Koj puas tau xav txog seb puas pom ib tug kab me me txav mus los hauv koj lub qhov muag? Auj, nws ua rau koj tshee hnyo tsuas yog xav txog nws, puas yog? Tab sis, qhov no yog ib qho tseeb. Qhov no yog yam uas cov kws kho mob hu ua 'Loiasis'. Ib txhia neeg kuj hu nws tias 'African eyeworm.' Yog li hnub no, cia peb tham ntxiv me ntsis txog tus kab mob no, tus kab mob no. Vim tias nws tseem ceeb heev rau txhua tus neeg kom paub txog tej yam zoo li no.
'Loiasis' yog dab tsi? Hais yooj yim xwb...
Hais yooj yim xwb, 'Loiasis' yog ib qho kab mob uas tshwm sim los ntawm ib hom kab mob tshwj xeeb hu ua 'Loa loa'. Qhov no yog ib hom kab mob parasitic. Yog hais kom meej, nws yog ib pawg kab mob hu ua 'filariasis'. 'Filariasis' yog ib qho kab mob uas tshwm sim los ntawm 'filarial worms', uas yog, ib hom kab mob nyias nyias zoo li xov.
Yog li ntawd, tus kab no nkag mus rau hauv peb lub cev li cas? Qhov no tshwm sim thaum ib hom yoov hu ua 'deerfly' (qee tus neeg kuj hu nws ua 'mango fly' lossis 'mangrove fly') tom peb. Tab sis cov yoov no tsis nyob txhua qhov chaw. Lawv feem ntau pom thiab yug me nyuam hauv qee qhov hav zoov hauv West thiab Central Africa. Yog li cov neeg uas nyob hauv cov cheeb tsam ntawd lossis mus ncig rau cov cheeb tsam ntawd muaj kev pheej hmoo.
Thaum cov kab Loa loa no nkag mus rau hauv peb lub cev, lawv pib ua neej thiab tsim me nyuam. Feem ntau lawv nyiam nyob rau hauv cov chaw no ntawm peb lub cev:
- Hauv koj cov ntshav ('Ntshav')
- Hauv lub ntsws ('Ntsws')
- Lymphatic system - Qhov no yog ib feem ntawm peb lub cev tiv thaiv kab mob, thiab qee cov qe ntshav tsim tawm ntawm no.
- Hauv cov nqaij hauv qab daim tawv nqaij ('Subcutaneous tissues')
Leej twg tuaj yeem txhim kho qhov no tau zoo tshaj plaws?
Kab mob Loiasis yog ib qho teeb meem loj heev nyob rau hauv qee qhov chaw ntawm West thiab Central Africa. Kwv yees tias muaj ntau tshaj 29 lab tus tib neeg uas muaj feem yuav kis tus kab mob no. Muaj ntau tus neeg heev, puas yog?
Puas yog tus kab mob yuav dig muag tiag tiag yog tias nws nkag mus rau hauv koj lub qhov muag? (Qhov no yog ib yam dab tsi uas ntau tus neeg ntshai)
Qhov tseeb, pom ib tug kab mob txav mus los hauv koj lub qhov muag tuaj yeem yog ib qho kev paub tsis zoo thiab txaus ntshai heev. Nws nyuaj rau xav txog. Tab sis qhov tseem ceeb yog tias cov kab mob 'Loa loa' no (kwv yees li 2.5 txog 7.5 centimeters ntev) feem ntau tsis ua rau koj dig muag. Thiab lawv feem ntau tsis ua rau muaj kev puas tsuaj loj rau lub qhov muag.
Nov yog qhov tshwm sim: Tus kab mob hla dhau lub qhov muag thiab tom qab ntawd rov nkag mus rau hauv lub cev tom qab ib pliag. Tus kws kho mob tuaj yeem tshem tawm tus kab mob uas pom tau saum lub qhov muag nrog kev phais me me. Tab sis nco ntsoov, kev tshem tawm tus kab mob zoo li no tsis kho tau tag nrho cov kab mob. Nws yuav tsum tau kho cais.
Cov tsos mob ntawm Loiasis yog dab tsi?
Qhov xav tsis thoob yog tias feem ntau cov neeg uas muaj tus kab mob loiasis tsis muaj tsos mob dab tsi li. Lawv tsis paub tias lawv muaj tus kab mob no hauv lawv lub cev. Txawm li cas los xij, qee tus neeg yuav muaj cov tsos mob xws li:
- Xav tias nkees heev ('Qaug zog').
- Nws khaus thoob plaws lub cev.
- Muaj tej qhov khaus, o, lossis mob tshwm sim rau ntawm lub cev, tshwj xeeb yog nyob ib ncig ntawm cov pob qij txha xws li lub hauv caug thiab lub luj tshib. Qhov no hu ua "Calabar o." Qhov o no yuav ploj mus li ob peb hnub, tab sis yuav rov tshwm sim dua tom qab ob peb hnub lossis ob peb lub lis piam.
- Mob cov leeg nqaij lossis pob qij txha.
- Koj pom tau ib tug kab mob txav mus los hauv qab daim tawv nqaij. Nws zoo li ib nthwv dej ntawm daim tawv nqaij.
- Koj yuav pom ib tug kab nkag mus rau hauv daim tawv muag (conjunctiva) (daim nyias nyias uas npog dawb ntawm lub qhov muag thiab sab hauv ntawm lub qhov muag). Qhov no yog qhov ua rau ntau tus neeg ntshai.
Xav txog seb, thaum koj tsis paub yuav ua li cas, koj mam li hnov ib yam dab tsi txav mus los rau ntawm koj lub qhov muag. Thaum koj saib hauv daim iav, koj hnov ib yam dab tsi zoo li ib txoj xov me me txav mus los rau ntawm koj lub qhov muag! Qhov ntawd yuav txaus ntshai npaum li cas?
Dab tsi ua rau muaj tus kab mob Loiasis? Nws kis tau li cas?
Raws li peb tau hais ua ntej lawm, Loiasis kis tau thaum tus yoov uas muaj kab mob tom koj daim tawv nqaij. Cov yoov uas nqa tus kab mob Loa loa yog cov yoov mos lwj thiab cov yoov mangrove. Cov yoov no tsuas pom muaj nyob hauv Africa xwb. Thaum cov yoov no tom tus neeg uas muaj kab mob, lawv nqus ntshav thiab txhaj cov kab mob (hu ua microfilariae, uas yog cov kab mob me me heev) rau hauv tus yoov. Tom qab ntawd, thaum tus yoov tom lwm tus, cov kab mob nkag mus rau hauv lub cev ntawm tus neeg ntawd.
Thaum cov kab me me no, hu ua "microfilariae," nkag mus rau hauv koj lub cev, nws yuav siv sijhawm ob peb lub hlis rau lawv loj hlob mus ua cov kab laus. Thaum lawv loj hlob, lawv tuaj yeem mus rau hauv koj lub cev cov nqaij thiab cov kabmob, xws li koj lub ntsws. Tsuas yog thaum cov kab laus nyob hauv koj lub cev uas koj tuaj yeem pom lawv txav mus rau hauv qab koj daim tawv nqaij lossis los ntawm koj lub qhov muag.
Tiamsis nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias qhov muaj feem yuav kis tau tus kab mob loiasis tsuas yog los ntawm kev mus ncig luv luv rau Africa xwb yog tsawg heev. Feem ntau cov neeg uas kis tau tus kab mob yuav tsum raug cov yoov uas muaj kab mob tom ntau zaus hauv ib lub hlis. Qhov no txhais tau tias koj tsis kis tau tus kab mob los ntawm ib tug yoov xwb.
Puas yog Loiasis sib kis tau ntawm ib tus neeg mus rau ib tus neeg?
Qhov no yog ib qho teeb meem rau ntau tus neeg. Tsis yog, Loiasis tsis kis ncaj qha los ntawm ib tus neeg mus rau lwm tus. Qhov no txhais tau tias koj tsis tuaj yeem kis tus kab mob los ntawm kev kov ib tus neeg uas muaj tus kab mob, sib koom noj mov lossis haus dej nrog lawv, lossis siv phuam uas lawv siv. Yuav kom kis tau tus kab mob, koj yuav tsum raug tus yoov ntawd tom.
Koj yuav kuaj mob Loiasis li cas kom raug? (Kev kuaj mob)
Yog tias koj tau mus rau lossis nyob hauv ib qho ntawm cov cheeb tsam muaj kev pheej hmoo hauv tebchaws Africa thiab koj muaj cov tsos mob ntawm tus kab mob loiasis, koj tus kws kho mob yuav hais kom kuaj ntshav.Qhov kev kuaj ntshav no tuaj yeem kuaj xyuas seb puas muaj Loa loa microfilariae nyob hauv koj cov ntshav.
Tsis tas li ntawd xwb, tus kws kho mob yuav kuaj koj ("kev kuaj lub cev") kom pom tias koj puas muaj cov tsos mob ntawm "loiasis", uas yog, tej yam zoo li "Calabar swellings".
Cov kev kho mob rau Loiasis yog dab tsi?
Muaj cov tshuaj tua kab mob uas siv los kho tus kab mob Loiasis. Cov tshuaj tseem ceeb uas siv yog Ivermectin thiab Diethylcarbamazine (DEC) .
Cov ntsiab lus tseem ceeb uas yuav tsum xav txog thaum muab tshuaj
Tiam sis ntawm no yog ib yam tseem ceeb heev. Yog tias cov tshuaj no (tshwj xeeb tshaj yog DEC) raug muab rau cov neeg uas muaj cov kab mob Loa loa microfilariae ntau heev hauv lawv cov ntshav, lawv tuaj yeem muaj cov tshuaj tiv thaiv hnyav, uas ua rau tuag taus. Yog li ntawd, ua ntej tus kws kho mob muab Ivermectin lossis DEC rau koj, lawv yuav tsum ua qhov kev kuaj mob los ntsuas tus lej ntawm cov kab mob microfilariae hauv koj cov ntshav.
Xav seb nws yuav phem npaum li cas yog tias cov tshuaj uas tau muab los kho tus kab mob ua rau muaj teeb meem loj? Yog vim li ntawd cov kev kuaj mob no thiaj li tseem ceeb heev.
Yog tias koj muaj ntau tshaj 8,000 microfilariae ib milliliter ntawm cov ntshav, Ivermectin thiab DEC tsis zoo rau koj. Yog tias qhov no yog qhov teeb meem, koj tus kws kho mob yuav pom zoo kom koj siv cov tshuaj hu ua Albendazole lossis cov txheej txheem lim ntshav ua ntej. Albendazole thiab kev lim ntshav yuav txo cov microfilariae hauv koj cov ntshav. Tsuas yog thaum ntawd nws thiaj li yuav muaj kev nyab xeeb rau koj siv Ivermectin lossis DEC.
Kab mob Loiasis yog ib yam kab mob uas tsis tshua muaj nyob hauv cov tebchaws xws li Sri Lanka, yog li koj tus kws kho mob yuav tsum sab laj nrog ib tus kws kho mob tshwj xeeb hauv kev kho mob hauv thaj chaw sov thaum kho nws. Yog tias koj muaj kab mob hnyav, koj yuav tsum mus ntsib ib tus kws kho mob tshwj xeeb uas muaj kev paub dhau los.
Yuav ua li cas koj thiaj tsis txhob kis tau tus kab mob Loiasis? (Kev Tiv Thaiv)
Tu siab kawg li, tseem tsis tau muaj tshuaj tiv thaiv kab mob Loiasis.
Tab sis yog tias koj mus ncig teb chaws sab hnub poob lossis Central Africa, tshwj xeeb tshaj yog tias koj npaj yuav nyob ntawd ntev, muaj ob peb yam uas koj tuaj yeem ua tau los txo koj txoj kev pheej hmoo ntawm kev kis tus kab mob no:
- Noj 300 milligrams ntawm diethylcarbamazine (DEC) ib zaug ib lub lim tiam. (Qhov no tsuas yog yuav tsum tau ua raws li kev qhia ntawm tus kws kho mob xwb.)
