, kutenderera kwehupenyu uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Sei kuongororwa
• Hupenyu hwekutenderera Wuchereria bancrofti
• Nzira yekudzivirira
• Kurapwa kunoitwa sei

THE Wuchereria bancrofti, kana W. bancrofti, ndiye hutachiona hunokonzeresa lymphatic filariasis, inozivikanwa se elephantiasis, chinova chirwere chinowanzoitika mumatunhu ekunze anopisa uye ane hunyoro, kunyanya kuchamhembe nekumaodzanyemba kwakadziva kumabvazuva kweBrazil.

Utachiona uhwu hunopfuudzwa kuburikidza nekurumwa neumhutu hwejenasi Culex sp. hutachiona, hunoburitsa mhute inotapukira muropa remunhu pavanenge vachienda kumidziyo yeLymphatic, zvichizoguma nemhinduro yekuzvimba uye zviratidzo zveiyo lymphatic filariasis, sekuzvimba kwegumbo, ruoko, kana imwe nzvimbo yemuviri pane hutachiona iripo, fivha uye kurwadziwa kwemhasuru, semuenzaniso.

Zviratidzo zvikuru

Vamwe vanhu vanogona kutapukirwa ne W. bancrofti uye usaratidze chero zviratidzo uye hutachiona, nekuti mune aya mamiriro honye dzevakuru dzinogona kufa nekubviswa, pasina zviratidzo zvinokura. Nekudaro, vamwe vanhu vanogona kuona zviratidzo zvehutachiona, iwo makuru ari:

• Kupindwa nechando;
• Chills;
• Wedzera lymph nodes, apo hutachiona hunosvika kune lymphatic chain;
• Kuzvimba kwemagumo, anonyanya kuzivikanwa saelephantiasis, anogona kukanganisa makumbo, kunyanya machende kana mazamu;
• Kuvapo kwekuverenga uye kushupika nekuda kwekufa kwezvipembenene zvevakuru;
• Wedzera huwandu hweeosinophil muropa, inozivikanwa se eosinophilia, inoitika semhedzisiro yekuvapo kwehutachiona mumuviri.

Uye zvakare, zvinokwanisika kuti vamwe vanhu vatange hutachiona hwechipiri nemabhakitiriya eiyo genus Streptococcus sp., sezvo hutachiona ne W. bancrofti inosiya immune system yakanyanya kukanganiswa. Tarisa uone zvimwe zviratidzo nezviratidzo zvehutachiona na Wuchereria bancrofti.

Sei kuongororwa

Kuongororwa kwehutachiona ne Wuchereria bancrofti zvinoitwa kuburikidza nemuyedzo yemarabhoritari, nekuti kuongororwa kuburikidza nezviratidzo, kazhinji, kwakaoma, nekuti chirwere ichi chinogona kunge chisina chiratidzo kana kuva nezviratidzo zvakafanana nezvimwe zvirwere.

Kuongororwa kwerabhoritari kunoitwa kuburikidza nekuferefetwa kwemicrofilariae muropa reropa, zvakakosha kuti kuunganidzwa kweropa kuitwe husiku, nekuti iri panguva yehusiku iyo hutachiona hunowanikwa munzvimbo yepamusoro muropa, zvichibvumira kuongororwa.

Mushure mekuunganidzwa, ropa rinotumirwa murabhoritari kuti riongororwe kuburikidza nedonhwe gobvu, inova nzira inobvumidza kuona uye kuverenga kwemicrofilariae pakati pemasero eropa. Uye zvakare, humwe hunyanzvi hwekuongorora hunogona kuitwa, senge PCR uye bvunzo dzekuzvidzivirira kuti uone maantigen kana ma antibodies anorwisa hutachiona.

Hupenyu hwekutenderera Wuchereria bancrofti

Wuchereria bancrofti ine mafomu maviri ekushanduka-shanduka, iyo microfilaria uye honye yevakuru. Iyo microfilaria inoenderana nemhando yevechidiki yehutachiona uye ndiyo fomu inowanikwa muropa uye ma lymph node, nepo chimiro chevakuru chehutachiona chiripo mumidziyo yeLymphatic uye inogadzira mamwe microfilariae, ayo anoburitswa muropa.

THE Wuchereria bancrofti ine miitiro miviri yehupenyu, imwe muumhutu uye imwe muvanhu. Umhutu Culex quinquefasciatus, painoruma munhu ane hutachiona, inokurudzira microfilariae, inonziwo L1, iyo inokura kwemazuva gumi nemana kusvika makumi maviri nemana mudumbu reumhutu kusvika pachikamu cheL3 yozotama ichienda kumuromo.

Kana uchiruma mumwe munhu, humhutu hunopfuudza L3 larva, iyo inofamba ichienda mumidziyo yeLymphatic uye inokura kusvika padanho reL5, rinoenderana nedanho rekukura kwevanhu vakuru uye pabonde. L5 larva, mushure menguva yekudzivirira, inotanga kuburitsa microfilariae iri kutenderera muropa.

Nzira yekudzivirira

Kudzivirirwa kwehutachiona ne Wuchereria bancrofti iri kuburikidza nezviyero zvekudzivirira kubereka uye kuruma kwemosquito inokonzeresa kutapurirana chirwere, zvinokurudzirwa kushandisa musketeers, shandisa zvinodzinga uye kudzivirira kumira mvura, semuenzaniso. Uye zvakare, zvakakosha kuti uise mari mumatanho ehutsanana hwezvakatipoteredza, sezvo zvichikwanisika kudzivirira umhutu.

Kurapwa kunoitwa sei

Kurapa kwe W. bancrofti inofanira kuitwa zvinoenderana nekutungamira kwechiremba, zvinowanzo kurudzirwa kushandisa Diethylcarbamazine kwemazuva gumi nemaviri. Mushonga uyu ndiwo wakakodzera kwazvo kurwisa utachiona uhwu, sezvo uchibata kurwisa honye yevakuru uye nekurwisa microfilariae.

Mune zvimwe zviitiko kushandiswa kweIvermectin kunogona kukurudzirwa, zvisinei, mushonga uyu haushande uchirwisa makonye evakuru, chete kurwisa microfilariae.