Trichinosis

I-Trichinosis sisifo esinezi ntshulube I-Trichinella spiralis.

I-Trichinosis sisifo esidala ukubakho ngokutya inyama engaphekwanga kakuhle kwaye iqulethe ii-cysts (izibungu, okanye iintshulube ezingafakwanga emzimbeni) I-Trichinella spiralis. Esi sifunxi-gazi sinokufumaneka kwihagu, ibhere, i-walrus, i-fox, i-rat, ihashe kunye nengonyama.

Izilwanyana zasendle, ngakumbi abatya inyama) okanye ii-omnivores (izilwanyana ezitya inyama kunye nezityalo), kufuneka zithathelwe ingqalelo njengemithombo yesifo seentshulube. Imfuyo yenyama yasekhaya ekhuliswe ngokukodwa ukuba ityiwe phantsi kwezikhokelo zeSebe lezoLimo lase-US (urhulumente) kunye nokuhlolwa kunokuthathwa njengokukhuselekileyo. Ngesi sizathu, i-trichinosis inqabile e-United States, kodwa sisifo esiqhelekileyo kwihlabathi liphela.

Xa umntu esitya inyama yesilwanyana esosulelekileyo, ii-trichinella cysts zivuleka emathunjini kwaye zikhule zibe ziintshulube ezindala. Iintshulube ezijikelezayo zivelisa ezinye iintshulube ezihamba kudonga lwamathumbu ziye kwigazi. Iintshulube zihlasela izicwili zemisipha, kubandakanya intliziyo kunye n diaphragm (umsipha wokuphefumla phantsi kwemiphunga). Banokosulela nemiphunga kunye nengqondo. Ii-cysts zihlala ziphila iminyaka.

Iimpawu ze-trichinosis zibandakanya:

• Ukungahambi kakuhle esiswini, ukubamba
• Urhudo
• Ukudumba kobuso obujikeleze amehlo
• Ifiva
• Ubuhlungu bemisipha (ngakumbi iintlungu zemisipha ngokuphefumla, ukuhlafuna, okanye ukusebenzisa izihlunu ezinkulu)
• Ubuthathaka bemisipha

Uvavanyo lokufumanisa le meko lubandakanya:

• Uvavanyo lwegazi olufana nokubala okupheleleyo kwegazi (i-CBC), inani le-eosinophil (uhlobo lweseli emhlophe yegazi), uvavanyo lwe-antibody, kunye nenqanaba le-kinase (i-enzyme efumaneka kwiiseli zemisipha)
• Imisipha biopsy ukukhangela iintshulube kwimisipha

Amayeza, afana ne-albendazole, anokusetyenziselwa ukunyanga usulelo emathunjini. Usulelo olungephi alufuneki kunyango. Iyeza leentlungu linokunceda ekuthomalaliseni izihlunu emva kokuba imibungu ihlasele izihlunu.

Uninzi lwabantu abane-trichinosis alunazo iimpawu kwaye usulelo luya kuzihambela. Usulelo olunzima ngakumbi kunokuba nzima ukunyanga, ngakumbi ukuba kubandakanywa imiphunga, intliziyo, okanye ingqondo.

Iingxaki ezinokubakho zibandakanya:

• I-Encephalitis (usulelo lobuchopho kunye nokudumba)
• Ukumelwa yintliziyo
• Iingxaki zesingqisho senhliziyo ukusuka kukudumba kwentliziyo
• Ukukrala kwemiphunga

Tsalela umnxeba umboneleli wakho ukuba unempawu ze-trichinosis kwaye usandula ukutya inyama engaphekwanga okanye ekrwada enokuthi ingcoliswe.

Inyama yehagu nenyama evela kwizilwanyana zasendle kufuneka ziphekwe de kwenziwe kakuhle (akukho mkhondo wepinki). Ukuqanda ingulube kubushushu obuphantsi (5 ° F okanye -15 ° C okanye ukubanda) iiveki ezi-3 ukuya kwezi-4 kuya kubulala iintshulube. Ukuqanduselwa kwinyama yasendle akusoloko kubulala iintshulube. Ukutshaya, ukufaka isalting nokomisa inyama nako ayizondlela zithembekileyo zokubulala iintshulube.

Usulelo lwe-parasite - i-trichinosis; Trichiniasis; Trichinellosis; Intshulube - trichinosis

• I-Trichinella spiralis kwimisipha yomntu
• Inkqubo yokugaya ukutya

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UDiemert DJ. Usulelo lwe-Nematode. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 335.

UKazura JW. Iimatodes zesisu ezibandakanya i-trichinellosis, i-dracunculiasis, i-filariasis, i-loiasis kunye ne-onchocerciasis. 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 287.