Cysticercosis

ʻO Cysticercosis kahi maʻi e kahi parasite i kapa ʻia Taenia solium (T solium). ʻO ia ka laupa puaʻa e hana i nā cista ma nā wahi like ʻole o ke kino.

Hoʻokumu ʻia ʻo Cysticercosis e ka ale ʻana i nā hua mai T solium. Loaʻa nā hua i nā meaʻai haumia. ʻO ka Autoinfection ke kanaka i loaʻa mua i ka maʻi me ke kanaka makua T solium moni i kāna mau hua. Kū kēia ma muli o ka holoi lima kūpono ʻole ma hope o ka neʻe ʻana o ka ʻōpū (fecal-oral transmission).

ʻO nā kumu kūpilikiʻi me ka ʻai ʻana i ka puaʻa, nā huaʻai, a me nā mea kanu i hoʻohaumia ʻia me T solium ma ke ʻano he hopena o ka hoʻomākaukau ʻana a i ʻole hoʻomākaukau pono ʻole i ka meaʻai. Hiki ke pālahalaha ʻia ka maʻi e ka launa ʻana me nā feces i maʻi.

ʻAʻohe ka maʻi i ʻAmelika Hui Pū ʻIa. He mea maʻamau ia i nā ʻāina kūkulu he nui.

ʻO ka hapanui pinepine, noho nā ilo i nā mākala a ʻaʻole kumu nā ʻōuli.

Pili nā ʻōuli e pili ana i kahi e loaʻa ai ka maʻi i ke kino.

• Koʻo - ka hopu ʻana a i ʻole nā ​​ʻōuli e like me nā tumo lolo
• Nā maka - hoʻemi i ka hihiʻo a makapō paha
• Puʻuwai - nā puʻuwai puʻuwai abnormal a i ʻole ʻole ka puʻuwai (rare)
• Spine - nāwaliwali a i ʻole nā ​​loli i ka hele wāwae ʻana ma muli o ka hōʻino ʻia o nā aʻalolo ma ka iwi kuamoʻo

ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻO nā hoʻokolohua koko e ʻike i nā mea ʻino i ka parasite
• ʻO Biopsy o ka wahi i hoʻopilikia ʻia
• CT scan, MRI scan, a i ʻole nā ​​x-ray e ʻike i ka leona
• Spinal tap (lumbar puncture)
• ʻO ka hoʻāʻo ma kahi o ka ophthalmologist e nānā ai i loko o ka maka

Hoʻopili paha ka mālama ʻana:

• Nā lāʻau lapaʻau e pepehi i nā parasites, e like me albendazole a i ʻole praziquantel
• ʻO nā anti-inflammatories ikaika (steroid) e hōʻemi i ka pehu

Inā ka maka i ka lolo a i ʻole ka lolo, pono e hoʻomaka i nā steroid i kekahi mau lā ma mua o nā lāʻau ʻē aʻe e hōʻalo ai i nā pilikia i hoʻokumu ʻia e ka huʻu i ka wā antiparasitic lapaʻau. ʻAʻole pōmaikaʻi ka poʻe āpau mai ka mālama antiparasitic.

I kekahi manawa, pono ʻoki ʻia e wehe i ka wahi i loaʻa i ka maʻi.

Maikaʻi ka kuanaʻike, ke ʻole ka lesion i hoʻolilo i makapō, puʻuwai puʻuwai, a i ʻole pōʻino lolo. He pilikia paʻakikī kēia.

Komo pū nā pilikia:

• Makapo, hoʻoliʻiliʻi ʻike
• Puʻuwai puʻuwai a i ʻole ka mele naʻau ʻole
• Hydrocephalus (hoʻoulu wai i kahi o ka lolo, pinepine me ka hoʻonui kaomi)
• Ka hopu ʻana i nā maʻi

Inā loaʻa iā ʻoe nā ʻōuli o cysticercosis, e hoʻopili aku i kāu kauka mālama ola.

Hōʻalo i nā meaʻai holoi ʻole ʻia, mai ʻai i nā meaʻai ʻai ʻole i ka wā e huakaʻi ana, a holoi pono i nā huaʻai a me nā mea kanu.

• Nā ʻōnaehana ʻōnaehana Digestive

Keʻokeʻo AC, Brunetti E. Cestodes. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 333.

White AC, Fischer PR. Cysticercosis. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 329.