Ngaba nomntwana wakho angasifumana esi sifo seentshulube? Masifunde nge (Visceral Larva Migrans)!

Ngaba wakha wambona umntwana wakho omncinci ngamanye amaxesha efumana ukungcola emlonyeni wakhe xa edlala ngaphandle? Okanye wakha wacinga ukuba wena, ingakumbi abantwana bakho, unokuguliswa yinjana yakho oyithandayo okanye ikati lakho ekhaya? Namhlanje siza kuthetha ngesifo seentshulube esinokusifumana thina, ingakumbi abantwana bethu, kwizilwanyana ezinjalo, kodwa asikaziva kangako ngaso, kodwa sibaluleke kakhulu. Oku kubizwa ngoogqirha ngokuthi `(Visceral Larva Migrans)`.

Yintoni le Visceral Larva Migrans?

Ngamafutshane, iVisceral Larva Migrans lusulelo olubangelwa yimpethu edla ngokuba yiparasite enokudluliselwa ukusuka kwizilwanyana ukuya ebantwini, ingakumbi abantwana abancinci. Ezi mpethu zifumaneka kakhulu emathunjini ezilwanyana ezifana nezinja neekati. Uninzi lwexesha, olu sulelo alubangeli zimpawu zibalulekileyo. Oku kuthetha ukuba wena okanye umntwana wakho nisenokungazi nokuba ninayo. Nangona kunjalo, abanye abantu banokufumana iimpawu ezifana neentlungu zesisu kunye nobuthathaka. Kulapho kufuneka unyango.

Ngoko ke, loluphi uhlobo lweempethu ezibangela esi sifo?

I-Visceral Larva Migrans ibangelwa kakhulu yi-roundworm ebizwa ngokuba yiToxocara. Kukho iintlobo ezahlukeneyo ze-Toxocara worms:

• `(Toxocara canis)`: Ezi zezo zifumaneka emathunjini ezinja.
• `(Toxocara cati)`: Aba bantu bahlala emathunjini eekati.
• `(Ascaris suum)`: Olu hlobo ludluliselwa kwiihagu.
• `(Baylisascaris procyonis)`: Aba bantu bazala izilwanyana ezibizwa ngokuba zii-raccoon (akukho mfuneko yokukhathazeka ngale nto kuba azikho ii-raccoon eSri Lanka).

Kwilizwe lethu, izinja neekati zezona zinto zibangela ukusasazeka kwesi sifo.

Yintoni iToxocariasis?

Igama elithi `(Toxocariasis)` ligama lezonyango lesi sifo esibangelwa zizibungu zeempethu ze`(Toxocara)`, oko kukuthi, iimpethu ze`(Toxocara canis)` ezikhankanyiweyo ngaphambili ezivela ezinjeni kunye neempethu ze`(Toxocara cati)` ezivela kwiikati. Ngokuchanekileyo, `(Toxocara)` sisifo esibangelwa yi`(Toxocara)`.

Le meko (iToxocariasis) inokuchaphazela imizimba yethu ngeendlela ezintathu eziphambili:

1. IiVisceral Larva Migrans: Kulapho iimpethu zisiya kwizitho zethu zangaphakathi, njengesibindi, imiphunga, nentliziyo, zize zizonakalisa.

2. Ii-Ocular Larva Migrans: Kule nto, ii-worm larva zingena elisweni zize zibangele ukudumba ngaphakathi kweliso. Ngamanye amaxesha, oku kunokukhokelela ekulahlekelweni kombono.

3. I-Neurotoxocariasis: Le yimeko engaqhelekanga. Kwimeko enjalo, iimbungu zemibungu zichaphazela ingqondo kunye nomqolo. Oku kunokubangela ukudumba okukhulu, ukuxhuzula, kunye nokudideka kwengqondo (encephalopathy).

Zisasazeka njani ezi `(Toxocara)` zisuka kwizilwanyana ziye kuthi? Ngendlela engaqhelekanga kakhulu!

Khawucinge nje, iimpethu ze-`(Toxocara)` zihlala emathunjini esilwanyana esosulelayo, oko kukuthi, inja okanye ikati. Apho, ezi mpethu zibeka amaqanda. La maqanda aphuma kunye nendle yesilwanyana. Emva koko, indle yezi zilwanyana eziqulethe amaqanda e-`(Toxocara)` iqokelelana emhlabeni, oko kukuthi, emhlabeni. Ngale ndlela , amaqanda asulelekileyo anokuhlala esebenza emhlabeni kangangeenyanga.

