Hoʻohālikelike ʻia ka Elephantiasis e ka pehu ʻana o nā lālā, ʻo ka pinepine o nā wāwae, a pili pū kekahi i nā genital. Mai kēia ʻano ʻē, ke hāʻawi nei i nā lālā haʻahaʻa o ka mea i hoʻopilikia ʻia ke ʻano e like me nā wāwae o ka ʻelepani, loaʻa ka inoa i kēlā elephantiasis. Hiki i kēia pathology ke loaʻa i nā kumu ʻelua ʻokoʻa loa. ʻO ka mea maʻamau ka maʻi parasite, aia ma ʻApelika a me ʻĀkia: ʻo ka mea i hoʻokumu ʻia e kahi parasite filifiliaorm, ua kapa ʻia hoʻi ia ʻo lymphatic filariasis. ʻO kekahi palapala, ʻo kā mākou elephantiasis warts, He hihia kūikawā nui ia i hoʻopili ʻia i ka ālai ʻia o nā moku lymphatic.

Ka wehewehe ʻana o ka elephantiasis

Hoʻohālikelike ʻia ka Elephantiasis e ka pehu ʻana o nā lālā o lalo e like me nā wāwae elepani. ʻO nā kuhi kahiko loa o kēia pathology i loaʻa i kēia mau makahiki ma mua o 2000 mau makahiki BC Pēlā, ua hōʻike ʻia kahi kiʻi o ka pharaoh Mentuhotep II me ka wāwae pehu, kahi ʻano o ka elephantiasis, a ʻo ia hoʻi kahi hōʻailona he maʻi nui i kapa ʻia hoʻi filariasis lymphatic. ʻO kēia maʻi parasite, i kēia manawa ma Asia a me ʻApelika, ʻaʻole loa ia mai ʻEulopa.

ʻO ke ʻano ʻē aʻe o nā elephantiasis, kapa ʻia ʻo ʻO kā mākou elephantiasis warty, ka mea i hiki ke loaʻa ma Palani, ma muli o ka ālai ʻana o nā kīʻaha lymphatic, ma muli a i ʻole i kahi maʻi bacteria. Kūmau mau ia.

Nā kumu o ka elephantiasis

ʻO Elephantiasis kahi hiʻohiʻona loa o ka lymphatic filariasis: kahi maʻi i hoʻokumu ʻia e nā parasite liʻiliʻi, a i ʻole filaria, e moe ana i ke koko a me nāʻiʻo o ke kanaka, a lawe ʻia e nā makika, kā lākou vector. 90% kēia mau ilo ʻO Wuchereria Bancrofti, nā ʻano ʻē aʻe ka hapanui Brugia Malayi et Makaʻu ʻo Brugia. ʻO nā larvae he microfilariae, e noho nei i loko o ke koko. Ke lilo lākou i mau mākua, loaʻa kēia mau parasite i ka ʻōnaehana lymphatic, ʻo ia nā hale a me nā moku āpau e hana nui i ka ʻōnaehana pale. Noho kēia filaria i loko o nā kīʻaha lymphatic a ālai iā lākou, e hoʻoulu ana i hoʻokahi a ʻoi paha nā lālā. Pili kēia i nā kīʻaha lymphatic ma ka ʻaoʻao haʻahaʻa o ke kino, e laʻa me ke kī, nā genital a me nā ʻūhā.

No ka kā mākou elephantiasis verrucous, no laila ʻaʻole i hoʻokumu ʻia e ka parasite, pili ke kumu o ka lymphedemas i kahi ālai ʻia o nā kīʻaha lymphatic, a i ʻole kumuwaiwai paha ia. E hoʻopili ʻia ʻo Lymphedema i kahi mokuʻāina hoʻomau o ka pehu.

Hiki i nā hanana ʻē aʻe ke kumu i ka elephantiasis: nā maʻi i kapa ʻia ʻo leishmaniasis, nā maʻi streptococcal hou, hiki i nā hopena o ka lawe ʻia ʻana o nā lymph nodes (pinepine me ka pahuhopu o ka pale ʻana i ka ulu ʻana o ka maʻi ʻaʻai), a i ʻole pili ʻia i kahi hānau hānau hoʻoilina.

PalekanaEND_LINK

Pono e hana ʻia kahi hōʻailona hoʻokolohua inā loaʻa ka pehu o ka lālā i lalo, a i ʻole inā ʻoi aku ka ʻōlelo o ka pehu ma kekahi lālā ma mua o ka lua. ʻO ka hana diagnostic mua no ka filiarosis lymphatic e hoʻokumu i kahi moʻaukala o ka hōʻike ʻana i ka parasite ma nā wahi endemik. A laila hiki i nā hoʻokolohua hoʻokolohua ke hōʻoia i ka ʻike.

