An ka kunnafoni wɛrɛw sɔrɔ sugunɛbilenni kan. O nafa ka bon e fana bolo!

Yala aw delila ka sugunɛbilenni ko mɛn wa? N’a sɔrɔ i b’a miiri ko: ‘O, ne tɛ se k’u sɔrɔ.’ Nka an bɛ fɛn dɔw kɛ k’a sɔrɔ an m’a dɔn, olu bɛ se ka o cogoyaw lase mɔgɔ ma. O la bi, an ka kuma sugunɛbilenni ye min ye, a bɛ don farikolo la cogo min na, ani an bɛ se k’an yɛrɛ tanga cogo min na.

Sugunɛbilenni ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, sugunɛbilenniw ye kɔnɔw ye minnu bɛ sɔrɔ fɛnɲɛnamaw fɛ . U bɛ balo an farikolo la ani u bɛ an ka balofɛnw sama. A bɛ iko u bɛ na dɔrɔn i ka so kɔnɔ, u ma wele, ka dumuni ni minfɛn bɛɛ dun so kɔnɔ. Sugunɛbilenni bɛ se ka aw ka sugunɛ, aw ka sugunɛbaralabana ani aw ka sugunɛbaralabana tiɲɛ . U bɛ don aw fari la cogo minnu na, olu kunbabaw ye jɛgɛ kɛnɛ walima jɛgɛ tobilen dunni ye, jilafɛnw (kɛrɛnkɛrɛnnenya la jisuma), walima ji nɔgɔlen min. U bɛ se ka sɛnɛfɛnw minɛ i n’a fɔ misiw ni bakɔrɔnw, ka fara sokɔnɔbaganw kan i n’a fɔ wuluw ni wuluw.

Hali ni nin kɔnɔw tɛ mɔgɔ faga k’u ɲɛsin mɔgɔ ma, u bɛ se ka balo i farikolo kɔnɔ ka mɛn . Nin bana basigilen in ɲɔgɔn bɛ se ka kɛ sababu ye ka sugunɛ funu ani ka farikolo yɔrɔw tiɲɛ. Tuma dɔw la, o bana in bɛ se ka kɛ sababu ye ka bana faratilenw yɛrɛ bila mɔgɔ la i n’a fɔ kansɛri.

Yala sugunɛbilenni suguya wɛrɛw bɛ yen wa?

Ɔwɔ, sugunɛbilenni suguya caman bɛ yen minnu bɛ hadamadenw minɛ. An bɛ kuma sugu saba de kan kosɛbɛ:

• Clonorchis sinensis : Nin ye sugunɛbilenni suguya ye min ka teli ka sɔrɔ. banakisɛ min bɛ sɔrɔ nin suguya in fɛ , o bɛ wele ko kulorokiyasi .
• Opisthorchis : Nin banakisɛ suguya fila bɛ yen minnu bɛ hadamadenw minɛ. U ye O. viverrini (Azi saheli-kɔrɔnfɛ sugunɛbilenni) ani O. felineus (feline sugunɛbilenni). O. viverrini ye suguya filanan ye min bɛ sugunɛbilenni bila mɔgɔ la. banakisɛ minnu bɛ sɔrɔ nin suguya ninnu fɛ , olu bɛ wele ko opisthorchiasis .
• Fasciola : Nin suguya fila bɛ yen, F. hepatica ani F. gigantica, olu bɛ se ka hadamadenw minɛ. o bana ninnu bɛ wele ko fassiyaliasi . Nka, o Fasciola suguya in ka ca foro baganw na ka tɛmɛ hadamadenw kan.

Sugunɛbilenni taamasiɲɛw ye jumɛnw ye?

Sisan, n’a sɔrɔ i bɛ miiri ko: ‘O bɛ ɲɛ, ne bɛ se k’a dɔn cogo di ni nin bɛ ne la?’ Taamasiɲɛ dɔw bɛ yen minnu ka teli ka kɛ sugunɛbilenni suguya bɛɛ la. U ye:

• Fɔɔnɔnege
• Fɔɔnɔ bɛ kɛ
• Kɔnɔdimi walima kɔnɔdimi
• Kɔnɔboli
• Kɔnɔja
• Farigan
• Nɛnɛ bɛ kɛ a la (Chills) .
• Fari kurukuruniw
• Ninakilidegun (ninakilidegun) .
• Farikolodimi bɛ kɛ
• Nɔgɔmugu funu
• Jolilabanaw bɛ dimi

Nafa min b’a la, o ye ko a bɛ se ka kɛ ko bana taamasiɲɛ si tɛ mɔgɔ dɔw la fewu, walima u tɛ u janto kosɛbɛ bana taamasiɲɛw la ni o kɛra.

