Kurara kurwara

Kurara chirwere hutachiona hunokonzerwa netudiki tupukanana twakatakurwa nedzimwe nhunzi. Zvinoguma nekuzvimba kwehuropi.

Kurara kurwara kunokonzerwa nemhando mbiri dzezvirwere Trypanosoma brucei rhodesiense uye Trypanosomoa brucei gambiense. T b rhodesiense inokonzera chimiro chakanyanya kukura chechirwere.

Nhunzi dzeTsetse dzinotakura hutachiona. Kana nhunzi ine utachiona ikakuruma, hutachiona hunopararira neropa rako.

Zvinhu zvine njodzi zvinosanganisira kugara munzvimbo dzemu Africa uko chirwere ichi chinowanikwa nekurumwa nenhunzi tsets. Chirwere hachiitike muUnited States, asi vafambi vakashanyira kana kugara muAfrica vanogona kutapukirwa.

Kazhinji zviratidzo zvinosanganisira:

• Maitiro anochinja, kushushikana
• Fivha, kudikitira
• Kutemwa nemusoro
• Kushaya simba
• Kusarara usiku
• Kurara mukati mezuva (kunogona kusadzora)
• Kuzvimba lymph node kwese pamusoro pemuviri
• Yakazvimba, tsvuku, inorwadza nodule panzvimbo yekurumwa nenhunzi

Kuongororwa kunowanzoenderana nekuongororwa kwemuviri uye ruzivo rwakadzama nezvezviratidzo. Kana mupi wehutano achifungidzira chirwere chekurara, iwe unozobvunzwa nezvekufamba kwazvino. Bvunzo dzeRopa dzinozorairwa kuti dzisimbise kuongororwa.

Miedzo inosanganisira zvinotevera:

• Ropa smear kutarisa hutachiona
• Cerebrospinal fluid bvunzo (fluid kubva kune yako musana tambo)
• Yakazara kuverenga ropa (CBC)
• Lymph node kuda

Mishonga inoshandiswa kurapa chirwere ichi inosanganisira:

• Eflornithine (ye T b gambiense chete)
• Melarsoprol
• Pentamidine (ye T b gambiense chete)
• Chiratidzo (Antrypol)

Vamwe vanhu vanogona kugamuchira mubatanidzwa wemishonga iyi.

Pasina kurapwa, kufa kunogona kuitika mukati memwedzi mitanhatu kubva kukundikana kwemoyo kana kubva T b rhodesiense hutachiona pachahwo.

T b gambiense hutachiona hunokonzera chirwere chekurara uye hunowedzera kukurumidza, kazhinji kwemavhiki mashoma. Chirwere chinoda kurapwa nekukasira.

Matambudziko anosanganisira:

• Kukuvadza kwakabatana nekurara paunenge uchityaira kana pane zvimwe zviitiko
• Zvishoma nezvishoma kukuvara kwenzvimbo
• Kurara kusingadzoreki sezvo chirwere ichi chiri kuwedzera
• Coma

Ona wako mupi ipapo ipapo kana iwe uine zviratidzo, kunyanya kana iwe wakamboenda kunzvimbo uko chirwere chiri chakajairika. Zvakakosha kutanga kurapwa nekukurumidza sezvazvinogona.

Pentamidine majekiseni anodzivirira kubva T b gambiense, asi kwete kupokana T b rhodesiense. Nekuti uyu mushonga une chepfu, kuushandisa kudzivirira hazvikurudzirwe. T b rhodesiense inobatwa nesuranim.

Matanho ekudzivirira zvipembenene anogona kubatsira kudzivirira kupararira kwechirwere chekurara munzvimbo dzine njodzi huru.

Utachiona hwehutachiona - hwevanhu vemuAfrica trypanosomiasis

Bogitsh BJ, Carter CE, Oeltmann TN. Ropa uye zvinyama protistans I: hemoflagellates. Mune: Bogitsh BJ, Carter CE, Oeltmann TN, eds. Yevanhu Parasitology. 5 ed. San Diego, CA: Elsevier Dzidzo Press; 2019: chits.

Kirchhoff LV. Agent eAfrica trypanosomiasis (kurara chirwere). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Principles uye Practice yeInfectious Diseases, Yakagadziridzwa Edhisheni. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 279.