Ake sifunde nge-Cysticercosis, isifo esibangela ukuba izibungu zikhule emzimbeni wakho.

Wake wezwa ngalesi sifo esibizwa ngokuthi `(Cysticercosis)`? Mhlawumbe leli gama lizwakala lingavamile. Kodwa lokhu kuyinto sonke okudingeka siyiqaphele, ngoba lesi yisimo esibangelwa yi-parasite ekhula emizimbeni yethu. Ngezinye izikhathi ingaba khona emzimbeni ngaphandle kwezimpawu ezinkulu. Ake sixoxe ngalokhu ngokuningiliziwe nanamuhla.

Kuyini i-Cysticercosis?

Kalula nje, i-`(Cysticercosis)` yisifo esenzeka lapho i-pork tapeworm (amaqanda e-parasite `(Taenia solium)`) ingena emizimbeni yethu. La maqanda akha ama-cyst amancane emizimbeni yethu. Afana namasaka amancane agcwele amanzi. La ma-cyst yiwo abangela izimpawu ezahlukahlukene.

Ungakuthola lokhu uma udla noma uphuza ukudla noma isiphuzo esiqukethe amaqanda avela ku-T. solium parasite, noma uma uthinta indle equkethe amaqanda bese ufaka izandla zakho emlonyeni wakho ngaphandle kokuwageza kahle. Uma la maqanda engena emathunjini ethu, akhula abe yizikelemu ezithambile, ezibe sezihamba ziye kwezinye izingxenye zomzimba, njengobuchopho namehlo, ukuze zakhe ama-cyst.

Uyini umehluko phakathi kwe-Cysticercosis ne-Taeniasis?

Kungcono ukungabadidanisi laba ababili, kulungile?

• I-Cysticercosis: Lokhu kwenzeka uma ugwinya ngengozi amaqanda e-parasite T. solium. La maqanda akha ama-cyst emzimbeni.
• I-Taeniasis: Kwenzeka uma udla inyama yengulube engaphekiwe kahle equkethe izibungu ze-tapeworm (T. solium). Lezi zibungu zikhula zibe izibungu ezinkulu emathunjini akho.

Bese kuthi amaqanda abangela i-`(Cysticercosis)` akhishwe endaweni ezungezile ngendle yomuntu one-`(Taeniasis). Uyaqonda?

Lokhu kuthinta bani kakhulu?

I-Cysticercosis ivame kakhulu kubantu abahlala noma abavakashela izindawo zasemakhaya zaseCentral naseNingizimu Melika, e-Afrika eseningizimu yeSahara, ezingxenyeni zase-Asia, naseMpumalanga Yurophu. Ivame kakhulu nakubantu abafudukele kula mazwe. Uma othile emndenini wakho ene-Taeniasis (leyo tapeworm enkulu), usengozini yokuthola i-Cysticercosis.

Kulinganiselwa ukuthi abantu ababalelwa ezigidini ezingu-2.7 emhlabeni wonke banesifo se-cysticercosis. Kwezinye izindawo lapho lesi sifo sivame khona ezingulubeni, cishe abantu abayi-10% kuya ku-20% baba nezimpawu ze-cysticercosis. Nakuba ingavamile eNyakatho Melika, i-cysticercosis itholakale iyimbangela yokuvakashela cishe amagumbi ezimo eziphuthumayo angu-2% e-United States ngenxa yokuxhuzula.

Ziyini izimpawu ze-Cysticercosis?

Izimpawu zincike ekutheni ama-cyst akuphi. La ma-cyst angakhula noma kuphi emzimbeni - ebuchosheni, emehlweni, enhliziyweni, emaphashini nasesibindini.

Kodwa-ke, izimpawu ezimbi kakhulu nezivamile zenzeka lapho la ma-cyst ekhula ohlelweni lwezinzwa, okungukuthi, ebuchosheni nasemgogodleni. Lokhu kubizwa ngokuthi i-neurocysticercosis .

Izimpawu ze-Neurocysticercosis (ama-cysts obuchopho nomgogodla):

• Ukuquleka: Lolu uphawu oluvame kakhulu. Ukulahlekelwa yingqondo ngokuzumayo kanye nokuquleka. Cabanga ukuthi kungaba yinto eyesabekayo kanjani uma umuntu eba nokuquleka ngokuzumayo ngaphandle kwesixwayiso.
• Ubuhlungu bekhanda: Akuyona nje ikhanda elivamile, kodwa ikhanda elibuhlungu elinzima neliqhubekayo.
• Isicanucanu, ukuhlanza, nokudideka: Lokhu kubizwa nangokuthi "i-cysticercal encephalitis." Lezi zimpawu zingavela lapho ingcindezi ngaphakathi kobuchopho ikhuphuka.
• Intamo eqinile.

