Mina míasrɔ̃ nu tso Cysticercosis, si nye dɔléle si nana nudzodzoewo tsina le wò ŋutilã me ŋu.

Èse dɔléle sia si woyɔna be `(Cysticercosis)` ŋu nya kpɔa? Ðewohĩ ŋkɔ sia ɖi nusi wɔ nuku vie. Gake esia nye nusi wòle be mí katã míanɔ ŋudzɔ, elabena esia nye nɔnɔme si dɔlékui aɖe si tsina le míaƒe ŋutilã me hena vɛ. Ɣeaɖewoɣi la, ate ŋu anɔ ŋutilãa me dzesi gã aɖeke manɔmee. Mina míaƒo nu tso esia ŋu tsitotsito eye míaƒo nu tso eŋu egbea ko.

Nukae nye Cysticercosis?

Kpuie ko la, `(Cysticercosis)` nye dɔléle si dzɔna ne haƒoƒo ƒe tapeworm (azi siwo nye dɔlékui si nye `(Taenia solium)`) ge ɖe míaƒe ŋutilã me. Azi siawo wɔa ʋuʋudedi suesuesuewo le míaƒe ŋutilã me. Wole abe kotoku sue siwo me tsi yɔ fũu ene. Aɖuɖɔtoe siawoe hea dzesi vovovowo vɛ.

Àte ŋu axɔ esia ne èɖu alo no nuɖuɖu alo nunono si me azi siwo tso T. solium dɔlékui me le, alo ne èka asi aɖuɖɔ si me azi le ŋu eye nètsɔ wò asiwo de nu me evɔ mèklɔe nyuie o. Ne azi siawo ge ɖe míaƒe dɔgbowo me la, wova zua lãvi siwo woyɔna be tapeworms, eye emegbe wozɔa mɔ yia ŋutilãa ƒe akpa bubuwo abe ahɔhɔ̃ kple ŋku ene tsɔ wɔa ƒunukpeƒewo.

Vovototo kae le Cysticercosis kple Taeniasis dome?

Enyo wu be màtɔtɔ ame eve siawo o, enyoa?

• Cysticercosis: Esia dzɔna ne èɖu dɔlékui si nye T. solium ƒe aziwo le vo me. Azi siawo wɔa ʋuʋudedi le ŋutilãa me.
• Taeniasis: Edzɔna ne èɖu haƒoƒo si womeɖa nyuie o si me dɔlékui si nye ``T. solium''. Lãvi siawo tsina zua tapeworm gãwo le wò dɔgbowo me.

Emegbe la, azi siwo hea `(Cysticercosis)` vɛ la dona ɖe nutoa me to amesi ŋu `(Taeniasis) le ƒe aɖuɖɔ me. Èse egɔmea?

Ameka dzie esia kpɔa ŋusẽ ɖo wu?

Cysticercosis bɔ ɖe amesiwo le Titina kple Anyiehe Amerika, Afrika ƒe anyiehe Sahara, Asia ƒe akpa aɖewo, kple Ɣedzeƒe Europa ƒe kɔƒenutowo me alo zɔa mɔ yina me wu. Ebɔ ɖe ame siwo ʋu tso dukɔ siawo me hã me wu. Ne Taeniasis (tapeworm gã ma) le ame aɖe ŋu le wò aƒeme la, àte ŋu axɔ Cysticercosis.

Wobu akɔnta be cysticercosis le ame siwo ade miliɔn 2.7 ŋu le xexeame katã. Le nuto aɖewo siwo me dɔlélea bɔ ɖe hawo dome la, ame siwo ade 10% va ɖo 20% dzea cysticercosis ƒe dzesiwo fiana. Togbɔ be mebɔ le Dziehe Amerika nenema o hã la, wokpɔe be cysticercosis gbɔe wòtsona be ame siwo yia xɔ si me wokpɔa dɔnɔwo gbɔ kpata le le United States hena alɔ̃madɔmadɔ siwo ade 2% tsona.

Nukae nye Cysticercosis ƒe dzesiwo?

Dzesiawo nɔ te ɖe afisi ʋuʋudediawo le dzi. Ʋuʋudedi siawo ateŋu adze le ŋutilã ƒe akpa sia akpa - le ahɔhɔ̃, ŋku, dzi, lãkusi, kple aklã me.

Gake dzesi siwo nu sẽ wu eye wobɔ wu la dzena ne ƒunukpeƒetetedɔ siawo do le lãmekawo me, si nye ahɔhɔ̃ kple aklã me. Woyɔa esia be ahɔhɔ̃mekawo ƒe dɔléle .

Neurocysticercosis (ahɔhɔ̃ kple aklã ƒe ʋuʋudedi) ƒe dzesiwo:

• Alɔ̃madɔmadɔ: Esiae nye dzesi si bɔ wu. Ame ƒe susu ƒe dɔwɔwɔ bu zi ɖeka eye wòʋuʋuna. Bu alesi wòado vɔvɔ̃ na ame ne kasia ame aɖe xɔ alɔ̃dɔdɔ nuxlɔ̃ame manɔmee ŋu kpɔ.
• Taɖuame: Menye taɖuame edziedzi ko o, ke boŋ taɖuame sesẽ si nɔa anyi ɖaa.
• Aɖuɖɔtoe, ʋuʋudedi, kple tɔtɔ: Wogayɔa esia be ``cysticercal encephalitis.'' Dzesi siawo ateŋu adze ne nyaƒoɖeamenu si le ahɔhɔ̃a me dzi ɖe edzi.
• Kɔ sesẽ.

Vevietɔ: Ne dzesi siawo tɔgbe le ŋuwò, vevietɔ ne alɔ̃madɔmadɔ yeye aɖe dze ŋuwò la, ele be nàyi ɖɔkta gbɔ enumake.

Dzesi siwo dzena le ʋuʋudedi siwo dona le ahɔhɔ̃ kple aklã godo (extraneural cysticercosis) ŋu:

Zi geɖe la, dɔdzẽ siwo dona le ahɔhɔ̃a godo mehea dzesi gãwo vɛ o, gake woate ŋu ahe kuxiwo vɛ ne wodo le teƒe aɖewo.

• Subcutaneous cysticercosis: Ɣeaɖewoɣi la, ƒunukpeƒetetedɔ suesuesuewo ate ŋu adze le ŋutigbalẽa te.
• Ŋku ƒe cysticercosis: Esia ate ŋu ahe ŋku ƒe kuxiwo vɛ:
• Ŋku ƒe vevesese.
• Nukpɔkpɔ eve (diplopia).
• Ŋkuwo ƒe dɔdzẽ (uveitis alo retinitis).
• Ŋku ƒe ʋuʋu si seɖoƒe li na.
• Ŋkuwo ƒe dodo (proptosis).
• Nukpɔkpɔ ƒe bu.

Nuka tae wòle alea ɖo?

Abe alesi míegblɔe va yi ene la, `(Cysticercosis)` tsoa dɔlékui si nye `(T. solium)` ƒe aziwo ɖuɖu gbɔ. Azi siawoe nye:

• Atikutsetse kple amagbe siwo womeklɔ o ɖuɖu.
• To tsi makɔmakɔ nono me.
• To asikaka aɖuɖɔ ŋu, asi siwo me azi mawo ƒo ɖi le asikaka wò nu ŋu, alo to nuɖuɖu ɖuɖu me.

Azi siawo dona le míaƒe dɔgbowo me, eye nudzodzoe suesuesue (`(larvae)`) siwo dona la toa ŋutilãa ƒe lãkusiwo me eye wowɔa nusi woyɔna be cysts. Zi geɖe la, ƒunukpeƒetetedɔ siawo meɖea dzesi aɖeke fiana o negbe ɖe wosɔ gbɔ ɖe teƒe ɖeka hafi. Àte ŋu anɔ wo ŋu kwasiɖa geɖe alo ƒe geɖe gɔ̃ hã evɔ mànya be wole wò ŋutilã me o. Dzesiawo dzena ne ƒunukpeƒetetedɔ siawo dze kuku gɔme. Emegbe ne míaƒe ŋutilã ƒe dɔlélenutsiŋutete wɔ dɔ eye wòwɔ nu ɖe ​​wo ŋu la, kuxiawo dzea egɔme.

Aleke Cysticercosis kpɔa ŋusẽ ɖe ahɔhɔ̃a dzii?

Ne T. solium ƒe aziawo ƒo ɖe dɔgboa me vɔ la, lãviawo ate ŋu azɔ mɔ ayi ahɔhɔ̃a me eye woawɔ ƒunukpeƒetetedɔ. Ɣeaɖewoɣi la, ƒunukpeƒetetedɔ siawo te ŋu nɔa ahɔhɔ̃a me ɣeyiɣi didi evɔ womahe kuxi aɖeke vɛ o.

