Me ako tātou mō te Cysticercosis, he mate e tupu ai ngā kutukutu i roto i tō tinana.

Kua rongo kē koe i tēnei mate e kiia nei ko te `(Cysticercosis)`? Tērā pea he ahua rerekē te tangi o tēnei ingoa. Engari he mea tēnei me mōhio tātou katoa, nā te mea he mate tēnei e puta mai ana i tētahi pirinoa e tipu ana i roto i ō tātou tinana. I ētahi wā ka kitea pea i roto i te tinana, kāore he tohu nui. Me kōrero tātou mō tēnei i tēnei rā, me te mārama noa iho.

He aha te mate pukupuku Cysticercosis?

He kupu ngāwari noa iho, ko te `(Cysticercosis)` he mate e puta mai ana ina uru mai ngā kutukutu poaka (ngā hua o te pirinoa `(Taenia solium)`) ki roto i ō tātou tinana. Ka hangaia e ēnei hua he pūwero iti ki roto i ō tātou tinana. He rite ki ngā pēke iti kī tonu i te wai. Ko ēnei pūwero te take o ngā tohu maha.

Ka pāngia koe e tēnei mate mēnā ka kai, ka inu rānei koe i ngā kai, i ngā inu rānei kei roto ngā hua o te pirinoa T. solium, mēnā rānei ka pā koe ki ngā paru kei roto ngā hua, ka kuhu ō ringaringa ki roto i tō waha, me te kore e horoi tika. Ina uru ēnei hua ki roto i ō tātou whekau, ka whanake hei noke rīpene torongū, ka haere ki ētahi atu wāhanga o te tinana, pērā i te roro me ngā kanohi, hei hanga i ngā pūwero.

He aha te rerekētanga i waenga i te Cysticercosis me te Taeniasis?

He pai ake kia kaua e whakapoauautia ēnei e rua, āe?

• Cysticercosis: Ka puta tēnei ina horomia e koe ngā hua o te pirinoa T. solium. Ka hangaia e ēnei hua he pūwero ki roto i te tinana.
• Taeniasis: Ka puta mai tēnei ina kai koe i te poaka kāore i tino maoa, kei roto nei ngā torongū o te kutukutu rīpene (T. solium). Ka whanake ēnei torongū hei kutukutu rīpene nui i roto i ō whekau.

Kātahi ka tukuna ngā hua manu e hua ai te `(Cysticercosis)` ki te taiao mā roto i ngā paru o te tangata e pangia ana e te `(Taeniasis). E mārama ana koe?

Ko wai te mea tino pāngia e tēnei?

Ko te cysticercosis te mea tino noa i waenga i te hunga e noho ana, e haereere ana rānei ki ngā rohe taiwhenua o Amerika Waenganui me Amerika ki te Tonga, Awherika ki te tonga o te Sahara, ētahi wāhanga o Āhia, me Ūropi ki te Rawhiti. He nui ake hoki te noa i waenga i te hunga i heke mai i ēnei whenua. Mena kei te pāngia tetahi o tō whare e te Taeniasis (taua noke rīpene nui), kei te tūpono koe ki te pāngia e te Cysticercosis.

E ai ki te whakatau tata ki te 2.7 miriona tāngata puta noa i te ao e pāngia ana e te mate pukupuku. I ētahi wāhi e kitea whānuitia ana te mate i waenga i ngā poaka, tata ki te 10% ki te 20% o ngā tāngata ka pāngia e ngā tohu o te mate pukupuku. Ahakoa kāore i te tino kitea i Amerika Te Raki, kua kitea ko te mate pukupuku te take o te tata ki te 2% o ngā haerenga ki ngā rūma whawhati tata i te United States mō ngā mate hopuhopu.

He aha ngā tohu o te Cysticercosis?

Ko ngā tohumate e whakawhirinaki ana ki te wāhi kei reira ngā kiore. Ka taea e ēnei kiore te whanake i ngā wāhi katoa o te tinana - i roto i te roro, i ngā kanohi, i te ngākau, i ngā pukahukahu, me te ate.

Heoi, ko ngā tohu tino kino me te tino noa ka puta mai i te wā e whanake ana ēnei pukupuku i roto i te pūnaha io, arā, te roro me te taurakira. Ka kiia tēnei ko te neurocysticercosis .

Ngā tohu o te Neurocysticercosis (ngā whēkau o te roro me te tuaiwi):

• Ngā mate hopuhopu: Koinei te tohu tino kitea. Te ngaronga ohorere o te māramatanga me ngā mate hopuhopu. Whakaarohia te mataku mēnā ka pāngia ohoreretia tetahi e te mate hopuhopu me te kore whakatūpato.
• Mamae upoko: Ehara i te mea he mamae upoko noa iho, engari he mamae upoko kino, pumau.
• Whakapairuaki, ruaki, me te pōhēhē: Ka kiia hoki tēnei ko te "cysticercal encephalitis." Ka puta ēnei tohu ina piki te pēhanga i roto i te roro.
• Kaki maro.

He mea nui: Ki te puta mai ēnei tohu, inā koa mēnā he mate haurangi hou tōu, me toro atu koe ki te tākuta tonu.

Ngā tohu o ngā kiore e tupu ana i waho o te roro me te taurakira (extraneural cysticercosis):

Ko ngā pukupuku e tupu ana i waho o te roro kāore e puta he tohu nui, engari ka pā he raruraru mēnā ka tupu ki ētahi wāhi.

• Te mate pukupuku kiri raro i te kiri: I ētahi wā ka puta mai ngā puku iti i raro i te kiri.
• Te mate pukupuku kanohi: Ka pā mai pea ngā raruraru kanohi:
• Mamae kanohi.
• Te tirohanga takirua (diplopia).
• Te mumura o ngā kanohi (uveitis, retinitis rānei).
• Te nekehanga iti o ngā kanohi.
• Te pūwero o ngā kanohi (proptosis).
• Te ngaronga o te tirohanga.

He aha te take mō tēnei?

E ai ki tā mātou i kōrero ai i mua ake nei, ko te `(Cysticercosis)` ka puta mai i te kai i ngā hua o te pirinoa `(T. solium)`. Ko ēnei hua ko:

• Te kai i ngā hua me ngā huawhenua kāore i horoia.
• Mā te inu i te wai poke.
• Mā te pā atu ki ngā paru, te pā atu ki tō waha ki ngā ringa kua poke i aua hua manu, te kai rānei i ngā kai.

Ka pao ēnei hua i roto i ō tātou whekau, ā, ko ngā kutukutu ririki ("ngā torongū") e puta mai ana ka haere mā roto i ngā kiko o te tinana, ka hanga i ngā mea e kiia nei ko ngā pūwero. I te nuinga o te wā, kāore ēnei pūwero e whakaatu i ngā tohu mēnā kāore he maha i te wāhi kotahi. Ka taea e koe te pāngia mō ngā wiki, tae noa ki ngā tau, me te kore e mōhio kei roto i tō tinana. Ka puta ngā tohu ina tīmata te mate o ēnei pūwero. Kātahi, ina whakahohehia te pūnaha ārai mate o tō tātou tinana, ā, ka aro atu ki a rātou, ka tīmata ngā raruraru.

He aha te pānga o te Cysticercosis ki te roro?

I muri i te pao o ngā hua o te T. solium i roto i ngā whekau, ka taea e ngā torongū te haere ki te roro, ka hanga i ngā pūwero. I ētahi wā ka noho tonu ēnei pūwero ki roto i te roro mō te wā roa, kāore he raruraru e pā mai ana.

Heoi, ina tīmata te mate o ēnei pukupuku, ka mōhiotia e tō tātou pūnaha ārai mate he hoariri rātou, ā, ka tīmata te whakaeke i a rātou. Ka puta te mumura i roto i te roro. Mena he maha ngā pukupuku, ka taea e rātou te whakaputa i te "pānga papatipu" ki te roro i mua i te matenga. Ka taea e tēnei mumura, te pēhanga rānei, te pupuhi i te roro, ā, ka morearea te ora. Koinei anō te take ka puta ai ngā raruraru io pērā i te haurangi me te ānini.

I muri i te matenga o ngā pukupuku, ka puta ake ngā ira mārō (ngā whakapūkara) ki aua wāhi.Ka noho tonu pea ēnei mea ki roto i te roro. Ka kohikohi pea te wai i te taha o ēnei `(ngā pona cysticercosis kua whakapūpūtia)` ka puta ai he `(edema)`.

Me pēhea te horapa o te Cysticercosis?

Ka horapa te cysticercosis mā roto i ngā paru o te tangata pangia. Ka whānau hua te kutukutu T. solium i roto i te whekau tangata, ā, ka tukuna ngā hua i roto i ngā paru. Ka puta te cysticercosis ina horomia e koe tētahi mea kua poke i ēnei hua.

Whakaarohia, ka taea e ēnei paru te noho ki te oneone, ki te wai, ki ngā tipu, me ngā kai e kainga ana e tātou. Ka taea e koe te horomi i ngā hua o te T. solium mā roto i ngā mea penei:

• Te inu i te wai kāore i tātarihia, kāore i parakore.
• Te kai i ngā hua me ngā huawhenua kāore i horoia.
• Te pā ki tō waha, te kai rānei i te kai me te kore e horoi tika i ō ringaringa i muri i te haere ki te wharepaku, i te pā rānei ki ngā paru.

He mea nui: Kāore te kai poaka kāore i tino maoa e hua mai ai te `(Cysticercosis)`. Engari ka hua mai te `(Taeniasis)`, he mate e puta mai ana i ngā kutukutu whekau.

Ka horapa te mate Cysticercosis mai i te tangata ki te tangata?

Kāo, kāore te `(Cysticercosis)` e horapa tika mai i te tangata ki te tangata. Kia pāngia ai koe e tēnei mate, me kai e koe ngā hua `(T. solium)`.

Me pēhea te tautuhi i te mate `(Cysticercosis)`?

Mena kei a koe ngā tohu, ka tirotirohia koe e te tākuta, ka pātai atu mō ō tohu. Tērā pea ka pātai atu rātou mō tō hītori haerenga tata nei. Kātahi ka whakahaerehia e rātou ngā whakamātautau pēnei i:

• Whakaahua: Mena kei a koe ngā tohu e pā ana ki tō pūnaha io, tera pea ka tonoa e tō tākuta he matawai CT, he MRI rānei. Ko te tikanga o tēnei ko te whakanoho i a koe ki roto i tētahi mīhini me te tango pikitia o tō roro. Ka taea e te tākuta te whakamahi i ēnei pikitia hei tirotiro mena kei a koe ngā kiore T. solium.
• Ngā whakamātautau toto: I ētahi wā ka tangohia he toto, ka whakamātauria. Mā tēnei ka rapua he paturopi (whakamātautau serology cysticercosis) hei ārai i te T. solium, he wāhanga rānei o te pirinoa (antigens).
• Werohanga o te hope: Ki te whakapae tō tākuta kei te pāngia koe e te cysticercosis i roto i tō roro, i tō taurakira rānei , ka tonoa pea e ia he whakamātautau hei tirotiro i tō wai cerebrospinal (CSF). Ko te tikanga o tēnei ko te wero i tētahi ngira angiangi ki roto i tō tuara o raro, me te tango i tētahi tauira o te wai. He rite tēnei ki te whakamātautau toto, ā, ka rapua he paturopi, he antigen rānei ki te T. solium. Tērā pea he whakamataku tēnei, engari he tikanga haumaru.
• Biopsy: Mena he puku e kitea ana i tō kiri, ka tangohia pea e tō tākuta tētahi tauira iti ka tukuna ki te taiwhanga hei tirotiro mō ngā tohu o te T. solium.
• Whakamātautau kanohi: Ka hiahia pea tō tākuta ki te tirotiro mō ngā pukupuku i roto i ō kanohi ka pā ki tō tirohanga.

Me pēhea te rongoā mō te cysticercosis?

He maha ngā maimoatanga mō tēnei. Kāore pea koe e hiahia ki tētahi maimoatanga. Tērā pea ka tohua e tō tākuta he huinga rongoā. Tērā pea ka hiahiatia he pokanga mō ētahi tāngata. Ka whakaritea e tō tākuta he mahere maimoatanga kia rite ki tō āhua.

He aha ngā rongoā me ngā maimoatanga e whakamahia ana?

Ka tohua pea e te tākuta ngā rongoā, ngā maimoatanga rānei pēnei i:

• Ngā corticosteroids: Hei tauira, ngā rongoā pēnei i te prednisolone me te dexamethasone. Ka whakaitihia e ēnei te pupuhi me te mumura e puta ana ina mate te pukupuku.
• Ngā rongoā ārai mate haurangi/ārai i te haurangi: Ngā rongoā pēnei i te `(phenytoin)` me te `(carbamazepine)`. Ka hoatu ēnei hei whakahaere i ngā haurangi.
• Ngā rongoā ārai-parasitika: Ka hoatu ētahi rongoā pēnei i te `(albendazole)` me te `(praziquantel)` hei rongoā i te mate. Heoi, me tino tupato i te hoatutanga o ēnei rongoā, nā te mea ina mate ngā kutukutu, ka piki ake te pupuhi o te roro. Koia te take e hoatu pinepinetia ai ēnei rongoā me ngā rongoā hei whakaiti i te mumura.
• Pokanga: Tērā pea ka hiahiatia he pokanga hei tango i ētahi o ngā pūwero, hei tango rānei i te pēhanga nā te nui haere o te wai cerebrospinal (CSF), hei whakauru rānei i tētahi ngongo iti (shunt) hei huri i te wai ki tētahi atu wāhi.

Me pēhea te karo i te mate cysticercosis?

Koinei te wāhanga tino nui! He māmā noa iho ngā mea ka taea e koe te mahi hei tiaki i a koe mai i te `(Cysticercosis)`. Ko ngā mea tino nui ko te whakarite kai me te wai me te haumaru, me te horoi pai i ō ringaringa.

