Yarfin ƙwayar cuta

Strongyloidiasis kamuwa da cuta ne tare da zagayen mahaifa Yarfin ƙwayar cuta mai ƙarfi (S stercoralis).

S bakatariya wata zagaye ce wacce take gama gari a wuraren dumi, masu danshi.A cikin al'amuran da ba safai ba, ana iya samunsu har zuwa arewacin Kanada.

Mutane na kamuwa da cutar lokacin da fatarsu ta sadu da ƙasar da ta gurɓata da tsutsotsi.

Kananan tsutsa da kyar ake iya gani ga ido. Roundananan tsutsotsi na iya motsawa ta cikin fatar mutum kuma ƙarshe zuwa cikin jini zuwa huhu da hanyoyin iska.

Daga nan sai su matsa zuwa maƙogwaro, inda ake haɗiye su a cikin ciki. Daga ciki, tsutsotsi suna motsawa zuwa ƙananan hanji, inda suke haɗe da bangon hanji. Daga baya, suna yin ƙwai, waɗanda ke kyanƙyashe cikin ƙananan ƙwayoyin cuta (tsutsotsi marasa balaga) kuma su fita daga jiki.

Ba kamar sauran tsutsotsi ba, waɗannan tsutsa za su iya sake shiga cikin jiki ta fatar da ke kusa da dubura, wanda ke ba da damar kamuwa da cuta ya yi girma. Yankunan da tsutsotsi ke bi ta cikin fata na iya zama ja da zafi.

Wannan kamuwa da cuta baƙon abu ne a cikin Amurka, amma yana faruwa ne a kudu maso gabashin Amurka. Yawancin lokuta a Arewacin Amurka ana kawo su daga matafiya waɗanda suka ziyarci ko suka zauna a Kudancin Amurka ko Afirka.

Wasu mutane suna cikin haɗari don mummunan nau'in da ake kira cututtukan hyperinfection na hyperyloidiasis mai ƙarfi. A wannan yanayin yanayin, akwai karin tsutsotsi kuma suna ninka cikin sauri fiye da al'ada. Zai iya faruwa a cikin mutanen da ke da rauni a garkuwar jiki. Wannan ya hada da mutanen da suka sami wani kayan aiki ko dashen kayan jini, da kuma wadanda suke shan maganin steroid ko magungunan kariya daga garkuwar jiki.

Yawancin lokaci, babu alamun bayyanar. Idan akwai alamun bayyanar, zasu iya haɗawa da:

• Ciwon ciki (babba na sama)
• Tari
• Gudawa
• Rash
• Yankunan ja-kamar ja kusa da dubura
• Amai
• Rage nauyi

Za a iya yin gwaje-gwaje masu zuwa:

• Gwajin jini kamar cikakken jinin jini tare da banbanci, lissafin eosinophil (nau'in farin jini), gwajin antigen don S bakatariya
• Burin Duodenal (cire amountan ƙananan nama daga ɓangaren farko na ƙaramar hanji) don bincika S bakatariya (wanda ba a sani ba)
• Al'adar Turawa don bincika S bakatariya
• Jarrabawar samfurin Stool don bincika S bakatariya

Manufar magani ita ce kawar da tsutsotsi tare da magungunan anti-tsutsotsi, kamar su ivermectin ko albendazole.

Wani lokaci, ana kula da mutanen da ba su da wata alama. Wannan ya hada da mutanen da ke shan kwayoyi wadanda ke danne tsarin garkuwar jiki, kamar wadanda za su yi, ko suka samu, dasawa.

Tare da magani mai kyau, ana iya kashe tsutsotsi kuma ana sa ran cikakken murmurewa. Wani lokaci, magani yana buƙatar maimaitawa.

Cututtukan da suke da tsanani (cututtukan hyperinfection) ko waɗanda suka yaɗu zuwa yankuna da yawa na jiki (yaɗuwar kamuwa da cuta) galibi suna da sakamako mara kyau, musamman a cikin mutanen da ke da rauni a garkuwar jiki.

Matsalolin da ka iya faruwa sun hada da:

• Yada karfi mai karfi, musamman ga mutanen da ke dauke da kwayar cutar HIV ko kuma rashin ƙarfin garkuwar jiki
• Ciwon rashin ƙarfi na hyperyloidiasis, har ila yau ya fi dacewa ga mutanen da ke da rauni da garkuwar jiki
• Ciwon huhu na Eosinophilic
• Rashin abinci mai gina jiki saboda matsalolin shan abubuwa masu gina jiki daga sashin hanji

Kira don alƙawari tare da mai ba da lafiyar ku idan kuna da alamun rashin ƙarfi na ƙarfi.

Kyakkyawan tsabtace kan mutum na iya rage haɗarin cutar mai karfin ƙarfi. Ayyukan kiwon lafiyar jama'a da wuraren tsafta suna ba da kyakkyawar kulawa da kamuwa da cuta.

Ciwon ciki na hanji - strongyloidiasis; Roundworm - karfiyloidiasis

• Strongyloidiasis, ɓarkewar ɓarnawa a bayansa
• Gabobin tsarin narkewar abinci

Bogitsh BJ, Carter CE, Oeltmann TN. Narkar da hanji. A cikin: Bogitsh BJ, Carter CE, Oeltmann TN, eds. Ilimin ɗan adam. 5th ed. Waltham, MA: Elsevier Makarantar Ilimin; 2019: sura 16.

Mejia R, Weatherhead J, Hotez PJ. Narkatun hanji (roundworms). A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Ka'idojin Bennett da Aiwatar da Cututtukan Cutar. 9th ed. Philadelphia, PA: Elsevier; 2020: babi na 286.