Ngaba wakha wacinga ukuba ukuhamba ngeenyawo emhlabeni, ingakumbi emhlabeni ongcolileyo, kunokungenisa intsholongwane eyingozi emzimbeni wakho? Usenokuziva urhawuzelelwa kancinci, kodwa mhlawumbi awuyi kukhathalela. Namhlanje siza kuthetha ngesifo seentshulube esinokungena emzimbeni wakho buthule size siphile emzimbeni wakho iminyaka emininzi ngaphandle kweempawu, kodwa ngamanye amaxesha sinokusongela ubomi. Oku kubizwa ngokuba yiStrongyloidiasis.
Ngamafutshane, yintoni iStrongyloidiasis?
I-Strongyloidiasis lusulelo olubangelwa yimpethu edlakadlaka ebizwa ngokuba yi-`(Strongyloides)`. Le mpethu ingena emzimbeni wethu ngenxeba lesikhumba . Khawuthelekelele, nokuba akukho nxeba eluswini lwakho, ezi mpethu zinokungena emzimbeni ngomngxuma eluswini. Emva kokungena emzimbeni, ziya ngqo emiphungeni nasemathunjini ethu. Kulapho ezi mpethu zikhula khona, zibeke amaqanda, kwaye zizale khona.
Into engaqhelekanga ngolu sulelo kukuba abanye abantu banokuphila iminyaka emininzi bengabonakalisi zimpawu . Abanye banokuba namaqhuqhuva eluswini, amadyungudyungu, okanye ukudumba kwesisu okuza kubuye kudlule ngamanye amaxesha. Nangona kunjalo, ukuba inkqubo yomzimba yokuzikhusela ibuthathaka , olu sulelo lulula lweentshulube lunokuba yingozi kwaye lude lubeke ubomi esichengeni.
Iphi le mbungu ixhaphake kakhulu? Ngubani osengozini enkulu?
Nangona i-Strongyloides worm inokufumaneka naphi na emhlabeni, ixhaphake kakhulu kumazwe anemozulu efudumeleyo (eshushu neshushu) nakwiindawo zasemaphandleni ezingenazo iindawo zokucoca ezisemgangathweni.
Nabani na unokuba nesi sifo, kodwa abanye abantu basengozini enkulu yokuba sesichengeni.
| Into enobungozi | Inkcazo |
|---|---|
| Ubuthathaka bomzimba | Umngcipheko uphezulu kakhulu kwabo basebenzisa amayeza e-steroid (unyango lwe-corticosteroid), abo basulelwe yintsholongwane ye-HTLV-1, izigulane ezinomhlaza (ingakumbi i-leukemia, i-lymphoma), kunye nabo bafakelwe amalungu omzimba. |
| Ukuhamba ngeenyawo | Ukuhamba ngeenyawo kuyingozi enkulu, ingakumbi kumhlaba ongcolileyo, ngenxa yokudibana rhoqo nomhlaba. |
| Eminye imisebenzi | Abantu abalima, abamba imigodi, okanye abasebenza kwezinye iindawo ezifuna ukuba umhlaba udibane rhoqo nabo basengozini enkulu. |
| Iindawo ezinempilo engentle | Ukuhlala kwiindawo apho umhlaba ungcoliswa kakhulu lindle labantu kwandisa umngcipheko wokufumana esi sifo. |
Yintoni eyenziwa yile mbungu xa ingena emzimbeni?
Oku kufana nefilimu. Khawuthelekelele, iimpethu ezincinci (ii-larvae) emhlabeni zingena emzimbeni wakho ngesikhumba sakho.
1. Ukungena kwesikhumba: Xa ezi zibungu ziqala ukungena eluswini, zinokubangela irhashalala ebomvu, evuvukileyo, nerhawuzelela kakhulu .
