Ubusazi ngesi sifo seentshulube esinokuhlala esiswini sakho iminyaka? (Strongyloidiasis)

Sonke sikhe seva ngeempethu ebuntwaneni bethu, akunjalo? Xa sicinga ngeempethu, sihlala sicinga ngento enokuphiliswa ngamayeza amancinci. Kodwa ubusazi na ukuba kukho iintlobo zeempethu ezinokuphila emzimbeni wakho iminyaka, kwanamashumi eminyaka, ngaphandle kokubangela naziphi na iimpawu? Namhlanje sithetha ngesifo seempethu esibi kakhulu nesifihlakeleyo. Esi sibizwa ngokuba yiStrongyloidiasis.

Ngamafutshane, yintoni iStrongyloidiasis?

I-Strongyloidiasis lusulelo lwamathumbu olubangelwa yi-roundworm ebizwa ngokuba yi-'Strongyloides stercoralis'. Into ekhethekileyo ngale nto kukuba le mbungu ibeka amaqanda emathunjini akho, kwaye iimbungu eziphuma kuloo maqanda zinokosulela umzimba wakho kwakhona. Oku sikubiza ngokuba yi-'autoinfection'. Kufana nomqeshi ohlala endlwini ngaphandle kokufuduka, kodwa endaweni yoko uhlala nosapho. Yingakho olu sulelo lunokuhlala iminyaka emininzi ngaphandle kwempawu.

Le mbungu ingena njani emzimbeni?

I-parasite ebangela oku, i-Strongyloides worm, ihlala kumhlaba ongcolileyo, emanzini, okanye kwindle engcolileyo. Xa uhamba ngeenyawo kumhlaba ongcolileyo, usebenza emasimini, okanye udibana namanzi angcolileyo, ezi mbungu ze-worm zinokungena eluswini lwakho zingene emzimbeni wakho. Zakuba zingaphakathi, ezi mbungu zihamba ngegazi lakho kwaye ekugqibeleni zifikelele emathunjini akho amancinci. Kulapho zibeka khona amaqanda azo. Imazi inokubeka amaqanda angama-40 ngosuku. Amanye ala maqanda adluliselwa kwindle aze angcolise umhlaba kwakhona. Ezi mbungu ziphuma kwamanye amaqanda emva koko zingena eluswini olujikeleze udonga lwamathumbu okanye i-rectum zize zingene emzimbeni wakho kwakhona, ziqhubeka nomjikelo obizwa ngokuba yi-autoinfection.

Zithini iimpawu zoku?

Into emangalisayo ngale nto kukuba phantse isiqingatha sabantu abanale ntsholongwane ababonisi zimpawu. Yiyo loo nto bengazi nokuba banale ngxaki. Abo baba neempawu badla ngokuba neengxaki zokugaya ukutya .

Indlela yokuxilonga ngokuchanekileyo isifo?

Ukufumanisa esi sifo kunokuba nzima. Kuba ukuhlola isampuli yendle phantsi kwe-microscope akusoloko kubonwa iintshulube. Ke ngoko, ukuvavanya iisampulu ezininzi zendle (ubuncinane 3-5) kwiintsuku ezininzi kunokubonelela ngeziphumo ezithembekileyo ngakumbi. Ukongeza, ngamanye amaxesha uvavanyo lwegazi lunokwenziwa ukujonga ii-antibodies zosulelo. Ukuba isifo siye saqhubeka kwaye sachaphazela imiphunga, isampuli yolwelo oluvela emiphungeni (i-sputum) okanye ulwelo oluvela emathunjini amancinci lunokuvavanywa ukuqinisekisa ukuxilongwa.

Oku kunokuba yingozi kubani? (Isifo se-Hyperiinfection)

Xa inkqubo yomzimba yokuzikhusela ibuthathaka, ezi ntshulube, ezibaleka kulawulo lomzimba, ziyanda kakhulu, ziphuma emathunjini zize ziqale ukusasazeka ziye kwezinye izitho ezibalulekileyo zomzimba ezifana nemiphunga, isibindi, intliziyo, kunye nengqondo. Le meko siyibiza ngokuba yi-'Hyperiinfection Syndrome'. Kwiimeko ezinjalo, izinga lokufa linokuba phezulu ukuya kuma-80%.

Abantu abasengozini enkulu ye-Hyperinfection Syndrome:

• IiSteroids `(Abantu abasebenzisa amayeza e-steroid ixesha elide (umz. kwizifo ezifana ne-asthma kunye ne-arthritis)
• Abantu abafumana unyango lomhlaza (ingakumbi umhlaza wegazi)
• Abantu abaye bafakelwa amalungu omzimba kwaye basebenzisa amayeza acinezela inkqubo yomzimba yokuzikhusela
• Abantu abanesifo seswekile
• Abantu abane-HIV
• Abantu abanosulelo olungaqhelekanga lwentsholongwane olubizwa ngokuba yi-'HTLV-1'
• Abantu abasela utywala kakhulu
• Abantu abanezifo ezingapheliyo ezifana nokungasebenzi kakuhle kwezintso

Inyangwa njani? Kwaye ithintelwa njani?

Kukho unyango olusebenzayo kakhulu kwesi sifo. Kwisifo esiqhelekileyo, iyeza elibizwa ngokuba yi-'Ivermectin' linokunikwa iintsuku ezi-1-2. Kwezinye iimeko, iyeza elibizwa ngokuba yi-'Albendazole' linikwa iintsuku ezi-7. Kodwa khumbula, musa ukuthatha la mayeza kwikhemesti ngendlela othanda ngayo. Ngokuqinisekileyo kufuneka ubone ugqirha kwaye uthathe idosi emiselweyo kunye nobude bonyango. Ingakumbi kwimeko enzima ye-'Hyperiinfection Syndrome', kufuneka ulaliswe esibhedlele kwaye unyangwe iiveki.

Ukuthintela yeyona nto ilungileyo!

Kukho izinto ezilula esinokuzenza ukuze sizikhusele kwesi sifo:

• Nxiba izihlangu: Qiniseka ukuba unxiba izihlangu okanye iimbadada, ingakumbi xa uhamba phezu kothuli, udaka, okanye umhlaba omanzi. Abantu abasebenza egadini okanye abalimayo kufuneka balumke ngale nto.
• Ukusetyenziswa kwendlu yangasese kunye nolawulo lwenkunkuma: Landela iindlela ezifanelekileyo zococeko. Thintela inkunkuma ukuba ingaqokeleleki kwindawo engqongileyo.
• Ucoceko: Kuphephe ukudibana namanzi angcolileyo okanye iindawo apho kukho khona indle.
• Izilwanyana zasekhaya: Susa kwaye ucoce ngokufanelekileyo ilindle lezilwanyana zasekhaya ezifana nezinja.

I-Strongyloidiasis, izifo zeentshulube, iintshulube zamathumbu, i-Strongyloides, izifo ezithwalwa ngumhlaba, usulelo oluphezulu, i-Ivermectin