Matenda ogona

Tulo tofa nato ndimatenda omwe amadza chifukwa cha tizirombo tating'onoting'ono tomwe timanyamula ntchentche zina. Zimabweretsa kutupa kwa ubongo.

Matenda ogona amayamba chifukwa cha mitundu iwiri ya tiziromboti Trypanosoma brucei rhodesiense ndipo Trypanosomoa brucei gambiense. T b rhodesiense imayambitsa matenda oopsa kwambiri.

Ntchentche za tsetse zimakhala ndi matendawa. Ntchentche yomwe yakudwala ikakuluma, matendawa amafalikira m'magazi ako.

Zowopsa zimaphatikizapo kukhala madera ena a ku Africa komwe matendawa amapezeka ndikulumidwa ndi ntchentche za tsetse. Matendawa samapezeka ku United States, koma apaulendo omwe adayendera kapena amakhala ku Africa atha kutenga kachilomboka.

Zizindikiro zambiri zimaphatikizapo:

• Zosintha, nkhawa
• Malungo, thukuta
• Mutu
• Kufooka
• Kusowa tulo usiku
• Kugona masana (kumatha kukhala kosalamulirika)
• Kutupa ma lymph node mthupi lonse
• Yotupa, yofiira, nodule yopweteka pamalo pomwe kulumidwa kwa ntchentche

Kusanthula nthawi zambiri kumadalira pakuwunika kwakuthupi ndikudziwitsa zambiri za zizindikirazo. Ngati wothandizira zaumoyo akukayikira matenda akugona, mudzafunsidwa zaulendo waposachedwa. Kuyezetsa magazi kudzalamulidwa kuti zitsimikizire matendawa.

Mayesowa ndi awa:

• Kupaka magazi kuti ayang'ane tiziromboti
• Mayeso amadzimadzi amadzimadzi (madzimadzi ochokera kumsana wanu)
• Kuwerengera kwathunthu kwa magazi (CBC)
• Kukhumba kwamankhwala am'mimba

Mankhwala omwe amagwiritsidwa ntchito kuthana ndi vutoli ndi awa:

• Eflornithine (chifukwa T b gambiense zokha)
• Zamgululi
• Pentamidine (ya T b gambiense zokha)
• Suramin (Antrypol)

Anthu ena amatha kulandira kuphatikiza kwa mankhwalawa.

Popanda chithandizo, imatha kufa mkati mwa miyezi isanu ndi umodzi kuchokera kulephera kwamtima kapena kuchokera T b rhodesiense matenda palokha.

T b gambiense Matendawa amayambitsa matenda ogona ndikukula mofulumira, nthawi zambiri kwa milungu ingapo. Matendawa amafunika kuthandizidwa nthawi yomweyo.

Zovuta zimaphatikizapo:

• Kuvulala kokhudzana ndi kugona pamene mukuyendetsa galimoto kapena nthawi zina
• Pang'ono ndi pang'ono kuwonongeka kwa dongosolo lamanjenje
• Kugona kosalamulirika matendawa akukulira
• Coma

Onani wothandizira wanu nthawi yomweyo ngati muli ndi zizindikiro, makamaka ngati mwapita kumalo kumene matendawa amapezeka. Ndikofunika kuyamba kumwa mankhwala posachedwa.

Majekeseni a Pentamidine amateteza ku T b gambiense, koma osati motsutsana T b rhodesiense. Chifukwa mankhwalawa ndi owopsa, kugwiritsa ntchito popewa kupewa sikuvomerezeka. T b rhodesiense amathandizidwa ndi suranim.

Njira zothanirana ndi tizilombo titha kuthandiza kupewa kufalikira kwa matenda ogona m'malo omwe ali pachiwopsezo chachikulu.

Matenda a tiziromboti - anthu aku Africa trypanosomiasis

Bogitsh BJ, Carter CE, Oeltmann TN. Ma protistans amwazi ndi minofu I: ma hemoflagellates. Mu: Bogitsh BJ, Carter CE, Oeltmann TN, olemba. Parasitology Yaumunthu. 5th ed. San Diego, CA: Elsevier Academic Press; 2019: mutu 6.

Kirchhoff LV. Othandizira a trypanosomiasis aku Africa (kugona tulo). Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Mfundo za Bennett ndi Kuchita kwa Matenda Opatsirana, Kusinthidwa. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 279.