Uyasazi isifo sezibungu esibizwa ngokuthi i-Strongyloidiasis? Ake sixoxe ngaso!

Kungenzeka ukuthi awukaze uzwe ngalesi sifo sezibungu ngaphambili. Kodwa singangena emizimbeni yethu sibangele izinkinga eziningi buthule. Ngakho-ke, namuhla sizokhuluma ngesimo esibizwa ngokuthi i-Strongyloidiasis. Kufana nesivakashi esingamenywanga esihlala emzimbeni wakho.

Kuyini i-Strongyloidiasis?

Kalula nje, i-Strongyloidiasis ukutheleleka okubangelwa yi-parasite worm ebizwa ngokuthi i-Strongyloides. Lesi sibungu sibucayi kakhulu. Singena emzimbeni wakho ngesikhumba sakho, siye emaphashini nasemathunjini akho, lapho sikhula khona futhi sizalane. Ngezinye izikhathi lesi sibungu singaba khona iminyaka eminingi ngaphandle kwezimpawu. Kodwa-ke, abanye abantu bangase babe nezinkinga zesikhumba kanye nokuphazamiseka kwesisu okufika kudlule. Kodwa-ke, uma unesimiso somzimba esibuthakathaka, lokhu kungaba yingozi empilweni. Ngakho-ke kubaluleke kakhulu ukuqaphela lokhu.

Iyiphi indawo evame kakhulu i-Strongyloides worm?

Lolu hlobo lwesibungu lutholakala ezingxenyeni eziningi zomhlaba. Kodwa luvame kakhulu emazweni anezimo zezulu ezifudumele (okungukuthi, izifunda ezishisayo nezingaphansi kwezindawo ezishisayo), izindawo zasemakhaya, kanye nezindawo ezingenazo indle ehlanzekile. Amazwe afana neSri Lanka kufanele akhathazeke ngalesi sifo sezibungu. Ngisho nase-United States, lesi sibungu sitholakale ezindaweni zasemakhaya eNingizimu naseNingizimu-mpumalanga, ikakhulukazi ezindaweni ezifana ne-Appalachia. Kodwa-ke, iziguli eziningi e-United States zithelelekile kwamanye amazwe.

Ubani osengozini enkulu yokuthuthukisa lokhu?

Kungenzeka kunoma ubani ngempela. Kodwa abanye abantu banamathuba amaningi okuhlupheka ngakho. Ake sibone ukuthi bangobani:

• Abantu abanezivikeli mzimba ezibuthakathaka: Lokhu kungaba kubi kakhulu kulabo abathatha imithi efana nama-corticosteroids noma labo abangenwe yi- HTLV-1 (Human T-cell Lymphotropic Virus-1).
• Abantu abahamba phansi bengenazo izimbadada: Ubuwazi ukuthi lezi zibungu ezisemhlabathini zingangena esikhumbeni sakho zingene emzimbeni wakho?
• Abantu abasebenza ngokuxhumana nomhlabathi: Abantu abasebenza kwezolimo noma ezimayini basengozini enkulu uma umhlabathi ungcolisiwe.
• Abantu abahlala ezindaweni ezinezindawo zokuhlanzeka ezingezinhle.

Wazi kanjani ukuthi unesifo se-Strongyloides?

Lokhu kunzima kancane ngoba izimpawu ze-strongyloidiasis zivame ukufana nezezinye izifo. Abanye abantu ababonisi ngisho nezimpawu.Ngakho-ke, ukuze wazi ngokuqinisekile ukuthi unalesi sifo noma cha, udinga ukuhlolwa udokotela. Ochwepheshe balinganisela ukuthi abantu abaphakathi kwezigidi ezingu-30 kuya kwezingu-100 emhlabeni wonke bathelelekile ngalezi zibungu. Kodwa njengoba abantu abaningi bengenazo izimpawu, kunzima ukusho ukuthi bangaki abantu abanaso ngempela.

