Singakhuluma nge-Hydatid Disease, ebangela ukwakheka kwama-cysts esibindini, namuhla?

Namuhla sizokhuluma ngesifo esikhula emizimbeni yethu, kodwa asikhulumi ngaso kakhulu. Lokhu kubizwa ngokuthi isifo se-hydatid. Kungenzeka ukuthi awukaze uzwe leli gama ngaphambili. Kodwa ukwazi kahle ngalo kuzosisiza thina nemindeni yethu ukuba sigweme izinkinga eziningi. Ngakho-ke, ake sixoxe ngakho ngemininingwane ethe xaxa, akunjalo?

Kulungile, ake siqale sibone ukuthi siyini lesi sifo se-hydatid?

Kalula nje, isifo se-hydatid yisifo esibangelwa yi-parasite. I-parasite, cabanga ngakho, iyisidalwa esincane esihlala emizimbeni yethu, sisondle, futhi sisenze sigule. Isifo se-hydatid sibangelwa amaqanda e-tapeworm . Yebo, ukuzwile lokho kahle, i-tapeworm! Lezi zi-tapeworm zivame ukuhlala ngaphakathi kwezilwane njengezimvu nezimbuzi kanye nasemathunjini ezinja.

Ngakho-ke sikuthola kanjani lokhu? Lesi sifo senzeka uma singazi sidla amaqanda alezi zibungu ezidla ezinye izilwane. Lapho la maqanda engena emizimbeni yethu, izibungu ezivela kuwo ziya ezithweni ezifana nesibindi sethu, amaphaphu, nobuchopho bese zakha ama-cyst , afana nama-bubble amanzi. Lawa ma-cyst angakhula kancane kancane. Lesi simo sibizwa nangokuthi `(Cystic Echinococcosis)` kwisayensi yezokwelapha.

Uyazi ukuthi ubani osengozini enkulu yokuthola lesi sifo? Ubani osengozini enkulu?

Lesi sifo se-hydatid sivame kakhulu ezindaweni zasemakhaya noma ezindaweni ezinzima kancane, ezingenazo indle. Ikakhulukazi, abantu abafuya izimvu noma ezinye izinkomo, kanye nalabo abafuya izinja, basengozini enkulu yokuthola lesi sifo. Cabanga nje, izimvu yizona ezibangela lesi sifo. Lokho kusho ukuthi lesi sifo sihlala kahle emzimbeni wezimvu. Uma inja idla inyama yemvu egulayo, inja nayo izotheleleka ngalesi sifo.

Ungase ube sengozini enkulu yokuthola lesi sifo ngenxa yezinto ezifana nalezi:

• Uma unikeza izinja ezinegciwane imithi yokubulala izikelemu ekhaya noma uma uziphatha njalo.
• Uma uhleli futhi udla ezindaweni lapho izinja ezinegciwane zihlala khona.
• Uma uhlala endaweni enokuhlanzeka okungekuhle.
• Uma uhlaba futhi ulungiselela izimvu noma ezinye izilwane ukuze zidliwe ekhaya.

Cabanga ngalokhu. Kweminye yemizi yethu, izinja zigcinwa emakhaya. Ngezinye izikhathi lezi zinja zihamba ngaphandle zidle izinto ezahlukahlukene. La maqanda ezinambuzane angangezwa endaweni ezungezile kanye nendle yawo. Uma singaqapheli ngakho, kunethuba elikhulu lokuthi lawo maqanda azongena emilonyeni yethu ngezandla zethu.

Ingabe isifo se-hydatid siyathelelana kusuka komunye umuntu kuya komunye?

Cha, leli yiphuzu elibaluleke kakhulu . Isifo se-Hydatid asidluliselwa ngqo kusuka komunye umuntu kuya komunye. Lokho kusho ukuthi, awukwazi ukuthola lesi sifo ngokuthinta umuntu onalesi sifo, ngokuba seduze kwakhe nje. Ukuze umuntu athole lesi sifo, lawo maqanda ezinambuzane engikhulume ngawo ekuqaleni kufanele adliwe.

Kunezinhlobo ezimbili ze-echinococcosis, akunjalo? Ziyini?

