He kutukutu rīpene kei roto i tō tinana? (Matenga kutukutu rīpene) Me kōrero tāua mō tēnei!

Kua whakaaro koe, i ētahi wā kei roto i ō tātou tinana ētahi mea kāore tātou e mōhio? Mō ētahi tāngata, ina pāngia rātou e ngā raruraru puku me te whakaheke taumaha, ko te mea tuatahi e whakaarohia ana e rātou ko ngā mate kutukutu rīpene. Kua rongo pea koe mō ēnei, tika? Nō reira, i tēnei rā, me kōrero tātou mō ēnei kutukutu rīpene.

He aha te noke rīpene?

He kupu ngāwari noa iho, he kutukutu papatahi, he pirinoa te kutukutu rīpene. Kei roto i ngā whekau o te kararehe (arā, ko tōna kaihautū) tōna nohoanga. Ka taea e ngā kararehe pēnei i ā tātou kurī me ngā ngeru, tae atu ki ngā kau me ngā poaka, te pangia e ēnei kutukutu, tae atu ki a tātou te tangata. Ka pāngia rawatia e ngā kararehe e kai mīti ana.

Pērā i ētahi atu pirinoa, ka noho tēnei kutukutu rīpene i roto i te tinana o tōna kararehe manaaki, ka ngote i ana matūkai. Ka piri te pane o te kutukutu ki roto i ō whekau, ka kai i te kai kua nakunaku.

I a ia e noho ana i reira, ka tipu tonu te tinana o te noke, ka whānau hua. Ka heke ēnei hua i roto i ngā whekau o te kararehe manaaki, ka tukuna ki roto i te paru. Koinei te huarahi e kitea ai e ēnei hua he manaaki hou.

He aha te āhua o ēnei noke rīpene?

I ahu mai te ingoa o tēnei noke i tōna āhua. He papatahi, he rite ki te rīpene. He wāhanga tōna tinana. E toru ngā wāhanga motuhake o te noke rīpene: te pane (e piri ana ki te tinana), te kaki (e whakaputa ana i ngā wāhanga tinana hou), me te tinana o raro kua wehea .

Ka puta mai i ia wahi noke rīpene āna ake hua. I roto i ētahi momo noke rīpene, ka pakaru tahi ēnei wahi me ngā hua, ka tukuna atu i roto i ngā whekau o te tinana i roto i te paru. He rite te āhua o ēnei wahi ki ngā pata raihi mā . He maha ngā wā, ko te tohu tuatahi o te mate noke rīpene ko te putanga mai o ēnei wahi i roto i te paru.

He aha te mate kutukutu rīpene?

E rua ngā huarahi matua ka pā mai ai te mate kutukutu rīpene:

Ngā kutukutu rīpene o te puku

Mō ngā kutukutu rīpene tēnei e puta mai ana i ngā hua i roto i ngā whekau o tētahi kararehe manaaki. Ka piri ēnei kutukutu pakeke ki ngā pakitara o ō whekau, ka ngote i ngā matūkai mai i ngā kai e nakunaku ana e koe i reira. I te nuinga o te wā, kāore ēnei kutukutu e puta he tohu . He tokomaha te hunga kāore e mōhio kei a rātou he mate. Heoi, ki te kino te mate, ka pāngia pea koe e te korenga o ngā kai , te ngaronga taumaha kāore i te whakamāramatia , te whakapairuaki , te mate korere rānei. Ka taea e ētahi kutukutu rīpene te ora mō te 30 tau, ā, ka tipu kia 30 putu te roa! Whakaarohia tēnā!

Tērā pea ka kīia e tō tākuta tēnei mate kutukutu rīpene ko te 'taeniasis'. E pā ana tēnei ki tētahi mate i puta mai i ngā kutukutu rīpene o te momo Taenia. Ko ngā kaihautū matua ko Taenia solium (kutukutu poaka), Taenia saginata (kutukutu mīti kau), me Taenia asiatica (kutukutu Āhia - he kutukutu poaka anō hoki). Heoi, ko ētahi atu momo, pērā i te Diphyllobothrium latum (kutukutu ika) me te Hymenolepis nana (kutukutu iti - he momo iti ake), ka pangia hoki ngā whekau tangata.

