Chagas chirwere: zviratidzo, kutenderera, kutapudza uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Kupararira kweChagas chirwere
• Hupenyu hwekutenderera
• Kurapwa kunoitwa sei
• Kufambira mberi kwekutsvaga

Chagas chirwere, chinozivikanwawo seAmerican trypanosomiasis, chirwere chinotapukira chinokonzerwa nehutachiona Trypanosoma cruzi (T. cruzi). Utachiona uhu hunowanzo kuve semugadziri wepakati chipembenene chinonyanya kuzivikanwa seyekugera uye icho, panguva yekuruma pamunhu, anoita tsvina kana weti, achiburitsa hutachiona. Mushure mekurumwa, maitiro akajairwa emunhu kuita kukwenya nzvimbo, zvisinei izvi zvinobvumidza iyo T. cruzi mumuviri uye kukura kwechirwere.

Kubatwa ne Trypanosoma cruzi inogona kuunza akasiyana matambudziko kuhutano hwemunhu, senge chirwere chemoyo uye kusagadzikana kwegadziriro yekugaya, semuenzaniso, nekuda kwekugara kwechirwere.

Iyo yekugera ine tsika yemanheru uye inodyisa chete paropa remhuka dzine vertebrate. Chipembenene ichi chinowanzo kuwanikwa mumipanda yedzimba dzemapuranga, mibhedha, mamatiresi, madhiri, matendere eshiri, hunde dzemiti, pakati pedzimwe nzvimbo, uye ine sarudzo yenzvimbo dziri padyo nekwainowana chikafu.

Zviratidzo zvikuru

Chagas chirwere chinogona kuiswa muzvikamu zviviri zvikuru, iyo yakaoma uye isingagumi chikamu. Muchikamu chakakomba kazhinji panowanzove pasina zviratidzo, zvinoenderana nenguva iyo utachiona hwacho huri kuwanda nekupararira kuburikidza neropa kuburikidza nemuviri. Nekudaro, kune vamwe vanhu, kunyanya muvana nekuda kweasina kusimba immune system, zvimwe zviratidzo zvinogona kucherechedzwa, iwo makuru ari:

• Romaña chiratidzo, kunova kuzvimba kwemaziso, zvichiratidza kuti utachiona hwapinda mumuviri;
• Chagoma, inoenderana nekuzvimba kwenzvimbo yeganda uye inoratidza kupinda kweiyo T. cruzi mumuviri;
• Kupindwa nechando;
• Malaise;
• Kuwedzera lymph nodes;
• Kurwadziwa nemusoro;
• Kusvotwa uye kurutsa;
• Manyoka.

Chikamu chisingaperi chechirwere cheChagas chinoenderana nekuvandudzwa kwechirwere mukati memitezo, zvikuru moyo negadziriro yekugaya, uye zvinogona kusakonzera zviratidzo zvemakore. Kana zvikaonekwa, zviratidzo zvakakomba, uye panogona kunge paine moyo wakawedzera, unonzi hypermegaly, kutadza kwemoyo, megacolon uye megaesophagus, semuenzaniso, mukuwedzera kune mukana wechiropa chakakura uye chirwatata.

Zviratidzo zvechirwere cheChagas zvinowanzoonekwa pakati pemazuva manomwe negumi nemana mushure mekutapukirwa nehutachiona, zvisinei kana hutachiona hukaitika kuburikidza nekudyiwa kwechikafu chine hutachiona, zviratidzo zvinogona kuoneka mushure memazuva matatu kusvika makumi maviri nemaviri mushure mehutachiona.

Kuongororwa kwechirwere cheChagas kunoitwa nachiremba zvichibva padanho rechirwere, kiriniki-epidemiological data, senzvimbo yaanogara kana kushanyira nekudyira tsika, uye kuratidza zviratidzo. Kuongororwa kwerabhoritari kunoitwa uchishandisa matekinoroji ayo anotendera kuzivikanwa kweiyo T. cruzi muropa, sedonhwe gobvu uye smear yeropa yakasvibiswa naGiemsa.

Kupararira kweChagas chirwere

Chagas chirwere chinokonzerwa nehutachiona Trypanosoma cruzi, uyo anogara pakati ndiye mugeri wezvipembenene. Chipembenene ichi, chikangodya ropa, chine tsika yekuita tsvina uye kuita weti nekukasira, kuburitsa hutachiona, uye kana munhu arumwa, utachiona uhwu hunokwanisa kupinda mumuviri nekusvika muropa, ichi chiri chimiro chikuru kufambisa chirwere.

Imwe nzira yekutapurirana ndeyekudya kwechikafu chakasvibiswa neyekugera kana tsvina yadzo, senge muto wenzimbe kana açaí. Chirwere ichi chinogona kutapuriranwa kuburikidza nekuisirwa ropa rakasvibiswa, kana kuberekwa, ndiko kuti, kubva kuna amai kuenda kumwana panguva yekuzvitakura kana yekusununguka.

O Rhodnius prolixus iri zvakare vector ine ngozi yechirwere ichi, kunyanya munzvimbo dziri padyo nesango rinonaya reAmazon.

Hupenyu hwekutenderera

Hupenyu kutenderera kweiyo Trypanosoma cruziinotanga apo hutachiona hunopinda muropa remunhu uye hunopinda mumaseru, inoshanduka kuita amastigote, inova nhanho yekusimudzira uye kuwanda kwechirwere ichi. Amastigotes anogona kuramba achipinda mumasero uye achiwanda, asi anogona zvakare kushandurwa kuita trypomastigotes, kuparadza maseru uye kutenderera muropa.

Kutenderera kutsva kunogona kutanga kana mugeri akaruma munhu ane hutachiona uye akawana hutachiona uhu. Iwo ma trypomastigotes ari mukugerwa anochinja kuita epimastigotes, kuwanda uye kudzoka kuita trypomastigotes, ayo anosunungurwa mutsvina yetsvina iyi.

Kurapwa kunoitwa sei

Kurapa chirwere cheChagas kunogona kuitwa pakutanga nekushandisa mishonga kweinenge mwedzi, inogona kurapa chirwere ichi kana kudzivirira matambudziko acho apo utachiona huchiri muropa remunhu.

Asi vamwe vanhu havasvike pakurapwa kwechirwere ichi, nekuti hutachiona hunosiya ropa uye hunotanga kugara mumatumbu anogadzira nhengo uye nekuda kwechikonzero ichocho, inova yekurwisa kusingaperi kunyanya moyo nehurongwa hwekutyaira nenzira inononoka asi inofambira mberi. . Dzidza zvakawanda nezve kurapwa kweChagas chirwere.

Kufambira mberi kwekutsvaga

Mune ongororo ichangoburwa, zvakawanikwa kuti mushonga unoshandiswa kurwisa malaria une zvaunoita pa Trypanosoma cruzi, Kudzivirira utachiona uhwu kubva mukugera nzira yekugera uye kusvibisa vanhu. Uye zvakare, zvakave nechokwadi kuti mazai evakadzi vane barber vane hutachiona haana kusvibiswa neiyo T. cruzi uye kuti vakatanga kukandira mazai mashoma.

Kunyangwe paine mhedzisiro, uyu mushonga hauratidzwe pakurapa chirwere cheChagas, nekuti kuti uve nechakanaka, madosi epamusoro akakosha, izvo zvine huturu kuvanhu. Nekudaro, vaongorori vari kutsvaga zvinodhaka zvine zvakafanana kana zvakafanana mashandiro ezviito uye kuti muzvikamu zvakadzika zvine chepfu kune muviri zvine maitiro akafanana.