Kodi mumadziwa za matenda a nyongolotsi awa omwe angakhale m'mimba mwanu kwa zaka zambiri? (Strongyloidiasis)

Tonsefe tamvapo za mphutsi tili ana, sichoncho? Tikamaganiza za mphutsi, nthawi zambiri timaganiza za chinthu chomwe chingachiritsidwe ndi mankhwala pang'ono. Koma kodi mumadziwa kuti pali mitundu ina ya mphutsi zomwe zimatha kukhala m'thupi mwanu kwa zaka zambiri, ngakhale zaka makumi ambiri, popanda kuyambitsa zizindikiro zilizonse? Lero tikulankhula za matenda oopsa kwambiri a mphutsi. Matendawa amatchedwa Strongyloidiasis.

Mwachidule, kodi Strongyloidiasis ndi chiyani?

Strongyloidiasis ndi matenda am'mimba omwe amayamba chifukwa cha nyongolotsi yozungulira yotchedwa `Strongyloides stercoralis`. Chinthu chapadera pa izi ndichakuti nyongolotsi iyi imaikira mazira m'matumbo mwanu, ndipo mphutsi zomwe zimatuluka m'mazira amenewo zimatha kufalikiranso m'thupi lanu. Timatcha izi kuti 'autoinfection'. Zili ngati munthu wokhala m'nyumba osachoka, koma m'malo mwake akusamukira kubanja. Ichi ndichifukwa chake matendawa amatha kupitirira kwa zaka zambiri popanda zizindikiro zilizonse.

Kodi nyongolotsi iyi imalowa bwanji m'thupi?

Tizilombo toyambitsa matenda timene timayambitsa izi, nyongolotsi ya Strongyloides, imakhala m'nthaka yodetsedwa, m'madzi, kapena m'ndowe zodetsedwa. Mukayenda opanda nsapato m'nthaka yodetsedwa, kugwira ntchito m'minda, kapena kukhudzana ndi madzi odetsedwa, nyongolotsi izi zimatha kulowa m'thupi lanu ndikulowa m'thupi lanu. Zikalowa mkati, nyongolotsi izi zimayenda m'magazi anu kenako n'kufika m'matumbo anu ang'onoang'ono. Pamenepo ndi pomwe zimaikira mazira awo. Yaikazi imatha kuikira mazira okwana 40 patsiku. Mazira ena amatuluka m'ndowe ndikuipitsanso nthaka. Mphutsi zomwe zimatuluka m'mazira ena zimalowa m'khungu lozungulira khoma la m'mimba kapena rectum ndikulowanso m'thupi lanu, kupitiriza ndi njira yotchedwa autoinfection.

Kodi zizindikiro za izi ndi ziti?

Chodabwitsa pa izi n'chakuti pafupifupi theka la anthu omwe ali ndi matendawa sasonyeza zizindikiro zilizonse. Ndicho chifukwa chake sadziwa ngakhale kuti ali ndi matendawa. Anthu omwe amadwala matendawa nthawi zambiri amakhala ndi vuto la kugaya chakudya .

Kodi mungadziwe bwanji matendawa molondola?

Kuzindikira matendawa kungakhale kovuta. Chifukwa kufufuza ndowe pogwiritsa ntchito maikulosikopu nthawi zambiri sikuti nthawi zonse kumazindikira nyongolotsi. Chifukwa chake, kuyesa ndowe zingapo (osachepera 3-5) kwa masiku angapo kungapereke zotsatira zodalirika. Kuphatikiza apo, nthawi zina kuyezetsa magazi kumatha kuchitika kuti muwone ngati pali ma antibodies ku matendawa. Ngati matendawa apita patsogolo ndipo akhudza mapapo, chitsanzo cha madzi ochokera m'mapapo (sputum) kapena madzi ochokera m'matumbo ang'onoang'ono angayesedwe kuti atsimikizire matendawa.

Kodi izi zingakhale zoopsa kwa ndani? (Hyperiinfection Syndrome)

Chitetezo cha mthupi chikafooka, nyongolotsi izi, zomwe zimathawa mphamvu ya thupi, zimachulukana kwambiri, zimatuluka m'matumbo ndikuyamba kufalikira ku ziwalo zina zofunika kwambiri za thupi monga mapapo, chiwindi, mtima, ndi ubongo. Matendawa timawatcha kuti 'Hyperiinfection Syndrome'. Pazochitika zotere, chiwerengero cha imfa chikhoza kufika pa 80%.

Anthu omwe ali pachiwopsezo chachikulu cha matenda a Hyperinfection Syndrome:

• Ma Steroids ((Anthu omwe amamwa mankhwala a steroid kwa nthawi yayitali (monga matenda monga mphumu ndi nyamakazi)
• Anthu omwe akulandira chithandizo cha khansa (makamaka khansa ya m'magazi)
• Anthu omwe adaikidwa ziwalo zina ndipo akumwa mankhwala oletsa chitetezo chamthupi
• Anthu omwe ali ndi matenda a shuga
• Anthu omwe ali ndi kachilombo ka HIV
• Anthu omwe ali ndi kachilombo kosowa kotchedwa `HTLV-1`
• Anthu omwe amamwa mowa mopitirira muyeso
• Anthu omwe ali ndi matenda osatha monga kulephera kwa impso

Kodi chimachiritsidwa bwanji? Ndipo chimapewedwa bwanji?

Pali mankhwala othandiza kwambiri a matendawa. Pa matenda ofala, mankhwala otchedwa `Ivermectin` angaperekedwe kwa masiku 1-2. Nthawi zina, mankhwala otchedwa `Albendazole` amaperekedwa kwa masiku 7. Koma kumbukirani, musamwe mankhwala awa ku pharmacy momwe mukufunira. Muyenera kuonana ndi dokotala ndikumwa mlingo wovomerezeka ndi nthawi ya chithandizo. Makamaka ngati muli ndi vuto lalikulu la `Hyperiinfection Syndrome`, muyenera kugonekedwa kuchipatala ndikulandira chithandizo kwa milungu ingapo.

Kupewa ndikwabwino kwambiri!

Pali zinthu zosavuta zomwe tingachite kuti tidziteteze ku matendawa:

• Valani nsapato: Onetsetsani kuti mwavala nsapato kapena masandali, makamaka mukamayenda pa dothi, matope, kapena nthaka yonyowa. Anthu omwe amalima m'minda kapena ulimi ayenera kusamala ndi izi.
• Kugwiritsa ntchito zimbudzi ndi kusamalira zinyalala: Tsatirani njira zoyenera zaukhondo. Pewani zinyalala kuti zisaunjikane m'chilengedwe.
• Ukhondo: Pewani kukhudzana ndi madzi odetsedwa kapena malo omwe muli zimbudzi.
• Ziweto: Chotsani ndi kutsuka bwino ndowe za ziweto monga agalu.

Strongyloidiasis, matenda a mphutsi, mphutsi za m'mimba, Strongyloides, matenda obadwa m'nthaka, matenda oopsa, Ivermectin