Daaweynta infekshanka fayruuska ee West Nile waxay ku xiran tahay darnaanta jirrada uu keeno. Waxay keeni kartaa noocyo badan oo ka mid ah cudurrada bukaan-eegtada, laga bilaabo jirro fudud oo hargab (ama aan calaamado lahayn) oo ku saabsan cudurka dhimirka ee naf-gooyada ah ee ku dhaca meningitis ama encephalitis .
Baadi sida caadiga ah lagu taliyo labada sawir, iyo sidoo kale talooyin ku saabsan kahortagga iyo ka badan.
Infekshannada Neef ee Wanaagsan ee West Nile
Dadka ku dhaco xaalad khafiif ah ee qandhada West Nile waxay badiyaa la kulmaan xummad, murqo xanuun, madax xanuun, daciifnimo iyo daal, cuno xanuun, iyo suurtogalnimada dhibaatooyinka caloosha.
Dadkani sida caadiga ah waxay is ogaadaan "qabow xagaa xun," waxayna ku daaweynayaan siyaabaha caadiga ah nasashada, dareeraha, iyo xannuunada. Dhakhaatiirtu inta badan kuma lug lahaan, dadka qaba xanuun khatar ah West Nile waxay inta badan soo kabsadaan maalmo yar gudahood.
Cudurrada Neefta ee Wanaagsan ee Wanaagsan
Nasiib darro, fayruuska West Nile wuxuu sidoo kale keeni karaa jirro aad u daran, gaar ahaan haddii uu soo galo habka dhexe ee dareenka iyo sababo qoorgooye ama encephalitis. Dadka qaba noocyadan waxay la kulmi karaan qandho aad u sarreysa, curyaannimo, jahwareer, suuxdin, miyir-beel iyo dhimasho. Daweynta gardarrada ah ee qof qaba fayraska fayraska ee West Nile ee daran waa khasab.
Daaweynta dadka qaba cudurada faafa ee West Nile waa mid aad u taageersan.
Taasi waa, tallaabooyin gardarro ah ayaa la qaadaa si loo yareeyo qandhada, hayso heerarka fuuq-celinta, iyo ilaalinta dheef-shiid kiimikaadka iyo xasaasiyadda wadnaha-iyada oo la sugayo jawaabaha difaaca jidhka si ugu dambeyntii u caddeeyaan infekshanka. Tallaabooyinka noocan oo kale ah waxay u baahan karaan daaweyn ku jira qaybta daryeelka degdegga ah, laga yaabo inay usbuucyo ama ka badan.
Daawooyinka fayruska
Daaweynta Antiviral ayaan lagu soo bandhigin tijaabooyinka kiliinikada si ay u noqoto wax lagu qiyaaso dadka qaba cudurada faafa ee West Nile. Si kastaba ha noqotee, dhowr daawooyinkan ayaa la isku dayey, waxaana jira waxoogaa warbixin ah oo ku saabsan faa'iido.
Walxaha antiviral ee la isku dayey waxaa ka mid ah:
- Ribavarin : Faa'iidooyinka daawadani ka soo horjeeda fayraska Niil Galbeedku badanaa waa aragti-maaha mid loo muujiyay in uu ka shaqeeyo qaababka xayawaanka. Mid ka mid ah tijaabooyinka kiliinikada ee aan la xakameynin intii lagu jiray galbeedka Nile-ka ee dalka Israel, daroogada ayaa la ogaaday inay tahay mid aan fiicneyn.
- Tallaalka immunoglobulin: Halkan mar kale, kaalmada suurtagalka ah ee immunoglobulin (IVIG) ayaa xidhan. Sameynta unugyada difaaca jirka (immunoglobulin) oo ka dhan ah fayraska Niil Galbeed ayaa loo maleynayaa inay tahay habka ugu weyn ee ay bini-aadanku ka takhalusaan fayraska, markaa siinaya IVIG kaas oo ku jira heerarka sare ee anti-Nile-ka Niilka "waajibka ah" inuu "shaqeeyo". Nasiib darro, tijaabada kiliiniga kaliya ee la tijaabiyay ee la sameeyay si loo baaro saameynta IVIG ee fayruuska West Nile ku fashilmeen inay muujiyaan faa'iido.
- Interferon. Interferon waxay u muuqataa inay waxtar u tahay fayraska Niil Galbeed marka lagu baaro noocyada xayawaanka qaarkood. Hase yeeshee, warbixinno yar yar oo kufilan bukaanada lagu daweeyo interferon ayaa la soo sheegay; warbixinno kale ayaa soo jeediyay in interferon ay noqon karto mid halis ah.
