Izibungu kubantu - lesi sifo esijwayelekile kakhulu esenzeka kuwo wonke amazwe omhlaba. Kungaba ngezinhlobo ezehlukene, kungadluliselwa ngokwephula ukuhlanzeka komuntu siqu noma ezilwaneni. Noma yini enezimpawu ze-strongyloidiasis, ukwelashwa kwayo kuhlale kuyinkimbinkimbi futhi kuhlala njalo.
Indlela yokudluliswa kwe-strongyloidiasis
Lesi sifo i-geogelmintosis engapheli ebangela izibungu zomuthi ze-nematode, nazo zibizwa ngokuthi ama-intestinal acne. Ubude bayo buphelele buba ngu-2 mm kanti ngosuku lubeka amaqanda angama-50, anesimo se-oval. Umjikelezo wonke wokuphila wezilwane ezitholakala emzimbeni womngane, ngakho-ke angaphathwa iminyaka eminengi, noma ngisho nokuphila konke.
Uma ungenzi ukwelashwa, i-hyperinfection (ukusakaza i-strongyloidiasis) iqala futhi iphela ngomphumela obulalayo. I-Nematode izibungu ikakhulukazi zithinta i-membrane ye-mucous yesisu, amathumbu aminyene namancane kanye ne-duodenum. Bavusa ukungezwani komzimba jikelele futhi babangele uhudo olunzima. Abantu abangaba yizigidi ezingu-65 emhlabeni baphathwa yizibungu. Gcwalisa lezi zinambuzane ezindaweni ezishisayo nasezindaweni ezingaphansi komhlaba.
I-Strongyloidosis iyinhlangano ye-causative ye-helminthiasis, engasenwe igciwane kumuntu ogulayo ehambisa ama-parasites ngendwangu. Noma kunjalo kukhona izindlela ezinjalo zokutheleleka:
- Ngesikhumba noma nge-percutaneous. Kulesi simo, izibungu ze-helminths zingena emzimbeni womuntu ngokusebenzisa i-epithelium, izinwele zezinwele, izinhlayiya ze-sebaceous ne-sweat. Ukutheleleka kungenzeka ngesikhathi sokuphumula utshani, umsebenzi wepulazi nokuhamba ngezinyawo.
- Inqubo yokuzenzakalela. Kulesi simo, ukutheleleka komzimba kwenzeka ngokuqondile emathunjini, lapho izimpungushe ze-nematode ziphuma emaqanda bese ziqala ukukhula nokuthuthuka.
- Indlela yomlomo. Phakathi nale nqubo, i-strongyloidosis isakazwa ngokudla (izithelo ezingahlanjululwa, amajikijolo noma imifino) namanzi okuphuza, aqukethe amaqanda ama-parasites.
Strongyloidosis - izimpawu kubantu
Lapho uphendula umbuzo mayelana nokuthi yiziphi izimpawu ezine-strongyloidosis, isikhathi sokufakwa kwesikhashana, kusukela emavikini amabili kuya eminyakeni embalwa, kufanele sicatshangelwe. Kunezigaba eziningana zalesi sifo: kusenesikhathi futhi sekwephuzile (noma okungapheliyo). Esimweni sokuqala, umuntu angazizwa:
- ikhanda;
- isiyezi;
- ukushisa komzimba okwandisiwe;
- ukujuluka noma izikhukhula;
- i-hepatomegaly ;
- i-jaundice.
Isikhathi esiphezulu se-strongyloidiasis sincike endaweni ye-lesion futhi sihlukaniswe ngezindlela eziningana:
- Amathumbu. Isiguli siqala isisu, i-enteritis, i-enterocolitis, i-ulcer ye-duodenum noma i-dyskinesia ye-bile ducts.
- I-Duodeno-cholelithiasis. Leli fomu libhekene nobuhlungu esiswini, ukuqhuma, ukufutheka emlonyeni, ukwehla kwesifiso.
- Ngesibindi ukugula. Kuzibonakalisa ngendlela yokubamba, imifuba, i-allergic dermatitis, i-sweating, ubuhlungu besisu, i-arthralgia kanye nekhanda.
- Ifomu lepulmonary. Uhlelo lokuphefumula luyathinteka. Isiguli sinokuphefumula, ukukhwehlela, umkhuhlane.
- Ixubile. Kulesi simo, izimpawu eziningana ezivela emafomu ahlukene zingase zivele.
