Nyongolotsi pakati pa anthu - matendawa ndi omwe amapezeka m'mayiko onse. Zikhoza kukhala zosiyana, zikhoza kulengeka chifukwa cha ukhondo kapena zinyama. Chilichonse chimene chili ndi zizindikiro za strongyloidiasis, chithandizo chake chimakhala chovuta komanso chosatha.
Njira yotumizira mphamvu ya strongyloidiasis
Matendawa ndi a geogelmintosis omwe amachititsa kuti mphutsi za nematode zizizungulira, zimatchedwanso matumbo a m'mimba. Kutalika kwake konse ndi pafupifupi 2 mm ndipo tsiku limakhala mazira 50, omwe ali ndi mawonekedwe a ovunda. Kuzungulira kwa moyo wonse wa tizilombo toyambitsa matenda kuli mu thupi la alendo, kotero amatha kuchiritsidwa kwa zaka zingapo, kapena ngakhale moyo wonse.
Ngati simukuchita mankhwala, ndiye kuti hyperinfection (yofalitsidwa strongyloidiasis) imayamba ndikutha ndi zotsatira zowononga. Nematode nyongolotsi zimakhudza kwambiri mucous nembalimba, m'matumbo akuluakulu ndi aang'ono ndi duodenum. Amayambitsa matenda enaake komanso amachititsa kuti m'mimba azitsekula m'mimba. Anthu pafupifupi 65 miliyoni padziko lapansi akuvutika ndi mphutsizi. Chitani izi tizilombo toyambitsa matenda m'madera otentha ndi madera ozungulira.
Strongyloidosis ndi causative wothandizira helminthiasis, omwe angathe kutenga kachilombo kwa munthu wodwalayo akuchotsa tizilombo toyambitsa matenda ndi nyansi. Komabe pali njira zotere za matenda:
- Kudzera pakhungu kapena percutaneous. Pachifukwa ichi, mphutsi za helminths zimalowa mu thupi la munthu kupyolera mu epithelium, minofu ya tsitsi, zofiira ndi zithukuta. Matenda amatha kupuma pa udzu, ntchito zaulimi komanso kuyenda opanda nsapato.
- Kukonzekera kokhazikika. Pachifukwa ichi, matenda a thupi amapezeka mwachindunji m'matumbo, pamene mphutsi za nematode zimachokera ku mazira ndikuyamba kukula ndikukula.
- Njira yomveka. Panthawi imeneyi, strongyloidosis imafalitsidwa kudzera mu zakudya (unwashed fruit, zipatso kapena masamba) ndi madzi akumwa, omwe ali ndi mazira a tizilombo toyambitsa matenda.
Strongyloidosis - zizindikiro mwa anthu
Poyankha funso lokhudza zizindikiro zomwe zimakhala ndi strongyloidosis, nthawi yosakaniza, kuyambira masabata awiri mpaka zaka zingapo, iyenera kuganiziridwa. Pali magawo angapo a matendawa: oyambirira ndi mochedwa (kapena aakulu). Poyamba, munthu akhoza kumverera:
- mutu;
- chizungulire;
- kutentha kwa thupi;
- thukuta kapena chiwombankhanga;
- hepatomegaly ;
- jaundice.
Nthawi yotsiriza ya strongyloidiasis imadalira dera la zilonda ndipo imagawidwa m'njira zosiyanasiyana:
- Mimba. Wodwala amapanga gastritis, enteritis, enterocolitis, zilonda za duodenum kapena dyskinesia ya bile ducts.
- Duodeno-cholelithiasis. Fomu iyi imakhala ndi ululu m'mimba, mchitidwe, ukali m'kamwa, kuchepa kwa njala.
- Mwamanjenje. Zikuwonekera mwa mawonekedwe a kuyabwa, ming†™ oma, kutsekemera kwa dermatitis, kutukuta, kupweteka kwa minofu, arthralgia ndi mutu.
- Fomu yamaphunziro. Njira yopuma imakhudzidwa. Wodwala ali ndi mpweya wochepa, chifuwa, malungo.
- Kusokonezeka. Pachifukwa ichi, zizindikiro zingapo zochokera ku mitundu yosiyanasiyana zingawonekere.
Strongyloidosis - Kudziwa
Kumayambiriro, zimakhala zovuta kuzindikira maatodes. Kuti adokotala azindikire bwinobwino, adzakutumizirani kukafukufuku kumene mukufunikira koyamba kupitako osati kusanthula tulo la strongyloidiasis, komanso magazi, mkodzo, bile ndi mfuti. Pambuyo pa izi, pamaziko a madandaulo osayenerera ndi zotsatira, dokotala ayenera kumvetsera:
- Matenda osiyanasiyana m'thupi, pamene amachitidwa mobwerezabwereza poizoni;
- kuchuluka kwa ESR ndi ma eosinophils .