Lesi sibungu sihamba kanjani emzimbeni?

Cabanga nje, lezi zimpethu ezincane zingena ngesikhumba sakho. Akudingeki nokuthi ziphuke. Ngezinye izikhathi zingabonakala njengobomvu obuhambisana nokulunywa. Uma sezingaphakathi emzimbeni, zihamba ngegazi ziye emaphashini. Yilapho zikhula khona. Ngezinye izikhathi zingabeka amaqanda ngaphakathi kwamaphaphu bese zikuthelela. Ngemuva kwalokho ungase uzizwe ukhwehlela nomphimbo oklwebhayo. Ngemuva kwalokho, ungakhwehlela lezi zimpethu ezinkulu. Bese ziya esiswini nasemgudwini wokugaya ukudla (i-GI tract). Lapho, zibeka amaqanda ngaphakathi kwamathumbu. Lawo maqanda aphinde abe izimpethu. Lokhu kungabangela izimpawu ezifana nokucanuzela kwenhliziyo, uhudo, kanye nobuhlungu besisu. Lezi zimpethu zingaphuma esithweni sakho bese zisakaza ukutheleleka komunye umuntu. Futhi, zingaphinde zikuthelele ngaphakathi (lokhu kubizwa ngokuthi i-autoinfection) noma ziphinde zingene ngesikhumba.

Kuyini lokhu kutheleleka ngokuzenzakalela?

Lokhu kukhetheke kakhulu. I-Strongyloides worm ingaqeda wonke umjikelezo wayo wokuphila (okungukuthi, ibeke amaqanda futhi ikhiqize izibungu ezintsha ezingabangela ukutheleleka kabusha) emzimbeni wakho. Lokhu kusho ukuthi noma ungakatholi isibungu esisha emhlabathini, izibungu emzimbeni wakho zizoqhubeka nokukuthelela. Uma lo mjikelezo uqhubeka, ungaba yi-strongyloidiasis engapheli . Lokhu kusho ukuthi ingahlala emzimbeni wakho iminyaka eminingi uma ingelashwa.

Kuyini i-Strongyloides hyperinfection? Ingabe iyingozi?

Iningi labantu linamasosha omzimba aqinile ngokwanele ukuvimbela ukutheleleka okukhulu kwe-Strongyloidiasis. Kodwa-ke, uma amasosha omzimba wakho ebuthakathaka, izimpethu zingangena kwezinye izingxenye zomzimba. Lokhu kubizwa ngokuthi i-disseminated strongyloidiasis. Lokhu kungabangela ukuvuvukala okukhulu kwezitho zomzimba kanye namagciwane ukuthi angene egazini. Lokhu kungaholela ezimweni ezisongela ukuphila njenge-sepsis kanye ne-pneumonia. Usengozini enkulu yokuthola lokhu kutheleleka okukhulu.

• Uma uthatha umuthi we-`(corticosteroid)`.
• Uma unesifo se-`(HTLV-1)`.
• Uma unesifo esithinta igazi noma umongo wamathambo (njenge -leukemia noma i-lymphoma).
• Uma uke wafakelwa isitho noma i-stem cell.

Ziyini izimpawu ze-Strongyloidiasis?

Lezi yizimpawu ezivame ukubonakala:

• Ubomvu, ukuvuvukala, nokulumayo ebusweni besikhumba (ama-larva currens): Lokhu kungabonakala kaningi phakathi kwezinqe, emathangeni, noma ezihlakaleni.
• Isicanucanu .
• Ukuphazamiseka kwesisu ( uhudo ).
• Ubuhlungu besisu esingaphezulu: Lokhu kungafana nobuhlungu obubangelwa yi-gastritis noma isilonda sesisu.
• Ukugcwalisa isisu .
• Ukukhwehlela noma ukuzizwa sengathi umphimbo wakho uyaklwebheka (lokhu akuvamile kangako).