Strongyloidosis - Ukuxilongwa
Ngesikhathi sokuqala, kunzima kakhulu ukubona imatodes. Ukuze udokotela ahlolisise kahle, uzokuthumela ekuhloleni lapho kudingeka khona kuqala ukudlulisa ukuhlaziywa kwesitembu ku-strongyloidiasis, kodwa futhi negazi, umchamo, i-bile ne-sputum. Emva kwalokhu, ngesisekelo sezikhalo ezingekho emthethweni kanye nemiphumela, udokotela kufanele aqaphele lokhu:
- ukuphazamiseka okuhlukahlukene ohlelweni lokugaya ukudla, lapho kuphendulwa ngokuphindaphindiwe kwe-toxic-reaction;
- inani le-ESR ne- eosinophils .
Ukuze ukwazi ukubona kahle i-strongyloidiasis esigulini, ukuhlaziywa kunikezwa nge-koproovoscopy ne-duodenoscopy. Le nqubo ikuvumela ukuba ubone amaqanda nezibungu emzimbeni womuntu usebenzisa indlela kaBergman. Isekelwe ekuhambeni kwama-parasite ukushisa. Uma kunesidingo, iziguli zingacelwa ukuba zihlole ukusabela kwe-serological (i-RIF ne-ELISA.)
Strongyloidosis - ukwelashwa
Kumuntu ogula ngezibungu zama-nematodes, ukwelashwa kwenzeka kuphela esibhedlela ngaphansi kokuqondiswa kochwepheshe abaqeqeshiwe. Kodwa ngisho nangemva kokukhishwa esibhedlela ukuze kutholakale ngokugcwele, ukwelashwa okuthatha isikhathi eside, mhlawumbe amashumi eminyaka, kuyadingeka. Ezimweni ezikhethekile (isibonelo, lapho isiguli sisengozini yokusakazwa), odokotela batusa ukuthatha izidakamizwa ngisho nalabo abangenayo izimpawu.
Ngemuva kwamasonto amabili emva kokwelashwa kwe-strongyloidosis sekuphelile, iziguli zidinga ukususa izinto ezinobuthi emzimbeni bese zihlolwa. Yenziwa kathathu emva kwesikhathi esithile. Umuntu ubeka amarekhodi e-dispensary futhi uhlolwe impilo yakhe okungenani ngonyaka. Ukuhlaziya kuzodingeka kuthathwe kanye ngenyanga.
Ukulungiselela kusuka kwi-nematode
I-Strongyloidosis iphathwa nge-nemozol, albendazole , ivermectin ne-thiabendazole. Kuthathwa kabili ngosuku ngesonto, futhi umthamo u-25 mg / kg. Lezi zidakamizwa zibulala izimpethu ezindala kuphela, izimpungushe azithinteki, yingakho ukwelashwa okuphindaphindiwe kufanele kwenziwe njalo ezinsukwini ezingu-14. Le mithi inemiphumela emibi, ngakho-ke ingahle ibekwe udokotela kuphela.
Entsha ekwelapheni i-strongyloidiasis
Imithi ayimile futhi ososayensi nsuku zonke badala izidakamizwa ezintsha zokulwa nezidakamizwa. Uma unemiphefumulo ye-nematodes, ungasiza:
- i-minesol, ethathwa ngesikhathi sokudla izikhathi ezingu-2-3 ngosuku;
- ukuhlinzekela ukwelashwa ngokweqile (Claritin, Zirtek);
- ukwelashwa kwe-infusion.
Strongyloidosis - ukwelashwa ngamakhambi abantu
I-Strongyloidosis izidumbu zibangelwa isifo esithathelwanayo esingathinta izitho zangaphakathi, futhi kuholele ekubulaweni okubulalayo. Kulokhu, ukuzitholela imithi ngeke kwenzeke futhi uma unempawu zokuqala, kungcono ukuthi ufune usizo oluvela kumuntu onolwazi, ngokushesha uhlole umzimba futhi, uma kunesidingo, uye esibhedlela.
Strongyloidosis - ukuvimbela
Abantu abasengozini bavame ukuba nesithakazelo kulokho okwenza i-strongyloidiasis, izimpawu, ukwelashwa nokuvimbela. Lezi zinsuku zihloswe ekutholeni nasekuthuthukiseni izindawo ezithathelwanayo zemvelo nabantu. Ngokuya emsebenzini, indawo yokusebenza (imayini, ikholoni, izikole zokubhoda, izibhedlela zengqondo njalonjalo) kanye namaqembu obungozi, kudingeka uhlolwe njalo.
Izimpungushe ze-Strongyloidosis azikhukhunjisiwe ngamanzi amakhulu abilayo nge-addition bleach. Izindawo ezithathelwanayo zomhlaba zingaphathwa ngesisombululo se-10% se-phosphate, nitrogen kanye ne-potassium. Ungakhohlwa ukulandela imithetho yokuhlanzeka komuntu siqu, geza izandla zakho nge-sese, ugeze izingubo nge-enzyme powder, ukhiphe izinto ezishisayo futhi ungahambi ngezicathulo. strongyloidiasis aa ukwelapha izimpawu