IStrongyloidiasis: kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Ukuphila kwe I-Strongyloides stercoralis
• Yelashwa kanjani
• Ukuvinjelwa kweStrongyloidiasis

IStrongyloidiasis yisifo samathumbu esibangelwa amagciwane I-Strongyloides stercoralis, okudala izimpawu ezifana nohudo, ubuhlungu besisu kanye negesi eyeqile emathunjini. Kodwa-ke, kunokwehluka okuthe xaxa kakhulu kokutheleleka, okuthinta amaphaphu nokujikeleza kwegazi, okudala umkhuhlane ongaphezu kuka-38ºC, ukuhlanza, ukukhwehlela nokuphefumula okuncane.

Lesi sibungu singenisa abantu ngesikhumba, ngesimo sesibungu, bese sisakazeka emzimbeni size sifike emathunjini, lapho sikhula khona futhi sizalane. Ukugwema lesi sifo, kunconywa ukuthi ugweme ukuhamba ungafake zicathulo emgwaqweni futhi ugeze ukudla kahle ngaphambi kokudla, kanti ukwelashwa kwenziwa ngamaphilisi e-vermifuge, njenge-Albendazole ne-Ivermectin.

Ngokushesha bona ukuthi i-strongyloidiasis iyini bese ubheka izimpawu zokunye ukutheleleka kwezifo:

Izimpawu eziyinhloko

Lapho amasosha omzimba engaphazamiseki noma lapho inani lama-parasites liphansi kakhulu, ngokuvamile izimpawu aziveli. Kodwa-ke, kwezinye izimo, ikakhulukazi lapho inani lama-parasites likhulu kakhulu, izimpawu ezifana nokuthi:

• Amabala abomvu esikhunjeni, ezibonakala lapho izibungu zingena esikhunjeni noma lapho zihamba khona;
• Uhudo, ukuqumba, ubuhlungu besisu, isicanucanu nokungathandi ukudla vela lapho izimuncagazi zisesiswini nasemathunjini;
• Ukukhwehlela okomile, ukuphefumula okuncane noma ukuhlaselwa yisifuba somoya, lapho isibungu sibangela ukuvuvukala emaphashini lapho sidlula kule ndawo.

Abantu abanamasosha omzimba abekeke engcupheni, njengabantu abane-AIDS noma ukungondleki, ngokwesibonelo, bavame ukuba nesimo esibi kakhulu sokutheleleka, esibonakala ngomkhuhlane ongaphezu kuka-38ºC, ubuhlungu obukhulu esiswini, uhudo oluqhubekayo, ukuhlanza, ukuphefumula, ukukhwehlela ngemfihlo noma ngegazi.

Ngaphezu kwalokho, njengoba lesi silokazane sikwazi ukubhoboza udonga lwamathumbu, kungenzeka ukuthi amabhaktheriya emathumbu azohanjiswa kwezinye izingxenye zomzimba, okuholela ekuthelelekeni okujwayelekile, ngokwesibonelo.

Ungakuqinisekisa kanjani ukuxilongwa

I-Strongyloidiasis itholakala ngokuhlola indle, ngokukhomba izibungu, kepha ukuze kuqinisekiswe, kungahle kudingeke ukuphinda ukuhlolwa izikhathi eziningana kuze kutholakale lesi sifo.

Ukuphila kwe I-Strongyloides stercoralis

Izibungu ezithwala amagciwane, ezibizwa nangokuthi izibungu ze-filarioid, zikhona emhlabathini, ikakhulukazi enhlabathini enesihlabathi nodaka, futhi ziyakwazi ukungena emzimbeni ngesikhumba, noma ngabe asikho isilonda. Bese zisakazeka emgudwini wegazi zize zifinyelele emaphashini. Kulesi sifunda, izibungu zixubana nezicubu zokuphefumula nezokuphefumula, bese zifinyelela esiswini nasemathunjini lapho lezi zingcitshi zigwinywa.

Emathunjini, izimuncagazi zithola izindawo ezinhle zokukhula nokuzala, lapho zifinyelela khona ngosayizi ofinyelela ku-2,5 mm, bese zikhipha amaqanda aletha izibungu ezintsha. I-Strongyloidiasis idluliswa ngabantu, ikakhulukazi, kodwa futhi yizinja namakati, adedela izibungu emvelweni ngendle.

Ezinye izinhlobo zokutheleleka ukumunca amanzi nokudla okungcoliswe yizibungu noma indle yabantu abangcolisiwe. Isikhathi esiphakathi kokungcola kuze kukhululwe izibungu ngendle nokuqala kwezimpawu zingahluka phakathi kwezinsuku eziyi-14 nezingama-28.

Yelashwa kanjani

Ukwelashwa kwe-strongyloidiasis kuvame ukwenziwa ngemithi elwa namagciwane, kuthebhulethi, eholwa ngudokotela ojwayelekile, njenge:

• Albendazole;
• Thiabendazole;
• INitazoxanide;
• Ivermectin.

Kunconywa ukuthi le mithi ibhalwe ngudokotela ojwayelekile, ozokhetha umuthi ongcono kakhulu womuntu ngamunye, kuye ngeminyaka, isisindo, ukuba khona kwezinye izifo nokusetshenziswa kweminye imithi. Ngaphezu kwalokho, le mithi kufanele igwenywe ngesikhathi sokukhulelwa.

Ukwenza ngcono umphumela nokuqeda zonke izimuncagazi, okuhle ukuphinda imithamo ngemuva kwezinsuku eziyi-10, ngoba umuntu angaphinde athole ukutheleleka ngezibungu eziphuma endleni.

Ukuvinjelwa kweStrongyloidiasis

Ukuvinjelwa kwe-strongyloidiasis kungenziwa ngezinyathelo ezilula, njenge:

• Ungahambi ungafaké zicathulo, ikakhulukazi emhlabathini onesihlabathi nodaka;
• Geza ukudla kahle ngaphambi kokudla;
• Geza izandla zakho ngemuva kokuya endlini yangasese;
• Phatha kahle ukutheleleka ukugwema ukukuthola futhi.

Ngaphezu kwalokho, ukuwasha isitho sangasese ngemuva kokuzikhipha kuyindlela enhle yokuvimbela isibungu ekutheleleni kabusha isidalwa noma ukusidlulisela kwabanye abantu.