Ehrlichiosis neanaplasmosis chirwere zvinehukama zvinotapurwa neukoko zvinokonzera zviratidzo zvakafanana nechirwere chemafuru, kusanganisira kupisa, kurwadziwa kwemhasuru uye kurwadziwa kwemusoro. Zviratidzo zve ehrlichiosis neanaplasmosis kazhinji zvinooneka mukati memazuva gumi nemana mushure mekurumwa neukoko.
Kana ikarapwa nekukurumidza neantibiotic yakakodzera, ungadzoroka mukati memazuva mashoma. Ehrlichiosis neanaplasmosis dzisingarapwi dzinogona kukonzera matambudziko akakomba kana anotyisa hupenyu.
Nzira yakanakisa yekudzivirira aya marwadzo ndeyekudzivirira kurumwa neukoko. Zvinodzivirira ukoko, kuongorora kwemuviri zvakakwana mushure mekubuda kunze uye kubvisa ukoko zvakakodzera ndiwo matanho akanakisa ekudzivirira aya marwadzo anotapurwa neukoko.
'Zviratidzo nezvimwe zvirwere zve ehrlichiosis ne anaplasmosis zvakafanana kazhinji, kunyangwe zvichinyanya kuoma mu ehrlichiosis. Zviratidzo zve ehrlichiosis ne anaplasmosis, izvo zvinosiyana zvikuru kubva kumunhu kuenda kune mumwe munhu, zvinosanganisira:\n\n-Fivha ine mwero\n-Kutonhora\n-Kurwadziwa kwemusoro\n-Marwadzo emuviri kana kurwadziwa\n-Kunzwa kwakashata kwakajairika\n-Kurwadziwa kwemabvi\n-Kusvotwa\n-Kurutsa\n-Manyoka\n-Kurasikirwa nechido chekudya\n\nZvimwe zviratidzo nezvirwere zvinobatanidzwa ne ehrlichiosis asi zvisingawanzoitika ne anaplasmosis zvinosanganisira:\n\n-Kusanzwisisa kana kuchinja kwemafungiro\n-Zitsitsinho\n\nVamwe vanhu vanogona kuzara asi vasina kuratidza zviratidzo.'
Nguva kubva pakurumwa kusvika pakuoneka kwezviratidzo nezviratidzo kazhinji inenge mazuva mashanu kusvika ku14. Kana ukawana chero chezviratidzo kana zviratidzo mushure mekurumwa nehuku kana mushure mekuiswa panjodzi yehuku, ona chiremba wako.
Kutu yemukadzi mukuru yeLone Star inoratidza chisimbiso chena pachipfuva chayo, uye inogona kukura kusvika ku1/3 yeinch usati wadya.
Kutu yegudo (Ixodes scapularis) inopfuura matanho matatu ehupenyu. Inoratidzwa kubva kuruboshwe kuenda kurudyi ndeyemukadzi mukuru, murume mukuru, nymph ne larva pane chiyero chesentimita.
Ehrlichiosis ne anaplasmosis zvinokonzerwa nemabhakitiriya akasiyana.
Ehrlichiosis inokonzerwa nemhando dzakasiyana dzebhakitiriya re ehrlichia. Kutu yeLone Star — inowanikwa kumaodzanyemba-pakati, kumaodzanyemba-kumabvazuva nekumabvazuva ekumabanga-gungwa — ndiyo inotakura mabhakitiriya anokonzera ehrlichiosis. Makutu ane makumbo matema, anowanzonzi makutu egudo, muUpper Midwest haawanzo kuve vatakuri.
Anaplasmosis inokonzerwa nebhakitiriya re Anaplasma phagocytophilum. Inotakurwa zvikuru nemakutu egudo muUpper Midwest, nyika dzekumabvazuva-kumucheto nemapaziri epakati eCanada. Inotakurwawo nekutu yeWestern black-legged mumaguta ekumabanga-gungwa ekuMadokero nemamwe marudzi ekutu muEurope neAsia.
