Ukutheleleka kweGiardia

IGiardia, noma i-giardiasis, ukutheleleka okuyisinanakazana kwamathumbu amancane. Isinambuzane esincane esibiziwe UGiardia lamblia kubangela lokho.

Isinambuzane i-giardia sihlala enhlabathini, ekudleni nasemanzini. Kungatholakala futhi ezindaweni ezihlangane nezilwane noma udoti womuntu.

Ungatheleleka uma:

• Vulelwa ilungu lomndeni eline-giardiasis
• Phuza amanzi avela emachibini noma emifudlaneni lapho izilwane ezinjenge-beavers kanye nama-muskrats, noma izilwane ezifuywayo njengezimvu, zishiye imfucuza yazo
• Yidla ukudla okungavuthiwe noma okungaphekiwe okungcoliswe yigciwane
• Yiba nokuxhumana okuqondile nomuntu nomuntu ezikhungweni zokunakekela izingane, amakhaya okunakekelwa kwesikhathi eside, noma amakhaya asebekhulile nabantu abanesifo samagciwane
• Yenza ucansi lwendunu olungavikelekile

Abahambi basengozini ye-giardiasis emhlabeni wonke. Abagibeli bamakamu nabahamba ngezinyawo baba sengozini uma bephuza amanzi angalashwa emifudlaneni nasemachibini.

Isikhathi esiphakathi kokutheleleka nezimpawu yizinsuku eziyi-7 kuya kweziyi-14.

Isifo sohudo esingelona igazi yisona sifo esiyinhloko. Ezinye izimpawu zifaka:

• Igesi lesisu noma ukuqunjelwa
• Ubuhlungu bekhanda
• Ukuphelelwa isifiso sokudla
• Umkhuhlane osezingeni eliphansi
• Isicanucanu
• Ukwehla kwesisindo nokulahlekelwa uketshezi lomzimba

Abanye abantu abanesifo se-giardia isikhathi eside bayaqhubeka nokuba nezimpawu, noma ngabe ukutheleleka sekuphelile.

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlolwa kwe-stool antigen ukuhlola i-giardia
• Ukuhlolwa kwe-stool ova kanye nama-parasites
• Ukuhlolwa kwentambo (akuvamile ukwenziwa)

Uma kungekho zimpawu noma izimpawu ezimnene kuphela, akukho ukwelashwa okungadingeka. Ezinye izifo zihamba zodwa zingakapheli amasonto ambalwa.

Imithi ingasetshenziselwa:

• Izimpawu ezinzima noma izimpawu ezingapheli
• Abantu abasebenza esikhungweni sokunakekela izingane noma ekhaya labahlengikazi, ukunciphisa ukwanda kwezifo

Imithi elwa namagciwane iyaphumelela kubantu abaningi. Lokhu kufaka phakathi i-tinidazole, i-nitazoxanide noma i-metronidazole. Ushintsho ohlotsheni lwama-antibiotic luzovivinywa uma izimpawu zingapheli. Imiphumela emibi evela kweminye yemithi esetshenziselwa ukwelapha i-giardia yile:

• Ukunambitheka kwensimbi emlonyeni
• Isicanucanu
• Ukusabela okunamandla otshwaleni

Kwabesifazane abaningi abakhulelwe, ukwelashwa akufanele kuqale kuze kube ngemuva kokubeletha. Eminye imishanguzo esetshenziselwa ukwelapha ukutheleleka ingaba yingozi enganeni engakazalwa.

Lezi zinkinga zingenzeka:

• Ukwehla kwamanzi emzimbeni (ukulahleka kwamanzi nolunye uketshezi emzimbeni)
• I-Malabsorption (ukumuncwa okunganele kwezakhi ezisuka emathunjini emathumbu)
• Ukwehla kwesisindo

Shayela umhlinzeki wakho wezempilo uma:

• Uhudo noma ezinye izimpawu zihlala izinsuku ezingaphezu kwezingu-14
• Unegazi esitulweni sakho
• Uphelelwe amanzi emzimbeni

Hlanza yonke imifudlana, ichibi, umfula, ichibi, noma amanzi emithombo ngaphambi kokuwaphuza. Sebenzisa izindlela ezifana nokubilisa, ukuhlunga, noma ukwelashwa kwe-iodine.

Abasebenzi abasezikhungweni zokunakekela izingane noma ezikhungweni kufanele basebenzise izindlela ezinhle zokugeza izandla nezenhlanzeko lapho besuka enganeni baye enganeni noma kumuntu nomuntu.

Imikhuba ephephile yezocansi inganciphisa ubungozi bokuthola noma ukusabalalisa i-giardiasis. Abantu abenza ucansi lwangemuva kufanele baqaphele ikakhulukazi.

Ikhasi noma ugeze izithelo nemifino ngaphambi kokuzidla.

IGiardia; G. duodenalis; G. amathumbu; Uhudo lwabahambi - i-giardiasis

• Uhudo - yini ongayibuza udokotela - ingane yakho
• Uhudo - yini ongayibuza umhlinzeki wakho wezokunakekelwa kwempilo - umuntu omdala

• Uhlelo lokugaya ukudla
• IGiardiasis
• Ukuhlanzeka kwesikhungo
• Izitho zohlelo lokugaya ukudla

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IMelia JMP, Sears CL. I-enteritis ethathelwanayo ne-proctocolitis. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 110.

I-Nash TE, i-Hill DR. IGiardiasis. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 330.

UNash TE, uBartelt L.Giardia lamblia. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 279.