, pōʻaiapuni ola a me ka lāʻau

Anter

• Nā hōʻailona nui
• Pehea ka hōʻailona
• Pōʻaiapuni ola ʻO Wuchereria bancrofti
• Pehea e pale aku ai
• Pehea e hana ai i ka lāʻau

KA ʻO Wuchereria bancrofti, a i ʻole W. bancrofti, ʻo ia ka parasite ke kuleana o ka lymphatic filariasis, ka mea i kapa nui ʻia ʻo elephantiasis, kahi maʻi ʻoi aku ka nui ma nā wahi wela a me ka mahana, ma ka ʻĀkau a me ka ʻĀkau Hikina o Brazil.

Lawe ʻia kēia parasite ma o ka nahu ʻana o ka makika o ka genus ʻO Culex sp. maʻi, i hoʻokuʻu i nā larvae infective i loko o ke kahe o ke kanaka i ko lākou huakaʻi ʻana i nā kīʻaha lymphatic, e hopena ana i kahi pane hoʻāla a me nā hōʻailona o ka lymphatic filariasis, e like me ka pehu ʻana o ka wāwae, ka lima, a i ʻole kahi ʻāpana o ke kino kahi o ka parasite i kēia manawa, ke kuni a me ka ʻeha puʻupuʻu, no ka laʻana.

Nā hōʻailona nui

Hiki i kekahi poʻe ke maʻi i W. bancrofti a mai hōʻike i nā hōʻailona a me nā ʻōuli o ka maʻi, no ka mea, i kēia mau hanana hiki ke make a hoʻopau ʻia nā ilo makua, me ka ʻole o nā ʻōuli e ulu nei. Eia naʻe, ʻike paha kekahi poʻe i nā ʻōuli o ka maʻi, nā mea nui:

• Fiva;
• ʻO Chills;
• Hoʻonui i nā lymph node, ke hiki ka parasite i ke kaulahao lymphatic;
• ʻO ka pehu ʻana o nā ʻāʻī, ʻike nui ʻia ʻo elephantiasis, hiki ke hoʻopili i nā wāwae, ka hapanui o nā testicle a i ʻole nā ​​umauma.
• Ke kū nei o nā helu helu a me nā abscesses ma muli o ka make ʻana o nā parasite makua;
• Hoʻonui i ka nui o nā eosinophil i ke koko, ʻike ʻia ʻo eosinophilia, kahi hopena ma ke ʻano he alo o ka parasite i ke kino.

Hoʻohui ʻia, hiki nō i kekahi poʻe ke hoʻomohala i nā maʻi ʻelua e nā bacteria o ka genus ʻO Streptococcus sp., mai ka maʻi maʻi e W. bancrofti e haʻalele i ka ʻōnaehana paleʻea. E nānā i nā hōʻailona ʻē aʻe a me nā ʻōuli o ka maʻi e ʻO Wuchereria bancrofti.

Pehea ka hōʻailona

ʻO ke kuhi o ka maʻi e ʻO Wuchereria bancrofti hana ʻia ia ma o nā hoʻokolohua ʻōnaehana, ʻoiai ʻo ke kuhi ma o nā ʻōuli, he nui, paʻakikī, no ka mea hiki i ka maʻi ke asymptomatic a i ʻole nā ​​hōʻailona e like me nā maʻi ʻē aʻe.

Hana ʻia ka ʻike keʻena hoʻokolohua ma o ka hoʻokolokolo ʻana o microfilariae i ke koko ākea, he mea nui e hōʻiliʻili ʻia ke koko i ka pō, no ka mea i ka pō e loaʻa ai ka parasite i ke kiʻekiʻe kiʻekiʻe i loko o ke koko, e ʻae ana i ka ʻike.

Ma hope o ka hōʻiliʻili ʻana, hoʻouna ʻia ke koko i ke keʻena hoʻokolohua e nānā ʻia ma o ka hāʻule mānoanoa, kahi ʻano e ʻae ai i ka ʻike a me ka helu ʻana o microfilariae ma waena o nā hunaola koko. Hoʻohui ʻia, hiki ke hana i nā ʻano hana diagnostical ʻē aʻe, e like me PCR a me nā hoʻokolohua immunological e ʻike ai i nā antigens a i ʻole nā ​​mea pale e kūʻē i ka parasite.

Pōʻaiapuni ola ʻO Wuchereria bancrofti

ʻO Wuchereria bancrofti he ʻelua ʻano evolutionary, ka microfilaria a me ka worm makua. Kūlike ka microfilaria i ke ʻano ʻōpio o ka parasite a ʻo ia ke ʻano i loaʻa i ke kahe o ke koko a me nā lymph node, ʻoiai ke ʻano makua o ka parasite i loko o nā kīʻaha lymphatic a hana hou i nā microfilariae, i hoʻokuʻu ʻia i ke kahe o ke koko.

KA ʻO Wuchereria bancrofti ʻelua ona pōʻaiapuni ola, hoʻokahi i ka makika a ʻo kekahi i nā kānaka. Ka makika Culex quinquefasciatus, ke nahu nei i kahi mea maʻi, hoʻonāukiuki ia i ka microfilariae, i kapa ʻia hoʻi ʻo L1, e hoʻomohala nei no kahi manawa o 14 a 21 mau lā i loko o ka ʻōpū o ka makika a hiki i ka manawa L3 a laila neʻe i ka waha.

Ke nahu nei i kahi kanaka ʻē aʻe, lawe ka makika i ka larva L3, i neʻe i nā moku lymphatic a hoʻomohala a hiki i ke kaʻina L5, i kūlike i ka pae makua a me ka moekolohe. ʻO ka L5 larva, ma hope o ka manawa incubation, hoʻomaka e hoʻokuʻu i ka microfilariae e kahe ana i ke koko.

Pehea e pale aku ai

Ka pale ʻana i ka maʻi maʻi ma ʻO Wuchereria bancrofti ma o nā ana e pale ai i ka hana hou a nahu o ka makika kuleana no ka lawe ʻana o ka maʻi, ua ʻōlelo ʻia e hoʻohana i nā musketeers, e hoʻohana i nā repellents a pale i ka wai kū, no ka laʻana. Hoʻohui, he mea nui e hoʻopukapuka i nā ana o ka hoʻomaʻemaʻe i ke kaiapuni, no ka mea hiki ke hōʻalo i nā makika.

Pehea e hana ai i ka lāʻau

Lapaʻau no W. bancrofti pono e hana ʻia e like me ke alakaʻi a ke kauka, koi pinepine ʻia e hoʻohana iā Diethylcarbamazine ma kahi o 12 mau lā. ʻO kēia lāʻau lapaʻau ka mea kūpono loa e hakakā me kēia parasite, no ka mea, hana ia i nā ʻenuhe mākua a i ka microfilariae.

I kekahi mau hihia e paipai ʻia paha ka hoʻohana ʻana o Ivermectin, eia naʻe ʻaʻole holo pono kēia lāʻau i nā ilo o nā mākua, ma ka microfilariae wale nō.