Sake kamuwa da zazzabi

Sake kamuwa da zazzabi cuta ce ta kwayan cuta da transmittedarƙusa ko kaska ke watsawa. Ana halayyar ta da maimaitattun lokuta na zazzaɓi.

Sake kamuwa da zazzabi cuta ce da wasu nau'o'in ƙwayoyin cuta ke haifarwa a cikin gidan borrelia.

Akwai manyan nau'i biyu na zazzabin sake kamuwa:

• Cutar zazzabi mai saurin yaduwa (TBRF) tana yaduwa ta kashin ornithodoros. Yana faruwa a Afirka, Spain, Saudi Arabia, Asiya, da wasu yankuna a yammacin Amurka da Kanada. Nau'in kwayoyin cutar da ke hade da TBRF sune Borrelia duttoni, Borrelia hermsii, da Borrelia parkerii.
• Cutar zazzabi mai saurin komawa ciki (LBRF) ana daukar kwayar cutar ta kwarkwata. An fi sani da yawa a Asiya, Afirka, da Tsakiya da Kudancin Amurka. Nau'in kwayoyin dake hade da LBRF shine Borrelia ya sake dawowa.

Kwatsam zazzabi yakan faru tsakanin makonni 2 da kamuwa da cutar.

• A cikin TRBF, lokuta da yawa na zazzaɓi na faruwa, kuma kowane ɗayan na iya ɗaukar kwanaki 3. Mutane na iya rashin zazzaɓi na tsawon makonni 2, sannan ya dawo.
• A cikin LBRF, zazzabin yakan fi kwana 3 zuwa 6. Hakan sau da yawa yakan biyo baya sau ɗaya, mai sauƙi na zazzabi.

A duka siffofin biyu, yanayin zazzabin na iya ƙarewa cikin "rikici." Wannan ya kunshi girgiza sanyi, sannan zufa mai karfi, faduwar zafin jiki, da kuma hawan jini. Wannan matakin na iya haifar da mutuwa.

A Amurka, TBRF yakan faru ne a yamma da Kogin Mississippi, musamman a tsaunukan Yamma da manyan hamada da filayen Kudu maso Yamma. A tsaunukan Kalifoniya, Utah, Arizona, New Mexico, Colorado, Oregon, da Washington, yawanci cututtukan suna faruwa ne ta Borrelia hermsii kuma galibi ana ɗauke su a cikin ɗakuna a cikin dazuzzuka. Haɗarin na iya faɗaɗa yanzu zuwa kudu maso gabashin Amurka.

LBRF galibi cuta ce ta ƙasashe masu tasowa. A yanzu haka ana ganinta a kasashen Habasha da Sudan. Yunwa, yaƙi, da yunƙurin ƙungiyoyin 'yan gudun hijira galibi suna haifar da annobar LBRF.

Kwayar cutar zazzabin sake kamuwa da cutar sun hada da:

• Zuban jini
• Coma
• Ciwon kai
• Hadin gwiwa, ciwon tsoka
• Tashin zuciya da amai
• Sagging a gefe ɗaya na fuska (faɗuwar fuska)
• Wuya wuya
• Ba zato ba tsammani zazzabi, girgiza sanyi, kamawa
• Amai
• Rauni, rashin ƙarfi yayin tafiya

Ya kamata a yi tsammanin zazzabin da ke sake kamuwa idan wani ya fito daga yankin da ke da matukar hadari ya maimaita yanayin zazzabin. Wannan galibi gaskiya ne idan zazzabin ya biyo bayan matakin "rikici", kuma idan mai yiwuwa mutum ya kamu da lasa ko ƙwayoyin cuta masu taushi.

Gwajin da za a iya yi sun hada da:

• Shafar jini don tantance dalilin kamuwa da cutar
• Gwajin rigakafin jini (wani lokacin ana amfani dashi, amma amfaninsu yana da iyaka)

Ana amfani da maganin rigakafi ciki har da penicillin da tetracycline don magance wannan yanayin.

Mutanen da ke da wannan yanayin waɗanda suka kamu da sifa, kumburin zuciya, matsalolin hanta, ko ciwon huhu suna iya mutuwa. Tare da magani na farko, an rage adadin mutuwa.

Wadannan rikitarwa na iya faruwa:

• Rushewar fuska
• Coma
• Matsalar hanta
• Konewa na siraran nama wanda ke kewaye da kwakwalwa da lakar kashin baya
• Kumburin jijiyoyin zuciya, wanda na iya haifar da bugun zuciya mara tsari
• Namoniya
• Kamawa
• Wawa
• Shock da ya shafi shan maganin rigakafi (Jarisch-Herxheimer dauki, wanda saurin mutuwar yawancin adadi na kwayoyin borrelia ke haifar da kaduwa)
• Rashin ƙarfi
• Zubar da jini ko'ina

Tuntuɓi mai ba da kiwon lafiya kai tsaye idan ka sami zazzaɓi bayan dawowa daga tafiya. Ana iya yin bincike kan yiwuwar kamuwa da cutar cikin lokaci.

Sanya tufafi wanda zai cika hannaye da kafafu lokacin da kake a waje na iya taimakawa rigakafin TBRF. Maganin kwari kamar su DEET akan fata da sutura suma suna aiki. Tick ​​da lice a wuraren da ke da haɗari shine wani mahimmin matakin kiwon lafiyar jama'a.

Cutar zazzabi mai saurin sake dawowa; Zazzabin mai yaɗuwa ya sake dawowa

Horton JM. Sake kamuwa da zazzabi wanda nau'ikan borrelia suka haifar. A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Bennett's Ka'idoji da Aiki na Cututtuka masu Cutar, Updatedaukaka Sabunta. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 242.

Petri WA. Sake kamuwa da zazzabi da sauran cututtukan borrelia. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 322.