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Chirwere cheLegionnaires' ndechimwe chirwere chakakomba chemapapu chinokonzerwa nemabhakitiriya anonzi Legionella. Uyu hutachiona hwemapapu hunokura kana ukafema madonhwe emvura ane aya mabhakitiriya, anowanikwa munzvimbo dzakaita se cooling towers, hot tubs, uye plumbing.
Kunyangwe zita racho ringanzwa richitya, kunzwisisa chirwere ichi kunogona kukubatsira kuziva zviratidzo pakutanga wobva wasvika pakurapwa kwakakodzera. Vanhu vakawanda vane hutano vanobata Legionella havazvibate, asi kana hutachiona hwakaita, kurapwa nekukurumidza neantibiotics kunobudirira kwazvo.
Chirwere cheLegionnaires' ndicho hutachiona hwemabhakitiriya hwemapapu hunokanganisa hurongwa hwako hwemhepo senge mamwe marudzi emapneumonia. Mabhakitiriya eLegionella anowedzera munzvimbo dzemvura inodziya uye anokonzera chirwere kana madonhwe maduku emvura yakasvibiswa akafema mumapapu ako.
Chirwere ichi chinowana zita rayo kubva pakuzvimba kwa1976 kwakaitika muAmerican Legion convention muPhiladelphia. Kubvira ipapo, vanachiremba vakadzidza zvakawanda nezvekuti vangadzivisa sei, kuongorora, uye kurapa hutachiona uhwu zvinobudirira.
Chirwere ichi chinowanzo kuoneka mazuva maviri kusvika gumi mushure mekubata mabhakitiriya. System yako yekudzivirira inowanzo kurwisa Legionella shoma, asi dzimwe nguva mabhakitiriya anogona kukunda kudzivirirwa kwemuviri wako uye kukonzera hutachiona.
Zviratidzo zveLegionnaires' disease zvinowanzo kutanga zvishoma nezvishoma uye zvinogona kunzwa zvakafanana nemamwe hutachiona hwemhepo. Kuziva pakutanga kunobatsira kuve nechokwadi chekuti unowana kurapwa kwakakodzera nekukurumidza.
Zviratidzo zvakajairika zvaunogona kuona zvinosanganisira:
Vamwe vanhu vanogonawo kuwana zviratidzo zvematumbo senge kurutsa, kurutsa, kana manyoka. Aya maratidzo emudumbu anogona kubatsira kusiyanisa Legionnaires' disease nemamwe marudzi emapneumonia.
Zvishoma, unogona kuona kusagadzikana, kuchinja mumafungiro, kana matambudziko ekurongeka. Aya maratidzo eneurological anoitika nekuti hutachiona hunogona kukanganisa hurongwa hwako hwetsinga, kunyanya mumamiriro ezvinhu akakomba.
Mabhakitiriya eLegionella anogona kukonzera marudzi maviri akasiyana ezvirwere, rimwe nerimwe rine nhanho dzakasiyana-siyana uye zviratidzo. Kunzwisisa musiyano uyu kunobatsira kutsanangura kuti nei vamwe vanhu vachirwara zvakanyanya nepo vamwe vachine zviratidzo zvishoma.
Legionnaires' disease inomiririra fomu rakakomba, ichikonzera pneumonia nezviratidzo zvakatsanangurwa pamusoro apa. Rudzi urwu runoda kurapwa muchipatara uye kurapwa neantibiotics mumamiriro ezvinhu mazhinji.
Pontiac fever ndiro fomu rakapfava rinofananidza chirwere chakaita sechirwere chemafuru pasina pneumonia. Vanhu vane Pontiac fever vanowanzo kuona fivha, kurwadziwa kwemusoro, uye marwadzo emhasuru anozogadziriswa oga mukati memazuva maviri kusvika mashanu pasina kurapwa kwakakosha.
Zvose zviri zviviri zvinokonzerwa nekubata mabhakitiriya eLegionella. Musiyano mukukomba kazhinji unoenderana nezvinhu zvakaita sezera rako, hutano hwese, uye simba re immune system.
Chirwere cheLegionnaires' chinokura kana ukafema madonhwe emvura akasvibiswa nemabhukitiriya eLegionella. Aya mabhakitiriya anowanikwa munzvimbo dzemvura yakachena asi anoita matambudziko kana akawedzera munzvimbo dzemvura dzakagadzirwa nevanhu.
Nzvimbo dzinowanzoita hutachiona dzinosanganisira:
Mabhakitiriya eLegionella anokura mumamiriro emvura inodziya pakati pe68°F ne113°F (20°C kusvika 45°C). Anowedzera nekukurumidza kana nzvimbo dzemvura dzisingacheneswe uye dzisingacheneswe zvakanaka.
