Chikungunya yog tus kab mob, kis rau tib neeg los ntawm kev yoov tom kis. Cov yoov tshaj cum no tuaj yeem nqa lwm yam kab mob xws li dengue thiab ua npaws daj. Chikungunya tuaj yeem pom thoob plaws ntiaj teb, suav nrog Caribbean, thaj chaw chaw sov ntawm Asia, Africa, South America, thiab North America. Tsis muaj kev kho, txhaj tshuaj tiv thaiv kab mob, lossis kho tus kab mob. Hloov chaw, kev kho mob tsom mus rau txo cov tsos mob. Nws yog ib qho tseem ceeb los txheeb xyuas cov cim thiab tsos mob ntawm chikungunya, kho cov tsos mob, thiab paub txog cov teeb meem los ntawm tus kab mob.
Cov kauj ruam
Ntu 1 ntawm 3: Txheeb Xyuas Cov Cim thiab Cov tsos mob
Kauj Ruam 1. Saib cov tsos mob hauv theem mob hnyav
Cov theem mob hnyav yog nrawm, tab sis lub sijhawm luv luv ntawm lub sijhawm uas koj pom cov tsos mob ntawm tus kabmob. Tej zaum yuav tsis muaj tsos mob li ob txog 12 hnub tom qab raug yoov tshaj cum tom. Feem ntau, tsis muaj tsos mob li peb rau xya hnub. Thaum cov tsos mob tshwm sim, koj yuav muaj kev paub txog 10 hnub ntawm cov tsos mob chikungunya ua ntej yuav zoo dua. Koj yuav pom cov tsos mob no thaum lub sijhawm mob hnyav:
- Ua npaws: Ua npaws feem ntau yog 102 txog 105 ° F (39 txog 40.5 ° C) thiab feem ntau kav ntev li peb hnub mus txog rau ib lub lim tiam. Ua npaws tuaj yeem ua rau mob ob sab (qhov uas nws ploj mus li ob peb hnub ua raws li ob peb hnub ntawm kev kub taub hau qis (101–102 ° F lossis 38–39 ° C). mus rau qhov sib txawv ntawm lub cev.
- Mob caj dab (mob sib koom tes): Feem ntau koj yuav pom mob caj dab hauv pob qij txha me me ntawm tes, dab teg, pob taws, thiab pob qij txha loj dua, zoo li hauv caug thiab xub pwg, tab sis tsis yog lub duav. Txog li 70% ntawm tib neeg muaj mob uas kis los ntawm ib leeg mus rau lwm qhov tom qab kev sib koom ua ke dhau los pib zoo dua. Qhov mob feem ntau mob hnyav thaum sawv ntxov, tab sis txhim kho nrog kev tawm dag zog me me. Koj cov pob qij txha kuj tseem tuaj yeem o o lossis hnov zoo li kov thiab koj tuaj yeem mob o ntawm cov leeg (tenosynovitis). Qhov mob sib koom feem ntau daws tau hauv ib mus rau peb lub lis piam, nrog mob hnyav tuaj tom qab thawj lub lim tiam. Txawm li cas los xij, qee qhov mob sib koom tuaj yeem txuas ntxiv mus txog ib xyoos.
- Pob khaus: Kwv yees li 40% txog 50% ntawm cov neeg mob tau ua pob. Hom feem ntau yog morbilliform eruption (maculopapular). Cov no yog cov pob liab liab nrog pob me me hla lawv uas tshwm sim peb txog tsib hnub tom qab pib kub taub hau thiab poob qis hauv peb mus rau plaub hnub. Cov pob feem ntau pib ntawm cov ceg tawv ua raws lub ntsej muag thiab lub cev/lub cev. Saib hauv daim iav nrog koj lub tsho tawm thiab nco txog txhua qhov chaw uas muaj pob liab liab hla thaj tsam dav thiab seb lawv puas khaus. Nco ntsoov tig rov los saib koj lub nraub qaum, nraub qaum caj dab, thiab tsa koj txhais caj npab txhawm rau tshuaj xyuas koj lub hauv qab.
