ISchistosomiasis

I-Schistosomiasis sisifo esosulelayo esinegciwane lesifo segazi esibizwa ngokuba zii-schistosomes.

Unokufumana usulelo lwe-schistosoma ngokunxibelelana namanzi angcolileyo. Esi sifunxi-gazi sidada ngokukhululekileyo kwimizimba evulekileyo yamanzi acocekileyo.

Xa le ntsholongwane idibana nabantu, iye izifihle esikhumbeni ize ikhulele kwelinye inqanaba. Emva koko, iya emiphungeni nakwisibindi, apho ikhula iye kuhlobo lomntu omdala wombungu.

Umbungu omdala emva koko uye kwinxalenye yomzimba ayithandayo, kuxhomekeke kuhlobo lwayo. Ezi ndawo zibandakanya:

• Isinyi
• Uqikelelo
• Amathumbu
• Isibindi
• Imithambo ehambisa igazi lisuka emathunjini lisiya esibindini
• Udaka
• Amaphaphu

I-Schistosomiasis ayiqhelekanga ukubonwa e-United States ngaphandle kwabahambi ababuyayo okanye abantu abavela kwamanye amazwe abanesifo kwaye ngoku bahlala e-US. Kuqhelekile kwiindawo ezininzi ezikweleenjiko kunye nezitropiki kwihlabathi liphela.

Iimpawu ziyahluka ngohlobo lweentshulube kunye nenqanaba losulelo.

• Uninzi lwee-parasites lunokubangela umkhuhlane, ukugodola, ukudumba kweemfu, kunye nokudumba kwesibindi kunye nokudakumba.
• Xa umbungu ungena kuqala eluswini, usenokubangela ukurhawuzelela kunye nerhashalala (ukudada ukurhawuzelela). Kule meko, i-schistosome yatshatyalaliswa ngaphakathi kwesikhumba.
• Iimpawu zesisu zibandakanya iintlungu zesisu kunye norhudo (olunokuba ligazi).
• Iimpawu ze-Urinary zingabandakanya ukuchama rhoqo, ukuchama okubuhlungu, kunye negazi kumchamo.

Umboneleli wakho wezempilo uyakukuvavanya. Uvavanyo olunokwenziwa lunokubandakanya:

• Uvavanyo lwe-Antibody ukukhangela iimpawu zosulelo
• I-Biopsy yeethishu
• Gcwalisa ubalo lwegazi (CBC) ukujonga imiqondiso ye-anemia
• Ukubala kwe-Eosinophil ukulinganisa inani leeseli ezithile ezimhlophe zegazi
• Uvavanyo lwezintso
• Uvavanyo lomsebenzi wesibindi
• Uviwo lwe-Stool ukukhangela amaqanda e-parasite
• Ukuchama urinal ukujonga amaqanda esifunxi-gazi

Olu suleleko luhlala lunyangwa ngepraziquantel okanye oxamniquine. Oku kuhlala kunikwa kunye ne-corticosteroids. Ukuba usulelo lukhulu okanye lubandakanya ingqondo, i-corticosteroids inokunikwa kuqala.

Unyango ngaphambi kokuba kwenzeke umonakalo omkhulu okanye iingxaki ezinzima zihlala zivelisa iziphumo ezilungileyo.

Ezi ngxaki zinokwenzeka:

• Umhlaza wesinyi
• Ukusilela kwezintso okungapheliyo
• Umonakalo ongapheliyo wesibindi kunye ne-spleen eyandisiweyo
• Ikholoni (amathumbu amakhulu) ukudumba
• Izintso kunye nokuvalwa kwesinyi
• Uxinzelelo lwegazi oluphezulu kwimithambo yemiphunga (uxinzelelo lwegazi)
• Ukuphindaphindeka kosulelo lwegazi, ukuba ibhaktiriya ingena kwigazi ngekholoni ecatshukisiweyo
• Ukusilela kwentliziyo esekunene
• Ukuxhuzula

Fowunela umnikezeli wakho ukuba uphuhlisa iimpawu ze-schistosomiasis, ngakumbi ukuba unayo:

• Ukuhamba kwindawo yetropiki okanye yetropiki apho isifo saziwa khona
• Ukuvezwa kwimizimba yamanzi engcolileyo okanye enokwenzeka

Landela la manyathelo ukunqanda ukufumana le ntsholongwane:

• Gwema ukuqubha okanye ukuhlamba emanzini angcolileyo okanye angangcoliseka.
• Yiphephe imizimba yamanzi ukuba awazi nokuba ikhuselekile na.

Imigibe ingabamba esi sifunxi-gazi. Ukuphelisa iinkumba kumanzi asetyenziswa ngabantu kunokunceda ukuthintela usulelo.

Bilharzia; Umkhuhlane weKatayama; Ukudada kokudada; Igazi; Umkhuhlane weenkumba

• Ukudada kokurhawuzelela
• Iintsholongwane

IBogitsh BJ, uCarter CE, u-Oeltmann TN. Igazi libaleka. Ku: Bogitsh BJ, Carter CE, Oeltmann TN, ii-eds. IParasitology yoLuntu. Umhla we-5. ILondon, e-UK: Elsevier Academic Press; I-2019: isahluko 11.

ICarvalho EM, iLima AAM. ISchistosomiasis (bilharziasis). Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 355.