Haukwanisi kubata Legionnaires' disease kubva pakubata munhu nemumwe kana nekudya mvura yakasvibiswa. Hutachiona hunongowanikwa kana ukafema madonhwe maduku emvura ane mabhakitiriya.
Unofanira kutsvaka rubatsiro rwechiremba nekukurumidza kana ukawana zviratidzo zvakaita semapneumonia, kunyanya mushure mekubata nezvinhu zvakasvibiswa nemvura. Kuongororwa nekukurumidza uye kurapwa zvinowedzera zvibereko.
Taura nachiremba wako nekukurumidza kana ukaona fivha yakakwira ine kutonhora, kukosora kwenguva refu, kana kuoma kufema. Aya maratidzo anoda kuongororwa nekukurumidza kwazvo nechiremba, kunyanya kana akatanga zvakapfupi kana kuwedzera nekukurumidza.
Tsvaka rubatsiro rwekukurumidza kana uine kushaya mweya kwakanyanya, kurwadziwa kwepamuviri, kusagadzikana, kana chero zviratidzo zvechirwere chakakomba. Vanhu vane immune system yakasimba kana chirwere chekuramba vanofanira kungwarira zvikuru nezvekutsvaka rubatsiro.
Kana iwe uchangoenda kuhotera, uri parwendo rwegungwa, kana uchishanyira nzvimbo dzine mvura, taura nezveizvi kune wako wehutano. Ruzivo urwu runobatsira vanachiremba kufunga nezveLegionnaires' disease mukuongorora kwavo.
Kunyangwe chero munhu anogona kuwana Legionnaires' disease, zvinhu zvimwe zvinoita kuti uve pangozi yekutapukirwa uye chirwere chakakomba. Kunzwisisa aya njodzi kunokubatsira kutora matanho akakodzera.
Zera rinotamba basa rakakura, nevanhu vane makore anopfuura 50 vane njodzi yakakwira yekutapukirwa. System yako yekudzivirira inowanzoora nekuwedzera kwezera, zvichiita kuti zviome kurwisa hutachiona hwemabhakitiriya senge Legionella.
Zvirwere zvinoita kuti uve pangozi zvinosanganisira:
Zvinhu zvemararamiro zvinoitawo kuti uve pangozi. Kusvuta kunokuvadza kudzivirirwa kwemapapu ako kubva kumabhakitiriya, nepo kushandisa doro zvakanyanya kunogona kusimbisa immune system yako yekurwisa hutachiona.
Mabasa kana mabasa akati anogona kuwedzera njodzi yekubata, kusanganisira basa rekugadzirisa nzvimbo dzemvura, basa rehutano, kana rwendo rwakawanda kumahotera nemaresorts.
Vanhu vakawanda vanodzoka zvakazara kubva kuLegionnaires' disease nerapira kwakakodzera reantibiotics. Nekudaro, vamwe vanhu vanogona kuwana matambudziko, kunyanya kana kurapwa kwakakanganiswa kana vane mamiriro ehutano ekuramba.
Matambudziko emhepo anogona kuitika kana hutachiona hwakapararira mumapapu ako. Unogona kuwana matambudziko ekufema kwenguva refu, kukosora kwenguva refu, kana kuderedzwa kwemabasa emapapu kunotora mavhiki kana mwedzi kuti arove zvakakwana.
Matambudziko akakomba anogona kusanganisira:
Ngokudaro njodzi yematambudziko inowedzera nekuwedzera kwezera, kurapwa kwakakanganiswa, kana kuvapo kwemamiriro ehutano ekuramba. Vanhu vane immune system yakasimba vane njodzi yakakwira yematambudziko akakomba.
Nekuongororwa nekukurumidza uye kurapwa kwakakodzera, matambudziko akakomba anowanzova mashoma. Vanhu vakawanda vanowana antibiotics yakakodzera mukati memazuva mashomanana ekurwara vanodzoka pasina migumisiro yenguva refu.
Kudzivirira kunotarisa pakuchengetedza nzvimbo dzemvura dzakachena uye kudzivirira kubata nemvura yakasvibiswa. Kunyangwe usingakwanisi kudzora zvinhu zvese zvakatipoteredza, unogona kutora matanho ekuderedza njodzi yako.
Paunenge uchifamba, sarudza mahotera ane mukurumbira uye nzvimbo dzinochengetedza nzvimbo dzavo dzemvura zvakanaka. Dzivisa hot tubs kana spas dzinoita sedzakaora kana dzine kunhuhwirira kwakasimba kwemishonga, izvo zvinogona kuratidza kuchengetedzwa kwakaipa.
