Strongyloidiasis

Strongyloidiasis ndi matenda opatsirana ndi nyongolotsi Ma Strongyloides stercoralis (S stercoralis).

S stercoralis ndi nyongolotsi yomwe imakonda kupezeka m'malo ofunda, onyowa. Nthawi zambiri, imapezeka kumpoto ngati Canada.

Anthu amatenga matendawa khungu lawo likakhudzana ndi dothi lomwe ladzala ndi mphutsi.

Nyongolotsi yaying'onoyo simawoneka ndi maso. Ziphuphu zazing'ono zimadutsa pakhungu la munthu ndipo pamapeto pake zimalowa m'magazi mpaka m'mapapu ndi mlengalenga.

Kenako amapita kukhosi, komwe amameza m'mimba. Kuchokera m'mimba, nyongolotsi zimapita m'matumbo ang'onoang'ono, komwe zimamangirira kukhoma la m'mimba. Pambuyo pake, amatulutsa mazira, omwe amatuluka timbewu ting'onoting'ono (mbozi zosakhwima) ndikutuluka mthupi.

Mosiyana ndi nyongolotsi zina, mphutsi izi zimatha kulowa mthupi kudzera pakhungu lozungulira anus, lomwe limalola matenda kukula. Madera omwe nyongolotsi zimadutsa pakhungu amatha kukhala ofiira komanso opweteka.

Matendawa siachilendo ku United States, koma amapezeka kumwera chakum'mawa kwa US. Ambiri ku North America amabwera ndi apaulendo omwe adayendera kapena amakhala ku South America kapena ku Africa.

Anthu ena ali pachiwopsezo cha mtundu woopsa wotchedwa strongyloidiasis hyperinfection syndrome. Mu mawonekedwe amtunduwu, pali mphutsi zambiri ndipo zimachulukitsa mwachangu kuposa zachilendo. Zitha kuchitika mwa anthu omwe ali ndi chitetezo chamthupi chofooka. Izi zikuphatikiza anthu omwe adalandira chiwalo kapena zopanga magazi, komanso omwe amamwa mankhwala a steroid kapena mankhwala oletsa chitetezo cha mthupi.

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

• Kupweteka m'mimba (pamimba chapamwamba)
• Tsokomola
• Kutsekula m'mimba
• Kutupa
• Malo ofanana ndi mng'oma ofiira pafupi ndi anus
• Kusanza
• Kuchepetsa thupi

Mayesero otsatirawa akhoza kuchitika:

• Kuyesedwa kwa magazi monga kuwerengera kwathunthu magazi ndi kusiyanasiyana, kuchuluka kwa eosinophil (mtundu wa khungu loyera la magazi), kuyesa kwa antigen kwa S stercoralis
• Kukhumba kwa duodenal (kuchotsa pang'ono pathupi kuchokera mbali yoyamba yamatumbo) kuti muwone S stercoralis (zachilendo)
• Chikhalidwe cha Sputum kuti mufufuze S stercoralis
• Zoyeserera zoyeserera kuti muwone S stercoralis

Cholinga cha mankhwala ndikuchotsa nyongolotsi ndi mankhwala olimbana ndi nyongolotsi, monga ivermectin kapena albendazole.

Nthawi zina, anthu omwe alibe zizindikiro amathandizidwa. Izi zimaphatikizapo anthu omwe amamwa mankhwala omwe amaletsa chitetezo cha mthupi, monga omwe adzalandire, kapena omwe adalowapo.

Mukalandira chithandizo choyenera, nyongolotsi zimatha kuphedwa ndikuyembekezera kwathunthu. Nthawi zina, chithandizo chimafunika kubwereza.

Matenda omwe ali owopsa (hyperinfection syndrome) kapena omwe afalikira kumadera ambiri amthupi (kufalitsa matenda) nthawi zambiri amakhala ndi zoyipa, makamaka kwa anthu omwe ali ndi chitetezo chamthupi chofooka.

Mavuto omwe angakhalepo ndi awa:

• Kufalitsa strongyloidiasis, makamaka kwa anthu omwe ali ndi HIV kapena chitetezo chamthupi chofooka
• Matenda a Strongyloidiasis hyperinfection, omwe amapezeka kwambiri kwa anthu omwe ali ndi chitetezo chamthupi chofooka
• Chibayo cha eosinophilic
• Kuperewera kwa zakudya m'thupi chifukwa cha mavuto omwe amatenga michere m'matumbo

Itanani nthawi yoti mudzakumane ndi wothandizira zaumoyo wanu ngati muli ndi zizindikiro za strongyloidiasis.

Ukhondo wabwino ungachepetse chiopsezo cha strongyloidiasis. Ntchito zaumoyo wa anthu onse komanso malo aukhondo amapereka njira zabwino zowatetezera.

Matenda a m'mimba - strongyloidiasis; Ziphuphu - strongyloidiasis

• Strongyloidiasis, kuphulika kwa zokwawa kumbuyo
• 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.

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.