Kauj Ruam 2. Paub cov tsos mob ntawm theem subacute
The subacute phase of Chikungunya tshwm sim ib hlis mus rau peb lub hlis tom qab lub sijhawm mob hnyav tas. Thaum lub sijhawm subacute, cov tsos mob tseem ceeb yog mob caj dab. Ib cag los ntawm qhov no, teeb meem ntawm cov hlab ntshav zoo li Raynaud qhov tshwm sim tuaj yeem tshwm sim.
Raynaud qhov tshwm sim yog qhov xwm txheej uas muaj cov ntshav ntws mus rau txhais tes thiab taw tsawg dua los ua rau mob khaub thuas lossis ntxhov siab rau koj lub cev. Saib cov lus qhia ntawm koj cov ntiv tes thiab sau tseg yog tias lawv txias thiab xiav/xim dub
Kauj Ruam 3. Paub txog cov tsos mob ntawm theem mob hnyav
Cov theem no pib tom qab peb lub hlis txij thaum pib. Nws tau cim los ntawm kev txuas ntxiv ntawm cov tsos mob mob sib koom, nrog 33% ntawm cov neeg mob tau mob sib koom (mob caj dab) rau plaub lub hlis, 15% rau 20 lub hlis, thiab 12% rau peb txog tsib xyoos. Ib txoj kev tshawb fawb pom 64% ntawm cov tib neeg qhia txog kev sib koom ua ke thiab/lossis mob ntau dua ib xyoos tom qab pib kis mob. Koj kuj tseem yuav rov qab ua npaws, asthenia (txawv txav lub cev tsis muaj zog thiab/lossis tsis muaj zog), mob caj dab (mob pob qij txha/o tuaj) hauv ntau pob qij txha, thiab tenosynovitis (mob ntawm cov leeg).
- Yog tias koj muaj cov teeb meem sib koom ua ke, xws li mob caj dab rheumatoid, koj muaj feem ntau los tsim kho mob ntev ntawm chikungunya.
- Cov kab mob rheumatoid tau sau tseg, tsis tshua muaj, tom qab pib kis tus kab mob. Lub sijhawm nruab nrab ntawm qhov pib yog nyob ib puag ncig 10 lub hlis.
Kauj Ruam 4. Paub txog lwm yam tsos mob
Thaum kub taub hau, tawm pob, thiab mob sib koom yog cov tsos mob feem ntau lossis pom tseeb, ntau tus neeg mob ntsib lwm yam teeb meem. Cov no tuaj yeem suav nrog:
- Myalgia (mob leeg/mob nraub qaum)
- Mob taub hau
- Mob caj pas tsis xis nyob
- Mob plab
- Cem quav
- Cov qog ntshav qog nyob hauv caj dab
Kauj Ruam 5. Paub qhov txawv chikungunya los ntawm cov kab mob zoo sib xws
Txij li muaj ntau cov tsos mob ntawm chikungunya kuj tseem muaj cov tsos mob zoo sib xws los yog yoov tshaj cum, nws yog qhov tseem ceeb kom muaj peev xwm sib txawv ntawm lawv. Cov kab mob zoo ib yam li chikungunya suav nrog:
- Leptospirosis: Ceeb toom yog tias koj cov leeg nqaij leeg (cov leeg tom qab koj txhais ceg hauv qab koj lub hauv caug) mob lossis mob thaum koj taug kev. Koj yuav tsum tau saib hauv daim iav kom pom tias qhov dawb ntawm koj lub qhov muag ci liab (subconjunctival hemorrhage). Qhov no yog tshwm sim los ntawm kev tawg ntawm cov hlab ntsha me me. Nco qab yog tias koj nyob ib puag ncig cov tsiaj ua liaj ua teb lossis dej vim cov tsiaj muaj kab mob tuaj yeem kis tus kabmob no hauv dej lossis av.
- Ua npaws: Nco tseg yog tias koj tau ntsib nrog yoov tshaj cum lossis raug tom uas tshwm sim hauv huab cua sov xws li Africa, South America, Central America, Caribbean, India thiab sab qab teb ntawm North America. Dengue muaj ntau nyob hauv cov cheeb tsam no. Saib hauv daim iav txhawm rau tawv nqaij, los ntshav lossis liab ib ncig ntawm koj ob lub qhov muag dawb, los ntshav ntawm cov pos hniav ntawm koj lub qhov ncauj thiab rov ua ntshav ntxiv. Kev los ntshav yog qhov sib txawv loj tshaj plaws ntawm tus mob dengue fever thiab chikungunya.
