I-Rickettsialpox

I-Rickettsialpox yisifo esisatshalaliswa imbuzane. Kubangela ukuqubuka okufana nenkukhu emzimbeni.

I-Rickettsialpox ibangelwa amagciwane, URickettsia akari. Kutholakala kakhulu e-United States eNew York City nakwezinye izindawo zedolobha. Kubuye kwabonakala eYurophu, eNingizimu Afrika, Korea naseRussia.

Amagciwane asakazeka ngokulunywa yisimungulu esiphila kumagundane.

Lesi sifo siqala lapho kulunywa khona izimbuzane njengesigaxa esingenabuhlungu, esiqinile nesibomvu (nodule). Iqhubu likhula libe yibhamuza eligcwele uketshezi eliqhuma liqhume. Lesi sigaxa singaba ngamasentimitha ayi-2 ububanzi. Lezi zigaxa zivame ukuvela ebusweni, esiqwini, ezingalweni nasemilenzeni. Aziveli ezintendeni zezandla naphansi kwezinyawo. Izimpawu zivame ukukhula ezinsukwini eziyisithupha kuya kweziyi-15 ngemuva kokuhlangana namagciwane.

Ezinye izimpawu zingafaka:

• Ukungakhululeki ekukhanyeni okukhanyayo (photophobia)
• Umkhuhlane namakhaza
• Ubuhlungu bekhanda
• Ubuhlungu bemisipha
• I-Rash ebukeka njengenkukhu
• Ukujuluka
• Iphunga eligijimayo
• Umphimbo obuhlungu
• Khwehlela
• Ama-lymph node akhulisiwe
• Ukuphelelwa isifiso sokudla
• Isicanucanu noma ukuhlanza

Ukuqubuka akubuhlungu futhi kuvame ukusula kungakapheli isonto.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa ukuze abheke ukuqubuka okufana nokwenkukhu.

Uma kusolwa i-rickettsialpox, lezi zivivinyo kungenzeka zenziwe:

• Qedela ukubalwa kwegazi (CBC)
• Ukuhlolwa kwe-serum yegazi (izifundo ze-serologic)
• Ukuxubha namasiko wokushona

Umgomo wokwelashwa ukwelapha ukutheleleka ngokuthatha ama-antibiotics. I-Doxycycline yisidakamizwa ozikhethelayo. Ukwelashwa ngama-antibiotic kunciphisa ubude bezimpawu ngokuvamile kuye emahoreni angama-24 kuye kwangama-48.

Ngaphandle kokwelashwa, lesi sifo siyazixazulula zingakapheli izinsuku eziyi-7 kuya kwezingu-10.

Ukululama okugcwele kulindelwe lapho imishanguzo ithathwa njengokuyalelwa.

Ngokuvamile azikho izinkinga uma ukutheleleka kulashwa.

Shayela umhlinzeki wakho uma wena noma ingane yakho unezimpawu ze-rickettsialpox.

Ukulawula amagundane kusiza ukuvimbela ukusabalala kwe-rickettsialpox.

URickettsia akari

Elston DM. Izifo ze-bacterial kanye ne-rickettsial. Ku: Callen JP, Jorizzo JL, Zone JJ, Piette WW, Rosenbach MA, Vleugels RA, eds. Izimpawu Zesikhumba Zesifo Esihlelekile. Umhlaka 5. IPhiladelphia, PA: Elsevier; I-2017: isahluko 32.

I-Fournier P-E, uRaoult D. URickettsia akari (Rickettsialpox). Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 187.