ICysticercosis

ICysticercosis sisifo esifunxwa sisidleleli ekuthiwa yi-parasite Taenia solium (T solium). Yintshulube yehagu eyenza ii-cysts kwiindawo ezahlukeneyo emzimbeni.

ICysticercosis ibangelwa kukuginya amaqanda ukusuka T solium. Amaqanda afunyanwa kukutya okungcolileyo. Ukuzenzekelayo xa umntu sele wosulelekile kubantu abadala T solium iginya amaqanda ayo. Oku kwenzeka ngenxa yokuhlamba izandla okungafanelekanga emva kokuhamba kwamathumbu (ukuhanjiswa komlomo-ngomlomo).

Izinto ezinobungozi zibandakanya ukutya inyama yehagu, iziqhamo, kunye nemifuno engcoliswe zizo T solium njengesiphumo sokupheka okanye ukulungiselela ukutya okungafanelekanga. Esi sifo sinokusasazeka ngokudibana nelindle elosulelekileyo.

Esi sifo sinqabile eMelika. Kuqhelekile kumazwe amaninzi asakhasayo.

Rhoqo, iintshulube zihlala kwiimisipha kwaye azibangeli zimpawu.

Iimpawu ezenzekayo zixhomekeke apho usulelo lufumaneka khona emzimbeni:

• Ukuxhuzula kwengqondo okanye iimpawu ezifanayo nezo zethumba lobuchopho
• Amehlo-anciphise umbono okanye ubumfama
• Intliziyo - izingqisho zentliziyo engaqhelekanga okanye ukusilela kwentliziyo (kunqabile)
• Umqolo - ubuthathaka okanye utshintsho ekuhambeni ngenxa yomonakalo kwimithambo-luvo emqolo

Uvavanyo olunokwenziwa lunokubandakanya:

• Uvavanyo lwegazi ukufumana ii-antibodies kwi-parasite
• I-Biopsy yendawo echaphazelekayo
• Ukuskena i-CT, ukuskena kwe-MRI, okanye i-x-ray ukubona isifo
• Impompo yomqolo (i-lumbar puncture)
• Uvavanyo apho ugqirha wamehlo ejonga ngaphakathi kwiso

Unyango lunokubandakanya:

• Amayeza okubulala ii-parasites, ezifana ne-albendazole okanye i-praziquantel
• Amandla okulwa nokudumba (i-steroids) anamandla ukunciphisa ukudumba

Ukuba i-cyst isemehlweni okanye kwingqondo, ii-steroids kufuneka ziqaliswe kwiintsuku ezimbalwa ngaphambi kokuba amanye amayeza athintele iingxaki ezibangelwa kukudumba ngexesha lonyango lwe-antiparasitic. Asingabo bonke abantu abaxhamlayo kunyango lwe-antiparasitic.

Ngamanye amaxesha, utyando lunokufuneka ukususa indawo esulelekileyo.

Imbonakalo ilungile, ngaphandle kokuba isilonda sibangele ubumfama, ukusilela kwentliziyo, okanye ukonakala kwengqondo. Ezi ziingxaki ezinqabileyo.

Iingxaki zinokubandakanya:

• Ubumfama, ukuhla kombono
• Ukusilela kwentliziyo okanye isingqisho sentliziyo esingaqhelekanga
• I-Hydrocephalus (i-fluid buildup kwinxalenye yengqondo, ihlala inexinzelelo)
• Ukuxhuzula

Ukuba unayo nayiphi na impawu ye-cysticercosis, qhagamshelana nomboneleli wakho wezempilo.

Kuphephe ukutya okungavaswanga, sukutya ukutya okungaphekwanga xa useluhambeni, kwaye hlamba iziqhamo kunye nemifuno kakuhle.

• Inkqubo yokugaya ukutya

I-AC emhlophe, uBrunetti E. Cestode. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 333.

I-AC emhlophe, iFischer PR. ICysticercosis. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 329.