• Hoʻokumu ʻia kēia mau hoʻokolohua ma ka ʻike ʻana o nā lāʻau ʻino.
• Hiki i kahi biopsy ʻili ke kōkua i ka ʻike ʻana i ka microfilariae. 
• Aia kekahi ala e pili ana i ka ultrasound, kahi ʻano o ultrasound vascular i hiki ke huli a ʻike i nā neʻe o ka parasite makua.
• ʻO nā ʻenehana ʻike e like me nā hoʻokolohua PCR e hiki ai ke hōʻike i ke kū ʻana o ka DNA parasite, i loko o nā kānaka a me nā makika.
• ʻO Lymphoscintigraphy, kahi hana no ka ʻimi ʻana i nā moku lymphatic, ua hōʻike ʻia ʻoiai i ka wā mua a me nā pae asymptomatic clinically, hiki ke ʻike ʻia nā mea lymphatic ma nā akemāmā o ka poʻe i loaʻa i ka maʻi.
• Hoʻomaʻamaʻa nui a kikoʻī nā hōʻike Immunochromatographic no ka hōʻailona o ka maʻi ʻo W. Bancrofti.

E pili ana i nā elephantiasis nostras verrucosa kakaikahi loa, hiki ke ʻike ʻia e ka phlebologist. Hōʻike ʻo ia iā ia iho ma kāna keʻena lapaʻau.

Pili ka poʻe

• 120 miliona mau kānaka ma ka honua holoʻokoʻa e hoʻopili ʻia, 40 miliona o lākou e ʻehaʻeha ʻia mai nā ʻano koʻikoʻi me nā hōʻike olakino koʻikoʻi o nā lymphatic filariasis: lymphedemas, elephantiasis a me hydrocele.
• Hoʻopili kēia maʻi i nā lehulehu ma ʻApelika a me ʻAsia, a me ka Pākīpika komohana. Aia ka pathology akā ʻaʻole maʻamau ma ʻAmelika a me ka hikina o ke Kaiwaenahonua, a ʻaʻole loa ia ma ʻEulopa.
• ʻO nā mākua, ʻoi aku ma waena o 30 a 40 mau makahiki, ʻoi aku ka hopohopo ma mua o nā keiki, no ka mea ʻoiai hoʻomaka pinepine kēia maʻi i ka wā kamaliʻi, aia i nā mākua ka mea nui o ka filariasis, ma muli o ka ālai holomua. nā moku lymphatic.
• ʻO nā hihia o ka elephantiasis ma Palani hiki i nā hopena hopena ma hope o ka hemo ʻana o nā lymph node, e laʻa me ka maʻi ʻaʻai.

Nā mea pilikino

Hoʻonui ka lawe ʻana o ka parasite i ke kaiāulu ke piʻi aʻe ka makaʻu inā maikaʻi ʻole nā ​​kūlana hoʻomaʻemaʻe.

ʻO ka ʻōuli nui loa o ka elephantiasis ka ʻōhū, ka ʻaoʻao ʻelua a ʻelua paha, o nā lālā o lalo. Palupalu a hoʻoliʻiliʻi kēia mau ʻōhū ʻana i nā wā mua, akā paʻakikī a paʻa i ka hoʻopā, i nā liona kahiko.

I nā maʻi kāne, hiki i ka filiariasis lymphatic ke hōʻike iā ia iho ma ke ʻano he pehu o ka scrotum a i ʻole hydrocele (kahi ʻeke i piha me ka wai i ka scrotum). I nā wahine, he pehu paha o ka puʻupuʻu, ʻaʻole palupalu a koe nā hihia o ke komo nui.

Aia kekahi ʻōloe, a pilau.

Nā ʻōuli ʻē aʻe i ka wā koʻikoʻi

• Fiva.
• ʻEha ma ka lālā i loaʻa i ka maʻi.
• Nā meheu ʻulaʻula a maʻalahi hoʻi.
• Nā hōʻoluʻolu.

Nā Hiʻona oko mākou elephantiasis warty kokoke, me ke alo mau o kahi lālā o ke kino i pehu, ua ʻike ʻia lākou e nā warts ma ka ʻili.

Aia kekahi mau ʻano therapies no ka mālama ʻana i nā elephantiasis e pili ana i nā parasites:

• Nā lāʻau lapaʻau: ivermectin a me suramin, mebendazole a me flubendazole, a i ʻole diethylcarmazine, a me albendazole.
• Nā hana ʻoki lāʻau: Hiki ke mālama ʻia ʻo Hydrocele me nā kaʻina hana, e like me ka excision. Hiki ke mālama ʻia kahi lālā i loaʻa i ka maʻi i loaʻa ʻia i ka lāʻau.
• Hoʻomaʻamaʻa wela: Ua hōʻoia maikaʻi ka Pake i kahi hana hou i ka mālama ʻana i ka lymphedema, kahi e wela ai a me ke anuanu.
• Nā lāʻau lapaʻau: ua kuhikuhi ʻia kekahi mau mea kanu no nā kenekulia i ka mālama ʻana i nā elephantiasis. ʻO Vitex negundo L. (nā aʻa), Butea monosperma L (nā aʻa a me nā lau), ʻO Ricinus Communis L. (pepa), Aegle marmellos (pepa), Canthium mannii (rubiacées), ʻO Boerhaavia diffusa L. (mea kanu holoʻokoʻa).

