Kurapa kwehutachiona hwemapepa inosanganisira mishonga inotarisa worm. Mishonga inogona kusiyanisa nemhando yemhando yepopeworm inobatanidzwa, yakadai seyo nyama yemakungwa ( Taenia saginata) , nyama yenguruve tapeworm ( Taenia solium) , hove dzomugungwa ( Diphyllobothrium latum ), Asian tapeworm ( Taenia asiatica ), uye yakawanda yemapopu ( Hymenolepis nana ).
Zvakakosha kutora mishonga sezvaunenge wataurwa uye kutevera mazano kuitira kuti usapedzisira uchingorapwa uye pashure pekurapa.
Kune utachiona hwepork tapeworm, kana chirwere chakakomba chinonzi cysticercosis chakaitika, mishonga inogona kupiwa kurapa zviratidzo uye mune dzimwe nguva kuvhiyiwa kunogona kudiwa.
Zvinyorwa
Praziquantel
Praziquantel (Biltricide) imwe yemishonga inoshandiswa kurapa utachiona hwemapupa. Icho chirwere chinopesana nemasipirisi chiri chekirasi remishonga inonzi inozivikanwa se antihelmintics. Kuchengetedza utachiona nehupopu, imwe dozi ye praziquantel inopiwa.
Tapeworms vanozvibatanidza nemidziyo yeropa mumadziro emukumbo. Praziquantel inoshanda kusunungura hutachiona kuburikidza nekupedza mhonye, iyo inobva yavhara kubva mudumbu uye ichizopfuura nomumatumbo uye kunze kwemuviri kuburikidza ne anus nechisimba chechikwata.
Mahwendefa ePraziquantel anofanira kutorwa (kunze kwokunge aputsa piritsi inodiwa kuyerwa), kwete kupwanyika, nokuti vane rara rinorwadza uye richava nyore kurarama kana ikamedzwa.
Vanofanirawo kutorwa nechingwa uye girasi remvura yakazara.
Ichi chinodhaka chinogona kukonzera mutsipa kana kuneta uye vanhu vanozvitora vanofanira kudzivisa kutyaira uye kunwa doro nokuti izvo zvinogona kuwedzera izvi zvinokonzera. Mimwe yemimwe migumisiro inowanzovhiringidza yemishonga iyi inogona kusanganisira misoro, kurwadziwa mumimba, kusuruvara, kuneta, kushaya simba, kurutsira, fivhiri, kutuka, kubatana kana kushungurudzika kwemasumbu, kuputika kweganda, uye kurasikirwa kwechido.
Allergic reactions kune praziquantel hazviwanzoiti, asi zviratidzo zvehutachiona hunoita semishuva, kutema, chizuru, kushungurudzika kufema, kana kuputika kwehuro kana rurimi chikonzero chekutsvaga kurapwa pakarepo.
Praziquantel inopindirana nemiti yemichero, saka vanhu vanowana ichi chemishonga havafaniri kudya michero yemiti kana kunwa jira remurape pavanenge vachitora. Praziquantel iri pamuviri weboka B, zvinoreva kuti zvidzidzo zvakaitwa mumhuka, asi kwete mumunhu, uye mishonga haina kutarisirwa kuchinja fetus.
Zvisinei, inofanira kushandiswa chete mumadzimai ane pamuviri apo inonyanya kudiwa, uye vakadzi vane pamuviri vanofanira kutaura nevanachiremba vasati vagamuchira ichi chirwere kuitira kuti vaite chisarudzo chavanoziva. Ichi chinodhaka chinopinda mumukaka wemukaka nekumira pakamwisa kwemazuva matatu (maawa 72) mushure mokunge muwandu wekupedzisira unowanzokurudzirwa.
Udza chiremba nezvemumwe mimwe mishonga kana zvimwe zvinowedzera nokuti zvinogona kuchinja kubudirira kwe praziquantel, kusanganisira:
- Mishonga yokurwisa mishonga yakadai seCarbatrol (carbamazepine, Equetro, Tegretol), Dilantin (phenytoin), Felbatol (felbamate), Mysoline (primidone), phenobarbital, Trileptal (asoxcarbazepine)
- Aralen (chloroquine)
- Azole antifungals (itraconazole, ketoconazole)
- Mabhakitiriri akaita saAmytal (amobarbital), Butisol (butabarbital), Mebaral (mephobarbital), Seconal (secobarbital), kana Solfoton (phenobarbital)
- Decadron (Hexadrol, dexamethasone)
- Erythrocin (erythromycin (EES, EryPed, Ery-Ta)
- Zvirwere zveHIV, kusanganisira Sustiva (efavirenz, Atripla), Intelence (etravirine), Viramune (nevirapine), kana Norvir (ritonavir, Kaletra)
- Ketozole (ketoconazole, Extina, Nizoral, Xolegal)
- Mycobutin (rifabutin)
- Priftin (rifapentine)
- Wort John's wort
- Kurwara kwemishonga yokurara, kusanganisira Nuvigil (armodafinil) kana Progivil (modafinil)
- Sporanox (itraconazole)
- Tagamet (cimetidine)
Alinia
Imwe mishonga, Alinia (nitazoxanide), inoshandiswa mumamiriro ezvinhu ehutachiona nehuwandu hwemapapu ( H nana ).
Alinia imishonga inorwisa antiprotozoal inogona kugoverwa sehwendefa kana sechisimiriro chemvura. Inofanira kutorwa mushure mekunge uine zvokudya zvishoma uye kugadzirisa mvura kunofanira kuzununguswa zvakanaka usati wapararira.
Zvimwe zvinowanzovhiringidza zvinokonzerwa nemishonga iyi zvinosanganisira kurwadziwa kwepamuviri, kuora misoro, kusuruvara, kurarisa, kurutsira, uye kushandiswa kwenguva pfupi kwemuti. Usati watora Alinia, udza chiremba nezvemamwe zvirwere kana mamiriro ezvinhu, kunyanya chirwere cheshuga, chirwere chechiropa, chirwere chepfungwa, utachiona hweHIV, kana chirwere chemuviri chezvirwere zvemuviri. Chero zviratidzo zvehutachiona hunoita sezvakaita mikoko, kutengesa, kuputika, kana kuzvimba kwemuromo uye rurimi chikonzero chekutsvaga kurapwa pakarepo.
Alinia ave akadzidziswa mumhuka asi kwete muvanhu vane pamuviri uye anorondedzerwa semucheche muchikwata B nekuti hazvifanirwi kuchinja fetus. Zvisinei, inofanira kungoshandiswa panguva yekuzvitakura kana zvakajeka, uye vakadzi vane pamuviri vanofanira kutaura nezvekubatsira uye njodzi dzechirapa iyi navanachiremba vasati vagamuchira. Hazvizivikanwe kana Alinia achipinda mumukaka wemukaka uye zvinoitika pamucheche mwana hazvizivikanwi.
Kunyora ruzivo runokurudzira kuti urege kutora Alinia paunotora Coumadin (warfarin). Udza chiremba nezvemumwe mimwe mishonga kana zvimwe zvinowedzera nokuti inogona kuchinja kubudirira kweAlinia, kusanganisira:
- Aspirin
- Bumex (bumetanide)
- Cleocin (Clindesse, clindamycin)
- Coumadin (Jantoven warfarin)
- Depakene (Stavzor, valproic acid)
- Diabeta (Glynase, glyburide)
- Diamox Sequels (acetazolamide)
- Dilantin (Phenytek, phenytoin)
- Glucotrol (glipizide)
- Hygroton (Thalitone, chlorthalidone)
- Platinol (cisplatin)
- Prograf (Astagraf XL, tacrolimus)
- Soriatane (acitretin)
- Oncovin (Vincasar PFS, vincristine)
Kurapa kweCysticercosis
Cysticercosis is complication of the infection with the pork tapeworm ( T. solium ). Kana munhu akaedza mazai emapapupu embebe, zvichibva mukudya zvakasvibiswa, mvura, kana kubva kune mumwe munhu, mazai anogona kuita maitiro anonzi oncospheres.
Oncospheres inogona kufamba kubva mumatumbo uye kuburikidza nomuviri. Vangadaro vanogona kugara muuropi, maziso, maziso, pasi peganda, kana mune dzimwe nhengo, uye maitiro e-cysts. Aya ma-cysts angave kana kuti haafaniri kudiwa kurapwa.
Apo ma-cysts akaumba muuropi (zvichikonzera chirwere chinonzi neurocysticercosis), kugumburwa kunogona kuguma. Mishonga inorwisa Antiparasitic iyo inouraya ma cysts ichapiwa, asi mamwe mishonga inogonawo kudiwa. Apo ma-cysts tapewomufu anofa pahutano kunogona kuva nekuputi kunoda kurapwa ne-anti-inflammatory yakadai se prednisone (a corticosteroid). Anticonvulsant inogona kudiwa kuitira kudzivirira kugumburwa. Kune cysts mumutsipa wepelinha kana ziso, antiparasitics haipi kupiwa nekuda kwekuda kwekuputika kunogona kuparadza mishonga munzvimbo idzodzo.
Mushure mekurapa
Kuchengetedza kuti utachiona hwepopeworm hwakagadziriswa, chiremba acharaira zvidzidzo. Ichi chiyero chichanyatsoonekwa nehonye, mazai, kana proglottids muchigaro kuti ave nechokwadi chokuti mamwe mushonga haafaniri kudiwa kana kuti kugadziriswa hakuna kuitika.
Zvakakosha kuti uchengetedze zviitiko izvi zvekutevera uye uwane zvose zvinoridzirwa kuedzwa zvakaitwa. Kuwanazve muviri kune njodzi, saka kushambidza maoko zvakanaka uye kutevera mamwe mazano kubva kunechiremba maererano nekubika kubika kunokosha. Mune mhaka yeurourocysticercosis, kutevera kunogona kusanganisira kufungidzira kuongorora uye zvimwe zvirwere sezvinodiwa.
> Sources:
> Alinia Kuchengeta Mashoko. Romark, LC. April 2017.
> Centres for Disease Control and Prevention. "Zvipembenene - Cysticercosis." Global Health - Kugoverwa Kwezvirwere Zvirwere. 16 Apr 2014.
> Centres for Disease Control and Prevention. "Zvipembenene - Taeniasis." Hutano Hwenyika Yose - Kurwisana Kwezvirwere Zvisingaiti 10 Jan 2013.
> World Health Organization. "Taeniasis / cysticercosis." WHO.int Apr Apr 2017.
> Zimmer C. "Hidden Epidemic: Tapeworms Kugara mukati mevanhu Bongo." Discover Jun.