Feberu e bonoeng ke Rocky Mountain

Lefu la Rocky Mountain spotted fever (RMSF) ke lefu le bakoang ke mofuta oa libaktheria tse tsamaisoang ke liboseleise.

RMSF e bakoa ke baktheriaRickettsia rickettsii (Rickettsii), e tsamaisoang ke liboseleise. Libaktheria li hasana ho batho ka ho longoa ke liboseleise.

Ka bophirima ho United States, libaktheria li tsamaisoa ke letshwao la patsi. Ka bochabela ho US, li tsamaisoa ke letshwao la ntja. Dikgofa tse ding di jala tshwaetso Amerika Borwa le Amerika Bohareng le Borwa.

Ho fapana le lebitso "Rocky Mountain," ho tlalehiloe linyeoe tsa morao-rao Amerika bochabela. Linaha li kenyelletsa Carolina Leboea le Boroa, Virginia, Georgia, Tennessee le Oklahoma. Maemo a mangata a etsahala nakong ea selemo le lehlabula mme a fumanoa ho bana.

Mabaka a kotsi a kenyelletsa ho hloa ha morao tjena kapa ho pepesehela liboseleise sebakeng seo lefu lena le tsejoang hore lea etsahala. Ho ka etsahala hore baktheria e ke ke ea fetisetsoa ho motho ke letshwao le khomaretsoeng nako e ka tlase ho lihora tse 20. Ke hoo e ka bang 1 ho 1 000 ea liboseleise tsa mapolanka le lintja tse tsamaisang baktheria. Baktheria e ka tšoaetsa batho ba silakanyang liboseleise tseo ba li tlositseng liphoofolong tse ruuoang ka menoana.

Matšoao hangata a hlaha matsatsi a 2 ho isa ho a 14 kamora ho longoa ke liboseleise. Li ka kenyelletsa:

• Ho bata le feberu
• Pherekano
• Ho opeloa ke hlooho
• Bohloko ba mesifa
• Rash - hangata e qala matsatsi a 'maloa ka mor'a feberu; e qala ho hlaha manonyeletsong le maqaqailaneng e le matheba a bophara ba 1 ho ea ho 5 mm, ebe e namela karolong e kholo ea 'mele. Batho ba bang ba nang le tšoaetso ha ba fumane lekhopho.

Matšoao a mang a ka hlahang ka lefu lena:

• Letšollo
• Kutloisiso ea leseli
• Litlelase
• Ho felloa ke takatso ea lijo
• Ho nyekeloa le ho hlatsa
• Bohloko ba mpeng
• Nyora

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele' me a botse ka matšoao.

Liteko tse ka etsoang li kenyelletsa:

• Thibelo ea lithibela-mafu ka ho tlatselletsa kapa ho itšireletsa mafung
• Palo e felletseng ea mali (CBC)
• Liteko tsa ts'ebetso ea liphio
• Nako ea karoloana ea thromboplastin (PTT)
• Nako ea Prothrombin (PT)
• Letlalo biopsy le nkuoe ho tsoa lekhopho ho ea le hlahloba R rickettsii
• Ho hlahloba urinal ho hlahloba mali kapa protheine ka morong

Kalafo e kenyelletsa ho tlosa tšoaetso ka hloko letlalong. Ho felisa tšoaetso, lithibela-mafu tse kang doxycycline kapa tetracycline li hloka ho nooa. Bakhachane hangata ba fuoa chloramphenicol.

Kalafo hangata e phekola tšoaetso. Hoo e ka bang 3% ea batho ba tšoeroeng ke lefu lena ba tla shoa.

Ha e sa alafatsoe, tšoaetso e ka lebisa mathateng a bophelo bo botle joalo ka:

• Tšenyo ea boko
• Mathata a ho koala
• Ho hloleha ha pelo
• Ho hloleha ha liphio
• Ho hloleha ha mapafu
• Meningitis
• Pneumonitis (ho ruruha ha matšoafo)
• Ho tshoha

Bitsa mofani oa hau haeba u ba le matšoao kamora ho pepesetsoa liboseleise kapa ho longoa ke liboseleise. Mathata a RMSF e sa sebetsanoeng hangata a beha bophelo kotsing.

Ha u tsamaea kapa u hloa mekoalaba libakeng tse nang le liboseleise, kenya borikhoe bo bolelele ka har'a likausu ho sireletsa maoto. Apara lieta le lihempe tse matsoho a malelele. Li-tick li tla hlaha ka mebala e tšoeu kapa e bobebe ho feta mebala e lefifi, e li nolofalletsa ho li bona le ho li tlosa.

Tlosa li-ticks hang-hang ka ho sebelisa li-tweezers, u hule ka hloko le ka mokhoa o tsitsitseng. Likokoanyana tse lelekang likokoanyana li ka thusa. Hobane liboseleise tse ka tlase ho 1% li na le ts'oaetso ena, lithibela-mafu hangata ha li fanoe kamora ho longoa ke liboseleise.

Feberu e tšoaelitsoeng

• Lefika le nang le mafika a mafika - diso sephakeng
• Dikgofa
• Lefika le mafika le nang le mafika letsohong
• Tšoaea letlalo ka har'a letlalo
• Lefika le mafika le nang le mafika le maotong
• Feberu e bonoeng ke Rocky Mountain - lekhopho le lenyane
• Masole a mmele
• Likhama le ntja li tšoaea

Blanton LS, Walker DH. Rickettsia rickettsii le sehlopha se seng se nang le feberu se bitsoang rickettsiae (Rocky Mountain spotted fever le feberu e meng e nang le mabala). Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 186.

Bolgiano EB, mafu a Sexton J. Tickborne. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 126.