Gake ne dɔdzẽ siawo te kuku la, míaƒe dɔlélenutsiŋutete dea dzesi wo be wonye futɔwo eye wòdzea wo dzi dzedze gɔme. Esia nana ahɔhɔ̃a xɔa abi. Ne dɔdzẽ geɖe li la, ateŋu ahe ``mass effect`` vɛ ɖe ahɔhɔ̃a dzi hafi aku. Dɔdzẽ sia, alo nyaƒoɖeamenu, ate ŋu ana ahɔhɔ̃a navuvu eye wòazu ame ƒe agbe afɔku. Esia hã tae ahɔhɔ̃mekawo ƒe kuxiwo abe alɔ̃madɔmadɔ kple taɖuame ene dzɔna ɖo.

Ne dɔdzẽawo ku vɔ la, teƒe siwo sesẽ (calcifications) dzena le teƒe mawo.Nu siawo tɔgbi ate ŋu anɔ ahɔhɔ̃a me. Tsi ateŋu aƒo ƒu ɖe `(calcified cysticercosis nodules)` siawo ŋu eye wòahe `(edema)` ƒe alɔ̃madɔmadɔ vɛ.

Aleke Cysticercosis kakanae?

Cysticercosis kaka to amesi ŋu dɔlélea le ƒe aɖuɖɔ me. T. solium nudzodzoe la dzia azi ɖe amegbetɔ ƒe dɔgbo me, eye aziawo toa aɖuɖɔ me. Cysticercosis dzɔna ne èɖu nane si me azi siawo le.

Bu eŋu kpɔ ko, aɖuɖɔ sia ate ŋu ava wu enu ɖe ​​anyigba, tsi, numiemiewo, kple nuɖuɖu siwo míeɖuna me. Àte ŋu aɖu T. solium aziwo le vo me to nusiwo le abe:

• Tsi si womeɖe o, si ŋu womekɔ o nono.
• Atikutsetse kple amagbe siwo womeklɔ o ɖuɖu.
• Asikaka nu me alo nuɖuɖu ɖuɖu evɔ màklɔ asi nyuie le nugododeƒe yiyi alo aɖuɖɔ ŋudɔwɔwɔ vɔ megbe.

Vevietɔ: Haƒoƒo si womeɖa nyuie o ɖuɖu mehea `(Cysticercosis)` vɛ o. Ehea `(Taeniasis)`, dɔléle si dɔgbo me nudzodzoewo hena vɛ.

Ðe Cysticercosis xɔa ame me yi ame bubu gbɔa?

Ao, `(Cysticercosis)` mexɔa ame tẽ tso ame gbɔ yi ame bubu gbɔ o. Be dɔléle sia nadze ŋuwò la, ele be nàmi `(T. solium)` aziawo.

Aleke woawɔ anya `(Cysticercosis)`?

Ne dzesiwo le ŋuwò la, ɖɔkta aɖe ado wò kpɔ ahabia wò dzesiwo. Woate ŋu abia nya tso wò mɔzɔzɔ ŋutinya si nèwɔ nyitsɔ laa hã ŋu. Emegbe woate ŋu awɔ dodokpɔwo abe:

• Nɔnɔmetatawo ɖeɖe: Ne dzesi siwo do ƒome kple wò lãmekawo le ŋuwò la, anɔ eme be wò ɖɔkta aɖe gbe be woawɔ CT scan alo MRI. Esia bia be woatsɔ wò ade mɔ̃ aɖe me ahaɖe wò ahɔhɔ̃ ƒe foto. Ðɔkta ate ŋu azã nɔnɔmetata siawo atsɔ akpɔe ɖa be T. solium cysts le ŋuwò hã.
• Ʋudodokpɔ: Ɣeaɖewoɣi la, woɖea ʋu hedonɛ kpɔna. Esia dia dɔlékuiwutikewo (cysticercosis serology test) ɖe T. solium ŋu, alo na dɔlékui la ƒe akpa aɖewo (antigens).
• Akɔta ƒe dodo: Ne wò ɖɔkta susui be cysticercosis le wò ahɔhɔ̃ alo aklã me , ate ŋu aɖe gbe be woado wò kpɔ atsɔ akpɔ wò ahɔhɔ̃mekawo (CSF). Esia bia be nàde aŋe tsɛ aɖe wò akɔta ƒe akpa si le anyime eye nàɖe tsi si le eme la ƒe kpɔɖeŋu. Esia sɔ kple ʋudodokpɔ, eye wòdia dɔlékuiwutikewo alo dɔlékuiwutike siwo tsia tre ɖe T. solium ŋu. Esia aɖi vɔvɔ̃, gake enye dɔdamɔnu si me afɔku mele o.
• Biopsy: Ne ƒu aɖe si woate ŋu akpɔ le wò ŋutigbalẽ ŋu la, wò ɖɔkta ate ŋu axɔ eƒe kpɔɖeŋu sue aɖe atsɔe ayi dodokpɔxɔ me be wòalé ŋku ɖe T. solium ƒe dzesiwo ŋu hã.
• Ŋkudodokpɔ: Ðewohĩ wò ɖɔkta adi hã be yealé ŋku ɖe dɔdzẽ siwo le wò ŋkuwo me siwo ate ŋu anɔ ŋusẽ kpɔm ɖe wò nukpɔkpɔ dzi hã.

