Kodi munayamba mwaganizapo kuti kuyenda wopanda nsapato pansi, makamaka pa nthaka yodetsedwa, kungabweretse tizilombo toyambitsa matenda toopsa m'thupi lanu? Mungamve kuyabwa pang'ono, koma mwina simungasamale. Lero tikambirana za matenda a nyongolotsi omwe angalowe m'thupi mwanu mwakachetechete ndikukhala m'thupi mwanu kwa zaka zambiri popanda zizindikiro zilizonse, koma nthawi zina akhoza kukhala oopsa. Izi zimatchedwa Strongyloidiasis.
Mwachidule, kodi Strongyloidiasis ndi chiyani?
Strongyloidiasis ndi matenda omwe amayamba chifukwa cha nyongolotsi yotchedwa `(Strongyloides)`. Nyongolotsi iyi imalowa m'thupi mwathu kudzera pabala la pakhungu . Tangoganizirani, ngakhale palibe bala pakhungu lanu, nyongolotsi izi zimatha kulowa m'thupi kudzera pabowo pakhungu. Zikalowa m'thupi, zimapita molunjika ku mapapo ndi m'matumbo athu. Pamenepo ndi pomwe nyongolotsi izi zimamera, zimaikira mazira, ndikuberekana.
Chinthu chapadera cha matendawa ndi chakuti anthu ena amatha kukhala zaka zambiri osawonetsa zizindikiro zilizonse . Ena amatha kukhala ndi ziphuphu pakhungu, matuza, kapena kusokonezeka m'mimba komwe kumabwera nthawi ndi nthawi. Komabe, ngati chitetezo cha mthupi cha munthu chili chofooka , matendawa amatha kukhala oopsa komanso oopsa.
Kodi nyongolotsi iyi imapezeka kuti kwambiri? Ndani ali pachiwopsezo chachikulu?
Ngakhale kuti nyongolotsi ya Strongyloides imapezeka kulikonse padziko lapansi, imapezeka kwambiri m'maiko okhala ndi nyengo yotentha (yotentha komanso yotentha) komanso m'madera akumidzi omwe alibe ukhondo wabwino.
Aliyense akhoza kudwala matendawa, koma anthu ena ali pachiwopsezo chachikulu chotenga matendawa.
| Choopsa | Kufotokozera |
|---|---|
| Chitetezo chamthupi chofooka | Chiwopsezochi chimakhala chachikulu makamaka kwa iwo omwe akumwa mankhwala a steroid (corticosteroid therapy), omwe ali ndi kachilombo ka HTLV-1, odwala khansa (makamaka khansa ya m'magazi, lymphoma), ndi omwe adapatsidwa ziwalo zina. |
| Kuyenda wopanda nsapato | Kuyenda wopanda nsapato kumabweretsa chiopsezo chachikulu, makamaka panthaka yodetsedwa, chifukwa chokhudzana ndi nthaka nthawi zonse. |
| Ntchito zina | Anthu omwe amalima, akukumba, kapena amagwira ntchito zina zomwe zimafuna kukhudzana ndi nthaka nthawi zambiri ali pachiwopsezo chachikulu. |
| Malo omwe alibe ukhondo wabwino | Kukhala m'malo omwe nthaka imakhala ndi chimbudzi cha anthu kumawonjezera chiopsezo chotenga matendawa. |
Kodi nyongolotsi iyi imachita chiyani ikalowa m'thupi?
Izi zili ngati filimu. Tangoganizirani, nyongolotsi zazing'ono (mphutsi) m'nthaka zimalowa m'thupi lanu kudzera pakhungu lanu.
1. Kulowa m'khungu: Mphutsi izi zikayamba kulowa m'khungu, zimatha kuyambitsa ziphuphu zofiira, zotupa, komanso zoyabwa kwambiri .
2. Ulendo wopita ku mapapo: Kenako, amalowa m'magazi ndipo amayenda ndi magazi kupita ku mapapo. Pamenepo ndi pomwe amakula pang'ono. Panthawiyi, anthu ena amatha kumva chifuwa champhamvu kapena kunjenjemera pakhosi .
