Ukulala ukulala

Ukulala sisifo esosulelayo esibangelwa ziincukuthu ezincinci ezithwelwe ziimpukane ezithile. Kubangela ukudumba kwengqondo.

Ukugula kokulala kubangelwa ziindidi ezimbini zezidleleli I-Trypanosoma brucei rhodesiense kwaye I-Trypanosomoa brucei gambiense. T b rhodesiense kubangela uhlobo olubi kakhulu lwesifo.

Iimpukane zeTsetse zithwala usulelo. Xa impukane eyosulelekileyo ikuluma, usulelo lusasazeka ngegazi lakho.

Izinto ezinobungozi zibandakanya ukuhlala kwiindawo ezithile eAfrika apho esi sifo sifunyanwa khona kwaye silunywe ziimpukane. Esi sifo asenzeki eUnited States, kodwa abahambi abatyelele okanye abahlala eAfrika banokosulelwa sesi sifo.

Iimpawu ngokubanzi zibandakanya:

• Utshintsho lwemood, ixhala
• Umkhuhlane, ukubila
• Intloko ebuhlungu
• Ubuthathaka
• Ukuphuthelwa ebusuku
• Ubuthongo emini (bunokungalawuleki)
• I-lymph nodes ezidumbileyo kuwo wonke umzimba
• Idumbile, ibomvu, yintlungu ebuhlungu kwindawo yokulunywa yimpukane

Ukuxilongwa kuhlala kusekelwe kuvavanyo lomzimba kunye nolwazi oluneenkcukacha malunga neempawu. Ukuba umboneleli wezempilo ukrokrela ukugula, uya kubuzwa malunga nokuhamba kwakutshanje. Uvavanyo lwegazi luya kuyalelwa ukuqinisekisa isifo.

Uvavanyo lubandakanya oku kulandelayo:

• Igazi smear ukukhangela izifunxi-gazi
• Uvavanyo lweCerebrospinal fluid (ulwelo oluvela kwintambo yakho yomqolo)
• Gcwalisa ubalo lwegazi (CBC)
• I-lymph node aspiration

Amayeza asetyenziselwa ukunyanga esi sifo kubandakanya:

• I-Eflornithine (ye T b gambiense kuphela)
• Imelarsoprol
• IPentamidine (ye T b gambiense kuphela)
• ISuramin (Antrypol)

Abanye abantu banokufumana indibaniselwano yala mayeza.

Ngaphandle konyango, ukufa kunokwenzeka ngaphakathi kweenyanga ezintandathu ukusilela kwentliziyo okanye ukusuka T b rhodesiense usulelo ngokwalo.

T b gambiense Ukosuleleka kubangela isifo sokulala kwaye kuya kusiba mandundu ngokukhawuleza, rhoqo kwiiveki ezimbalwa. Esi sifo kufuneka sinyangwe ngokukhawuleza.

Iingxaki zibandakanya:

• Ukwenzakala okunxulumene nokulala xa uqhuba okanye ngexesha leminye imisebenzi
• Kancinci kancinci ukonakala kwenkqubo yemithambo-luvo
• Ukulala okungalawulekiyo njengoko isifo sisiba mandundu
• Coma

Jonga umboneleli wakho kwangoko ukuba unempawu, ngakumbi ukuba ukhe waya kwiindawo apho isifo siqhelekile. Kubalulekile ukuqala unyango ngokukhawuleza.

Inaliti yePentamidine ikhusela ngokuchasene T b gambiense, kodwa hayi ngokuchasene T b rhodesiense. Ngenxa yokuba eli yeza linetyhefu, alusebenziswanga ukuba lusetyenziswe kuthintelo. T b rhodesiense uphathwa ngesauranim.

Amanyathelo okulawula izinambuzane anokunceda ukuthintela ukusasazeka kwesifo sokulala kwiindawo ezinobungozi kakhulu.

Usulelo lwe-Parasite - i-trypanosomiasis yabantu baseAfrika

IBogitsh BJ, uCarter CE, u-Oeltmann TN. Amachaphaza egazi kunye neethishu I: hemoflagellates. Ku: Bogitsh BJ, Carter CE, Oeltmann TN, ii-eds. IParasitology yoLuntu. Umhla we-5. ISan Diego, CA: I-Elsevier yezeMfundo; I-2019: isahluko 6.

IKirchhoff LV. Abameli be-trypanosomiasis yaseAfrika (ukugula kokulala). Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. UMandell, uDouglas, kunye neMigaqo yeBennett kunye nokuSebenza kwezifo ezosulelayo, uHlelo oluHlaziyiweyo. Ngomhla we-8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 279.