Legionellosis
Pfupiso
Chirwere cheLegionnaires chirwere chakakomba chemapumonya — kuzvimba kwepfupa kazhinji kunokonzerwa nehutachiona. Chinokonzerwa nebhakitiriya rinozivikanwa se legionella.
Vanhu vakawanda vanobatwa nechirwere cheLegionnaires nekufemba mabhakitiriya kubva mumvura kana muvhu. Vakuru vakura, vanofuma, uye vanhu vane masisitimu ekuzvidzivirira asina simba vanonyanya kunetseka nechirwere cheLegionnaires.
Bhakitiriya re legionella rinoitawo kuti pave nechirwere chePontiac, chirwere chisinganyanyi kukomba chinoita sechifungidziro. Chirwere chePontiac chinowanzoporesa pachacho, asi chirwere cheLegionnaires chisingarapwi chinogona kuuraya. Kunyange zvazvo kurapwa nekukurumidza neantibiotics kazhinji kunorapisa chirwere cheLegionnaires, vamwe vanhu vanoramba vane matambudziko mushure mekurapwa.
Zviratidzo
Chirwere cheLegionnaires chinowanzoitika mazuva maviri kusvika gumi mushure mekubatwa nehutachiona hwe legionella. Kazhinji chinovamba neaya maratidzo ne zviratidzo zvinotevera:
- Kurwadziwa kwemusoro
- Kurwadziwa kwemhasuru
- Fivha inogona kunge iri 104 F (40 C) kana kupfuura
Nezuva rechipiri kana rechitatu, uchava nemamwe maratidzo nezviratidzo zvinogona kusanganisira:
- Kukosora, kunogona kubudisa mvura uye dzimwe nguva ropa
- Kushaya mweya
- Kurwadziwa paburiro
- Zviratidzo zveGastrointestinal, senge kusvotwa, kurutsa uye manyoka
- Kusanzwisisa kana mamwe marongerwo epfungwa
Kunyangwe Chirwere cheLegionnaires chichinangisa mapapu, dzimwe nguva chinogona kukonzera hutachiona mumakomba uye mune dzimwe nhengo dzemuviri, kusanganisira mwoyo.
Chimiro chinenge chisina simba cheChirwere cheLegionnaires - chinozivikanwa sePontiac fever - chinogona kukonzera fivha, kunzunguza, kurwadziwa kwemusoro uye kurwadziwa kwemhasuru. Pontiac fever haina kukanganisa mapapu ako, uye zviratidzo zvinowanzopera mukati memazuva maviri kusvika mashanu.
Nguva yekunoona chiremba
Ona chiremba wako kana uchifunga kuti wakatarisana nehutachiona hwe legionella. Kuongororwa nekurapwa kwechirwere cheLegionnaires nekukurumidza kunogona kubatsira kupfupisa nguva yekuvandudzika uye kudzivirira matambudziko akakomba. Kune vanhu vane njodzi yakanyanya, sekurerutsi kana vakuru vakwegura, kurapwa nekukurumidza kunokosha.
Zvinokonzera
Bhakitiriya Legionella pneumophila ndiyo inokonzera zviitiko zvikuru zvechirwere cheLegionnaires'. Kunze, mabhakitiriya e legionella anorarama muvhu nemumvura, asi anowanzoita zvirwere zvishoma. Zvisinei, mabhakitiriya e legionella anogona kuwanda mune zvigadzirwa zvemvura zvakaitwa nevanhu, senge air conditioners. Kunyange zvazvo zvichibvira kuwana chirwere cheLegionnaires' kubva pakugadzirisa kwemumba, zviitiko zvikuru zvakawanda zvakawanikwa muzvivako zvikuru, zvichida nekuti masisitimu akaoma anobvumira mabhakitiriya kukura nekupararira nyore nyore. Uyewo, mayunitsi ekutonhodza emotokari nemumakomo haashandisi mvura yekutonhodza.
Zvinhu zvinokonzera njodzi
Kwete munhu wese akabata hutachiona hwe legionella anorwara. Unonyanya kukurumidza kuwana chirwere ichi kana iwe:
- Uchinwa fodya. Fodya inokuvadza mapapu, zvichiita kuti uve munhu anokurumidza kuwana hutachiona hwemapapu hwerudzi rwose.
- Une hurongwa hwekuzvidzivirira hwakasimba. Izvi zvinogona kuve mugumisiro wehutachiona hweHIV / AIDS kana mishonga chaiyo, kunyanya corticosteroids nemishonga inotorwa kudzivirira kurambwa kwezvikamu zvemuviri mushure mekusimudzwa.
- Une chirwere chemapapu chisingaperi kana chimwe chirwere chakakomba. Izvi zvinosanganisira emphysema, chirwere cheshuga, chirwere cheitsvo kana kenza.
- Une makore 50 ekuberekwa kana kupfuura.
Chirwere cheLegionnaires chinogona kuva dambudziko muma hospitali nemakamuri ekutarisirwa kwevakwegura, uko hutachiona hunogona kupararira nyore nyore uye vanhu vanova vanokurumidza kuwana hutachiona.
