IkaikaWe

He maʻi ʻo Strongyloidiasis me ka roundworm ʻO Strongyloides stercoralis (S stercoralis).

S stercoralis ʻo ia ka roundworm i maʻa mau i nā wahi mehana, māū. I nā hihia kakaikahi, hiki ke loaʻa a hiki i Kanada.

Hoʻopaʻa ka poʻe i ka maʻi ke hiki mai ko lākou ʻili me ka lepo i haumia me nā ilo.

ʻIke iki ʻole ʻia ka ilo liʻiliʻi e ka maka ʻōlohelohe. Hiki i nā ʻōpuni ʻōpiopio ke neʻe i loko o ka ʻili o ke kanaka a i ka hopena i ke kahe o ke koko i nā akemāmā a me nā ala ea.

Hele lākou a hiki i ka puʻu, kahi e ale ʻia ai i loko o ka ʻōpū. Mai ka ʻōpū, neʻe nā ilo i ka ʻōpū liʻiliʻi, kahi e hoʻopili ai lākou i ka paia o ka ʻōpū. Ma hope, hana lākou i mau hua, a hatch i loko o nā ʻenemi liʻiliʻi (nā ilo anu ʻole) a hala i waho o ke kino.

ʻAʻole like me nā ilo, hiki i kēia mau larvae ke komo hou i loko o ke kino ma o ka ʻili a puni ka anus, e ʻae ai i kahi maʻi e ulu. ʻO nā wahi kahi e hele ai nā ilo ma loko o ka ʻili hiki ke lilo i ʻulaʻula a ʻeha.

ʻAʻohe maʻamau kēia maʻi i ʻAmelika Hui Pū ʻIa, akā hana ʻia ia ma ka hema hikina o ʻAmelika. ʻO ka hapa nui o nā hihia ma ʻAmelika ʻAkau e lawe ʻia e nā huakaʻi i kipa a i noho paha ma ʻAmelika Hema a i ʻole ʻApelika.

Kūpono kekahi poʻe no kahi ʻano koʻikoʻi i kapa ʻia ʻo strongyloidiasis hyperinfection syndrome. I kēia ʻano o ke ʻano, ʻoi aku nā ʻenuhe a hoʻonui lākou i ka wikiwiki ma mua o ka maʻamau. Hiki iā ia ke hana i ka poʻe i loaʻa ka ʻōnaehana pale nawaliwali. Hoʻopili kēia i ka poʻe i loaʻa kahi ʻōpala a i ʻole ke koko-huahana transplant, a me ka poʻe e ʻai i ka lāʻau steroid a i ʻole nā ​​lāʻau hoʻomake-pale.

ʻO ka hapanui o ka manawa, ʻaʻohe ʻōuli. Inā loaʻa nā ʻōuli, pili pū paha lākou:

• Paʻi ʻōpū (ʻōpū luna)
• Cough
• Pohā
• Rash
• ʻO nā wahi ʻāpana ʻulaʻula e kokoke ana i ka anus
• ʻO ka luaʻi
• Kaumaha emi

E hana ʻia paha kēia mau hoʻāʻo:

• Nā ho'āʻo koko e like me ka helu piha o ke koko me ka ʻokoʻa, ka helu eosinophil (kahi ʻano o ke koko keʻokeʻo), hoʻāʻo antigen no S stercoralis
• ʻO Duodenal aspiration (e hoʻoneʻe i kahi liʻiliʻi o nā kiko mai ka ʻaoʻao mua o ka ʻōpū liʻiliʻi) e nānā ai S stercoralis (ʻike ʻole)
• ʻO ka moʻomeheu Sputum e nānā ai S stercoralis
• ʻO ka hoʻāʻo sample Stool e nānā ai S stercoralis

ʻO ka pahuhopu o ka mālama ʻana e hoʻopau i nā ilo me nā lāʻau anti-worm, e like me ivermectin a i ʻole albendazole.

I kekahi manawa, mālama ʻia ka poʻe ʻaʻohe ʻōuli. Hoʻopili kēia i ka poʻe i lawe i nā lāʻau e kāohi i ka ʻōnaehana pale, e like me ka poʻe e loaʻa ana, a i ʻole loaʻa, kahi transplant.

Me ka lapaʻau kūpono, hiki ke pepehi i nā ilo a manaʻo ʻia ke ola hou ʻana. I kekahi manawa, pono e hana hou i ka lāʻau.

ʻO nā maʻi ʻino (hyperinfection Syndrome) a i ʻole pālahalaha aku i nā wahi he nui o ke kino (maʻi pāhola) pinepine ka hopena maikaʻi ʻole, keu hoʻi i ka poʻe me ka ʻōnaehana pale nawaliwali.

ʻO nā pilikia i hiki ke hoʻopili ʻia:

• Hoʻopaʻa ʻia ʻo strongyloidiasis, keu hoʻi i ka poʻe me ka HIV a i ʻole kahi nāwaliwali nāwaliwali
• ʻO Strongyloidiasis hyperinfection syndrome, ʻoi aku ka maʻamau i ka poʻe me ka ʻōnaehana pale nawaliwali
• Pulumonia ʻo Eosinophilic
• Palena ʻai ʻole ma muli o nā pilikia e omo ana i nā meaola mai ka gastrointestinal tract

Kāhea i kahi manawa me kāu mea mālama ola inā loaʻa iā ʻoe nā ʻōuli o ka ikaika ikaika.

Hiki i ka hoʻomaʻemaʻe pilikino pilikino ke hōʻemi i ka makaʻi o ka ikaika ikaika. Hāʻawi nā lawelawe olakino lehulehu a me nā wahi hoʻomaʻemaʻe i ka mālama maʻi maikaʻi.

Intestinal parasite - strongyloidiasis; Roundworm - ikaika ikaika

• ʻO Strongyloidiasis, ke kolo nei i ka hope
• Nā ʻōnaehana ʻōnaehana Digestive

ʻO Bogitsh BJ, Carter CE, Oeltmann TN. ʻO nā nematode ʻōpū. I: Bogitsh BJ, Carter CE, Oeltmann TN, eds. Parasitology kanaka. 5th lā. Waltham, MA: Elsevier Academic Press; 2019: chap 16.

Mejia R, Weatherhead J, Hotez PJ. ʻO nematodes ʻōpū (roundworms). I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 286.