Umkhuhlane katamatisi yigciwane elithathelanayo kakhulu elingasabalala. Lesi simo sathola igama laso elihlukile kusukela kumabhamuza abomvu, abuhlungu angakhula alingane notamatisi, okubangela ukungakhululeki okukhulu ezinganeni ezithintekile.
Le bhulogi ihlola izici ezihlukahlukene ze-tomato fever, okuhlanganisa izimpawu zayo, izimbangela, izinketho zokwelapha, nezindlela zokuvimbela ukusiza ukuvikela izingane kulokhu kutheleleka ngegciwane.
Umkhuhlane katamatisi umele ukutheleleka ngegciwane okungavamile okuthinta ngokuyinhloko izingane ezingaphansi kweminyaka engu-5. Lesi simo sathola ukunakwa okubalulekile ngemva kokuvela kwayo e-Kerala, ikakhulukazi ngenxa yezimpawu zayo ezihlukile nokusabalala ngokushesha phakathi kwezingane ezincane.
Esinye isici esiqinisekisayo ngomkhuhlane katamatisi ukuzibekela imingcele. Phakathi kwamacala ayi-100 abikiwe ezinganeni, akukho nelilodwa elidinga ukulaliswa esibhedlela, futhi zonke iziguli zithole ukululama. Kodwa-ke, ukusulelana kakhulu kwegciwane kudinga ukuqapha ngokucophelela kanye nezinyathelo zokuvimbela, ikakhulukazi ezindaweni lapho izingane zibuthana khona.
Okulandelayo ezinye izimpawu ezivamile zomkhuhlane we-tomato:
Ososayensi baphakamisa ukuthi umkhuhlane katamatisi ungase uhlanganiswe nezinhlobo ezithile zegciwane. I-Coxsackievirus A-6 kanye ne-A-16, ephuma emndenini we-enterovirus, ivelele njengama-causative agents angabangeli. Lawa magciwane ngokuvamile abonakala ezinganeni, echaza uhlobo oluthile lokutheleleka.
Izingane ezingaphansi kweminyaka emihlanu zibhekene nengozi enkulu yokuthola leli gciwane. Amasosha abo omzimba athuthukayo kanye nokuxhumana njalo nezinye izingane kudala izimo ezikahle zokudluliselwa kwegciwane.
Izinto ezimbalwa zemvelo nezokuziphatha zandisa amathuba okutheleleka:
Nakuba izimo eziningi zomkhuhlane katamatisi zixazulula ngaphandle kwezinkinga ezinkulu, izinkinga ezithile zingavela, ezidinga ukunakekelwa ngokucophelela kwezokwelapha. Ubukhulu balezi zinkinga ngokuvamile buncike emandleni amasosha omzimba esiguli kanye nokuthi ukwelashwa kuqala ngokushesha kangakanani. Lokhu kubandakanya:
Ukuxilonga umkhuhlane katamatisi kuveza izinselele eziyingqayizivele kodokotela, ikakhulukazi ngoba izimpawu zawo zikhombisa ezinye izifo eziningi ezibangelwa amagciwane. Njengamanje, akukho ukuhlola okuqondile okukhona kwalesi simo.
Odokotela basebenzisa indlela ehlelekile ngokusebenzisa izivivinyo ze-molecular & serological ukuthola ukuxilongwa okunembile. Lokhu kuhlola kugxile kakhulu ekukhipheni ezinye izifo ezibangelwa amagciwane ezinezimpawu ezifanayo, okuhlanganisa udenga, i-chikungunya, i-Zika, i-varicella-zoster, ne-herpes. Uma lezi zimo seziqediwe, odokotela baqinisekisa ukuba khona komkhuhlane we-tomato.
Odokotela baqoqa amasampula emithonjeni eminingi ukuze bathole ukuhlolwa okuphelele. Amasampula esitulo kanye nama-swabs omphimbo ahlolwa ngokushesha ama-antigen ukuze kutholakale ukuthi kungenzeka kube khona igciwane. Le ndlela yokuhlola enezici eziningi isiza odokotela benze izinqumo ezinolwazi mayelana nezinqubo zokwelapha.
Odokotela bahlukanisa umkhuhlane katamatisi njengesifo esizibekela imingcele, okusho ukuthi imithi ethile ayikho yokwelapha igciwane ngokuqondile. Indlela yokwelapha ihlanganisa:
Ukubonisana nodokotela kubaluleka ngaphansi kwezimo eziningana:
Amasu okuvimbela asebenzayo ahlanganisa:
Umkhuhlane katamatisi uyinkinga enkulu yezempilo, ikakhulukazi ezinganeni ezingaphansi kweminyaka emihlanu. Nakuba odokotela bakubheka njengokuzibekela imingcele, abazali kufanele bahlale beqaphele izimpawu zako ezihlukile, ikakhulukazi amabhamuza abomvu alingana notamatisi.
Abazali kufanele bagxile ekulawuleni izimpawu ngokuphumula okufanele, ukufakwa kwamanzi, nokuqapha ngokucophelela. Ukugcina imikhuba yenhlanzeko eqinile kusewukuzivikela okungcono kakhulu kuleli gciwane elitheleleka kakhulu. Nakuba izimo eziningi zixazulula phakathi kwezinsuku ezingu-5-7, ukugadwa okufanele kwezokwelapha kuqinisekisa ukululama okuphephile futhi kuvimbela izinkinga.
Ukwelashwa komkhuhlane we-tomato ngokuvamile kuthatha izinsuku ezingu-5-7 ngokunakekelwa okufanele nokuphumula. Amacala amaningi ayaxazululeka zingakapheli izinsuku eziyishumi.
Ngempela, umkhuhlane katamatisi usakazeka ngokushesha ngokusondelana nabantu abanaleli gciwane. Igciwane lisakaza ngokuyinhloko ngokusebenzisa:
Alikho ikhambi eliqondile lomkhuhlane katamatisi, nokho izinyathelo ezimbalwa ezisheshisa ukululama. Odokotela batusa: