ʻO Anguillulosis: he aha nā hōʻailona o kēia maʻi tropical?
ʻO ka parasitosis o ka ʻōpū, ʻo ka anguilluosis kahi maʻi i hoʻopili ʻia i ke alo o kahi ʻōpū pōʻai i loko o ka ʻōpū, Strongyloid stercoralis a ʻoi aku ka kakaikahi Strongyloid full bomi. He mea maʻamau ia ma nā ʻāina wela. ʻO ia ke kumu o ka ʻeha digestive, ka maʻi maʻi a i ʻole ka constipation, a me ke ʻano o ke ʻano maʻamau.
He aha ka anguilluosis?
ʻO ka Anguillulosis kahi parasitosis digestive i hoʻopili ʻia me ka hiki ʻana o kahi ilo pōʻai i loko o ka ʻōpū liʻiliʻi, Strongyloid stercoralis a ʻoi aku ka paʻakikī Strongyloid full bomi.
Pehea e hiki mai ai ka haumia?
Loaʻa ka ʻinoʻino mai nā larvae i loko o ka wai lepo a hele i loko o ka ʻili. E loaʻa i kēia mau larva ke koko a i ʻole ka lymphatic circulation (lymphatic vessels) e hele i loko o ka puʻuwai, ka māmā, ka trachea a laila e moni ʻia a hiki i ka hapa mua o ka ʻōpū liʻiliʻi, ka duodenum a me ka jejunum.
Hiki i kēia ʻāpana o ka ʻōpū, e ʻeli lākou i loko o ka ʻōpū o ka ʻōpū a lilo i ilo makua, ʻo ia ka puhi. E hoohua ana keia ilo poepoe ma ka parthenogenesis (me ke komo ole o ka ilo kane) a lilo ia i ilo, a e kipaku ia e ka stool i mea e hoohaumia ai i kekahi poe.
He mea maʻamau kēia parasitosis intestinal i nā ʻāina wela e like me ʻApelika ʻeleʻele, West Indies, Central America, Indian Ocean a me nā ʻāpana o Southwest Asia. Ua hōʻike ʻia kekahi mau hihia ma ʻEulopa Hikina a me Farani. Hoʻopilikia ia i 30 a 60 miliona mau kānaka ma ka honua holoʻokoʻa.
He aha nā kumu o ka Anguillulosis?
Ua haumia nā kānaka i ka wai i haumia i nā feces, ke hele wāwae ʻole i ka lepo a i ʻole ma ka ʻauʻau ʻana i nā loko liʻiliʻi a i ʻole nā loko haumia. Hiki nō ke hoʻohaumia ʻia e ka hele wāwae ʻole ma ke one ma ke kai.
ʻO kēia hoʻohaumia ʻana ʻo ia ka hopena o nā elo i loaʻa i loko o kēia mau wai paʻa i nā ʻāina wela, kahi e hele ai i ka ʻili a me nā membrane mucous e neʻe i loko o ke kino. ʻO ka loaʻa ʻana o kēia mau larvae ua makemake ʻia e nā kūlana maʻemaʻe maikaʻi ʻole ma ka ʻāina (faecal danger), ma ka haʻahaʻa a me ka wela. Hiki nō hoʻi ka hoʻohaumia ʻana i ka moekolohe (sodomy).
He aha nā hōʻailona o ka Anguilluosis?
He ʻano ʻokoʻa nā hōʻailona ma muli o ke ʻano o ka oʻo ʻana mai ka larva a i ka ilo makua:
Nā maʻi ʻili
Hana ʻia lākou e ke komo ʻana o nā larvae i loko o ka ʻili, e hoʻoulu ai i nā pimples (papules) ma nā wahi o ke komo ʻana o nā larvae e pili ana i nā hopena maʻi kūloko (hives, itching).
Nā pilikia hanu
Hiki ke ʻike ʻia ma ke ʻano o ka neʻe ʻana o nā larvae i loko o ka māmā me kahi ʻuhu hoʻonāukiuki, pōkole o ka hanu e hōʻike ana i ka hānō.
ʻO nā maʻi he digestive
Ma ke alo o ka ilo makua i ka hoʻomaka ʻana o ka ʻōpū liʻiliʻi (ka ʻeha o ka duodenum, ka ʻeha ʻōpū, ka ʻōpū, ka constipation, ka huhū ma ka ʻāpana anal). Akā i ka hoʻomaka ʻana o ka infestation parasite, he liʻiliʻi a ʻaʻole ʻole nā hōʻailona digestive i ka hapalua o nā hihia.
ʻO ke kū ʻana me nā pilikia
Ma hope a i ʻole ma kahi kanaka immunocompromised (e emi ana ka pale ma muli o kahi maʻi a lapaʻau paha), ʻoi aku ka koʻikoʻi o nā hōʻailona a hiki ke alakaʻi i ka hoʻololi ʻana i ke kūlana maʻamau (AEG) me ka poho kaumaha, anorexia, luhi nui (severe asthenia ).
Hiki i nā pilikia ʻē aʻe, ʻo ia hoʻi ka maʻi maʻi, e like me septicemia (he microbe i komo i loko o ke koko), ka ʻūmāmā a me ka lolo, a me nā maʻi o ka māmā (pneumopathy). ʻO nā microbes i loaʻa mai ke kumu digestive. Hiki i kēia mau maʻi koʻikoʻi ke alakaʻi i ka make inā ʻaʻole hāʻawi ʻia ka lāʻau lapaʻau i ka manawa.
Loaʻa nā hōʻailona olaola ma kahi hoʻāʻo koko me ka hoʻonui ʻana o kekahi ʻano o nā keʻokeʻo keʻokeʻo keʻokeʻo, eosinophils, aia ma waena o 2 a me 7% a hiki ke loaʻa i loko o 40 a i ʻole 60% o nā ʻāpana koko āpau. keʻokeʻo.
ʻO ka mea hope loa, ʻike ʻia kahi hoʻokolohua parasitological o ka stool a me ka ʻimi ʻana i nā antibodies anti-Strongyloides i loko o ke koko (Elisa ho'āʻo) e ʻike i ke alo o nā larvae eel a maikaʻi no ka hoʻāʻo (High Authority for Health recommendation 2017).
He aha nā lāʻau lapaʻau no Anguilluosis?
ʻO ka hoʻomaka ʻana o ka mālama ʻana no Anguillulosis he antiparasitic, ivermectin, i hoʻokahi maʻa, 83% pono. Hāʻawi ʻia nā lāʻau antiparasitic ʻē aʻe inā pono. E hui pū ʻia kēia mau lāʻau lapaʻau me kahi lāʻau antibiotic e mālama i nā hoʻopiʻi maʻi o kēia parasitosis.
ʻO ka mea hope loa, ma nā ʻano koʻikoʻi, e hoʻokō ʻia nā lāʻau lapaʻau ʻē aʻe ma muli o nā pilikia i loaʻa.
Hoʻokumu ʻia ka prophylaxis (pale) ma ka hakakā ʻana i ka pōʻino faecal ma ka hōʻoia ʻana i ka maʻemaʻe ʻoi aku ka maikaʻi o nā ʻāina i pili a me ka maikaʻi o ka noho ʻana.