Echinococcosis

Echinococcosis chirwere chinokonzerwa neiyo Echinococcus granulosus kana Echinococcus multilocularis tapuru. Utachiona hunodaidzwawo kuti hydatid chirwere.

Vanhu vanotapukirwa pavanomedza mazai etapeworm mune chikafu chine hutachiona. Mazai aya anobva aumba cysts mukati memuviri. Cyst ihomwe yakavharwa kana homwe. Iwo ma cysts anoramba achikura, izvo zvinotungamira kuzviratidzo.

E granulosus chirwere chinokonzerwa netapeworms inowanikwa muimbwa uye zvipfuyo zvakaita sehwai, nguruve, mbudzi, uye mombe. Iyi tapeworms yakakomberedza 2 kusvika 7 mm kureba. Utachiona hunodaidzwa kuti cystic echinococcosis (CE). Inotungamira mukukura kwema cysts kunyanya mumapapu uye chiropa. Cysts inogona zvakare kuwanikwa mumoyo, mapfupa, uye huropi.

E multilocularis hutachiona hunokonzerwa netapeworms inowanikwa muimbwa, kitsi, makonzo, uye makava. Iyi tapeworms yakakomberedza 1 kusvika 4 mm kureba. Utachiona hunonzi alveolar echinococcosis (AE). Iyo inotyisa hupenyu mamiriro nekuti tumota-kunge kukura kunoita muchiropa. Dzimwe nhengo, dzakadai semapapu nehuropi dzinogona kukanganiswa.

Vana kana vakuru vechidiki vanowanzo tenderwa kuwana hutachiona.

Echinococcosis yakajairika mu:

• Africa
• Central Asia
• Maodzanyemba eSouth America
• Gungwa reMediterranean
• Middle East

Muzviitiko zvisingawanzoitiki, hutachiona hunoonekwa muUnited States. Izvo zvakataurwa muCalifornia, Arizona, New Mexico, uye Utah.

Njodzi zvinhu zvinosanganisira kuburitswa pachena kune:

• Mombe
• Nondo
• Tsvina dzembwa, makava, mhumhi, kana mhashu
• Nguruve
• Makwai
• Ngamera

Mapundu anogona kusaburitsa zviratidzo zvemakore gumi kana kupfuura.

Sezvo hosha inofambira mberi uye ma cysts achikura, zviratidzo zvinogona kusanganisira:

• Marwadzo mune chepamusoro kurudyi chikamu chedumbu (chiropa cyst)
• Wedzera saizi yedumbu nekuda kwekuzvimba (chiropa cyst)
• Ropa sputum (lung cyst)
• Kurwadziwa pachifuva (lung cyst)
• Chifuva (mapapu cyst)
• Yakakura seyergic reaction (anaphylaxis) apo cysts inotsemuka

Anopa hutano anoita bvunzo dzepanyama uye obvunza nezvezviratidzo.

Kana mupi achifungidzira CE kana AE, bvunzo dzinogona kuitwa kutsvaga ma cysts dzinosanganisira:

• X-ray, echocardiogram, CT scan, PET scan, kana ultrasound kuti uone ma cysts
• Ropa bvunzo, senge enzyme-yakabatana immunoassay (ELISA), chiropa chinoshanda bvunzo
• Yakanaka tsono yekudaidzira biopsy

Kazhinji kazhinji, echinococcosis cysts anowanikwa kana bvunzo yekufungidzira ichiitwa kune chimwe chikonzero.

Vanhu vazhinji vanogona kurapwa nemishonga inorwisa honye.

Maitiro anosanganisira kuisa tsono kuburikidza neganda mukati me cyst inogona kuyedzwa. Izvo zviri mukati meiyo cyst zvinobviswa (zvinoshuva) kuburikidza netsono. Zvino mushonga unotumirwa kuburikidza netsono kuuraya tapeworm. Uku kurapwa hakusi kwecysts mumapapu.

Kuvhiya ndiko kurapwa kwesarudzo kune ma cysts akakura, ane hutachiona, kana ari mune nhengo dzakadai semoyo uye huropi.

Kana iwo ma cysts achipindura kumuromo mishonga, zvingangoitika mhedzisiro yakanaka.

Bata mupi wako kana iwe ukava nezviratidzo zvechirwere ichi.

Matanho ekudzivirira CE neAE anosanganisira:

• Kugara kure nemhuka dzesango dzinosanganisira makava, mapere, uye coyotes
• Kudzivisa kusangana nembwa dzakarasika
• Kugeza maoko mushe mushure mekubata imbwa dzinovaraidza kana kitsi, uye usati wabata chikafu

Hydatidosis; Hydatid chirwere, Hydatid cyst chirwere; Alveolar cyst chirwere; Polycystic echinococcosis

• Chiropa echinococcus - CT scan
• Antibodies

Nzvimbo dzekuchengetedza Dziviriro uye Kudzivirira webhusaiti. Zvipembenene - echinococcosis. www.cdc.gov/parasites/echinococcosis/treatment.html. Yakagadziridzwa Zvita 12, 2012. Yakasvika munaNovember 5, 2020.

Gottstein B, Beldi G. Echinococcosis. Mune: Cohen J, Powderly WG, Opal SM, eds. Zvirwere zvinotapukira. 4th ed. Philadelphia, PA: Elsevier; 2017: chitsuwa 120.