Okubalulekile: Uma unezimpawu ezinjengalezi, ikakhulukazi uma unesifo sokuwa esisha, kufanele ubonane nodokotela ngokushesha.

Izimpawu zama-cyst akhula ngaphandle kobuchopho nomgogodla (i-extraneural cysticercosis):

Amathumba avela ngaphandle kobuchopho ngokuvamile awabangeli izimpawu ezinkulu, kodwa angabangela izinkinga uma ekhula ezindaweni ezithile.

• I-Subcutaneous cysticercosis: Ngezinye izikhathi kungavela amaqhubu amancane ngaphansi kwesikhumba.
• I-Ophthalmic cysticercosis: Lokhu kungabangela izinkinga zamehlo:
• Ubuhlungu bamehlo.
• Ukubona okuphindwe kabili (i-diplopia).
• Ukuvuvukala kwamehlo (i-uveitis noma i-retinitis).
• Ukunyakaza kwamehlo okulinganiselwe.
• Ukuphuma kwamehlo (i-proptosis).
• Ukulahlekelwa umbono.

Iyini imbangela yalokhu?

Njengoba sishilo ngaphambili, i-`(Cysticercosis)` ibangelwa ukugwinya amaqanda e-parasite `(T. solium)`. Lawa maqanda yilawa:

• Ukudla izithelo nemifino engagezwanga.
• Ngokuphuza amanzi angcolile.
• Ngokuthinta indle, ngokuthinta umlomo wakho ngezandla ezingcoliswe yilawo maqanda, noma ngokudla ukudla.

La maqanda aqala ukuchanyuselwa emathunjini ethu, kanti izimpethu ezincane (`(izibungu)`) ezivelayo zidlula ezicutshini zomzimba bese zakha ama-cyst. Isikhathi esiningi, la ma-cyst awabonisi izimpawu ngaphandle kokuthi amaningi endaweni eyodwa. Ungaba nawo amasonto noma ngisho neminyaka ungazi ukuthi asemzimbeni wakho. Izimpawu ziyavela lapho la ma-cyst eqala ukufa. Bese kuthi, lapho isimiso somzimba wethu sokuzivikela sisebenza futhi sisabela kuwo, izinkinga ziqale.

I-Cysticercosis iyithinta kanjani ingqondo?

Ngemva kokuba amaqanda e-T. solium eqhamukile emathunjini, izibungu zingahamba ziye ebuchosheni bese zakha ama-cyst. Ngezinye izikhathi la ma-cyst angahlala ebuchosheni isikhathi eside ngaphandle kokubangela izinkinga.

Kodwa-ke, lapho lezi zimila ziqala ukufa, amasosha ethu omzimba ayazibona njengezitha bese eqala ukuzihlasela. Lokhu kubangela ukuvuvukala ebuchosheni. Uma kunezimila eziningi, zingadala "umphumela omkhulu" ebuchosheni ngaphambi kokuba zife. Lokhu kuvuvukala, noma ingcindezi, kungabangela ubuchopho ukuba buvuvuke futhi bube yingozi empilweni. Yingakho futhi kuvela izinkinga zezinzwa ezifana nokuquleka kanye nekhanda elibuhlungu.

Ngemva kokuba izimila zifile, kuvela amabala aqinile (i-calcifications) kulezo zindawo.Izinto ezinjengalezi zingahlala ebuchosheni. Amanzi anganqwabelana eduze kwalawa `(amaqhubu e-cysticercosis ahlanganisiwe)` futhi abangele ukuquleka kwe-`(edema)`.

I-Cysticercosis idluliselwa kanjani?

I-Cysticercosis isakazeka ngendle yomuntu onegciwane. I-T. solium worm ibekela amaqanda emathunjini omuntu, bese amaqanda edluliselwa endle. I-Cysticercosis yenzeka uma udla into engcoliswe yila maqanda.

Cabanga nje, le ndle ingagcina isemhlabathini, emanzini, ezitshalweni, nasekudleni esikudlayo. Ungagwinya amaqanda e-T. solium ngengozi ngezinto ezifana nalezi:

• Ukuphuza amanzi angahlungiwe, angahlanjululiwe.
• Ukudla izithelo nemifino engagezwanga.
• Ukuthinta umlomo wakho noma ukudla ukudla ngaphandle kokugeza izandla zakho kahle ngemva kokuya endlini yangasese noma ukuphatha indle.

