Amebiasis

Amebiasis ndi matenda amatumbo. Zimayambitsidwa ndi tiziromboti tating'onoting'ono Entamoeba histolytica.

Mbiriyakale Amatha kukhala m'matumbo akulu (m'matumbo) osawononga matumbo. Nthawi zina, imalowera kukhoma lam'matumbo, ndikupangitsa matenda am'mimba, kamwazi wam'mimba, kapena kutsegula m'mimba kwa nthawi yayitali. Matendawa amathanso kufalikira kudzera m'magazi mpaka pachiwindi. Nthawi zambiri, imatha kufalikira m'mapapu, ubongo, kapena ziwalo zina.

Vutoli limachitika padziko lonse lapansi. Ambiri amapezeka m'madera otentha omwe amakhala modzaza ndi ukhondo. Africa, Mexico, mbali zina za South America, ndi India ali ndi mavuto akulu azaumoyo chifukwa cha izi.

Tiziromboti titha kufalikira:

• Kudzera mwa chakudya kapena madzi atayipitsidwa ndi ndowe
• Kupyolera mu feteleza wopangidwa ndi zonyansa za anthu
• Kuchokera kwa munthu kupita kwa munthu, makamaka ndikamakhudza pakamwa kapena pakatikati pa munthu wodwalayo

Zowopsa za amebiasis zazikulu ndizo:

• Kumwa mowa
• Khansa
• Kusowa zakudya m'thupi
• Okalamba kapena ocheperako
• Mimba
• Ulendo waposachedwa wopita kudera lotentha
• Kugwiritsa ntchito mankhwala a corticosteroid kupondereza chitetezo cha mthupi

Ku United States, amebiasis ndiofala kwambiri pakati pa omwe amakhala m'malo kapena anthu omwe apita kudera lomwe amebiasis amapezeka.

Anthu ambiri omwe ali ndi matendawa alibe zizindikiro. Zizindikiro zikachitika, amawoneka masiku 7 mpaka 28 atakumana ndi tizilomboto.

Zizindikiro zofatsa zimatha kuphatikiza:

• Kupweteka m'mimba
• Kutsekula m'mimba: gawo la 3 mpaka 8 mipando yofananira patsiku, kapena malo olowera opanda ntchofu ndi magazi nthawi zina
• Kutopa
• Gasi wambiri
• Zowawa zam'mimba mukamayenda matumbo (tenesmus)
• Kuchepetsa mwangozi

Zizindikiro zazikulu zitha kuphatikiza:

• Kukonda m'mimba
• Malo ogwiritsira magazi, kuphatikiza magawo amadzi okhala ndimitsinje yamagazi, maulendo 10 mpaka 20 patsiku
• Malungo
• Kusanza

Wothandizira zaumoyo adzayesa. Mudzafunsidwa za mbiri yanu yazachipatala, makamaka ngati mwapita kutsidya lina.

Kuyesa pamimba kumatha kuwonetsa kukulira kwa chiwindi kapena kufatsa m'mimba (makamaka kumtunda kwakumanja kwa quadarant).

Mayeso omwe atha kulamulidwa ndi awa:

• Kuyesa magazi kwa amebiasis
• Kuyesa kwamkati mwa matumbo akulu m'munsi (sigmoidoscopy)
• Kuyesa kopondapo
• Kuyesa kwa microscope zitsanzo zanyumba, nthawi zambiri kumakhala ndi zitsanzo zingapo masiku angapo

Chithandizo chimadalira momwe matendawa aliri oopsa. Kawirikawiri, maantibayotiki amaperekedwa.

Ngati mukusanza, mutha kupatsidwa mankhwala kudzera mumtsempha (kudzera m'mitsempha) mpaka mutha kumwa. Mankhwala oletsa kutsekula m'mimba nthawi zambiri sapatsidwa chifukwa amatha kukulitsa vuto.

Pambuyo pa chithandizo cha maantibayotiki, chopondapo chanu chimawunikidwanso kuti zitsimikizire kuti matenda awonongedwa.

Zotsatira zimakhala zabwino ndi chithandizo. Nthawi zambiri, matendawo amatenga pafupifupi milungu iwiri, koma amatha kubwerera ngati simulandira chithandizo.

Zovuta za amebiasis zitha kuphatikiza:

• Chiwindi cha chiwindi (kusonkhanitsa mafinya m'chiwindi)
• Zotsatira zoyipa zamankhwala, kuphatikiza nseru
• Kufalitsa tizilomboto kudzera m'magazi mpaka pachiwindi, mapapo, ubongo, kapena ziwalo zina

Itanani foni kwa omwe akukuthandizani ngati muli ndi matenda otsekula m'mimba omwe samatha kapena kukuipiraipira.

Mukamayenda kumayiko opanda ukhondo, imwani madzi oyera kapena owiritsa. Osadya masamba osaphika kapena zipatso zosadulidwa. Sambani m'manja mutatha kubafa komanso musanadye.

Kamwazi wa Amebic; Matumbo amebiasis; Matenda a Amebic; Kutsekula m'mimba - amebiasis

• Amebic abscess ubongo
• Dongosolo m'mimba
• Zakudya zam'mimba ziwalo
• Pyogenic abscess

Bogitsh BJ, Carter CE, Oeltmann TN. Visceral protista I: ma rhizopods (amoebae) ndi ciliophorans. Mu: Bogitsh BJ, Carter CE, Oeltmann TN, olemba. Parasitology Yaumunthu. 5th ed. London, UK: Elsevier Academic Press; 2019: chaputala 4.

Petri WA, Haque R, Moonah SN. Mitundu ya Entamoeba, kuphatikiza amebic colitis ndi abscess ya chiwindi. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 272.