Hypertrophic Cardiomyopathy: Zizindikiro, Zomwe Zimayambitsa, Kuchiza ndi Kupewa Onani Zitsanzo Pazidziwitso Zachangu LOWANI Zidziwitso Kwa Zidziwitso Zatsiku ndi TsikuMonga
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Mphere ndi khungu lopatsirana lomwe limayambitsidwa ndi kachilombo kakang'ono kotchedwa Sarcoptes scabiei var. hominis yomwe imayambitsa kuyabwa kwambiri ndi kufiira pakhungu. Akuti anthu 300 miliyoni amakhudzidwa ndi nkhanambo padziko lonse lapansi chaka chilichonse. Mphere imakhudza anthu amitundu yonse komanso magulu osiyanasiyana, komabe achinyamata, achikulire, chitetezo chofooka kapena anthu omwe akuchedwa kukula ali pachiwopsezo chachikulu cha mphere [1] .
Nchiyani Chimayambitsa Mphere? [1]
Ma Sarcoptes scabiei var. hominis ndi nthata zamiyendo eyiti zomwe zimayambitsa mphere mwa anthu ndizosaoneka bwino. Tizilombo taikazi timabowola pakhungu lapamwamba pomwe timakhala ndikuikira mazira ake. Mphutsi zimaswa m'masiku awiri kapena anayi ndipo zimatenga masiku 10 mpaka 14 kuti zikule kukhala nthata zazikulu. Akakhwima, amatha kufalikira kumadera ena akhungu.
Nthata za nkhanambo zimapezeka pakati pa zala, m'zigongono, m'khwapa, posinthana ndi dzanja, maliseche kapena mabere. Kwa makanda ndi okalamba, nthata za mphere zimapezeka pamutu ndi m'khosi.
Munthu amene ali ndi mphere amachita zosemphana ndi nthata, mazira ake ndi ndowe zake zomwe zimakonda kuchitika patatha milungu itatu kuchokera pomwe zinayamba kuwonekera.
Mphutsi zouma (ziphuphu za ku Norway) ndi mtundu winawake wa nkhanambo zomwe zimachitika chifukwa chokhala ndi chitetezo chamthupi kuti muchepetse nthata. Zotsatira zake, munthuyu amatenga nthata zambiri (mpaka mamiliyoni awiri), zomwe zimafalikira mosiyana ndi mphere wamba, pomwe munthu amakhala ndi nthata 10 mpaka 15 [ziwiri] .
Mphere zotupa zimatha kukhudza anthu okalamba, anthu osatetezeka m'thupi kapena anthu omwe ali ndi zovuta monga kuvulala kwa msana, kufooka, kufooka kwamaganizidwe ndi kutaya chidwi chomwe chimawalepheretsa kuyabwa kapena kukanda khungu [3] .
Kufala kwa Mphere
Mphere nthawi zambiri zimafalikira mwa kulunjika pakhungu pakhungu monga kugwirana manja kapena kugonana ndi munthu amene ali ndi kachilombo. Mphindi 15 mpaka 20 zoyandikira kwambiri ndi munthu yemwe ali ndi kachilomboka zimatha kupatsira mphere mosavuta [4] .
Nthata zimatha kukhala kutali ndi thupi la munthu kwa maola pafupifupi 24 mpaka 36, chifukwa chake ndizotheka kutenga mphere kudzera mu fomites, monga zovala ndi nsalu zoyala, komabe, kufalitsaku sikofala [5] .
Zizindikiro Za Mphere
Munthu atakhala ndi kachilombo koyamba sawonetsa zizindikiro kwa miyezi iwiri (milungu iwiri kapena isanu ndi umodzi). Komabe, odwala omwe ali ndi zipsinjo amatha kufalitsa mphere panthawiyi.
Munthu amene wakhala akudwala mphere m'mbuyomu, zizindikirazo zimawonekera pakadutsa masiku anayi kapena anayi atawonekera.
Zizindikiro zofala kwambiri za mphere ndi izi:
• Ziphuphu pakhungu
• Kuyabwa kwambiri komwe kumawipira usiku
• Ziphuphu zofiira pakhungu kapena zotupa pakhungu lawo zoyabwa komanso zofiira [6] .
Zowopsa Zowopsa
• Achinyamata
• Okalamba
• Anthu omwe ali ndi chitetezo chokwanira
• Anthu ochedwa pang'onopang'ono
• Malo osamalira ana, malo osamalira anthu nthawi yayitali komanso ndende ndi malo ofala kwambiri a nkhanambo [7] .
Zovuta Za Mphere
• Kuyabwa kwambiri kumayambitsa kukanda komwe kumayambitsa matenda a bakiteriya monga impetigo, pyoderma yoyambitsidwa ndi Staphylococcus aureus ndi gulu la A streptococcus bacteria. Matenda a khungu a bakiteriya nthawi zina amatha kubweretsa pambuyo pa streptococcal glomerulonephritis ndi matenda amtima [8] , [9] .
• Kusowa tulo
• Matenda okhumudwa
Nthawi Yoti Muuze Dotolo Wanu
Funsani dokotala wanu ngati mukumva zopukutira zofiira, zoyabwa komanso zazing'ono pakhungu zomwe sizingathe.
Kuzindikira Kwa Mphere
Mphere pafupifupi zimawoneka mofanana ndi khungu lina monga chikanga, impetigo, zipere ndi psoriasis zomwe zimapangitsa kuti zikhale zovuta kuzindikira mphere. Malinga ndi kafukufuku ku Brazil, 18% mpaka 43% ya ana omwe amapezeka ndi eczema anali ndi mphere.
Kupezeka kwa mphere kumachitika chifukwa cha mawonekedwe, zotupa m'malo ena, zizindikiro komanso kupezeka kwa matako pakhungu.
