Ndikofunika kupeza matenda ndi kupeza chithandizo cha matenda a tapeworm, ngakhale kuti nthawi zambiri matenda a tapeworm samayambitsa zizindikiro zilizonse ndipo anthu ambiri sadziwa kuti ali ndi kachilomboka.
Kuzindikira kwa matenda a tapeworm kumachitika mwa kuyang'ana mazira ndi mapulogalamu (zidutswa za mphutsi) kupyolera mu kafukufuku wa bokosi, ngakhale kuti tapeworms ambiri a odwala amapezedwa akapeza malo omwe ali ndi chovala kapena chimbudzi.
Sizingatheke kudziwa mtundu uliwonse wa tapeworm ulipo popanda kuyesedwa, chifukwa chake matendawa ndi ofunikira. Kugonjetsedwa ndi mitundu ina, makamaka nkhumba za nkhumba ( Taenia solium ), zimakhala ndi mavuto aakulu omwe amakhalapo kwa nthawi yaitali m'katikatikati mwa mitsempha yamkati, kupanga matenda oyenera komanso mankhwala oyenera.
Odzifufuza okha
Ma tapeworms kapena zigawo za tapeworm zikhoza kuoneka muchitetezo pamene zidutsa pamodzi ndi kayendedwe ka m'mimba. Makamaka, gawo ngati mutu wa tapeworm lomwe lili ndi zida za suckers ndi ndowe zomwe zimagwirizanitsa m'matumbo, otchedwa scolex, zimawoneka.
Mapulogalamu (oposa one scolex) amatha kuwonekera pozungulira, ngati mawonekedwe a diamondi, kapena ochepa, malingana ndi mitundu. Ndikofunika kubweretsa chitsanzo cha sitolo chomwe chili ndi zolemba zilizonse kwa dokotala kapena labu la yesero.
Mapulogalamu ndi Mayesero
Mayesero Oletsa
Matenda a tapeworm angapezeke kupyolera mu kuyesedwa kwachitetezo.
Ma tapeworms kapena mazira amachoka mthupi mwa kudutsa mumatumbo ndipo potsirizira pake amathera muchitetezo. Mbali ya mphutsi yomwe imasiya thupi idzakhala yosiyana malinga ndi mtundu wa tapeworm umene ukuwopsa.
Katemera wa ova ndi tizilombo toyambitsa matenda angagwiritsidwe ntchito chifukwa amayang'ana mazira (ova) ndi tizilombo toyambitsa matenda (zomwe zimaphatikizapo tapeworms).
Pofuna kuyesa chophimbacho, wodwalayo adzafunika kusonkhanitsa chithunzithunzi chomwe chidzatumizidwa ku labu kuti adziwe. Othandizirawa amagwiritsa ntchito microscope kuti ayang'ane ziwalo za mphutsi monga mazira kapena magulu a mphutsi otchedwa proglottids. Mtundu uliwonse wa nyongolotsi ukhoza kudziwika molingana ndi makhalidwe ena, kuphatikizapo kukula, mawonekedwe, ndi zipangizo zamkati. Zingatenge masiku angapo kuti mayesowa akwaniritsidwe ndipo zotsatira zibwezeretsedwe kwa dokotala.
Mayeso ogwiritsidwa ntchito amatha kumaliza m'njira zosiyanasiyana koma nthawi zambiri amatha kuyika zinthu zamtundu wambiri m'makina osungira pulasitiki wosabala. Nthaŵi zambiri, labu ili ndi bafa imene odwala angagwiritse ntchito kuti apereke chitsanzo. Ngati apita kunyumba, labu idzapempha kuti sampula ikhale yoperekedwa mkati mwa ola limodzi kapena awiri pokhapokha ngati ikusungidwa bwino-kaya kudzera mu firiji kapena ndi zotetezera madzi. Zitsanzo zingathenso kusonkhanitsidwa masiku angapo, pamene Centers for Disease Control akulangiza kuti zitsanzo zitatu ziyesedwe.
Ngati mayesowa ali othandiza pa matenda a tapeworm, dokotala amapereka chithandizo. Zidzakhala zobwezeretsanso kachilombo kachiwiri pambuyo pochiza chithandizo kuti tizilombo toyambitsa matenda tatha.
Mayesero a Magazi
Kugonana ndi tapeworm ya nsomba ( Diphyllobothrium latum ) kungayambitse kusowa kwa vitamini B12 zomwe zingayambitse magazi m'thupi. Dokotala akhoza kuitanitsa mayeso a magazi kuti awone zovuta izi. Mayeso ena a magazi angagwiritsidwe ntchito, koma izi si zachilendo.
