Strongyloidiasis: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Ubomi bexesha lobomi IiStrongyloides stercoralis
• Unyango lwenziwa njani
• Uthintelo lweStrongyloidiasis

IStrongyloidiasis sisifo samathumbu esibangelwa sisidleleli IiStrongyloides stercoralis, ezibangela iimpawu ezinjengorhudo, iintlungu zesisu kunye negesi engaphezulu yamathumbu. Nangona kunjalo, kukho umahluko omkhulu ngakumbi wosulelo, ochaphazela umphunga kunye nokuhamba kwegazi, kubangela umkhuhlane ongaphezulu kwama-38ºC, ukugabha, ukukhohlela nokuphefumla okufutshane.

Lo mbungu wosulela abantu ngesikhumba, ngohlobo lwesibungu, kwaye usasazeka emzimbeni de ufike emathunjini, apho ukhula khona uvelise kwakhona. Ukuthintela usulelo, kuyacetyiswa ukuba ungahambi unganxibanga zihlangu esitratweni kwaye uhlambe ukutya kakuhle phambi kokutya, kwaye unyango lwenziwa ngeepilisi zevermifuge, ezinje ngeAlbendazole kunye neIvermectin.

Khawuleza ubone ukuba yintoni i-strongyloidiasis kwaye ujonge iimpawu zolunye usulelo lwe-parasitic:

Iimpawu eziphambili

Xa amajoni omzimba engaphazamiseki okanye xa inani lezidleleli liphantsi kakhulu, iimpawu azibonakali. Nangona kunjalo, kwezinye iimeko, ngakumbi xa inani lee-parasites likhulu kakhulu, iimpawu ezinje:

• Amabala abomvu eluswini, ezibonakala xa imibungu ingena esikhumbeni okanye xa ihamba kuyo;
• Urhudo, ukuqunjelwa sisisu, iintlungu esiswini, isicaphucaphu kunye nokutya okungafanelekanga Ukuvela xa sisidleleli esiswini kunye namathumbu;
• Ukukhwehlela owomileyo, ukuphefumla kancinci okanye ukuhlaselwa sisifuba, xa umbungu ubangela ukudumba emiphungeni xa udlula kulo mmandla.

Abantu abanamajoni omzimba abuthathaka, njengabantu abanoGawulayo okanye ukungondleki, umzekelo, bahlala befumana olona hlobo lubi losulelo, olubonakalisa umkhuhlane ongaphezulu kwe-38ºC, iintlungu eziqatha esiswini, isisu esihambisayo, ukugabha, ukuphefumla kancinci, ukukhohlela ngemfihlo okanye kwagazi.

Ukongeza, njengoko esi sifunxi-gazi sikwazi ukugqobhoza eludongeni lwamathumbu, kusenokwenzeka ukuba iintsholongwane zamathumbu ziya kusiwa kwamanye amalungu omzimba, zikhokelela kusulelo ngokubanzi, umzekelo.

Indlela yokuqinisekisa ukuxilongwa

IStrongyloidiasis ifunyaniswa ngokuhlola ilindle, ngokuchonga izibungu, kodwa ukuze kuqinisekiswe, kunokuba yimfuneko ukuphinda uviwo amatyeli aliqela de kufumaneke i-parasite.

Ubomi bexesha lobomi IiStrongyloides stercoralis

Isibungu sesifunxi-gazi, esikwabizwa ngokuba yimibungu ye-filarioid, sikhona emhlabeni, ngakumbi emhlabeni onesanti kunye nodaka, kwaye siyakwazi ukungena emzimbeni ngesikhumba, nokuba akukho nxeba. Emva koko basasazeka ngokuhamba kwegazi de bafikelele emiphungeni. Kule ngingqi, imibungu ixubana neencindi kunye nemfihlo yokuphefumla, kwaye ifike kwisisu nasemathunjini xa kuginywa okufihlakeleyo.

Emathunjini, ii-parasites zifumana indawo ezifanelekileyo zokukhula nokuzala, apho zifikelela kubungakanani ukuya kuthi ga kwi-2.5 mm, kwaye zikhuphe amaqanda avelisa imibungu emitsha. IStrongyloidiasis sidluliselwa ngabantu, ubukhulu becala, kodwa zizinja kunye neekati, ezikhupha imibungu kwindawo yendalo.

Ezinye iindlela zosulelo kukungenisa amanzi kunye nokutya okungcoliswe yimibungu okanye ilindle labantu abangcolileyo. Ithuba eliphakathi kokungcoliseka kude kukhululwe izibungu kwilindle kunye nokuqala kweempawu zinokwahluka phakathi kweentsuku ezili-14 ukuya kwezingama-28.

Unyango lwenziwa njani

Unyango lwe-strongyloidiasis luhlala lusenziwa ngamayeza antiparasite, kwithebhulethi, ekhokelwa ngugqirha oqhelekileyo, njenge:

• Albendazole;
• Thiabendazole;
• Nitazoxanide;
• Ivermectin.

Kuyacetyiswa ukuba la mayeza amiselwe ngugqirha oqhelekileyo, oza kukhetha elona nyango lilungileyo lomntu ngamnye, ngokobudala, ubunzima, ubukho bezinye izifo nokusetyenziswa kwamanye amayeza. Ukongeza, la machiza kufuneka athintelwe ngexesha lokukhulelwa.

Ukuphucula ukusebenza kunye nokususa zonke iiparasites, eyona nto iphambili kukuphinda amathamo emva kweentsuku ezili-10, kuba umntu unokufumana usulelo kwakhona ngemibungu ephuma kwilindle.

Uthintelo lweStrongyloidiasis

Ukuthintela i-strongyloidiasis kunokwenziwa ngamanyathelo alula, anje ngala:

• Musa ukuhamba ngeenyawo, ingakumbi kumhlaba onesanti nodaka;
• Hlamba ukutya kakuhle phambi kokuba utye;
• Hlamba izandla zakho emva kokuya kwindlu yangasese;
• Nyanga usulelo ngokuchanekileyo ukunqanda ukulifumana kwakhona.

Ukongeza, ukuhlamba indawo yangasese emva kokuzikhupha yeyona ndlela ilungileyo yokuthintela umbungu ukuba ungosuleli umzimba kwakhona okanye uwugqithisele kwabanye abantu.