Wake wacabanga ukuthi ukuhamba ngezinyawo phansi, ikakhulukazi emhlabathini ongcolile, kungangenisa igciwane eliyingozi emzimbeni wakho? Ungase uzizwe ukulunywa kancane, kodwa cishe ngeke ukhathazeke. Namuhla sizokhuluma ngesifo sezibungu esingangena buthule emzimbeni wakho futhi siphile emzimbeni wakho iminyaka eminingi ngaphandle kwezimpawu, kodwa ngezinye izikhathi singasongela ukuphila. Lokhu kubizwa ngokuthi i-Strongyloidiasis.
Kalula nje, iyini i-Strongyloidiasis?
I-Strongyloidiasis ukutheleleka okubangelwa yi-parasitic worm ebizwa ngokuthi `(Strongyloides)`. Lesi sibungu singena emzimbeni wethu ngenxeba lesikhumba . Cabanga nje, noma ngabe akukho nxeba esikhumbeni sakho, lezi zibungu zingangena emzimbeni ngembobo esikhumbeni. Ngemva kokungena emzimbeni, ziya ngqo emaphashini nasemathunjini ethu. Yilapho lezi zibungu zikhula khona, zibeke amaqanda, futhi zizalane.
Isici esingavamile salesi sifo ukuthi abanye abantu bangahlala iminyaka eminingi bengakhombisi zimpawu . Abanye bangase babe nokuqubuka kwesikhumba, amabhamuza, noma ukuphazamiseka kwesisu okuza nokudlula ngezikhathi ezithile. Kodwa-ke, uma isimiso somzimba somuntu sokuzivikela sibuthakathaka , lokhu kutheleleka okulula kwezibungu kungaba kubi kakhulu futhi kusongela nokuphila.
Ikuphi lapho lesi sibungu sivame kakhulu khona? Ubani osengozini enkulu?
Nakuba i-Strongyloides worm ingatholakala noma kuphi emhlabeni, ivame kakhulu emazweni anezimo zezulu ezifudumele (ezishisayo nezingaphansi kwezindawo ezishisayo) kanye nasezindaweni zasemakhaya ezingenazo indle ehlanzekile.
Noma ubani angayithola le sifo, kodwa abanye abantu basengozini enkulu yokuchayeka kuso.
| Isici sengozi | Incazelo |
|---|---|
| Ukuzivikela komzimba okubuthakathaka | Ingozi iphezulu kakhulu kulabo abasebenzisa imithi yama-steroid (ukwelashwa ngama-corticosteroid), labo abangenwe yigciwane le-HTLV-1, iziguli ezinomdlavuza (ikakhulukazi i-leukemia, i-lymphoma), kanye nalabo abaye bafakelwa izitho zomzimba. |
| Ukuhamba ngezinyawo | Ukuhamba ngezinyawo ungagqokile kubeka engcupheni enkulu, ikakhulukazi emhlabathini ongcolile, ngenxa yokuthintana njalo nomhlabathi. |
| Eminye imisebenzi | Abantu abalima, abamba imigodi, noma abasebenza eminye imisebenzi ehilela ukuthintana njalo nenhlabathi basengozini enkulu. |
| Izindawo ezihlanzekile | Ukuhlala ezindaweni lapho inhlabathi inamathuba amaningi okungcoliswa yindle yabantu kwandisa ingozi yokuthola lesi sifo. |
Le mbungu yenzani uma isingene emzimbeni?
Lokhu kufana nefilimu. Cabanga nje, izibungu ezincane (ama-larva) enhlabathini zingena emzimbeni wakho ngesikhumba sakho.
1. Ukungena kwesikhumba: Uma lezi zibungu ziqala ukungena esikhumbeni, zingadala ukuqubuka okubomvu, okuvuvukele, nokulumayo kakhulu .
2. Ukuya emaphashini: Okulandelayo, angena egazini bese ehamba negazi liye emaphashini. Yilapho eba makhudlwana khona. Phakathi nalesi sikhathi, abanye abantu bangase bezwe ukukhwehlela okunamandla noma ukukitaza emphinjeni .
3. Ukungena emathunjini: Uma sikhwehlela izimpethu zisuka emaphashini, zingena emphinjeni bese sizigwinya singazi. Bese zidlula esiswini bese zingena emathunjini.
4. Ukudluliselwa: Lezi zibungu ezithwala amaqanda zibekela amaqanda azo emathunjini. Amaqanda achanyuselwa abe yizibungu, ezidluliselwa endle. Uma zikhishwa, zingcolisa inhlabathi futhi zingathelela ezinye.
Into eyingozi kakhulu ngalokhu ukuthi lezi zibungu, esikhundleni sokudluliselwa endle, zingaphinde zingene emathunjini, ziphinde zingene egazini, bese ziqala wonke umjikelezo futhi. Lokhu kubizwa ngokuthi "ukutheleleka okuzenzakalelayo." Yingakho, uma kungelashwa, ukutheleleka kungaqhubeka iminyaka eminingi.
Ukutheleleka Okukhulu: Isimo esibi nesisongela ukuphila
Ngokuvamile, umzimba womuntu ophilile onesimiso esihle sokuzivikela komzimba ungalawula lezi zibungu, ngakho-ke azibonakali izimpawu ezimbi.
Kodwa-ke, uma umuntu onesimiso somzimba esibuthakathaka ethola lokhu kutheleleka, inani lezibungu liba likhulu kakhulu ukuba lingalawuleki. Izibungu zanda ngokushesha okukhulu, zishiya amathumbu futhi zisakazekele kwezinye izitho ezifana nobuchopho, isibindi kanye nenhliziyo. Lokhu kubizwa ngokuthi "i-hyperinfection" noma "i-strongyloidiasis esakazwayo".
