Yintoni i-filariasis, iimpawu, unyango kunye nendlela okwenzeka ngayo

Umxholo

• Iimpawu zeFilariasis
• Ngaba kwenzeka njani ukuhambisa
• Unyango lwefilariasis
• Indlela yokuthintela

IFilariasis, eyaziwa ngokuba yi-elephantiasis okanye i-lymphatic filariasis, sisifo esosulelayo esibangelwa sisidleleli IWuchereria bancroftiezinokudluliselwa ebantwini ngokulunywa yingcongconiCulex quinquefasciatus usulelekile.

Isidleleleli esinoxanduva lwe-filariasis siyakwazi ukukhula emzimbeni njengoko sisiya kumalungu e-lymphoid kunye nezicubu, ezinokubangela ukudumba kunye nokuqokelelana kolwelo kwiindawo ezahlukeneyo zomzimba, ikakhulu imilenze, iingalo kunye namasende. Nangona kunjalo, le meko ibonwa kuphela emva kweenyanga emva kokosulelwa sisidleleli, kwaye umntu angangabonakaliswa ngeli xesha.

Unyango lwe-filariasis lulula kwaye kufuneka lwenziwe ngokwesikhokelo sikagqirha, kwaye ukusetyenziswa kwamachiza antiparasitic kunye nonyango lomzimba nge-lymphatic drainage kubonisiwe xa kukho ukubandakanyeka kweengalo nemilenze, umzekelo.

Iimpawu zeFilariasis

Iimpawu ze-filariasis zingathatha ukuya kwiinyanga ezili-12 ukuvela, kuba isibungu esidluliselwa ebantwini kufuneka sikhule sibe kwifom yabantu abadala kwaye emva koko siqale ukukhupha i-microfilariae. Ezi microfilariae, ekwabizwa ngokuba zii-L1 larvae, zikhula egazini kunye ne-lymphatic stream ukuya kwinqanaba lesibungu esidala, ngokukhutshwa kwe-microfilariae engaphezulu.

Ke, njengoko iparasite ikhula kwaye ihamba emzimbeni, ivuselela ukushukuma kwaye inokukhuthaza ukuphazamiseka kwemithambo ye-lymphatic kwamanye amalungu, kukhokelela ekufumaneni kolwelo kuloo mmandla, kunye nokufumba kolwelo emlenzeni rhoqo. okanye kumasende, kwimeko yamadoda.

Yiyo loo nto kuyinto eqhelekileyo ukuba umntu osulelekileyo ahlale i-asymptomatic kangangeenyanga, kwaye iimpawu zibonakala xa kukho isixa esikhulu sokujikeleza kwesifunxi-gazi, ezona ziphambili zezi:

• Ifiva;
• Intloko ebuhlungu;
• Ukugodola;
• Ukuqokelelana kolwelo emilenzeni okanye ezingalweni;
• Ukunyuka kwevolumu yamatyhalarha;
• Ukonyusa ii-lymph node, ngakumbi kwindawo ye-groin.

Ukuxilongwa kwe-filariasis kwenziwa ngugqirha oqhelekileyo okanye isifo esosulelayo ngokuvavanya iimpawu kunye neempawu ezivezwe ngumntu kunye nesiphumo sovavanyo olujolise ekuchongeni ubukho bokujikeleza kwe-microfilariae egazini, kwaye kuvavanywa igazi. ukuqokelelwa kwayo kufuneka kwenziwe, ngokukhethekileyo, ebusuku, elixesha apho ukuqinisekiswa okuphezulu kwesidudu egazini kuqinisekisiwe.

Ukongeza kuvavanyo lwegazi lweparasoloji, iimolekyuli okanye iimvavanyo ze-immunological zingabonakaliswa zichonga ulwakhiwo lwe-parasite okanye ubukho beantigens okanye ii-antibodies eziveliswe ngumzimba ngokuchasene IWuchereria bancrofti. Ingabonakaliswa ukuba yenze uvavanyo lomfanekiso, olunjenge-ultrasound, ukuze kuqinisekiswe ubukho beentshulube zabantu abadala kumajelo e-lymphatic.

Ngaba kwenzeka njani ukuhambisa

Ukuhanjiswa kwe-filariasis kwenzeka kuphela ngokulunywa yingcongconiCulex quinquefasciatus usulelekile. Le ngcongconi, xa usenza isidlo segazi, oko kukuthi, xa uluma umntu ukuba atye igazi, ikhupha izibungu zohlobo lwe-L3 kumjelo wegazi lomntu, oluhambelana nefom yesi sifo.IWuchereria bancrofti.

Umbungu we-L3 egazini lomntu ufudukela kwimithambo ye-lymphatic kwaye ukhule de kube kwinqanaba le-L5, elihambelana nenqanaba lokukhula ngokwesondo, okt lihambelana nenqanaba lomntu omdala. Kweli nqanaba, i-parasite ikhupha i-microfilariae kwaye ikhokelele ekubonakaleni kweempawu neempawu ze-filariasis. Ukuqonda ngcono ukuba umjikelo wobomi weIWuchereria bancrofti.

Unyango lwefilariasis

Unyango lwe-filariasis lwenziwa ngee-antiparasitic agents ezicetyiswa ngugqirha oqhelekileyo okanye isifo esosulelayo esisebenza ngokuphelisa i-microfilariae, kunye nokusetyenziswa kwe-Diethylcarbamazine okanye i-Ivermectin ehambelana ne-Albendazole inokucetyiswa.

Ukuba umbungu wabantu abadala ungenile kumalungu, kunokucetyiswa utyando lokususa ulwelo olugqithisileyo, le nkqubo icetyiswa ngakumbi kwimeko yehydrocele, apho ulwelo luqokelelwa kumatyhalarha. Funda ngakumbi malunga nehydrocele.

Ukongeza, ukuba ulwelo luye lwaqokelelwa kwelinye ilungu okanye kwilungu, kuyacetyiswa ukuba umntu aphumle ilungu elichaphazelekayo kwaye enze iiseshoni zonyango lomzimba nge-lymphatic drainage, njengoko kunokwenzeka ukubuyisela ukuhamba kwamalungu kunye nokuphucula umgangatho wobomi.

Ngamanye amaxesha kuyenzeka ukuba usulelo lwesibini lube ziibhaktheriya okanye ukungunda, kucetyiswa ngugqirha kwezi meko ukusetyenziswa kwezibulala-ntsholongwane okanye ii-antifungals ngokwe-arhente echaphazelayo.

Indlela yokuthintela

Ukuthintela i-filariasis ibandakanya ukwamkelwa kwamanyathelo anceda ukuthintela ukuluma kweengcongconi ze-filariasis. Ke ngoko, kubalulekile ukusebenzisa iinethi zeengcongconi, izinto zokugxotha kunye neempahla ezigubungela uninzi lolusu. Ukongeza, kuyacetyiswa ukuba kuthintelwe ukuma kwamanzi kunye nokuqokelelwa kwenkunkuma, njengoko kunokwenzeka ukunciphisa inani leengcongconi kwindalo esingqongileyo.