Uyazi ukuba sisuleleka njani yile `(Toxocara)`? Ukuba ngempazamo sifaka umhlaba onamaqanda emilonyeni yethu. Xa abantwana abancinci bedlala ngaphandle, bathabatha umhlaba kwaye ngamanye amaxesha bawufake emilonyeni yabo. Kulapho ke banokuthi bosulelwe khona. Kwakhona, inokusasazwa kwimifuno neziqhamo ezikhuliswe kumhlaba ongcolileyo kwaye ityiwe ngaphandle kokuzihlamba kakuhle.

Into ebalulekileyo kukuba emva kokuba la maqanda `(Toxocara)` angene emzimbeni wethu, awakhuli abe ziimpethu ezinkulu aze aqale ukubeka amaqanda emathunjini ethu. Endaweni yoko, iimpethu ziyaqandusela emaqandeni. Ezi mpethu ziphuma emathunjini ethu zize ziye kwezinye izicubu emzimbeni. Iindawo ezifana nesibindi, imiphunga, amehlo, kunye nengqondo. Ekugqibeleni, ezi mpethu ziyafa apho. Nangona kunjalo, njengoko zihamba, zonakalisa izicubu zethu. Kungenxa yalo monakalo obangela ukuba iimpawu zibonakale.

Yintoni umahluko phakathi kwe-'Visceral larva migrans' kunye ne-'Cutaneous larva migrans'?

Nangona amagama evakala efana, ezi meko zimbini zahlukile ngokupheleleyo. Iintsholongwane ze-visceral larva migrans zibangelwa ziintsholongwane zezinambuzane ezijikelezileyo ezikhankanyiweyo ngaphambili eziya kwizicubu zangaphakathi zomzimba zize zife. Iintsholongwane ze-cutaneous larva migrans zibangelwa luhlobo olwahlukileyo lwezinambuzane ezibizwa ngokuba zii-hookworms. Iintsholongwane ze-cutaneous larva migrans zihlala zibangela ukurhawuzelela nokubomvu eluswini.

Ingaba sixhaphake kangakanani esi sifo? Ngaba sisengozini?

Ukuba ujonga izibalo kwilizwe elifana neMelika, malunga nomntu omnye kwabalishumi ukhe wosulelwa yi-`(Toxocara)` ngaxa lithile ebomini bakhe. Nangona kunjalo, abantu abaninzi abanazo iimpawu kwaye abazi nokuba bakhe banesifo esinjalo.

Abantu kumazwe asakhasayo banamathuba amaninzi osulelo lweToxocara, kwaye banamathuba amaninzi okufumana iiVisceral Larva Migrans.

Izilwanyana zasekhaya zethu esizithandayo, izinja kunye neekati, nazo zinokosulelwa zezi zinambuzane. Ingakumbi ezo zichitha ixesha elininzi ngaphandle. Izifundo zifumanise ukuba malunga ne-2% yezinja kunye ne-5% yeekati eMelika zinezinambuzane emathunjini azo. Ngoko ke, imeko kwilizwe lethu inokuba ifana okanye iphakame ngakumbi.

Ngubani onokuthi abe ne-'Visceral Larva Migrans'?

• Abantwana abangaphantsi kweminyaka emi-6 banamathuba amaninzi osulelwa yile `(Toxocara)` kwaye baphuhlise `(Visceral Larva Migrans`. Oku kungenxa yokuba ngabona banokuthi batye umhlaba ngempazamo ngelixa bedlala ngaphandle.
• Lo mngcipheko uphezulu nakubantu abafuya izilwanyana zasekhaya ezifana nezinja neekati.
• Abantu abahlala kwiindawo ezifudumeleyo nabo basengozini enkulu yokufumana la maqanda e-`(Toxocara)`. Isizathu kukuba la maqanda anokuphila ixesha elide kumhlaba osulelekileyo kwimozulu efudumeleyo. Oku kubaluleke kakhulu kwilizwe elifana neSri Lanka.

Kutheni iimpawu zivela xa kuvela i-'Visceral Larva Migrans'?

I-Visceral Larva Migrans ibangelwa yi-larvae ye-roundworm (iToxocara). Emva kokuba usulelwe, le mibungu iphuma emathunjini iye kwiindawo ezisesifubeni sakho nasesiswini. Amaxesha amaninzi, le mibungu inokuya emehlweni akho, ebuchotsheni, nasemgogodleni.

Ukuphendula usulelo lweToxocara, umzimba wakho uvelisa iiseli ezininzi zokuzikhusela egazini lakho. Oku kwandisa ukuhamba kwegazi kunye nokungena kweeseli zokuzikhusela kwindawo echaphazelekayo, nto leyo ebangela ukudumba. Iimpawu ozifumanayo zixhomekeke ekubeni inkqubo yakho yokuzikhusela isabela kangakanani kusulelo lweToxocara.

