Umkhuhlane ophuzi

I-yellow fever ukutheleleka ngegciwane okusakazwa omiyane.

I-yellow fever idalwa yigciwane eliphethwe omiyane. Ungaba nalesi sifo uma ulunywa umiyane onaleli gciwane.

Lesi sifo sivamile eNingizimu Melika nase-Afrika eseningizimu yeSahara.

Noma ngubani angathola i-yellow fever, kepha abantu asebekhulile basengozini enkulu yokutheleleka okunzima.

Uma umuntu elunywa umiyane onaleli gciwane, izimpawu zivame ukukhula ezinsukwini ezintathu kuya kweziyisithupha kamuva.

I-yellow fever inezigaba ezintathu:

• Isigaba 1 (ukutheleleka): Ubuhlungu bekhanda, imisipha namajoyinti, umkhuhlane, ukuqhuma, ukulahlekelwa isifiso sokudla, ukuhlanza ne-jaundice kuvamile. Izimpawu zivame ukuphela isikhashana ngemuva kwezinsuku ezingaba ngu-3 kuye kwezi-4.
• Isigaba 2 (ukuthethelelwa): Imfiva nezinye izimpawu ziyaphela. Iningi labantu lizolulama kulesi sigaba, kepha abanye bangase babe babi kungakapheli amahora angama-24.
• Isigaba 3 (ukudakwa): Izinkinga ngezitho eziningi kungenzeka, kufaka phakathi inhliziyo, isibindi nezinso. Ukuphazamiseka kwegazi, ukuquleka, i-coma, ne-delirium nakho kungenzeka.

Izimpawu zingafaka:

• Umkhuhlane, ikhanda elibuhlungu, ubuhlungu bemisipha
• Ukucanuzela kwenhliziyo nokuhlanza, mhlawumbe kuhlanza igazi
• Amehlo abomvu, ubuso, nolimi
• Isikhumba esiphuzi namehlo (i-jaundice)
• Ukwehlisa ukuchama
• I-Delirium
• Ukushaya kwenhliziyo okungajwayelekile (arrhythmias)
• Ukopha (kungaqhubekela phambili ekuguleni kwegazi)
• Ukuquleka
• I-Coma

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba noku-oda ukuhlolwa kwegazi. Lokhu kuhlolwa kwegazi kungakhombisa ukwehluleka kwesibindi nezinso nobufakazi bokushaqeka.

Kubalulekile ukutshela umhlinzeki wakho uma ngabe uye ezindaweni lapho lesi sifo saziwa ukuthi siyachuma. Ukuhlolwa kwegazi kungaqinisekisa ukuxilongwa.

Akukho ukwelashwa okuqondile kwe-yellow fever. Ukwelashwa kuyasekela futhi kugxila kokulandelayo:

• Imikhiqizo yegazi yokopha kakhulu
• I-Dialysis yokwehluleka kwezinso
• Uketshezi ngomthambo (uketshezi olufakwa emithanjeni)

I-yellow fever ingadala izinkinga ezinkulu, kufaka phakathi ukopha kwangaphakathi. Ukufa kungenzeka.

Izinkinga ezingaba nomphumela zifaka:

• I-Coma
• Ukufa
• Kusatshalaliswe i-coagulation ye-intravascular (DIC)
• Ukuhluleka kwezinso
• Ukuhluleka kwesibindi
• Ukutheleleka kwe-salivary gland (parotitis)
• Izifo zesibili zebhaktheriya
• Ukushaqeka

Bheka umhlinzeki okungenani izinsuku eziyi-10 kuya kwezingu-14 ngaphambi kokuya endaweni lapho i-yellow fever ejwayelekile khona ukuthola ukuthi kufanele yini ugonyelwe lesi sifo.

Tshela umhlinzeki wakho khona manjalo uma wena noma ingane yakho iba nomkhuhlane, ikhanda elibuhlungu, ubuhlungu bemisipha, ukuhlanza, noma i-jaundice, ikakhulukazi uma uye endaweni lapho i-yellow fever ijwayelekile khona.

Kunomuthi wokugoma osebenza ngempumelelo olwa ne-yellow fever. Buza umhlinzeki wakho okungenani izinsuku eziyi-10 kuya kwezingu-14 ngaphambi kokuhamba uma kufanele ugonyelwe i-yellow fever. Amanye amazwe adinga ubufakazi bokugoma ukuze angene.

Uma uzohambela indawo lapho i-yellow fever ijwayelekile khona:

• Lala ezindlini ezihloliwe
• Sebenzisa izinto zokuxosha omiyane
• Gqoka izingubo ezimboza umzimba wakho ngokugcwele

Umkhuhlane wokopha eTropical obangelwa yigciwane le-yellow fever

Izikhungo Zokulawulwa Nokuvimbelwa Kwezifo iwebhusayithi. Umkhuhlane ophuzi. www.cdc.gov/yellowfever. Kubuyekezwe ngoJanuwari 15, 2019. Kufinyelelwe ngoDisemba 30, 2019.

Endy TP. Imfiva ebangela ukopha egazini. Ku: Ryan ET, Hill DR, Solomon T, Aronson NE, Endy TP, eds. IHunter’s Tropical Medicine Nezifo Ezithathelwanayo. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2020: isahluko 37.

UThomas SJ, u-Endy TP, uRothman AL, uBarrett AD. Ama-Flaviviruses (udenga, i-yellow fever, i-encephalitis yaseJapan, i-West Nile encephalitis, i-Usutu encephalitis, iSt. 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 153.