Basa rezvipembenene rinokonzera kunhuwa kukuru, kunyanya usiku. Chirwere chacho chinoparidzirwa nyore ne (kubatana kwepanyama, somuenzaniso, nokugunun'una maoko. Mhuri uye vanhu vanoita zvepabonde nemurume anenge arwara anowanzova nengozi huru yekutapukirwa). Zvicheka zvemukoko, shries-kurapwa-munyaya yedu.
Scabies mite
Izvo zvinokonzera ganda zvinokonzera chirwere chepabhesi ndeyezvikara zveSarcoptes scabei (scabies mites), ndeyemhuri yeaarchnids. Mazai echikadzi ane urefu hwe 0.4 mm. Vanopinda muganda uye vanopedza mairi mararamiro avo ose, kusanganisira kudya uye kubereka. Varume vari maduku-anenge 0 2 mm murefu. Kubata kwemiti kunowanikwa mune zvinyorwa zvinyorwa zvakaitwa nevakadzi. Mushure mekusangana, mukomana anofa. Nhanho yemarwadzo mucheche inenge 2 mm pazuva. Muchiitiko ichi, musikana wechikadzi anotora 2-3 mazai. Mushure memazuva matatu, mhutu inowanikwa kubva mazai, ayo anobereka mukati mezuva 10-14. Munhu akaremara mhondi anorarama mazuva makumi matatu. Mazai anokwanisa kuchengetwa kunze kwechigadzirwa chemhuka kwemazuva gumi, asi munhu mukuru anokwanisa kurarama mukati memamiriro ezvinhu kunze kwemaawa makumi matatu nemaviri. Murwere ane shrie ndeye, paavhareji, ane utachiona hwevanhu gumi vakuru. Nhamba yavo inotsamira pakusimba kwekubatana. Kwenguva yekutanga chirwere chetsva chakatsanangurwa muzana remakore re XVII. Asi, pasinei nokuvandudzwa kwehutano hwehutano hwevanhu, huwandu hwehuwandu hwahwo husina kuderera. Vanenge mamiriyoni 300 vanhu vanorwariswa gore negore munyika yenyika. Chikwata chepamusoro chinowanikwa munyika dzinosimudzira.
Ndivanaani vanobatwa nehosha iyi?
Makuhwa anokanganiswa nevarume nevakadzi, vane chokuita nemadzinza ese uye makirasi edzimari. Chirwere ichi chinoparadzirwa nekubatana kwepanyama. Boka guru revanhu, kuwandisa, rakaonekwa mumatambudziko mashoma evanhu, zvipatara uye majeri zvinogona kuita kuti kuve nekuputika kwechirwere ichi. Majobi anowanzobatwa nevana. Mukuwedzera, chirwere chepachirwere pakati pavo chakanyanya kupararira kupfuura pakati pevanhu vakuru. Munyika dzakabudirira, zvirwere zvepabhesi zvinodzokororwa nehuwandu hwemakore 10-15. Kazhinji ganda haisi pamwe nematambudziko uye kubudirira kurapwa nerubatsiro rwemafuta anokosha, kunyange zvazvo kushandiswa kwavo kunogona kusanganiswa nekunetseka kumwe. Mitikiti inobata mhuka dzemhuka, dzakadai sembwa, dzinogona kuiswa mumuviri womunhu kwenguva pfupi. Kutapukirwa nemhando dzakasiyana-siyana dzekipiko kunobatanidzwawo nekushungurudza kwakanyanya, asi hupenyu hwehutachiona hahugoni kupera mumuviri womunhu, saka kupindira kuri kukwana. Mafudzi anowanzotambudza munzvimbo dzomukatikati, mahwendefa emaoko, pasi pezvinyama zvemvere, zvakapoteredza mbambo uye mumhazha. Muvarume, chirwere chinorwara chinogonawo kurarama pamararamiro emakumbo, muvana vaduku, kazhinji kakuvara kwetsoka kunoonekwa. Kazhinji inobata ganda remutsipa uye musoro. Chiratidzo chikuru chesafurusi chinosvava, sezvo zviri mukati meusiku kuti mite dzevakadzi dzinoita zvirwere mucheche. Itching inowanikwawo nekuda kwekuvandudzwa kwehutachiona hwehutano hwemuviri wemunhu kumashanga emamite, uyewo mazai akaiswa nawo.Akurwisa kunowedzera mukati memasvondo mana kusvika