Ho robala ho kula

Boloetse ba ho robala ke tšoaetso e bakoang ke likokoana-hloko tse nyenyane tse tsamaisoang ke lintsintsi tse itseng. E fella ka ho ruruha ha boko.

Boloetse ba ho robala bo bakoa ke mefuta e 'meli ea likokoana-hloko Trypanosoma brucei rhodesiense le Trypanosomoa brucei gambiense. T b rhodesiense e baka mofuta o matla haholo oa bokuli.

Lintsintsi tsa Tsetse li jara tšoaetso. Ha ntsintsi e nang le tšoaetso e u loma, tšoaetso e namela maling a hao.

Mabaka a kotsi a kenyelletsa ho lula libakeng tsa Afrika moo lefu le fumanoang le ho longoa ke lintsintsi tsa tsetse. Lefu lena ha le hlahe United States, empa batsamai ba etileng kapa ba lulang Afrika ba ka tšoaetsoa.

Matšoao a akaretsang a kenyelletsa:

• Maemo a fetoha, matšoenyeho
• Feberu, ho fufuleloa
• Ho opeloa ke hlooho
• Bofokoli
• Ho hlobaela bosiu
• Ho robala motšehare (ho ka laoleha)
• Ho ruruha lisele tsa mmele hohle 'meleng
• Ho ruruha, khubelu, nodule e bohloko sebakeng sa ho longoa ke ntsintsi

Tlhahlobo hangata e ipapisitse le tlhahlobo ea 'mele le tlhaiso-leseling e batsi ka matšoao. Haeba mofani oa tlhokomelo ea bophelo a belaella bokuli ba ho robala, o tla botsoa ka maeto a morao tjena. Liteko tsa mali li tla laeloa ho netefatsa tlhahlobo.

Liteko li kenyelletsa tse latelang:

• Blood smear ho hlahloba likokoana-hloko
• Liteko tsa cerebrospinal fluid (mokelikeli o tsoang mokokotlong oa mokokotlo)
• Palo e felletseng ea mali (CBC)
• Takatso ea lymph node

Meriana e sebelisetsoang ho sebetsana le bothata bona e kenyelletsa:

• Eflornithine (bakeng sa T b gambiense feela)
• Melarsoprol
• Pentamidine (bakeng sa T b gambiense feela)
• Suramin (Antrypol)

Batho ba bang ba ka fumana motsoako oa meriana ena.

Ntle le kalafo, lefu le ka hlaha nakong ea likhoeli tse tšeletseng ho tloha ho hloleha ha pelo kapa ho tloha T b rhodesiense tshwaetso ka boyona.

T b gambiense Ts'oaetso e baka mafu a ho robala mme e mpefala kapele, hangata ho feta libeke tse 'maloa. Lefu lena le hloka ho phekoloa hang-hang.

Mathata a kenyelletsa:

• Kotsi e amanang le ho robala ha u ntse u khanna kapa nakong ea mesebetsi e meng
• Tšenyo ea butle-butle tsamaisong ea methapo
• Boroko bo sa laoleheng ha lefu le ntse le mpefala
• Coma

Bona mofani oa hau hang-hang haeba u e-na le matšoao, haholo-holo haeba u kile ua etela libaka tseo lefu lena le atileng ho lona. Ho bohlokoa ho qala kalafo kapele kamoo ho ka khonehang.

Liente tsa Pentamidine li sireletsa khahlanong le T b gambiense, empa eseng khahlanong T b rhodesiense. Hobane moriana ona o chefo, ha o khothaletsoe ho o sebelisa bakeng sa thibelo. T b rhodesiense o alafshoa ka suranim.

Mehato ea taolo ea likokoanyana e ka thusa ho thibela ho ata ha bokuli ba ho robala libakeng tse kotsi haholo.

Tšoaetso ea likokoana-hloko - trypanosomiasis ea batho ba Afrika

Bohitsh BJ, Carter CE, Oeltmann TN. Li-protistans tsa mali le lisele tsa mmele: hemoflagellates. Ka: Bogitsh BJ, Carter CE, Oeltmann TN, eds. Parasitology ea Batho. La 5th. San Diego, CA: Khatiso ea Litaba tsa Elsevier; 2019: khaolo ea 6.

Kirchhoff LV. Baemeli ba trypanosomiasis ea Afrika (bokuli ba ho robala). Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases, Khatiso e Ntjhafalitsoeng. La 8th. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 279.