Zithini iimpawu zesi sifo? Ingaba siyenzeka kuye wonke umntu?

Uninzi lwabantu abosulelwe yiToxocara abanazo naziphi na iimpawu. Nangona kunjalo, ukuba iimpawu ziyabonakala, zingabandakanya:

• Ukudinwa
• Ifiva
• Ukwanda kohlobo lweseli emhlophe yegazi ebizwa ngokuba yi-eosinophil egazini (i-eosinophilia) - Oku kubonisa ukuba kukho usulelo olubangelwa zizinambuzane okanye i-allergy emzimbeni.
• I-Lymphadenopathy
• Intlungu zesisu
• IiHives / i-urticaria
• Ukukhwehlela
• Ukuphefumla
• Ukudumba kwesibindi (i-hepatomegaly)
• I-Splenomegaly

Ugqirha uyixilonga njani le nto? Zeziphi iimvavanyo abazenzayo?

Ugqirha uza kuxilonga iiVisceral Larva Migrans ngokwenza uvavanyo lomzimba kunye novavanyo lwegazi. Qiniseka ukuba uxelele ugqirha wakho ukuba unezilwanyana zasekhaya okanye ukuba ucinga ukuba ukhe wachaphazeleka kumhlaba ongcolileyo.

Uvavanyo oluphambili olusetyenziswa ukuxilonga i-toxocariasis luvavanyo lwegazi olubizwa ngokuba yi-enzyme-linked immunosorbent assay (ELISA) . Olu vavanyo lukhangela ii-antibodies zeToxocara egazini lakho. Aluqinisekisi ukuba okwangoku une-Toxocara infection. Endaweni yoko, lukhangela iimpawu egazini lakho zokuba inkqubo yakho yomzimba yokuzikhusela iphendule kwisifo kwixesha elidlulileyo.

Ugqirha unokucebisa nezinye iimvavanyo ukuqinisekisa ukuxilongwa, ezifana nezi:

• Ubalo lwegazi olupheleleyo (CBC): Oku kujonga ubungakanani beeseli ezibomvu zegazi, iiseli ezimhlophe zegazi, iiplatelets, kunye ne-hemoglobin egazini.
• Uvavanyo lomfanekiso:Umzekelo, i-ultrasound, i-CT scan, okanye i-MRI scan zingenziwa ukujonga ukudumba.
• Uvavanyo lwesampuli yendle: Oku kukhangela ubungqina beentsholongwane ezikwindle.
• I-Biopsy: Kuthathwa isampulu encinci yezicubu ezichaphazelekayo ize ihlolwe ukuze kubonwe ukuba zikhona na iimbungu (oku kwenziwa rhoqo).

Zithini iindlela zonyango zoku? Ngaba kufuneka ndixhalabe?

Iindaba ezimnandi zezokuba uninzi lwabantu abaneVisceral Larva Migrans abadingi naluphi na unyango olukhethekileyo. Ukuphumla nokulinda ukuba ukudumba kuphele ngokwako kudla ngokuba yimfuneko kuphela.

Nangona kunjalo, ukuba uneempawu, ugqirha wakho unokucebisa izinto ezifana nezi:

• Nciphisa ukudumba nge-corticosteroids okanye amayeza angengowe-steroidal anti-inflammatory (NSAIDs) .
• Ii-antihistamines zinciphisa impendulo yomzimba kwizifo.

Ukuba ugqirha wakho ufumanisa ukuba unemibungu ephilayo emzimbeni wakho, unokukunika amayeza okulwa neentsholongwane ukuze ayibulale. Oku kunokunceda ekuthinteleni imibungu ephilayo ukuba ingangeni emzimbeni wakho ize ibangele umonakalo ongakumbi. Oku kubaluleke kakhulu ekuthinteleni umonakalo emehlweni akho, engqondweni, okanye emgogodleni.

Ungayiphepha njani le nto? Ziziphi iindlela zokuthintela?

Kukho izinto ezimbalwa ezilula esinokuzenza ukuze sizikhusele kwesi sifo (Visceral Larva Migrans):

• Kuphephe ukutya ukutya okukhuliswe kumhlaba onokuba ungcoliswe lindle lezinja okanye iikati.
• Bajonge abantwana bakho xa bedlala ngaphandle. Musa ukubavumela bafake uthuli emlonyeni wabo.
• Hlamba iziqhamo nemifuno kakuhle phambi kokuba uyitye.
• Ziqhelise ukuhlamba izandla zakho kakuhle . Fundisa abantwana bakho ukuhlamba izandla zabo ngaphambi kokutya, emva kokudlala ngaphandle, nasemva kokuthinta izilwanyana zasekhaya.
• Beka bucala indawo ethile apho izilwanyana zakho ziza kulahla khona indle. Faka indle yazo ebhegini uze uyilahle kakuhle, okanye ugcine ibhokisi yenkunkuma icocekile ukuze iikati zikwazi ukuya kuyo.
• Yisa izilwanyana zakho zasekhaya kugqirha wezilwanyana rhoqo ukuze ujonge ukuba azinazo na iincukuthu kwaye uzinike amayeza okubulala iintshulube.