2. Ukuhamba ukuya emiphungeni: Emva koko, zingena egazini zize zihambe negazi ukuya emiphungeni. Kulapho ziba nkulu khona kancinci. Ngeli xesha, abanye abantu banokuziva bekhwehlela okanye bekrwempa emqaleni .
3. Ukungena emathunjini: Xa sikhwehlela iintshulube ziphuma emaphashini, zingena emqaleni size siziginye singazi. Emva koko zidlule esiswini zingene emathunjini.
4. Ukudluliselwa: Ezi tapeworms zibeka amaqanda azo emathunjini. Amaqanda aqandusela abe ziimbumba, ezithi ziphume zisendle. Xa ziphuma, zingcolisa umhlaba kwaye zinokosulela ezinye.
Eyona nto iyingozi kakhulu ngale nto kukuba ezi ntshulube, endaweni yokuba ziphume zisendle, zinokungena kwakhona emathunjini, ziphinde zingene egazini, zize ziqale kwakhona umjikelo wonke. Oku kubizwa ngokuba yi-"autoinfection." Yiyo loo nto, ukuba ayinyangwa, usulelo lunokuhlala iminyaka.
Usulelo oluphezulu: Imeko enzima nesongela ubomi
Ngokwesiqhelo, umzimba womntu ophilileyo onenkqubo yomzimba yokuzikhusela efanelekileyo unokuzilawula ezi ntshulube, ngoko ke azibonakali iimpawu eziqatha.
Nangona kunjalo, ukuba umntu onenkqubo yomzimba yokuzikhusela ebuthathaka ufumana olu sulelo, iimpethu azisenakukwazi ukulawula usulelo. Iimpethu zanda ngokukhawuleza, zishiya amathumbu kwaye zisasazeke kwezinye izitho ezifana nengqondo, isibindi kunye nentliziyo. Oku kubizwa ngokuba yi-"hyperinfection" okanye "disseminated strongyloidiasis".
Kule ndawo, njengoko iimpethu ziphuma emathunjini, zongeza iintsholongwane ezivela emathunjini ziye egazini. Oku kunokukhokelela kwiingxaki ezinzulu kakhulu nezisongela ubomi ezifana ne-"sepsis" (ityhefu egazini) kunye ne-"pneumonia" (i-pneumonia).
Ngubani osengozini enkulu yokosulelwa kakhulu (usulelo olugqithisileyo)?
- Kwabo bathatha ii-corticosteroids ixesha elide
- Kwabo bosulelwe yiHTLV-1
- Kubantu abanomhlaza onxulumene negazi ofana ne-leukemia okanye i-lymphoma
- Kwabo bafakelwe amalungu omzimba okanye bafakelwe umongo wethambo
Zithini iimpawu zesi sifo?
Abantu abaninzi basenokungabi nazimpawu, okanye basenokuvela badlule ngamanye amaxesha. Ukuba iimpawu ziyabonakala, zingabandakanya:
- Izilonda zesikhumba: Izilonda ezibomvu, eziphakamileyo, ezirhawuzelelayo ezibonakala zihamba ngokukhawuleza kakhulu (ii-larva currens). Ezi zibonakala kakhulu phakathi kweempundu, emathangeni, okanye esihlahleni.
- Ukuphazamiseka kwesisu: Intlungu engasentla yesisu (efana ne-gastritis), ukudumba, isicaphucaphu, kunye norhudo.
- Ukukhwehlela: Ukukhwehlela okomileyo okanye umqala okrwelayo.
Ukuxilongwa kunye nonyango lwesifo
Ukuba unale mpawu okanye ukwiqela elisengozini, kubalulekile ukubona ugqirha . Ugqirha uza kukubuza imibuzo, akuhlole, aze akuyalele iimvavanyo ezininzi ukuqinisekisa ukuba unesifo.
- Uvavanyo lwendle: Jonga ukuba azikho na iintshulube okanye iimbungu zazo.
- Uvavanyo lwe-sputum: Ukufumanisa ukuba kukho iintshulube emiphungeni.
