Toxocariasis: he aha ia, nā hōʻailona nui, mālama a me pehea e hōʻalo ai
Anter
ʻO Toxocariasis kahi parasitosis i hoʻokumu ʻia e ka parasite Toxocara sp., ka mea hiki ke noho i ka ʻōpū liʻiliʻi o nā pōpoki a me nā ʻīlio a hiki i ke kino o ke kanaka ma o ka pili ʻana i nā feces i hoʻohaumia ʻia e nā feces mai nā ʻīlio a me nā pōpoki i loaʻa i ka maʻi, a ʻo ia ka hopena i ka ʻeha o ka ʻōpū, ka fiva a i ʻole ka hoʻoliʻiliʻi o ka hihiʻo, no ka laʻana.
Kapa ʻia ka poʻe he poʻe hoʻokipa pōpilikia, ʻoiai ʻaʻole i maʻa mau kēia parasite i nā meaola o ke kanaka, i nā holoholona home wale nō, no ka laʻana. No laila ke hui hewa ʻole ka poʻe me ka Toxocara sp., hiki i nā larvae ke hele i nā wahi like ʻole o ke kino, e hana ana i nā ʻōuli a me kekahi mau syndrome, e like me:
- ʻO Visceral Larva migans syndrome a i ʻole visceral toxocariasis, kahi e neʻe ai ka parasite i ka viscera, kahi e hiki ai i ke kanaka makua a me nā hopena i nā ʻōuli like ʻole;
- ʻO Ocular Larva migans syndrome a i ʻole toxocariasis ocular, kahi e neʻe ai ka parasite i ka ʻōpeʻe maka.
ʻOi aku ka maʻa mau o nā kānaka toxocariasis i nā keiki e pāʻani ana ma ka honua, ma ka honua a i ʻole ke one, no ka laʻana, akā hiki ke hana ʻia i nā mākua i launa pū me ke kaiapuni like. Hoʻololi ka hoʻomaʻamaʻa e like me nā ʻōuli i hōʻike ʻia, a me ka hoʻohana ʻana i nā lāʻau antiparasitic a i ʻole ka hoʻohana ʻana o nā kulu maka me nā corticosteroids i mea e koi ʻia ai, ma ka hihia o ka toxocariasis ocular.
Larva o Toxocara canis
Nā hōʻailona nui
Kū mai nā ʻōuli o ka toxocariasis i ka poʻe ma hope o ka hiki ʻole ʻana ke komo o nā hua maʻi lele mai Toxocara sp. aia i ke one, ka honua a me ka honua, no ka laʻana. Hoʻonui ka larva i kēia mau hua i loko o ka ʻōpū o ka poʻe a hele i nā ʻano like ʻole, e hana ana i nā ʻōuli.
I ke kumu o ka lāʻau visceral toxocariasis, hiki i ka larvae ke hōʻea i ke ake, ka naʻau, nā māmā, ka lolo a me nā mākala, no ka laʻana, nā ʻōuli nui:
- Fiva ma luna o 38ºC;
- Mū kūmau mau;
- Wheezing a paʻakikī pilikia hanu;
- Abdominal eha;
- Hoʻonui ākea, i kapa ʻia hoʻi he hepatomegaly;
- Hypereosinophilia, i kūlike i ka hoʻonui ʻana o ka nui o nā eosinophil i ke koko;
- Nā hōʻike Cutaneile, e like me pruritus, eczema a me vasculitis.
I ka hihia o ka toxocariasis ocular, ʻike ʻia nā ʻōuli ke hiki aku ka larvae i ka ʻōnohi maka, me ka ʻulaʻula o ka maka, ʻeha a ʻeha pū paha ka maka, nā kiko keʻokeʻo ma ka haumāna, photophobia, ʻike maka a hoʻoliʻiliʻi ka ʻike, no ka laʻana.
Eia hou, hiki ke loli ke hoʻomaka ʻana o nā ʻōuli e like me ka nui o nā parasites i ke kino o ke kanaka a me ka ʻōnaehana pale. No laila, ke kānalua ʻia ka maʻi e ka lāʻau ʻino, koi ʻia e nīnau i ke kauka maʻamau, i ka hihia o ke kanaka makua, a i ʻole ka pediatrician, i ka hihia o ke keiki, i hiki ai ke hana i ke kuhi a hoʻomaka ka lapaʻau.
He paʻakikī ke kuhi o ka toxocariasis kanaka, no ka mea, hōʻoia mau ʻia ia ma hope o ka ʻike ʻia ʻana o ka larva ma o ka biopsyʻaʻaʻa, ʻoiai ʻaʻole ʻike maʻamau ʻia kēia parasite i nā feces. Eia nō naʻe, hiki ke ʻike i ke alo o nā mea ʻāpala e kūʻē i ka parasite i ke kahena o ka mea maʻi ma o nā hoʻokolohua immunological a me nā serological, hiki ke lilo i mea maikaʻi loa i ke kuhi.
Pehea e hana ai i ka lāʻau
Pono e alakaʻi ʻia ka lapaʻau ʻana no ka toxocariasis kanaka e ka loio maʻamau a i ʻole ka pediatrician, a kaukaʻi ʻia i nā ʻōuli i hōʻike ʻia e ke kanaka. I ka hihia o visceral toxocariasis, ʻo ka lapaʻau i hōʻike ʻia e ke kauka me nā lāʻau antiparasitic, e like me Albendazole, Tiabendazole a i ʻole Mebendazole ʻelua mau manawa i ka lā no 5 mau lā a i ʻole e like me ka ʻōlelo aʻoaʻo olakino.
I ka hihia o ka lāʻau maʻamau, ʻo ka hopena o ka mālama ʻana me nā lāʻau antiparasite ʻaʻole ia e hōʻoia maikaʻi loa, e ʻōlelo ʻia ana e ka ophthalmologist e paipai i ka hoʻohana ʻana o nā kulu maka me nā corticosteroids e mālama ai i nā ʻōuli a pale i ka holomua o ka maʻi i hiki i ka ulu o nā maka lesions mau.
Pehea e pale ai i ka toxocariasis
E hōʻalo ai i ka maʻi maʻi ma Toxocara sp., Paipai ke Kuhina Ola e lawe i nā holoholona i kēlā me kēia manawa i ka veterinarian e mālama ʻia e kūʻē i nā parasites a e akahele e pili ana i ka hoʻopau ʻia ʻana o nā manu holoholona a me ke kaiapuni a lākou e hele pinepine ai.
Paipai ʻia e holoi maikaʻi i kou mau lima ma hope o ka launa ʻana me nā holoholona laka, i mea e pale aku ai i nā keiki ke pāʻani ma nā wahi e noho ai nā holoholona a holoi pono i kahi e noho ai ka holoholona, ma ka liʻiliʻi i hoʻokahi manawa i ka pule.