Strongyloidiasis: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Moyo wa Strongyloides stercoralis
• Momwe mankhwalawa amachitikira
• Kupewa kwa Strongyloidiasis

Strongyloidiasis ndi matenda am'mimba omwe amayamba chifukwa cha tiziromboti Strongyloides stercoralis, zomwe zimayambitsa matenda monga kutsegula m'mimba, kupweteka m'mimba komanso mafuta am'mimba. Komabe, pali kusiyanasiyana kwakukulu kwa kachilomboka, komwe kumakhudza mapapo ndi kufalikira, komwe kumayambitsa malungo pamwamba pa 38ºC, kusanza, kutsokomola komanso kupuma movutikira.

Nyongolotsi imeneyi imafalitsa anthu kudzera pakhungu, ngati mphutsi, ndipo imafalikira kupyola thupi mpaka ikafika m'matumbo, momwe imamera ndikuberekana. Pofuna kupewa matendawa, tikulimbikitsidwa kuti tipewe kuyenda opanda nsapato mumsewu ndikusamba zakudya musanadye, ndipo mankhwalawa amachitika ndi mapiritsi a vermifuge, monga Albendazole ndi Ivermectin.

Fufuzani mwachangu kuti strongyloidiasis ndi chiani ndipo onani zizindikiro za matenda ena amtundu:

Zizindikiro zazikulu

Chitetezo cha mthupi chikasokonekera kapena kuchuluka kwa tiziromboti tikuchepa, nthawi zambiri sizimawoneka. Komabe, nthawi zina, makamaka kuchuluka kwa tiziromboti tikakhala kwakukulu, zizindikiro monga:

• Mawanga ofiira pakhungu, omwe amawonekera pamene mbozi zimalowa pakhungu kapena zikadutsa;
• Kutsekula m'mimba, kupweteka m'mimba, kupweteka m'mimba, nseru komanso kusowa chakudya Dzuka pamene majeremusi ali m'mimba ndi m'matumbo;
• Chifuwa chowuma, kupuma movutikira kapena mphumu, pamene mphutsi imayambitsa kutupa m'mapapo ikamadutsa kudera lino.

Anthu omwe ali ndi chitetezo chamthupi chovuta, monga anthu omwe ali ndi Edzi kapena kuperewera kwa zakudya m'thupi, mwachitsanzo, nthawi zambiri amatenga matenda oopsa kwambiri, omwe amakhala ndi malungo pamwamba pa 38ºC, kupweteka kwambiri m'mimba, kutsekula m'mimba kosalekeza, kusanza, kupuma movutikira, kutsokomola ndi katulutsidwe kapena mwazi.

Kuphatikiza apo, popeza kachilombo kameneka kamatha kuboola khoma la m'mimba, zikuwoneka kuti mabakiteriya am'matumbo amapititsidwa mbali zina za thupi, zomwe zimayambitsa matenda.

Momwe mungatsimikizire matendawa

Strongyloidiasis imapezeka pofufuza ndowe, pozindikira mphutsi, koma kuti mutsimikizire, nthawi zambiri kumakhala kofunikira kubwereza mayeso kangapo mpaka tizilomboto titapezeka.

Moyo wa Strongyloides stercoralis

Tiziromboti tating'onoting'ono tomwe timatulutsa tizilomboti, tomwe timatchedwanso kuti filarioid larvae, timapezeka pansi, makamaka m'nthaka ndi mchenga ndi matope, ndipo timatha kulowa mthupi kupyola pakhungu, ngakhale palibe bala. Kenako amafalikira kudzera m'magazi mpaka amafika pamapapu. Kudera lino, mphutsi zimasakanikirana ndi ntchofu ndi zotsekemera, ndipo zimafika m'mimba ndi m'matumbo pamene zikazi zimezedwa.

M'matumbo, tizilomboto timapeza malo abwino okula ndikuberekana, komwe amafika mpaka 2.5 mm, ndikutulutsa mazira omwe amatulutsa mphutsi zatsopano. Strongyloidiasis imafalikira ndi anthu, makamaka, komanso agalu ndi amphaka, omwe amatulutsa mphutsi m'chilengedwe kudzera mu ndowe.

Mitundu ina yamatenda ndikulowetsa madzi ndi chakudya chodetsedwa ndi mphutsi kapena ndowe za anthu owonongeka. Nthawi pakati pa kuipitsidwa mpaka kutuluka kwa mphutsi kudzera mu ndowe ndi kuyamba kwa zizindikilo zimatha kusiyanasiyana pakati pa masiku 14 ndi 28.

Momwe mankhwalawa amachitikira

Chithandizo cha strongyloidiasis nthawi zambiri chimachitika ndi mankhwala oletsa antiparasite, piritsi, motsogozedwa ndi dokotala wamba, monga:

• Albendazole;
• Thiabendazole;
• Nitazoxanide;
• Ivermectin.

Ndikulimbikitsidwa kuti mankhwalawa aperekedwe ndi asing'anga, omwe amasankha mankhwala abwino kwambiri kwa munthu aliyense, malinga ndi msinkhu, kulemera, kupezeka kwa matenda ena ndikugwiritsa ntchito mankhwala ena. Kuphatikiza apo, mankhwalawa ayenera kupewedwa panthawi yapakati.

Kupititsa patsogolo mphamvu ndikuchotsa tiziromboti, chofunikira ndikubwereza mankhwalawo pakatha masiku 10, popeza munthuyo amatha kudwalanso ndi mphutsi zomwe zimatuluka ndowe.

Kupewa kwa Strongyloidiasis

Kupewa kwa strongyloidiasis kumachitika kudzera m'njira zosavuta, monga:

• Osayenda opanda nsapato, makamaka pansi ndi mchenga ndi matope;
• Sambani chakudya musanadye;
• Sambani m'manja mutapita kubafa;
• Samalani ndi matendawa kuti musayambirenso.

Kuphatikiza apo, kutsuka maliseche atachita chimbudzi ndi njira yabwino yopewera mphutsi kuti zisatengeredwenso kapena kuti kuzipatsira anthu ena.