Cutar-karce-cuta

Cutar karce-cuta cuta ce tare da ƙwayoyin cuta na bartonella waɗanda aka yi imanin cewa ƙwayoyin cat ne ke cinye su, cizon kuliyoyi, ko cizon ƙuta.

Cutar karce-karce kwayar cuta ce ke haifar da itaBartonella henselae. Cutar na yaduwa ne ta hanyar mu'amala da kyanwar da ke dauke da cutar (cizo ko karce) ko kuma mu'amala da katar. Hakanan za'a iya yada ta ta hanyar hulɗa da miyau na jijiyoyi akan karyewar fata ko saman fuska kamar waɗanda suke cikin hanci, baki, da idanu.

Mutumin da ya taɓa tuntuɓar kuli mai cutar zai iya nuna alamomi na yau da kullun, gami da:

• Bump (papule) ko blister (pustule) a wurin rauni (yawanci alamar farko)
• Gajiya
• Zazzabi (a cikin wasu mutane)
• Ciwon kai
• Ciwon kumburin kumburi (lymphadenopathy) a kusa da wurin da aka karce ko cizon
• Rashin jin daɗi gaba ɗaya (rashin ƙarfi)

Lessananan alamun bayyanar na iya haɗawa da:

• Rashin ci
• Ciwon wuya
• Rage nauyi

Idan kana da kumburin lymph node da karce ko cizo daga kyanwa, mai ba da kula da lafiyar ka na iya tsammanin cutar cizon-cat.

Bincike na jiki na iya bayyana girman ƙwayoyin cuta.

Wasu lokuta, kumburin lymph kumburi na iya samar da rami (fistula) ta cikin fata da lambatu (malalar ruwa).

Wannan cutar ba kasafai ake samun sa ba saboda yana da wuyar ganewa. Da Bartonella henselaeimmunofluorescence assay (IFA) gwajin jini hanya ce madaidaiciya don gano kamuwa da cutar da waɗannan ƙwayoyin cuta suka haifar. Dole ne a yi la'akari da sakamakon wannan gwajin tare da sauran bayanai daga tarihin lafiyar ku, gwajin gwaje-gwaje, ko nazarin halittu.

Hakanan za'a iya yin kwayar cutar kwayar halittar kwayar halitta don neman wasu dalilai na kumburin gland.

Gabaɗaya, cututtukan cat-karce ba su da tsanani. Ba za a iya buƙatar magani na likita ba. A wasu lokuta, jiyya tare da maganin rigakafi kamar azithromycin na iya zama taimako. Ana iya amfani da wasu magungunan rigakafi, gami da clarithromycin, rifampin, trimethoprim-sulfamethoxazole, ko ciprofloxacin.

A cikin mutanen da ke ɗauke da kwayar cutar HIV / AIDs da sauransu, waɗanda ke da raunin garkuwar jiki, cututtukan cat-karce sun fi tsanani. Ana ba da shawarar magani tare da maganin rigakafi.

Mutanen da ke da ƙarancin garkuwar jiki ya kamata su murmure sosai ba tare da magani ba. A cikin mutanen da ke da raunin garkuwar jiki, magani tare da maganin rigakafi yawanci yakan haifar da murmurewa.

Mutanen da tsarin garkuwar jikinsu ya yi rauni na iya haifar da matsaloli kamar:

• Encephalopathy (asarar aikin kwakwalwa)
• Neuroretinitis (kumburin ido da jijiyar ido na ido)
• Osteomyelitis (kamuwa da kashi)
• Ciwon Parinaud (ja, mai laushi, da ido mai raɗaɗi)

Kira mai ba ku sabis idan kun faɗaɗa ƙwayoyin lymph kuma an fallasa ku da kyanwa.

Don hana cututtukan cat-karce:

• Wanke hannuwanku sosai da sabulu da ruwa bayan kun yi wasa da kyanwar ku. Musamman wanke duk wani ciji ko karce.
• Yi wasa a hankali tare da kuliyoyi don kar suyi da cizon.
• Kar ka bari kyanwa ta lasa fatarka, idanunka, bakinka, ko bude raunuka ko karce.
• Yi amfani da matakan kula da ƙanana don rage haɗarin da kyanwar ku ta kamu da cutar.
• Kar a rike kuliyoyi na feral.

CSD; Zazzabin cizon-cat; Bartonellosis

• Cutar karce
• Antibodies

Rolain JM, Raoult D. Bartonella cututtuka. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 299.

Rose SR, Koehler JE. Bartonella, ciki har da cutar cat-scratch. A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Ka'idojin Bennett da Aiwatar da Cututtukan Cutar. 9th ed. Philadelphia, PA: Elsevier; 2020: babi na 234.