I-parasitosis yamathumbu, i-anguillulosis yisifo esixhunyaniswe nokuba khona kwesikelemu emathunjini, i-Strongyloid stercoralis kanye ne-Strongyloid egcwele i-bomi engavamile kakhulu. Kuvamile emazweni ashisayo. Kuyimbangela yobuhlungu bokugaya ukudla, isifo sohudo noma ukuqunjelwa, kanye nokuwohloka kwesimo esijwayelekile. 

I-Anguillulosis i-parasitosis yokugaya ukudla exhumene nokuba khona kwesikelemu emathunjini amancane, i-Strongyloid stercoralis kanye ne-Strongyloid full bomi okungavamile kakhulu. 

Ukungcola kwenzeka kanjani?

Ukungcola kwenzeka ezibungwini ezikhona emanzini angcolile futhi ezizodlula esikhumbeni. Lezi zibungu zizothola igazi noma i-lymphatic circulation (imithambo ye-lymphatic) ukuze idlule enhliziyweni, emaphashini, ku-trachea bese igwinywa ukuze ifinyelele engxenyeni yokuqala yamathumbu amancane, i-duodenum nejejunum.

Uma zifika kule ngxenye yamathumbu, zizobhoboza ku-mucosa yamathumbu bese ziphenduka isibungu esidala, i-eel. Lesi sikelemu esiyindilinga sizozalela amaqanda nge-parthenogenesis (ngaphandle kokungenelela kwesikelemu wesilisa) okuzoba yizibungu, ezizokhishwa indle ukuze zingcolise abanye abantu.

Le parasitosis yamathumbu ivamile emazweni ashisayo njenge-black Africa, i-West Indies, i-Central America, i-Indian Ocean kanye nezingxenye zaseNingizimu-ntshonalanga ye-Asia. Amacala ambalwa abikwe eMpumalanga Yurophu naseFrance. Kuthinta abantu abayizigidi ezingu-30 kuya kwezingu-60 emhlabeni wonke.

Abantu bangcoliswa amanzi angcoliswe indle, lapho behamba bengafake zicathulo odakeni noma ngokugeza emachibini amancane noma emachibini angcolile. Kungenzeka futhi ukuthi ungcoliswe ngokuhamba ngezinyawo ezingenalutho esihlabathini solwandle.

Lokhu kungcola kuwumphumela wezibungu ezikhona kula manzi amile emazweni ashisayo, ezizonqamula isikhumba kanye nolwelwesi lwamafinyila ukuze zifuduke ngaphakathi emzimbeni. Ukuba khona kwalezi zibungu kuthanda izimo zenhlanzeko ezimbi endaweni (ingozi yendle), ngomswakama kanye nokushisa. Ukungcoliswa ngokocansi (sodomy) nakho kungenzeka.

Izimpawu ziwuhlobo oluhlukile kuye ngesigaba sokuvuthwa ukusuka eqhweni kuya kumkelemu omdala:

Izifo zesikhumba

Zenziwa ukungena kwezibungu esikhumbeni, okubangela ukuqubuka kwama-pimples (ama-papules) ezindaweni zokungena kwezibungu ezihambisana nokusabela kwe-allergic yendawo (i-hives, ukulunywa).

Izinkinga zokuphefumula

Zingavela njengoba izibungu zifudukela emaphashini ngokukhwehlela okucasulayo, ukuphelelwa umoya okubonisa isifuba somoya.

Izinkinga zokugaya ukudla 

Ngokuba khona kwesibungu esidala ekuqaleni kwamathumbu amancane (ukuvuvukala kwe-duodenum, ubuhlungu besisu, isifo sohudo, ukuqunjelwa, ukucasuka esifundeni se-anal). Kodwa ekuqaleni kwe-parasite infestation, zimbalwa noma azikho izimpawu zokugaya cishe isigamu samacala.

Ukubhekana nezinkinga 

Kamuva noma kumuntu onokuzivikela komzimba (ukwehla kokuzivikela komzimba ngenxa yokugula noma ukwelashwa), izimpawu zinzima kakhulu futhi zingaholela ekuguqulweni kwesimo esijwayelekile (AEG) ngokuncipha kwesisindo, i-anorexia, ukukhathala okukhulu (i-asthenia enzima). 

Ezinye izinkinga zingenzeka, ikakhulukazi ezithathelwanayo, njenge-septicemia (i-microbe edlula egazini), amathumba amaphaphu nobuchopho, kanye nezifo zamaphaphu (i-pneumopathy). Amagciwane atholakalayo anemvelaphi yokugaya ukudla. Lezi zifo ezinzima zingaholela ekufeni uma ukwelashwa kunganikezwa ngesikhathi.

Izimpawu zebhayoloji zitholakala ekuhlolweni kwegazi ngokuphindaphindeka kohlobo oluthile lwamangqamuzana amhlophe egazi, ama-eosinophil, ngokuvamile atholakala phakathi kuka-2 no-7% futhi angatholakala ku-40 noma 60% wawo wonke amangqamuzana egazi. mhlophe.

Okokugcina, ukuhlolwa kwe-parasitological of the stool kanye nokusesha amasosha omzimba e-anti-Strongyloides egazini (ukuhlolwa kwe-Elisa) kungase kuthole ubukhona bezibungu ze-eel futhi kube kuhle ekuhlolweni (Isincomo Esiphezulu Sezempilo 2017).

Ukwelashwa kokuqala kwe-Anguillulosis kuzoba i-antiparasitic, ivermectin, kumthamo owodwa, 83% osebenzayo. Okunye ukwelashwa kwe-antiparasite nakho kuhlinzekwa uma kunesidingo. Lezi zindlela zokwelapha zizohlanganiswa nokwelashwa ngama-antibiotic ukuze kwelaphe izinkinga ezithathelwanayo zale parasitosis.

Okokugcina, ngezindlela ezinzima, ezinye izindlela zokwelapha nazo zizosetshenziswa kuye ngezinkinga ezikhona.

I-Prophylaxis (ukuvimbela) isekelwe ekulweni nengozi yendle ngokuqinisekisa inhlanzeko engcono emazweni athintekayo kanye nezimo zokuphila ezingcono.