Wakamboona mwana wako mudiki achibuda tsvina mumuromo make achitamba panze here? Kana kuti wakambofunga here kuti iwe, kunyanya vana vako, unogona kurwara nembwanana yako yaunoda kana katsi kumba? Nhasi tichataura nezvechirwere chehonye icho isu, kunyanya vana vedu, tinogona kuwana kubva kumhuka dzakadaro, asi hatina kunzwa zvakawanda nezvazvo, asi zvakakosha zvikuru. Izvi ndizvo zvinonzi navanachiremba `(Visceral Larva Migrans)`.
Chii chinonzi Visceral Larva Migrans iyi?
Zvichitaurwa zviri nyore, Visceral Larva Migrans chirwere chinokonzerwa nehonye inopararira inogona kutapuriranwa kubva kumhuka kuenda kuvanhu, kunyanya vana vadiki. Honye idzi dzinowanzo kuwanikwa muura hwemhuka dzakadai sembwa nekatsi. Kazhinji, chirwere ichi hachikonzeri zviratidzo zvikuru. Izvi zvinoreva kuti iwe kana mwana wako mungasatomboziva kuti munacho. Zvisinei, vamwe vanhu vanogona kuona zviratidzo zvakaita sekurwadziwa mudumbu uye kushaya simba. Apa ndipo panodiwa kurapwa.
Saka rudzii rwehonye runokonzera chirwere ichi?
Gonye reVisceral Larva Migrans rinonyanya kukonzerwa nehonye inonzi Toxocara. Kune mhando dzakasiyana dzehonye dzeToxocara:
- `(Toxocara canis)`: Idzi ndidzo dzinowanikwa muura hwembwa.
- `(Toxocara cati)`: Vanhu ava vanogara muura hwekatsi.
- `(Ascaris suum)`: Rudzi urwu runotapuriranwa kubva kunguruve.
- `(Baylisascaris procyonis)`: Vanhu ava vanoberekesa mhuka dzinonzi raccoon (hapana chikonzero chekunetseka nezvazvo sezvo pasina raccoon muSri Lanka).
Munyika medu, imbwa nekatsi ndizvo zvinonyanya kukonzera kupararira kwechirwere ichi.
Chii chinonzi Toxocariasis?
`(Toxocariasis)` izita rekurapa rechirwere chinokonzerwa nemakonye e`(Toxocara)`, kureva, makonye ambotaurwa kare `(Toxocara canis)` anobva kumbwa uye makonye `(Toxocara cati)` anobva kukati. Kutaura chokwadi, `(Toxocara)` chirwere che`(Toxocara)`.
Chirwere ichi (Toxocariasis) chinogona kukanganisa miviri yedu nenzira nhatu huru:
1. Magonye eVisceral: Apa ndipo apo magonye anofamba achienda kunhengo dzedu dzemukati, dzakadai sechiropa, mapapu, nemoyo, uye odzikuvadza.
2. Magonye emaziso anofamba-famba: Muizvi, makonye anopinda muziso okonzera kuzvimba mukati meziso. Dzimwe nguva, izvi zvinogona kutokonzera kurasikirwa nekuona.
3. Neurotoxocariasis: Ichi chirwere chisingawanzoitiki. Muchiitiko ichi, honye dzinokanganisa uropi nemusana. Izvi zvinogona kukonzera kuzvimba kwakanyanya, pfari, uye kuvhiringidzika kwepfungwa (encephalopathy).
Makonye aya e`(Toxocara)` anopararira sei kubva kumhuka achienda kwatiri? Nenzira inoshamisa!
Fungidzira, honye dze`(Toxocara)` dzinogara muura hwemhuka yadzinotapurira, kureva imbwa kana katsi. Ikoko, honye idzi dzinoisa mazai. Mazai aya anobuda netsvina yemhuka. Zvadaro, tsvina yemhuka idzi dzine mazai e`(Toxocara)` inoungana muvhu, kureva muvhu. Nenzira iyi , mazai ane hutachiona anogona kuramba ari muvhu kwemwedzi yakati wandei.