Yebo, kukhona esinye isifo esibangelwa yizikelemu ezitholakala kuhlobo lwe-`(Echinococcus)`. Sibizwa ngokuthiIbizwa ngokuthi i-'Alveolar Echinococcosis (AE). Kodwa-ke, lolu hlobo lwe-'(AE)' luvame ukudluliselwa kubantu luvela ezilwaneni ezifana nezimpungushe nezimpungushe, hhayi ezimvini.

Sikhuluma nge-`(Cystic Echinococcosis - CE)`, okungukuthi, `(AE)` kuyisimo esibucayi kancane kunesifo se-hydatid. `(AE)` ingabangela ukwakheka kwamathumba ezindaweni ezifana nesibindi, amaphaphu, kanye nobuchopho. Lawa mathumba awawona umdlavuza, kodwa asakazeka ngesivinini esifana nomdlavuza.

Uyini umehluko phakathi kwe-hydatid cyst kanye ne-simple liver cyst?

Lokhu futhi kuyinto abantu abaningi abayididayo. I-hydatid cyst iwumphumela wokutheleleka yi-parasitic. Okusho ukuthi, yinto eyenzeka lapho lawo maqanda ezikelemu engena emzimbeni.

Kodwa-ke, ama-cyst esibindi alula avame ukuba khona lapho ezalwa. Akuvamile ukuba makhulu kakhulu noma kuthinte ukusebenza kwesibindi. Kodwa-ke, ama-cyst e-hydatid awanjalo, futhi angaba makhulu ngokwanele ukuphazamisa ukusebenza kwesibindi. Futhi, ukwelashwa kwalezi zinhlobo ezimbili zama-cyst kuhluke ngokuphelele.

Isifo se-hydatid sivame kangakanani emhlabeni nasendaweni yethu?

Lesi sifo asivamile kakhulu emazweni athuthukile njengeNyakatho Melika. Kodwa-ke, siyinkinga yezempilo yomphakathi ekhulayo ezindaweni ezimpofu nezasemakhaya zase-Afrika, izingxenye zaseYurophu, e-Asia, eMpumalanga Ephakathi, kanye naseMelika Ephakathi naseNingizimu. Emhlabeni wonke, abantu ababalelwa ezigidini ezimbili kuya kwezintathu bathola lesi sifo '(Echinococcal)' minyaka yonke. Kulezi, ama-95% yisifo se-hydatid esikhuluma ngaso, okungukuthi, '(Cystic Echinococcosis).' Kuhle ukuqaphela lokhu eSri Lanka, ikakhulukazi ezindaweni lapho kugcinwa khona izilwane.

Yiziphi izimpawu esizibonayo uma sithola lesi sifo?

Kungathatha iminyaka ukuthi izimpawu zesifo se-hydatid zivele . Yilokho okwenza kube yinto eyesabekayo kangaka. Ungase ungaboni lutho kuze kube yilapho ama-cyst ekhula esibindini, emaphashini, noma kwezinye izitho zomzimba. Kodwa-ke, njengoba ama-cyst ekhula ekhula, ungase ube nezimpawu ezifana nalezi:

• Igazi esitulweni.
• Ukukhwehlela.
• Ukuzwa ubuhlungu esiswini noma esifubeni.
• Ukuqubuka kwesikhumba noma ukuqhuma kwesikhumba.
• Ukuphuzi kwamehlo nesikhumba (i-Jaundice).
• Ukuzizwa sengathi ugobile esiswini.
• Isicanucanu nokuhlanza.
• Ubunzima bokuphefumula.
• Ukuba mncane ngaphandle kwesizathu.

Ungesabi lesi sifo ngoba nje unesinye noma ezimbili zalezi zimpawu. Kodwa uma lezi zinto ziqhubeka, kuwukuhlakanipha ukubona udokotela.

Yiziphi izinkinga eziyingozi ezingaba khona ngenxa yesifo se-hydatid?

Uma la ma-cyst eba makhulu ngokwanele, angabangela ukuthi isitho esithintekile (njengesibindi noma amaphaphu) singasebenzi kahle. Okuyingozi nakakhulu ukuthi la ma-cyst angaqhuma ngokuzumayo (aqhume).Uma lokhu kwenzeka, kungase kube nezinkinga ezisongela ukuphila. Izimpawu ze-hydatid cyst ephukile zingafaka:

• I-Anaphylaxis iwukusabela okukhulu kokungezwani komzimba okungabangela ubunzima obungazelelwe bokuphefumula, umfutho wegazi ophansi, ngisho nokulahlekelwa ukwazi.
• Ubuhlungu obukhulu esiswini.
• Ngisho nokufa okuzumayo kungenzeka.

Yingakho sithi kubaluleke kakhulu ukuqaphela lezi zimpawu nokufuna ukwelashwa ngokushesha.

Lesi silwanyana singena kanjani emizimbeni yethu? Ake sifunde ngezindlela lesi sifo esidluliselwa ngazo.

Isizathu esiyinhloko esenza abantu bathole isifo se-hydatid ukuthintana nendle yezinja, equkethe amaqanda e-parasite . Ngokuhamba kwesikhathi, la ma-parasite akhula ngaphakathi emzimbeni futhi akhe ama-cyst. Lesi sifo singadluliselwa ngezindlela ezilandelayo:

• Amanzi okuphuza angcoliswe amaqanda ezinambuzane.
• Ungayithola ngokudla inhlabathi engcoliswe amaqanda ezinambuzane ngokungazi , angatholakala ezintweni ezifana nemifino, amakhambi, noma amajikijolo. (Yingakho kubalulekile ukugeza imifino nezithelo zakho kahle ngaphambi kokudla!)
• Ngokuthinta inja enesifo (bese udla ukudla ngaphandle kokugeza izandla zakho kahle).

Odokotela basithola kanjani lesi sifo ngokunembile? (Ukuxilongwa)

Ukuhlolwa kwezithombe kanye nokuhlolwa kwegazi kuyizindlela eziyinhloko ezisetshenziswa ukuxilonga isifo se-hydatid. Ukuhlolwa kwegazi kungahlola amazinga aphezulu ama-antibodies ngokumelene nokutheleleka kwe-Echinococcal. Ukuhlolwa kwezithombe kungabonisa usayizi, ukuma, kanye nendawo yama-cyst.

Udokotela wakho angasebenzisa i-X-ray, i-CT scan, noma i-ultrasound ukuhlola i-cyst. Ama-cyst e-Hydatid anezici eziningana ezihlukile kweze-cyst yesibindi evamile. Isibonelo:

• Okufana nesinye isimila esiwile ngaphakathi kodonga lwesimila.
• Udonga lwesithelo lwakhiwe ngezendlalelo eziningana.
• Udonga lwe-cyst lujiyile futhi kungenzeka lube ne-calcified.

Yiziphi izindlela zokwelapha isifo se-hydatid? Silulama kanjani?

Ukwelashwa kwesifo se-hydatid kuncike kubukhulu bama-cyst kanye nendawo akuyo . Izindlela zokwelapha ezivame ukusetshenziswa yilezi:

Ingabe ikhona imithi?

Yebo, uma ama-cyst emancane, engaphandle, futhi esendaweni eyodwa kuphela, angelashwa ngemithi yokulwa nama-parasitic ebizwa ngokuthi ama-benzimidazoles . Le mithi iyawabulala ama-parasitic futhi ibangele ukuthi ama-cyst anciphe. Ngezinye izikhathi, udokotela wakho angase anqume ukwenza inqubo yokukhipha amanzi e-cyst noma ukwenza ukuhlinzwa ukuze kususwe uketshezi e-cyst.

Ingabe indlela ye-PAIR iyindlela ekhethekile yokwelapha?

Yebo, i-`PAIR` (Ukubhoboza, Ukufutha, Ukujova, Ukufutha kabusha) iyindlela ekhethekile. Kulokhu, uketshezi olungaphakathi kwe-cyst lukhishwa kancane kancane kusetshenziswa inalithi noma ithubhu elincane (i-catheter). Bese, into yamakhemikhali esebenza ngokumelene nama-parasite ifakwa kwi-cyst. Bese uketshezi lukhishwa futhi. Le nqubo iphindaphindwa izikhathi eziningana kuze kube yilapho i-cyst ingenalutho ngokuphelele. Lokhu kuvame ukwenziwa ngaphansi kwesiqondiso se-scan njenge-ultrasound.

Ingabe wonke umuntu kufanele ahlinzwe?

Izimila ezinkulu nezijulile zingadinga ukususwa ngokuhlinzwa. Lokhu kungahilela ukususa yonke noma ingxenye yesimila, noma ngisho nengxenye yesibindi. Kodwa-ke, kunengozi yokuthi amagciwane angaphakathi kwesimila azosakazekela kwezinye izingxenye zesisu. Ngakho-ke, udokotela onolwazi oluhle kuphela okufanele enze lolu hlobo lokuhlinzwa.