- Malaria: Nco tseg yog tias koj tau ntsib nrog yoov tshaj cum lossis tom los ntawm thaj chaw paub xws li South America, Africa, India, Middle East, thiab Southeast Asia. Ua tib zoo saib seb koj puas txias thiab tshee, tom qab ntawd ua npaws thiab tom qab ntawd tawm hws. Qhov no tuaj yeem kav ntev txog rau rau rau 10 teev. Koj tuaj yeem ntsib kev rov qab los ntawm cov theem no.
- Menyuam mos: Saib rau qhov muaj mob tshwm sim hauv ib cheeb tsam uas muaj neeg coob heev lossis chaw nyob. Yog tias koj nyob hauv ib cheeb tsam koj yuav kis tus kabmob. Ntsuas koj qhov kub thiab ua npaws yog tias koj muaj caj dab khov lossis mob/tsis xis nyob thaum txav koj lub caj dab. Mob taub hau hnyav thiab hnov nkees/tsis meej pem tuaj yeem nrog tus kab mob. Koj kuj tseem tuaj yeem ua pob liab liab uas muaj xim liab, xim av, lossis ntshav me me uas tuaj yeem dhau los ua blotches lossis txawm tias muaj cov hlwv. Cov pob no feem ntau nyob ntawm pob tw, ob txhais ceg, thiab ntawm xib teg thiab taw.
- Rheumatic ua npaws: Ua npaws rheumatic feem ntau tshwm sim tom qab kis tus kab mob streptococcal xws li mob hnoos qeev. Nws tsis yog tshwm sim los ntawm yoov tom. Qhov no tshwm sim ntau dua rau cov menyuam hnub nyoog tsib txog 15 xyoos. Txheeb xyuas koj tus menyuam rau ntau qhov mob sib koom ua ke uas tuaj yeem txav mus los (vim tias ib leeg sib koom tau zoo dua lwm qhov mob sib koom) thiab ua npaws zoo li chikungunya. Tab sis, pom qhov sib txawv hauv koj tus menyuam yuav tswj tsis tau lossis txav lub cev txav (chorea); me me, tsis hnov mob nodules hauv qab daim tawv nqaij; thiab pob liab liab. Cov pob yuav ua kom tiaj lossis nce me ntsis nrog cov npoo jagged (erythema marginatum) thiab yuav tshwm ntsej muag lossis ncig nrog lub ntsej muag liab tsaus nti thiab thaj chaw sib zog sab hauv lub nplhaib.
Ntu 2 ntawm 3: Kho Cov tsos mob ntawm Chikungunya
Kauj Ruam 1. Paub tias yuav mus kho mob thaum twg
Koj tus kws kho mob tuaj yeem sau cov ntshav mus kuaj rau chikungunya thiab lwm yam kab mob los ntawm yoov tshaj cum. Koj yuav tsum mus ntsib koj tus kws kho mob yog tias koj tau ntsib ib qho ntawm cov hauv qab no:
- Ua npaws ntau dua tsib hnub lossis siab dua 103 ° F (39 ° C)
- Kiv taub hau (tej zaum yog vim muaj teeb meem paj hlwb lossis lub cev qhuav dej)
- Cov ntiv tes txias lossis ntiv taw (Raynaud's)
- Los ntshav los ntawm qhov ncauj lossis hauv qab daim tawv nqaij (qhov no tuaj yeem yog Dengue)
- Pob khaus
- Mob sib koom, liab, tawv, lossis o
- Tso zis tsawg (qhov no tuaj yeem yog los ntawm lub cev qhuav dej uas tuaj yeem ua rau lub raum puas)
Kauj Ruam 2. Nkag siab qhov kev sim sim rau chikungunya
Koj tus kws kho mob yuav kuaj ntshav kom xa mus kuaj. Ntau qhov kev sim lossis txoj hauv kev yuav ua haujlwm ntawm cov qauv rau kev kuaj mob. ELISA (enzyme-txuas immunoassay) yuav nrhiav cov tshuaj tshwj xeeb tiv thaiv tus kab mob. Cov tshuaj tiv thaiv kab mob no ib txwm tsim mus txog rau thaum kawg ntawm thawj lub lim tiam ntawm kev mob thiab nce siab ib puag ncig peb txog rau lub lis piam mus txog ob hlis. Yog tias lawv tsis zoo, koj tus kws kho mob yuav rov kuaj ntshav kom pom tias lawv tau nce lawm.