Kuza kwenzeka ntoni ukuba ndifumana esi sifo? Ngaba siza kunyangeka?

Ngokwesiqhelo, olu sulelo luyaziphilisa ngokwalo ngaphandle konyango.

Iingxaki ezihlala ixesha elide azixhaphakanga. Ukuba ziyenzeka, zingabandakanya:

• Ukudumba kwemisipha yentliziyo (i-myocarditis)
• Ukukrala kwemiphunga
• Ukuvaleka kwezicubu zemiphunga (i-pulmonary fibrosis)

Abo banezi meko zikhankanyiweyo ngaphambili ezithi `Ocular larva migrans` (ezichaphazela amehlo) kunye ne `Neurotoxocariasis` (ezichaphazela ingqondo kunye nomqolo) banokuba neengxaki ezinkulu. Umzekelo:

• Ubumfama
• Ukudumba kwengqondo kunye nomqolo (i-meningoencephalitis)

Sizinyamekela njani thina nabantwana bethu? Singakuthintela njani oku ukuba kungenzeki kwakhona?

Ukuba wena okanye umntwana wakho nifunyaniswe ukuba nineVisceral Larva Migrans, kubalulekile ukufumanisa ukuba yavela njani ukuze nikwazi ukuthintela usulelo kwixesha elizayo.

Ukuba unenja okanye ikati, yiyise kugqirha wezilwanyana rhoqo ukuze ihlolwe kwaye ikhutshwe iintsholongwane. Buza ugqirha wezilwanyana malunga nokususwa kweentsholongwane rhoqo, ingakumbi ukuba isilwanyana sakho sisilwanyana sasekhaya esihlala ngaphandle.

Amaqanda eToxocara angaphila emhlabeni kangangeenyanga. Ngoko ke, ukucoca ilindle lezilwanyana zasekhaya ngokukhawuleza nje xa ulibona kunokunceda ukuthintela usulelo.

Usenokuba ucinga, "Owu, isilwanyana sam endisithandayo singasasaza njani isifo kusapho lwam?" Kodwa, inyani yile, izinja neekati zinokuthwala iintshulube eziziingqukuva ezibizwa ngokuba yi-"Visceral Larva Migrans" emathunjini azo. Ukuba unezilwanyana zasekhaya, lumka kakhulu xa ucoca indle yazo, kwaye uziyise kugqirha wezilwanyana rhoqo.

Ngoko ke, zeziphi izinto esifanele sizikhumbule kweli bali?

Sithethe kakhulu ngesi sifo seentshulube esibizwa ngokuba yi-"Visceral Larva Migrans" namhlanje. Ngoko ke, eyona nto ibalulekileyo kukuba esi sisifo esinokuthintelwa.

• Singafumana la maqanda ezi zinambuzane kwizilwanyana zethu zasekhaya, ingakumbi ngendle yazo.
• Abantwana abancinci basengozini enkulu, njengoko bengazi bangafaka amaqanda eempethu emlonyeni wabo ngelixa bedlala ngomhlaba.
• Ucoceko yeyona nto ibalulekileyo. Ukuhlamba izandla kakuhle, ukuhlamba iziqhamo nemifuno ngaphambi kokutya, kunye nokulahla ngokufanelekileyo ilindle lezilwanyana zasekhaya kubaluleke kakhulu.
• Ungalibali ukukhupha iintsholongwane kwizilwanyana zakho ngexesha. Cela iingcebiso kugqirha wezilwanyana ngale nto.

Ukuba uyazinyamekela ezi zinto, wena nosapho lwakho, ingakumbi abantwana bakho obathandayo, ninokuhlala nisempilweni kwaye nikhuselekile kwesi sifo seentshulube esibizwa ngokuba yi-`(Visceral Larva Migrans)`. Akukho nto yokoyika, ukuqonda nokulumka zezona zinto zibalulekileyo!

Iimpethu , izifo zezilwanyana, impilo yabantwana, iToxocara, Ukufuduka kweVisceral Lava, umhlaba, izilwanyana zasekhaya