Aia kekahi mau ʻōkuhi i kahi e mālama ai i nā elephantiasis o ke kumu non-parasite, a paʻakikī loa e mālama.

• Massages, bandages, kaomi.
• Maʻemaʻe ʻili.
• Ka hemo ʻana o nā aʻa i ka ʻoki ʻana debridement.
• ʻO ka laser kalapona kalapona Ablative, kahi hana hou i hoʻokolohua maikaʻi ʻia.

Kāohi lāʻau lāʻau o filariasis

ʻO nā papahana ʻoi loa o ka hoʻoponopono lāʻau lāʻau i nā makahiki he ʻumikūmākolu i hala aku nei, e like me ka World Health Organization (WHO), i pale a hoʻōla ʻia ma mua o 96 miliona mau hihia. Hiki ke hoʻopau ʻana i kēia filariasis lymphatic ma o ke kāpae ʻana i ke kalapona o ka lawe ʻana o ka parasite.

• I ka ʻoiaʻiʻo, ka hāʻawi ʻana i ka lāʻau ma ka pae nui i nā kaiāulu holoʻokoʻa kahi e loaʻa ai ka maʻi parasite ke kōkua i ka hōʻoki ʻana i ka maʻi. ʻO kēia kumumanaʻo, ʻo ia ka lāʻau hoʻomalu lāʻau hoʻomalu, ʻo ia hoʻi ka hāʻawi ʻana i kahi lāʻau i hoʻohui ʻia o nā lāʻau ʻelua i kēlā me kēia makahiki i ka lehulehu i ka makaʻu.
• No laila, hāʻawi ʻia ʻo albendazole (400 mg) me ka invermectin (150 a 200 mg / kg) a i ʻole me diethylcarbamazine citrate (6 mg / kg). ʻO kēia mau lāʻau, me nā hopena i kaupalena ʻia i nā parasite makua, e hoʻoliʻiliʻi pono i ka helu o microfilariae i ke kahe o ke koko, a i ʻole nā ​​ʻenela parasite. Pale lākou i ka hoʻolaha a hoʻomohala ʻana i nā makika. Hiki i nā ʻano mākua o ka parasite ke ola mau no nā makahiki.
• I nā ʻāina kahi i loaʻa ai kahi parasite ʻē aʻe, i kapa ʻia ʻo Loa loa, pono e hāʻawi ʻia kēia papa hana pale i ʻelua manawa o ka makahiki.

ʻO ʻAigupita ka ʻāina mua ma ka honua i hoʻolaha i ka hoʻopau loa ʻia o nā lymphatic filariasis, e like me ka WHO.

Kaohi o nā makika vector

Hiki i ka kaohi ʻana o ka maʻi maʻi, ka makika, ke hoʻonui i nā hana hoʻopau, ka hoʻēmi ʻana i ka nui o ka makika, a me ka pale ʻana i ka pilina ma waena o nā kānaka a me nā makika. ʻO nā hana e kāohi i ka malaria, e nā aerosols a me nā insecticides, he mau hopena palekana maikaʻi e ka hoʻoliʻiliʻi hoʻi i ka lawe ʻia o nā lymphatic filariasis.

ʻO ka palekana oko mākou elephantiasis warty

I nā ʻōlelo e pili ʻole ana i ka elephantiasis i ka parasite, pono e hoʻomaopopo ʻia, ma ka laulā, ka pale ʻana i ka momona, ʻo ia kekahi o nā mea pilikia.

i ka hopena

Mai ka makahiki 1997 ua hoʻomaka ʻia kēia mau kaʻina a pau i ka hoʻopau ʻia ʻana o ka filariasis lymphatic ma ke ʻano he pilikia olakino lehulehu. A i ka 2000, ua hoʻokumu ʻo WHO i ka papahana honua no kēia hoʻopau ʻana, me nā ʻāpana ʻelua:

• hooki i ka laha ana o ka maʻi (ma ke keʻakeʻa i ka lawe ʻana).
• e hōʻoluʻolu i ka ʻehaʻeha o nā lehulehu i hoʻopilikia ʻia (e ka kaohi ʻana i nā maʻi o ka maʻi), ma o kahi kaila lapaʻau, e like me ke ʻoki ʻana, ka hoʻomaʻemaʻe maikaʻi a me ka mālama ʻana i ka ʻili, i mea e pale aku ai i ka maʻi nui o ka maʻi.