Nin sugunɛbilenni ninnu bɛ don farikolo la cogo di ?

O bɛ ɲɛ, sisan an k’a lajɛ nin kɔnɔw bɛ don an farikolo la cogo min na. Opisthorchis ni C. sinensis kɔnɔw ka wuluw bɛ balo jisuma na jɛgɛw farikolo la minnu falen bɛ ji la. Fasciola kɔnɔw ka kurukuruw bɛ se ka sɔrɔ u bɛ pan ji la walima u bɛ don jilafɛnw na i n’a fɔ jikuruw.

O la, aw bɛ nin kɔnɔbana in sɔrɔ ni aw ye fɛn dɔ dun min kɔnɔ nin kurukuruw banakisɛw bɛ a la. Ni o kurukuru ninnu donna aw ka dumunikɛminɛnw na , u bɛ kari ka da wuli ka wuluw bɔ. O kɔ, o wuluw bɛ taa i ka sugunɛ, i ka biɲɛdimi ani i ka biɲɛdimi siraw la, u bɛ bonya ka kɛ kɔnɔba ye yen.

O la sa, nin bɛ jɛnsɛn cogo di tigitigi?

Aw bɛ se ka sugunɛbilenni sɔrɔ fɛnw fɛ i n’a fɔ:

• Farati fana bɛ jɛgɛ kɛnɛ walima jɛgɛ tobilen dunni na. Farati fana bɛ jɛgɛ kɔgɔlen dɔɔni, sisilen walima jɛgɛ mɔlen dunni na.
• Jilafɛn kɛnɛw dunni walima jilafɛn wɛrɛw (wuluwuluw bɛ se ka sɔrɔ olu la).
• Ni aw ye ji nɔgɔlen, ji nɔgɔlen min walima ni aw ye o ji suguw munumunu bala.
• Nakɔfɛn minnu kolen don ji nɔgɔlen na, walima nakɔfɛn minnu falen don o ji sugu la, olu dunni.

Yala nin bana in bɛ mɔgɔ minɛ wa?

Ayi, sugunɛbilenni banakisɛ tɛ mɔgɔw minɛ . O kɔrɔ ye ko a tɛ mɔgɔw minɛ.

Jɔn de farati ka bon ka nin bana in sɔrɔ?

Ni aw sigilen bɛ yɔrɔ la, sugunɛbilenni ka ca yɔrɔ min na, walima ni aw taara yɔrɔ dɔ la, ani ni aw bɛ baara kɛ ni baganw ye i n’a fɔ misiw ni bakɔrɔnw, o bana in sɔrɔli farati ka bon aw la.

Nin sugunɛbilenni ninnu ka ca yɔrɔ jumɛnw na kosɛbɛ?

Sugunɛbilenniw bɛ sigida cogoya kɛrɛnkɛrɛnnenw de wajibiya walasa ka ɲɛnamaya ani ka den bange. O la, hali n’u bɛ sɔrɔ diɲɛ fan bɛɛ la, u ka ca yɔrɔ kɛrɛnkɛrɛnnenw na ka tɛmɛ jamana bɛɛ kan. Sugunɛbilenni suguya wɛrɛw bɛ sɔrɔ diɲɛ yɔrɔw la. Misali la, suguya `F. hepatica` bɛ se ka sɔrɔ farafinna jamana bɛɛ la fo Antartiki. `C. sinensis` ka ca jamanaw la i n’a fɔ Sinuwa, Kore Dugu, ani Vietnam. `O. viverrini` bɛ sɔrɔ Azi jamanaw na i n’a fɔ Tayilandi ani Laos.

Gɛlɛya jumɛnw bɛ se ka sɔrɔ ni a ma furakɛ?

Ni sugunɛbilenni ma furakɛ ka ɲɛ, bana dɔw i n’a fɔ:

• Balodɛsɛbaliya
• Sugunɛbilenni (sugunɛbilenni) .
• Sugunɛbilenni walima `fibrose`
• Biɲɛdimi walima `kɔnɔnatumu`
• Bile sira funu walima `cholangitis`
• Kansɛri min bɛ kɛ joli siraw la (cholangiocarcinoma) .

O dɔrɔn tɛ, nka nin sugunɛbilenni ninnu bɛ se ka taa i farikolo yɔrɔ wɛrɛw fana na. I n'a fo:

• Pankreyasi (pankreyasi).
• Fogonfogon
• Golo
• Sugunɛ sira
• Ɲɛw
• Kunsɛmɛ

Aw bɛ nin bana in sɛgɛsɛgɛ cogo di ka ɲɛ?