Aleke wodaa Cysticercosis ƒe dɔléleae?

Atike vovovowo li na esia. Ðewohĩ màhiã atikewɔwɔ aɖeke kura o. Alo wò ɖɔkta ate ŋu aŋlɔ atike vovovowo na wò. Ðewohĩ ahiã be woawɔ dɔ na ame aɖewo. Wò ɖɔkta atrɔ asi le atikewɔwɔ ƒe ɖoɖo aɖe ŋu wòasɔ ɖe wò nɔnɔme tɔxɛa nu.

Atike kple atike kawoe wozãna?

Ðɔktaa ate ŋu aŋlɔ atikewo alo atikewɔmɔnuwo abe:

• Corticosteroids: Le kpɔɖeŋu me, atikewo abe prednisolone kple dexamethasone ene. Esiawo ɖea abi kple abi si dona ne dɔdzẽa ku la dzi kpɔtɔna.
• Atike siwo tsia asrãdɔ nu/anticonvulsant: Atikewo abe `(phenytoin)` kple `(carbamazepine)`. Wotsɔa esiawo naa be woatsɔ aɖu alɔ̃madɔmadɔ dzi.
• Atike siwo wua dɔlékuiwo: Wonaa atikewo abe `(albendazole)` kple `(praziquantel)` ɣeaɖewoɣi tsɔ daa dɔlékuia. Gake wokpɔa nyuie ŋutɔ ne wole atike siawo nam, elabena ne nudzodzoeawo ku la, ahɔhɔ̃a ƒe vuvu ate ŋu adzi ɖe edzi. Esia tae zi geɖe la, wonaa atike siawo kpe ɖe atike siwo ɖea dɔdzẽ dzi kpɔtɔna ŋu.
• Amekoko: Ate ŋu ahiã be woawɔ dɔ na ame be woaɖe ƒunukpeƒetetedɔ aɖewo ɖa, alo ne nyaƒoɖeamenu aɖe le ahɔhɔ̃mekawo me tsi (CSF) si dzi ɖe edzi ta, alo woade mɔ̃ sue aɖe (shunt) eme be woatsɔ atrɔ tsia ayi teƒe bubu.

Aleke woawɔ aƒo asa na cysticercosis?

Esiae nye akpa vevitɔ kekeake! Nu bɔbɔe aɖewo li, gake wole vevie ŋutɔ siwo nàte ŋu awɔ atsɔ akpɔ ɖokuiwò ta tso `(Cysticercosis)` me. Nu vevitɔwoe nye be nàdzra nuɖuɖu kple tsi ɖo dedie eye nàklɔ asi nyuie.

• Klɔ asi nyuie kple adzalẽ kple tsi enuenu, vevietɔ ne èzã tsileƒe, nètrɔ viwòa ƒe aklala, kple hafi nèɖu nu alo dzra nuɖuɖu ɖo.
• Klɔ atikutsetsewo kple amagbewo nyuie, eye ne anya wɔ la, ɖu wo le lãgbalẽ me.
• Klɔ lãtsoƒewo, kplɔ̃wo, agbawo, kple nuɖanuwo nyuie kple adzalẽ ne èzã wo vɔ.
• Mègano tsi si ŋu womekɔ o. Ne ènoa tsi tso teƒe si mènya o la, tsi si le aŋetu me alo esi woɖa koe no.
• Ne èle tsi nom la, ɖae nyuie abe miniti ɖeka ene, na wòafa, eye emegbe nànoe.
• Ne èle mɔ zɔm la, ne àte ŋu akɔ wò tsi la, zã " absolute 1 micron or less " filter (si le asaɖa me nuzazãwo ƒe fiasewo me), eye emegbe nàtsɔ iodine-tikewo aƒu gbe eye nànoe.

