encephalitis vachawana unilateral muscle weak (kureva rumwe rutivi rwomuviri). Pakati idzi, vamwe vanogona kufambira mberi kuhutachiona husina kunaka, rudzi rwekuora mutezo umo musimba haikwanisi kubvumirana.
West Nile Meningitis
West Nile meningitis ndiyo mamiriro ezvinhu umo hutachiona hunokonzera kuvhiringidza kwemashoko, iyo nhatu dzakatenderera dzinopoteredza uye dzinovhara uropi nemutsara wemutsva.
Kunyange zvazvo meningitis inogona kukonzera zviratidzo zvakawanda zvekuMadokero Nile encephalitis, hazviwanzoshandura mufambiro womunhu kana unhu hwake. Nausea, kurutsa, uye kutya kwemanzwi makuru (phonophobia) zvakare.
West Nile Meningoencephalitis
West Nile meningoencephalitis is complication inosanganisira zvose uropi uye meninges. Varume pakati pemakore makumi matanhatu nemakumi mapfumbamwe nemakumi mapfumbamwe nemakumi mana vanowanikwa makumi maviri nemakumi maviri ekuwedzerwa kwekuWest Nile meningoencephalitis kupfuura vanhu vakawanda, asi vanhu vane maitiro ezvirwere zvekuzvidzivirira mazvirwere vane makumi mana akawedzera.
Kunyange zvazvo meningoencephalitis inowanzoita zviratidzo zvakawanda zveeurologic zve meningitis uye encephalitis, dzinowanzova dzakaoma uye dzinogara kwenguva refu (uye dzinogona, mune dzimwe nguva, dzichigadzikana) nedambudziko iri.
Dambudziko rekufa rinowedzerawo, richikwira pakati pe12 muzana ne15 muzana. Kufa kune ngozi kune vakwegura kunogona kunge kune 35%.
West Nile Poliomyelitis
West Nile poliomyelitis, kufanana nedzimwe maitiro epoyoyo, inoratidzirwa nehuwandu uye inowanzokanganisa kurasikirwa kwemotokari. Kusiyana nedzimwe dambudziko rehutano hweWest Nile fever, poliomyelitis inogona kusafambidzana nefivha, kuora musoro, kana zvimwe zviratidzo zvinowanzoonekwa zvehutachiona.
Mamiriro acho anoonekwa nekusvikika kwechirwere chechirwere chinokonzera kumira pamativi emuviri, kazhinji pasina kurasikirwa kwekunzwa. Kuora muviri kunowanzotangira kurwadziwa uye kunogona kukurumidza kukurumidza, kazhinji mumazuva maviri kusvika masere ekuonekwa kwekutanga kwezviratidzo.
Zvishoma nezvishoma, West Nile poliomyelitis inogona kukanganisa kuporesa uye inoda mhepo yemhepo kuti ibatsire munhu kufema. Inogonawo kukonzera kurasikirwa kwephincter kudzora, zvichiita kuti urinary kana fecal incontinence .
Kunyange zvazvo kuora mitezo kunogona kukonzera kukanganiswa kwechigarire, mamiriro akasimba anowanzovandudza zvakanyanya sezvo masero emagunha akabatwa zvishoma nezvishoma achidzoka uye anodzokazve hukama. Vanhu vane nhengo shoma dzakagadzikana vanoratidzira kuratidza huri nani huri nani. Nezvo izvo zvichitaurirwa, zvizhinji zvekusimba simba zvichaitika mukati memwedzi mitanhatu kusvika kumasere mushure mekutanga kwezviratidzo, pakupedzisira kugovera nekunatsiridza kusingaoneki.
Kumadokero Nire Kubudirira Kuparara
Kumadokero kweNile kuchinjwa kuora mutezo chirwere chisina kuoma, chenguva pfupi chekuora mitezo, zvakare chinosanganisa rumwe rutivi rwemuviri. Kunyange zvazvo mamiriro acho asina kunyatsonzwisiswa, inofungidzirwa kuti inokonzerwa nekuputika kwechikamu chimwechete chemupendero wepelinha (anonzi anterior horn ) inokonzera poliomyelitis uye chirwere chaLou Gehrig .
Chinosiyanisa kuWest Nile kuora mwoyo kunokonzerwa kubva kuWest Nile poliomyelitis ndechokuti mhinduro dzisinganzwisisiki dzinoramba dzakasimba kunyange kana musimba utera hunoitika. Kunyange zvazvo chirwere chekufa chichikwanisa kuve chakakomba, chinozopedzisira chichidzoka nechinguva chiduku chisingaratidziki chekuita kwemotokari.
Nguva Yokuona Chiremba
Kuwana utsi hwemumumvuri hazvirevi kuti uchawana West Nile fever. Vanhu vakawanda vane utachiona hweWest Nile havazombotombozvizivi kana kuti vangangozvikanganisa nokuda kwechirwere chiduku. Kunyange kana iwe uchiona kuti wakatapukirwa, mikana yakanaka kuti iwe uchazove nani pasina matambudziko kana kurapwa.
Nezvo izvo zvataurwa, kana iwe wakwegura kana kuti udzivirirwa pamuviri, unoda kutsvaga kutarisirwa kana iwe uchinge uine musoro wakaoma musoro, fivha yakasimba, kuoma kwemutsipa, kuvhiringidzika, kushushikana kwekunonoka, kana kuti kamwe-kamwe musimba utera. Izvi zvinogona kuva zviratidzo zvececelitis kana kuti meningitis, izvo zvose zvinoda kurapwa kwenguva pfupi.
Hondo yeWest Nile haisisiri chirwere chinosangana nekufamba kune dzimwe nyika. Iwe unogona kuitora iyo muUnited States sezvinongoita seAfrica uye kuMiddle East. Vakafa, izvo zvakanyanya kuitika pakati pevakwegura, kazhinji vave vari pasi, kubva kune vashomanana vane gumi nevaviri muCanada kusvika kune 177 muUnited States.
> Sources:
> Centres for Disease Control and Prevention. Utachiona hweWest Nile. Atlanta, Georgia; yakagadziridzwa musi waAugust 2, 2017.
> Gyure, K. West Nile Viral Infections. J Neuropath Expert Neurology. 2009; 10 (1): 1053-60. DOI: 10.1097 / NEN.0b013e3181b88114.
> Hughes, J .; Wilson, M .; uye Sejvar, J. Migumisiro Yenguva Yakareba yeWest West Nile Virus Infection. Clin Infect Dis. 2007: 44 (12): 1617-24. DOI: 10.1086 / 51828.