Mumba mako, unogona kuderedza njodzi nekuda kwe:
Kana iwe uchishanda mukuchengetedza kana hutano, tevera maitiro ekudzivirira akakodzera paunenge uchishanda nenhamba dzemvura. Shandisa michina yakakodzera yekudzivirira uye uve nechokwadi chekuti nzvimbo dzakacheneswa zvakanaka.
Mabhenji ehutano hwevanhu anoshanda nevaridzi vemabhuru kudzivirira kupararira nekugadzirisa kuchengetedzwa kwakanaka kwemvura uye kuongorora. Shuma chero kusvibiswa kunofungidzirwa kumahofisi ehutano hwenzvimbo.
Kuongorora Legionnaires' disease kunoda bvunzo dzakakosha nekuti zviratidzo zvinogona kufanana nemamwe marudzi emapneumonia. Chiremba wako anotanga nekutarisa zviratidzo zvako uye nhoroondo yekubata.
Kuongororwa kwemuviri kunotarisa mapapu ako nekufema. Chiremba wako anoteerera pachipfuva chako ne stethoscope kuti awane ruzha rusina kujairika runoratidza pneumonia.
Bvunzo dzemabhora dzinobatsira kusimbisa kuongororwa:
Chest X-rays kana CT scans zvinoratidza maitiro emapneumonia mumapapu ako. Aya maitiro ekufananidzira anobatsira vanachiremba kuongorora huwandu hwehutachiona uye kuongorora mhinduro yako pakurapwa.
Urine antigen test inopa mhinduro nekukurumidza, kazhinji inowanikwa mukati memaawa. Nekudaro, bvunzo iyi inongotsanangura rudzi rwakajairika rweLegionella, saka bvunzo yekuwedzera inogona kudiwa.
Antibiotics ndiro kurapwa kukuru kweLegionnaires' disease, uye kurapwa nekukurumidza kunotungamira kumigumisiro iri nani. Vanhu vakawanda vanoda kurapwa muchipatara kuti vatariswe zvakasimba uye vapewe antibiotics intravenous.
Chiremba wako anowanzo kupa mishonga inoshanda zvakanaka anorwisa mabhakitiriya eLegionella. Sarudzo dzinowanzoita dzinosanganisira azithromycin, levofloxacin, kana doxycycline, zvichienderana nemamiriro ako chaiwo uye hutano.
Nguva yekurapa inowanzova mazuva manomwe kusvika gumi, kunyangwe vamwe vanhu vangada nguva refu. Unogona kutanga kunzwa zvakanaka mukati memazuva maviri kusvika matatu ekutanga mishonga, asi kupora kwakakwana kunogona kutora mavhiki mazhinji.
Kurapa kunobatsira kunobatsira kudzora zviratidzo nepo antibiotics ichirwisa hutachiona:
Zviitiko zvakakomba zvinogona kuda kurapwa kwakanyanya ne mechanical ventilation. Vanhu vakawanda vanopindura zvakanaka pakurapwa, asi nguva yekupora inosiyana zvichienderana nemazera ako, hutano hwese, uye nekukurumidza kwakaitwa kurapwa.
Vamwe vanhu vane Legionnaires' disease yakapfava vanogona kupora kumba neantibiotics yemukanwa, kunyangwe zviitiko zvakawanda zvinoda kurapwa muchipatara pakutanga. Tevedza mirairo yechiremba wako zvakanyatsonaka uye tarisa zviratidzo zvako zvakasimba.
Tora mishonga yako yakanyorwa chaizvo sezvakarayirwa, kunyangwe kana ukatanga kunzwa zvakanaka. Kupera kwenguva yakazara kunodzivirira hutachiona kubva pakudzoka uye kunoderedza njodzi yekudzivirira antibiotics.
Kuzorora kwakakosha pakupora. Muviri wako unoda simba rekukunda hutachiona, saka zorora zvakakwana uye dzivisa mabasa anorema kusvikira chiremba wako akubvumira kudzokera kumabasa ako akajairika.
Ramba uine mvura yakakwana nekudya zvinwiwa zvakawanda, kunyanya mvura. Mvura yakakwana inobatsira kuonda zvinhu zvemapapu uye inotsigira immune system yako yekurwisa mabhakitiriya.
Tarisa zviratidzo zvako uye tsvaka rubatsiro rwechiremba nekukurumidza kana ukaona fivha inowedzera, kuoma kufema, kurwadziwa kwepamuviri, kana kusagadzikana. Aya maratidzo anogona kuratidza matambudziko anoda rubatsiro rwekukurumidza.