Unoziva here kuti tinotapukirwa sei ne "Toxocara" iyi? Kana tikaisa ivhu rine mazai aya mumiromo yedu netsaona. Vana vadiki pavanotamba panze, vanotora ivhu uye dzimwe nguva vanoriisa mumiromo yavo. Ndipo pavanonyanya kutapukirwa. Zvakare, rinogona kupararira kubva mumiriwo nemichero inorimwa muvhu rakasviba kudaro uye kudyiwa pasina kuisuka zvakanaka.
Chinhu chakakosha ndechekuti kana mazai aya e`(Toxocara)` apinda mumuviri wedu, haakure kuita honye huru uye otanga kuisa mazai muura hwedu. Pane kudaro, honye dzinobuda mumazai. Honye idzi dzinobuda muura hwedu dzoenda kune dzimwe nhengo dzemuviri. Nzvimbo dzakadai sechiropa, mapapu, maziso, nehuropi. Pakupedzisira, honye idzi dzinofa ipapo. Zvisinei, padzinofamba, dzinokuvadza nhengo dzedu. Imhaka yekukuvara uku ndiko kunoita kuti zviratidzo zvionekwe.
Ndeupi musiyano uripo pakati pe'Visceral larva migrans' ne'cutaneous larva migrans'?
Kunyangwe mazita acho achinzwika akafanana, mamiriro acho maviri akasiyana zvachose. Kufamba kwegonye reVisceral kunokonzerwa nehonye dzemudumbu dzataurwa pamusoro apa dzinopinda munhengo dzemuviri dzofa. Kufamba kwegonye remudumbu kunokonzerwa nerudzi rwakasiyana rwegonye rinonzi hookworms. Kufamba kwegonye remudumbu kunowanzo kukonzera mapundu matsvuku paganda.
Chirwere ichi chakajairika zvakadii? Tiri panjodzi here?
Kana ukatarisa nhamba dziri munyika yakaita seAmerica, munhu mumwe chete pavanhu gumi akambobatwa nechirwere che'Toxocara' pane imwe nguva muhupenyu hwake. Zvisinei, vanhu vazhinji havaratidzi zviratidzo uye havatombozivi kuti vakambobatwa nechirwere chakadaro.
Vanhu vari munyika dzichiri kusimukira vane mukana mukuru wekutapukirwa neToxocara, uye vane mukana mukuru wekutapukirwa neVisceral Larva Migrans.
Zvipfuyo zvedu zvatinoda, imbwa nekatsi, zvinogonawo kutapukirwa nehonye idzi. Kunyanya idzo dzinopedza nguva yakawanda dziri panze. Ongororo dzakawana kuti imbwa dzinosvika 2% ne5% yekatsi muUnited States dzine honye mudumbu madzo. Saka, mamiriro ezvinhu munyika medu anogona kunge akafanana kana kutopfuura.
Ndiani angangonyanya kurwara ne'Visceral Larva Migrans'?
- Vana vari pasi pemakore matanhatu ndivo vanowanzo batwa nechirwere ichi chinonzi '(Toxocara)' uye vanokura ne '(Visceral Larva Migrans'). Izvi zvinodaro nekuti ndivo vanowanzo dya ivhu vasingazive pavanenge vachitamba panze.
- Njodzi iyi yakanyanyawo kune vanhu vanochengeta zvipfuyo zvakaita sembwa nekatsi.
- Vanhu vanogara munzvimbo dzinodziya vanewo mukana mukuru wekubata mazai aya e'(Toxocara). Chikonzero ndechekuti mazai aya anogona kurarama kwenguva yakareba muvhu rine hutachiona mumamiriro ekunze anodziya. Izvi zvakakosha zvikuru kunyika yakaita seSri Lanka.
Sei zviratidzo zvichionekwa kana `Visceral Larva Migrans' yatanga?
Mabundu eVisceral Gonye (Migrans) anokonzerwa nemabundu eToxocara (roundworm). Kana wabatwa nechirwere ichi, mabundu aya anobva muura oenda kunhengo dziri muchipfuva nedumbu. Kashoma kuti mabundu aya aendewo kumaziso ako, uropi, nemusana.
Mukurwisa hutachiona hweToxocara, muviri wako unogadzira masero akawanda ekudzivirira muviri muropa rako. Izvi zvinowedzera kuyerera kweropa uye kupinda kwemasero ekudzivirira muviri kunzvimbo yakakanganiswa, izvo zvinokonzera kuzvimba. Zviratidzo zvaunoona zvinoenderana nekuti masoja emuviri wako anopindura sei hutachiona hweToxocara.
Ndezvipi zviratidzo zvechirwere ichi? Zvinoitika kune wese munhu here?
Vanhu vazhinji vane hutachiona hweToxocara havaratidzi zviratidzo. Zvisinei, kana zviratidzo zvikaitika, zvinogona kusanganisira:
- Kuneta
- Kupindwa nechando
- Kuwedzera kwerudzi rwemasero machena eropa anonzi eosinophil muropa (eosinophilia) - Izvi zvinoratidza kuti pane hutachiona kana kuti allergy mumuviri.
- Lymphadenopathy
- Kurwadziwa kwemudumbu
- Mapundu / urticaria
- Kukosora
- Kufemereka
- Kuzvimba kwechiropa (hepatomegaly)
- Splenomegaly
Chiremba anoongorora sei izvi? Ndedzipi bvunzo dzavanoita?
Chiremba achaongorora Visceral Larva Migrans nekuita bvunzo yemuviri uye kuongororwa ropa. Iva nechokwadi chekuudza chiremba wako kana uine mhuka dzinovaraidza kana kana uchifunga kuti ungangove wakambosangana nevhu rakasviba.
Muedzo mukuru unoshandiswa kuongorora toxocariasis iongororo yeropa inonzi enzyme-linked immunosorbent assay (ELISA) . Muedzo uyu unotsvaga ma antibodies eToxocara muropa rako. Hausimbisi kana uine hutachiona hweToxocara parizvino. Pane kudaro, unotsvaga zviratidzo muropa rako zvekuti masoja emuviri wako apindura hutachiona munguva pfupi yapfuura.
Chiremba anogonawo kukurudzira mimwe miedzo yekusimbisa chirwere ichi, yakaita se:
- Kuverengwa kweropa kwakazara (CBC): Izvi zvinotarisa huwandu hwemasero matsvuku eropa, masero machena eropa, maplatelet, uye hemoglobin muropa.
- Miedzo yemifananidzo:Semuenzaniso, kuongororwa kwe ultrasound, CT scan, kana MRI scan zvinogona kuitwa kuti zviongororwe kana paine kuzvimba.
- Kuongororwa kwetsvina: Izvi zvinotsvaga humbowo hwekuti pane tupukanana twuri mutsvina.
- Kuongororwa kwemuviri: Sampuro diki yenyama yakakanganiswa inotorwa yoongororwa kuti ione kana makonye aripo (izvi hazviwanzoitika).
Ndeapi marapirwo eizvi? Ndinofanira kunetseka here?
Mashoko akanaka ndeekuti vanhu vazhinji vane Visceral Larva Migrans havadi kurapwa kwakakosha. Zorora uye kumirira kuti kuzvimba kupere kwega ndizvo zvinongodiwa chete.
Zvisinei, kana uine zviratidzo, chiremba wako anogona kukukurudzira zvinhu zvakaita se:
- Deredza kuzvimba nekushandisa corticosteroids kana mishonga isingarwisi kuzvimba (NSAIDs) .
- Mishonga inorwisa mabhakitiriya inoderedza simba remuviri rekudzivirira muviri.
Kana chiremba wako akaona kuti une mabundu ari mupenyu mumuviri wako, anogona kukupa mushonga wekurwisa tupukanana kuti uauraye. Izvi zvinogona kubatsira kudzivirira mabundu ari mupenyu kuti asapinde mumuviri wako uye zvichikonzera kukuvara kwakawanda. Izvi zvinonyanya kukosha kudzivirira kukuvara kwemaziso ako, uropi, kana musana.
Ungazvidzivirira sei? Ndedzipi nzira dzekudzivirira?
Pane zvinhu zvishoma zviri nyore zvatingaita kuti tizvidzivirire kubva kuchirwere ichi (Visceral Larva Migrans):
- Dzivisa kudya chikafu chakarimwa muvhu chingave chakasvibiswa netsvina yembwa kana yekatsi.
- Rambai muchitarisa vana venyu pavanenge vachitamba panze. Musavarega vachiisa tsvina mumiromo yavo.
- Shamba michero nemiriwo zvakanaka usati wadya.
- Iva netsika yekugeza maoko ako zvakanaka . Dzidzisa vana vako kugeza maoko avo vasati vadya, mushure mekutamba panze, uye mushure mekubata mhuka dzinovaraidza.