Pofuna kudziwa molondola kuti strongyloidiasis ndi wodwalayo, chiwerengerochi chimaperekedwanso kuti koproovoscopy ndi duodenoscopy. Njirayi imakulolani kuti muwone mazira ndi mphutsi mu thupi la munthu pogwiritsa ntchito njira ya Bergman. Zimachokera ku kayendetsedwe ka tizilombo toyambitsa matenda. Ngati ndi kotheka, odwala angapemphedwe kuti ayang'ane zochita za serological (RIF ndi ELISA.)
Strongyloidosis - mankhwala
Mwa munthu amene amadwala ndi mphutsi za nematodes, chithandizochi chimachitika kokha kuchipatala choyang'aniridwa ndi akatswiri oyenerera. Koma ngakhale atachoka kuchipatala kuti akachiritsidwe, mankhwala omwe amatenga nthawi yaitali, mwinamwake makumi angapo, akufunika. Nthawi zina (ngati wodwala ali pachiopsezo chofalitsa matenda), madokotala amalimbikitsa kumwa mankhwala osokoneza bongo ngakhale kwa omwe alibe zizindikiro.
Patatha masabata 2-3 chithandizo cha strongyloidosis chitatha, odwala ayenera kuchotsa zinthu zoopsa kuchokera m'thupi ndikuyamba kufufuza. Ikuchitika katatu pambuyo pa nthawi inayake. Munthu amaikidwa pa zolembera zapadera ndikuyang'anitsitsa thanzi lake kwa chaka chimodzi. Kusanthula kudzafunika kutengedwa kamodzi pa mwezi.
Kukonzekera kuchokera ku nematode
Strongyloidosis imachiritsidwa ndi nemozol, albendazole , ivermectin ndi thiabendazole. Amatengedwa kawiri pa tsiku kwa sabata, ndipo mlingo ndi 25 mg / kg. Mankhwalawa amapha mphutsi zazikulu zokha, mphutsi sizimakhudzidwa, chifukwa chake mankhwalawa amachitidwa mobwerezabwereza masiku asanu ndi awiri. Mankhwalawa ali ndi zotsatira zambiri, kotero amatha kulamulidwa ndi dokotala basi.
Watsopano pochiza strongyloidiasis
Mankhwala samayimilira ndipo tsiku ndi tsiku asayansi amapanga mankhwala atsopano a antiparasitic. Ngati muli ndi mphutsi za nematodes, ndiye mukhoza kuthandiza:
- minesol, yomwe imatengedwa pakudya 2-3 pa tsiku;
- chithandizo chamagazi (Claritin, Zirtek);
- mankhwala opatsirana.
Strongyloidosis - mankhwala ndi mankhwala owerengeka
Strongyloidosis zirombo zimayambitsa matenda opatsirana omwe angakhudze ziwalo za mkati, ndipo zimayambitsa zotsatira. Pachifukwa ichi, kudzipiritsa sizingatheke ndipo ngati muli ndi zizindikiro zoyamba, ndibwino kuti mwamsanga mupemphe thandizo kuchokera kwa katswiri wodziwa zambiri, kuyesa thupi lonse, ndipo ngati kuli koyenera, pitani ku chipatala.
Strongyloidosis - kupewa
Anthu omwe ali pangozi nthawi zambiri amakhala ndi chidwi ndi zomwe zimatanthauza strongyloidiasis, zizindikiro, mankhwala ndi kupewa. Otsatirawa cholinga chake ndi kupeza ndi kuwongolera madera a chilengedwe ndi anthu. Malingana ndi ntchito, malo ogwira ntchito (migodi, koloni, sukulu zapamasewera, zipatala zamaganizo ndi zina zotero) ndi magulu oopsa, muyenera kufufuza nthawi zonse.
Mphutsi za Strongyloidosis zimatetezedwa mosalekeza ndi madzi otentha kwambiri ndi kuwonjezera kwa bleach. Zomwe zilibe kachilomboka padziko lapansi zingathe kuthandizidwa ndi mankhwala a phosphate, nitrogen ndi feteleza. Musaiwale kutsatira malamulo a ukhondo, kusamba m'manja ndi sopo, kuchapa zovala ndi enzyme ufa, kuyanika kutsitsa zinthu ndipo musamapite nsapato. strongyloidiasis amachiza matenda