- Uvavanyo lwegazi: Ukuhlola ii-antibodies ezenziwa ngumzimba nxamnye nempethu.
Njengonyango, ugqirha uza kunika amayeza okulwa neentsholongwane. I-Ivermectin kunye ne -Albendazole zezona ziyobisi zisetyenziswa kakhulu koku. Amayeza adla ngokusetyenziswa iintsuku ezimbalwa ukuya kwiiveki ezimbini.
Eyona nto ibalulekileyo kukuba nokuba awunazo iimpawu, ukuba uqinisekisiwe ukuba unayo intsholongwane, ngokuqinisekileyo kufuneka ufune unyango. Kuba ukuba amasosha akho omzimba ayaba buthathaka kwixesha elizayo, le mbungu ingathethiyo inokuba "yintsholongwane egqithisileyo" kwaye ibe yingozi ebomini.
Ungazikhusela njani kwesi sifo?
Ukuzikhusela kwesi sifo kulula kakhulu.
- Nxiba izihlangu rhoqo: Nxiba iimbadada okanye izihlangu, ingakumbi egadini, emasimini, okanye naphi na apho udibana khona nomhlaba.
- Lumka ucoceko lwakho: Hlamba izandla zakho kakuhle emva kokusebenzisa indlu yangasese. Kuphephe ukudibana nomhlaba kwiindawo ezigutyungelwe bucoceko.
- Xelela ugqirha wakho: Ukuba usebenzisa amayeza okunciphisa amasosha omzimba nangasiphi na isizathu, unyangwa ngumhlaza, okanye ulungiselela ukufakelwa amalungu omzimba, xelela ugqirha wakho. Ukuba kuyimfuneko, banokukuvavanya ukuba awunayo na i-tapeworm ngaphambi kokuba uqale unyango.
Ufanele uye nini kugqirha?
Ukuba ukwimeko elandelayo, qiniseka ukuba ubona ugqirha wosapho lwakho.
- Ukuba uneempawu zeStrongyloidiasis (ingakumbi izilonda zesikhumba ezingaqhelekanga, isisu esibuhlungu).
- Ukuba inkqubo yakho yomzimba yokuzikhusela ibuthathaka kwaye uyoyika izifo ezinje.
- Ukuba uhamba kwindawo apho esi sifo sixhaphake khona.
- Ngaphambi kokuba uqale naluphi na unyango olubuthathaka amajoni akho omzimba.
Ixesha lokuya kwi-ETU (iYunithi yoNyango oluNgxamisekileyo) ngoko nangoko
Ukuba ukrokrela ukuba uneStrongyloidiasis kwaye ubonakalise naziphi na iimpawu eziqatha ezilandelayo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
- Umkhuhlane ophezulu (ngaphezulu kwama-39.4 Celsius / 103 Fahrenheit)
- Ukuphelelwa lithemba okanye ukutshintsha ingqondo
- Uxinzelelo lwegazi oluphantsi kakhulu
- Ubunzima bokuphefumla
- Iintlungu zesifuba
- Umchamo omncinci kakhulu okanye awuphumi kwaphela
Umyalezo Wokuya Ekhaya
- I-Strongyloidiasis sisifo esibangelwa yimpethu efumaneka kumhlaba ongcolileyo engena emzimbeni ngesikhumba.
- Abantu abaninzi ababonisi zimpawu kangangeminyaka emininzi.
- Kubantu abaneenkqubo zomzimba ezibuthathaka (umz., abo bathatha ii-steroids, izigulane ezinomhlaza), esi sifo sinokuba yingozi kakhulu kwaye sisongela ubomi.
- Ungazikhusela lula kwesi sifo ngokunxiba izihlangu nokuzigcina ucocekile.
- Nokuba akukho zimpawu, kufuneka kufunwe unyango xa kufunyanwe usulelo.
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