Kodi filariasis, zizindikiro, chithandizo ndi momwe kufalikira kumachitikira

Zamkati

• Zizindikiro za Filariasis
• Momwe kufalitsa kumachitikira
• Chithandizo cha filariasis
• Momwe mungapewere

Filariasis, yotchedwa elephantiasis kapena lymphatic filariasis, ndi matenda opatsirana omwe amabwera ndi tiziromboti Wuchereria bancroftiomwe amatha kupatsira anthu kudzera mwa kulumidwa ndi udzudzuCulex quinquefasciatus kuthenga kachilombo.

Tiziromboti tomwe timayambitsa matenda a filariasis timatha kukula mthupi pamene timapita ku ziwalo ndi ma lymphoid, zomwe zimatha kuyambitsa kutupa ndi kudzikundikira kwamadzi m'malo osiyanasiyana amthupi, makamaka miyendo, mikono ndi machende. Komabe, izi zimangowoneka patangotha ​​miyezi ingapo atatenga kachilomboka, ndipo munthuyo amatha kukhala wopanda chidziwitso panthawiyi.

Mankhwala a filariasis ndiosavuta ndipo ayenera kuchitidwa molingana ndi malangizo a dotolo, ndipo kugwiritsa ntchito mankhwala opatsirana pogonana ndi chithandizo chamankhwala okhala ndi ma lymphatic drainage kumawonetsedwa ngati pali mikono ndi miyendo, mwachitsanzo.

Zizindikiro za Filariasis

Zizindikiro za filariasis zimatha kutenga miyezi 12 kuti ziwonekere, chifukwa nyongolotsi yomwe imafalikira kwa anthu imayenera kukula mpaka kukula ndikukayamba kutulutsa microfilariae. Izi microfilariae, yomwe imadziwikanso kuti L1 mphutsi, imayamba kukhala m'magazi ndi mitsempha yamagazi mpaka msinkhu wa nyongolotsi wamkulu, ndikutulutsa microfilariae yambiri.

Chifukwa chake, pamene tiziromboti timakula ndikusuntha mthupi lonse, timatulutsa zotupa ndipo titha kulimbikitsa kutsekeka kwa zotengera za mitsempha ya ziwalo m'matumba ena, zomwe zimapangitsa kuti madzi azikhala mderalo, ndikudzikundikira kwamadzi mwendo kumakhala kofala kapena m'ndende, kwa amuna.

Chifukwa chake, zimakhala zachilendo kuti munthu amene ali ndi kachilomboka akhalebe wopanda chizindikiro chake kwa miyezi ingapo, ndipo zizindikilo zimawoneka pakakhala tiziromboti tambiri tomwe timafalikira, chachikulu ndi ichi:

• Malungo;
• Mutu;
• Kuzizira;
• Kudzikundikira madzimadzi m'miyendo kapena m'manja;
• Kuchuluka kwa testicle;
• Kuchuluka kwa ma lymph node, makamaka m'malo am'mimba.

Matenda a filariasis amapangidwa ndi dokotala kapena matenda opatsirana poyesa zizindikilo zomwe munthuyo wapereka komanso zotsatira za mayeso omwe akufuna kudziwa kupezeka kwa microfilariae m'magazi, ndipo kuyezetsa magazi kumawonetsedwa chifukwa cha izi. amene kusonkhanitsa kwake kuyenera kuchitidwa, makamaka, usiku, yomwe ndi nthawi yomwe tiziromboti tambiri m'magazi timatsimikiziridwa.

Kuphatikiza pa kuyezetsa magazi kwa parasitological, mayeso am'magazi kapena ma immunological amathanso kuwonetsedwa kuti azindikire ziwalo za tiziromboti kapena kupezeka kwa ma antigen kapena ma antibodies opangidwa ndi thupi motsutsana ndi Wuchereria bancrofti. Zingathenso kuwonetsedwa kuti ayese mayeso azithunzi, monga ultrasound, kuti atsimikizire kupezeka kwa nyongolotsi zazikulu mumayendedwe amitsempha.

Momwe kufalitsa kumachitikira

Kutumiza kwa filariasis kumachitika kokha chifukwa cholumidwa ndi udzudzuCulex quinquefasciatus kuthenga kachilombo. Udzudzuwu, mukamadya magazi, ndiye kuti, poluma munthu kuti adye magazi, amatulutsa mphutsi za mtundu wa L3 mumtsinje wamagazi wa munthu, womwe umafanana ndi mawonekedwe opatsirana a tiziromboto.Wuchereria bancrofti.

Mphutsi za L3 m'magazi ake zimasunthira m'mitsuko yama lymphatic ndikukula mpaka gawo la L5, lomwe limafanana ndi gawo lakukhwima, ndiko kuti, limafanana ndi gawo la munthu wamkulu. Mchigawochi, tizilomboto timatulutsa microfilariae ndipo timayambitsa zizindikilo za filariasis. Kumvetsetsa bwino momwe kayendedwe ka moyo waWuchereria bancrofti.

Chithandizo cha filariasis

Mankhwala a filariasis amachitidwa ndi antiparasitic agents omwe akuvomerezedwa ndi dokotala kapena matenda opatsirana omwe amagwira ntchito pochotsa microfilariae, ndipo kugwiritsa ntchito Diethylcarbamazine kapena Ivermectin yokhudzana ndi Albendazole kungalimbikitsidwe.

Ngati nyongolotsi yayikulu yalowa ziwalo, opaleshoni ingalimbikitsidwe kuchotsa madzi owonjezera, njirayi ikulimbikitsidwa kwambiri ngati pali hydrocele, momwe madzimadzi amapezera machende. Dziwani zambiri za hydrocele.

Kuphatikiza apo, ngati madzimadzi apezeka m'chiwalo china kapena chiwalo china, ndikulimbikitsidwa kuti munthuyo apumule chiwalo chomwe chakhudzidwa ndikuchita masewera olimbitsa thupi ndi ma lymphatic drainage, chifukwa ndizotheka kupezanso kuyenda kwamiyendo ndikusintha moyo.

Nthawi zina zimakhala zotheka kukhala ndi kachilombo koyambitsa matenda a bakiteriya kapena bowa, ndikulimbikitsidwa ndi dokotala munthawi imeneyi kugwiritsa ntchito maantibayotiki kapena ma antifungals malinga ndi wothandizirayo.

Momwe mungapewere

Kupewera kwa filariasis kumakhudza kukhazikitsidwa kwa njira zomwe zimathandiza kupewa kuluma kwa udzudzu wa filariasis. Chifukwa chake, ndikofunikira kugwiritsa ntchito maukonde udzudzu, zothamangitsa ndi zovala zomwe zimakuta khungu lonse. Kuphatikiza apo, tikulimbikitsidwa kuti tipewe madzi oyimirira komanso kudzikundikira zinyalala, chifukwa ndizotheka kuchepetsa udzudzu m'chilengedwe.