Isicabucabu uBrown sihlukanisa

Izicabucabu ezi-brown recluse ziphakathi kwamayintshi ayi-1 no-1 1/2 (2.5 kuya ku-3.5 cm) ubude. Banomaka omnyama onsundu, omise okwe-violin emzimbeni wabo ongenhla nemilenze ensundu elula. Umzimba wabo ongezansi ungaba nsundu onsundu, ube mnyama, uphuzi, noma ube luhlaza okotshani. Futhi zinamabili ngamehlo ama-3, esikhundleni samapheya ajwayelekile ama-4 ezinye izicabucabu ezinawo. Ukulunywa kwesicabucabu esinsundu okuyi-recluse kuyingozi.

Lo mbhalo ungowolwazi kuphela. UNGAYisebenzisi ukwelapha noma ukuphatha i-recluse spider bite bite. Uma wena noma umuntu ohamba naye elunywa, shayela inombolo yakho ephuthumayo yasendaweni (njenge-911), noma isikhungo sendawo sakho sobuthi singafinyelelwa ngqo ngokushayela ucingo lwasimahla lwe-Poison Help hotline (1-800-222-1222) kusuka noma yikuphi e-United States.

Ubuthi besicabucabu esinsundu esibizwa ngokuthi i-recluse spider buqukethe amakhemikhali anobuthi agulisa abantu.

Isicabucabu esinsundu esinsundu sivame kakhulu emazweni aseningizimu nasenkabeni ye-United States, ikakhulukazi eMissouri, Kansas, Arkansas, Louisiana, empumalanga yeTexas nase-Oklahoma. Kodwa-ke, zitholakale emadolobheni amakhulu amaningi ngaphandle kwalezi zindawo.

Isicabucabu esinsundu esibizwa ngokuthi i-recluse spider sithanda izindawo ezimnyama, ezivikelekile, njengaphansi kwamapulangwe nasezinqwabeni zezinkuni.

Lapho isicabucabu sikuluma, ungazizwa ulume olubukhali noma ungalutholi nakancane. Ubuhlungu buvame ukukhula ngaphakathi kwamahora ambalwa okuqala ngemuva kokulunywa, futhi bungaba bukhulu. Izingane zingase zibe nokusabela okungathi sína ngokwengeziwe.

Izimpawu zingafaka:

• Amakhaza
• Ukulunywa
• Ukungazizwa kahle noma ukungaphatheki kahle
• Imfiva
• Isicanucanu
• Umbala obomvu noma o-purplish kumbuthano ozungeze ukuluma
• Ukujuluka
• Isilonda esikhulu endaweni yokulunywa

Ngokuvamile, lezi zimpawu zingavela:

• I-Coma (ukuntuleka kokuphendula)
• Igazi emchameni
• Ukuphuzi kwesikhumba nabamhlophe bamehlo (i-jaundice)
• Ukuhluleka kwezinso
• Ukuquleka

Ezimweni ezimbi kakhulu, ukunikezwa kwegazi kuyanqunywa endaweni yokulunywa. Lokhu kuholela ekunqandeni izicubu ezimnyama (eschar) esizeni. I-eschar iyacisha ngemuva kwamasonto angaba ngu-2 kuya kwangu-5, ishiya isilonda esikhunjeni nasesicubu esinamafutha. Isilonda singathatha izinyanga eziningi ukuphola futhi sishiye isibazi esijulile.

Funa ukwelashwa okuphuthumayo ngokushesha. Shayela ku-911 noma inombolo ephuthumayo yendawo, noma ukulawula ubuthi.

Landela lezi zinyathelo kuze kunikezwe usizo lwezokwelapha:

• Hlanza indawo ngensipho namanzi.
• Songa iqhwa ngendwangu ehlanzekile bese ulibeka endaweni yokuluma. Yishiye imizuzu engu-10 bese uyahamba imizuzu engu-10. Phinda le nqubo. Uma umuntu enezinkinga zokugeleza kwegazi, nciphisa isikhathi lapho iqhwa likuleyo ndawo ukuvimbela ukulimala kwesikhumba okungenzeka.
• Gcina indawo ethintekile inganyakazi, uma kungenzeka, ukuvimbela ukuthi ubuthi busabalale. I-splint eyenziwe ekhaya ingasiza uma ukuluma bekukhona ezingalweni, emilenzeni, ezandleni noma ezinyaweni.
• Khulula izingubo bese ususa izindandatho nobunye ubucwebe obuqinile.

Lungisa lolu lwazi:

• Iminyaka yomuntu, isisindo, nesimo
• Ingxenye yomzimba ithintekile
• Isikhathi lapho kwenzeka khona ukulunywa
• Uhlobo lwesicabucabu, uma lwaziwa

Thatha lowo muntu umyise ekamelweni labezimo eziphuthumayo ayokwelashwa. Ukuluma kungahle kungabonakali kubi, kepha kungathatha isikhathi ukuthi kube nzima. Ukwelashwa kubalulekile ukunciphisa izinkinga. Uma kungenzeka, faka isicabucabu esitsheni esivikelekile bese usiletha egumbini lezimo eziphuthumayo ukuze usikhombe.

