I-Toxocariasis: kuyini, izimpawu eziyinhloko, ukwelashwa nokuthi ungakugwema kanjani

-Delile

• Izimpawu eziyinhloko
• Yelashwa kanjani
• Ungayivimbela kanjani i-toxocariasis

I-Toxocariasis iyi-parasitosis ebangelwa amagciwane I-Toxocara sp., engahlala emathunjini amancane amakati nezinja futhi ifinyelele emzimbeni womuntu ngokuthintana nendle engcoliswe indle yezinja namakati athelelekile, okungaholela ebuhlungwini besisu, imfiva noma ukwehla kombono, ngokwesibonelo.

Abantu babizwa ngokungenela ngengozi, ngoba lesi silokazane ngokuvamile asijwayeleki emzimbeni womuntu, kuphela ezilwaneni ezifuywayo, ngokwesibonelo. Ngakho-ke lapho abantu behlangana ngengozi ne- I-Toxocara sp., izibungu ziyakwazi ukuya ezingxenyeni ezahlukahlukene zomzimba, zibangele izimpawu namanye ama-syndromes, njenge:

• I-Visceral Larva migrans syndrome noma i-visceral toxocariasis, lapho i-parasite ifudukela e-viscera, lapho ingafinyelela khona ebudaleni futhi ibangele izimpawu ezahlukahlukene;
• I-Ocular Larva migrans syndrome noma i-ocular toxocariasis, lapho amagciwane afudukela khona enhlamvini yamehlo.

I-toxocariasis yabantu ivame kakhulu ezinganeni ezidlala phansi, phansi noma esihlabathini, ngokwesibonelo, kepha kungenzeka nakwabantu abadala abake baxhumana nendawo efanayo. Ukwelashwa kuyahlukahluka ngokuya ngezimpawu ezethulwayo, futhi ukusetshenziswa kwezidakamizwa ezilwa nokuqaqamba kwamalunga noma ukusetshenziswa kwamaconsi wamehlo ane-corticosteroids kunganconywa, ngokwesimo se-toxocariasis ocular, ngokwesibonelo.

Izimpawu eziyinhloko

Izimpawu ze-toxocariasis kubantu zivela ngemuva kokungeniswa ngengozi kwamaqanda athathelanayo avela I-Toxocara sp. ekhona esihlabathini, emhlabeni nasemhlabathini, isibonelo. Izibungu ezikhona kula maqanda zikhula emathunjini abantu futhi zihambele izicubu ezahlukahlukene, zidale izimpawu.

Endabeni ye-visceral toxocariasis, izibungu zingafinyelela esibindini, enhliziyweni, emaphashini, ebuchosheni noma emisipha, isibonelo, izimpawu eziyinhloko yilezi:

• Imfiva engaphezu kuka-38ºC;
• Ukukhwehlela okuqhubekayo;
• Ukuphefumula nobunzima bokuphefumula;
• Ubuhlungu besisu;
• Ukwandiswa kwesibindi, okubizwa nangokuthi i-hepatomegaly;
• I-Hypereosinophilia, ehambelana nokwanda kwenani lama-eosinophil egazini;
• Ukubonakaliswa kwe-cutaneous, njenge-pruritus, i-eczema ne-vasculitis.

Endabeni ye-toxocariasis e-ocular, izimpawu zivela lapho izibungu zifinyelela enhlamvu yeso, ngokubomvu kweso, ubuhlungu noma ukulunywa esweni, izindawo ezimhlophe kumfundi, i-photophobia, ukubona okungacacile nokunciphisa umbono, isibonelo.

Ngaphezu kwalokho, ukuqala kwezimpawu nakho kungahluka ngokuya ngenani lama-parasites emzimbeni womuntu namasosha omzimba. Ngakho-ke, lapho kukhona ukusola kokutheleleka nge-toxocariasis, kunconywa ukuthi uthintane nodokotela ojwayelekile, esimweni somuntu omdala, noma udokotela wezingane, endabeni yengane, ukuze kutholakale ukuxilongwa bese kuqala ukwelashwa.

Ukuxilongwa kwe-toxocariasis yomuntu kunzima, ngoba kuvame ukuqinisekiswa kuphela ngemuva kokukhonjwa kwesibungu ngokusebenzisa i-tissue biopsy, ngoba lesi silokazana asitholakali endleni. Kodwa-ke, kungenzeka ukuthi kutholakale ubukhona bama-antibodies ngokumelene ne-parasite egazini lesiguli ngokuhlolwa kwe-immunological kanye ne-serological, okungaba wusizo olukhulu ekuhlolweni.

Yelashwa kanjani

Ukwelashwa kwe-toxocariasis yomuntu kufanele kuqondiswe ngudokotela ojwayelekile noma udokotela wezingane, futhi kuya ngezimpawu ezethulwe ngumuntu. Endabeni ye-visceral toxocariasis, ukwelashwa okukhonjiswe ngudokotela kunemithi elwa namagciwane, njenge-Albendazole, iTiabendazole noma iMebendazole kabili ngosuku izinsuku ezinhlanu noma ngokwesincomo sezokwelapha.

Endabeni ye-toxocariasis ye-ocular, umphumela wokwelashwa ngemithi elwa ne-antiparasite namanje awukafakazelwa kahle, kunconywe kakhulu ukuthi udokotela wamehlo ancoma ukusetshenziswa kwamaconsi wamehlo nge-corticosteroids ukwelapha izimpawu nokuvimbela ukuqhubeka kwesifo okuholela ekuthuthukisweni izilonda unomphela iso.

Ungayivimbela kanjani i-toxocariasis

Ukugwema ukutheleleka nge I-Toxocara sp., UMnyango Wezempilo uncoma ukuthi izilwane ezifuywayo ziyiswe ngezikhathi ezithile kudokotela wezilwane ukuze zilashwe ngama-parasites futhi ziqaphele ngokuqedwa kwendle yezilwane nemvelo ezihlala zikhona.

Kunconywa ukuthi ugeze izandla zakho kahle ngemuva kokuxhumana nezilwane ezifuywayo, ukuvimbela izingane ekudlaleni ezindaweni lapho kukhona khona izilwane ezifuywayo nokugeza indawo kahle lapho isilwane sihlala khona, okungenani kanye ngesonto.