- Isa parutivi nzvimbo chaiyo yekuti mhuka dzako dziite tsvina. Isa tsvina yadzo mubhegi woirasa zvakanaka, kana kuti chengeta bhokisi remarara rakachena kuti katsi dzisapararire.
- Endai nezvipfuyo zvenyu kuna chiremba wemhuka nguva nenguva kuti muone kana paine tupukanana uye muvape mishonga yekubvisa honye.
Chii chinoitika kana ndikawana chirwere ichi? Chicharapwa here?
Kazhinji, chirwere ichi chinopora chega pasina kurapwa.
Matambudziko enguva refu haawanzoitiki. Kana zvikaitika, zvinogona kusanganisira:
- Kuzvimba kwetsandanyama yemwoyo (myocarditis)
- Chirwere chemabayo
- Mavanga emumapapu (pulmonary fibrosis)
Avo vane zvirwere zvambotaurwa kare zvinonzi `Ocular larva migrans` (zvinokanganisa maziso) uye `Neurotoxocariasis` (zvinokanganisa uropi nemusana) vanogona kuva nematambudziko akakomba. Semuenzaniso:
- Upofu
- Kuzvimba kweuropi nemusana (meningoencephalitis)
Tinozvitarisira sei isu nevana vedu? Tingadzivirira sei izvi kuti zvisaitike zvakare?
Kana iwe kana mwana wako mukaonekwa kuti mune Visceral Larva Migrans, zvakakosha kuziva kuti zvakatanga sei kuitira kuti mukwanise kudzivirira hutachiona mune ramangwana.
Kana uine imbwa kana katsi, iendese kuna chiremba wemhuka nguva nenguva kuti inoongororwa uye inobviswa makonye. Bvunza chiremba wemhuka nezvemishonga yekubvisa makonye nguva dzose, kunyanya kana mhuka yako iri mhuka inochengetwa panze.
Mazai eToxocara anogona kugara muvhu kwemwedzi yakati wandei. Saka, kuchenesa tsvina yemhuka dzinochengetwa pamba nekukurumidza paunongoiona kunogona kubatsira kudzivirira hutachiona.
Ungave uchifunga kuti, "Ko, mhuka yangu yandinoda inogona sei kuparadzira chirwere kumhuri yangu?" Asi, chokwadi ndechekuti, imbwa nekatsi zvinogona kutakura honye dzakatenderera dzinonzi ``Visceral Larva Migrans'' mudumbu madzo. Kana uine mhuka dzinovaraidza, nyatsochenjerera paunenge uchichenesa tsvina yadzo, uye dziendese kuna chiremba wemhuka nguva nenguva.
Saka, ndezvipi zvinhu zvatinofanira kurangarira kubva munyaya iyi?
Tataura zvakawanda nezvechirwere ichi chehonye chinonzi ``Visceral Larva Migrans'' nhasi. Saka, chinhu chakakosha ndechekuti ichi chirwere chinogona kudzivirirwa.
- Tinogona kuwana mazai aya ehonye kubva kuzvipfuyo zvedu, kunyanya kuburikidza netsvina yazvo.
- Vana vadiki ndivo vari panjodzi huru, sezvo vachiziva vachiisa mazai ehonye mumiromo yavo pavanenge vachitamba nevhu.
- Kuchena ndicho chinhu chinonyanya kukosha. Kugeza maoko zvakanaka, kugeza michero nemiriwo usati wadya, uye kurasa tsvina yemhuka zvakanaka zvakakosha zvikuru.
- Musakanganwa kubvisa honye kumhuka dzenyu nenguva. Bvunzai chiremba wemhuka kuti akupei mazano panyaya iyi.
Kana ukanyatsotarisira zvinhu izvi, iwe nemhuri yako, kunyanya vana vako vaunoda, munogona kuramba muine hutano hwakanaka uye makachengeteka kubva kuchirwere ichi chehonye chinonzi `(Visceral Larva Migrans)`. Hapana chekutya, kuziva nekungwarira ndizvo zvinhu zvinonyanya kukosha!
Makonye , zvirwere zvemhuka, hutano hwevana, Toxocara, Kutama kweVisceral Lava, ivhu, mhuka dzinovaraidza
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