Trichinosis

Trichinosis ndi matenda opatsirana ndi nyongolotsi Trichinella spiralis.

Trichinosis ndi matenda opatsirana omwe amabwera chifukwa chodya nyama yomwe sanaphikidwe bwino ndipo imakhala ndi zotupa (mphutsi, kapena mphutsi zosakhwima) Trichinella spiralis. Tizilombo toyambitsa matendawa timapezeka mu nkhumba, chimbalangondo, walrus, nkhandwe, makoswe, kavalo, ndi mkango.

Nyama zamtchire, makamaka nyama zodya nyama (omwe amadya nyama) kapena omnivores (nyama zomwe zimadya nyama ndi zomera), ziyenera kuonedwa kuti ndizomwe zimayambitsa matenda a ziphuphu. Nyama zanyama zoweta zomwe zimakonzedweratu kuti zizidya mogwirizana ndi malangizo ndi kuwunika kwa Dipatimenti Yachilengedwe ya US (boma) zitha kuonedwa ngati zotetezeka. Pachifukwa ichi, trichinosis ndiyosowa ku United States, koma ndi matenda ofala padziko lonse lapansi.

Munthu akamadya nyama kuchokera ku nyama yomwe ili ndi kachilomboka, ma trichinella cysts amatseguka m'matumbo ndikukula kukhala ziphuphu zazikulu. Nyongolotsi zimatulutsa nyongolotsi zina zomwe zimadutsa kukhoma kwa m'matumbo ndikupita m'magazi. Nyongolotsi zimalowa minyewa yam'mimba, kuphatikiza mtima ndi diaphragm (minofu yopumira pansi pamapapu). Atha kupatsira m'mapapo ndi muubongo. Zotupa zimakhalabe ndi moyo kwazaka zambiri.

Zizindikiro za trichinosis ndi monga:

• M'mimba kusapeza, cramping
• Kutsekula m'mimba
• Kutupa pankhope mozungulira maso
• Malungo
• Kupweteka kwa minofu (makamaka kupweteka kwa minofu ndi kupuma, kutafuna, kapena kugwiritsa ntchito minofu yayikulu)
• Minofu kufooka

Kuyesera kuzindikira matendawa ndi awa:

• Kuyezetsa magazi monga kuchuluka kwathunthu kwa magazi (CBC), eosinophil count (mtundu wa khungu loyera la magazi), kuyesa kwa antibody, ndi creatine kinase level (enzyme yomwe imapezeka m'maselo amisempha)
• Minofu biopsy kuti muwone ngati nyongolotsi zili muminyewa

Mankhwala, monga albendazole, atha kugwiritsidwa ntchito pochiza matenda m'matumbo. Matenda ofatsa nthawi zambiri samasowa chithandizo. Mankhwala opweteka amatha kuthandizira kupweteka kwa mitsempha pambuyo poti mphutsi zalowa minyewa.

Anthu ambiri omwe ali ndi trichinosis alibe zisonyezo ndipo matendawa amadzichokera okha. Matenda owopsa kwambiri amatha kukhala ovuta kuwachiza, makamaka ngati mapapo, mtima, kapena ubongo zikukhudzidwa.

Mavuto omwe angakhalepo ndi awa:

• Encephalitis (matenda aubongo ndi kutupa)
• Mtima kulephera
• Mavuto amtundu wamtima kuchokera kutupa kwamtima
• Chibayo

Itanani woyang'anira zaumoyo wanu ngati muli ndi zizindikiro za trichinosis ndipo mwangodya kumene nyama yosaphika kapena yaiwisi yomwe mwina idawonongeka.

Nyama ya nkhumba ndi nyama yochokera kuzinyama zakutchire ziyenera kuphikidwa mpaka zitamalizidwa (osakhala ndi pinki). Kuzizira nkhumba pamoto wochepa (5 ° F kapena -15 ° C kapena kuzizira) kwa masabata 3 mpaka 4 kupha mphutsi. Kusungunula nyama zamtchire nthawi zambiri sikupha nyongolotsi. Kusuta, kuthira mchere, ndi kuyanika nyama sizinthu zodalirika zophera nyongolotsi.

Matenda a tiziromboti - trichinosis; Trichiniasis; Trichinellosis; Zipere - trichinosis

• Trichinella spiralis mu minofu yamunthu
• 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.

Diemert DJ. Matenda a Nematode. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 335.

Kazura JW. Matematode a minofu kuphatikizapo trichinellosis, dracunculiasis, filariasis, loiasis, ndi onchocerciasis. 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 287.