Ubuwazi ngalesi sifo sezimpethu esingahlala esiswini sakho iminyaka eminingi? (Strongyloidiasis)

Sonke sizwile ngezibungu ebuntwaneni bethu, akunjalo? Uma sicabanga ngezibungu, sivame ukucabanga ngento engelapheka ngomuthi omncane. Kodwa bewazi ukuthi kunezinhlobo ezithile zezibungu ezingaphila emzimbeni wakho iminyaka, ngisho namashumi eminyaka, ngaphandle kokubangela izimpawu? Namuhla sikhuluma ngesifo sezibungu esibi kakhulu nesifihliwe. Lokhu kubizwa ngokuthi i-Strongyloidiasis.

Kalula nje, iyini i-Strongyloidiasis?

I-Strongyloidiasis ukutheleleka kwamathumbu okubangelwa yi-roundworm ebizwa ngokuthi 'i-Strongyloides stercoralis'. Into ekhethekile ngalokhu ukuthi lesi sibungu sizalela amaqanda emathunjini akho, futhi izibungu eziphuma kulawo maqanda zingaphinde zithelele umzimba wakho. Lokhu sikubiza ngokuthi 'ukutheleleka okuzenzakalelayo'. Kufana nomqashi ohlala endlini ngaphandle kokufuduka, kodwa esikhundleni salokho ehlala nomndeni. Yingakho lokhu kutheleleka kungaqhubeka iminyaka eminingi ngaphandle kwezimpawu.

Lesi sibungu singena kanjani emzimbeni?

I-parasite ebangela lokhu, i-Strongyloides worm, ihlala enhlabathini engcolile, emanzini, noma endle. Uma uhamba ngezinyawo enhlabathini engcolile, usebenza emasimini, noma uthintana namanzi angcolile, lezi zibungu zezibungu zingangena esikhumbeni sakho zingene emzimbeni wakho. Uma sezingaphakathi, lezi zibungu zihamba ngegazi lakho futhi ekugcineni zifinyelele emathunjini akho amancane. Yilapho zibeka khona amaqanda azo. Insikazi ingabeka amaqanda afinyelela kwangu-40 ngosuku. Amanye ala maqanda adluliselwa endle futhi angcolise inhlabathi futhi. Izibungu ezikhula kwamanye amaqanda bese zingena esikhumbeni esizungeze udonga lwamathumbu noma i-rectum bese zingena emzimbeni wakho futhi, ziqhubeka nomjikelezo obizwa ngokuthi i-autoinfection.

Ziyini izimpawu zalokhu?

Into emangalisayo ngalokhu ukuthi cishe ingxenye yabantu abanalesi sifo ayibonisi zimpawu. Yingakho bengazi nokuthi banalesi sifo. Labo ababa nezimpawu bavame ukuba nezinkinga zokugaya ukudla .

Indlela yokuxilonga lesi sifo ngokunembile?

Ukuxilonga lesi sifo kungaba nzima. Ngoba ukuhlola isampula yendle ngaphansi kwe-microscope akuhlali kutholakala izibungu. Ngakho-ke, ukuhlola amasampula amaningana endle (okungenani ama-3-5) ezinsukwini eziningana kunganikeza imiphumela ethembekile. Ngaphezu kwalokho, ngezinye izikhathi ukuhlolwa kwegazi kungenziwa ukuhlola ama-antibodies okutheleleka. Uma lesi sifo sesiqhubekele phambili futhi sithinte amaphaphu, isampula yoketshezi oluvela emaphashini (i-sputum) noma uketshezi oluvela emathunjini amancane lungahlolwa ukuqinisekisa ukuxilongwa.

Lokhu kungaba yingozi kubani? (I-Hyperiinfection Syndrome)

Uma isimiso somzimba sokuzivikela sibuthakathaka, lezi zibungu, eziphunyuka ekulawulweni ngumzimba, ziyanda kakhulu, ziphuma emathunjini bese ziqala ukusabalala kwezinye izitho ezibalulekile zomzimba njengemaphaphu, isibindi, inhliziyo, kanye nobuchopho. Lesi simo sisibiza ngokuthi 'i-Hyperiinfection Syndrome'. Ezimweni ezinjalo, izinga lokufa lingafinyelela ku-80%.

Abantu abasengozini enkulu ye-Hyperinfection Syndrome:

• Ama-steroid `(Abantu abathatha imithi yama-steroid isikhathi eside (isib. abasebenzisa izifo ezifana ne-asthma kanye ne-arthritis)
• Abantu abathola ukwelashwa komdlavuza (ikakhulukazi umdlavuza wegazi)
• Abantu abaye bafakelwa izitho zomzimba futhi abasebenzisa imithi ecindezela amasosha omzimba
• Abantu abanesifo sikashukela
• Abantu abanegciwane le-HIV
• Abantu abanesifo esingavamile segciwane esibizwa ngokuthi `HTLV-1`
• Abantu abaphuza utshwala ngokweqile
• Abantu abanezifo ezingamahlalakhona njengokwehluleka kwezinso

Iphathwa kanjani? Futhi ivinjelwa kanjani?

Kunezindlela zokwelapha ezisebenza kahle kakhulu zalesi sifo. Ngokutheleleka okuvamile, umuthi obizwa ngokuthi i-'Ivermectin' unganikezwa izinsuku ezingu-1-2. Kwezinye izimo, umuthi obizwa ngokuthi i-'Albendazole' unikezwa izinsuku ezingu-7. Kodwa khumbula, ungayithathi le mithi ekhemisi ngendlela othanda ngayo. Kufanele nakanjani ubone udokotela bese uthatha umthamo onqunyiwe kanye nobude besikhathi sokwelashwa. Ikakhulukazi esimweni esibi kakhulu se-'Hyperiinfection Syndrome', kufanele ulaliswe esibhedlela futhi welashwe amasonto.

Ukuvimbela kungcono kakhulu!

Kunezinto ezilula esingazenza ukuze sizivikele kulesi sifo:

• Gqoka izicathulo: Qiniseka ukuthi ugqoka izicathulo noma izimbadada, ikakhulukazi uma uhamba odakeni, odakeni, noma emhlabathini omanzi. Abantu abasebenza engadini noma abalimayo kufanele baqaphele ngalokhu.
• Ukusetshenziswa kwendlu yangasese kanye nokuphathwa kwemfucuza: Landela imikhuba efanele yokuhlanzeka. Vimbela imfucuza ukuthi ingaqongelelani endaweni ezungezile.
• Ukuhlanzeka: Gwema ukuthintana namanzi angcolile noma izindawo lapho kukhona khona indle.
• Izilwane ezifuywayo: Susa futhi uhlanze kahle indle yezilwane ezifuywayo njengezinja.

I-Strongyloidiasis, izifo zezibungu, izibungu zamathumbu, i-Strongyloides, izifo ezithwalwa yinhlabathi, ukutheleleka ngokweqile, i-Ivermectin