Typhus malungo

Matenda opatsiranawa a chikhalidwe choopsa amapezeka pamene akuluma msipu wamtundu winawake kapena nyama zina. Kutentha kwa Typhus kumaphatikiza ndi malungo, zizindikiro za kuledzeretsa kwa thupi lonse ndi maonekedwe a maculopapular. Tsopano matendawa m'mayiko otukuka sakuchitika, nthawi zambiri amakhudza anthu a ku Africa ndi Asia.

Zizindikiro za typhus zodzazidwa ndi nkhuku

Monga matenda ena aliwonse, kukula kwa matendawa kumachitika m'magulu angapo.

Nthawi yosakaniza

Zimatenga masiku atatu mpaka asanu ndipo zimatsatiridwa ndi zizindikiro zotsatirazi:

• kutentha kwakukulu kufika madigiri 40;
• kutentha, kutsatiridwa ndi chill;
• ludzu;
• hyperesthesia;
• kusanza.

Gawo loyamba la matendawa

Kutentha kumakhala kwa sabata ndi hafu, ndipo masiku atatu otsiriza pakhala phokoso la kutentha.

Pa nthawi yonse ya malungo, wodwalayo akuvutika ndi zizindikiro zotsatirazi za typhus:

• kupweteka kwa mutu ndi minofu, yomwe imayikidwa mu dera la lumbar;
• kuchedwa kwa mtima;
• kuwonjezeka mu kukula kwa mpeni;
• kugwa kwa magazi;
• chithunzithunzi cha khungu la nkhope ndi redness ya maso.

Ndi kukula kwa typhus pali zizindikiro izi:

1. Malo okhudzidwa a khungu amawonekera pachimake choyambirira, amasonyezedwa ndi kuthamanga kwakukulu kochepa, kukhala ndi chivundi chakuda chakuda. Mapangidwewa amaphatikizidwanso ndi mapangidwe a lymphadenitis, omwe amadziwika ndi kuwonjezeka kwa maselo amphamvu.
2. Ziphuphu zimapezeka kumbuyo, pachifuwa, m'malo opunthira miyendo, mapazi ndi palmu. Chiphuphu chimapitirizabe kudutsa mu dziko la febrile ndipo kawirikawiri pambuyo pa matendawa, khungu limatuluka m'malo mwake.
3. Panthawi yovuta, chikhalidwe cha typhoid chimayamba, chomwe chimaphatikizapo matenda a maganizo, kulankhula, kukhumudwa kwambiri ndi kukhumudwa. Kugona kosalala ndi maloto oopsa kumapangitsa kuti odwala aziopa kuti agone.

Kupezanso

Pochira, zizindikiro za typhus zimayamba kuchepa. Nthawi imeneyi imakhala ndi kuchepa kwa chiwombankhanga. Komabe, kwa milungu iwiri yina, wodwalayo akuda nkhaŵa za kusowa chidwi, kufooka, kupweteka kwa khungu.

Zovuta za typhus zodzazidwa ndi nkhupaku

Matendawa amachititsa kuti ziwonongeko ziwoneke.

• Kusokonezeka kwa poizoni, kuphatikizapo kuchepa kwa kutentha chifukwa cha kulephera kwa mtima;
• zotsatira za matendawa zingakhale thromboembolism, myocarditis ndi thrombosis;
• kugonjetsedwa kwa dongosolo lamanjenje (meningitis);
• Pakakhala matenda achiwiri, chibayo, thrombophlebitis ndi furunculosis zimayamba kukula;
• Kupumula kwagona kumatha kukhumudwitsa mabedi.

Kuchiza kwa typhus

Odwala omwe ali ndi typhus ayenera kutenga mankhwala omwe amachititsa kuti tizilombo toyambitsa matenda tiziyenda bwino. Mankhwalawa akuphatikizapo Levomycetin ndi Tetracycline, omwe amalandira masiku osachepera khumi.

Chinanso chofunikira pa chithandizochi ndi kugwiritsa ntchito antipyretics (Ibuprofen, Paracetamol), glycosides (Strophatin). Monga lamulo, wodwalayo akuuzidwa mankhwala opatsirana, omwe amapereka ntchito nyimbo zopangidwa ndi crystalloid ndi colloidal.

Zikakhala zovuta, mankhwalawa angapangidwe:

• pazigawo zoyamba wodwala amapatsidwa Heparin;
• kuteteza chitukuko cha thrombosis ntchito antiticoagulants (Heparin, Phenilin ndi Fraksiparin);
• pamene ntchito ya dongosolo la manjenje imasokonezedwa, Haloperidol, Seduxen.

Monga lamulo, malingalirowa ndi abwino. Wodwalayo amachira bwinobwino, panalibe zochitika zowonjezera. Zikanakhala zovuta kwambiri ngati palibe chithandizo choyenera ndi 15%.