Kurwara kurara, kana kuAfrica trypanosomiasis, chirwere chechirwere chevanhu uye mhuka dzinowanikwa muAfrica. Gore roga roga hutano hunoonekwa huri vanhu zviuru makumi maviri.
Nharaunda, mavara uye maitiro ekugadzirisa zvirwere zvekurara kwevanhu
Kurara kurwere kune dzimwe nyika munyika yeAfrica, iri kumaodzanyemba kweSahara. Munzvimbo idzi vanorarama nhunzi dzinochera ropa dzezitse, izvo zvinotakura chirwere ichi. Kune marudzi maviri ezvirwere zvechirwere ichi chinokanganisa vanhu. Izvi ndezvipi zvisikwa zvisikwa zvemajeri eTespanosomes:
- Trupanosoma gambiense ndiyo inorwisa causative yeGambian (West Africa) yehutachiona, iyo inowanikwa muWest neCentral Africa pedyo nemitumbi yemvura;
- Trypanosoma rhodesiense - zvinokonzera maitiro eRhodesian (East Africa) maitiro echirwere ichi, chinowanikwa muEast Africa, mumasana.
Zvose zvirwere zvinotapurika zvinopfurikidza kuburikidza nekurumwa kwemapukanana eeptse. Vanorwisa munhu masikati, asi pasina zvipfeko zvinodzivirira zvirwere izvi.
Munguva yekuruma, trypeosomes ezizi inopinda muropa revanhu. Nokukurumidza kuwedzera, inotakurwa mumuviri wose. Ihwo hunoshamisa hwezvipembenene izvi ndezvokuti imwe neimwe yezvizvarwa zvavo zvitsva inobereka puroteni yakasiyana, yakasiyana neyo yapfuura. Panyaya iyi, muviri womunhu hauna nguva yekudzivirira zvirwere zvinodzivirira.
Zviratidzo zvekurara kurwara
Zviratidzo zvemarudzi maviri echirwere zvakafanana, asi maEast Africa maitiro mumatambudziko akawanda anowedzera zvakajeka uye pasina kurapwa kunogona kuguma muhupenyu hunouraya munguva pfupi. Iyo yeEast Africa fomu inoratidzwa nekufambira mberi zvishoma uye inogona kupedza makore akawanda pasina kurapwa.
Kune zvikamu zviviri zverwere rinorara, ine zvimwe zviratidzo:
1. Nharaunda yekutanga, apo trypanosomes ichiri muropa (1 kusvika kuvhiki masere mushure moutachiona):
- kutaridzika panzvimbo yekurumwa kwechirwere chinorwadza (sekutonga, kune vagari vasiri vagari vemo);
- fever;
- kuwedzera kutuka;
- kudengenyeka kwemisimba;
- headache;
- joint pain;
- itching;
- kusuruvara .
1. Chikamu chechipiri, apo trypanosomes inopinda mukati memagetsi (shure kwemavhiki akawanda kana mwedzi):
- intense headache;
- fever;
- kusafarira;
- general weak;
- kuramba achitsungirira;
- motokari matambudziko;
- kunetseka ;
- coma.
Kurapa kwekurwara kurara
Asati yatangwa nemishonga yekurwara, chirwere ichi hachina kutongoguma chakaita kuti pave nemigumisiro inouraya. Kusvikira iye zvino, tarisiro yekurapwa iri nani kare kare chirwere ichi chinowanikwa. Utachiona hunotsanangurwa nehuwandu hwechirwere, kuoma kwechiremera, kushorwa kwepathogen kumishonga, nguva uye hurumende yakawanda yemurwere. Kurapa kurwara kurara, pane ikozvino madhiragi mana makuru:
- Pentamidine inoshandiswa kurapa fomu yeGambian yeAfrica trypanosomiasis mumutambo wekutanga.
- Suramin - inoshandiswa kurapa chirongwa cheRhodesian chekurwara kurara mukutanga.
- Melarsoprol - inoshandiswa mune zvose maitiro ehutachiwana muchikamu chechipiri.
- Eflornitin - yakashandiswa muGambian yehutano hwerwere muchikamu chechipiri.
Iyi mishonga inonyanya kunhuwa, saka inokonzera kukanganisika kwemigumisiro uye zvinetso. Panyaya iyi, kurapwa kwekurwara kurara kunofanira kuitwa chete nevanyanzvi vanogona mumakiriniki chaiwo.
Nzira dzokudzivirira kurwara kurara:
- Kuramba kushanyira nzvimbo uko kune ngozi yakawanda yekuruma nezitse flies.
- Kushandisa kudzivirira kudzivirira.
- Injection yepramuscular ye pentamidine mwedzi mitanhatu yese.