Isikhungo sakho sendawo esinoshevu singafinyelelwa ngqo ngokushayela inombolo yocingo yamahhala kazwelonke engakhokhelwa (1-800-222-1222) kusuka noma yikuphi e-United States. Le nombolo yocingo izokuvumela ukuthi ukhulume nochwepheshe bokufaka ushevu, kufaka phakathi ukulunywa yizinambuzane. Bazokunikeza eminye imiyalelo.

Le yisevisi yamahhala futhi eyimfihlo. Zonke izikhungo zokulawula ubuthi e-United States zisebenzisa le nombolo kazwelonke. Kufanele ushaye uma unemibuzo mayelana nobuthi noma ukuvimbela ubuthi. Akudingeki ukuthi kube yisimo esiphuthumayo. Ungashayela nganoma yisiphi isizathu, amahora angama-24 ngosuku, izinsuku eziyi-7 ngeviki.

Thatha isicabucabu uye naso esibhedlela, uma kungenzeka. Qiniseka ukuthi isesitsheni esiphephile.

Umhlinzeki wezokunakekelwa kwempilo uzolinganisa futhi aqaphe izimpawu ezibalulekile zomuntu, kufaka phakathi izinga lokushisa, ukushaya kwenhliziyo, izinga lokuphefumula, nomfutho wegazi.

Izimpawu zizolashwa. Ngenxa yokuthi ukulunywa yisicabucabu okunsundu kungaba buhlungu, kunganikezwa imithi yezinhlungu. Ama-antibiotic nawo angabekwa uma isilonda sinegciwane.

Uma isilonda siseduze nejoyinti (elifana nedolo noma indololwana), ingalo noma umlenze ungabekwa kocelemba noma isihlilingi. Uma kungenzeka, ingalo noma umlenze uzophakanyiswa.

Ekuphendukeni okubucayi, umuntu angathola:

• Ukuhlolwa kwegazi nomchamo
• Ukwesekwa kokuphefumula, kufaka phakathi i-oxygen, ithubhu engena emlonyeni kuya emphinjeni, nasemshinini wokuphefumula (umshini wokuphefumula)
• I-x-ray yesifuba
• I-ECG (i-electrocardiogram, noma ukulandelwa kwenhliziyo)
• Uketshezi olungena ngaphakathi (IV, noma ngomthambo)
• Imithi yokwelapha izimpawu

Ngokuthola ukwelashwa okufanele, ukusinda emahoreni angama-48 edlule kuyisibonakaliso sokuthi ukululama kuzolandela. Ngisho nangokwelashwa okufanele futhi okusheshayo, izimpawu zingahlala izinsuku ezimbalwa kuya emavikini. Ukulunywa kwangempela, okungaba kuncane, kungaqhubekela phambili ku-blister yegazi futhi kufane neso lenkunzi. Kungase kujule, bese kuba nezimpawu ezengeziwe ezifana nomkhuhlane, ukugodola, nezinye izimpawu zokubandakanyeka kohlelo lomzimba olwengeziwe. Uma isibazi sesilonda sesithuthukile, kungadingeka ukuhlinzwa ukuze kuthuthukiswe ukubukeka kwesibazi esakhiwe lapho kulunywe khona.

Ukufa okubangelwa ukulunywa isicabucabu okunsundu kuvame kakhulu ezinganeni kunabantu abadala.

Gqoka izingubo zokuzivikela lapho uhamba ezindaweni lapho kuhlala khona lezi zigcawu. UNGABEKI izandla noma izinyawo zakho ezidlekeni noma ezindaweni zabo zokucasha, njengezindawo ezimnyama, ezivikelekile ngaphansi kwezingodo noma ibhulashi, noma ezinye izindawo ezinomswakama nezimanzi.

I-Loxosceles reclusa

• Ama-arthropods - izici eziyisisekelo
• Ama-Arachnids - izici eziyisisekelo
• UBrown ulahla ukulunywa kwesicabucabu esandleni

UBoyer LV, uBinford GJ, uDegan JA. Isicabucabu siluma. Ku: Auerbach PS, Cushing TA, Harris NS, eds. Imithi yase-Aurebach Wilderness. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 43.

UJames WD, u-Elston DM, Phatha i-JR, i-Rosenbach MA, i-IM ye-Neuhaus. Ukutheleleka kwezilokazane, ukuntinyelwa nokulunywa. Ku: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Izifo zika-Andrews 'Zesikhumba: I-Clinical Dermatology. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: isahluko 20.

I-Otten EJ. Ukulimala kwezilwane ezinobuthi. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 55.