Walasa ka a dɔn tiɲɛ na ni sugunɛbilenni bɛ aw la, dɔgɔtɔrɔ bɛna banakɔtaa ta ka parazitiw ɲini a kɔnɔ. U bɛ se ka sɛgɛsɛgɛli kɛ ka tɛmɛ siɲɛ kelen kan, tile damadɔ kɔnɔ. Ka fara o kan, u bɛ se ka nin sɛgɛsɛgɛli ninnu kɛ:

• Joli sɛgɛsɛgɛliw : Olu bɛ banakisɛfagalanw lajɛ minnu bɛ parazitiw kɛlɛ (u bɛ wele ko serology), sugunɛ baara, ani ka dɔ fara farikolokisɛ suguya dɔ kan min bɛ wele ko eosinophiles joli la. Ni dɔ farala eosinophiles kan, o bɛ se ka kɛ paraziti banakisɛ taamasiɲɛ ye.
• Ja lajɛ: Ni ultrasound, CT scan (computer tomography scan), walima MRI (magnetic resonance imaging), dɔgɔtɔrɔ bɛ se ka sugunɛbilenni taamasiɲɛw ye (i n’a fɔ kurukuruw).
• Sugunɛbilenni : O ye ka farikolo yɔrɔ fitinin dɔ ta sugunɛ na ka a sɛgɛsɛgɛ ni paraziti taamasiɲɛw tɛ a la.

Ne bɛ se ka sugunɛbilenni ninnu bɔ cogo di ? (Furakɛli)

dɔgɔtɔrɔw bɛ sugunɛbilenni banaw furakɛ ni banakisɛfagalanw ye . Misali dɔw ye ninnu ye:

• Triclabendazole (o bɛ di Fasciola banakisɛw ma) .
• Praziquantel (O bɛ di Opisthorchis ni Clonorchis banakisɛw ma) .
• Albendazole (a bɛ di fana Opisthorchis ni Clonorchis banakisɛw ma) .

Ni sugunɛbilenni bana bɛ aw la, aw bɛ se ka mun makɔnɔ?

Parazitifura minnu bɛ ta waati kunkuruni kɔnɔ (tile kelen fo tile wolonwula ɲɔgɔn), olu bɛ se ka sugunɛbilenni furakɛ. Nka ni a ma furakɛ, sugunɛbilenni ninnu bɛ se ka to aw fari la san duuru fo san mugan ni duuru.Nka, o bana kuntaalajan sugu bɛ mɔgɔ minnu na, olu bɛ se ka kɛnɛya gɛlɛya jugumanw sɔrɔ, i n’a fɔ sugunɛ, ɲɛgɛnɛsira ani joli siraw tiɲɛni.

Aw bɛ se ka nin sugunɛbana ninnu kunbɛn cogo di ?

Fɛn caman bɛ yen aw bɛ se ka minnu kɛ walasa ka dɔ bɔ aw ka sugunɛbilenni banakisɛw sɔrɔli la:

• Aw kana jisuma ni jilafɛn wɛrɛw dun u kɛnɛ.
• Aw kana jisuma jɛgɛ mɔlenw dun walima minnu tobilen ka dɔgɔn. Jɛgɛ minnu sisilen don, minnu tobilen don, walima minnu kɔgɔlen don dɔɔni, olu fana sen bɛ o la. Ni aw bɛ jɛgɛ tobi, aw bɛ a tobi fo ka se funteni hakɛ ma min fɔra FDA (Food and Drug Administration) fɛ.
• Aw bɛ nakɔfɛnw ko ka ɲɛ, ka u bɔ, walima ka u tobi ka ɲɛ sani aw ka dumuni kɛ.
• Ni aw sigilen bɛ yɔrɔ la, saniya man ɲi yɔrɔ min na walima ni aw hakili la ko ji bɛ se ka nɔgɔ, aw bɛ buteliji kɛ ka minni ni tobili kɛ.
• Aw bɛ aw yɛrɛ tanga ji nɔgɔlen ma min bɛ se ka kɛ aw da la walima aw nu na, kɛrɛnkɛrɛnnenya la ka bɔ yɔrɔw la i n’a fɔ nɔgɔw, kɔw, walima forow minnu ji falen don.

Tuma jumɛn na ne ka kan ka taa dɔgɔtɔrɔso la?

