Matenda osokoneza bongo

Schistosomiasis ndimatenda amtundu wa tiziromboti tamagazi tomwe timatchedwa schistosomes.

Mutha kutenga matenda a schistosoma kudzera pakukumana ndi madzi owonongeka. Tizilombo toyambitsa matenda timasambira momasuka m'madzi opanda madzi.

Tizilombo toyambitsa matenda tikakumana ndi anthu, timabowola pakhungu ndikukula msinkhu wina. Kenako, amapita kumapapu ndi chiwindi, komwe amakula mpaka mphutsiyo.

Kenako nyongolotsi yachikulire imapita mbali yake ya thupi, malinga ndi mtundu wake. Maderawa akuphatikizapo:

• Chikhodzodzo
• Kuchuluka
• Matumbo
• Chiwindi
• Mitsempha yomwe imanyamula magazi kuchokera m'matumbo kupita ku chiwindi
• Nkhumba
• Mapapo

Schistosomiasis sichimawoneka ku United States kupatula oyenda obwerera kapena anthu ochokera kumayiko ena omwe ali ndi matendawa ndipo akukhala ku US. Kawirikawiri m'madera ambiri otentha ndi otentha padziko lonse lapansi.

Zizindikiro zimasiyanasiyana ndi mitundu ya nyongolotsi komanso gawo la matenda.

• Tiziromboti tambiri titha kudetsa malungo, kuzizira, kutupa ma lymph node, ndi kutupa chiwindi ndi ndulu.
• Nyongolotsi ikayamba kulowa pakhungu, itha kuyambitsa kuyabwa ndi zotupa (kusambira). Momwemonso, schistosome imawonongeka pakhungu.
• Zizindikiro zam'mimba zimaphatikizapo kupweteka m'mimba ndi kutsegula m'mimba (komwe kumatha kukhala kwamagazi).
• Zizindikiro zamikodzo zimatha kuphatikizira kukodza pafupipafupi, pokodza mopweteka, komanso magazi mumkodzo.

Wothandizira zaumoyo wanu adzakuyesani. Mayeso omwe angachitike ndi awa:

• Kuyezetsa magazi kuti muwone ngati pali matenda
• Chidutswa cha minofu
• Kuwerengera magazi kwathunthu (CBC) kuti muwone ngati pali kuchepa kwa magazi m'thupi
• Kuwerengera kwa eosinophil kuyeza kuchuluka kwa maselo oyera amwazi
• Ntchito ya impso
• Kuyesa kwa chiwindi
• Kupondapo chopondapo kufunafuna mazira a tiziromboti
• Kuthira urinal kufunafuna mazira a tiziromboti

Matendawa amachiritsidwa ndi mankhwala a praziquantel kapena oxamniquine. Izi nthawi zambiri zimaperekedwa limodzi ndi corticosteroids. Ngati matendawa ndi oopsa kapena akuphatikizapo ubongo, corticosteroids imatha kuperekedwa kaye.

Chithandizo chisanachitike kuwonongeka kwakukulu kapena zovuta zazikulu nthawi zambiri zimabweretsa zotsatira zabwino.

Zovuta izi zitha kuchitika:

• Khansara ya chikhodzodzo
• Kulephera kwa impso
• Kuwonongeka kwa chiwindi kosatha komanso nthenda yotakasa
• Colon (matumbo akulu) kutupa
• Impso ndi chikhodzodzo kutsekeka
• Kuthamanga kwa magazi m'mitsempha ya m'mapapo (pulmonary hypertension)
• Matenda abwereza magazi, ngati mabakiteriya amalowa m'magazi kudzera mumatumbo okwiya
• Kulephera kwa mtima kumanja
• Kugwidwa

Itanani omwe akukuthandizani ngati mukudwala matenda a schistosomiasis, makamaka ngati muli:

• Kuyenda kudera lotentha kumene matenda amadziwika kuti amapezeka
• Anadziwitsidwa ndi madzi owonongeka kapena mwina owonongeka

Tsatirani izi kuti mupewe matendawa:

• Pewani kusambira kapena kusamba m'madzi owonongeka kapena omwe akhoza kukhala ndi kachilombo.
• Pewani matupi amadzi ngati simukudziwa ngati ali otetezeka.

Nkhono zimatha kulandira tizilomboti. Kuchotsa nkhono m'madzi omwe anthu amagwiritsa ntchito kungathandize kupewa matenda.

Bilharzia; Malungo a Katayama; Kusambira kwa kusambira; Kuphulika kwa magazi; Fungo la nkhono

• Kuyabwa kwa osambira
• Ma antibodies

Bogitsh BJ, Carter CE, Oeltmann TN. Magazi amaphulika. Mu: Bogitsh BJ, Carter CE, Oeltmann TN, olemba. Parasitology Yaumunthu. 5th ed. London, UK: Elsevier Academic Press; 2019: mutu 11.

Carvalho EM, Lima AAM. Schistosomiasis (bilharziasis). Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 355.