Kugadzirira chiremba chako kunobatsira kuve nechokwadi chekuti chiremba wako anowana ruzivo rwakakwana rwekuongorora kwakanyatsojeka uye kurapwa. Tanga nekugara pasi zviratidzo zvako, kusanganisira pavakatanga uye maitiro avo akachinja.
Gadzira rondedzero yakadzama yezvinhu zvaunogona kubata nazvo. Cherechedza chero rwendo rwakaitwa, kugara mumahotera, rwendo rwegungwa, kana kushanya kunzvimbo dzine hot tubs, fountains, kana cooling systems mukati memavhiki maviri apfuura.
Uya neruzivo rwakakosha nezvehutano hwako:
Nyora mibvunzo yaunoda kubvunza chiremba wako. Funga kubvunza nezve sarudzo dzekurapa, nguva yekupora inotarisirwa, rini unofanira kutsvaka rubatsiro rwekukurumidza, uye chero miganho yebasa.
Uya nemhuri kana shamwari kana zvichibvira. Vanogona kukubatsira kuyeuka ruzivo rwakakosha uye kupa rutsigiro panguva yechiremba wako, kunyanya kana uchinge uchirwara zvakanyanya.
Legionnaires' disease ndicho chirwere chakakomba asi chinorapika chemapapu chinopindura zvakanaka kuantibiotics kana chakawanikwa pakutanga. Kunyangwe chirwere ichi chingave chakakomba, vanhu vakawanda vanodzoka zvakakwana nerubatsiro rwehutano rwakakodzera.
Kiyi yemigumisiro yakanaka ndeyekuziva zviratidzo pakutanga uye kutsvaka rubatsiro rwechiremba nekukurumidza. Kana ukawana zviratidzo zvakaita semapneumonia, kunyanya mushure mekubata nemvura, usambotanga kutaura nachiremba wako wehutano.
Kudzivirira kunosanganisira kuziva nezve zvinhu zvinogona kukonzera uye kuchengetedza hutano hwakanaka hwemvura. Kunyangwe usingakwanisi kubvisa njodzi dzese, kunzwisisa chirwere ichi kunokubatsira kuita sarudzo dzakachenjera nezvehutano hwako nekuchengetedzwa.
Yeuka kuti Legionnaires' disease haina kupararira pakati pevanhu, saka haufanire kunetseka nezvekuparadzira kumhuri kana shamwari. Tarisa pakutora kurapwa kwakakodzera uye kutevera zano rachiremba wako kuti upone.
Kwete, haugone kuwana Legionnaires' disease kubva pakunwa mvura yakasvibiswa. Hutachiona hunongowanikwa kana ukafema madonhwe maduku emvura ane mabhakitiriya eLegionella. System yako yekudya inouraya mabhakitiriya, saka kunwa mvura yakasvibiswa hakuzvikonzeri chirwere.
Vanhu vakawanda vanotanga kunzwa zvakanaka mukati memazuva maviri kusvika matatu ekutanga mishonga, asi kupora kwakakwana kunowanzo kutora mavhiki maviri kusvika matanhatu. Vakuru vakuru kana vanhu vane mamiriro ehutano ekuramba vangada nguva refu yekupora. Vamwe vanhu vanonzwa kuneta kana simba rakadzikira kwemavhiki mazhinji mushure mekupora hutachiona.
Legionnaires' disease haina kupararira uye haigone kupararira kubva kune munhu kuenda kune mumwe munhu kuburikidza nekubata kwakajairika. Unongogona kutapukirwa nekudya madonhwe emvura akasvibiswa kubva kune zvinhu zvakatipoteredza. Izvi zvinoreva kuti haufanire kuzviparadzanisa kana kunetseka nezvekutapukira mhuri yako.
Hongu, zvinogoneka kuwana Legionnaires' disease kakawanda nekuti hutachiona hahupe kudzivirirwa kwenguva refu. Muviri wako unogona kuumba mamwe maantibodies, asi haapi kudzivirirwa kwakakwana kubva kune hutachiona hweramangwana. Kutora matanho ekudzivirira kunoramba kuchikosha kunyangwe mushure mekupora kubva muchirwere.
Hot tubs dzekumba dzakachengeteka kazhinji kana dzakachengetwa zvakanaka nemazinga emishonga yakakodzera uye kucheneswa nguva nenguva. Njodzi inobva kune nzvimbo dzisina kuchengetedzwa zvakanaka kwamabhakitiriya anogona kuwedzera. Tevedza mirairo yemugadziri yekurapa mishonga, chenesa mafiritha nguva nenguva, uye deredza uye zadza hot tub yako maererano nemagadzirirwo akakurudzirwa.