Chikuku

**MChikuku**, chomwenso chimadziwika kuti mayina akuti  ***morbilli***, ***rubeola***, ndiponso ***red measles***, ndi matenda amene anthu amapatsirana mosavuta ndipo amayambitsidwa ndi mavailasi achikuku. Zizindikiro zoyambirira za matendawa ndi monga kutentha thupi, komwe kumatha kuposa pa 40 °C (104.0 °F), chifuwa, chimfine, ndiponso kufiira maso. Pakapita masiku awiri kapena atatu kuchokera pamene zizindikiro zoyambirira zinayamba kuonekera, munthu yemwe ali ndi matendawa amatuluka tinsungu toyera mkamwa mwake tomwe timachedwa tinsungu ta Koplik. Pakapita masiku atatu mpaka 5 kuchokera pamene zizindikiro zoyambirira zinayamba, tizilonda tofiira tophwathalala timatuluka kumaso ndipo timafalikira m’thupi lonse. Zizindikirozi kawirikawiri zimayamba pakatha masiku 10 mpaka 12 kuchokera pamene munthu anakhala pafupi ndi wodwala matendawa ndipo zizindikirozi zimatenga masiku 7 mpaka 10. Anthu 30 mwa anthu 100 aliwonse omwe ali ndi matendawa amathanso kusonyeza zizindikiro zina zikuluzikulu monga kutsegula m'mimba, kuchita khungu, kutupa kwa ubongo, ndiponso chibayo. Rubella (chikuku cha ku Germany) n'chosiyana ndi chikuku chotchedwa roseola.

Matenda a chikuku amafala kudzera mu mpweya ndipo amafalikira mosavuta munthu yemwe ali ndi matendawa akakhosomola kapena kuyetsemula. Chikuku chingafalikirenso ngati munthu atakhudza malovu kapena mamina a munthu yemwe ali ndi matendawa. Anthu 9 pa 10 aliwonse omwe sanalandire katemera wa chikuku ndipo akukhala ndi munthu yemwe ali ndi matendawa amatenga matendawa mosavuta. Munthu akhoza kupatsira ena matendawa kuyambira pa tsiku la 4 asanayambe kutuluka tizilonda mpaka pa tsiku la 4 atatuluka tizilonda. Kawirikawiri munthu amatha kudwala matendawa kamodzi pamoyo wake. Munthu yemwe akuganiza kuti ali ndi matendawa amalimbikitsidwa kuti azikayezetsa ndipo kuchita zimenezi kumathandiza a zaumoyo.

Katemera wa chikuku amathandiza kwambiri kuti munthu asadwale matendawa. Katemera wathandiza kuti anthu 75 pa 100 aliwonse omwe ali ndi tizilombo toyambitsa matendawa asamadwale ndipo zimenezi zachitika kuyambira m’chaka cha 2000 mpaka 2013 ndipo ana 85 pa 100 aliwonse padziko lonse alandira kale katemera wa matendawa. Padakali pano palibe mankhwala odziwika omwe amachiza matendawa. Komabe thandizo loperekedwa ndi achipatala komanso ukhondo zimathandiza kuti matendawa asafalikire. Thandizoli lingaphatikizepo oral rehydration solution (madzi a mchere ndi shuga), zakudya zopatsa thanzi, ndiponso mankhwala othandiza kuletsa kutentha thupi ndiponso kuphwanya thupi. Mankhwala olimbana ndi mabakiteriya angagwiritsidwenso ntchito ngati wodwalayo akusonyeza zizindikiro zina zoyambitsidwa ndi mabakiteriya, monga chibayo. M’mayiko omwe akukwera kumene, wodwala amalimbikitsidwanso kumwa mankhwala othandiza kuwonjezera vitamini A m'thupi.

Chaka chilichonse, anthu pafupifupi 20 miliyoni amakhudzidwa ndi matenda a chikuku, ndipo ambiri mwa anthu amenewa ndi a m’mayiko omwe akukwera kumene a mu Africa ndi Asia. Chikuku chimapha anthu ochuluka zedi poyerekezera ndi matenda onse amene angapewedwe ndi katemera. M’chaka cha 2013, anthu 96,000 anafa ndi matendawa ndipo mu 1990, anthu omwe anafa ndi matendawa analipo 545,000. Mu 1980, zikuoneka kuti matendawa anapha anthu 2.6 miliyoni padziko lonse. Ku United States kokha, chaka chilichonse anthu 3 kapena 4 miliyoni ankapezeka ndi matendawa chaka chilichonse dzikoli lisanayambe kupereka katemera. Ambiri mwa anthu amene amadwala matendawa komanso kumwalira ndi matendawa ndi ana osakwanitsa zaka 5. Masiku ano, 0.2 peresenti ya odwala matendawa ndi amene amakhala pa chiopsezo choti akhoza kumwalira, ndipo chiwerengerochi chimafika pa 10 peresenti kwa odwala omwe alinso ndi vuto loperewera zakudya m'thupi. Zikuoneka kuti matendawa amakhudzanso zinyama zina.


## Zolemba