- Siv cov tshuaj tua kab uas muaj DEET (N,N-Diethyl-meta-toluamide). Cov no yog cov kua uas siv rau ntawm lub cev.
- Hnav ris ntev thiab tsho tes ntev yuav txo qhov uas yoov tom koj daim tawv nqaij.
- Siv tshuaj tua kab hu ua 'permethrin' rau koj cov khaub ncaws. Qhov no yuav tua cov kab xws li yoov.
Yog koj muaj tus kab mob "Loiasis" no, yuav ua li cas? Koj puas yuav tsum txhawj?
Qhov tseeb, ntau tus neeg uas muaj tus kab mob loiasis tsis paub txog qhov no, thiab tej zaum nws yuav tsis ua rau lawv muaj teeb meem kev noj qab haus huv loj. Qhov ntawd txhais tau tias tsis yog txhua tus neeg yuav muaj cov tsos mob hnyav.
Txawm li cas los xij, yog tias koj muaj cov tsos mob lossis xav tias koj muaj tus kab mob loiasis, nco ntsoov nrog kws kho mob tham. Muaj cov tshuaj kho mob uas tuaj yeem pab tshem tawm cov kab mob thiab tiv thaiv cov teeb meem.
Lub sijhawm twg zoo tshaj plaws mus ntsib kws kho mob?
Hauv cov xwm txheej zoo li no, koj yuav tsum mus ntsib kws kho mob:
- Yog tias koj tau mus rau West Africa lossis Central Africa thiab pom cov tsos mob ntawm Loiasis (piv txwv li, khaus, Calabar o, lossis muaj ib yam dab tsi saib hauv koj lub qhov muag).
- Yog tias koj tab tom npaj mus ncig teb chaws Africa sab hnub poob lossis Central Africa thiab xav tias koj yuav xav tau kev kho mob DEC los tiv thaiv tus kab mob, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob sai li sai tau ua ntej koj mus ncig, vim tias nws yuav siv sijhawm ntau lub lis piam kom tau txais tshuaj DEC.
Cov Lus Qhia Txog Kev Coj Mus Tsev
Zoo, yog li ntawm qhov peb tau tham txog, kuv vam tias koj muaj lub tswv yim zoo txog 'Loiasis' lossis 'African eyeworm'.
Nco ntsoov tias, Loiasis yog ib yam kab mob uas kis tau los ntawm cov kab mob parasitic. Nws tuaj yeem ua rau muaj ntau yam tsos mob, lossis nws tuaj yeem tsis muaj tsos mob.
Pom ib tug kab nyob rau hauv koj lub qhov muag yog ib qho txaus ntshai heev. Tab sis feem ntau cov kab hla dhau lub qhov muag thiab ploj mus hauv ob peb teev. Los yog tus kws kho mob tuaj yeem tshem nws tawm nrog kev phais me me.
Qhov tseem ceeb yog tias yog koj mus ncig teb chaws rau thaj chaw muaj kev pheej hmoo hauv teb chaws Africa, koj tuaj yeem ua cov kauj ruam los tiv thaiv kab mob loiasis. Tsis tas li ntawd, yog tias koj kis tau tus kab mob, tus kws kho mob tuaj yeem kho nws nrog cov tshuaj tua kab mob.
Yog li ntawd, tsis txhob ntshai qhov no yam tsis tsim nyog, tab sis tsis txhob xav tias nws yooj yim. Qhov tseem ceeb tshaj plaws yog kom paub txog qhov no. Yog tias koj muaj lus nug lossis kev tsis ntseeg, nws yeej tsis lig dhau los tham nrog kws kho mob.
Kab mob Loiasis, kab mob African eye worm, kab mob parasitic worm, kab tom, kab mob ntawm daim tawv nqaij, kab mob Calabar o, diethylcarbamazine, kab mob filariasis, microfilariae, ivermectin, albendazole, DEET, cov tsos mob ntawm kab mob, kab mob African
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus