Ngaba kufuneka sifunde ngesifo semiphunga (iParagonimiasis), esinokufunyanwa ngokutya iinkala eziluhlaza kunye neenkala zamanzi acocekileyo?

Ngaba uyakuthanda ukutya izinto ezifana neenkala kunye neenkala zamanzi? Ingakumbi kwilizwe lethu, i-crab curry, ioyile yenkala, kunye nokutya okuneziqholo kwenza umlomo wakho ube manzi, akunjalo? Ngokufanayo, abanye abantu bathanda izinto ezifana neepickle zenkala ezikrwada okanye ezingaphekwanga kakuhle kunye neesaladi ezenziwe ngeviniga. Kodwa, ubusazi ukuba kukho i-parasite eyingozi enokungena emizimbeni yethu ngokutya okumnandi kwaye yonakalise imiphunga yethu, ngakumbi? Isifo esibangelwa yi-parasite sibizwa ngokuba yiParagonimiasis. Makhe sithethe ngale nto ngeenkcukacha ezithe vetshe namhlanje.

Yintoni iParagonimiasis? Ngamafutshane...

Ngamafutshane, iParagonimiasis lusulelo olubangelwa yi-flatworm (ekwaziwa ngokuba yi-fluke) yohlobo lweParagonimus. Ungayifumana ukuba utya iinkala eziluhlaza, ezingaphekwanga kakuhle, okanye ezifakwe i-pickled okanye i-crayfish.

Esi silwanyana sibizwa ngokuba yi-'Paragonimus' sidla ngokuchaphazela kakhulu imiphunga yakho . Nangona kunjalo, ngamanye amaxesha ezi ntshulube zinokuya eluswini lwakho (cutaneous paragonimiasis) okanye ebuchotsheni bakho (cerebral paragonimiasis) zize zibangele usulelo apho. Ngaphezu koko, iimpawu zolu sulelo - ezinje ngokukhohlela igazi, iintlungu zesifuba, kunye nokuncipha komzimba - ngamanye amaxesha zinokubhidaniswa lula nesifo sephepha (TB) okanye umhlaza wemiphunga. Yiyo loo nto kubaluleke kangaka ukufumana uxilongo oluchanekileyo.

Iphi le ntsholongwane (iParagonimus) ixhaphake kakhulu?

Ezi zinambuzane ze-'Paragonimus' zifumaneka kwiindawo ezininzi zehlabathi. Kukwabikwa ukuba zikhona nakwezinye iindawo zaseMelika naseKhanada. Nangona kunjalo, uninzi lweemeko ze-paragonimiasis zibikwa kwamanye amazwe aseAsia, eAfrika, naseLatin America. Ngoko ke, kubalulekile ukuqaphela oku kummandla waseAsia apho sikhoyo.

Ziziphi iimpawu zeParagonimiasis?

Iimpawu zingaqala ukubonakala phakathi kweeveki ezimbini ukuya kwezisibhozo emva kokuba wosulelwe yile ntsholongwane. Usenokuqala ufumane iimpawu zokungakhululeki esiswini okanye zokwetyisa. Emva koko, kuvela iimpawu zemiphunga.

Nazi ezinye zeempawu eziqhelekileyo :

• Ifiva.
• Iintlungu zesifuba.
• Ukudinwa, ukudinwa.
• Ukukhwehlela: Oku kungaqala njengokukhwehlela okomileyo, kuze kube nzima ngokwaneleyo ukuvelisa i-phlegm enombala orhabaxa, okanye enegazi .
• Ukunciphisa umzimba ngaphandle kokuzama.
• Ukuphazamiseka kwesisu (urhudo).
• Intlungu yesisu.
• Amaqhuma amancinci avela phantsi kwesikhumba sesisu. La maqhuma anokuba buhlungu ukuwachukumisa, kwaye asenokuvakala ngathi aya phezulu, esifubeni.

Iimpawu ukuba ingqondo ichaphazelekile (`Cerebral Paragonimiasis`)

Ukuba esi silwanyana 'seParagonimus' sifika ngequbuliso kwinkqubo yakho yemithambo-luvo, oko kukuthi, engqondweni yakho nakwintambo yomqolo, unokufumana ezi mpawu zilandelayo:

• Ukuxhuzula .
• Intloko ebuhlungu .
• Iingxaki zokubona ezifana nokubona kabini kunye nokubona okufipheleyo.
• Ukudideka, ukuziva ngathi ingqondo iyaphazamiseka.
• Ukuhlanza.
• Ukuqina kwentamo, ubunzima bokugoba.
• Ubuthathaka bemisipha.

Ukuba ezi mpawu ziyabonakala, kubalulekile ukufuna iingcebiso zonyango ngokukhawuleza.

Kutheni le nto i-paragonimiasis yenzeka? Yintoni unobangela?

Njengoko besitshilo ngaphambili, oku kubangelwa yimpethu erhubuluzayo ebizwa ngokuba yi-'Paragonimus'. Uyifumana ngokutya iimpethu eziluhlaza okanye ezingaphekwanga kakuhle okanye iimpethu zamanzi acocekileyo. Khawucinge nje, iimpethu ezincinci zezi mpethu, eziziimbumba (oko kukuthi, eziselula), zinokufumaneka enyameni yeempethu okanye kulwelo lomzimba wazo.

Xa usitya into enjalo, iimbungu ziphuma kula maqanda asemathunjini akho amancinci . Emva koko, ezi mbungu zihamba ngodonga lwesisu, nge-diaphragm (i-membrane eyahlula isisu nesifuba) ziye emiphungeni yakho. Kulapho zikhula khona kancinci kancinci zibe ziimpethu ezindala.

Inkqubo yomzimba wakho yokuzikhusela ilwa nezi zinambuzane ezisemaphashini akho, zenze amaqokobhe aqinileyo abizwa ngokuba zii-cysts eziwajikelezileyo. Oku kufana nokuzama ukubamba utshaba. Nangona kunjalo, ezi cysts ngamanye amaxesha zinokuqhuma, zikhuphe igazi, ubomvu, kunye namaqanda ezi zinambuzane emiphungeni yakho. Oku kunokukhokelela kwiintsholongwane zesibini.

Ngaba i-paragonimiasis iyosulela ukusuka komnye umntu ukuya komnye?

Hayi. Khumbula oku. I-paragonimiasis ayisosifo esinokudluliselwa ukusuka komnye umntu ukuya komnye. Uyifumana kuphela xa utya ukutya okuqulethe i-parasite, njengoko besitshilo ngaphambili.

Ziziphi iingxaki ezinokubakho zesi sifo?

Iingxaki eziqhelekileyo ze-paragonimiasis zibandakanya imiphunga yakho. Ezinye zazo ziquka:

• Ukukrala kwemiphunga
• I-Bronchiectasis - Ukwanda kweendlela zomoya.
• Ithumba lemiphunga - Ingqokelela yobomvu kunye nezicubu ezifileyo ngaphakathi emiphungeni.
• Ukuphuma kwegazi emzimbeni - Ukuqokelelana kolwelo olujikeleze imiphunga.
• I-Empyema - Ingqokelela yobomvu obujikeleze imiphunga.

Ugqirha ufumanisa njani i-paragonimiasis?

Ugqirha uza kuyixilonga le sifo ngokukhangela ulwelo okanye izicubu zomzimba wakho ukuze abone ukuba kukho amaqanda eentsholongwane. Oku kudla ngokwenziwa:

• Uvavanyo lwe-sputum: Kuthathwa isampuli ye-mucus emiphungeni yakho ize ivavanywe.
• Uvavanyo lwesitulo: Ngamanye amaxesha amaqanda eempethu anokudluliselwa esitulweni.
• Ukujonga ulwelo olujikeleze imiphunga (i-pleural fluid).
• Uvavanyo lwesikhumba okanye olunye uhlobo lwesampulu yezicubu: Ngamanye amaxesha, ukuba kukho amaqhuma esikhumba, kuthathwa iqhekeza elincinci lesikhumba lize lihlolwe.

Usenokwenza uvavanyo olukhethekileyo lwemifanekiso ukuze ujonge imiphunga yakho kunye nezinye izitho zomzimba ezinokuchaphazeleka. Ngokuxhomekeke kwiimpawu zakho, ungenza uvavanyo lwegazi ukuze ujonge ii-antibodies kwi-worm, okanye uvavanyo lwe-cerebrospinal fluid ukuba ingqondo yakho ichaphazelekile.

Zeziphi iimvavanyo kunye neendlela ezenziwayo?

Ugqirha wakho angasebenzisa iimvavanyo kunye neenkqubo ezifana nezi:

• Uvavanyo lwegazi
• I-X-reyi yesifuba
• Iskeni ye-CT
• Iskeni se-MRI `(MRI)`
• I-Bronchoscopy: Oku kuquka ukufaka ityhubhu enekhamera encinci kwi-trachea ukuze kujongwe ngaphakathi kwemiphunga kwaye kuthathwe iisampuli ukuba kuyimfuneko.
• I-biopsy yolusu: Ukuba kukho iqhuma lolusu, kuthathwa iqhekeza elincinci lize lihlolwe.

Iphathwa njani le nto?

Iindaba ezimnandi zezokuba kukho unyango lwe-paragonimiasis! Oogqirha basebenzisa amayeza okulwa neentsholongwane ukuyinyanga. Amayeza aqhelekileyo yiPraziquantel okanye iTriclabendazole .

Kubalulekile: Kubaluleke kakhulu ukusela la mayeza kanye njengoko ugqirha ewayalele, kangangexesha elimiselweyo.

Ukuba une-cerebral paragonimiasis, imeko echaphazela ingqondo, oogqirha banokukunika iyeza elibizwa ngokuba yi-corticosteroids ukunciphisa ukudumba engqondweni nakwi-spinal cord. Akunqabile kakhulu, unokufuna utyando ukuze kususwe ama-cyst enziwe zezi ntshulube.

Ngaba i-paragonimiasis inganyangeka ngokupheleleyo?

Ewe, esi sisifo esinokunyangeka. Izifundo ezenziwe eJapan zibonise ukuba iyeza iPraziquantel linokunyanga ngokupheleleyo phakathi kwama-86% kunye nama-100% eentsholongwane ze-'Paragonimus'. Ngoko ke, akukho nto inokubangela ukukhathazeka ngayo, ukuba ufumana unyango olufanelekileyo, unokunyangeka.

Yintoni omele uyilindele ukuba unesifo esi?

Ukuba une-paragonimiasis, uya kunikwa ikhosi emfutshane yamayeza okulwa neentsholongwane, ngesiqhelo usuku olunye ukuya kwezintathu. Nangona kunjalo, ngamanye amaxesha ukuba amayeza awayisusi ngokupheleleyo imibungu, iimpawu zakho zinokubuya. Ukuba oku kuyenzeka, kuya kufuneka uphinde unyangwe.

Ingaba oku kuyingozi ukuba akunyangwa? Ngaba kungabulala?

Ewe, ukuba ayinyangwa, malunga ne-5% yezigulana ezine-cerebral paragonimiasis, echaphazela ingqondo, zinokufa. Ke ngoko, ukuba kukho iimpawu, ayilocebo lilungileyo ukulibazisa ukufuna unyango.

Ungayiphepha njani i-paragonimiasis? (Ukuthintela)

Le yeyona nxalenye ibalulekileyo. Ukuze uphephe le ngxaki, kufuneka uphephe ukutya iinkala kunye neembaza ezicingelwa ukuba zifuye i-parasite ethi 'Paragonimus'. Khumbula, ukupheka ukutya kakuhle yeyona ndlela ilungileyo yokuzikhusela.