Te mate urutā o te torongū kutukutu rīpene

He rerekē tēnei. Ka puta tēnei mate pirinoa whakaeke ina puta ngā torongū kutukutu rīpene kei roto i ō whekau i ngā whekau ka tomo ki roto i tō toto me ētahi atu okana. Ka piri ēnei torongū ki ngā wāhanga rerekē o tō tinana, ka hanga he pūwero. He rite ēnei pūwero ki ngā pēke kī tonu i te wai. I te tipu haere o ngā torongū, ka nui haere hoki ēnei pūwero. I runga i te wāhi kei reira ēnei pūwero, ka taea e rātou te whakaputa i ngā raruraru maha. Hei tauira, ki te puta ēnei pūwero ki ngā wāhi pēnei i te pukahukahu, te ate, te ngākau rānei, ka taea e rātou te nui rawa atu ka taea te whakararuraru i te mahi noa o aua okana. Ki te piri ēnei pūwero ki te taurakira, ki te roro rānei, ka taea e rātou te whakaputa i ngā tohu mate io pēnei i te mate haurangi.

Ka pāngia koe e tēnei mate, me te kore rānei he kutukutu whekau. Ko te kutukutu poaka (Taenia solium) ka pāngia e te mate whekau, me tēnei mate urutā cysticercosis. Ko ētahi atu momo kutukutu whekau ka pāngia noa te tangata i roto i tō rātou wāhanga torongū. He rerekē ngā ingoa o ēnei mate i runga i te momo kutukutu - te mate cystic hydatid (echinococcosis), te mate alveolar, te sparganosis me te coenurosis - engari he rite katoa ki ngā cysts. Kāore he kino o ētahi cysts, engari ko ētahi ka pāngia e ngā raruraru, me tango atu.

He pēhea te noa o tēnei?

Ka kitea ngā mate kutukutu rīpene puta noa i te ao. He mea noa iho ēnei i ngā whenua e kainga pinepinetia ana te mīti me te ika mata, ā, he ngoikore hoki te akuaku. I ngā whenua pērā i te Hononga o Amerika, he tino onge tēnei. Engari ka taea e te tangata o aua whenua te haere ki tāwāhi ka hoki mai kua pangia. Ki te titiro huri noa i te ao, he uaua ki te kī tika e hia ngā mate kutukutu rīpene kei reira. Nā te mea, i te nuinga o te wā, kāore ēnei mate e puta he tohu mārama . Waihoki, he maha ngā whenua kāore i a rātou ngā ratonga hei tātaritanga i te hunga katoa e pāngia ana e ngā tohu. Nō reira, tera pea he mea noa ake tēnei i tā tātou e whakaaro nei.

He aha ō whakaaro mō tēnei?

E toru ngā wāhanga o te whanaketanga o ngā noke rīpene: te hua manu, te torongū, me te pakeke. Kāore e taea e te noke pakeke te ora i waho o te manaaki. Heoi, ka taea e ngā hua me ngā torongū. Ko ngā hua manu, e tukuna ana mai i te manaaki taketake i roto i ngā paru, ka tukuna ki te oneone me te wai e karapoti ana. I reira, ka poke i te kai me te wai o ētahi atu kararehe. Ka whanake ngā torongū noke rīpene i roto i ngā tinana o ngā kararehe e kai ana i ēnei hua manu - pērā i ngā pepeke me ngā ika. Ka pangia te tangata mā te kai i ēnei hua manu, i ēnei torongū rānei, kāore i te mōhiotia.

