Kurapa kweiyo visceral leishmaniasis: mishonga uye kuchengetedza

Zvemukati

• Mishonga yakanyanya kushandiswa
• Kuchengeta panguva yekurapa
• Zviratidzo zvekuvandudza
• Zviratidzo zvekuwedzera

Kurapa kwevanhu visceral leishmaniasis, inozivikanwawo se kala azar, inoitwa, kunyanya, nePentavalent Antimonial Compound, kwemazuva makumi maviri kusvika makumi matatu, nechinangwa chekurwisa zviratidzo zvechirwere.

Visceral Leishmaniasis hutachiona hunokonzerwa muBrazil neprotozoanLeishmania chagasi, iyo inoparadzirwa nezvipembenene zverudziLutzomyia longipalpis uyeLutzomyia cruzi. Chirwere ichi chinowedzera kukura uye chinogona kuve chakakomba, saka, pamberi pezviratidzo nezviratidzo zvinoratidzira visceral Leishmaniasis, zvakakosha kutsvaga kurapwa, kuti uwane kuongororwa kwakanaka uye kurapwa. Dzidza zvakawanda nezve maitiro ekuona visceral leishmaniasis.

Pamusoro pemishonga yekubvisa iyo protozoan, kurapwa kunofanirwa kusanganisira kudzora kwezvinowanzoitika chirwere ichi, senge kupererwa neropa, manyoka, kushaya zvinovaka muviri, kubuda ropa uye hutachiona nekuda kwekudonha kwekuzvidzivirira, sezvo aya ari mamiriro anoshayisa simba uye anogona kuisa hupenyu hwemunhu huri panjodzi.

Mishonga yakanyanya kushandiswa

Mishonga mikuru inoshandiswa kurapa visceral Leishmaniasis ndeyePentavalent Antimonial Compound, senge meglumine antimoniate uye sodium stibogluconate, inova ndiyo nzira yekurapa, inoshandiswa mumisungo yemudumbu kana yehutachiona, kwemazuva makumi maviri kusvika makumi matatu. Tsvaga zvimwe nezve mashandisiro uye mutengo wemushonga unonyanya kushandiswa pakurapa Leishmaniasis.

Muzviitiko zvishoma, iyi mishonga inogona kukonzeresa mhedzisiro, senge arrhythmias, muviri aches uye kushaya kudya, uye zvinopesana nevanhu vane itsvo kana chiropa kutadza, mune vakadzi vane nhumbu mumatanhatu maviri ekutanga epamuviri uye mune zviitiko zvinoratidza zviratidzo zve shanduko muiyo electrocardiogram, inozivikanwa sekuwedzera kweiyo nguva yeQT.

Dzimwe nzira dzisiri mumamiriro ekushaikwa kana kupesana nemishonga iyi liposomal Amphotericin B, colloidal dispersion-Amphotericin B, Pentamidines uye immunomodulators, senge gamma interferon uye GM-CSF, kuwedzera kuMiltefosina, inovawo mushonga wemuromo pakurapa. of leishmaniasis.

Kuchengeta panguva yekurapa

Usati watanga kurapwa, dzimwe nzira dzekuchengetedza dzinofanirwa kucherechedzwa, pakati padzo kuongororwa uye kudzikama kwemamiriro emakiriniki anokonzerwa nechirwere ichi, sekushongedza kana kuwedzerwa kwekubuda ropa, iron uye vhitamini kutsiva kana, kana zvichidikanwa, kuwedzerwa ropa, kubatsira kurapwa. kupora kubva kupererwa neropa, chikafu nemaprotein uye macalorie ekuvandudza kushomeka kwezvakakwana uye kushandiswa kwemishonga inorwisa mabhakitiriya kurapa hutachiona.

Mushonga unogona kuitirwa pamba, chero bedzi munhu wacho achikwanisa kuwana rubatsiro rwakakosha munzvimbo ino uye achigona kuenda kuchipatara kunotora mishonga uye nekuvandudzwa kwekurapa. Uye zvakare, kuchengetwa muchipatara kunofanirwa kukurudzirwa chero paine:

• Yakanyanya kupererwa neropa, ine hemoglobin isingasviki 5 g / dL;
• Manyoka akakura kana kwenguva refu;
• Kusadya kwakakwana;
• Kuvhenekera kuvapo;
• Kuzvimba kwakazara;
• Kuvapo kwezvimwe zvinosangana nezvirwere, senge yakakwira BP, chirwere chemwoyo, nephropathy kana chirwere chechiropa;
• Vana vari pasi pemwedzi mitanhatu kana vanhu vakura vanopfuura makore makumi matanhatu nemashanu ekuberekwa;
• Kana chirwere ichi chadzoka mushure mekurapwa kwapera kana pasina mhinduro kurapa.

Uye zvakare, mushure mekunge kurapwa kwapera, munhu wacho anofanira kuteverwa nachiremba mushure memwedzi mitatu, mitanhatu uye gumi nemiviri uye, kana akaramba akatsiga pakuongorora kwekupedzisira, murwere anoonekwa seanorapwa.

Zviratidzo zvekuvandudza

Zviratidzo zvekuvandudza zvinogona kutoonekwa mushure mevhiki yekutanga mushure mekutanga kwekurapa uye zvinoratidzwa nekudzikiswa kwefivha, kuderera kwedumbu rakazvimba, kuwedzera uremu uye kupora kwechimiro.

Zviratidzo zvekuwedzera

Zviratidzo izvi zvinowanzoitika kana kurapwa kusati kwatanga nekukurumidza uye kunosanganisira kuwedzera kana kudzoka kwefivha, kuonda, kugara uchishaya simba, hutachiona uye hutachiona hutachiona mumuviri nekubuda ropa.