Ingabe ingane yakho ingasithola lesi sifo sezibungu? Ake sifunde nge-(Visceral Larva Migrans)!

Wake wambona umntwana wakho omncane ngezinye izikhathi ethola ukungcola emlonyeni wakhe ngenkathi edlala ngaphandle? Noma wake wacabanga ukuthi wena, ikakhulukazi izingane zakho, ungagula ngenxa yenjana noma ikati lakho olithandayo ekhaya? Namuhla sizokhuluma ngesifo sezibungu esingasithola thina, ikakhulukazi izingane zethu, ezilwaneni ezinjalo, kodwa asikakuzwa okuningi ngaso, kodwa sibaluleke kakhulu. Yilokhu odokotela abakubiza ngokuthi `(Visceral Larva Migrans)`.

Iyini le Visceral Larva Migrans?

Kalula nje, i-Visceral Larva Migrans iwukutheleleka okubangelwa yi-parasite worm engadluliselwa kusuka ezilwaneni iye kubantu, ikakhulukazi izingane ezincane. Lezi zibungu zivame ukutholakala emathunjini ezilwane ezifana nezinja namakati. Esikhathini esiningi, lokhu kutheleleka akubanga zimpawu ezinkulu. Lokhu kusho ukuthi wena noma ingane yakho ningase ningazi nokuthi ninayo. Kodwa-ke, abanye abantu bangase babe nezimpawu ezifana nobuhlungu besisu kanye nobuthakathaka. Yilapho kudingeka khona ukwelashwa.

Ngakho-ke hlobo luni lwezibungu ezibangela lesi sifo?

I-Visceral Larva Migrans ibangelwa kakhulu yi-roundworm ebizwa ngokuthi i-Toxocara. Kunezinhlobo eziningana zezibungu ze-Toxocara:

• `(Toxocara canis)`: Lezi yizo ezitholakala emathunjini ezinja.
• `(Toxocara cati)`: Laba bantu bahlala emathunjini amakati.
• `(Ascaris suum)`: Lolu hlobo ludluliselwa ezingulubeni.
• `(Baylisascaris procyonis)`: Laba bantu bazala izilwane ezibizwa ngokuthi ama-raccoon (asikho isidingo sokukhathazeka ngalokhu njengoba kungekho ma-raccoon eSri Lanka).

Ezweni lakithi, izinja namakati yiwona abangela ukusabalala kwalesi sifo.

Kuyini i-Toxocariasis?

Igama elithi `(Toxocariasis)` liyigama lezokwelapha lesifo esibangelwa yizibungu zezibungu ze-`(Toxocara)`, okungukuthi, izibungu ze-`(Toxocara canis)` okukhulunywe ngazo ngaphambili ezivela ezinjeni kanye nezibungu ze-`(Toxocara cati)` ezivela emakatini. Uma sikhuluma iqiniso, elithi `(Toxocara)` liwukutheleleka nge-`(Toxocara)`.

Lesi simo (i-Toxocariasis) singathinta imizimba yethu ngezindlela ezintathu eziyinhloko:

1. I-Visceral Larva Migrans: Yilapho izibungu zezibungu zihamba ziye ezithweni zethu zangaphakathi, njengesibindi, amaphaphu, nenhliziyo, bese zizilimaza.

2. Ama-Ocular Larva Migrans: Kulokhu, izibungu zezibungu zingena esweni futhi zibangele ukuvuvukala ngaphakathi kweso. Ngezinye izikhathi, lokhu kungaholela nasekulahlekelweni umbono.

3. I-Neurotoxocariasis: Lesi yisimo esingavamile. Kulesi simo, izibungu zezibungu zithinta ubuchopho kanye nomgogodla. Lokhu kungabangela ukuvuvukala okukhulu, ukuxhuzula, kanye nokudideka kwengqondo (encephalopathy).

Lezi zibungu ze-`(Toxocara)` zisakazeka kanjani kithi zivela ezilwaneni? Ngendlela exakile kakhulu!

Cabanga nje, izimpethu ze-`(Toxocara)` zihlala emathunjini esilwane esisithelelayo, okungukuthi, inja noma ikati. Lapho, lezi zimpethu zibekela amaqanda. La maqanda aphuma nendle yesilwane. Bese kuthi indle yalezi zilwane equkethe amaqanda e-`(Toxocara)` iqoqeke enhlabathini, okungukuthi, emhlabathini. Ngale ndlela , amaqanda athelelekile angahlala esebenza enhlabathini izinyanga eziningi.