- Kab mob kis kab mob kuj tseem yuav nrhiav kev loj hlob. Cov no feem ntau yog siv hauv thawj 3 hnub ntawm kev muaj mob, thaum tus kab mob loj zuj zus tuaj.
- RT-PCR (thim rov qab transcriptase polymerase saw cov tshuaj tiv thaiv) cov txheej txheem siv cov kab mob tshwj xeeb rau cov noob caj noob ces txhawm rau rov ua cov noob tshwj xeeb ntawm chikungunya. Yog tias nws yog chikungunya, tom qab ntawd lub chaw kuaj ntshav yuav pom siab dua li cov noob chikungunya ib txwm pom ntawm lub khoos phis tawj duab.
Kauj Ruam 3. So
Tsis muaj kev pom zoo/kev kho tshwj xeeb lossis kho tus kab mob no lossis tshuaj tiv thaiv los tiv thaiv koj kom tsis txhob kis tus mob. Kev kho yog kev tswj tus tsos mob. Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Ntiaj Teb pom zoo tias koj pib kho mob hauv tsev los ntawm kev so. Qhov no yuav muab kev nplij siab thiab sijhawm rau koj lub cev kom rov zoo. So hauv ib puag ncig uas tsis ntub lossis kub dhau, uas tuaj yeem ua rau koj cov tsos mob sib thooj.
Thov lub pob txias kom txo qhov mob thiab mob. Koj tuaj yeem siv lub hnab ntim zaub khov, ntim cov steak, lossis khov nab kuab. Qhwv cov khov khov rov qab rau hauv cov phuam thiab siv nws rau qhov chaw mob. Tsis txhob siv lub khov khov lossis dej khov ncaj qha rau ntawm koj cov tawv nqaij, uas tuaj yeem ua rau cov nqaij puas
Kauj Ruam 4. Siv tshuaj kho mob
Yog tias koj tab tom kub taub hau thiab mob sib koom tes, noj tshuaj paracetamol lossis acetaminophen. Noj txog li ob 500mg ntsiav tshuaj nrog dej txog plaub zaug hauv ib hnub. Nco ntsoov haus dej kom ntau txhua hnub. Txij li ua npaws tuaj yeem ua rau lub cev qhuav dej thiab cov dej tsis txaus hauv lub cev, sim haus tsawg kawg ob litres dej ib hnub nrog ntxiv ntsev (uas ua raws li electrolyte sodium).
- Yog tias koj muaj teeb meem daim siab lossis lub raum ua ntej tham nrog koj tus kws kho mob ua ntej noj tshuaj paracetamol/acetaminophen. Tham nrog koj tus kws kho mob lossis kws muag tshuaj kom noj tshuaj rau menyuam yaus.
- Tsis txhob noj tshuaj aspirin lossis lwm yam tshuaj tiv thaiv kab mob nonsteroidal (NSAIDS) xws li ibuprofen, naproxen, thiab lwm yam. Tshuaj aspirin thiab NSAIDS tuaj yeem ua rau koj cov ntshav thiab ua rau kom ntshav nce. Koj tus kws kho mob yuav tsum txiav tawm Dengue ua ntej. Koj tus kws kho mob yuav hais qhia NSAIDs rau cov tsos mob sib koom tom qab txiav txim tawm Dengue.
- Yog tias koj muaj mob tsis tuaj yeem mob lossis tsis muaj kev pab tom qab koj tus kws kho mob tau qhia koj kom noj tshuaj NSAIDs, koj tus kws kho mob yuav sau ntawv rau koj hydroxychloroquine 200 mg ib zaug ib hnub lossis chloroquine phosphate 300 mg ib hnub ib zaug txog li 4 lub lis piam.