Lumka ngakumbi ngezi zinto zokutya:

• Inkala eluhlaza okanye engaphekwanga kakuhle.
• Unonkala ocoliweyo: Kukho umngcipheko ukuba awufakwanga izinongo ezifanelekileyo.
• Unonkala onetyuwa: Le ndlela isenokungayibulali intsholongwane.
• Inkala "enxilileyo": Iinkala ezifakwe i-marinade okanye ezifakwe kwi-alcohol, njengewayini. Musa ukucinga ukuba utywala buza kuyibulala i-parasite.
• Ijusi yenkala: Ezi zisetyenziswa kwezinye iindawo. Ziyingozi xa zityiwa ziluhlaza.

Ngamafutshane, ukuba utya iinkala kunye nezinye iintlanzi, zipheke kakuhle kubushushu obungaphezulu kwama-63 degrees Celsius (145 Fahrenheit). Kulapho ke ezi zinambuzane zifa khona.

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu ze-paragonimiasis (ukukhwehlela, iintlungu zesifuba, kunye nomkhuhlane esithethe ngawo ngaphambili), bona ugqirha ngoko nangoko. Ingakumbi ukuba ukhumbula kutshanje ukuba utye unonkala okanye iimbaza ezingaphekwanga kakuhle, xelela ugqirha wakho ngaloo nto. Kungathatha naphi na ukusuka kwiiveki ezimbini ukuya kwiinyanga ezimbini ukuba iimpawu zibonakale, ngoko ungalibali ukutya into oyityileyo ngaphambili.

Kufuneka uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba unenye okanye ngaphezulu kwezi mpawu zinzima, yiya kwigumbi likaxakeka elikufutshane ngoko nangoko:

• Umkhuhlane ophezulu (ngaphezulu kwe-103 degrees Fahrenheit/40 degrees Celsius).
• Intlungu ebuhlungu esifubeni.
• Ukuba ukhwehlela igazi.
• Ukuba unesifo sokuxhuzula .
• Ukuba uziva udidekile okanye unesimo sengqondo esitshintshileyo.

Ezi zinokuba ziimpawu zesifo esinzulu, ngoko ke musa ukulibazisa.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Xa usiya kugqirha, kunokuba luncedo ukubuza le mibuzo:

• Kuza kuthatha ixesha elingakanani ukuba ndibe ngcono?
• Ndingalithatha njani kanye kanye eli yeza? (amaxesha okulithatha, ngaphambi okanye emva kokutya, njl.njl.)
• Zeziphi iimpawu ezinzulu ekufuneka ndizixhalabele? (umz. iimpawu ezifuna ukubona ugqirha kwakhona)
• Ndingabuya nini ndikubone kwakhona? (Ukuze ndilandelele)

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Paragonimiasis sisifo esibangelwa zizinambuzane esinokufunyanwa ngokutya iinkala ezingaphekwanga kakuhle kunye neekrayfish zamanzi acocekileyo. Sidla ngokuchaphazela imiphunga, kodwa ngamanye amaxesha sinokuchaphazela ingqondo kunye nolusu.

Eyona nto ingcono kukuba, kulula kakhulu ukuyithintela le nto. Xa usitya izinto ezifana neenkala kunye neembaza , eyona nto ibalulekileyo kukuzipheka kakuhle. Kuphephe ukuba ziluhlaza, zingaphekwanga kakuhle, okanye zingafakwanga iviniga.

Ukuba ucinga ukuba uneempawu zesi sifo, ungoyiki kwaye ubone ugqirha ngokukhawuleza. Kukho unyango olufanelekileyo loku, kwaye ukuba lunyangwa ngokufanelekileyo, lunokuphiliswa ngokupheleleyo. Ngoko ke, kubalulekile ukuba uqaphele kancinci ngokutya okutyayo kwaye uhlale usempilweni. Uyaqonda?

I- Paragonimiasis, isifo semiphunga, i-crab eluhlaza, i-freshwater crab, usulelo lwe-parasites, ukukhohlela igazi, iintlungu zesifuba