3. Kulowa m'matumbo: Tikatsokomola mphutsi kuchokera m'mapapo, zimalowa pakhosi ndipo timazimeza mosazindikira. Kenako zimadutsa m'mimba ndikulowa m'matumbo.
4. Kufalikira kwa kachilomboka: Njoka za m'mimbazi zimaika mazira m'matumbo. Mazirawo amaswana n'kupanga mphutsi, zomwe zimatuluka m'ndowe. Zikatuluka, zimaipitsa nthaka ndipo zimatha kupatsira ena.
Choopsa kwambiri pa izi ndichakuti nyongolotsi izi, m'malo mozitulutsa m'ndowe, zimatha kulowanso m'matumbo, kulowanso m'magazi, ndikuyambitsanso kayendedwe konse. Izi zimatchedwa ``autoinfection.'' Ichi ndichifukwa chake, ngati sizichiritsidwa, matendawa amatha kupitirira kwa zaka zambiri.
Matenda oopsa: Matenda oopsa komanso oopsa kwambiri
Kawirikawiri, thupi la munthu wathanzi komanso chitetezo chamthupi chabwino limatha kulamulira nyongolotsi izi, kotero zizindikiro zoopsa sizimachitika.
Komabe, ngati munthu amene chitetezo chake chamthupi chafooka atenga matendawa, nyongolotsi sizingathenso kuwongolera matendawa. Nyongolotsi zimachulukana mofulumira kwambiri, zimachoka m'matumbo ndikufalikira ku ziwalo zina monga ubongo, chiwindi, ndi mtima. Izi zimatchedwa ``hyperinfection`` kapena ``disseminated strongyloidiasis``.
Pa nthawiyi, nyongolotsi zikamatuluka m'matumbo, zimawonjezeranso mabakiteriya ochokera m'matumbo kupita m'magazi. Izi zingayambitse mavuto aakulu komanso oopsa monga ``sepsis`` (kuopsa kwa magazi) ndi ``chibayo`` (chibayo).
Ndani ali pachiwopsezo chachikulu cha matenda oopsa (hyperinfection)?
- Kwa iwo omwe amatenga corticosteroids kwa nthawi yayitali
- Kwa iwo omwe ali ndi kachilombo ka HTLV-1
- Kwa anthu omwe ali ndi khansa yokhudzana ndi magazi monga leukemia kapena lymphoma
- Kwa iwo omwe adaikidwapo chiwalo kapena kuikidwapo mafupa
Kodi zizindikiro za matendawa ndi ziti?
Anthu ambiri sangakhale ndi zizindikiro zilizonse, kapena nthawi zina zimangobwera ndi kutha. Ngati zizindikirozo zichitika, zingaphatikizepo izi:
- Zilonda za pakhungu: Zilonda zofiira, zokwezeka, komanso zoyabwa zomwe zimawoneka kuti zikuyenda mofulumira kwambiri (mphutsi). Izi zimawoneka kwambiri pakati pa matako, pa ntchafu, kapena m'dera la dzanja.
- Kupweteka m'mimba: Kupweteka m'mimba pamwamba (monga gastritis), kudzimbidwa, nseru, ndi kutsegula m'mimba.
- Chifuwa: Chifuwa chouma kapena pakhosi pokanda.
Kuzindikira ndi kuchiza matendawa
Ngati muli ndi zizindikiro izi kapena muli m'gulu la anthu omwe ali pachiwopsezo, ndikofunikira kuonana ndi dokotala . Dokotalayo adzakufunsani mafunso, adzakuyesani, ndikuyitanitsa mayeso angapo kuti atsimikizire matendawa.
- Kuyesa chimbudzi: Yang'anani nyongolotsi kapena mphutsi zake.
- Kuyesa makoswe: Kudziwa ngati pali nyongolotsi m'mapapo.
