Ascariasis

Ascariasis ndi matenda opatsirana ndi tizilombo toyambitsa matenda Ascaris lumbricoides.

Anthu amatenga ascariasis mwa kudya chakudya kapena chakumwa chomwe chili ndi mazira oyenda njuchi. Ascariasis ndimatenda ofala kwambiri am'matumbo. Zimakhudzana ndi ukhondo. Anthu omwe amakhala m'malo omwe ndowe za anthu zimagwiritsidwira ntchito ngati feteleza nawonso ali pachiwopsezo cha matendawa.

Akangomaliza kudya, mazirawo amaswa ndi kutulutsa nyongolotsi zazing'ono zomwe zimatchedwa mphutsi mkati mwa matumbo ang'onoang'ono. Patangotha ​​masiku ochepa, mbozi zimadutsa m'magazi kupita m'mapapu. Amayenda kudzera m'mapapo akulu am'mapapo ndipo amamezedwa m'mimba ndi m'matumbo ang'onoang'ono.

Mphutsi zikamayenda m'mapapu zimatha kuyambitsa chibayo chachilendo chotchedwa eosinophilic pneumonia. Eosinophils ndi mtundu wa khungu loyera la magazi. Mphutsi zikangobwerera m'matumbo ang'onoang'ono, zimakula kukhala ziphuphu zazikulu. Nyongolotsi zazikulu zimakhala m'matumbo ang'onoang'ono, momwe zimayikira mazira omwe amapezeka mchimbudzi. Amatha kukhala miyezi 10 mpaka 24.

Pafupifupi anthu 1 biliyoni ali ndi kachilombo padziko lonse lapansi. Ascariasis imachitika mwa anthu azaka zonse, ngakhale ana amakhudzidwa kwambiri kuposa achikulire.

Nthawi zambiri, sipakhala zisonyezo. Ngati pali zizindikiro, zitha kuphatikiza:

• Sputum wamagazi (ntchofu zomwe zimakokedwa ndi ma airways apansi)
• Kukhosomola, kupuma
• Malungo ochepa
• Kupita mphutsi chopondapo
• Kupuma pang'ono
• Ziphuphu pakhungu
• Kupweteka m'mimba
• Kusanza kapena kutsokomola mphutsi
• Nyongolotsi zimasiya thupi kudzera m'mphuno kapena mkamwa

Munthu amene ali ndi kachilomboka atha kuwonetsa zizindikiro zakusowa zakudya m'thupi. Kuyesera kuzindikira matendawa ndi awa:

• X-ray yam'mimba kapena mayeso ena azithunzi
• Kuyesa magazi, kuphatikiza kuwerengera kwathunthu kwamagazi ndi kuchuluka kwa eosinophil
• Kupenda chopondapo kufunafuna nyongolotsi ndi mazira a mphutsi

Chithandizocho chimaphatikizapo mankhwala monga albendazole omwe amalemetsa kapena kupha nyongolotsi zam'mimba.

Ngati pali kutsekeka kwa m'matumbo komwe kumayambitsidwa ndi mphutsi zambiri, njira yotchedwa endoscopy itha kugwiritsidwa ntchito kuchotsa mphutsi. Nthawi zambiri, opaleshoni imafunika.

Anthu omwe alandila nyongolotsi ayenera kuwunikidwanso miyezi itatu. Izi zimaphatikizapo kupenda ndowe kuti muwone ngati pali mazira a nyongolotsi. Ngati mazira alipo, mankhwala ayenera kuperekedwanso.

Anthu ambiri amachira pazizindikiro za matendawa, ngakhale atapanda kulandira chithandizo. Koma amatha kupitiliza kunyamula nyongolotsi mthupi lawo.

Zovuta zimatha kuyambitsidwa ndi nyongolotsi zazikulu zomwe zimasunthira kumatumba ena, monga:

• Zowonjezera
• Njira yokhotakhota
• Miphalaphala

Ngati nyongolotsi zikuchulukirachulukira zimatha kutseka m'matumbo.

Zovuta izi zitha kuchitika:

• Kutsekedwa m'matope am'mimba a chiwindi
• Kutsekedwa m'matumbo
• Dzenje m'matumbo

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za ascariasis, makamaka ngati mwapita kudera lomwe matendawa amapezeka. Imbani foni ngati muli ndi izi:

• Zizindikiro zimaipiraipira
• Zizindikiro sizisintha ndi chithandizo chamankhwala
• Zizindikiro zatsopano zimachitika

Kusintha kwaukhondo ndi ukhondo m'maiko omwe akutukuka kumachepetsa chiopsezo m'malo amenewo. M'madera omwe ascariasis amapezeka, anthu amatha kupatsidwa mankhwala ochotsera nyongolotsi ngati njira yodzitetezera.

Matenda a m'mimba - ascariasis; Ziphuphu - ascariasis

• Mazira oyenda njoka zam'mimba - ascariasis
• Zakudya zam'mimba ziwalo

Bogitsh BJ, Carter CE, Oeltmann TN. Matenda a m'mimba. Mu: Bogitsh BJ, Carter CE, Oeltmann TN, olemba. Parasitology Yaumunthu. 5th ed. Waltham, MA: Atolankhani a Elsevier Academic; 2019: mutu 16.

Malo Othandizira Kuteteza ndi Kuteteza tsamba lawebusayiti. Mafinya-ascariasis. www.cdc.gov/parasites/ascariasis/index.html. Idasinthidwa Novembala 23, 2020. Idapezeka pa February 17, 2021.

Mejia R, Weatherhead J, Hotez PJ. Matenda a m'matumbo (ziphuphu). 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 286.