Ni sugunɛbilenni taamasiɲɛw bɛ aw la, kɛrɛnkɛrɛnnenya la ni aw sigilen bɛ yɔrɔ la, nin kɔnɔw ka ca yɔrɔ min na walima ni aw taara dɔ la , aw ye aw jija ka taa dɔgɔtɔrɔso la. Ni aw hakili la ko aw ye fɛn nɔgɔlen dɔ dun walima ka min, hali ni a kɛra a san caman ye nin ye , aw bɛ o fɔ aw ka dɔgɔtɔrɔ ye .

Tuma jumɛn na ne ka kan ka taa dɔgɔtɔrɔso la (ETU) joona?

Ni nin taamasiɲɛ juguman ninnu bɛ aw la, aw bɛ taa kɛnɛyaso la joona:

• Ni farigan ka ca ni 103 Fahrenheit (40 Celsius) ye.
• A man ɲi ni fɔɔnɔ ka ca, walima ni kɔnɔboli bɛ aw la.
• Ni hakili ɲagami walima ni hakili ɲagami bɛ yen.
• Ni aw fari walima aw ɲɛw kɛra jɛman ye (jandi).
• Ni farikolojidɛsɛ taamasiɲɛw bɛ aw la (misali la, minnɔgɔ kojugu, koli ka dɔgɔn kosɛbɛ, fanga dɔgɔyali, dusukun tantanni caya).

Aw ka kan ka ɲininkali jumɛnw kɛ dɔgɔtɔrɔ la?

Ni aw taara dɔgɔtɔrɔso la, aw bɛ se ka a ye ko a nafa ka bon ka nin ɲininkali ninnu kɛ:

• "Ne bɛ fura in ta cogo di?"
• "A bɛna waati joli ta ka kɛnɛya?"
• "Nin banakisɛ in bɛ ne la kabini waati joli?"
• "Yala tiɲɛni kuntaalajan dɔ kɛra ne la wa?"
• "Ne ka jateminɛ ye mun ye nin ko in na?"

Yala o sugunɛbilenniw ka ca hadamadenw na wa? Mun na a bɛ wele ko "sugunɛbilenni"?

A jateminɛna ko sugunɛbilenni suguya dɔ bɛ mɔgɔ miliyɔn 50 ɲɔgɔn sɔrɔ diɲɛ kɔnɔ. Nin bana ninnu ka ca kosɛbɛ jamana yɔrɔ dɔw la i n’a fɔ Sinuwa, Tayilandi ani Irisila.

Mun na nin bɛ wele ko ``Sugunɛbilenni``? ``Fluke`` kɔrɔ yeTɔgɔ min bɛ fɔ kosɛbɛ flati suguya dɔ ma (`trematodes walima parasitic flatworm`). Mɔgɔ dɔw bɛ Se k’o ɲagami ni jɛgɛ fla sugu dɔ ye, min bɛ Weele fana ko `fluke`. O kɔnɔw bɛ wele ko `sugunɛbilenni` barisa u bɛ nɔ bila sugunɛ na.

O la sa, fɛn jumɛnw nafa ka bon kosɛbɛ an ka kan ka taa ni minnu ye so ka bɔ nin maana in na?

Hali ni an tɛ to ka sugunɛbilenni ko mɛn Sri Lanka, diɲɛ yɔrɔ dɔw la, a bɛ se ka kɛ ko mɔgɔ miliyɔn caman bɛ o bana sɔrɔ, laala k’a sɔrɔ u yɛrɛ t’a dɔn. Ni aw sigilen bɛ yɔrɔ la nin kɔnɔw ka ca yɔrɔ min na, walima ni aw taara yɔrɔ dɔ la, a nafa ka bon kosɛbɛ aw ka aw janto nin bana in taamasiɲɛw la. Ni bana taamasiɲɛw bɛ aw la, walima ni aw hakili la ko aw ye fɛn nɔgɔlen dɔ dun walima ka min, aw kana ɲinɛ k’o fɔ aw ka dɔgɔtɔrɔ ye . Sabula, ni o tora ka mɛn, o bɛ se ka kɛ sababu ye ka bana jugumanw bila mɔgɔ la, nka a ka ca a la furakɛli teliya ni nafama bɛ yen. O la, ni siga walima bana taamasiɲɛ dɔw bɛ aw la, a ka fisa aw ka dɔgɔtɔrɔ ka ladilikan ɲini.

` Sugunɛbilenni, Paraziti banakisɛw, Sugunɛbana, Jɛgɛ kɛnɛ dunni, Jilafɛnw, Kɛnɛya