Utachiwana mushure mekati kuvhara chirwere chinotapukira chinokonzera kupfurikidza kwemakirini. Haisi kuparadzirwa kubva kumunhu kumunhu. Bartonella - bhakitiriya inonzi causative agent yechirwere ichi, inopararira kuburikidza nekukanda kana kuruma kwemhuka inotapukira, kazhinji kacho. Inogonawo kutapurirwa kana nyaya yemhuka inosangana nechepa rakakanganiswa kana ziso. Mushure mokurwadziwa nekati yakaoma chirwere, chirwere chinogara nokusingaperi chinogadzirwa.
Zviratidzo nezviratidzo zvechirwere
Vanhu vazhinji vane chirwere ichi uye vane hutano nemakati nemakatsanga havayeuke kuti vakatsvairwa uye kunyanya kunyorerwa.
Nguva yekudzikinura inobva pamashure matatu kusvika ku20. Chirwere chinowanzotanga zvishoma nezvishoma. Panzvimbo yekakapa yakaporeswa kuruma kana kuvhara ikoko kunoratidzika duku, tsvuku-yakasvibiswa, isina tsananguro, iyo iyo mushure mamazuva matatu inoshanduka kuva blister yakazadzwa nehusiku. Iyi blister ndiyo gedhi remukova wehutachiona, harinzwisisi zvachose uye rinowanzoitika pamusoro kana maoko.
Sezvo mutemo, mukati memavhiki mashomanana mushure mekutapukirwa nekatsva chirwere chekati, imwe kana akawanda emakirini anowanikwa pedyo nenzvimbo yekutsvaira kana kukura kwekukura muhukuru uye kunorwadza. Kana, somuenzaniso, sechitsva pahuni, lymph nodes muhombhoni kana pasi pekumera kwechikwata.
Kuwedzerwa kwema-lymph nodes kunowanzoonekwa pamutsipa kana munharaunda yex axillary, kunyange zvazvo rutsoka rwakatsvuka, lymph nodes inowedzera mumvura. Masimba avo anogona kuenzana kubva ku 1.5 kusvika ku5 masendimita. Ganda pamusoro pezvikwereti izvi zvinogona kuva zvitsvuku uye zvinodziya, uye dzimwe nguva pus inoputika kubva kwavari.
Muvanhu vazhinji, kupfupa lymph nodes ndiyo chiratidzo chikuru chechirwere. Zvimwe zviratidzo zvechirwere zvinogona kusanganisira fivha (kazhinji kusvika 38.3 ° C), kurasikirwa nechido, kuneta, kuora musoro, kurwadziwa, kuputika.
Atypical matambudziko anoonekwa, asi kazhinji. Muzviitiko izvi, zvinokonzera kukanganisa spleen, chiropa, mapapu, maziso, mapfupa, fivhiri kwenguva refu pasina zvimwe zviratidzo. Vamwe varwere vanokura utachiona hwemaziso, kusanganisira kuchena kwemaziso uye kurwadziwa. Izvo zvisinganyanyi kukosha kuti uropi hukuvara nekukundwa.
Kuongororwa kwekaka kukira chirwere
Kuongororwa kwechirwere kunofanira kuitwa chete nechirwere chepachirwere chepachirwere, sezvo lymph node kuwedzera kunoitika kune dzimwe zvirwere zvakakomba. Muchiziviso chacho, basa rinokosha rinowedzerwa nhoroondo yezvakaitika (ingave paine kusangana nemhuka) uye kuonekwa kwekukuvara kunokonzerwa nekati. Kuongororwa kunosimbiswa nemashoko kubva mutsika, histology uye serology, kana PCR.
Nguva yekudaidza chiremba
Zvakakosha kuonana nachiremba kana kune lymph nodes dzinorwadza kana mutezo mune chero chikamu chemuviri. Uye iwe unofanira kugara uchibvunza chiremba kana wakarohwa nemhuka, kunyanya kana:
- katsva kana kuruma kwakabva kune kati, apo ronda haripore kwenguva yakareba;
- nzvimbo yekudzikinura pedyo neronda yakaramba ichiwedzera kwemazuva mazhinji;
- fivhiri inotanga mukati memazuva mashomanana mushure mokugamuchira kemheo kana kuvezwa.
Kurapa kwechirwere
Kana kati ichirapa chirwere kubva kumishonga inorwisa mabhakitiriya inoshanda chete gentamicin. Zvirwere, sekutonga, zvinoguma nekurapa kwemazuva maviri. Kuti kuderedza kusuruvara kweiyo yakakura yakawanda, dzimwe nguva inoipisa nekubvisa pus.
Nzira yekudzivirira sei zvirwere
Nzvimbo dzekucheka kwekati nekurumirwa kunofanira kurapwa nemhinduro ye 2% hydrogen peroxide, uye shure kwewaini kana iodini. Apo imwe yemitezo yemhuri inotapukirwa, kati haina kubatwa - hazvina maturo.