Marudzi e ehrlichia ne anaplasma ari mumhuri imwechete yebhakitiriya. Kunyangwe bhakitiriya rega rega rinoratidzika kunge rine chinangwa chakakosha pakati peseli dzesimba rekudzivirira mumuviri, zvese izvi zvinhu zvinokonzera zvirwere zvinowanzokonzera zviratidzo zvakafanana.
Makutu anodya ropa nekubatanidza pamuviri wemhuka uye kudya kusvika avavuka kakawanda kukuru kwavo kwenguva dzose. Makutu anogona kutora mabhakitiriya kubva kune muviri wemhuka, senge gudo, uye wobva atarisa mabhakitiriya kune mumwe muviri, senge munhu. Kupararira kwemabhakitiriya kubva kukutu kuenda kumuviri zvinogona kuitika maawa anenge makumi maviri nemana mushure mekunge kutu yatanga kudya.
Kupararira kwemabhakitiriya anokonzera ehrlichiosis kana anaplasmosis kunobvira kuburikidza nekutsvaira ropa, kubva kunaamai kuenda kumwana, kana kuburikidza nekubata zvakananga nemhuka yakabatwa, yakaurayiwa.
Zitsva dzinogara pedyo nepasi munzvimbo dzine miti kana dzine uswa. Hadzifede kana kudonha, saka dzinongosvika kune munhu anozvibata nadzo. Zvinhu zvinoita kuti uve panjodzi yekurumwa nezitsva zvinosanganisira:
Pasina kurapwa nokukurumidza, ehrlichiosis neanaplasmosis zvinogona kukonzera matambudziko akakomba kune munhu mukuru kana mwana ane hutano. Vanhu vane masisitimu ekuzvidzivirira asina simba vari panjodzi yakakura yematambudziko akakomba uye anotyisa upenyu.
Matambudziko ekusagadzirwa kwehutachiona anogona kusanganisira:
Nzira yakanakisa yekudzivirira ehrlichiosis kana anaplasmosis ndeyekudzivisa kurumwa nemapurisa kana uri kunze. Mapurisa mazhinji anozvibatanidza nemakumbo ako epasi nemakumbo sezvaunofamba kana kushanda munzvimbo dzine uswa, dzakazara miti kana minda yakakura. Mushure mekunge purisa rabatanidzwa nemuviri wako, kazhinji rinokwira kumusoro kuwana nzvimbo yekuzadzika muganda rako. Kana uchienda kushanda kana kutamba munzvimbo iyo inogona kunge iri nzvimbo yekugara kwemapurisa, tevera mazano aya kuti uzvidzivirire. Jeff Olsen: Paunofara uchifamba, mapurisa ari kutsvaga rwendo. Dr. Bobbi Pritt: Anonzwa ari munzvimbo. Uye achakwira chinhu chiri pedyo, senhengo yehuswa pano. Jeff Olsen: Zvinonzi questing. Dr. Bobbi Pritt: Inoburitsa makumbo ayo, uye izvozvo zvinoita kuti ikwanise kubata vanhu sezvo vachifamba. Jeff Olsen: Unogona kuderedza mikana yekuti uve muridzi. Dr. Bobbi Pritt: Kushandisa zvinodzinga zvipembenene chirongwa chakanaka. Dr. Bobbi Pritt: Unogona kunyorova zvishandiso zvako zvakanyanya. Vasiye kuti zviome, uye, zuva rinotevera, apfeke. Jeff Olsen: Shandisa permethrin pazvinhu uye DEET paganda. Fesa repellent yeDEET paganda rakazaruka, kusanganisira makumbo ako nemaoko. Dzivisa chiso chako, asi ita shuwa yekudzivirira mutsipa wako. Zvadaro, pinza ma trousers ako mumabhurugwa ako. Uye, paunofamba, yeuka kudzivisa nzvimbo idzo mapurisa anotsvaka anogona kunge ari. Dr. Bobbi Pritt: Ndosaka uchida kuramba uri kure nehuswa hurefu. Gara pakati.