Matendawa amachitika m'njira zotsatirazi:
• Khungu khungu - Kupukuta khungu pakhungu kuti liwunikidwe ndi microscope, lomwe lingathandize kudziwa kupezeka kwa nthata kapena mazira awo.
• Kuyesa kwa inki ya Burrow - Pukutani pang'onopang'ono ndi cholembera chakasupe, ndikuphimba ndi inki. Inki yochulukirapo imachotsedwa ndi mowa. Ngati kabowo alipo, inki imatsata ndikuwonetsa malire ake.
• Dermoscopy - Ndi njira yozindikira matenda yomwe imakhudza kuwona kwa khungu [10] .
Chithandizo cha Mphere
• Chilolezo - Ndi zonona zam'mutu zomwe zimagwiritsidwa ntchito pochiza mphere. Peresenti zisanu za kirimu cha permethrin ziyenera kupakidwa pakhungu kuyambira m'khosi mpaka kuphazi ndikuzisiya usiku umodzi kenako ndikutsuka. Kwa makanda, kirimu amagwiritsidwa ntchito m'thupi lonse kuphatikiza nkhope ndi mutu. Kirimu cha Permethrin chiyenera kugwiritsidwanso ntchito sabata imodzi pambuyo pake kuti iphe mazira a mbewa posachedwa. Permethrin ndi otetezeka ntchito pa mimba ndi mkaka wa m'mawere.
• Ivermectin -Oral ivermectin imagwiritsidwa ntchito pochizira mphere, makamaka kwa nkhanambo yomwe imagwiritsidwa ntchito poyang'anira kuphulika kwa mabungwe kapena anthu ammudzi, ngakhale kuti United States Food and Drug Administration sinavomereze kugwiritsa ntchito mankhwala a mphere.
Kafukufuku wina wanena kuti ivermectin yoperekedwa pakamwa ngati gawo limodzi ndi la anthu azaka 10 kapena kupitilira apo. Mankhwala owonjezera amaperekedwa patatha milungu iwiri ngati zizindikirazo zikupitilirabe. Mlingo awiri a ivermectin ndi scabistatic, mlingo wachiwiri umapha nthata zomwe zaswedwa.
Ivermectin siyikulimbikitsidwa kwa ana omwe amalemera makilogalamu ochepera 15 ndi amayi omwe ali ndi pakati kapena akuyamwitsa. Ntchito Ivermectin zimadalira mayiko, omasuka makonzedwe, mavuto ndi chitetezo.
• Benzyl benzoate - Ndi mankhwala ena othandiza komanso omwe amagwiritsidwa ntchito kwambiri m'maiko otukuka. Kugwiritsa ntchito benzyl benzoate ndi 28% kwa akulu ndi 10 mpaka 12.5% ya ana. Thirani mafuta a benzyl benzoate pakhungu ndikuwasiya kwa maola 24. Azimayi sayenera kugwiritsa ntchito mankhwalawa [khumi ndi chimodzi] , [12] , [13] .
Mankhwala a antihistamine atha kugwiritsidwa ntchito kuti athetse kuyabwa. Ndipo maantibayotiki apakhungu kapena amlomo atha kugwiritsidwa ntchito pochiza matenda a bakiteriya.
Kupewa Mphere
Pofuna kupewa kubwereranso komanso kufalikira kwa mphere, muyenera kuchita izi:
• Tsukani nsalu zonse monga bedi, zofunda ndi ma pillowcase komanso zovala m'madzi otentha. Ndipo aumitseni ndi kutentha kowuma.
• Ngati madzi otentha sapezeka, ikani nsalu zonse ndi zovala mu thumba la pulasitiki losungidwa ndikuzisunga kwa masiku asanu kapena asanu ndi awiri chifukwa nthata sizingakhalepo popanda kukumana ndi khungu la munthu masiku opitilira anayi.
• Pewani kukhudzana mwachindunji ndi khungu ndi wodwala.
• Tsukani malo ena ndi madzi otentha omwe angakhale ndi nthata.
• Onse apabanja omwe adalumikizana ndi wachibale yemwe ali ndi kachilomboka akuyenera kulandira chithandizo limodzi ndi wodwalayo kuti apewe kuyambiranso.
Ma FAQ Omwe Amakonda
Q. Kodi ndinapeza bwanji mphere?
KU . Mphere kawirikawiri imafalikira kuchokera mwachindunji, pakhungu pakhungu. Ngati mwalumikizana kwambiri ndi munthu yemwe ali ndi kachilomboka, pali mwayi waukulu woti mutenge kachilombo.
Q. Nchiyani chimapha mphere nthawi yomweyo?
KU. Kirimu cha Permethrin ndiye mankhwala oyamba a mphere.
Q. Kodi mphere zimatha zokha?
KU. Ayi. Mankhwala akuchipatala komanso mankhwala ena apakhomo amatha kuthana ndi mphere.
Q. Kodi nthata zimakhala ndi nthata nthawi yayitali bwanji?
KU. Nthata za mphere zimatha kukhala pa munthu kwa mwezi umodzi kapena iwiri.
Q. Kodi madzi otentha amapha nkhanambo?
KU. Nthata za mphere zitha kufa zikakhala ndi kutentha kwa 50 ° C (122 ° F) kwa mphindi 10.
Q. Kodi mphere zimayambitsidwa chifukwa cha ukhondo?
KU. Umphawi, kuchuluka kwa anthu, kugawana pabedi komanso mabanja omwe ali ndi ana ambiri kumawonjezera ngozi ya mphere.
Q. Kodi chimachitika ndi chiyani ngati mphere zikasiyidwa osalandiridwa?
KU. Ngati mphere sizingalandiridwe, nthata zimatha kukhala pakhungu lanu miyezi.