Kauj Ruam 5. Qoj ib ce
Koj yuav tsum tsuas yog ua haujlwm me me kom koj tsis ua rau koj cov leeg mob lossis mob sib koom. Yog ua tau, teem sijhawm nrog tus kws kho mob lub cev kom tau txais kev kho mob lub cev. Qhov no tuaj yeem pab txhawb koj cov leeg nyob ib puag ncig cov pob qij txha uas tuaj yeem txo qhov mob thiab khov. Sim tawm dag zog thaum sawv ntxov, thaum koj cov pob qij txha yuav nruj tshaj plaws. Sim qee qhov kev txav yooj yim no:
- Zaum saum lub rooj zaum. Ntev ib txhais ceg sib npaug rau hauv pem teb thiab tuav 10 vib nas this ua ntej txo koj txhais ceg nrog ib leeg tiaj tiaj hauv av. Ua tib yam nrog lwm ceg. Rov ua qhov no ntau zaus hauv ib hnub, ua ob rau peb txheej ntawm 10 qhov rov ua dua ntawm ib ceg.
- Sim sawv ntawm koj cov ntiv taw nrog ob txhais ko taw kaw ua ke thiab tso koj pob taws nce thiab nqis, nce thiab nqis.
- Tig rau koj sab. Tsa ib txhais ceg nce rau ib pliag ua ntej nqa nws mus rau saum koj lwm ceg. Ua li no 10 zaug rau tus ceg ntawd. Tom qab ntawd, tig mus rau lwm sab, thiab rov ua dua. Ua ib txheej ntawm 10 nce rau txhua ceg ob peb zaug hauv ib hnub.
- Koj tseem tuaj yeem ua koj tus kheej qoj ib ce qoj ib ce aerobic qis. Lub tswv yim tsis txhob ua nruj tsiv lossis siv qhov hnyav.
Kauj Ruam 6. Siv cov roj los yog cov tshuaj pleev rau tawv nqaij
Koj tuaj yeem ntsib qhov ua kom qhuav (xerosis) lossis khaus khaus (mob pob khaus). Cov no tsis xav tau kev kho mob, tab sis koj tuaj yeem kho qhov khaus thiab rov tsim koj cov tawv nqaij ib puag ncig thiab dej noo. Ua ntawv thov cov roj ntxhia, ua kom lub ntsej muag ntub dej, lossis cov tshuaj pleev calamine. Yog tias koj muaj khaus khaus, noj tshuaj antihistamines, zoo li diphenhydramine, raws li qhia hauv pob. Qhov no tuaj yeem txo cov qog nqaij hlav los ntawm kev tso cov protein uas ua rau khaus.
- Ceev faj siv cov tshuaj antihistamines, vim lawv tuaj yeem ua rau koj tsaug zog. Tsis txhob tsav tsheb lossis siv tshuab tom qab coj lawv mus.
- Tsau hauv da dej sov nrog ntxiv oatmeal colloidal tuaj yeem pab soothe koj cov tawv nqaij.
- Cov tawv nqaij hyperpigmented tsis tu ncua tuaj yeem kho nrog cov khoom siv hydroquinone. Qhov no yuav pab ua kom dawb los yog ua kom pom qhov me me.
- Txij li muaj ntau yam kua thiab kua nplaum muaj los kho cov tawv nqaij, koj yuav xav nug koj tus kws kho mob cov lus qhia txog yuav siv dab tsi.
Kauj Ruam 7. Sim tshuaj ntsuab
Nws tau pom tias ntau qhov sib xyaw ua ke ntawm cov tshuaj ntsuab thiab cov nroj tsuag tuaj yeem pab daws cov tsos mob ntawm chikungunya. Thaum koj tuaj yeem pom cov no feem ntau ntawm cov khw muag tshuaj, koj yuav tsum tau sab laj nrog koj tus kws kho mob ua ntej sim tshuaj ntsuab lossis tshuaj kho mob. Tshuaj ntsuab muaj xws li:
- Eupatorium perfoliatum 200C: Qhov no yog tus naj npawb ib homeopathic tshuaj rau chikungunya. Nws yog cov nroj tsuag-based rho tawm uas koj yuav tsum siv thaum ntsib cov tsos mob. Nws tuaj yeem txo cov tsos mob thiab mob sib koom tes. Txhawm rau siv, siv rau rau tee ntawm lub zog tag nrho rau ib hlis, thaum muaj cov tsos mob tshwm sim.
