I-Nile fever: kuyini, izimpawu nokwelashwa
-Delile
I-Nile fever, eyaziwa nangokuthi isifo se-West Nile, isifo esithathelwanayo esibangelwa ukulunywa umiyane wohlobo Culex utheleleke ngegciwane le-West Nile. Yize ingajwayelekile, umkhuhlane weNile wenzeka kalula kubantu asebekhulile, ngoba banamasosha omzimba abuthakathaka kakhudlwana, okwenza ukutheleleka kanye nokuthuthukiswa kwezimpawu nezimpawu zesifo kube lula.
Izimpawu zomkhuhlane we-Nile zingavela cishe ezinsukwini eziyi-14 ngemuva kokulunywa umiyane onaleli gciwane futhi zingahluka kusuka kumkhuhlane odlulayo kuye e-meningitis, lapho igciwane lifinyelela futhi livuthe ulwelwesi oluzungeze ubuchopho nomnkantsha, lapho umuntu obhekene nemisipha ubuhlungu, ikhanda elibuhlungu nentamo elukhuni.
Izimpawu ze-Nile fever
Izimo eziningi ze-Nile fever aziholeli ekubonakaleni kwezimpawu noma izimpawu ezinkulu, kepha-ke lapho umuntu enamasosha omzimba abuthakathaka, njengoba kunjalo ngezingane, asebekhulile, abesifazane abakhulelwe kanye nabantu abanezifo ezingalapheki, kungenzeka ukuthi uqaphele ukuvela kwezimpawu zingakapheli izinsuku eziyi-14 ngemuva kokutheleleka ngegciwane, okuyizona eziyinhloko:
- Imfiva;
- Malaise;
- Isiyezi;
- Ukwehla kwesisindo esikhulu;
- Uhudo;
- Isicanucanu;
- Ukuhlanza;
- Ubuhlungu emehlweni;
- Ikhanda;
- Ubuhlungu emisipheni noma emalungeni;
- Amabala abomvu esikhunjeni ngama-bubbles, kwezinye izimo;
- Ukukhathala ngokweqile;
- Ubuthakathaka bemisipha.
Ezimweni ezibucayi kakhulu, lapho lesi sifo singaziwa futhi singelashwa noma lapho umuntu enamasosha omzimba abe buthakathaka kakhulu, kungenzeka ukuthi igciwane lifinyelele ohlelweni lwezinzwa futhi liholele ezinkingeni ezifana ne-encephalitis, uvendle ne-meningitis, ikakhulukazi enentamo elukhuni. Yazi ukuthi ungazibona kanjani izimpawu ze-meningitis.
Ukuxilongwa kwenziwa kanjani
Ukuxilongwa kwe-Nile fever kwenziwa ngudokotela ojwayelekile noma ngudokotela wezifo ngokuhlola izimpawu nezimpawu ezethulwe ngumuntu, ngaphezu komphumela wokuhlolwa kwegazi, ikakhulukazi ukuhlolwa kwe-serological, okuhlose ukukhomba ubukhona bama-antigen namagciwane alwa nalesi sifo.
Ngaphezu kwalokho, kunconywa ukubalwa kwegazi ngudokotela, lapho kujwayele ukwehliswa kwenani lama-lymphocyte ne-hemoglobin, ngaphezu kwesilinganiso samaprotheni asebenza nge-C (CRP) kanye nokuhlolwa kwe-CSF, ikakhulukazi uma i-meningitis kusolwa.
Ngokuya ngezimpawu, udokotela angakhombisa ukusebenza kwezivivinyo zokucabanga ukuhlola ubucayi besifo, kunconyelwe ukwenza i-computed tomography kanye ne-imagination yamagnetic resonance.
Yelashwa kanjani
Awusekho umuthi wokugoma noma ukwelashwa okuqondile ukwelapha umkhuhlane weNayile noma ukuqeda igciwane emzimbeni, ngakho-ke ukwelashwa okunconywe ngudokotela kusebenza ekudambiseni izimpawu ezihlobene nalesi sifo, futhi kungakhonjiswa ukusetshenziswa kweParacetamol neMetoclopramide , ngokwesibonelo, okufanele ithathwe ngokwesincomo sikadokotela.
Ezimweni ezinzima kakhulu, kungadingeka ukulala esibhedlela, ukuze kwenziwe ukulandelwa okwanele futhi ukwelashwa nge-serum emthanjeni kwenziwa ukuthambisa.