nomjikelezo wempilo

-Delile

• Ukudluliswa nomjikelezo kwenzeka kanjani
• Izimpawu eziyinhloko
• Ungaqinisekisa kanjani
• Yelashwa kanjani
• Ungakuvimbela kanjani

I-Fasciolosis, ebizwa nangokuthi i-fascioliasis, iyi-parasitosis ebangelwa yi-parasite UFasciola hepatica, futhi kuyaqabukela I-Gigantic fasciola, engatholakala emiseleni yenyongo yezilwane ezincelisayo, njengezimvu, izinkomo nezingulube, ngokwesibonelo.

Ukutheleleka nge Fasciola hepatica kuyivelakancane, kepha kungenzeka ngokungeniswa kwamanzi nemifino engcoliswe yifomu elithathelwanayo lalesi sifo, ngoba amaqanda akhishwa emvelweni aqandusela lapho ahlangana namanzi, isimangaliso esikhishwe sivele kumnenke kuze kube sesimweni sokutheleleka futhi ikhishwa bese iba yifomu elithathelwanayo elibizwa ngokuthi i-metacercaria, lingashiyi amanzi angcolile kuphela, kepha nezitshalo zasemanzini, njenge-watercress, ngokwesibonelo.

Kubalulekile ukuthi ukuxilongwa nokwelashwa kwenziwe ngokushesha, njengoba lesi silwana singahambelani nomzimba womuntu, izimpawu zingaba nzima kakhulu. Ukwelashwa kufanele kwenziwe nge-Albendazole, Bithionol ne-Deidroemetina.

Ukudluliswa nomjikelezo kwenzeka kanjani

THE Fasciola hepatica idluliselwa kumuntu kusuka ekuphuzeni amanzi noma imifino eluhlaza okuqukethe i-metacercariae yalesi sifo. Enye indlela engenzeka, kepha eyivelakancane, ukusetshenziswa kwenyama eluhlaza yesibindi ezilwaneni ezithelelekile nokuxhumana nomnenke noma uketshezi lwayo.

Lesi silokazane sinomjikelezo wokuphila ofaka ukutheleleka kwababungazi abaphakathi nabacacile, futhi kwenzeka ngokwezinyathelo ezilandelayo:

1. Amaqanda ezibungu akhululwa indle yomninimzi, okungaba ngabantu noma izilwane ezifana nezinkomo, izimbuzi nezingulube;
2. Amaqanda akhululwa lapho ethintana namachwane amanzi bese ededela isimangaliso;
3. Isimangaliso esikhona emanzini sihlangana nomphathi ophakathi, okungumnenke wamanzi angenasawoti wohlobo Lymnaea sp.;
4. Ngaphakathi komnenke, isimangaliso sivela kuma-sporocysts, reds nakubomvu okuqukethe i-cercariae;
5. Ama-cercariae adedelwa angene emanzini futhi azinamathele ebusweni bamaqabunga nezitshalo noma afinyelele ebusweni bamanzi, alahlekelwe yimbangela, ajabule futhi anamathele ezimileni noma aye phansi kwamanzi, abizwe ngokuthi yi-metacercaria ;
6. Lapho izilwane nabantu bengenisa amanzi angcolile noma izitshalo ezingasemfuleni, batheleleka nge-metacercariae, elahlekile emathunjini, igcwala udonga lwamathumbu futhi ifinyelele ezindleleni ezi-hepatic, okukhomba isigaba esibucayi sesifo;

Ngemuva kwezinyanga ezingaba ngu-2, lesi silokazane sihamba siye emiseleni yenyongo, sikhule siye esigabeni esibucayi, siphindaphindeke bese sibekela amaqanda, akhishwa endle, bese kuqala umjikelezo omusha.

Izimpawu eziyinhloko

Izimpawu ezingabangelwa yi-fasciolosis zingahluka esimweni ngasinye, ziyehluka ngokwesigaba namandla okutheleleka. Ngakho-ke, ekuguleni okunamandla okwenzeka ngesikhathi sokufuduka kwama-parasites, emasontweni okuqala ayi-2 ngemuva kokutheleleka, izimpawu ezinjengomkhuhlane, ubuhlungu besisu nokuvuvukala kwesibindi kungabangelwa.

Kakade lapho izimuncagazi zifakwe emathangeni e-bile, ukutheleleka kuba okungapheli, ukuvuvukala kwesibindi kungenzeka, kubangele izimpawu nezimpawu ezifana nokuncipha komzimba, imfiva ephindaphindayo, isibindi esikhulisiwe, ukuqongelela uketshezi esiswini, i-anemia, isiyezi kanye nobufushane wokuphefumula.

Kwezinye izimo, ukuvuvukala kwesibindi kungaholela ezinkingeni, njengokuvinjelwa kwemigudu ye-bile noma i-cirrhosis yesibindi. Umdlavuza wesibindi akuyona inkinga eqondile yokutheleleka ngo Fasciola hepaticaKodwa-ke, kuyaziwa ukuthi i-carcinoma yesibindi ivame kakhulu kubantu abane-cirrhosis yesibindi.

Ungaqinisekisa kanjani

Ukuxilongwa kwe-fasciolosis kusolwa ngudokotela ngokusho kokuhlolwa komtholampilo nokubona imikhuba yomuntu othintekile, njengokukhulisa izilwane noma ukudla imifino eluhlaza. Ukuhlolwa okungaqinisekisa ukutheleleka kubandakanya ukuhlonza amaqanda esitokisini kanye nokuhlolwa kwegazi lokuzivikela emzimbeni.

Ngaphezu kwalokho, i-ultrasound noma i-tomography yesisu ingasiza ukukhombisa izimuncagazi ngaphakathi kwesihlahla se-biliary, ngaphezu kokukhomba izindawo zokuvuvukala ne-fibrosis. Funda kabanzi mayelana nokuhlolwa okuhlola isibindi.

Yelashwa kanjani

Ukwelashwa kwe-fascioliasis kuqondiswa ngudokotela, futhi kufaka phakathi ukusetshenziswa kwezidakamizwa ezilwa nokuqaqamba komzimba ezifana neBithionol izinsuku eziyi-10 ngezinsuku ezihlukile, i-Deidroemetina izinsuku eziyi-10 noma i-Albendazole, yize imiphumela emibi kakhulu ehambisana nokusetshenziswa kwale-antiparasitic ichaziwe.

Uma sekuvele kunezinkinga esibindini, njenge-cirrhosis noma ukuvinjelwa kwamapayipi, kuzodingeka ukuthi ulandele udokotela wezifo zesibindi, ozokhombisa izindlela zokwandisa impilo yesibindi futhi, uma kunesidingo, akhombise uhlobo oluthile lokuhlinzwa ukulungisa izithiyo.

Ungakuvimbela kanjani

Ukuvimbela ukutheleleka nge Fasciola hepatica, kunconywa ukuthi ungcolise imifino eluhlaza ngaphambi kokudla, futhi usebenzise njalo amanzi ahlanzekile afanele ukusetshenziswa. Ngaphezu kwalokho, kungakuhle ukuthi ugweme ukusetshenziswa kwenyama eluhlaza.

Kubalulekile futhi ukuthi abanakekeli bezinkomo nezinye izilwane bakunakekele ukondla nokwenza umuthi, uma bethelelekile, njengendlela yokugwema ukuphikelela kwezikelemu emvelweni.