Mu gihe cy'imvura n'ibihe by'imvura, inkoko zikunze kugaragara indwara irangwa cyane no kwera ikamba, bizana igihombo kinini mubukungu kuriinganda z'inkoko, akaba ari na Kahn atuye leukocytose, izwi kandi nk'indwara yera.
Ibimenyetso bya Clinical Ibimenyetso byiyi ndwara bigaragarira mu nkoko, hamwe n'ubushyuhe bwo hejuru bw'umubiri, gutakaza ubushake bwo kurya, kwiheba, amacandwe, umwanda wera cyangwa umuhondo-icyatsi kibisi umwanda muto, gukura no gukura, amababa arekuye, kugenda, ingorane z'ubuhumekero, no gufata amaraso. Inkoko zitera muri rusange zifite igabanuka ryumusaruro w amagi hafi 10%. Ikigaragara cyane kiranga inkoko zose zirwaye ni anemia, kandi ikamba ryera. Gutandukanya inkoko zirwaye byerekana gucika intege umurambo, kunanuka kw'amaraso, no kunanuka kw'imitsi umubiri wose. Umwijima n'impyiko byaragutse, hejuru ya hémorhagie hejuru, kandi hariho imitwe yera nini nini y'ibigori ku mwijima. Inzira y'ibiryo yari yuzuye kandi hari amaraso n'amazi mu cyuho cy'inda. Kuva amaraso mu mpyiko no kumena amaraso kumitsi y'amaguru n'imitsi y'amatora. Ukurikije igihembwe gitangiye, ibimenyetso byamavuriro nimpinduka za autopsie birashobora gukorwa isuzuma ryibanze, hamwe no kwisuzumisha mikorosikopi yamaraso kugirango barebe ko inyo ishobora gupimwa.
Ingamba zo gukumira Igipimo nyamukuru cyo gukumira iyi ndwara ni ukuzimya midge, vector. Mu gihe cy’icyorezo, imbere n’inyuma y’inkoko hagomba guterwa umuti wica udukoko buri cyumweru, nkumuti wa 0.01% trichlorfon, nibindi. Mugihe cyicyorezo, inzu yinkoko igomba guterwa umuti wica udukoko buri cyumweru. Mugihe cyicyorezo, ongeramo ibiyobyabwenge mubiryo byinkoko kugirango wirinde, nka tamoxifen, Dan nziza nziza nibindi. Iyo iyi ndwara ibaye, amahitamo ya mbere yo kuvura ni Taifenpure, ifu yumwimerere ya garama l garama 2,5 kg y'ibiryo, igaburirwa iminsi 5 kugeza 7. Irashobora kandi gukoreshwa mukuzamura sulfadiazine, inkoko kuri kilo yuburemere bwumubiri umunwa 25 mg, ubwambere amafaranga ashobora gukuba kabiri, agakorerwa iminsi 3 ~ 4. Chloroquine irashobora kandi gukoreshwa, miligarama 100 kuri kilo yuburemere bwumubiri winkoko kumunwa, rimwe kumunsi, muminsi 3, hanyuma buri munsi wa kabiri muminsi 3. Witondere ubundi buryo bwo gufata imiti.
Igihe cyo kohereza: Nzeri-21-2023