Matambudziko
Chirwere cheLegionnaires chinogona kukonzera matambudziko akawanda anotyisa, anosanganisira:
- Kukundikana kwekufema. Izvi zvinoitika kana mapapu asingakwanisi kupa muviri oksijeni yakakwana kana kuti asingakwanisi kubvisa carbon dioxide yakakwana muropa.
- Septic shock. Izvi zvinoitika kana kudonha kukuru, kwenguva pfupi kweropa kuchideredza kuyerera kweropa kumativi akakosha emuviri, kunyanya kuitsvo nehuropi. Mwoyo unoedza kudzoreredza nekuwedzera huwandu hweropa hunopompwa, asi basa rakawanda pakupedzisira rinoita kuti mwoyo uome uye kuderedza kuyerera kweropa zvakanyanya.
- Kukundikana kweitsvo kwenguva pfupi. Iri kurasikirwa kwenguva pfupi nehunyanzvi hweitsvo dzako hwekubvisa tsvina muropa rako. Kana itsvo dzako dzikakundikana, mazinga anotyisa emvura netsvina anoungana mumuviri mako.
Kana isina kurapwa nekukurumidza, chirwere cheLegionnaires chinogona kuuraya.
Kudzivirira
Kupararira kwechirwere cheLegionnaires' kunogona kudzivirirwa, asi kudzivirira kunoda marongero ekugadzirisa mvura muzvivako anovimbisa kuti mvura inotarwa uye inotsvakwa nguva dzose. Kuti uderedze njodzi yako pachako, siya kusvuta.
Kuongorora
Chirwere cheLegionnaires chine hukama nemamwe marudzi emapneumonia. Kuti akurumidze kuona kuvapo kwehutachiona hweLegionella, chiremba wenyu angashandisa bvunzo inoongorora wee muviri wenyu kuti aone kana mune legionella antigens — zvinhu zvekune dzimwe nyika zvinokonzera kupindura kwehurongwa hwekuzvidzivirira. Dzidzo dzakawanda dzinogona kusanganisira:
- Kuongororwa kweropa newee
- X-ray yechipfuva, iyo haisiyo kusimbisa chirwere cheLegionnaires asi inogona kuratidza huwandu hwehutachiona mumapapu ako
- Kuongororwa kwesample yesputum yako kana tishu remapapu
Kurapa
Chirwere cheLegionnaires chinorapwa neanitibayotikisi. Kana kurapwa kuchitanga nokukurumidza, mukana wekuwana zvikanganiso zvakakomba unodzikira. Muzviitiko zvizhinji, kurapwa kunoda kupinda muchipatara. Fever yePontiac inoenda yoga pasina kurapwa uye haina matambudziko anogara kwenguva refu.
Kugadzirira musangano wako
'Zvimwe zvaunotanga kuita ndekushanya kuna chiremba wemhuri. Muzviitiko zvimwe, ungatumirwa kuna chiremba anoziva zvekurapa zvirwere zvemapapu (pulmonologist) kana zvirwere zvinotapukira, kana kuti ungakurudzirwa kuenda kuimba rekuvhuvhuta. \n\nGadzira runyorwa rwezvinhu izvi:\n\nUyai nemumwe wemhuri kana shamwari kana zvichibvira, kuti akupei rubatsiro yekurangarira mashoko achapihwa nachiremba.\n\nMibvunzo yaunogona kubvunza chiremba wako inosanganisira:\n\nUsambofa wakashamisika kubvunza mibvunzo yakawanda.\n\nChiremba wako angakubvunza mibvunzo inosanganisira:\n\nKuti udzivise kuwedzera mamiriro ako ezvinhu, tevera mazano aya:\n\nKana ukawedzera kurwara usati waona chiremba, enda kuimba rekuvhuvhuta.\n\n* Mashoko akakosha nezvekurwara kwako, kusanganisira zviratidzo zvako uye nguva zvakatanga. Nyora tembiricha yako.\n* Mashoko akakosha emunhu, kusanganisira kuiswa muchipatara munguva pfupi yapfuura uye kana wakafamba munguva pfupi yapfuura uye kwaunogara.\n* Mishonga yose, mavhitaminzi nezvimwe zvinowedzerwa zvaunotora, kusanganisira zvikamu.\n* Mibvunzo yekubvunza chiremba wako.\n\n* Chii chinogona kunge chiri kukonzera zviratidzo zvangu?\n* Ndeapi mamwe makondisheni anogona kunge aripo?\n* Ndeapi miedzo yandinoda?\n* Ndeipi nzira yakanakisa yekutevera?\n* Ndina mamwe mamiriro ezveutano. Kurwara uku kuchaakanganisa sei?\n* Zvinogoneka here kudzivirira kuiswa muchipatara? Kana zvisingaiti, ndingazova muchipatara kwemazuva mangani?\n\n* Zviratidzo zvako zvave zvichitenderera here?\n* Zviratidzo zvako zvave zvichinyanya kuipa kubvira pakatanga?\n* Chii, kana chiripo, chinoita kunge chinoderedza zviratidzo zvako?\n* Chii, kana chiripo, chinoita kunge chinowedzera zviratidzo zvako?\n\n* Usafume kana kuva pedyo nekusvuta.\n* Usanwe doro.\n* Gara kure nebasa kana chikoro, uye zorora sezvinogona.\n* Inwa mvura yakawanda.'
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