Kufufuza Kwambiri
Kuyezetsa thupi sikungakhale kanthu kwa matenda ambiri a tapeworm, ngakhale kuli kofunika kukambirana zizindikiro zatsopano, ngakhale kuti sizigwirizana ndi kapangidwe kake. Pankhani ya cysticercosis (matenda ndi nkhumba za nkhumba) pali zotheka kupanga khungu pansi pa khungu. Dokotala akhoza kumverera ziphuphu izi panthawi yoyezetsa thupi.
Ngati matendawa ali ndi kachilombo ka ng'ombe, Taenia saginata , nkutheka kuti mazira angapezedwe pakapenda malo a perianal (khungu lozungulira anus). Mazira akhoza kusonkhanitsidwa pogwiritsa ntchito tepi ya cellophane ku perianal. Mazira amamatira ku tepi, ndipo tepi ikhoza kuyikidwa pazithunzi kuti muyambe kuyang'ana pa microscope.
Kujambula
Pankhani ya matenda a nkhumba za nkhumba zomwe zafalikira kupitirira matumbo ndi ziwalo zina ndi ziwalo za thupi, mayesero angagwiritsidwe kuti ayang'ane ziphuphu ndi kuzindikira ngati pali vuto lina lililonse.
Malinga ndi Buku la Merck, mayesero a sitima sangakhale abwino kwa apope tapeworms mu 50 peresenti kapena anthu ambiri omwe ali ndi cysticercosis. Mayesero awiri omwe amagwiritsidwa ntchito poyesa matenda opatsirana pogonana kapena neurocysticercosis mwa anthu omwe ali ndi zizindikiro za matenda m'matendawa ndi computed tomography (CT) scan ndi imaginator magnetic resonance (MRI) .
CT Scan
A CT scan ndi mtundu wa x-ray umene amagwiritsidwa ntchito pojambula zithunzi za ziwalo, ziphuphu, ndi ziwalo mkati mwa thupi. Kukonzekera kwa mayeserowa kungaphatikizepo kusala kwa maola ochepa musanafike. Kusiyanitsa dye kungaperekedwe kudzera mwa IV kuti muwone bwino mbali zina za thupi.
Kawirikawiri mayeserowa amatanthauza kugona patebulo lomwe lidzagwiritsidwa ntchito mu makina a CT. Makinawo amasinthasintha kuti atenge zithunzi, ndipo zidzakhala zofunikira kukhala chete kapena kupuma mpweya nthawi zina monga momwe wophunzitsira wanena.
MRI
MRI ndiyeso loyesa kugwiritsidwa ntchito kuti liwone zofunikira mkati mwa thupi, kuphatikizapo msana ndi ubongo. Zilibe zopweteka komanso zopanda phokoso, ngakhale nthawi zina daya wosiyana angaperekedwe mu IV kuti awonere bwino mbali zina za thupi.
Odwala adzagona patebulo lomwe limalowa mu makina a MRI, omwe ndi chubu chachikulu. Mankhwala amtundu wa makutu angaperekedwe ngati makina angapange phokoso lenileni.
Kusanthula Kusiyanasiyana
Anthu ambiri omwe ali ndi matenda a tapeworm alibe zizindikiro, koma ngati pali zizindikiro za m'mimba monga kutsekula m'mimba ndi kupweteka m'mimba zingakhale zofunikira kuthetsa mavuto ena monga:
- chidziwitso
- enteritis (kutupa kwa katumbo kakang'ono)
- ndulu yotupa
- gastroenteritis
- matenda opweteka a m'mimba (IBS)
Pankhani ya cysticercosis ndi neurocysticercosis (pamene chigawo chachikulu cha mitsempha chikukhudzidwa chifukwa chakuti matendawa akufalikira), zingakhale zofunikira kutulutsa zinthu zomwe zingayambitse zizindikiro m'madera ena a thupi kunja kwa kapangidwe ka zakudya ndi / kapena dongosolo lalikulu la mitsempha, kuphatikizapo:
- kuperewera kwa ubongo
- encephalitis
- khunyu
- meningitis
- zotupa
> Zotsatira:
> Global Health - Gawo la Matenda a Pachirombo. "Kuzindikira Matenda a Parasitic." Maofesi a Kuletsa ndi Kuteteza Matenda. 10 Mar 2014.
> Yosakayika L. "Kutuluka kwa Tapeworm." Kusaka. 11 Septemba 2017.
> Pearson R. "Taenia Solium (Pork Tapeworm) Kuteteza ndi Kuchepetsa Matenda." Merck Manual Professional Edition Mu Aug 2016.