Singazivikela kanjani kulesi sifo esiyingozi se-hydatid? (Ukuvimbela)

Okuwukuphela kwendlela yokulawula isifo se-hydatid ukuvimba ukusabalala kwalezi zinambuzane. Abantu abasengozini yokuthola lesi sifo kufanele baqaphele kakhulu ngalokhu okulandelayo:

• Ungadli ukudla noma isiphuzo okungenzeka ukuthi sithintene nendle yezinja.
• Uma unikeza inja yakho imithi yokubulala izikelemu, ungayisebenzisi wena ekhaya, kodwa yisebenzise kudokotela wezilwane oqeqeshiwe .
• Gwema ukusondelana eduze nezinja ocabanga ukuthi zingase zibe negciwane.
• Ungazihlabi izimvu noma ezinye izinkomo ukuze zidliwe ekhaya bese uzilungiselela ukudliwa (kungcono ukuzithola kumuntu ochwepheshe wokuhlaba inyama).
• Vimbela izinja ekudleni inyama yemvu ethelelekile.
• Geza izithelo nemifino kahle ngaphambi kokudla.
• Geza izandla zakho kahle ngensipho namanzi njalo, ikakhulukazi ngaphambi kokulungisa ukudla nangemva kokuphatha izinja. Lokhu kuyinto elula kakhulu, kodwa kuyisinyathelo esihle sokuphepha.

Kwenzekani uma uthola isifo se-hydatid? Ingabe singelapheka? (Isibikezelo/Umbono)

Uma ingelashwa, isifo se-hydatid singabulala . Ama-cyst angakhula abe makhulu futhi abangele ukwehluleka kwezitho zomzimba. Futhi, uma ama-cyst eqhuma, kungenzeka ukusabela okusongela impilo okubizwa ngokuthi "i-Anaphylaxis". Ngakho-ke, kubalulekile ukuxilonga lesi sifo kusenesikhathi bese uthola ukwelashwa okufanele. Uma wenza kanjalo, amathuba akho okululama aphezulu.

Kufanele siye nini kudokotela ngalezi zimpawu?

Uma unezimpawu ocabanga ukuthi zingaba yisifo se-hydatid (isibonelo, ubuhlungu besisu obuqhubekayo, ukuphuzi kwamehlo, ubunzima bokuphefumula), bona udokotela ngokushesha .Uma ubulokhu usendaweni enobungozi obukhulu (isib., ukusebenza nezimvu noma izinja) isikhathi esithile, tshela udokotela wakho. Lolu lwazi luzosiza udokotela wakho ukuhlukanisa phakathi kwe-cyst ye-hydatid kanye ne-cyst evamile.

Khumbula, ukuxilongwa kusenesikhathi kanye nokwelashwa kunganciphisa kakhulu ingozi yokuthola izinkinga ezinkulu zempilo noma ukufa.

Ngakho-ke, izinto ezibaluleke kakhulu okufanele uzikhumbule kuzo zonke lezi zinkulumo (Umyalezo Wokuya Ekhaya)

Kulungile, sesikhulume kakhulu ngesifo se-hydatid. Ngamafuphi, yisifo esibangelwa yizinambuzane esibangelwa amaqanda ezikelemu . Lesi sifo senzeka lapho la maqanda, atholakala endle yezinja, engena emizimbeni yethu ngokungazi. Lokhu kubangela ukwakheka kwama-cyst ezithweni ezifana nesibindi sethu.

• Ukuhlanzeka kubaluleke kakhulu! Ungakhohlwa ukugeza izandla zakho kahle bese ugeza izithelo nemifino ngaphambi kokudla.
• Uma unezinja, nakekela impilo yazo. Zinike imithi yokubulala izikelemu ngendlela efanele, njengoba kuyalelwe udokotela wezilwane.
• Uma uhilelekile ekufuyeni izilwane, ikakhulukazi usebenza nezimvu, qaphela kakhulu.
• Uma kuvela izimpawu, bona udokotela ngokushesha.

Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

Isifo Sokusha Kwezinja , Ukutheleleka Kwezimbungulu, Ama-Cysts Esibindi, Izikelemu Ezithwala Izinambuzane, Izifo Ezithwalwa Yizinja, Impilo Yezilwane