Amebiasis

I-Amebiasis sisifo samathumbu. Kubangelwa yi-parasite encinci Entamoeba histolytica.

Imbali unokuhlala emathunjini amakhulu (ikholoni) ngaphandle kokubangela ukonakala emathunjini. Ngamanye amaxesha, ingena eludongeni lwekholoni, ibangele isifo sokudumba, isifo segazi esiqatha, okanye urhudo lwexesha elide (olungapheliyo). Usulelo lunokusasazeka ngokuhamba kwegazi ukuya kwisibindi. Kwiimeko ezinqabileyo, inokusasazeka kwimiphunga, kwingqondo, okanye kwamanye amalungu.

Le meko yenzeka kwihlabathi liphela. Ixhaphake kakhulu kwimimandla yetropiki enezinto zokuhlala ezixineneyo nezococeko. I-Afrika, iMexico, iinxalenye zoMzantsi Merika, kunye ne-Indiya baneengxaki ezinkulu zempilo ngenxa yale meko.

Isidleleli sinokusasazeka:

• Ngokutya okanye ngamanzi angcoliswe zizitulo
• Ngesichumiso esenziwe ngelindle lomntu
• Ukusuka komnye umntu uye emntwini, ngakumbi ngokunxibelelana nomlomo okanye indawo efihlakeleyo yomntu osulelekileyo

Imiba yomngcipheko we-amebiasis enzima ibandakanya:

• Ukusetyenziswa kotywala
• Umhlaza
• Ukungondleki
• Mdala okanye mncinci
• Ukukhulelwa
• Ukuhamba kwamva nje ukuya kwindawo yetropiki
• Ukusetyenziswa kwamayeza e-corticosteroid ukucinezela amajoni omzimba

EUnited States, i-amebiasis ixhaphake kakhulu phakathi kwabo bahlala kumaziko okanye kubantu abaye baya kwindawo apho i-amebiasis iqhelekileyo.

Uninzi lwabantu abanolu suleleko abanazo iimpawu. Ukuba iimpawu zenzeka, zibonwa kwiintsuku ezisi-7 ukuya kwezi-28 emva kokubhencwa kwincukuthu.

Iimpawu ezinobumnene zingabandakanya:

• Iintlanzi zesisu
• Urhudo: ukuhamba kwe-3 ukuya kwi-8 isitulo esimiselweyo ngemini, okanye ukuhamba kwezitulo ezithambileyo ezinomqolo kunye negazi ngamanye amaxesha
• Ukudinwa
• Irhasi egqithisileyo
• Intlungu eguqulwayo ngelixa uhambisa intshukumo (tenesmus)
• Ukuphulukana nobunzima ngabom

Iimpawu ezinzima zingabandakanya:

• Ukuthamba kwesisu
• Izitulo zegazi, kubandakanya ukuhamba kwamanzi amdaka anegazi, ukuhamba kwe-10 ukuya kwe-20 ilindle ngosuku
• Ifiva
• Ukuhlanza

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Uya kubuzwa ngembali yakho yezonyango, ngakumbi ukuba usandula ukuhambela phesheya kolwandle.

Uvavanyo lwesisu sinokubonisa ukwanda kwesibindi okanye ukuthamba kwisisu (ngesiqhelo kwi-quadarant ephezulu ephezulu).

Uvavanyo olunoku-odolwa lubandakanya:

• Uvavanyo lwegazi lwe-amebiasis
• Uvavanyo lwangaphakathi lwamathumbu amakhulu asezantsi (sigmoidoscopy)
• Uvavanyo lwelindle
• Uvavanyo lweMicroscope lweesampulu zestool, zihlala zineesampulu ezininzi kwiintsuku ezininzi

Unyango luxhomekeke ekubeni lubi kangakanani na usulelo. Ngokwesiqhelo, amayeza okubulala iintsholongwane amiselwe.

Ukuba uyagabha, unokunikwa amayeza ngomthambo (ngemithambo) de ube uwathatha ngomlomo. Amayeza okuthintela urhudo aqhele ukumiselwa kuba anokwenza imeko ibe mandundu.

Emva konyango lwe-antibiotic, isitulo sakho sinokuphinda sihlolwe ukuze siqinisekise ukuba usulelo luye lwasuswa.

Iziphumo zihlala zilungile kunyango. Ngokwesiqhelo, isigulo sithatha malunga neeveki ezi-2, kodwa singabuya ukuba awufumani nyango.

Iingxaki ze-amebiasis zinokubandakanya:

• Ithumba lesibindi (ingqokelela yobofu esibindini)
• Iziphumo ebezingalindelekanga zonyango, kubandakanya isicaphucaphu
• Ukusasazeka kwesidleleli ngegazi ukuya esibindini, emiphungeni, kwingqondo, okanye kwamanye amalungu

Tsalela umnxeba umboneleli wakho ukuba unorhudo olungahambiyo okanye oluba mbi.

Xa uhamba kumazwe apho ugutyulo luphantsi, sela amanzi acociweyo okanye abilisiweyo. Musa ukutya imifuno engaphekwanga okanye iziqhamo ezingachetywanga. Hlamba izandla zakho emva kokuhlamba kwangaphambi kokuba utye.

Isifo segazi eAmebic; Amebiasis emathunjini; Isifo seAmebic; Urhudo - amebiasis

• Amebic ithumba lobuchopho
• Inkqubo yokwetyisa
• Inkqubo yokugaya ukutya
• Ithumba Pyogenic

IBogitsh BJ, uCarter CE, u-Oeltmann TN. I-visceral protista I: i-rhizopods (i-amoebae) kunye ne-ciliophorans. Ku: Bogitsh BJ, Carter CE, Oeltmann TN, ii-eds. IParasitology yoLuntu. Umhla we-5. ILondon, e-UK: Elsevier Academic Press; I-2019: isahluko 4.

UPetri WA, uHaque R, uMoonah SN. Iintlobo ze-Entamoeba, kubandakanya i-amebic colitis kunye nethumba lesibindi. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 272.