Selashwa kanjani isifo i-Chagas?

-Delile

• Ukwelashwa ngesikhathi sokukhulelwa
• Izimpawu zokuthuthuka
• Izimpawu zokuwohloka

Ukwelashwa kwesifo sikaChagas, okubangelwa ukulunywa yisinambuzane esaziwa ngokuthi "umgundi", kufanele kuqalwe ngokushesha okukhulu ngemuva kokuxilongwa futhi kwenziwa ngokudla i-Benznidazole, umuthi wokulwa nezilonda onikezwa mahhala yi-SUS.

Imvamisa ukwelashwa kwenziwa ngemithamo emi-2 ukuya kwemi-3 yomuthi ngosuku, izinsuku ezingama-60 zilandelana. Umthamo kufanele uqondiswe udokotela futhi imvamisa uyahluka ngokuya ngeminyaka nangesisindo, ngokulandela lezi zindlela:

• Abantu abadala: 5 mg / kg / ngosuku
• Izingane: 5 kuya ku-10 mg / kg / ngosuku
• Izingane: 10 mg / kg / ngosuku

Ukuqala ukwelashwa ngokushesha akubalulekile nje kuphela ukuqinisekisa ukwelashwa kokutheleleka, kepha futhi nokuvikela ukulimala ezithweni, kanye nokunciphisa ubungozi bokudlulisela lesi sifo kwabanye.

Ezimweni ezingavamile, kungahle kube nokungabekezelelani neBenznidazole, engabonakala ngezimpawu ezifana nokushintsha kwezici zesikhumba, isicanucanu, ukuhlanza nokuhuda. Uma lokhu kwenzeka, kubalulekile ukubuyela kudokotela ukuyeka ukusebenzisa iBenznidazole bese uqala ukwelashwa ngomunye umuthi, okuvamise ukuba yiNifurtimox.

Ngesikhathi sokwelashwa, okuhle ukuya kudokotela kanye ngesonto noma njalo ezinsukwini eziyi-15 wenze okungenani ukuhlolwa kwegazi okubili ngesikhathi sokwelashwa ukuqapha imiphumela kangcono.

Qonda ukuthi yiziphi izimpawu ezingakhombisa isifo se-Chagas.

Ukwelashwa ngesikhathi sokukhulelwa

Njengoba kunengozi yokuba nobuthi bokukhulelwa, ukwelashwa kwesifo se-chagas akunconywa kwabesifazane abakhulelwe, kwenziwa kuphela ngemuva kokubeletha noma, ezimweni ezinzima kakhulu, ngesikhathi sokukhulelwa.

Uma ukwelashwa kungenziwa, kunengozi yokuthi ukutheleleka kuzodlula kusuka kumama kuye enganeni ngesikhathi sokukhulelwa noma ngisho nangesikhathi sokubeletha.

Njengoba ukuxilongwa kwenziwa ngokuhlolwa kwegazi okuhlola ubukhona bama-antibodies alwa nalesi sifo, futhi la ma-antibody nawo angadlula asuke kumama aye enganeni, ihlale isebenza kuze kube izinyanga eziyisi-9, kungadingeka ukwenza izivivinyo eziningana zegazi enganeni ngalesi sikhathi ukuhlola inani lama-antibodies nokukhomba ukuthi ngabe ukwelashwa kufanele kuqalwe yini enganeni. Uma inani lama-antibody lincipha, kusho ukuthi ingane ayithelelekile.

Izimpawu zokuthuthuka

Ukuthuthuka kwezimpawu kuvame ukuvela kancane kancane kusukela esontweni lokuqala lokwelashwa futhi kubandakanya ukunciphisa umkhuhlane, ukuthuthuka kwesifo, ukwehla kokuvuvukala kwesisu nokunyamalala kohudo.

Yize izimpawu zingathuthuka kuze kube sekupheleni kwenyanga yokuqala, ukwelashwa kufanele kuqhutshwe izinyanga ezimbili ukuze kuqinisekiswe ukuthi ama-parasites afakwa emzimbeni ngokulunywa yizinambuzane aqedwa ngokuphelele. Okuwukuphela kwendlela yokuqinisekisa ukuthi lesi sifo siyelapheka wukuhlolwa kwegazi ekugcineni kokwelashwa.

Izimpawu zokuwohloka

Uma ukwelashwa kungaqaliwe noma kungenziwa kahle, izimpawu zinganyamalala ngemuva kwezinyanga ezi-2, noma kunjalo, izimuncagazi ziyaqhubeka nokukhula futhi zithelele izitho ezahlukahlukene emzimbeni.

Kulezi zimo, umuntu angabuyela ezimpawu ezintsha kuze kube yiminyaka engama-20 noma engama-30 ngemuva kokutheleleka kokuqala. Kodwa-ke, lezi zimpawu zibucayi kakhulu futhi zihlobene nokulimala ezithweni ezahlukahlukene njengenhliziyo, amaphaphu namathumbu, okubeka impilo engcupheni.