Strongyloidiasis

Strongyloidiasis chirwere chinotenderera nehonye Strongyloides stercoralis (S stercoralis).

S stercoralis gonye rinotenderera iro rakajairika munzvimbo dzinodziya, dzakanyorova. Muzviitiko zvisingawanzoitika, inogona kuwanikwa kure kuchamhembe seCanada.

Vanhu vanobata hutachiona apo ganda ravo rinosangana neivhu rakasvibiswa nehonye.

Konye kaye kashoma kuoneka neziso rakashama. Makonye madiki anotenderera anokwanisa kufamba kuburikidza neganda remunhu uye pakupedzisira achipinda muropa kusvika kumapapu nemumhepo.

Vanobva vakwira kuenda pahuro, uko kwavanomedzwa mudumbu. Kubva mudumbu, makonye anoenda kune ura hudiki, kwaanonamira kumadziro emukati. Gare gare, dzinogadzira mazai, ayo anotsvanzvadzira kuita tumakwena tudiki (makonye asina kukura) obva abuda mumuviri.

Kusiyana nemamwe makonye, ​​aya makonye anogona kupindazve mumuviri kuburikidza neganda rakatenderedza anus, iro rinobvumira hutachiona kukura. Nzvimbo dzinoenda honye kuburikidza neganda dzinogona kuve dzvuku uye dzinorwadza.

Iyi hutachiona haina kujairika muUnited States, asi inoitika kumaodzanyemba kwakadziva kumabvazuva kweUS. Kazhinji zviitiko muNorth America zvinounzwa nevafambi vakashanyira kana kugara muSouth America kana Africa.

Vamwe vanhu vari panjodzi yerudzi rwakakomba inonzi yakasimbayloidiasis hyperinfection syndrome. Mune iyi fomu yemamiriro acho, kune mamwe makonye uye anowedzera nekukurumidza zvakanyanya kupfuura zvakajairwa. Zvinogona kuitika kuvanhu vane hutachiona husina simba. Izvi zvinosanganisira vanhu vakave nenhengo kana kuisirwa-chigadzirwa-cheropa, uye avo vanotora mushonga westeroid kana mishonga inodzvinyirira immune.

Kazhinji yenguva, hapana zviratidzo. Kana paine zviratidzo, zvinogona kusanganisira:

• Kutambudzika kwepamuviri (kumusoro mudumbu)
• Kukosora
• Manyoka
• Mapundu
• Mukoko mutsvuku-senge nzvimbo dziri padhuze ne anus
• Kusvipa
• Kuonda

Iyi bvunzo inotevera inogona kuitwa:

• Ropa bvunzo senge rakazara kuwanda kweropa nemusiyano, eosinophil kuverenga (rudzi rwechena ropa sero), antigen bvunzo ye S stercoralis
• Duodenal aspiration (kubvisa shoma shoma kubva kuchikamu chekutanga chemukati mudumbu) kutarisa S stercoralis (zvisingawanzoitika)
• Sputum tsika yekutarisa S stercoralis
• Stool sampuro bvunzo kuti utarise S stercoralis

Chinangwa chekurapa ndechekubvisa makonye ane mishonga yeanti-honye, ​​senge ivermectin kana albendazole.

Dzimwe nguva, vanhu vasina zviratidzo vanorapwa. Izvi zvinosanganisira vanhu vanotora madhiragi anodzvinyirira immune system, sevaya vanozove, kana kuve navo, kuisirwa.

Nokurapwa kwakakodzera, makonye anogona kuurawa uye kupora kwakazara kunotarisirwa. Dzimwe nguva, kurapwa kunoda kudzokororwa.

Zvirwere zvakakomba (hyperinfection syndrome) kana izvo zvakapararira kunzvimbo zhinji dzemuviri (hutachiona hunoparadzirwa) zvinowanzove nemhedzisiro yakaipa, kunyanya kune vanhu vane immune system isina kusimba.

Zvinogona kuitika zvinosanganisira:

• Yakaparadzirwa strongyloidiasis, kunyanya kune vanhu vane HIV kana imwe immune system immune
• Strongyloidiasis hyperinfection syndrome, zvakare yakajairika muvanhu vane immune system isina kusimba
• Eosinophilic mabayo
• Kushaya zvinovaka muviri nekuda kwematambudziko anotora zvinovaka muviri kubva mudumbu

Shevedza musangano kuti uwane musangano wako wehutano kana iwe uine zviratidzo zve strongyloidiasis.

Hutsanana hwemunhu hwakanaka hunogona kudzikisa njodzi ye strongyloidiasis. Hutano hweveruzhinji uye nzvimbo dzehutsanana dzinopa hutachiona hwakanaka.

Ura hwemukati - yakasimbayidiidiasis; Roundworm - yakasimba

• Strongyloidiasis, zvinokambaira zvinoputika kumusana
• Digestive system nhengo

Bogitsh BJ, Carter CE, Oeltmann TN. Utumbo nematodes. Mune: Bogitsh BJ, Carter CE, Oeltmann TN, eds. Yevanhu Parasitology. 5 ed. Waltham, MA: Elsevier Dzidzo Press; 2019: chitsiko 16.

Mejia R, Weatherhead J, Hotez PJ. Utumbo nematodes (roundworms). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chitsama 286.