Ayadoo la tixgelinayo waayo-aragnimadan dawada lidka-fayraska, waxaynu oran karnaa oo keliya in habkanan uusan gaarin ballanqaad. Sidaas daraadeed taageerada taageerada ayaa ah midka ugu muhiimsan ee daaweynta caabuqyada fayruuska ee West Nile.
Ka hortagga
Sida ugu fiican "daaweynta" fayruuska West Nile waa kahortag. Tallaabooyinka looga hortago cudurada faafa ee West Nile waxaa ka mid ah:
- Barnaamijyada xakamaynta kaneecada. Barnaamijyada kantaroolka kaneecada ayaa loo isticmaali karaa si loo baabi'iyo goobaha kaneecada ee cad, iyo wakiilada ilmagaleenka ayaa lagu buufin karaa si loo dilo dirxiga kaneecada ka hor inta aanay noqonin dad waaweyn. Tallaabooyinka caafimaad ee noocan ah, marka loo istcimaalo istaraatiijiyad, ayaa lagu muujiyey inay si weyn u xaddidaan dhacdooyinka caabuqa West Nile ee beelaha qaarkood.
- Tallaabooyinka ilaalinta shakhsiga. Waa inaad ka ilaalisid hantidaada barkadaha daba joogga ah ama dhoobada oo noqon kara sababo kaneeco ah. Halka dibedda, gaar ahaan xilliga qorraxda ama saliida marka kaneecadu ay noqoto mid ugu firfircoon, waa inaad codsataa cayayaanka cayayaan, hayso inta badan maqaarkaaga daboolaya intii suurtagal ah.
- Barnaamijyada baaritaanka dhiig bixiyaha. Wadamada ugu horumarsan, ayaa ku deeqay dhiigga walxaha baaritaanka joogitaanka fayruuska West Nile ka hor inta aan loo gudbin. Digniintaas waxaa loo maleynayaa in ay si weyn hoos u dhigtay khatarta ah in uu fayruska West Nile ka soo qaado dhiigga dhiigga (oo khatartu ay aad u hooseeyso marka hore).
Tallaalka
Dadaallada aad u firfircoon ayaa socda si loo horumariyo tallaalada looga hortago fayraska Niil Galbeed. Dhab ahaan, dhowr tallaal horay looma siiyay rukhsad fardo (taas oo sidoo kale u noqon karta mid aad u xanuunsan leh fayraska West Nile). Si kastaba ha noqotee, helitaanka ogolaanshaha isticmaalka bani-aadamka, tan ama daaweyn kasta oo kale, ayaa ah qaab hawleedka aadka u xoogan oo waqti badan ah marka loo eego xayawaanka.
Hase yeeshee, dhowr tallaal oo bini'aadan ah oo ka dhan ah fayruuska West Nile ayaa iminka lagu baarayaa, iyo warbixinnada hore waxay muujinayaan in ugu yaraan qaar ka mid ah ay yihiin kuwo rajo leh. Hase yeeshee, kuwan ka mid ah tallaaladani waxay bilaabeen marxaladaha 3aad ee kiliinikada (tallaabada ugu dambeysa, tallaabada dheer ee ka horeysa FDA ogolaanshaha), waxaana la filayaa in tallaalka West Nile laga yaabo in loo oggolaado isticmaalka aadanaha kahor 2020, ugu horreyntii.
> Ilo:
> Dayan GH, Bevilacqua J, Coleman D, iyo al. Wajiga Ii, Baaritaanka Dose Iska Ilaalinta Nabadgelyada iyo Immunogenicity ee Tallaalka Keli ah Tallaalka West Nile Tallaalka Dadka Qaan-gaar ah ≥ 50 Sanadka Da'da. Talaalka 2012; 30: 6656.
> Lothrop HD, Lothrop BB, Gomsi DE, et al. Codsiyada Iskudhinta Xilliga Dheeraadka ah ee Hoosudhaca Hoosaadku wuxuu yaraynayaa Gudbinta Arbovirus Dhamaan Dooxada Coachella, County Riverside, California. Sawirada Borne Zoonotic Dis 2008; 8: 475.
> Morrey JD, Maalinta CW, Julander JG, et al. Saameynta Interferon-Alpha iyo Interferon-Inducers oo ku saabsan Virus Neefta Neefta Mice iyo Hamster Model Animals. Antivir Chem Chemother 2004; 15: 101.