Khumbula, abantu abaningi ababonisi zimpawu, noma izimpawu ziyafika zidlule.

Iyini imbangela yalokhu?

I-Strongyloidiasis ibangelwa izinhlobo eziningana zezibungu ezidla izimuncagazi ezibizwa ngokuthi i-Strongyloides ezihlala enhlabathini. Lezi zibungu zivame kakhulu ezindaweni ezinesimo sezulu esifudumele nalapho inhlabathi ingase ingcoliswe khona yindle. Ngisho noma ungenazo izilonda esikhumbeni sakho, lezi zibungu zingangena emzimbeni wakho ngesikhumba sakho. Zingahamba ziye egazini lakho, emaphashini nasemathunjini. Isimo esibi esibizwa ngokuthi "hyperinfection" senzeka lapho isimiso sakho somzimba sokuzivikela sibuthakathaka. Ungaba ne-strongyloidiasis ngaphandle kwezimpawu ngaphambili, kodwa lokhu "hyperinfection" kungenzeka kamuva, noma ngabe isimiso sakho somzimba sokuzivikela sibuthakathaka.

Ingabe i-Strongyloidiasis iyathelelana?

I-Strongyloidiasis ayivamile ukuthelelana. Iningi labantu liyithola ngokuthintana nomhlabathi ongcolile. Akuvamile ukuthi idluliselwe komunye umuntu noma esithweni esitshaliwe.

Ungasithola kanjani lesi sifo?

Ukuze kutholakale i-strongyloidiasis, udokotela wakho uzohlola uketshezi olulodwa noma ngaphezulu lomzimba ukuze abone ukuthi kukhona yini i-Strongyloides worm. Bazophinde babheke ukuqubuka esikhumbeni sakho, ikakhulukazi ezihlakaleni zakho, emathangeni, naphakathi kwezinqe zakho. Ukuhlolwa okulandelayo kungenziwa:

• Ukuhlolwa kwendle/indle.
• Ukuhlolwa kwesikhwehlela (i-phlegm evela emaphashini).
• Ukuhlolwa kwegazi.

Iphathwa kanjani?

I-Strongyloidiasis yelashwa ngemithi yokulwa nezibungu. I-Ivermectin, ngezinye izikhathi ene-albendazole, iyindlela yokwelapha ephumelela kakhulu. Imithi ivame ukuhlala izinsuku ezimbili kuya kweziyishumi nane, ngezinye izikhathi isikhathi eside. Uma uthatha ukwelashwa okucindezela amasosha omzimba, udokotela wakho angase anciphise umthamo womuthi okwesikhashana.

Into ebaluleke kakhulu ukuthi noma ungenazo izimpawu, kufanele nakanjani ufune ukwelashwa uma unegciwane le-Strongyloides. Kungaleso sikhathi kuphela lapho ungagwema khona isimo esibi esibizwa ngokuthi "ukutheleleka ngokweqile."

Ungasinda kanjani kulokhu?

Kunezinto eziningana ongazenza ukuze unciphise ingozi yakho ye-strongyloidiasis:

• Gqoka izingubo zokuzivikela uma uthinta inhlabathi ezindaweni lapho kungase kube khona izibungu ze-Strongyloides. Lokhu kusho izicathulo, amagilavu, njll.
• Qaphela kakhulu ezindaweni ezingenazo indle ehlanzekile, njengoba inhlabathi ingase ingcole ezindaweni ezinjalo.
• Uma uzohlinzwa noma uqala ukuthatha imithi ezobuthakatha isimiso sakho somzimba, cela udokotela wakho ukuthi akuhlolele ukutheleleka. Uma kutholakale ukuthi une-strongyloidiasis ngaleso sikhathi, ungayilapha ngenkathi isimiso sakho somzimba somzimba sisaqinile. Lokhu kungasiza ekuvimbeleni "ukutheleleka ngokweqile".

Kwenzekani uma uthola i-Strongyloidiasis?