Ðo ŋku edzi be: Ne èwɔ ɖe afɔɖeɖe siawo dzi la, àte ŋu akpɔ ɖokuiwò ta tso menye `(Cysticercosis)` ɖeɖeko me o, ke boŋ tso dɔléle bubu geɖe siwo xɔa ame me hã me.

Nukae mateŋu akpɔ mɔ na ne `(Cysticercosis)` le ŋunye?

Esi wònye be zi geɖe la, dzesi aɖeke menɔa cysticercosis ŋu o ta la, esesẽna be nàgblɔ alesi tututu dɔlélea akpɔ ŋusẽ ɖe dziwòe. Wò ɖɔkta awɔ atikewɔwɔ ƒe ɖoɖo aɖe si ku ɖe ŋuwò koŋ. Ɣeaɖewoɣi la, ema ate ŋu afia be womada cysticercosis kura o.

Ðe Cysticercosis wua amea?

Ku ƒã le cysticercosis ta mebɔ kura o. Menye dɔlélea ŋutɔ gbɔe dzesiawo ƒe akpa gãtɔ tsona o, ke boŋ alesi dɔlélenutsiŋutete wɔa nui ɖe ʋuʋudediawo ŋu ne wole kukum gbɔ. Ne ƒunukpeƒetetedɔ ʋɛ aɖewo koe le ŋuwò eye dzesi siwo mesẽ o le ŋuwò la, ke mɔnukpɔkpɔ si li be nàhaya la nyo ŋutɔ.

Aleke mawɔ akpɔ ɖokuinye dzi le Cysticercosis dɔlélea ta?

Ne wokpɔe be cysticercosis le ŋuwò la, ke lé ŋku ɖe wò dzesiwo ŋu. Woŋlɔ atike na wò alo womeŋlɔe na wò o, ne wò dzesiwo meva nyo ɖe edzi o alo wova le sesẽm ɖe edzi la, te ɖe wò ɖɔkta ŋu enumake.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne cysticercosis ƒe dzesiwo le ŋuwò, vevietɔ alɔ̃madɔmadɔ, tɔtɔ, alo ʋuʋudedi alo ʋuʋudedi si womenya o la, yi ɖɔkta gbɔ enumake alo yi xɔ si te ɖe ŋuwò si kpɔa nudzɔdzɔ kpatawo gbɔ.

Cysticercosis nye dɔléle si tsoa dɔlékui si nye Taenia solium ƒe aziwo gbɔ. Ne mèse nu geɖe tso eŋu le afisi nèle o hã la, cysticercosis ate ŋu ahe dɔléle sesẽwo vɛ. Èɖale nuto si me cysticercosis bɔ ɖo me alo nèle mɔ zɔm yina teƒe aɖe o, dzadzɛnyenye ƒe nɔnɔme bɔbɔe ʋɛ aɖewo dzi wɔwɔ ate ŋu akpe ɖe ŋuwò nànɔ dedie.

Nu vevi siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

• Cysticercosis nye dɔléle si dona tso haƒoƒo ƒe azi (Taenia solium) ɖuɖu me, si nana ƒunukpeƒetetedɔ nɔa ŋutilãa me.
• Wokakanɛ to nuɖuɖu siwo me dɔlékuiwo le, tsi, kple dzadzɛnyenye manyomanyo dzi, ke menye to haƒoƒo si womeɖa nyuie o ɖuɖu me o.
• Dzesiawo nɔ te ɖe afisi ʋuʋudediawo le dzi. Ne ʋuʋudediawo le ahɔhɔ̃a me (neurocysticercosis) la, dzesi sesẽwo abe alɔ̃madɔmadɔ kple taɖuame ene ate ŋu ado mo ɖa.
• Mɔ nyuitɔ si dzi nàto akpɔ ɖokuiwò ta tso esia mee nye be nàklɔ asi nyuie eye nàɖu nuɖuɖu dzadzɛwo.
• Ne èkpɔ dzesiwo abe alɔ̃madɔmadɔ, taɖuame sesẽ, alo tɔtɔ ene la , di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Mègatsi dzi o, woate ŋu aɖu nɔnɔme sia dzi ne wowɔ atike nɛ nyuie eye woɖo aɖaŋu na wò le atikewɔlawo dome.

Mele mɔ kpɔm be nyatakaka sia aɖe vi na wò. Nɔ lãmesẽ me!

` Cysticercosis, tapeworm, neurocysticercosis, alɔ̃madɔmadɔ, ahɔhɔ̃medɔléle, dzadzɛnyenye, dɔléle siwo tsoa dɔlékuiwo gbɔ