Kalafo bakeng sa tšoaetso ea tapeworm e tla kenyelletsa meriana e lebisang ho sebōkō. Meriana e ka 'na ea fapana ho latela mofuta oa tapeworm, o kang tapeworm ea nama ( Taenia saginata) , tapeworm ea nama ea nama ea kolobe ( Taenia solium) , tapeworm ea litlhapi ( Diphyllobothrium latum ), tapeworm ea Asia ( Taenia asiatica ), le tapeworm e nyenyane ( Hymenolepis nana ).
Ke habohlokoa ho noa meriana joalokaha ho laetsoe le ho latela litaelo tsa ho qoba ho khutlisetsoa kalafo ka nako le ka morao kalafo.
Bakeng sa tšoaetso e nang le tapeworm ea nama ea kolobe, haeba boemo bo tebileng bo bitsoang cysticercosis bo etsahetse, meriana e ka fuoa ho phekola matšoao 'me maemong a mang ho buuoa ho ka hlokahala.
Melao
Praziquantel
Praziquantel (Biltricide) ke meriana e le 'ngoe e sebelisetsoang ho tšoara tšoaetso ea' mele. Ke moriana oa antiparasitic oa sehlopha sa lithethefatsi tse tsejoang e le antihelmintics. Ho phekola tšoaetso ka tapewor, ho na le tekanyo e le 'ngoe ea praziquantel.
Li-tapeworms li ikopanya le methapo ea mali leboteng la mala. Praziquantel e leka ho hlakola tšoaetso ka ho senya liboko, ebe joale e thibela lebese ebe e fetela ka maleng le ka ntle ho 'mele ho feta ka lekhetlo le leng le le leng.
Lipilisi tsa Praziquantel li lokela ho nkoa hantle (ntle le haeba ho roba pelisi ho hlokahala bakeng sa litekanyetso), ha li sithabetse, hobane li na le tatso e bohloko 'me li tla ba bonolo ho sebetsana le tsona haeba li metse ka botlalo.
Li boetse li lokela ho nkoa ka lijo le khalase ea metsi.
Meriana ena e ka 'na ea baka moferefere kapa mokhathala' me batho ba e nkang ba lokela ho qoba ho khanna le ho noa joala hobane seo se ka eketsa liphello tsena. Tse ling tsa liphello tse bohloko tse tloaelehileng tsa meriana ena li ka kenyeletsa hlooho, bohloko ba mpeng, ho nyeheloa ke pelo, mokhathala, bofokoli, ho hlatsa, feberu, ho ruruha, ho ikopanya kapa mesifa, ho phatloha ha letlalo le ho lahleheloa ke takatso ea lijo.
Tsela ea ho itšireletsa ho praziquantel e sa tloaelehang, empa matšoao a mokokotlo o kang oa methapo, ho hlohlelletsa, mokelikeli, khatello ea ho hema, kapa ho ruruha ha 'metso kapa leleme ke lebaka la ho fumana ngaka hang-hang.
Praziquantel e sebelisana le litholoana tsa morara, kahoo batho ba fumanang lithethefatsi ha baa lokela ho ja litholoana tsa morara kapa ho noa lero la morara ha ba ntse ba e nka. Praziquantel ke mokhahlelo oa bokhachane B, ho bolelang hore lithuto li entsoe liphoofolong, empa eseng ho batho, mme lithethefatsi ha lebeletsoe ho ama lesea.
Leha ho le joalo, e lokela ho sebelisoa feela ho basali ba nang le bokhachane ha ho hlokahala ka ho hlaka, 'me basali ba moimana ba lokela ho bua le lingaka pele ba fumana sethethefatsi sena e le hore ba etse qeto e tsebang. Lithethefatsi tsena li fetela lebese la lebese le ho emisa ho anyesa matsatsi a mararo (lihora tse 72) ka mor'a hore tekanyo ea ho qetela e khothalletsoe.
Bolella ngaka ka lithethefatsi leha e le life kapa lisebelisoa tse ling hobane li ka ama katleho ea praziquantel, e kenyelletsang:
- Meriana ea ho qhekella e kang Carbatrol (carbamazepine, Equetro, Tegretol), Dilantin (phenytoin), Felbatol (felbamate), Mysoline (primidone), phenobarbital, Trileptal (asoxcarbazepine)
- Aralen (chloroquine)
- Azole antifungals (itraconazole, ketoconazole)
- Li-barbiturate tse kang Amytal (amobarbital), Butisol (butabarbital), Mebaral (mephobarbital), Seconal (secobarbital), kapa Solfoton (phenobarbital)
- Decadron (Hexadrol, dexamethasone)
- Erythrocin (erythromycin (EES, EryPed, Ery-Ta)
- Litlhare tsa HIV, ho akarelletsa Sustiva (efavirenz, Atripla), Intelence (etravirine), Viramune (nevirapine), kapa Norvir (ritonavir, Kaletra)
- Ketozole (ketoconazole, Extina, Nizoral, Xolegal)
- Mycobutin (rifabutin)
- Priftin (rifapentine)
- Sefofane sa St. John's
- Meriana ea mafu a ho robala, ho akarelletsa le Nuvigil (armodafinil) kapa Progivil (modafinil)
- Sporanox (itraconazole)
- Tagamet (cimetidine)
Alinia
Meriana e 'ngoe, Alinia (nitazoxanide), e sebelisoa maemong a tšoaetso le tapeworm e nyenyane ( H nana ).
Alinia ke lithethefatsi tsa antiprotozoal tse ka fanoang e le letlapa kapa e le ho emisoa ha metsi. E lokela ho nkoa hang ka mor'a ho ja lijo tse bobebe 'me ho lokisetsa metsi ho lokela ho sisinngoa hantle pele o fana ka eona.
Tse ling tsa litla-morao tse tloaelehileng tsa lithethefatsi ena li kenyeletsa bohloko ba mpeng, hlooho ea kelello, ho nyekeloa ke pelo, letšollo, ho hlatsa le ho senya nakoana ha moroto. Pele o nka Alinia, bolella ngaka ka mafu leha e le afe a mang kapa maemo, haholo-holo lefu la tsoekere, lefu la sebete, lefu la liphio, tšoaetso ea HIV, kapa lefu la 'mele oa' mele. Matšoao leha e le afe a tšoaetso e sa utloahaleng a kang maheba, ho hlohlelletsa, ho phatloha kapa ho ruruha ha molomo le maleme ke lebaka la ho batla ngaka hang-hang.
Alinia e 'nile ea ithutoa liphoofolong empa eseng ka bakhachane' me e khetholloa e le sehlopha sa bokhachane B hobane ha ho lebeletsoe ho ama lesea. Leha ho le joalo, e lokela ho sebelisoa nakong ea bokhachane ha ho hlokahala, 'me bakhachane ba lokela ho buisana ka melemo le likotsi tsa meriana ena le lingaka pele ba e fumana. Ha ho tsejoe hore na Alinia o fetela lebese la lebese mme phello ho lesea le hlokomelang ha e tsejoe.
Ho hlahisa boitsebiso bo buella khahlanong le ho nka Alinia ha o boetse o nka Coumadin (warfarin). Bolella ngaka ka lithethefatsi leha e le life kapa lisebelisoa tse ling hobane li ka ama katleho ea Alinia, ho kenyelletsa:
- Aspirine
- Bumex (botetanide)
- 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)
Phekolo ea Cysticercosis
Cysticercosis ke bothata ba tšoaetso le tapeworm ea nama ea nama ea kolobe ( T. solium ). Ha motho a noa mahe a tapeworm ea nama ea nama ea kolobe, ebang ke ka lijo tse silafetseng, metsi kapa ho motho e mong, mahe a ka theha mahlakore a bitsoang oncospheres.
Li-oncospheres li ka tsoa ka maleng le ka 'mele. Ba ka 'na ba lula bokong, mesifa, mahlo, tlas'a letlalo, kapa litho tse ling,' me ba etsa li-cysts. Li-cysts li ka 'na tsa se ke tsa hloka phekolo.
Ha li-cysts li e-ba le boko (ho baka boemo bo bitsoang neurocysticercosis), ho ka 'na ha e-ba le liphello tse bohloko. Lithethefatsi tsa li-antiparasitic tse bolaeang li-cysts li tla fuoa, empa lithethefatsi tse ling li ka boela tsa hlokahala. Ha li-cysts tsa tapeworm li shoa ha ho phekoloa ho ka 'na ha e-ba le ho ruruha ho hlokahalang kalafo ka anti-inflammatory e kang prednisone (corticosteroid). Ho ka 'na ha hlokahala hore ho na le li-anticonvulantant e le hore li thibele ho fokotseha. Bakeng sa li-cyst ka mokokotlo kapa leihlo, li-antiparasitics ha li fuoe ka lebaka la kotsi ea ho ruruha e ka senyang likokoana-hloko libakeng tseo.
Ka mor'a Phekolo
Ho etsa bonnete ba hore tšoaetso ea tapeworm e hlakotsoe, ngaka e tla laela liteko tsa setulo. Tlhahlobo ena e tla ba sefofane bakeng sa libōkō, mahe kapa li-proglottids ka setulong ho etsa bonnete ba hore phekolo e ncha ha e hlokehe kapa hore ho tsosolosoa ha hoa etsahala.
Ke habohlokoa ho boloka likamano tsena tsa ho latela le ho fumana liteko tsohle tse khothalletsoang li entsoe. Ho ts'oaroa hape ke kotsi, ka hona ho hlatsoa matsoho hantle le ho latela litlhoko tse ling tse tsoang ho ngaka mabapi le ho pheha lijo ke tsa bohlokoa. Tabeng ea lefu la neurocysticercosis, ho latellana ho ka kenyelletsa liteko tsa litšoantšo le mekhoa e meng ea phekolo e hlokahalang.
> Mehloli:
> Alinia Ho fana ka Boitsebiso. Romark, LC. April 2017.
> Litsi tsa Tlhokomelo le Thibelo ea Maloetse. "Likokoana-hloko - Cysticercosis." Bophelo bo Botle ba Lefatše - Lekhalo la Maloetse a Tšoaetsanoang. 16 Apr 2014.
> Litsi tsa Tlhokomelo le Thibelo ea Maloetse. "Likokoana-hloko - Taeniasis." Bophelo bo Botle ba Lefatše - Lekhalo la Maloetse a Tšoaetsanoang 10 Jan 2013.
> Mokhatlo oa Lefatše oa Bophelo. "Taeniasis / cysticercosis." WHO.int. Apr 2017.
> Zimmer C. "Seoa se patiloeng: Tapeworms Ho lula ka hare ho Bongoli ba Batho." Tseba.