ICysticercosis

I-cysticercosis ukutheleleka nge-parasite ebizwa ngokuthi I-Taenia solium (T solium). Kuyisikelemu senyama yengulube esidala ama-cyst ezindaweni ezihlukene emzimbeni.

ICysticercosis ibangelwa ukugwinya amaqanda kusuka T solium. Amaqanda atholakala ekudleni okungcolisiwe. Ukutheleleka ngokuzenzakalela kulapho umuntu esetheleleke ngomuntu omdala T solium igwinya amaqanda ayo. Lokhu kwenzeka ngenxa yokugeza izandla okungafanele ngemuva kokunyakaza kwamathumbu (ukudluliselwa komlomo ngomlomo).

Izici ezinobungozi zifaka ukudla ingulube, izithelo nemifino engcoliswe yikho T solium ngenxa yokupheka okungaphekiwe noma okulungiselelwe okungafanele. Lesi sifo singasakazwa nangokuthintana nendle enaleli gciwane.

Lesi sifo siyivelakancane e-United States. Kuvamile emazweni amaningi asathuthuka.

Ngokuvamile, izibungu zihlala emisipheni futhi azibangeli zimpawu.

Izimpawu ezenzekayo zincike ekutheni ukutheleleka kutholakala kuphi emzimbeni:

• Ukuqunjelwa kobuchopho noma izimpawu ezifana nalezo zesimila ebuchosheni
• Amehlo - ukwehla kombono noma ukungaboni
• Inhliziyo - isigqi senhliziyo esingajwayelekile noma ukwehluleka kwenhliziyo (okungajwayelekile)
• Umgogodla - ubuthakathaka noma izinguquko ekuhambeni ngenxa yokulimala kwezinzwa emgogodleni

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlolwa kwegazi ukuthola amasosha omzimba kumagciwane
• I-biopsy yendawo ethintekile
• Ukuskena kwe-CT, ukuskena kwe-MRI, noma ama-x-ray ukuthola isilonda
• Thepha umgogodla (ukubhoboza i-lumbar)
• Hlola lapho udokotela wamehlo ebheka khona ngaphakathi kweso

Ukwelashwa kungafaka:

• Imithi yokubulala ama-parasites, njenge-albendazole noma i-praziquantel
• Ama-anti-inflammatories (ama-steroids) anamandla ukunciphisa ukuvuvukala

Uma i-cyst isesweni noma ebuchosheni, i-steroids kufanele iqalwe ezinsukwini ezimbalwa ngaphambi kweminye imithi yokugwema izinkinga ezibangelwa ukuvuvukala ngesikhathi sokwelashwa okulwa nokuqaqamba kwamalunga. Akubona bonke abantu abazuza ekwelashweni okulwa nama-parasitic.

Kwesinye isikhathi, kungadingeka ukuhlinzwa ukuze kususwe indawo enegciwane.

Umbono muhle, ngaphandle kokuthi i-lesion ibangele ukungaboni, ukwehluleka kwenhliziyo, noma ukulimala kwengqondo. Lezi yizinkinga ezingavamile.

Izinkinga zingafaka:

• Ukungaboni, ukwehla kombono
• Ukwehluleka kwenhliziyo noma isigqi senhliziyo esingajwayelekile
• I-Hydrocephalus (i-fluid buildup engxenyeni yobuchopho, imvamisa inengcindezi eyandayo)
• Ukuquleka

Uma unezimpawu ze-cysticercosis, xhumana nomhlinzeki wakho wezokunakekelwa kwempilo.

Gwema ukudla okungageziwe, ungakudli ukudla okungaphekiwe ngenkathi usohambweni, njalo hlanza izithelo nemifino kahle.

• Izitho zohlelo lokugaya ukudla

I-AC emhlophe, uBrunetti E. Cestode. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 333.

I-AC emhlophe, i-Fischer PR. ICysticercosis. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 329.