Uyazi ukuthi sitheleleka kanjani yi-`(Toxocara)`? Uma sifaka ngephutha inhlabathi enala maqanda emilonyeni yethu. Lapho izingane ezincane zidlala ngaphandle, zithatha inhlabathi futhi ngezinye izikhathi ziyifaka emilonyeni yazo. Yilapho-ke zivame kakhulu ukutheleleka khona. Futhi, ingasakazeka ngemifino nezithelo ezikhuliswe enhlabathini engcolile kangaka futhi idliwe ngaphandle kokuyigeza kahle.

Into ebalulekile ukuthi ngemva kokuba la maqanda `(Toxocara)` engena emizimbeni yethu, awakhuli abe yizimpethu ezinkulu bese eqala ukubeka amaqanda emathunjini ethu. Kunalokho, izimpethu ziyachacha emaqandeni. Lezi zimpethu ziyaphuma emathunjini ethu bese ziya kwezinye izicubu emzimbeni. Izindawo ezifana nesibindi, amaphaphu, amehlo, nobuchopho. Ekugcineni, lezi zimpethu ziyafa lapho. Kodwa-ke, njengoba zihamba, zilimaza izicubu zethu. Kungenxa yalo monakalo ukuthi izimpawu zivela.

Uyini umehluko phakathi kwe-'Visceral larva migrans' kanye ne-'cutaneous larva migrans'?

Nakuba amagama ezwakala efana, lezi zimo ezimbili zihluke ngokuphelele. I-visceral larva migrans ibangelwa yizibungu zezibungu ezizungezile okukhulunywe ngazo ngaphambili eziya ezicutshini zangaphakathi zomzimba bese ziyafa. I-cutaneous larva migrans ibangelwa uhlobo oluhlukile lwesibungu esibizwa ngokuthi ama-hookworm. I-cutaneous larva migrans ivame ukubangela ukuqubuka okubomvu nokulumayo esikhumbeni.

Sivame kangakanani lesi sifo? Ingabe sisengozini?

Uma ubheka izibalo ezweni elifana neMelika, cishe umuntu oyedwa kwabayishumi uke watheleleka nge-`(Toxocara)` esikhathini esithile empilweni yakhe. Kodwa-ke, abantu abaningi abanazo izimpawu futhi abazi nokuthi bake baba nalesi sifo.

Abantu emazweni asathuthuka banamathuba amaningi okutheleleka yi-Toxocara, futhi banamathuba amaningi okuthola i-Visceral Larva Migrans.

Izilwane ezifuywayo zethu esizithandayo, izinja namakati, nazo zingangenwa yilezi zibungu. Ikakhulukazi lezo ezichitha isikhathi esiningi ngaphandle. Ucwaningo luthole ukuthi cishe u-2% wezinja kanye no-5% wamakati e-United States anezibungu emathunjini azo. Ngakho-ke, isimo ezweni lethu singase sifane noma sibe phezulu nakakhulu.

Ubani okungenzeka kakhulu ukuthi athole i-'Visceral Larva Migrans'?

• Izingane ezingaphansi kweminyaka engu-6 cishe zingenwa yileli `(Toxocara)` futhi zikhule zibe yi-`(Visceral Larva Migrans`. Lokhu kungenxa yokuthi yizo okungenzeka kakhulu ukuthi zidle inhlabathi ngengozi ngenkathi zidlala ngaphandle.
• Le ngozi iphakeme nakubantu abafuya izilwane ezifuywayo njengezinja namakati.
• Abantu abahlala ezindaweni ezifudumele nabo basengozini enkulu yokuthola la maqanda e-`(Toxocara)`. Isizathu siwukuthi la maqanda angaphila isikhathi eside enhlabathini ethelelekile esimweni sezulu esifudumele. Lokhu kubaluleke kakhulu ezweni elinjengeSri Lanka.

Kungani izimpawu zivela lapho kuvela 'i-Visceral Larva Migrans'?

I-Visceral Larva Migrans ibangelwa yizibungu ze-roundworm (i-Toxocara). Ngemva kokuba usuthelelekile, lezi zibungu ziyaphuma emathunjini ziye ezithweni ezisesifubeni sakho nasesiswini. Akuvamile ukuthi lezi zibungu zikwazi nokuya emehlweni akho, ebuchosheni, nasemgogodleni.

Ukuphendula ukutheleleka kwe-Toxocara, umzimba wakho ukhiqiza amangqamuzana amaningi omzimba egazini lakho. Lokhu kwandisa ukugeleza kwegazi kanye nokungena kwamangqamuzana omzimba endaweni ethintekile, okubangela ukuvuvukala. Izimpawu ozibonayo zincike ekutheni amasosha omzimba wakho asabela kangakanani ekuthelelekeni kwe-Toxocara.