- Kuyezetsa magazi: Kuyezetsa ma antibodies omwe thupi limapanga motsutsana ndi nyongolotsi.
Monga chithandizo, dokotala adzapereka mankhwala oletsa tizilombo toyambitsa matenda. Ivermectin ndi Albendazole ndi mankhwala omwe amagwiritsidwa ntchito kwambiri pa izi. Mankhwalawa nthawi zambiri amafunika kumwedwa kwa masiku angapo mpaka milungu iwiri.
Chofunika kwambiri ndichakuti ngakhale mutakhala kuti mulibe zizindikiro zilizonse, ngati mwatsimikizika kuti muli ndi kachilomboka, muyenera kufunafuna chithandizo. Chifukwa ngati chitetezo chanu cha mthupi chifooka mtsogolo, nyongolotsi yosalankhula iyi ikhoza kukhala "hyperinfection" ndikuyika moyo pachiwopsezo.
Kodi mungadziteteze bwanji ku matendawa?
Kudziteteza ku matendawa ndikosavuta kwenikweni.
- Valani nsapato nthawi zonse: Valani nsapato kapena nsapato, makamaka m'munda, kumunda, kapena kulikonse komwe mungakhudze nthaka.
- Samalani ukhondo wanu: Sambani m'manja mwanu bwino mukatha kugwiritsa ntchito chimbudzi. Pewani kukhudzana ndi dothi m'malo opanda ukhondo wabwino.
- Uzani dokotala wanu: Ngati mukumwa mankhwala oletsa chitetezo chamthupi pazifukwa zilizonse, mukulandira chithandizo cha khansa, kapena mukukonzekera kuikidwa chiwalo china, uzani dokotala wanu. Ngati pakufunika kutero, angakuyezeni ngati muli ndi mphutsi za m'mimba musanayambe kulandira chithandizo.
Kodi muyenera kupita kwa dokotala liti?
Ngati muli ndi vuto lotsatirali, onetsetsani kuti mwaonana ndi dokotala wa banja lanu.
- Ngati muli ndi zizindikiro za Strongyloidiasis (makamaka zilonda zachilendo pakhungu, kusokonezeka m'mimba).
- Ngati chitetezo cha mthupi lanu chili chofooka ndipo mukuopa matenda ngati awa.
- Ngati mukupita kudera lomwe matendawa ndi ofala kwambiri.
- Musanayambe chithandizo chilichonse chomwe chimafooketsa chitetezo cha mthupi lanu.
Nthawi yoti mupite ku ETU (Emergency Treatment Unit) nthawi yomweyo
Ngati mukuganiza kuti muli ndi Strongyloidiasis ndipo mukupeza zizindikiro zazikulu zotsatirazi, pitani ku chipatala chapafupi cha Emergency Department (ETU) nthawi yomweyo.
- Malungo aakulu (oposa 39.4 Celsius / 103 Fahrenheit)
- Kutaya mtima kapena kusintha kwa chidziwitso
- Kuthamanga kwa magazi kotsika kwambiri
- Kuvuta kupuma
- Kupweteka pachifuwa
- Kutuluka kwa mkodzo pang'ono kwambiri kapena osatuluka konse
Uthenga Wopita Nawo Kunyumba
- Strongyloidiasis ndi matenda omwe amayamba chifukwa cha nyongolotsi ya parasitic yomwe imapezeka m'nthaka yodetsedwa yomwe imalowa m'thupi kudzera pakhungu.
- Anthu ambiri sasonyeza zizindikiro zilizonse kwa zaka zambiri.
- Kwa anthu omwe ali ndi chitetezo chamthupi chofooka (monga omwe amatenga ma steroids, odwala khansa), matendawa akhoza kukhala oopsa kwambiri komanso oopsa.
- Mungathe kudziteteza mosavuta ku matendawa povala nsapato ndikuchita zinthu zaukhondo.
- Ngakhale ngati palibe zizindikiro, chithandizo chamankhwala chiyenera kufunidwa ngati matenda apezeka.
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