Okubalulekile: Ukudla inyama yengulube engaphekiwe kahle akubanga `(Cysticercosis)`. Kubangela `(Taeniasis)`, isifo esibangelwa yizibungu zamathumbu.

Ingabe i-Cysticercosis iyathelelana kusuka komunye umuntu kuya komunye?

Cha, i-`(Cysticercosis)` ayidluliselwa ngqo kusuka kumuntu kuya komunye. Ukuze uthole lesi sifo, kufanele udle amaqanda e-`(T. solium)`.

Ungayithola kanjani i-`(Cysticercosis)`?

Uma unezimpawu, udokotela uzokuxilonga futhi akubuze ngezimpawu zakho. Bangase bakubuze nangomlando wakho wakamuva wohambo. Bangase benze izivivinyo ezifana nalezi:

• Ukuthwebula izithombe: Uma unezimpawu ezihlobene nohlelo lwakho lwezinzwa, udokotela wakho cishe uzokuyala ukuba kwenziwe i-CT scan noma i-MRI. Lokhu kuhilela ukukufaka emshinini bese uthatha izithombe zobuchopho bakho. Udokotela angasebenzisa lezi zithombe ukuze abone ukuthi unama-cyst e-T. solium.
• Ukuhlolwa kwegazi: Ngezinye izikhathi igazi liyathathwa futhi lihlolwe. Lokhu kubheka ama-antibodies (ukuhlolwa kwe-cysticercosis serology) ngokumelene ne-T. solium, noma izingxenye ze-parasite (ama-antigen).
• Ukubhoboza i-Lumbar: Uma udokotela wakho esola ukuthi une-cysticercosis ebuchosheni bakho noma emgogodleni , angase acele ukuhlolwa kokuhlola uketshezi lwakho lwe-cerebrospinal (CSF). Lokhu kuhilela ukufaka inalithi encane emhlane wakho ongezansi bese uthatha isampula yoketshezi. Lokhu kufana nokuhlolwa kwegazi, futhi kubheka ama-antibodies noma ama-antigen ku-T. solium. Lokhu kungase kuzwakale kusabisa, kodwa kuyindlela ephephile.
• Ukuhlolwa Kwegazi: Uma uneqhubu elibonakalayo esikhumbeni sakho, udokotela wakho angase athathe isampula yalo elincane alithumele elebhu ukuze ahlole izimpawu ze-T. solium.
• Ukuhlolwa kwamehlo: Udokotela wakho angase afune ukuhlola izimila ezingaphakathi kwamehlo akho ezingase zithinte umbono wakho.

Iphathwa kanjani i-Cysticercosis?

Kunezindlela ezahlukene zokwelapha lokhu. Ungase ungadingi ukwelashwa nhlobo. Noma udokotela wakho angase akunike inhlanganisela yemithi. Abanye abantu bangase badinge ukuhlinzwa. Udokotela wakho uzokwenza uhlelo lokwelashwa luhambisane nesimo sakho.

Yimiphi imithi kanye nokwelashwa okusetshenziswayo?

Udokotela angase anikeze imithi noma izindlela zokwelapha ezifana nalezi:

• Ama-Corticosteroids: Isibonelo, imithi efana ne-prednisolone ne-dexamethasone. Lokhu kunciphisa ukuvuvukala nokuvuvukala okwenzeka lapho isimila sifa.
• Imithi yokulwa nesifo sokuwa/imithi yokulwa nokuxhuzula: Imithi efana ne-`(phenytoin)` kanye ne-`(carbamazepine)`. Le mithi inikezwa ukulawula ukuxhuzula.
• Imithi yokulwa nezilokazane: Imithi efana ne-`(albendazole)` kanye ne-`(praziquantel)` ngezinye izikhathi inikezwa ukwelapha ukutheleleka. Kodwa-ke, kuthathwa ukuqaphela okukhulu lapho kunikezwa le mithi, ngoba lapho izimpethu zifa, ukuvuvukala ebuchosheni kunganda. Yingakho le mithi ivame ukunikezwa kanye nemithi enciphisa ukuvuvukala.
• Ukuhlinzwa: Kungase kudingeke ukuhlinzwa ukuze kususwe amanye ama-cyst, noma uma kukhona ingcindezi ngenxa yokwanda koketshezi lomgogodla (CSF), noma ukufaka ithubhu elincane (i-shunt) ukuze kuqondiswe uketshezi kwenye indawo.

Ungakugwema kanjani i-cysticercosis?

Lena yingxenye ebaluleke kakhulu! Kunezinto ezilula, kodwa ezibaluleke kakhulu ongazenza ukuze uzivikele ku-`(Cysticercosis)`. Izinto ezibaluleke kakhulu ukulungisa ukudla namanzi ngokuphephile nokugeza izandla zakho kahle.