- Echinacea: Qhov no yog paj-based extract siv los kho cov tsos mob chikungunya los ntawm kev txhim kho koj lub cev tiv thaiv kab mob ua haujlwm tau zoo. Siv 40 tee ib hnub, faib ua peb koob tshuaj txhua hnub.
Ntu 3 ntawm 3: Them Nqi rau Cov Teeb Meem thiab Tiv Thaiv Chikungunya
Kauj Ruam 1. Saib xyuas lub plawv teeb meem
Tshwj xeeb, xyuam xim rau lub plawv txawv txav (arrhythmias) uas tuaj yeem ua rau tuag taus. Txhawm rau txheeb xyuas, nqa cov ntaub qhwv ntawm koj qhov ntsuas thiab ntiv tes nruab nrab, maj mam muab tso rau ntawm koj lub dab teg hauv qab thaj tsam tus ntiv tes xoo. Yog tias koj hnov lub plawv dhia qhov no yog cov hlab ntsha radial. Suav pes tsawg tus neeg ntaus koj zoo li ib pliag. 60 txog 100 ntaus tau suav tias yog ib txwm muaj. Tsis tas li, nco ntsoov yog tias kev sib dhos yog qhov tsis tu ncua; cov neeg ntaus ntxiv lossis ncua tsis tu ncua tuaj yeem txhais tau tias yog arrhythmia. Koj kuj tseem tuaj yeem pom hla lossis ntaus ntxiv nyob rau hauv daim ntawv ntawm palpitations. Mus ntsib koj tus kws kho mob tam sim yog tias koj pom cov tsos mob ntawm lub plawv dhia. Koj tus kws kho mob yuav ua lub tshuab electrocardiogram, qhov hluav taws xob tau txuas rau koj lub hauv siab txhawm rau txheeb xyuas koj lub plawv dhia.
Tus kab mob chikungunya tuaj yeem ua rau lub cev nqaij daim tawv ua rau mob (myocarditis), uas ua rau lub plawv txawv txav
Kauj Ruam 2. Saib rau cov teeb meem paj hlwb
Saib ua npaws, qaug zog, thiab tsis meej pem hauv lub hlwb, uas yog cov tsos mob ntawm tus mob encephalitis lossis mob hlwb. Kev cuam tshuam thiab tsis meej pem kuj yog ib qho cim. Yog tias koj tseem pom mob taub hau hnyav, caj dab txhav/mob, rhiab rau lub teeb, ua npaws, qaug dab peg, ob lub zeem muag, xeev siab, thiab ntuav ntxiv rau cov tsos mob ntawm tus kab mob encephalitis, koj yuav muaj tus mob meningoencephalitis. Qhov no yog ua ke ntawm tus mob meningitis thiab encephalitis (mob ntawm cov nqaij hauv peb tus txha caj qaum uas txuas nrog lub hlwb).
- Yog tias koj ntsib kev puas tsuaj los ntawm cov ceg lossis caj npab, koj yuav muaj tus mob Guillain Barre. Saib rau qhov hnov qis, ua kom rov zoo, thiab txav mus los ntawm ob sab ntawm koj lub cev. Tseem pom qhov mob ntawm ob sab ntawm lub cev uas xav tias ntse, hlawv, loog lossis pins thiab koob txhaj tshuaj. Qhov no tuaj yeem nce qib siab dua hauv lub cev thiab muaj peev xwm ua rau muaj teeb meem ua pa los ntawm cov hlab ntsha uas muab koj cov leeg ua pa.
- Yog tias koj muaj teeb meem ua pa lossis ib qho ntawm cov tsos mob saum toj no, nrhiav kev kho mob sai sai.
Kauj Ruam 3. Ua tib zoo saib qhov teeb meem qhov muag
Nrhiav qhov muag qhov muag thiab dej thiab qhov muag liab. Tag nrho cov no tuaj yeem yog cov tsos mob ntawm kev mob ntawm koj lub qhov muag ntawm qhov muag los ntawm kab mob sib kis, episcleritis, thiab uveitis. Koj kuj tseem tuaj yeem pom qhov muag tsis pom thiab nkag siab lub teeb nrog uveitis. Mus ntsib koj tus kws kho mob tam sim yog tias koj muaj ib qho ntawm cov tsos mob ntawm qhov muag no.
