Amebiasis

Amebiasis chirwere chemuura. Iyo inokonzerwa netupukanana tudiki Entamoeba histolytica.

E histolytica inogona kugara muura hukuru (colon) pasina kukonzera kukuvara kweura. Mune zvimwe zviitiko, inopinda mudura rekoloni, ichikonzera colitis, acute dysentery, kana chirwere chenguva refu (chisingaperi). Utachiona hunogona zvakare kupararira kuburikidza neropa kusvika kuchiropa. Muzviitiko zvisingawanzoitika, inogona kupararira kumapapu, huropi, kana dzimwe nhengo.

Aya mamiriro anoitika pasi rese. Inowanzoitika munzvimbo dzinopisa dzinogara vanhu uye noutsanana husina kutsarukana. Africa, Mexico, zvikamu zveSouth America, neIndia zvine matambudziko makuru ehutano nekuda kwechimiro ichi.

Utachiona hungapararira:

• Kuburikidza nechikafu kana mvura yakasvibiswa nezvituru
• Kuburikidza nefetiraiza yakagadzirwa netsvina yevanhu
• Kubva pamunhu kuenda kumunhu, kunyanya nekubata muromo kana nzvimbo yakatsemuka yemunhu ane hutachiona

Njodzi dzinokanganisa amebiasis yakaoma dzinosanganisira:

• Doro shandisa
• Gomarara
• Kushaya zvokudya zvinovaka muviri
• Kuchembera kana zera diki
• Kubata pamuviri
• Nguva pfupi yapfuura kuenda kunzvimbo inopisa
• Kushandiswa kwemushonga wekorticosteroid kudzora immune system

MuUnited States, amebiasis yakajairika pakati peavo vanogara mumasangano kana vanhu vakafamba kuenda kunzvimbo ine amebiasis yakajairika.

Vazhinji vanhu vane chirwere ichi havana zviratidzo. Kana zviratidzo zvikaitika, zvinoonekwa mazuva manomwe kusvika makumi maviri nemasere mushure mekuratidzwa nehutachiona.

Zviratidzo zvinyoro zvinogona kusanganisira:

• Dumbu rinorwadza
• Dhairrhea: kupfuura kwe3 kusvika ku8 zvituru zvakavezwa pazuva, kana kufamba kwenzvimbo dzakapfava dzine mamasi uye dzimwe nguva ropa.
• Kuneta
• Gasi rakawandisa
• Rectal pain uchinge uine bundu kufamba (tenesmus)
• Kurasikirwa kwekurema kwemaune

Zviratidzo zvakakomba zvinogona kusanganisira:

• Nyoro yemukati
• Zvituru zveropa, kusanganisira kupfuudza kwezvirongo zvemvura zvine mitsetse yeropa, nzira yegumi kusvika makumi maviri zvituru pazuva.
• Kupindwa nechando
• Kusvipa

Anopa hutano anoita bvunzo dzepanyama. Iwe uchabvunzwa nezve yako nhoroondo yezvokurapa, kunyanya kana iwe uchangobva kuenda mhiri kwemakungwa.

Kuongororwa kwedumbu kunogona kuratidza kuwedzera kwechiropa kana hunyoro mudumbu (kazhinji mune kurudyi kwepamusoro quadarant).

Miedzo inogona kurairwa inosanganisira:

• Ropa bvunzo yeamebiasis
• Kuongorora kwemukati mezasi hukuru hutumbu (sigmoidoscopy)
• Chitsiko bvunzo
• Maikorosikopu kuongororwa kwechituru sampuli, kazhinji iine akawanda masampuli kwemazuva mazhinji

Kurapa kunoenderana nekuti hutachiona hwakanyanya sei. Kazhinji, mishonga inorwisa mabhakitiriya inorayirwa.

Kana iwe uchirutsa, unogona kupihwa mishonga kuburikidza netsinga (intravenously) kusvikira iwe wagona kuinwa nemuromo. Mishonga yekumisa manyoka kazhinji haina kupihwa nekuti inogona kuita kuti mamiriro acho anyanye.

Mushure mekurapa kwemishonga inorwisa mabhakitiriya, chigaro chako chingangotariswa kuti uone kuti hutachiona hwabviswa.

Mhedzisiro inowanzo kuve yakanaka nekurapwa. Kazhinji, kurwara kunotora kwemavhiki maviri, asi kunogona kudzoka kana ukasarapwa.

Zvinetso zveamebiasis zvinogona kusanganisira:

• Chiropa abscess (kuunganidzwa kwepus muropa)
• Mishonga mhedzisiro, kusanganisira kuda kurutsa
• Kupararira kwechirwere kuburikidza neropa kusvika kuchiropa, mapapu, huropi, kana dzimwe nhengo

Fonera wako mupi wezvehutano kana iwe uine manyoka asingapere kana kuwedzera kuipa.

Paunenge uchifamba munyika dzisina hutsanana, inwa mvura yakanatswa kana yakabikwa. Usadya miriwo isina kubikwa kana michero isina kuvezwa. Shamba maoko mushure mekushandisa imba yekugezera uye usati wadya.

Amebic manyoka; Utumbo amebiasis; Amebic colitis; Dhairrhea - amebiasis

• Amebic huropi hutu
• Kugaya chirongwa
• Digestive system nhengo
• Pyogenic pute

Bogitsh BJ, Carter CE, Oeltmann TN. Visceral protista I: rhizopods (amoebae) uye ciliophorans. Mune: Bogitsh BJ, Carter CE, Oeltmann TN, eds. Yevanhu Parasitology. 5 ed. London, UK: Elsevier Dzidzo Press; 2019: chits.

Petri WA, Haque R, Moonah SN. Entamoeba marudzi, kusanganisira amebic colitis uye chiropa abscess. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 272.