Hei whakarāpopototanga, e rua ngā huarahi:

• Te horomitanga o ngā hua manu mā te wai, mā te kai rānei kua poke: Ko te hunga e noho ana i ngā wāhi kāore i te pai te akuaku me te akuaku, ka nui ake te tūponotanga ka pāngia rātou e tēnei mate. Ko ngā kai me ngā wai kua poke i ngā paru tangata me ngā kararehe, tera pea kei roto ngā hua noke rīpene, kāore e kitea e te kanohi tahanga. Ina horomia ēnei hua e te tangata, ka whanake hei torongū i roto i ngā whekau. Koinā te wā ka taea e rātou te neke haere. Ina puta ēnei torongū i ngā whekau, ka puta te 'mate torongū whakaeke' kua whakahuatia ake nei.
• Te kai i te mīti mata, kāore rānei i tunua pai: Ko te hunga i ngā whenua whakawhanake ka nui ake te tūponotanga ka pangia e tēnei mate. Ko te mīti pangia ko te mīti he torongū noke kei roto. Ki te kainga me te kore e tunua tika, e whakarewaina rānei, e kore ēnei torongū e mate. Ka taea hoki e ngā ika wai māori nunui, pērā i te hāmana, te mate. Ina kai te tangata i tēnei mīti pangia, ka uru ngā torongū ki roto i ō rātou whekau, ka whanake hei noke nui. Koinei te wā ka pāngia ai te noke whekau.

He aha ngā tohu o tēnei mate kutukutu rīpene?

Mena he kutukutu rīpene tōu, ko ngā tohu tino kitea ko te mamae puku ngawari . Tērā pea kāore koe e kite i tetahi mea. Heoi, tērā pea ka kite koe i ngā mea pēnei i:

• Te hiakai (`Hunger`)
• Te ngaronga o te hiahia kai
• Whakapairuaki
• Ngenge
• Ngā mamae o te puku
• Korere

He maha ngā wā kāore he tohu e puta mai i ngā mate torongū cystic. Tērā pea ka puta hei puku i raro i te kiri. Tērā pea ka kitea noa iho i te wā e puta ai he raruraru ki ngā whekau o roto. He maha ngā tau e pau ana ki tēnei.

He aha ngā raruraru ka pā mai i te mate kutukutu rīpene?

Ko ngā raruraru ka whakawhirinaki ki te momo noke rīpene kei a koe, ahakoa he noke puku, he noke urutomo rānei, me te wāhi kei reira ngā torongū urutomo.

Ko te mea nui, kāore ēnei raruraru e pā ki te katoa, engari he mea pai kia mōhio ki ēnei raruraru.

• Te aukati i te ara nakunaku: He tino onge te tipu o ētahi kutukutu rīpene puku kia nui hei aukati i ngā ara o tō ara nakunaku, tae atu ki ngā whekau, te ileum, ngā awa au, me ngā awa pancreatic.
• Te kore toto i te nui o te huaora: He tino pai ki ngā kutukutu rīpene, inā koa ko ērā nō te ika, te mimiti i te huaora B12. Ka taea e tēnei te arahi ki te kore toto (te kore toto).
• Mate pāwera: Ka taea e ngā torongū te whakaputa mate pāwera i roto i tō tinana, pērā i te mākati, te whewhe, me te uaua ki te manawa.
• Te mare me te mamae o te uma: Ka puta pea ēnei mēnā ka puta he pukupuku i roto i ngā pukahukahu.
• Te whakararuraru i te mahi a ngā okana: Ki te whakaekea e ngā torongū te ate, te ngākau, ngā kanohi, ngā pukahukahu rānei, ka whakararuraruhia pea te mahi noa o aua okana.
• Ngā tohumate io: Ki te tae ngā noke ki te pūnaha io matua (arā, te roro me te taurakira), ka pāngia pea e te ānini, te haurangi, te ngaro o te mahara, te meningitis, me te pupuhi o te roro.

Me pēhea koe e mōhio ai mēnā he kutukutu rīpene tōu?