• Horoia ō ringaringa kia tino horoia ki te hopi me te wai i ngā wā katoa, inā koa i muri i te whakamahi i te wharepaku, te whakawhiti i te nāpi o tō pēpi, me mua i te kai, i te taka kai rānei.
• Horoia pai ngā hua me ngā huawhenua, ā, kainga atu me te kore e tihorea mēnā ka taea.
• Horoia rawatia ngā papa tapahi, ngā kaute, ngā rīhi me ngā taputapu kai ki te hopi i muri i te whakamahinga.
• Kaua e inu wai kāore i rongoatia. Ki te mea he wai kāore koe e mōhiotia ana te pūtake, inuhia he wai pounamu, he wai kohua rānei.
• Ki te mea kei te inu koe i te wai, kohuatia kia pai mō te meneti, waiho kia whakamatao, kātahi ka inu.
• I a koe e haereere ana, ki te taea e koe te tātari i tō wai, whakamahia he tātari " 1 micron tino, iti iho rānei " (e wātea ana i ngā toa taputapu puni), kātahi ka whakarewahia ngā papa iodine ka inu.

Kia maumahara: Mā te whai i ēnei mahi ārai, ka taea e koe te tiaki i a koe anō mai i te `(Cysticercosis)`, engari mai i ngā mate pipiri maha atu anō hoki.

He aha ngā mea ka taea e au te tumanako mēnā kei a au te `(Cysticercosis)`?

Nā te mea kāore he tohu o te cysticercosis, he uaua ki te kī tika me pēhea te pānga o te mate ki a koe. Ka whakawhanakehia e tō tākuta he mahere maimoatanga e tika ana mōu. I ētahi wā, ko te tikanga pea kāore e rongoātia te cysticercosis.

He mate whakamate te mate Cysticercosis?

He tino onge te mate mai i te cysticercosis. Ko te nuinga o ngā tohu ehara i te mea nā te mate tonu i puta, engari nā te urupare a te pūnaha ārai mate ki ngā cyst i a rātou e mate ana. Mena he torutoru noa iho ō cyst me ngā tohu ngawari, he tino pai te tūponotanga ka ora koe.

Me pēhea taku tiaki i ahau anō me te mate Cysticercosis?

Mena kua tāpaetia koe he mate cysticercosis, kia mataara tonu ki ō tohumate. Ahakoa kua tohua he rongoā mōu, ki te kore ō tohumate e pai ake, e kino haere rānei, whakapā atu ki tō tākuta tonu.

Āhea ahau me toro atu ki te tākuta?

Ki te puta ngā tohu o te cysticercosis, inā koa ngā haurangi, te pōhēhē, te whakapairuaki, te ruaki rānei kāore i te whakamāramatia, me toro atu ki te tākuta tonu, me haere rānei ki te rūma whawhati tata.

He mate te cysticercosis i puta mai i ngā hua o te pirinoa Taenia solium. Ahakoa kāore koe e rongo nui ana mōna i tō wāhi noho, ka taea e te cysticercosis te whakararu i ngā mate kino. Ahakoa kei te noho koe i tētahi rohe e kitea whānuitia ana te cysticercosis, kei te haere rānei koe ki tētahi, mā te whai i ētahi tikanga akuaku māmā ka āwhina i a koe kia noho haumaru.

Ngā mea nui hei maumahara (Karere hei kawe ki te kāinga)

• He mate te cysticercosis e puta mai ana i te kainga o ngā hua o te kutukutu poaka (Taenia solium), e puta ai ngā pūwero ki roto i te tinana.
• Ka horapa mā te kai poke, te wai, me te akuaku koretake, ehara i te mea mā te kai poaka kāore i tunua pai.
• Ka whakawhirinaki ngā tohu ki te wāhi kei reira ngā pūkahukahu. Mena kei roto i te roro ngā pūkahukahu (neurocysticercosis), ka puta pea ngā tohu kino pēnei i te haurangi me te ānini.
• Ko te horoi pai i ō ringaringa me te kai i ngā kai me ngā inu ma te huarahi pai rawa atu hei tiaki i a koe mai i tēnei.
• Ki te pāngia koe e ngā tohu pēnei i te haurangi, te ānini nui, te pōhēhē rānei , rapua tonutia he tohutohu hauora. Kaua e manukanuka, ka taea te whakahaere i tēnei āhuatanga mā te maimoatanga tika me te tohutohu hauora.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu!

` Te mate pukupuku, te noke rīpene, te mate pukupuku roro, te mate haurangi, ngā mate roro, te akuaku, ngā mate pirinoa