Yini i-filariasis, izimpawu, ukwelashwa nokuthi ukudluliswa kwenzeka kanjani

-Delile

• Izimpawu ze-Filariasis
• Ukudluliswa kwenzeka kanjani
• Ukwelashwa kwe-filariasis
• Ungakuvimbela kanjani

I-Filariasis, edume kakhulu ngokuthi i-elephantiasis noma i-lymphatic filariasis, isifo esithathelwanayo esibangelwa amagciwane I-Wuchereria bancroftilokho kungadluliselwa kubantu ngokulunywa omiyaneCulex quinquefasciatus uthelelekile.

Isinanakazana esibhekele i-filariasis siyakwazi ukukhula emzimbeni njengoba sihambela izitho nezicubu ze-lymphoid, ezingadala ukuvuvukala nokuqoqwa koketshezi ezingxenyeni ezahlukahlukene zomzimba, ikakhulukazi imilenze, izingalo namasende. Kodwa-ke, lesi simo siqashelwa kuphela izinyanga ngemuva kokutheleleka ngama-parasite, futhi lo muntu angahle angabonakali ngalesi sikhathi.

Ukwelashwa kwe-filariasis kulula futhi kufanele kwenziwe ngokuyalelwa ngudokotela, futhi ukusetshenziswa kwemithi elwa namagciwane kanye nokwelashwa ngokomzimba nge-lymphatic drainage kukhonjiswa lapho kukhona ukubandakanyeka kwezingalo nemilenze, ngokwesibonelo.

Izimpawu ze-Filariasis

Izimpawu ze-filariasis zingathatha izinyanga ezifika kwezili-12 ukuvela, ngoba isibungu esidluliselwa kubantu sidinga ukukhula sibe sesimweni saso sabantu abadala bese siqala ukukhipha i-microfilariae. Lezi microfilariae, ezaziwa nangokuthi izibungu ze-L1, zikhula egazini nasezifubeni ze-lymphatic ziye esigabeni sesibungu esidala, lapho kukhishwa ama-microfilariae amaningi.

Ngakho-ke, njengoba i-parasite ikhula futhi inyakaza emzimbeni, ivusa ukusabela kokuvuvukala futhi ingakhuthaza ukuvinjelwa kwemikhumbi ye-lymphatic kwezinye izitho, okuholele ekuqoqeni koketshezi esifundeni, lapho kutholakala uketshezi emlenzeni njalo noma esendeni, endabeni yamadoda.

Ngakho-ke, kujwayelekile ukuthi umuntu onegciwane ahlale izinyanga ezimbalwa engenazimpawu, kanti izimpawu nezimpawu zivela lapho kunenqwaba yamagciwane ajikelezayo, okuyinhloko:

• Imfiva;
• Ikhanda;
• Ukugodola;
• Ukuqoqwa koketshezi emilenzeni nasezingalweni;
• Ukwenyuka kwevolumu yamasende;
• Ama-lymph node akhuphukile, ikakhulukazi endaweni yokububula.

Ukuxilongwa kwe-filariasis kwenziwa ngudokotela ojwayelekile noma isifo esithathelwanayo ngokuhlola izimpawu nezimpawu ezethulwe ngumuntu nomphumela wezivivinyo ezihlose ukukhomba ubukhona be-microfilariae egazini, nokuhlolwa kwegazi kukhonjisiwe ngalokhu. okumele iqoqo lalo lenziwe, okungcono, ebusuku, okuyisikhathi lapho kuqinisekiswa khona ukuminyana okuphezulu kwegciwane egazini.

Ngokungeziwe ekuhlolweni kwegazi le-parasitological, ukuhlolwa kwamangqamuzana noma kwe-immunological kungakhonjiswa futhi ukukhomba ukwakheka kwe-parasite noma ukutholakala kwama-antigen noma ama-antibodies akhiqizwa ngumzimba ngokumelene ne I-Wuchereria bancrofti. Kungakhonjiswa futhi ngokwenza ukuhlolwa kwesithombe, njenge-ultrasound, ukuze kuqinisekiswe ubukhona bezimpethu ezindala eziteshini ze-lymphatic.

Ukudluliswa kwenzeka kanjani

Ukudluliswa kwe-filariasis kwenzeka kuphela ngokulunywa omiyaneCulex quinquefasciatus uthelelekile. Lo mamiyane, lapho enza isidlo segazi, okungukuthi, uma uluma umuntu ukuze ondle igazi, ukhipha izibungu zohlobo lwe-L3 emseleni wegazi lomuntu, oluhambelana nefomu lesandulela ngculaza.I-Wuchereria bancrofti.

Izibungu ze-L3 ezisegazini lomuntu zifudukela ezitsheni ze-lymphatic futhi zikhule kuze kufike esigabeni se-L5, esihambelana nesigaba sokuvuthwa ngokocansi, okungukuthi, sihambelana nesigaba somuntu omdala. Kulesi sigaba, i-parasite ikhipha i-microfilariae futhi iholele ekubonakaleni kwezimpawu nezimpawu ze-filariasis. Qondisisa kangcono ukuthi umjikelezo wempilo weI-Wuchereria bancrofti.

Ukwelashwa kwe-filariasis

Ukwelashwa kwe-filariasis kwenziwa ngama-antiparasitic agents anconywe ngudokotela ojwayelekile noma isifo esithathelwanayo esisebenza ngokuqeda i-microfilariae, futhi kunganconywa ukusetshenziswa kweDiethylcarbamazine noma i-Ivermectin ehambisana ne-Albendazole.

Uma isibungu esidala singene ngaphakathi ezithweni, ukuhlinzwa kunganconywa ukukhipha uketshezi oluningi, le nqubo inconywa kakhulu esimweni se-hydrocele, lapho kutholakala khona uketshezi emasendeni. Funda kabanzi mayelana ne-hydrocele.

Ngaphezu kwalokho, uma uketshezi luqoqelwe kwesinye isitho noma isitho, kuyanconywa ukuthi umuntu aphumule isitho esithintekile futhi enze izikhathi zokwelashwa ngokomzimba nge-lymphatic drainage, ngoba ngakho-ke kungenzeka ukubuyisa ukuhamba kwamalungu nokwenza ngcono impilo.

Kwezinye izimo kungenzeka futhi ukuba nokutheleleka kwesibili ngamagciwane noma isikhunta, kunconywe ngudokotela kulezi zimo ukusetshenziswa kwama-antibiotic noma ama-antifungal ngokusho kwe-agent ethelelanayo.

Ungakuvimbela kanjani

Ukuvinjelwa kwe-filariasis kuphathelene nokwamukelwa kwezinyathelo ezisiza ukuvimbela ukulunywa kwe-vector omiyane we-filariasis. Ngakho-ke, kubalulekile ukusebenzisa amanethi omiyane, izinto zokuxosha izimpahla nezingubo ezimboze isikhumba esiningi. Ngaphezu kwalokho, kunconywa ukuthi ugweme ukuma kwamanzi nokuqoqwa kukadoti, ngoba kungenzeka ukunciphisa inani lomiyane emvelweni.