Ngati ndinu wokhala ku Siberia, mumakonda kupita ku nkhalango ku bowa, muli ndi mwayi wochepa wodwala matenda osasangalatsa, koma osati owopsa kwambiri omwe nkhupakupa zimanyamula.
Kuluma nkhupakupa nthawi zambiri kumachira msanga. Ndipo ngati chisindikizo chikuwonekera pamalo olumidwa, pakati pomwe chilonda chaching'ono chikuwoneka, chophimbidwa ndi kutumphuka kofiirira, ndipo kuzungulira chisindikizochi palinso zofiira mpaka 3 cm mulifupi, ndiye izi zikuwonetsa kuti matenda alowa pabala. Ndipo ichi ndi chiwonetsero choyambirira chokha (chomwe chimachiritsa pakatha masiku 20).
Pambuyo pa masiku 3-7, kutentha kwa thupi kumakwera, komwe kumafika pamtunda (2-39 ° C) m'masiku 40 oyambirira a matendawa, ndiyeno kumapitirira masiku 7-12 (ngati matendawa sakuchiritsidwa).
Kuphatikiza apo, ma lymph nodes amakulitsidwa. Ndipo pa tsiku la 3-5 la matenda, zotupa zimawonekera. Choyamba, zidzolo zimachitika pa miyendo, kenako zimafalikira ku thunthu ndipo pang'onopang'ono zimatha ndi masiku 12-14 akudwala.
Ngati mwapeza zizindikiro zonsezi mwa inu nokha, muli ndi Tick-borne rickettsiosis waku Siberia. (Rickettsiae ndi chinachake pakati pa mavairasi ndi mabakiteriya.) Ndipo muyenera kuonana ndi dokotala: adzakupatsani mankhwala a tetracycline kwa masiku 4-5 - ndipo muli ndi thanzi labwino. Ngati sichitsatiridwa, matendawa amatha pang'onopang'ono (imfa popanda chithandizo ndi yaying'ono - 0,5%, koma pali chiopsezo chokhala m'maperesenti awa).