Leishmaniasis yakagadzikana chirwere cheganda chinosiya zviratidzo paganda. Yakaonekwa kune vamwe vapoteri vakasiya Siria. Izvi hazvishamisi. Ichi chirwere chinowanikwa munyika yose uye zvakananga chakawanikwa kwenguva refu muSiria.
Inokonzera zvipembenene zveganda, asi, Zvinyorwa zveLeishmaniasis hazvina kunaka sezvazvinogona kurira.
Leishmaniasis inowanzofungidzirwa sehosha ine ngozi.
Dzimwe nguva, ndizvo. Asi zvisingawanzo maitiro akaDzvina. Leishmaniasis yakagadzikana haisi iyo Visceral Leishmaniasis. Leishmaniasis yakaoma haina kuuraya. Visceral inodaro. Nokuti vose vaviri vanonzi Leishmaniasis, vanowanzovhiringidzika.
Mhando mbiri dzakasiyana dzeLeishmaniasis dzinokonzerwa nemhando dzakasiyana-siyana (kubva kune 21 dzinopesana nevanhu). Uye saka, kazhinji kune kutya kusingadikanwi pamusoro peChecheche Leishmaniasis (CL kana dzimwe nguva Leishmaniasis yakagadzikana kwenguva pfupi). Zviitiko zvizhinji zveLeish muSiria zvakagadzirwa. (Beyond VL uye CL, kunewo mucocutaneous, iyo inonyanya kuwanikwa muBrazil, Peru, uye Bolivia.Panogona kuva nenyaya dzinowanzoitika kuMiddle East.)
Chii chinonzi Cutaneous Leishmaniasis?
Leish yakakosha inorondedzerwa sehutachiona hweganda "kuzviraramisa uye inowanzosiya kuora mwoyo kwakaoma". Iko kureva kuti, Mhemberero Leish inokonzera kusatarisa ganda / kuora mwoyo kweganda kazhinji kunopera pasina kurapwa.
Hazvisi zvinorwadza. Izvo zvinogona kuva zvinorwadza, kana zvingave zvine hutachiona hwepamusoro nema bhakitiriya kana kuti pane chekubatana. Hazviiti zvakawanda kupfuura izvozvo.
Rinopararira sei?
Sandfly kuruma. Mhando dzakasiyana dzeSandflies dzinodiwa kuparadzira zvirwere zvinokonzera Leish. Dzimwe nguva zvipembenene zvinobva kune mhuka kusvika kune rimwe sandfly kumunhu.
Dzimwe nguva, inosvetuka munhu kune sandfly kumunhu.
Zvirwere zviviri zveLeish zvinopararira CL zvinogona kupararira nenzira dzakasiyana neefasi dzakasiyana-siyana. Kunyanya zvakanyanya, maruva anonzi Leshmania makuru anoparadzirwa ne sandfly Phlebotomus papatasi kubva kumhuka kusvika kuvanhu. Iyo mishonga inonzi Leishmania. tropica inoparidzirwa sandfly P. sergenti kubva kumunhu kusvika kumunhu.
Izvi zvinoreva kana mumwe munhu akatamira kubva kuSiria kuenda kuU.S., havazoparadzira hutachiona nokuti sandflies yaisazovapo.
Zvisinei, muzviitiko zvisingawanzoitiki, zvinogona kupararira nekuwedzerwa ropa.
Saka chii chinetso?
(a) Hapana anofarira chikafu
(b) Hapana anofarira pfungwa dzehutachiona hunopararira hunopararira. (Nenzira inonakidza, inongopararira kuburikidza nejecha rinonzi bite)
(c) Musoro weLeish unogona kutarisa nyaya nehutsanana uye kushandiswa kwemarara, kusakwanisa kupfuurira kuputira mhepo inobhururuka (kana mamiko), uye kuwedzerwa kunobvumira sandflies kubereka uye kuparadzira Leish pakati pevanhu kana pakati pevanhu nemhuka (semakonzo) .