Zvirwere zvinofambiswa nemakonzo zvakaoma kuziva zvichibva chete pazviratidzo nemarwadzo nekuti zvakafanana nezvimwe zvirwere zvakawanda zvinozivikanwa. Saka, nhoroondo yekurumwa nekonzo inozivikanwa kana mukana wekuiswa kumakonzo imwe ruzivo rwakakosha pakuzivisa chirwere. Chiremba wenyu achaitawo bvunzo yemuviri uye kurayira bvunzo. Kana uine ehrlichiosis kana anaplasmosis, mhinduro dzinotevera dzinowanikwa kubva mukuongororwa kweropa:
Kuongororwa kweropa kwako kunogonawo kuratidza chirwere chinofambiswa nekonzo nekutsvaga chimwe chezvinotevera:
Kana chiremba wako akaona chirwere che ehrlichiosis kana anaplasmosis — kana akacherekedza chirwere ichocho zvichienderana nezviratidzo nezvinhu zvakawanikwa pakuongororwa — uchazoita kurapwa uchishandisa mushonga unouraya mabhakitiriya unonzi doxycycline (Doryx, Vibramycin, nezvimwewo).
Uchatora mishonga iyi kwemazuva matatu pashure pekunge kupisa kwemuviri kwako kwasimuka uye chiremba wako akaona kuti pane kuvandudzika pazviratidzo zvimwe zvechirwere. Kurapwa kwenguva pfupi kunenge kwemazuva mashanu kusvika manomwe. Chirwere chakakomba chingada kurapwa kwemishonga inouraya mabhakitiriya kwemavhiki maviri kusvika matatu.
Kana uri nepamuviri kana uine allergy ye doxycycline, chiremba wako angakupa mushonga unouraya mabhakitiriya unonzi rifampin (Rifadin, Rimactane, nezvimwewo).
Kana ukawana chikanya pamuviri wako, usazeza. Kubvisa chikanya nokukurumidza ndiyo nzira yakanaka yekudzivirira kupararira kwemabhakitiriya. Shandisa matanho anotevera:
Usashandise petroleum jelly, peni yeminwe, rubbing alcohol kana matchi inopisa pachikanya.
Bumbiro diki, tsvuku, rakafanana nebumbiro rekukwakuwa kwemashiripiti, kazhinji rinowanikwa panzvimbo yekuruma kwechikanya kana kubviswa kwechikanya uye rinogadziriswa mumazuva mashoma. Izvi zvakajairika uye hazvifanirwe kukonzera kuzeza.
Kana ukaona kutsamwa kwenguva refu panzvimbo iyoyo kana ukaona chero zviratidzo kana zviratidzo zvinogona kuratidza hutachiona hunotapurwa nechikanya, taura nachiremba wako.
Zvimwe zvekutanga kuona chiremba wenyu mukuru kana kuti chiremba wekamuri yekukurumidzira, zvichienderana nehukuru hwezviratidzo nezviratidzo zvenyu. Zvisinei, munogona kutumirwa kuchiremba anoziva nezvirwere zvinopfuudzwa.Kana chirwere chinopfuudzwa nehuku chiripo nekuda kwemabasa ekunze munguva pfupi yapfuura, gadzirira kutaura zvinotevera:- Kana wakachengeta huku yakabviswa, uiuyise kunzvimbo yekuonana nachiremba.- Kana wakarumwa nehuku, zvaitika riini?- Wakanga uchibata sei nehuku?- Wakanga uri kupi uchitamba mitambo yekunze?Gadzirira kupindura mibvunzo iyi inowedzera kunyora mhinduro usati wasvika pakuzviwonera nachiremba.- Ndezvipi zviratidzo zvawakaita?- Zvakabva riini?- Pane chimwe chinhu chakaita kuti zviratidzo zvivandudze kana kuipa?- Mishonga ipi yaunotora nguva dzose, kusanganisira mishonga inorayirwa nechikamu chekurapa, zvinowedzerwa zvekudya, mishonga yemiti, uye mavhitamini?- Une chirwere chekurapa here, kana kuti une mamwe marwere here?
Chiziviso: August ipuratifomu yemashoko ehutano uye mhinduro dzayo haisi zano rekurapa. Gara uchibvunza nyanzvi yezvekurapa ine rezinesi pedyo newe usati waita chero shanduko.
Yakagadzirwa muIndia, kune nyika