I-Trichinosis

I-Trichinosis ukutheleleka ngesibungu esiyindilinga I-Trichinella spiralis.

I-Trichinosis yisifo esiyimifino esidalwa ukudla inyama engaphekiwe kahle futhi iqukethe ama-cysts (izibungu, noma izibungu ezingavuthiwe) I-Trichinella spiralis. Lesi silokazane sitholakala kwingulube, ibhere, i-walrus, i-fox, i-rat, ihhashi, nengonyama.

Izilwane zasendle, ikakhulukazi izidla inyama (izidla inyama) noma ama-omnivore (izilwane ezidla inyama nezitshalo), kufanele zibhekwe njengemithombo yesifo se-roundworm. Izilwane zenyama yasekhaya ezikhuliswe ngokukhethekile ukuze zidliwe ngaphansi kwezinkombandlela kanye nokuhlolwa koMnyango Wezolimo wase-US (uhulumeni) kungathathwa njengokuphephile. Ngalesi sizathu, i-trichinosis ayivamile e-United States, kepha iyisifo esivamile emhlabeni jikelele.

Lapho umuntu edla inyama yesilwane esinegciwane, ama-trichinella cysts aqala ukuvula emathunjini futhi akhule abe yizikelemu ezindala. Izikelemu zikhiqiza ezinye izimpethu ezihamba odongeni lwesisu ziye egazini. Izikelemu zihlasela izicubu zemisipha, kufaka phakathi inhliziyo nediyaphragm (umsipha wokuphefumula ngaphansi kwamaphaphu). Bangaphinde bathelele amaphaphu nobuchopho. Ama-cysts ahlala ephila iminyaka.

Izimpawu ze-trichinosis zifaka:

• Ukungakhululeki esiswini, ukuqunjelwa
• Uhudo
• Ukuvuvukala kobuso okuzungeze amehlo
• Imfiva
• Ubuhlungu bemisipha (ikakhulukazi ubuhlungu bemisipha ngokuphefumula, ukuhlafuna, noma ukusebenzisa imisipha emikhulu)
• Ubuthakathaka bemisipha

Ukuhlolwa kokuthola lesi simo kufaka:

• Ukuhlolwa kwegazi okufana nokubalwa kwegazi okuphelele (i-CBC), isibalo se-eosinophil (uhlobo lweseli elimhlophe), ukuhlolwa kwamasosha omzimba, kanye neleveli yekinase (i-enzyme etholakala kumaseli emisipha)
• Imisipha biopsy ukuhlola izikelemu emisipheni

Imithi efana ne-albendazole, ingasetshenziswa ukwelapha izifo ezisemathunjini. Ukutheleleka okuncane akuvamile ukuthi kudinge ukwelashwa. Umuthi wezinhlungu ungasiza ekudambiseni ubuhlungu bemisipha ngemuva kokuba izibungu zihlasele imisipha.

Iningi labantu abane-trichinosis alinazo izimpawu futhi ukutheleleka kuyazimela. Ukutheleleka okunzima kakhulu kungaba nzima ukuselapha, ikakhulukazi uma kubandakanyeka amaphaphu, inhliziyo, noma ubuchopho.

Izinkinga ezingaba khona zifaka:

• I-Encephalitis (ukutheleleka kobuchopho nokuvuvukala)
• Ukwehluleka kwenhliziyo
• Izinkinga zesigqi senhliziyo ezivela ekuvukeleni kwenhliziyo
• Inyumoniya

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma unezimpawu ze-trichinosis futhi usanda kudla inyama engaphekiwe noma eluhlaza ingahle ingcoliswe.

Ingulube nenyama yezilwane zasendle kufanele kuphekwe kuze kwenziwe kahle (akukho mkhondo we-pink). Ukuqanda ingulube emazingeni okushisa aphansi (5 ° F noma -15 ° C noma kubanda kakhulu) amasonto amathathu kuya kwayi-4 kuzobulala izikelemu. Ukuqandisa inyama yomdlalo wasendle akubulali njalo izibungu. Ukubhema, ukufaka usawoti nokomisa inyama nakho akuzona izindlela ezinokwethenjelwa zokubulala izikelemu.

Ukutheleleka kwe-parasite - i-trichinosis; Trichiniasis; Trichinellosis; Isibungu esiyindilinga - i-trichinosis

• I-Trichinella spiralis emisipheni yomuntu
• Izitho zohlelo lokugaya ukudla

UBogitsh BJ, uCarter CE, u-Oeltmann TN. Ama-nematodes emathunjini. Ku: Bogitsh BJ, Carter CE, Oeltmann TN, eds. I-Parasitology Yabantu. Umhlaka 5. I-Waltham, MA: I-Elsevier Academic Press; 2019: isahluko 16.

UDiemert DJ. Ukutheleleka nge-Nematode. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 335.

Kazura JW. Ama-nematode wezicubu afaka i-trichinellosis, i-dracunculiasis, i-filariasis, i-loiasis, ne-onchocerciasis. 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 287.