ʻO Schistosomiasis

ʻO Schistosomiasis kahi maʻi me kahi ʻano parasite fluke koko i kapa ʻia ʻo schistosome.

Hiki iā ʻoe ke loaʻa i kahi maʻi schistosoma ma o ka launa ʻana me ka wai haumia. ʻAʻau manuahi kēia parasite i nā kino hāmama o ka wai hou.

Ke hui pū ka parasite me nā kānaka, burrows ia i loko o ka ʻili a oʻo i loko o kahi pae ʻē aʻe. A laila, hele i ke akemāmā a me ke ake, kahi e ulu ai a lilo i ʻano mākua o ka ilo.

Hele ka mākeke i kāna ʻāpana kino i makemake ʻia, kaukaʻi ʻia i kāna ʻano. Aia kēia mau wahi i nā:

• ʻAdmiʻi
• Rectum
• Nā Mīkini
• Akepaʻa
• Nā uaua e lawe i ke koko mai nā ʻōpū a i ke ake
• ʻLepala
• Lungs

ʻAʻole ʻike ʻia ʻo Schistosomiasis ma ʻAmelika Hui Pū ʻIa koe wale no ka poʻe huakaʻi hoʻi a i ʻole nā ​​poʻe mai nā ʻāina ʻē aʻe i loaʻa i ka maʻi a ke noho nei lākou i ka US. He mea maʻa mau ia i nā wahi tropical a subtropical ma ka honua holoʻokoʻa.

Hoʻololi nā ʻōuli me ka laha o ka ilo a me ka pae o ka maʻi.

• Hiki i nā parasites ke kumu i ke kuni, ke anuanu, nā pehu lymph pehu, a me ke akepaʻa a me ka spleen.
• Ke komo mua ka ilo i loko o ka ʻili, hoʻonāukiuki paha ia a me kahi ʻūlū (ʻumeʻoa ʻauʻau). I kēia kūlana, luku ʻia ka schistosome i loko o ka ʻili.
• Hoʻopili pū nā ʻōpū Intestinal i ka ʻeha o ka ʻōpū a me ka diarrhea (a he koko paha).
• Hiki i nā hōʻailona urinary ke komo i ka urination pinepine, ka urination ʻeha, a me ke koko i ka mimi.

E nānā kāu mea mālama ola iā ʻoe. ʻO nā hoʻāʻo e hana ʻia ana paha:

• Hōʻike Antibody e nānā no nā hōʻailona o ka maʻi
• Biopsy o kaʻaʻaʻa
• Helu piha ke koko (CBC) e nānā i nā hōʻailona o ka anemia
• Helu ʻia ʻo Eosinophil e ana i ka helu o kekahi mau hunaola keʻokeʻo
• Nā hoʻāʻo hana hakuʻala
• Nā hoʻāʻo hana ate
• Nīnau Stool e nānā i nā hua parasite
• ʻO Urinalysis e nānā i nā hua parasite

Lapaʻau pinepine kēia maʻi me ka lāʻau praziquantel a i ʻole oxamniquine. Hāʻawi pinepine ʻia kēia me nā corticosteroids. Inā koʻikoʻi ka maʻi a hoʻopili paha i ka lolo, hiki ke hāʻawi ʻia i nā corticosteroids ma mua.

ʻO ka mālama ʻana ma mua o ka hōʻino nui a i ʻole nā ​​pilikia koʻikoʻi e hana maʻamau i nā hopena maikaʻi.

Hiki ke hana i kēia mau pilikia:

• Kanesa maʻi ʻaʻai
• Ka hōʻeha kīnā ʻole
• Hoʻopilikia ka ate ākea a me kahi ʻāpala hoʻonui
• Kolona (ʻōpū nui) ʻōhū
• ʻO ka paʻa ʻana o ka hakuʻala a me ka ʻai
• ʻO ke koko kiʻekiʻe i nā aʻa o nā akemā (hypertension pulmonary)
• ʻO nā maʻi o ke koko hou, inā komo ka bacteria i ke kahe o ke koko ma o kahi kolona hoʻonāukiuki
• Hoka puʻuwai ʻaoʻao ʻākau
• Ka hopu ʻana i nā maʻi

Kāhea i kāu mea hāʻawi inā hoʻomōhala ʻoe i nā ʻōuli o schistosomiasis, keu hoʻi inā ʻoe:

• Hele i kahi wahi tropical a subtropical kahi e ʻike ʻia ai ka maʻi
• Ua hōʻike ʻia i nā kino wai i haumia a i ʻole haumia paha

E hāhai i kēia mau kaʻina e hōʻalo i ka loaʻa ʻana o kēia maʻi.

• Hōʻalo i ka ʻauʻau ʻana a ʻauʻau ʻana paha i ka wai i haumia a i ʻole wai haumia paha.
• Hōʻalo i nā kino wai inā ʻaʻole ʻoe e ʻike inā palekana lākou.

Hiki i nā kīʻaha ke hoʻokipa i kēia parasite. Hiki ke kōkua i ka hemo ʻana i nā nīʻau i loko o nā kino o ka wai e hoʻohana ʻia e kānaka e pale i ka maʻi.

Bilharzia; Katayama fiva; Mākaʻu ʻo Swimmer; Piʻi koko; Ke kuni hika

• Mākaʻu ʻo Swimmer
• Nā Antibodies

ʻO Bogitsh BJ, Carter CE, Oeltmann TN. Piʻi ke koko. I: Bogitsh BJ, Carter CE, Oeltmann TN, eds. Parasitology kanaka. 5th lā. Ladana, UK: Elsevier Academic Press; 2019: chap 11.

Carvalho EM, Lima AAM. Schistosomiasis (bilharziasis). I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 355.