Schistosomiasis

Schistosomiasis hutachiona nemhando yeropa rerukoko utachiona hunonzi schistosomes.

Iwe unogona kuwana chirwere cheschistosoma kuburikidza nekubata nemvura yakasvibiswa. Utachiona uhwu hunoshambira zvakasununguka mumatumbi akazaruka emvura yakachena.

Kana utachiona hwacho hukasangana nevanhu, hunopinda muganda uye hunokura mune imwe nhanho. Ipapo, inofamba ichienda kumapapu nechiropa, uko kwainokura ichiita chimiro chevakuru chehonye.

Iyo honye yevakuru inozoenda kune yakasarudzika chikamu chemuviri, zvichienderana nerudzi rwayo. Idzi nzvimbo dzinosanganisira:

• Dundira
• Rectum
• Matumbo
• Chiropa
• Tsinga dzinotakura ropa kubva mumatumbu kuenda kuchiropa
• Spleen
• Mapapu

Schistosomiasis haiwanzoonekwa muUnited States kunze kwevanodzoka vafambi kana vanhu vanobva kune dzimwe nyika vane hutachiona uye vava kugara muUS. Zvakajairika munzvimbo zhinji dzinopisa uye dzinodziya pasi rese.

Zviratidzo zvinosiyana nemhando yehonye uye chikamu chehutachiona.

• Zvirwere zvakawanda zvinogona kukonzera fivha, kutonhora, kuzvimba lymph node, uye kuzvimba chiropa uye spleen.
• Kana honye ikatanga kupinda muganda, inogona kukonzeresa uye nekumhanyisa (swimm's itch). Mune ino mamiriro, iyo schistosome inoparadzwa mukati meganda.
• Zviratidzo zvemukati zvinosanganisira kurwadziwa mudumbu uye manyoka (ayo anogona kunge ane ropa).
• Urinary zviratidzo zvinogona kusanganisira kugara uchiita weti, kunorwadza weti, uye ropa mune weti.

Anokuchengetedza hutano achakuongorora. Miedzo inogona kuitwa inosanganisira:

• Antibody bvunzo kuongorora zviratidzo zvehutachiona
• Biopsy yenyama
• Pedzisa kuwanda kweropa (CBC) kutarisa zviratidzo zvekushaya ropa
• Eosinophil kuverenga kuyera huwandu hwemamwe masero eropa machena
• Itsvo basa rekuyedza
• Chiropa basa bvunzo
• Stool kuongororwa kutsvaga mazai echirwere
• Urinalysis kutsvaga mazai echirwere

Iyi hutachiona inowanzo kurapwa nepraziquantel kana oxamniquine. Izvi zvinowanzo kupihwa pamwe necorticosteroids. Kana hutachiona hwakanyanya kana hunosanganisira huropi, corticosteroids inogona kupihwa kutanga.

Kurapa kusati kwaitika kukuvara kwakakomba kana kunetsekana kwakakomba kunoitika kazhinji kunogadzira mibairo yakanaka.

Aya matambudziko anogona kuitika:

• Gomarara redundira
• Kusingaperi itsvo kutadza
• Chirwere chisingaperi kukuvara uye yakawedzera spleen
• Colon (hombe ura) kuzvimba
• Itsvo uye dundira kuvhara
• Kuwedzera kweropa mumatsinga emapapu (pulmonary hypertension)
• Kudzokorora utachiona hweropa, kana mabhakitiriya achipinda muropa kuburikidza nekatsamwa colon
• Kurudyi-mativi emoyo kukundikana
• Kufenda

Fonera mupiki wako kana iwe ukaita zviratidzo zvechistisomiasis, kunyanya kana uine:

• Kufamba kunzvimbo inotonhora kana inodziya uko chirwere chinozivikanwa kuti chiripo
• Wakave pachena kune yakasviba kana inogona kunge yakasviba miviri yemvura

Tevedza nhanho idzi kuti usabatwe nehutachiona.

• Dzivisa kushambira kana kushambidza mune yakasviba kana inogona kunge yakasviba mvura.
• Dzivisa miviri yemvura kana iwe usingazive kana akachengeteka.

Hozhwa dzinogona kubata chirwere ichi. Kubvisa hozhwa mumitumbi yemvura inoshandiswa nevanhu kunogona kubatsira kudzivirira hutachiona.

Bilharzia; Katayama fever; Swimmer's itch; Ropa fluke; Snail fever

• Kushambira
• Antibodies

Bogitsh BJ, Carter CE, Oeltmann TN. Ropa rinoyerera. Mune: Bogitsh BJ, Carter CE, Oeltmann TN, eds. Yevanhu Parasitology. 5 ed. London, UK: Elsevier Dzidzo Press; 2019: chits. 11.

Carvalho EM, Lima AAM. Schistosomiasis (bilharziasis). Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 355.