Ukutheleleka kwesikelemu senhlanzi

Ukutheleleka nge-tapeworm yizinhlanzi yisifo samathumbu esinamagciwane atholakala ezinhlanzini.

Isikelemu senhlanzi (I-Diphyllobothrium latum) yisinambuzane esikhulu kunazo zonke esithinta abantu. Abantu batheleleka lapho bedla izinhlanzi zasemanzini ezihlaza ezingaphekiwe noma ezingaphekiwe ezinama-cysts ezinhlanzi.

Ukutheleleka kubonakala ezindaweni eziningi lapho abantu bedla khona izinhlanzi zamanzi ahlanzekile ezingaphekiwe noma ezingaphekiwe ezivela emifuleni noma emachibini, kufaka phakathi:

• Afrika
• EMpumalanga Yurophu
• ENyakatho naseNingizimu Melika
• EScandinavia
• Amanye amazwe ase-Asia

Ngemuva kokuba umuntu edle inhlanzi enesifo, lesi sibungu siqala ukukhula emathunjini. Izibungu zikhule ngokugcwele emavikini amathathu kuya kwayisithupha. Isibungu esikhulile, esihlukanisiwe, sinamathela odongeni lwamathumbu. I-tapeworm ingafika ebangeni elingamamitha ayi-9 (9 metres). Amaqanda akhiwa engxenyeni ngayinye yesibungu futhi adluliselwa esihlalweni. Kwesinye isikhathi, izingxenye zesibungu nazo zingadluliselwa esihlalweni.

I-tapeworm imunca umsoco ekudleni okudliwa yilowo onegciwane. Lokhu kungaholela ekushodeni kwe-vitamin B12 kanye ne-anemia.

Abantu abaningi abathelelekile abanazo izimpawu. Uma izimpawu zenzeka, zingabandakanya:

• Ukungakhululeki esiswini noma ubuhlungu
• Uhudo
• Ubuthakathaka
• Ukwehla kwesisindo

Abantu abathelelekile kwesinye isikhathi badlulisa izingxenye zesikelemu ezitokisini zabo. Lezi zingxenye zingabonakala esitokisini.

Ukuhlolwa kungafaka:

• Qedela ukubalwa kwegazi, kufaka phakathi umehluko
• Ukuhlolwa kwegazi ukuthola imbangela yokushoda kwegazi
• Izinga le-Vitamin B12
• Ukuhlolwa kwendle yamaqanda nezinambuzane

Uzothola imithi yokulwisana nalezi zinambuzane. Uthatha le mithi ngomlomo, imvamisa ngomthamo owodwa.

Isidakamizwa esithandwayo sokutheleleka nge-tapeworm yi-praziquantel. INiclosamide nayo ingasetshenziswa. Uma kudingeka, umhlinzeki wakho wezokunakekelwa kwempilo uzokunika imijovo kavithamini B12 noma izithasiselo zokwelapha ukushoda kukavithamini B12 kanye ne-anemia.

Ama-tapeworms ezinhlanzi angasuswa ngomthamo owodwa wokwelashwa. Ayikho imiphumela ehlala njalo.

Ukungelashwa, ukutheleleka kwe-tapeworm yenhlanzi kungadala okulandelayo:

• I-Megaloblastic anemia (i-anemia ebangelwa ukuntuleka kwe-vitamin B12)
• Ukuvinjelwa kwamathumbu (okungajwayelekile)

Shayela umhlinzeki wakho uma:

• Uqaphele isibungu noma izingxenye zesibungu esitulweni sakho
• Noma imaphi amalungu omndeni anezimpawu zokushoda kwegazi

Izinyathelo ongazithatha ukuvikela ukutheleleka kwesikelemu zifaka:

• Ungayidli inhlanzi eluhlaza noma engaphekiwe.
• Pheka izinhlanzi ngo-145 ° F (63 ° C) okungenani imizuzu engu-4. Sebenzisa i-thermometer yokudla ukukala ingxenye enkudlwana yenhlanzi.
• Friza izinhlanzi ngo -4 ° F (-20 ° C) noma ngezansi izinsuku eziyi-7, noma ngo -35 ° F (-31 ° C) noma ngezansi amahora ayi-15.

I-Diphyllobothriasis

• Amasosha omzimba

U-Alroy KA, uGilman RH. Ukutheleleka kwe-tapeworm. Ku: Ryan ET, Hill DR, Solomon T, Aronson NE, Endy TP, eds. IHunter’s Tropical Medicine Nezifo Ezithathelwanayo. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2020: isahluko 130.

UFairley JK, iNkosi CH. Ama-tapeworms (ama-cestode). 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 289.