Ki te whakapae koe he kutukutu rīpene tōu, tirohia tō tūtae mō ngā maramara kutukutu. E ai ki te kōrero i mua ake nei, he rite te āhua ki ngā pata raihi. Ki te mea he kutukutu rīpene tōu, tera pea ka kite koe i ngā puku (ngā kiore) i ētahi wāhanga o tō tinana. Heoi, ki te mea kei roto i tō tinana ngā kiore, tera pea kāore e kitea kia puta rā anō he raruraru.

Ka puta pea ngā raruraru mēnā ka nui haere ēnei pūkahukahu, ā, ka whakararuraru i te rere o te toto, i te mahi noa rānei o ngā whekau. Tērā pea ka puta ake ngā raruraru ina pakaru ngā pūkahukahu, ā, ka tīmata te mate. Kātahi ka hoki anō ngā pūkahukahu ki roto i te toto. I taua wā, ka mōhio tō pūnaha ārai mate kei reira he mate. Kātahi ka tīmata koe ki te whakaatu i ngā tohu noa o te mate, pērā i te kirika.

Me pēhea te tautuhi a ngā tākuta i te mate kutukutu rīpene?

Mā te tirotiro i tō tūtae i roto i te taiwhanga ka tātarihia e ngā tākuta te kutukutu rīpene puku. Ka taea e rātou te rapu hua kutukutu rīpene me ngā maramara kutukutu. Ka taea hoki e rātou te kī atu ki a koe te momo kutukutu kei a koe mā te titiro ki ētahi o ngā tohu. Ka hoatu te rongoā kotahi mō ngā momo katoa, engari he rerekē te horopeta i runga i te momo kutukutu. Mena he kutukutu rīpene poaka tōu, ka whakamātautauhia hoki koe e tō tākuta mō te cysticercosis.

Hei tirotiro i te mate kutukutu whakaeke, ka whakamātautau toto pea tō tākuta i te tuatahi. Mā tēnei ka tirohia mēnā kei te whakaputa paturopi tō tinana hei ārai i ngā kutukutu. Mēnā he pai te whakamātautau toto, mēnā rānei he take kē atu hei whakapae he mate kutukutu, ka whakamātautau whakaahua tō tākuta (he matawai e titiro ana ki roto i tō tinana) hei rapu i ngā kiore. He tino pai ngā matawai MRI me CT ki te tirotiro i ngā kiko i roto i tō tinana.

Me pēhea te whakakore i te kutukutu rīpene?

Koinei te mea pai rawa atu! Kei reira ngā rongoā anthelmintic ka taea te patu ngāwari i ngā kutukutu rīpene . Hei tauira, ko te praziquantel (Biltricide®), te albendazole (Albenza®), me te nitazoxanide (Alinia®). Ko te tikanga, ka tūtohu ngā tākuta i te praziquantel nā te mea ka whakararuraru i te kutukutu, ka akiaki i a ia kia mawhiti mai i te pakitara o te puku. He mea nui kia tangohia te kaki o te kutukutu, kia tukuna atu i te tinana, nā te mea ka taea e te kutukutu te tipu anō mai i te kaki. Ahakoa i muri i te maimoatanga, ka tirohia e tō tākuta tō tūtae mō te kotahi ki te toru marama kia kite ai mēnā he tohu o te mate kutukutu rīpene.

He aha ngā maimoatanga mō te mate torongū urutomo?