ma6, saka zvipembenene zvakawanda mumatangi ekutanga hazvina maturo.Kutarisana nekusangana kwechirwere kunotungamirira kukurumidza kuratidzwa kwezviratidzo. Kuongororwa kwakavakirwa pamurwere wemamnesis, pamwe nekuonekwa kwechimiro chechimiro chinofamba paganda. Kana zvichidikanwa, kuongororwa kunogona kusimbiswa nekuparadzanisa kemiti yakatarwa pamagumo ekurohwa, inoteverwa nekuzivikanwa zvishoma. Kana chirwere chisingaoneki, chiremba anogona kunyatsonyora zvinyorwa zve stroke ne scalpel uye kuongorora zvinhu zvinoguma pasi pe microscope. Kuvapo kwemuenzaniso we mazai, mite kana nyota yavo inotsigira kuongororwa. Mafirosi haawanzoperi nematambudziko akaoma. Zvisinei, zvinetso zvinogona kuitika kune vanhu vane chirwere chekushushikana kweganda, uyewo nekuda kwekucheka zvakanyanya kweganda nekubatanidzwa kwechirwere chechipiri. Mukuona kwechirwere cheganda, chirwere chechipiri chinogona kukura, izvo zvisingawanzoitika zvinokonzera kuora kwepvo. Mune varwere vane chirwere chekuora mutezo kana kutambura nekushaya simba kwehutano nekuda kwehutano hwehutano nehutano hwepfungwa, zviratidzo zve pruritus hazvipo uye hazvitungamiri pakuonekwa kwekucheka.
Norwegian scabies
Nyeredzi dzeNorway dzinozivikanwa nekutangiswa kwenhamba yakawanda yemarite mumuviri uye kusavapo kwekutsvaira. Ichi chirwere chakagamuchira zita rakadaro, sezvo rakatanga kurondedzerwa kune varwere vane maperembudzi (maperembudzi) muNorway. Ganda rakasvibirira rinova rakaoma uye rakapera. Mitikiti inogona kupararira mumuviri wose. Muchifukidziro chinofukidza ganda, pane nhamba yakawanda yeikiti, iyo, kana yakarodzwa, inogona kutungamirira kuhutachiona hwevanhu vanobatana nekukudziridza maitiro epasi.
Kurapa
Zvakakosha kuti mitezo yese yemhuri iyo yakarapwa ine shries inobatwa. Kunyatsocherechedza mirairo yakatemwa. Kune nhamba huru yemishonga inorwisa-scaly, iyo inosanganisira zvinoshandiswa zvakadai semarathion, permetrin, crotamiton uye benzyl benzoate. Mune zvimwe zviitiko, systemic antiscalant ivermectin inoshandiswa, asi kushandiswa kwemishonga yemunharaunda kunowanzobudirira. Mimwe mishonga inopesana nevana nevakadzi vane pamuviri. Muzvakaitika zvekare, chirwere chinorwisa-Scab chinoshandiswa kune muviri wose, kubva pamutsipa, kusanganisira mazamu nemakumbo. Inofanira kusara paganda kuita maawa makumi maviri nemasere, mushure mezvo inofanira kushambidzwa. Itching uye zvipembenene paganda zvinokonzerwa nehutachiona hunoita mazai uye mashanga ematehwe. Zviratidzo izvi zvinogona kuramba zvichikwira kusvika kumasvondo matanhatu mushure mokunge zvirwere zvinopera. Mishonga inokosha yemunharaunda inobatsira kubvisa zviratidzo zvisingafadzi. Zvine utachiona hwechipiri hwechirwere, nzira ye systemic antibiotic therapy inodiwa. Kurapa kweNorway scabies kunosanganisira kudzokorora kwemaitiro erapi. Murefu anofanira kunge achingodonha misumari nekushandisa anti-steroids pasi pavo. Zvimwe zviyero zveganda zvinofanira kunyatsotsvaga kushandiswa kushandiswa nekushandisa mazino. Mushonga unorwisa-scratch unoshandiswa kune muviri wose, kusanganisira musoro. Kurapa kwevanhu vakazobatana nemurwere neyekuNorway scabi inoshandiswa kuburikidza nenzira dzinoshandiswa mumutambo wekare hwechirwere.