Uma unesimiso somzimba esibuthakathaka, kufanele ufune ukwelashwa kokutheleleka kwe-Strongyloides ngokushesha. Kungase kudingeke ulaliswe esibhedlela, noma kungadingeka uthathe izifundo eziningana zokwelapha ukuze uqede ngokuphelele ukutheleleka. Uma isimiso sakho somzimba somzimba siphilile, imithi yokulwa namagciwane ivame ukwelapha ukutheleleka ngempumelelo. Kufanele futhi ubone udokotela wakho ngemva kokwelashwa ukuqinisekisa ukuthi zonke izibungu seziphelile.

Ingabe i-Strongyloidiasis ingelapheka ngokuphelele?

Yebo, i-strongyloidiasis ingelapheka ngokwelashwa okulwa nezimbungulu, ikakhulukazi kubantu abanezivikeli mzimba eziphilile. Kodwa-ke, uma ifinyelela esimweni "sokutheleleka ngokweqile", kunzima kakhulu ukuyilapha ngenxa yezinkinga ezihambisana nayo.

Ngizinakekela kanjani?

Uma amasosha omzimba wakho ebuthakathaka, khuluma nodokotela wakho mayelana nokuhlolwa kwezifo. Funda ukuthi ungazivikela kanjani ezifweni nokuthi yini okufanele uyenze uma ugula.

Kufanele ubonane nini nodokotela?

Bona udokotela kulezi zimo:

• Uma unezimpawu ze-strongyloidiasis.
• Uma amasosha akho omzimba ebuthakathaka futhi ukhathazekile ngezifo ze-Strongyloides.
• Uma uya endaweni lapho i-Strongyloides ivame khona (ikakhulukazi uma amasosha omzimba wakho ebuthaka), khuluma nodokotela wakho ngezindlela zokuvimbela ukutheleleka.
• Uma uzokwelashwa noma ukuhlinzwa okunciphisa amandla omzimba wakho, udokotela wakho angase akuhlolele izifo ngaphambi kokuqala ukwelashwa.

Kunini lapho kudingeka uye e-Emergency Treatment Unit (ETU)?

Uma unezinye zalezi zimpawu ezinzima, iya ekamelweni lezimo eziphuthumayo (ETU) ngokushesha:

• Umkhuhlane ophezulu (103 degrees Fahrenheit / 39.4 degrees Celsius).
• Ukudideka noma ezinye izinguquko zengqondo.
• Umfutho wegazi ophansi.
• Ubunzima bokuphefumula noma ukuphelelwa umoya ngisho noma umile.
• Ubuhlungu besifuba obusha noma obuya buba bubi.
• Akukho noma kuncane kakhulu ukuphuma komchamo.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza udokotela wakho le mibuzo:

• Ungazigwema kanjani izifo ezifana ne-Strongyloides?
• Ingabe kufanele ngiyohlolwa i-strongyloidiasis?
• Ingabe ngisengozini enkulu yokugula kakhulu nge-strongyloidiasis?
• Ngingawuthatha kanjani umuthi wami?
• Ngizolulama ngokushesha kangakanani?
• Kufanele ngize nini ukukubona futhi?
• Kunini lapho kudingeka ngiye e-Emergency Treatment Unit (ETU) ?

Amaphuzu amafushane okufanele uwakhumbule

Iningi labantu abathola i-strongyloidiasis abaguli kakhulu. Kodwa-ke , uma isimiso sakho somzimba sokuzivikela sibuthakathaka, singasongela ukuphila. Uma usuzofakelwa isitho somzimba, usuzoqala ukuthatha ama-corticosteroids, noma uma isimiso sakho somzimba sokuzivikela sibuthakathaka nganoma yisiphi esinye isizathu, buza udokotela wakho mayelana nokuhlolwa kwe-strongyloidiasis. Ukwelashwa kusenesikhathi kuyindlela engcono kakhulu yokuvimbela ukugula okukhulu.