• Geza izandla zakho kahle ngensipho namanzi kaningi, ikakhulukazi ngemva kokusebenzisa indlu yangasese, ukushintsha inabukeni lomntwana wakho, nangaphambi kokudla noma ukulungisa ukudla.
• Geza izithelo nemifino kahle, bese uyidla ihlutshiwe uma kungenzeka.
• Geza amabhodi okusika, amakhawunta, izitsha, kanye nezitsha kahle ngensipho ngemva kokuzisebenzisa.
• Ungaphuzi amanzi angelashiwe. Uma uphuza amanzi avela emthonjeni ongaziwa, phuza amanzi asemabhodleleni noma abilisiwe kuphela.
• Uma uphuza amanzi, wabilise kahle cishe umzuzu, uwavumele aphole, bese uwaphuza.
• Uma uhamba, uma ungakwazi ukuhlunga amanzi akho, sebenzisa isihlungi " esingama-micron angu-1 noma ngaphansi " (esitholakala ezitolo ezithengisa izinto zokukhempa), bese uncibilikisa amaphilisi e-iodine bese uphuza.

Khumbula: Ngokulandela lezi zinyathelo zokuphepha, ungazivikela hhayi nje kuphela ku-`(Cysticercosis)`, kodwa nakwezinye izifo eziningi ezithelelanayo.

Yini engingayilindela uma ngine-`(Cysticercosis)`?

Ngenxa yokuthi i-cysticercosis ivame ukungabi nazimpawu, kunzima ukusho ngqo ukuthi lesi sifo sizokuthinta kanjani. Udokotela wakho uzokwakha uhlelo lokwelapha oluqondene nawe. Ngezinye izikhathi, lokho kungasho ukuthi awuselaphi nhlobo i-cysticercosis.

Ingabe i-Cysticercosis iyabulala?

Ukufa ngenxa ye-cysticercosis akuvamile kakhulu. Izimpawu eziningi azibangelwa yisifo ngokwaso, kodwa zibangelwa yindlela amasosha omzimba asabela ngayo kuma-cyst njengoba efa. Uma une-cyst ezimbalwa kuphela nezimpawu ezincane, amathuba akho okululama mahle kakhulu.

Ngingazinakekela kanjani nge-Cysticercosis?

Uma kutholakale ukuthi une-cysticercosis, qaphela izimpawu zakho. Kungakhathaliseki ukuthi unikezwe ukwelashwa noma cha, uma izimpawu zakho zingathuthuki noma ziba zimbi kakhulu, xhumana nodokotela wakho ngokushesha.

Kufanele ngimbone nini udokotela?

Uma unezimpawu ze-cysticercosis, ikakhulukazi ukuquleka, ukudideka, noma isicanucanu noma ukuhlanza okungachazeki, bona udokotela ngokushesha noma uye egumbini lezimo eziphuthumayo eliseduze.

I-Cysticercosis yisifo esibangelwa amaqanda e-parasite i-Taenia solium. Ngisho noma ungazwa okuningi ngayo lapho uhlala khona, i-cysticercosis ingabangela ukugula okukhulu. Kungakhathaliseki ukuthi uhlala endaweni lapho i-cysticercosis ivame khona noma uya kwenye, ukulandela imikhuba embalwa elula yokuhlanzeka kungakusiza ukuthi uhlale uphephile.

Izinto ezibalulekile okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

• I-Cysticercosis yisifo esibangelwa ukugwinya amaqanda e-pork tapeworm (i-Taenia solium), ebangela ama-cyst emzimbeni.
• Kusakazeka ngokudla okungcolile, amanzi, kanye nokungahlanzeki kahle, hhayi ngokudla inyama yengulube engaphekiwe kahle.
• Izimpawu zincike ekutheni ama-cyst akuphi. Uma ama-cyst esebuchosheni (i-neurocysticercosis), izimpawu ezinzima ezifana nokuquleka kanye nekhanda elibuhlungu zingavela.
• Indlela engcono kakhulu yokuzivikela kulokhu ukugeza izandla zakho kahle bese udla ukudla okuhlanzekile.
• Uma uzwa izimpawu ezifana nokuquleka, ikhanda elibuhlungu kakhulu, noma ukudideka , funa iseluleko sezokwelapha ngokushesha. Ungakhathazeki, lesi simo singalawulwa ngokwelashwa okufanele kanye neseluleko sezokwelapha.

Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

I- Cysticercosis, i-tapeworm, i-neurocysticercosis, ukuxhuzula, izifo zobuchopho, ukuhlanzeka, izifo ezibangelwa amagciwane