Ziyini izimpawu zalesi sifo? Ingabe kwenzeka kuwo wonke umuntu?

Iningi labantu abangenwe yi-Toxocara ababi nazo izimpawu. Kodwa-ke, uma kuvela izimpawu, zingase zihlanganise:

• Ukukhathala
• Imfiva
• Ukwanda kwenani lama-eosinophil (uhlobo lweseli elimhlophe legazi) egazini (i-eosinophilia) - Lokhu kubonisa ukuthi kukhona ukutheleleka okubangelwa yizinambuzane noma ukungezwani komzimba emzimbeni.
• I-Lymphadenopathy
• Ubuhlungu besisu
• Ama-Hives / i-urticaria
• Ukukhwehlela
• Ukuphefumula
• Ukuvuvukala kwesibindi (i-hepatomegaly)
• I-splenomegaly

Udokotela ukuxilonga kanjani lokhu? Yiziphi izivivinyo abazenzayo?

Udokotela uzoxilonga i-Visceral Larva Migrans ngokwenza ukuhlolwa ngokomzimba kanye nokuhlolwa kwegazi. Qiniseka ukuthi utshela udokotela wakho uma unezilwane ezifuywayo noma uma ucabanga ukuthi kungenzeka ukuthi uke wavezwa enhlabathini engcolile.

Ukuhlolwa okuyinhloko okusetshenziselwa ukuxilonga i-toxocariasis ukuhlolwa kwegazi okubizwa ngokuthi i-enzyme-linked immunosorbent assay (ELISA) . Lokhu kuhlolwa kubheka ama-antibodies e-Toxocara egazini lakho. Akuqinisekisi ukuthi okwamanje unegciwane le-Toxocara. Kunalokho, kubheka izimpawu egazini lakho zokuthi amasosha omzimba wakho asabele ekuthelelekeni esikhathini esidlule.

Udokotela angase futhi ancome ezinye izivivinyo ukuze aqinisekise ukuthi uphethwe yini, njenge:

• Ukubalwa kwegazi okuphelele (i-CBC): Lokhu kuhlola inani lamaseli abomvu egazi, amaseli amhlophe egazi, ama-platelet, kanye ne-hemoglobin egazini.
• Ukuhlolwa kwezithombe:Isibonelo, kungenziwa i-ultrasound, i-CT scan, noma i-MRI scan ukuze kuhlolwe ukuvuvukala.
• Ukuhlolwa kwesampula yendle: Lokhu kuhlola ubufakazi bezilokazane ezindle.
• I-Biopsy: Kuthathwa isampula encane yezicubu ezithintekile bese kuhlolwa ukuze kubonakale ukuthi zikhona yini izibungu (lokhu kwenziwa kaningi kakhulu).

Yiziphi izindlela zokwelapha lokhu? Ingabe kufanele ngikhathazeke?

Izindaba ezinhle ukuthi iningi labantu abane-Visceral Larva Migrans abadingi ukwelashwa okukhethekile. Ukuphumula nokulinda ukuvuvukala kuphele ngokwakho ngokuvamile yikho kuphela okudingekayo.

Kodwa-ke, uma unezimpawu, udokotela wakho angase ancome izinto ezifana nalezi:

• Nciphisa ukuvuvukala nge-corticosteroids noma izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala (ama-NSAID) .
• Ama-antihistamine anciphisa impendulo yomzimba yokuzivikela komzimba.

Uma udokotela wakho ethola ukuthi unezibungu eziphilayo emzimbeni wakho, angase akunike imithi yokulwa nezibungu ukuze azibulale. Lokhu kungasiza ekuvimbeleni izibungu eziphilayo ukuthi zingangeni emzimbeni wakho futhi zibangele umonakalo owengeziwe. Lokhu kubaluleke kakhulu ekuvimbeleni umonakalo emehlweni akho, ebuchosheni, noma emgogodleni.

Ungakugwema kanjani lokhu? Yiziphi izindlela zokuvimbela?