Ka whai ngā tākuta i tētahi tikanga maimoatanga taahiraa-i-te-taahiraa mō tēnei:

• ``Mātakitaki, tatari``:Mena kāore ngā whēwhē e whakararuraru ana, kāore rānei i te wāhi morearea, tera pea ka kī te tākuta kia kaua e mahi i tetahi mea mō rātou i tēnei wā. Ka mātakitaki noa rātou.
• Te whakahaere i ngā tohumate tuarua: Mena kei te puta he raruraru i te pukupuku, inā koa ko ngā raruraru pūnaha io, me rongoā tuatahi aua tohumate. Tērā pea ka uru atu ki tēnei te rongoā ārai-ohorere, te maimoatanga rānei hei whakaiti i te hanga wai i roto, i te taha rānei o te roro.
• Corticosteroids: Ka taea te whakamahi i ngā rongoā anti-mumura, pērā i te corticosteroids, mō ngā pukupuku e puta ai te mumura o ngā kiko.
• Rongoā Whakamate i ngā kutukutu: Ka taea e ngā rongoā whakaora kutukutu te āwhina i te whakaiti i ngā kutukutu kei roto. Tērā pea ka hoatu e tō tākuta he rongoā whakaora kutukutu me ngā corticosteroids hei āwhina i te whakaiti i te mumura e puta ana ina tīmata te mate o ngā kutukutu.
• Te Whakaheke Wai: Mena he pūwero kei te whakararuraru i te kiri, ka taea pea tēnei i ētahi wā. Ka werohia pea e te tākuta he ngira ki roto i te pūwero, ka pokaia, ka ringihia te wai mā roto i te ngira. Hei whakamutunga, ka horoia ngā pūwero ki te rongoā ārai-parasitic.
• Pokanga: Ko ngā pukupuku e whakararu ana i te mahi a ngā okana me tango pea mā te pokanga.

Me pēhea te karo i ēnei mate kutukutu rīpene?

He iti te mōrearea i ngā whenua whakawhanake. Heoi, ka piki ake pea te mōrearea ina haere koe ki ngā whenua whakawhanake me te kai i te mīti me te ika mata, kāore rānei i tino maoa. Nō reira, whai i ēnei tohutohu hei karo i ngā mate kutukutu rīpene:

• Ngā tikanga akuaku pai: Horoia pai ō ringaringa ki te hopi me te wai i muri i te whakamahi i te wharepaku, i muri i te taunekeneke me ngā kararehe, me mua i te pā ki te kai.
• Te whakamahinga haumaru o te wai: Ki ngā wāhi kāore i te parakoretia te wai, kohuatia te wai mō te meneti kotahi i mua i te inu. Tērā atu rānei, ka taea e koe te tātari i te wai. Heoi anō, me 'tino 1 maikorona' te tātari, me iti iho rānei, ā, me rewa ngā papa iodine ki roto i te wai kua tātarihia.
• Te whakarite mīti haumaru: Whakamahia he inemahana kai ina tunua te mīti. Me tunu ngā wahi mīti katoa ki te pāmahana o roto o te 63 nekehanga Celsius (145 nekehanga Fahrenheit) ka waiho kia tū mō te toru meneti i mua i te kai. Me tunu te mīti tapatapahi ki te 71 nekehanga Celsius (160 nekehanga Fahrenheit). Kāore e āraihia te kutukutu rīpene mā te momi, te whakamaroke rānei i te mīti.
• Te whakarite ika haumaru: Tunua ngā ika wai māori nunui pērā i te hāmana ki te pāmahana o roto o te 63 nekehanga Celsius (145 Fahrenheit). Ki te kai ika mata, he mea haumaru te whakarewa rawa i te tuatahi.I te nuinga o ngā wharekai sushi pai, ka whakatio wawetia ngā ika hou ki te -35 nekehanga Celsius (-31 nekehanga Fahrenheit). Kātahi ka puritia te ika ki te -20 nekehanga Celsius (-4 nekehanga Fahrenheit) mō te 24 hāora. Ki te kore e whakatio hohonutia, e hiahiatia ana e te FDA kia whakatiotia ngā ika ki te -20 nekehanga Celsius (-4 nekehanga Fahrenheit) mō ngā rā e whitu hei patu i ngā pirinoa.

Kia pēhea te roa ka pāngia ahau e te mate kutukutu rīpene?

Ka roa pea te wā ka mōhio koe kei te pangia koe e te mate kutukutu rīpene. Kāore pea ngā tohu e puta mō ngā marama, mō ngā tau rānei. Engari ina kitea, ina rongoatia, ka mate te kutukutu, ka puta atu i tō tinana. Heoi, ki te kore e kitea e koe, ka mate te kutukutu rīpene, ka puta atu i tō tinana i a ia anō i muri i ngā tau maha.

Mena he mate kutukutu rīpene tōu, ā, kāore he tohu, he raruraru rānei mai i ngā pūwero, tera pea ka kī atu tō tākuta kia kaua e mahi i tetahi mea mōna. Mena ka tupu tēnā, ka mate ngā kutukutu rīpene i muri i ētahi tau o tō rātou huringa ora. I ētahi wā ka kitea noa e te tangata ina mate kē rātou, ā, ka puta he urupare mumura.

Mena he mate kutukutu rīpene kei roto i a koe e whakararuraru ana i a koe, kua roa pea koe e pangia ana e tēnei mate. Kia kitea e tō tākuta, ka tangohia e ia te kutukutu rīpene e raru ana, ā, ka mahi ia ki te whakahaere i ō tohumate. Mā te tango i te kutukutu rīpene ka āwhina i te whakaiti i ō tohumate. Engari i ētahi wā, kua pāngia pea ō whekau, tō pūnaha io matua rānei e te kino kore e taea te whakatika.

Me pēhea taku tiaki i a au anō mēnā he mate kutukutu rīpene kāore he tohu o te mate?

Mena kei te noho koe me te mate kutukutu rīpene kāore he tohu, kāore anō kia rongoatia, kia tūpato ki ngā tohu hou ka puta ake i roto i te wā. Ka mōhio kōrua ko tō tākuta ki te wāhi kei reira ngā kiore i tō tinana. Nō reira, kia tūpato ki ngā tohu rerekē i aua wāhi. Rapua ngā tohu o te mumura, te urupare ārai mate rānei ka puta i te tīmatanga o te mate o ngā kiore. Ka tohua pea e tō tākuta he rongoā hei whakahaere i ō tohu.

Āhea ahau me toro atu ki te tākuta?

Ka rerekē rawa ngā tohu o te mate kutukutu rīpene, mēnā ka puta. Ina koa i ngā mate kutukutu rīpene. Kāore pea koe e mōhio he hononga ō tohu ki te kutukutu rīpene. Heoi, ki te mea he tohu rerekē āu, me toro atu ki tō tākuta . Ki te mea he take kei a koe hei whakapae mō te mate kutukutu rīpene, pērā i te haerenga ki tāwāhi tata nei, te kai rānei i te kai kāore i tino maoa, me whakahua. Ki te kite koe i ētahi maramara kutukutu i roto i tō tūtae, me whakamātau tonu .

Hei whakamutunga, kia mahara ki tēnei.

Ahakoa te āhua whakamataku o ngā mate kutukutu rīpene, he maha ngā wā ka ngawari noa iho ngā tohu. Kia kitea, ka taea te rongoā ngāwari. I te nuinga o te wā ka puta ngā raruraru i muri i ngā tau. I roto i tētahi whenua whakawhanake, he iti noa iho te tūponotanga ka pangia koe e te mate kutukutu rīpene. Heoi, ki te haere koe ki ngā whenua whakawhanake, ki te kai mīti mata, ika mata rānei, kia tūpato ki ngā tohu pēnei i te mamae o te puku. Ki te pāngia koe e ngā tohu, tirohia tō tūtae mō ngā tohu kutukutu. Ki te mea he āwangawanga āu, kōrero ki tō tākuta mō te whakamātautau tūtae. Ko te kitenga wawe te huarahi pai ki te karo i ngā raruraru mai i te mate kutukutu rīpene .

Nō reira, kāore he mea e wehi ai. Ko te mea nui kia tūpato, kia tupato!

` Nuku rīpene, Mate pāwera, Parata, Whēkau, Ngā tohu, Akuaku