Yog tias koj muaj teeb meem pom cov khoom ncaj ua ntej (lub hauv paus pom kev) thiab yog tias cov xim ntawm cov khoom koj pom niaj hnub zoo li tsis pom kev, koj yuav muaj tus mob neuroretinitis
Kauj Ruam 4. Saib xyuas koj cov tawv nqaij kom pom tias muaj kab mob siab
Saib hauv daim iav rau txhua qhov daj ntawm koj cov tawv nqaij lossis dawb ntawm koj lub qhov muag (daj ntseg). Cov no tuaj yeem yog cov tsos mob ntawm daim siab, mob siab. Qhov mob no tuaj yeem ua rau daim siab cov khoom lag luam (bilirubin) nchuav dhau thiab ua rau koj cov tawv nqaij tig daj thiab khaus. Mus ntsib kws kho mob tam sim.
Yog tias tsis kho, kab mob siab ua rau daim siab tsis ua haujlwm
Kauj Ruam 5. Saib rau lub cev qhuav dej qhia tias lub raum tsis ua haujlwm
Chikungunya tuaj yeem ua rau lub cev qhuav dej vim lub raum tsis tuaj yeem tau txais cov ntshav txaus los ua haujlwm ib txwm muaj. Qhov no tuaj yeem ua rau lub raum tsis ua haujlwm, yog li saib xyuas koj cov zis. Yog tias koj xav tias cov nyiaj tau qis heev thiab koj cov zis ntau heev thiab cov xim tsaus nti nrhiav kev kho mob tam sim.
Koj tus kws kho mob lossis kws kho mob xwm txheej ceev yuav ua qhov kev kuaj ntshav ntau ntxiv thiab ntsuas kom pom lub raum ua haujlwm thiab muab dej IV rau koj yog tias koj lub cev qhuav dej
Kauj Ruam 6. Tiv thaiv chikungunya thaum mus ncig
Saib ntawm Lub Chaw Tiv Thaiv Kab Mob lub vev xaib rau daim ntawv qhia hloov tshiab ntawm qhov chaw uas tau tshaj tawm chikungunya. Yog tias koj tab tom taug kev hauv ib qho ntawm cov cheeb tsam no muaj ntau yam uas koj tuaj yeem ua los pab tiv thaiv kom tsis txhob kis tus kabmob. Cov kev tiv thaiv no suav nrog:
- Taug kev los yog sab nraum tom qab nruab hnub nrig. Txawm hais tias yoov tshaj cum tuaj yeem yaum tau txhua lub sijhawm, qhov ua haujlwm siab tshaj plaws chikungunya yog thaum nruab hnub nruab hnub.
- Hnav khaub ncaws ntev kom tiv thaiv koj lub cev kom ntau li ntau tau los ntawm yoov tshaj cum. Sim hnav khaub ncaws xim daj kom pom yoov thiab lwm yam kab ntawm koj cov khaub ncaws.
- Pw hauv txaj/yoov tshaj cum thaum hmo ntuj los tiv thaiv yoov thaum pw.
- Siv tshuaj tua kab nrog ntau dua 20% DEET. Lwm cov khoom xyaw nquag siv suav nrog roj ntawm eucalyptus, Picaridin, thiab IR3535. Feem ntau cov khoom xyaw nquag, ua haujlwm ntev dua.
Lub tswv yim
- Hydroxychloroquine thiab Chloroquine phosphate yog cov tshuaj hloov kho kab mob siv rau mob rheumatoid mob caj dab tab sis tuaj yeem siv tau zoo thaum muaj mob caj dab hnyav hauv chikungunya. Ib qho xoo hluav taws xob tuaj yeem ua tiav txhawm rau txheeb xyuas kev puas tsuaj lossis hloov pauv rau koj cov leeg pob txha.
- Qee leej ntseeg tias kev haus dej ntau txiv maj phaub tuaj yeem yog kev kho tsev zoo.