Kunezinto ezimbalwa ezilula esingazenza ukuze sizivikele kulesi simo (i-Visceral Larva Migrans):

• Gwema ukudla ukudla okutshalwe enhlabathini okungenzeka ukuthi kungcoliswe yindle yezinja noma yamakati.
• Qaphela izingane zakho uma zidlala ngaphandle. Ungavumeli zifake ukungcola emlonyeni wazo.
• Geza izithelo nemifino kahle ngaphambi kokudla.
• Zenze umkhuba ukugeza izandla zakho kahle . Fundisa izingane zakho ukugeza izandla zazo ngaphambi kokudla, ngemva kokudlala ngaphandle, nangemva kokuthinta izilwane ezifuywayo.
• Beka eceleni indawo ethile lapho izilwane zakho ezifuywayo zingazikhulula khona. Faka indle yazo esikhwameni bese uyilahla ngendlela efanele, noma ugcine ibhokisi likadoti lihlanzekile ukuze amakati athole ukudla.
• Thatha izilwane zakho ezifuywayo uziyise kudokotela wezilwane njalo ukuze uhlole izibungu bese uzinika imithi yokukhipha izikelemu.

Kuzokwenzekani uma ngithola lesi sifo? Ingabe sizophulukiswa?

Ngokuvamile, lesi sifo siyaphola ngokwaso ngaphandle kokwelashwa.

Izinkinga zesikhathi eside azivamile. Uma zenzeka, zingase zihlanganise:

• Ukuvuvukala kwemisipha yenhliziyo (i-myocarditis)
• Inyumoniya
• Izibazi zezicubu zamaphaphu (i-pulmonary fibrosis)

Labo abanezimo ezishiwo ngaphambilini ezithi 'Ocular larva migrans' (ezithinta amehlo) kanye nethi 'Neurotoxocariasis' (ezithinta ubuchopho nomgogodla) bangaba nezinkinga ezinkulu. Isibonelo:

• Ubumpumputhe
• Ukuvuvukala kobuchopho kanye nomgogodla (i-meningoencephalitis)

Sizinakekela kanjani thina nezingane zethu? Singakuvimbela kanjani lokhu ukuthi kungenzeki futhi?

Uma wena noma ingane yakho nitholakala nine-Visceral Larva Migrans, kubalulekile ukuthola ukuthi yaqala kanjani ukuze nikwazi ukuvimbela ukutheleleka esikhathini esizayo.

Uma unenja noma ikati, liyise kudokotela wezilwane njalo ukuze liyohlolwa futhi likhiphe izikelemu. Buza udokotela wezilwane wakho mayelana nokukhipha izikelemu okuvamile, ikakhulukazi uma isilwane sakho siyisilwane sasekhaya esihlala ngaphandle.

Amaqanda e-Toxocara angaphila enhlabathini izinyanga eziningi. Ngakho-ke, ukuhlanza indle yezilwane ezifuywayo ngokushesha nje lapho uyibona kungasiza ekuvimbeleni ukutheleleka.

Ungase ucabange, "O, isilwane sami engisithandayo singasabalalisa kanjani isifo emndenini wami?" Kodwa, iqiniso liwukuthi, izinja namakati angathwala izikelemu ezibizwa ngokuthi "Visceral Larva Migrans" emathunjini azo. Uma unezilwane ezifuywayo, qaphela kakhulu lapho uhlanza indle yazo, futhi uziyise kudokotela wezilwane njalo.

Ngakho-ke, yiziphi izinto okufanele sizikhumbule kule ndaba?

Sesikhulume kakhulu ngalesi sifo sezibungu esibizwa ngokuthi ``Visceral Larva Migrans'' namuhla. Ngakho-ke, into ebaluleke kakhulu ukuthi lesi yisifo esingavinjelwa.

• Singathola la maqanda ezibungu ezilwaneni zethu ezifuywayo, ikakhulukazi ngendle yazo.
• Izingane ezincane zisengozini enkulu, njengoba zingase zibeke amaqanda ezikelemu emlonyeni wazo zingazi ngenkathi zidlala ngenhlabathi.
• Ukuhlanzeka kuyinto ebaluleke kakhulu. Ukugeza izandla kahle, ukugeza izithelo nemifino ngaphambi kokudla, kanye nokulahla kahle indle yezilwane ezifuywayo kubaluleke kakhulu.
• Ungakhohlwa ukukhipha izikelemu ezilwaneni zakho ngesikhathi. Cela iseluleko kudokotela wezilwane ngalokhu.

Uma unakekela lezi zinto, wena nomndeni wakho, ikakhulukazi izingane zakho ezithandekayo, ningahlala niphilile futhi niphephile kulesi sifo sezibungu esibizwa ngokuthi `(Visceral Larva Migrans)`. Akukho okufanele kwesatshwe, ukuqaphela nokuqapha yizinto ezibaluleke kakhulu!

Izibungu , izifo zezilwane, impilo yabantwana, i-Toxocara, ukufuduka kwe-Visceral Lava, inhlabathi, izilwane ezifuywayo