Chii chakanga chakafanana neSiriya?
Leish yakagadzikana, yakakonzerwa neL tropica, yakanga yakanyanya kuitika muAleppo - uye vamwe vekuru L. Siriya yakaona mamiriyoni makumi matatu emakore gore risati rasvika uye yakange ichikwira muhondo yose (uye zvakanaka zvisati zvaitika, chaizvoizvo).
Saka hazvishamisi kuti vamwe vanhu vaiva neLeish.
Irak yakanga yatova neLeish - L huru (uye zvimwe Visceral pamwe). Rebhanoni ine, kunyanya, yaive ichibata nechisimba ichi chinobudiswa kamwe-kamwe cheLeish mushure mokusununguka kwairi kwemakore gumi. ivo vaishuva vaine sandfly yakabatana. (Girisi inewo nhau yekuva nemhando imwechete yeLeish sezvakaitwa Aleppo - zvakanaka zvisati zvaitika kune izvi).
Inobatwa sei?
Leish yakagadzikana inowanzobatwa nemajoini akajeka.
Kuchengetwa kwevakororo - kunyange muUnited States - zvinogona kureva kungoita zvakanakisisa uye kungoona kurapa kwechigunwe pachako pasina kurapwa.
Mishonga chaiyo yeLeish haisi iyo iri nyore. Ngozi dzinogona kuwedzera zvakakosha, kunyanya pakurapa iyo inonzi systemic uye isina kuiswa mujecha. Zvipembenene zvakawanda zvinogona kuvharwa ne gauze izvo zvinogona kubatsira kudzivirira kusvibiswa kwebhakitiriya. Zvisinei, zvipembenene zvakawanda zvinorapwa nemajojo emishonga chaiyo chaiyo muzvipembenene. ( Tsanangudzo y, meglumine antimoniate intralesional kurapa). Aya injections angada kuitwa vhiki nevhiki kusvikira nyaya yacho ichisarudzwa. Izvi zvinonyanya kuitwa nekuda kwezvipembenene pameso, zvakadai sepamusoro pezvikozo zvakanyanya.
Pane kukonzera kana misi yakareba here?
Izvo zvave zvichive zvichinetseka nekuwedzera kumira. L tropica, iyo mhuka kubva kuAleppo, inozivikanwawo nokuti inowanzova yakakosha kune dzimwe mhando uye kune mimwe mimwe mikoko inopesana nemishonga.
Pane here Visceral Leishmaniasis?
Inofanirawo kuonekwa kuti kune dzimwe nguva zviitiko zvinonzi zveVisceral Leishmaniasis. Izvi zvakanga zvisingawanzoitiki. 17 mamiriro ezvinhu muSiria muna 2008. Iraq yakave nezvakawanda. Pakati pevapoteri muSiriya, 2 kubva pedo kusvika 1000 vaiva Visceral. Zvakaoma kuongorora, asi kana izvi zvakawanikwa, izvi zvingava dambudziko rakasiyana.
Ndeipi matanho ekudzivisa Sandflies?
Kuvhara Leish kupararira, Sandflies inofanira kurega kutema vanhu vane utachiona nevaya vakavapoteredza.
Zvaungaita:
- Sandfly Vector Control (zvichida kupomera)
- Kutora kusvibiswa - kunomisa Sandfly nyika yokubereka uye rats (iyo inoparadzanisa L)
- Mabhedhi Emabhedha (kwete ose anobvumirana pane izvi; WHO inofarira)
- Dzivisa Kupfurikidza Kwakawanda (sezvo sandflies inogona kutumbuka kubva kuropa rekudya kusvika kuropa rekudya)
- Kurapa kunogona kupedza mamiriro ezvinhu seLeish inowanikwa muSiria yakapararira zvikuru kuvanhu kune sandfly kuvanhu (anthroponotic). Nguva yakareba inoramba iri munharaunda yekurumwa, refu Leish ichapararira.