Schistosomiasis

Schistosomiasis ke tšoaetso e nang le mofuta oa likokoana-hloko tsa mali tse bitsoang schistosomes.

U ka fumana tšoaetso ea schistosoma ka ho kopana le metsi a silafetseng. Likokoana-hloko tsena li sesa ka bolokolohi metsing a bulehileng a metsi a hloekileng.

Ha likokoana-hloko li kopana le batho, li ikakhela ka letlalong ebe li hola ho ea boemong bo bong. Ebe e ea matšoafong le sebeteng, moo e hōlelang sebōpehong sa batho ba baholo.

Joale sebōkō se seholo se ea karolong ea 'mele eo se e ratang, ho latela mofuta oa sona. Libaka tsena li kenyelletsa:

• Senya
• Bokalo
• Mala
• Sebete
• Metsing e tsamaisang mali ho tloha mala ho ea sebeteng
• Bokoa
• Matšoafo

Hangata Schistosomiasis ha e bonoe United States ntle le baeti ba khutlang kapa batho ba tsoang linaheng tse ling ba nang le ts'oaetso mme ba se ba lula US. Ho tloaelehile libakeng tse ngata tsa tropike le tse mongobo lefatšeng ka bophara.

Matšoao a fapana ka mofuta oa seboko le karolo ea ts'oaetso.

• Likokoana-hloko tse ngata li ka baka feberu, ho hatsela, ho ruruha lisele tsa mmele, le ho ruruha sebete le spleen.
• Ha seboko se qala ho kena letlalong, se ka baka ho hlohlona le ho phatloha (swimmer's itch). Boemong bona, schistosome e senyehile kahare ho letlalo.
• Matšoao a mala a kenyelletsa bohloko ba mpeng le letshollo (le ka bang le madi).
• Matšoao a ho ntša metsi a ka 'na a kenyelletsa ho ntša metsi khafetsa, ho ntša metsi habohloko le ho ntša mali.

Mofani oa hao oa tlhokomelo ea bophelo o tla u hlahloba. Liteko tse ka etsoang li kenyelletsa:

• Teko ea antibody ho hlahloba matšoao a tšoaetso
• Biopsy ea lisele
• Palo e felletseng ea mali (CBC) ho lekola matšoao a phokolo ea mali
• Palo ea Eosinophil ho lekanya palo ea lisele tse tšoeu tsa mali
• Liteko tsa ts'ebetso ea liphio
• Liteko tsa ts'ebetso ea sebete
• Ho hlahloba setuloana ho batla mahe a likokoana-hloko
• Urinalysis ho sheba mahe a likokoana-hloko

Ts'oaetso ena e phekoloa hangata ka praziquantel kapa oxamniquine. Hangata hona ho fanoa hammoho le corticosteroids. Haeba tšoaetso e le matla kapa e ama boko, li-corticosteroids li ka fuoa pele.

Kalafo pele ho ts'enyo e kholo kapa mathata a tebileng a hlaha hangata e hlahisa litholoana tse ntle.

Mathata ana a ka hlaha:

• Kankere ea senya
• Ho hloleha ha liphio ho sa foleng
• Tšenyo e mpe ea sebete le spleen e atolositsoeng
• Colon (mala a maholo) ho ruruha
• Ho koaloa ha liphio le senya
• Khatello ea mali e phahameng methapong ea matšoafo (pulmonary hypertension)
• Ho tšoaetsoa khafetsa ha mali, haeba libaktheria li kena maling ka kolone e halefileng
• Ho hloleha ha pelo ka lehlakoreng le letona
• Ho oa

Bitsa mofani oa hau haeba u ba le matšoao a schistosomiasis, haholo-holo haeba u na le:

• Ho etela sebakeng se chesang se mongobo kapa se chesang se mongobo moo lefu lena le tsejoang le le teng
• Re pepeselitsoe 'mele ea metsi e silafalitsoeng kapa mohlomong e silafetseng

Latela mehato ena ho qoba tšoaetso ena:

• Qoba ho sesa kapa ho hlapa metsing a silafetseng kapa a ka bang le litšila.
• Qoba mefuta ea metsi haeba u sa tsebe hore na a bolokehile.

Likhofu li ka amohela likokoana-hloko tsena. Ho tlosa likhoka ka metsing a sebelisoang ke batho ho ka thusa ho thibela tšoaetso.

Bilharzia; Feberu ea Katayama; Ho hlohlona ha sesesi; Phallo ea mali; Lefu la mohofu

• Ho sesa ho sesa
• Masole a mmele

Bohitsh BJ, Carter CE, Oeltmann TN. Mali a phalla. Ka: Bogitsh BJ, Carter CE, Oeltmann TN, eds. Parasitology ea Batho. La 5th. London, UK: Elsevier Academic Press; 2019: khaolo ea 11.

Carvalho EM, Lima AAM. Schistosomiasis (bilharziasis). Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 355.