Kuleli qophelo, njengoba izimpethu ziphuma emathunjini, zengeza namagciwane asuka emathunjini aye egazini. Lokhu kungaholela ezinkingeni ezinkulu kakhulu, ezisongela ukuphila njenge-"sepsis" (ubuthi egazini) kanye ne-"pneumonia" (pneumonia).
Ubani osengozini enkulu yokutheleleka kakhulu (ukutheleleka ngokweqile)?
- Kulabo abathatha ama-corticosteroids isikhathi eside
- Kulabo abangenwe yi-HTLV-1
- Kubantu abanomdlavuza ohlobene negazi njenge-leukemia noma i-lymphoma
- Kulabo abake bafakelwa isitho noma bafakelwa umongo wethambo
Ziyini izimpawu zalesi sifo?
Abantu abaningi bangase bangabi nazimpawu, noma bangase bavele badlule ngezikhathi ezithile. Uma kuvela izimpawu, zingase zihlanganise:
- Izilonda zesikhumba: Izilonda ezibomvu, eziphakanyisiwe, ezilumayo ezibonakala zihamba ngokushesha kakhulu (ama-larva currens). Lezi zivame ukubonakala phakathi kwezinqe, emathangeni, noma esihlakaleni.
- Ukuphazamiseka kwesisu: Ubuhlungu besisu esingaphezulu (okufana ne-gastritis), ukuqunjelwa, isicanucanu, kanye nesifo sohudo.
- Ukukhwehlela: Ukukhwehlela okomile noma umphimbo oklwebhayo.
Ukuxilongwa nokwelashwa kwalesi sifo
Uma unalezi zimpawu noma useqenjini elisengozini, kubalulekile ukubona udokotela . Udokotela uzokubuza imibuzo, akuhlole, bese eyala ukuhlolwa okuningana ukuqinisekisa ukuxilongwa.
- Ukuhlolwa kwendle: Hlola izibungu noma izibungu zazo.
- Ukuhlolwa kwesikhwehlela: Ukuthola ukuthi kukhona yini izimpethu emaphashini.
- Ukuhlolwa kwegazi: Ukuhlola ama-antibodies akhiqizwa ngumzimba ngokumelene nesibungu.
Njengokwelashwa, udokotela uzokunikeza imithi yokulwa nezibungu. I-Ivermectin ne -Albendazole yimithi esetshenziswa kakhulu kulokhu. Umuthi ngokuvamile kufanele uthathwe izinsuku ezimbalwa kuya emavikini amabili.
Into ebaluleke kakhulu ukuthi noma ungenazo izimpawu, uma kuqinisekisiwe ukuthi unesifo, kufanele nakanjani ufune ukwelashwa. Ngoba uma amasosha akho omzimba eba buthakathaka esikhathini esizayo, lesi sibungu esithule singaba "ukutheleleka ngokweqile" futhi sibe yingozi empilweni.
Ungazivikela kanjani kulesi sifo?
Ukuzivikela kulesi sifo empeleni kulula kakhulu.
- Gqoka izicathulo njalo: Gqoka izimbadada noma izicathulo, ikakhulukazi engadini, ensimini, noma kuphi lapho uhlangana khona nomhlabathi.
- Nakekela inhlanzeko yakho: Geza izandla zakho kahle ngemva kokusebenzisa indlu yangasese. Gwema ukuthintana nenhlabathi ezindaweni ezihlanzekile.
- Tshela udokotela wakho: Uma uthatha imithi yokucindezela amasosha omzimba nganoma yisiphi isizathu, welashwa ngomdlavuza, noma ulungiselela ukufakelwa isitho, tshela udokotela wakho. Uma kudingeka, bangakuhlola ukuthi awunazo yini izikelemu ezithambile ngaphambi kokuqala ukwelashwa.
Kufanele ubonane nini nodokotela?
Uma usesimweni esilandelayo, qiniseka ukuthi ubona udokotela womndeni wakho.
- Uma unezimpawu ze-Strongyloidiasis (ikakhulukazi izilonda zesikhumba ezingajwayelekile, ukucasuka kwesisu).
- Uma amasosha akho omzimba ebuthakathaka futhi wesaba izifo ezinjengalezi.
- Uma uya endaweni lapho lesi sifo sivame khona.
- Ngaphambi kokuthi uqale noma yikuphi ukwelashwa okunciphisa amandla omzimba wakho.
Isikhathi sokuya e-ETU (Emergency Treatment Unit) ngokushesha
Uma usola ukuthi une-Strongyloidiasis futhi uba nanoma yiziphi izimpawu ezilandelayo ezimbi, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
- Umkhuhlane ophezulu (ngaphezu kuka-39.4 Celsius / 103 Fahrenheit)
- Ukuphelelwa yithemba noma ukushintsha kwengqondo
- Umfutho wegazi ophansi kakhulu
- Ubunzima bokuphefumula
- Ubuhlungu besifuba
- Ukukhishwa komchamo okuncane kakhulu noma akukho nhlobo
Umlayezo Wokuya Nawe Ekhaya
- I-Strongyloidiasis yisifo esibangelwa yi-parasite worm etholakala enhlabathini engcolile engena emzimbeni ngesikhumba.
- Abantu abaningi ababonisi zimpawu iminyaka eminingi.
- Kubantu abanezivikeli mzimba ezibuthakathaka (isib. labo abathatha ama-steroid, iziguli ezinomdlavuza), lesi sifo singaba sibi kakhulu futhi sibe yingozi ngisho nokuphila.
- Ungazivikela kalula kulesi sifo ngokugqoka izicathulo nokuzijwayeza ukuhlanzeka okuhle.
- Ngisho noma kungekho zimpawu, kufanele kudingeke ukwelashwa uma kutholakala ukutheleleka.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment