He aha ka leishmaniasis? ano o ka leishmaniasis

Loa pinepine kanaka iʻalo i nā maʻi o ka ili. O ka poʻe noʻonoʻoʻole i 'ōili mai, i kaʻeha mea no i maopopo i ke ano o ke nahu, akā, somehow ia mea kupanaha. Loa pinepine mosquito nahu hiki lālā i loko o nā mea palahēhē, kekahi ano o i mea na maʻi like leishmaniasis. Ua mea e pili ana i ka mai a me ka'ōlelo i kēia lā. No laila, he aha ka leishmaniasis?

manaʻo

Leishmaniasis - mea he maʻiʻaʻai i hoike mai ai ia ia iho,ʻaʻole wale nō i loko o kānaka akā, i loko o na holoholona. Ke causative Agena o ka mea mea wale heʻano o Leishmania, a me ka mea, ua i hiki ma kaʻaki o makika Lutzomyia.

Leishmania protozoa anaʻano nui i loko o Tropical aina: Asia, Aferika,ʻAmelika Hema.

Loa pinepine, i ke ano iho mailoko o na kumu o ka maʻi kanaka, holoholona, canines (ʻalopeke, na iliohae a me'īlio), ka home-ulu, a me rodents.

Infectious maʻi a me ka lōʻihi a me ka pilikia hoola ana kaʻina, noho pilikia ole wale no kānaka akā, no hoi no ka holoholona - ia leishmaniasis. Ke ola kalapona o ka koʻohune mea i kēia maʻi, ua nui loa. Mua o nā makika iho mailoko o. Ma hope o ia, ai ka maʻiʻaʻai i loaʻa i loko o ka digestive nenoaiu, i mea ole no nae oo no i oʻo ano o ka leishmaniasis, a lilo i lawe lima flagellar palapala. Loaa ana ma ka puu mosquito ma ka hou nahu, loaa ka mea, i loko o kaʻeha, a he aha ka epithelial keena a me nā loko o ke kanaka a me ka holoholona.

Leishmaniasis:? Ueo

He nui na ano o keia mai, a me kela mea keia mea ma kona ihoʻaoʻao mea pilikia no ke kanaka kino:

• Skin.
• Slimy.
• Visceral leishmaniasis.
• Mucocutaneous.
• Viscerotropic.

I ka papa kuhikuhiE symptoms o ka leishmaniasis

I ka papa kuhikuhiE symptoms o ka maʻi i manaoia ulcers ma ke kanaka kino. Ka mea, eʻikea au i loko o kekahi mau pule paha hoi mahina ma hope o ka mea nahu insect vectors o ka maʻiʻaʻai. Kekahi symptom paha ia i ka mai kuni, a e hoomaka i kekahi mau lā ma hope o ka nahu. Manawa ke hele lawa, ma kekahi hihia, a no ka pili ana o ka makahiki. Nō hoʻi, ka maʻi e loli ai i ke ake a me ka spleen, i ka hopena i e anemia.

I lapaau, i ka mua hoailona o leishmaniasis o ka hoʻonui o ka spleen: ma ka nui, ka mea hiki ke lilo oi ma mua o ke akepaʻa. I kēia lā, he mea eha ano o ka leishmaniasis:

1. Visceral. 'O kēia kekahi o ka loa huikau ano o ka maʻi. Inā 'oe e e hoʻomaka i kakahiaka nui lapaʻau, ka maʻi ke alakai i ka make.
2. Cutaneous leishmaniasis. Ua Ua manaoia kekahi o ka loa, he pono ole pepa. Koke ma hope o ka nahu o ka eha hou ma kona wahi. Hoola i kēia palapala no ka maʻi mea hiki wale nō ma hope o kekahi mau mahina, a hiki laila kanaka, e hoomanao ana ia ia, e kali ana i ka mea me ka makaʻu no, mai ka maʻi.
3. Eiei? Cutaneous leishmaniasis - kēiaʻano o ka maʻi Ua laha, kona helehelena loa kohu lēpera, a me ka loa paʻakikī i ka pono.
4. Mucous palapala. E hoʻomaka ana me ulcers o kaʻili, a a laila e alakai i ka'aʻaʻa pōʻino, pela me ka pili ana i ka waha a me ka ihu.

Manaʻo a me symptoms o visceral leishmaniasis

Visceral Leishmaniasis - mea he kino o ka infectious maʻi, kena ae la ia e Leishmania. Aia He He malaise i loko o ka propagation o kēia 'ano o ka koʻohune hematogenous ala hele, mai ka iniiaiie pulakaumaka o ka maʻiʻaʻai i loko o kekahi o na kanaka nā loko: akepaa, spleen, lymph aka wahi, a hiki i ka iwi lolo. Anakahi iki-meaola i loko o ke kino hoonui hoʻomaka koke, kūpono i ka pōʻino.

Loa pinepine i kēia maʻi, he mau keiki. Ke incubation au ua hala loa lōʻihi, i kekahi manawa, me ka loihi mai ka elima mahina. Maʻi i helu kuhi puke he kali iki mai, akā, no ka waeʻano o ke ola, a ke hele mai i ka endemic mau mea, i ka maʻi hiki hoʻomōhala hikiwawe loa.

Visceral leishmaniasis symptoms Ua hala loa, he pono ole. Ma aneane nā hihia a ka mea, a pau i ka mea hookahi: malaise, nawaliwali ma ke kino a pau, lethargy, piha nele o kona'ōpū. Wela hoʻomaka loa koke. Ua hele i ka nalu, i ke kino mahana hiki a hiki i 40 degere. Alaila, hele mai kekahi wahi no ke kokua ana i hou haawi ala i ka kiʻekiʻe wela, a he okoa loa paakiki kikeke.

E hiki no hoiʻike i nā hōʻailona o ka ili maʻi e like me visceral leishmaniasis. symptoms me ka mea kēia: paleʻili me ka grayish tinge a pinepine hemorrhage. E lohe i na koina, a me ka lymphatic'ōnaehana - ka lymph aka wahi e hooakea aku.

Main symptoms o visceral leishmaniasis

Ke kumu nui hiʻona o ka maʻi o ka loiloi mua kina, a hiki ia i ka hookahi, a no ia mea, ka mea mua nana hiki ole ke ike. Ua nana e like me ka mea uuku pimple flushed kainuʻu flake. Ua lŘlŘ ma ka wahi, kahi āna i ke nahu o ka insect lawe a me ka holoholona, mai canine, i ke kino i ka mea i causative Agena o visceral leishmaniasis.

Ikaika aku symptom, a ma ka wahi mua e hoʻolohe ia, o ka hoʻonui o ka spleen a me ka akepaʻa. I spleen loa hoʻomaka koke maoli, a ma hope o kekahi mau mahina ma hope o ka maʻiʻaʻai ke lawe i ka hemaʻaoʻao holoʻokoʻa o ka peritoneum. Ma ka hoʻopā o mau kino i anuanu, akā, me ka eha o laila. Ke akepaʻa Ua mahuahua ole ai hookeai, akā, ka mea hiki ke malama haunaele mea nui i loko o ka mana o ka mai i ka ascites.

Inā luku aku la ma ka iwi a ka lolo maʻi, ua hoikeia na symptoms ma thrombocytopenia a me ka agranulocytosis, i hiki ke ukali ma ka puu nui. Ka mua mea e e ike i ke kanaka kino hiki - o ka kokololio muli o nā pōpō pigment mau kiko.

Cutaneous leishmaniasis

Ka maʻi Leishmaniasis mea he nui loa, he pono ole, a he mau ano, i kekahi o ia mea i ka cutaneous leishmaniasis. Nā'ōlelo o ka pathogen ia lŘlŘ i loko o nā nā'aʻaʻa o ke kanaka kino, kahi Leishmania loa hoʻomaka koke oo ai, a huli i loko o larvae bezzhgutikovyh. Keia ua kapaia ka iniiaiie paena o ka pau, a me ke kahua o ka granuloma. Ua ninoieo o epithelial keena a me ka wai koko keena, macrophages a me lymphocytes. hālāwai hope huahana hiki i nui hoʻoʻino loli i hiki a hiki i lymphangitis paha lymphadenitis.

Symptomatology o cutaneous

Ka lōʻihi like 'ole o ka incubation wā o cutaneous leishmaniasis mea e pili ana kekahi, a me ka hapalua mahina. E koho i hiki e kekahi mau papa kuhikuhiE kuʻina o ka maʻi.

1. Ke ano o ka tubercle ma luna o kaʻili a me kona kokololio māhuahua. kona Ana i loko o 2 knm.
2. Ke ulcer ikeia ma hope o kekahi mau lā. Mua, ka mea uhi he lahilahi pńpa i ua a laila eliminated, a ma luna o kaʻilikai i Konakele. Haikea a pink lalo me ka uwē, ulcer hana hope. Ulcer kihi iki hoalaia a me ka moe kolohe.
3. Tripe. A mau lā ma hope ua pau i hooakea ai i ka lalo o ka ulcer, a uhi i granulations, i loko o ka wā e hiki mai a pau kēia mau scars.

I ka papa kuhikuhiE na hoailona o ka cutaneous

Aohe mea ole wale keʻano o nā kua'āina akā, i hoʻokiwikā, a me ka mea, i ole mea okoa mai kekahi i kekahi, akā, ia mea e pono ke hoomanao i ka loaʻa nō kekahi kumu o hiʻona e ae e maopopo ia lakou.

I ka papa kuhikuhiE a me ka loa nui wahi - keia mea me ka pololei a me ka lawe ia'ku, mōʻaukala. Hooloihi ae i waiū ma ka hoʻokiwikā paha kua'āina 'ia i ka' i loko o ka lokomaikai o keʻano o ka maʻi. Lepohaoʻano mau ia lŘlŘ ma iniiaiie 'ano apau loa, akā, i ke kūlanakauhale hiki ke lawe a pau o ka? Ueony? Ueo.

Mucocutaneous ano o ka maʻi

Ma waho aʻeo ia ka luna ano o ka maʻi, he mea kekahi 'ano, he pono ole, a loa weliweli - e Aloha slimy ili leishmaniasis (espundia). Ua ua kena ae la ia e makika.

Mai insectʻaki, a hiki i ka mea mua hoailona o ka maʻi hiki ke lawe mai i ka 3 mahina. Ma ke kahi i nahuʻia i ka ke kanaka ma ka mosquito, ka mea i hana i ka hohonu ulcer. Ua komo ai ka mucosa, lymph a me ke koko moku. A pau i kēia hiki aku ai i ka loa a me ka luna 'nui complications, prognosis ua ole ka paipai'.

kanaka leishmaniasis i loko o kekahi o ka na pepa i pilikia loa, e like me lakou aloha ia na na nā loko, i mea poorly i mālama ai lapaʻau, e like me ka spleen a me ka akepaʻa. Ia mea no keia kumu, kauka waiho aku i mua oe i haha aku unwell, e hele i ka haukapila i loko o nā kuʻina kakahiaka o ka maʻi hiki ke hoola iho koke me ka palena haʻahaʻa hopena.

Other laha 'o ka leishmaniasis maʻi

Mākou i hōʻike mua kekahi walaʻauʻana ano o keia maʻi like leishmaniasis, akā, ma laila nō i ole e ka pinepine, akā, i pilikia i kānaka i kekahi mauʻano o ia:

1. Sequential leyshmanioma - i ka alo o ka iniiaiie punahelu me ka hou ana o kiʻekiʻe 'ano i loko o ka palapala o ka liʻiliʻi nodules.
2. Tuberculoid leishmaniasis. Photo hoʻomanawanui iki mai hōʻike i na hoailona o ka maʻi ikea ma wahi o ka iniiaiie pepa a me ka wahi o ka me ka makaʻu no. I ka Ia manawa ka iniiaiie kina kumu i ke alo o ka poe liilii, tubercles pale yellow,ʻaʻohe nui ma mua o ke poo o ke kui.
3. Eiei? Leishmaniasis. Kēia palapala no ka maʻi loa pinepine ia lŘlŘ i kanaka me ka haahaa e hoʻonele, a ua wehewehe aku ma ka nui ulcerative lesions o ka ili a me ka maʻi kaʻina.

He aha ka leishmaniasis, ua maopopo, a pehea e diagnose mea, hoomaopopo hou.

ʻano likeʻoleʻike, o ka leishmaniasis

Lapaʻauʻike, o ka leishmaniasis hoomanawanui ua kau ma luna o ke kumu o epidemiological ikepili a me ka lapaʻau kiʻi. Pololei hoʻokūpaʻa i ke alo o ka maʻi, e kōkua keʻena hoʻokolohuaʻike. Leishmaniasis hōʻike i nā kēia kiʻina hana:

• Research ma koʻohune: lawe i ka hamoʻia mai ulcers a me tubercles.
• Microscopic ninaninau: ka hoʻomanawanui ua ia haukaʻe i ole mānoanoa kulu. Kēia hana hiki huai ae i ke alo o Leishmania nā pōpō e Romanovsky-Gimza.

• Hana he biopsy o ke ake , a spleen, ma ka loa loa hihia hana iwi lolo punctate.
• Serological ki ina hana like e like me RGC, IFA, a me na mea e ae.

Nā Papahana O Ka pololei hoomaopopo ana aia no he nunui nui, a me kela mea keia mea o lakou, e hōʻike i ka loa pololei ikepili a me Hōʻike i ke alo o kānaka o na maʻi like leishmaniasis. ʻike, i loko o ka pōkole manawa, e hooholo i ka oolea o ka maʻi.

lapaʻau

He aha ka leishmaniasis, a pehea e diagnose mea, ua i hoakakaia mamua. E ka kamailio iki no Pehea ka mea, ua hana lapaau.

A hiki i ka visceral ano o ka pentavalent antimony i hoʻohana ai ':

1. "Pentostam". Ua Ua lawelawe intravenously i ka hoomanawanui, mālama '-nāu kekahi ma ka monakō koko 5% pāʻoihana. Ka lāʻau 'hiki no hoi ke hoʻohana intramuscularly. I ka papa o ka iapaau mau no ka mahina.
2. "Glyukantim". Ka lāʻau 'Ua hoʻohana' ia i loko o ka like me "Pentostam". Inā i ka maʻi, ua huikau kinona, hiki e mahuahua ai ka mahele lāʻau, a no ka hohola aku lapaʻau no kekahi mahina, akā, ka mea hiki ke hana ia me ka ae ana o ka mea e hele ana i kahuna lapaau wale.
3. "Solyusurmin". Ka lāʻau i ke lawelawe intravenously paha intramuscularly, lapaʻau E hoʻomaka me 0,02 g. No kg kino ke kaumaha. Ke kiʻekiʻe, i ka 20 lā ka mahele lāʻau ua mahuahua ia 1,6 g. / Kg.

No hoi, i ka wa a ka, ua hanahana loaʻano o ka maʻi, oia ke maikai lāʻau lapaʻau "Amphotericin B". I ka loiloi mua mahele lāʻau o 0,1 mg / kg. Ua i nā maoli he akā,ʻaʻole oi ma mua o 2 g. No ka lā. Mai i ka lāʻau intravenously, mua mea hoʻoheheʻe kona i loko o ka monakō koko pāʻoihana.

Ma ka loa pilikia hihia, i ka wa a na ai 'a pau hoʻohana a i ole lawe mai i ka i makemake i nā hualoaʻa, i hoakaka iaʻoki kino - splenectomy. Ma hope o ia i ka hana, i ka hoʻomanawanui loa koke hele hoʻi i ka maʻamau, akā, wale i ka pilikia o infectious maʻi 'ē aʻe.

I ka ili maʻi shape hiki ke hoʻohana i hoomakaukau, ua hōʻike mākou ma luna, a aiiieieoaeuii i hoʻokohu 'ia i ka hahana maoli nō kēia a me ka ultraviolet irradiation.

Ka hopena o ka leishmaniasis

Prognosis a me ka hana hope ma hope o infectious maʻi e like me leishmaniasis, kekahi henua. I loko nō o ka mea i ka visceral ano o ke dala i loaa mai, mai kaumaha complications, a no ke ola o ka hoʻomanawanui ia mea pilikia loa, ina 'eleu lapaʻau o ka maʻi hele unnoticed, a' aʻole i 'ino nui i ke kino.

E like me ka hopena, i ka ili palapala, ka oi aku o ka eiei? Lolina, i kaʻili e noho scars. Ma kekahi, kūpono ke koʻikoʻi hihia i hiki e loli iwi.

hiki complications

Hiki complications o ka maʻi leishmaniasis (kiʻi o nā mea maʻi i kēia maʻi hiki ke loaʻa i loko o kā mākou 'atikala). I ka hope o ka maʻi ua 'akomi i a me ka lapaau ua hoʻomaka' ana i ke kaʻina hana, ke kiekie o ka pilikia o ka loa complications. I ka leishmaniasis ka mea, hiki ke lawe i ka palapala penei:

• Ake ole, cirrhosis a me ascites kaumaha.
• Loa anaemia, a hoʻolaha intravascular coagulation.
• ʻaʻa puʻuwai amyloidosis.
• Ulcers ma ka naʻau o ka digestive'āpana.

I ka cutaneous maʻi complications piliʻano nui me ka hou ana o ka haumāna maʻiʻaʻai. Ua Ua hoikeia aku ai e kūloko phlegmon a me abscesses, akā, i loko o ka wa e kaawale aku o ka pono i ka nui lapaʻau ke hoʻomōhala i loko o ka nui 'ano o ka septic.

He aha ka leishmaniasis? Kēia mea he nui infectious maʻi, a he okoa ano, kela mea keia mea o ka i mea lawa pilikia i kānaka. Akā, loaʻa nō kekahi mau ano o ka Kāohiʻana, a e kōkua loaʻa i ka maʻi a me kaʻole kona loa ano.

maʻi Kāohi

Ke mau rula o ka Kāohiʻana o ka leishmaniasis mea aiiay ana. E pono e ho'āʻo e hoʻopale ai ia lakou iho mai ka mosquitoʻaki, i mea na nā moku halihali mokulele o ka maʻi. He mea pono e lawe mai regular disinfection, a kaua aku i rodents, ho'āʻo e hoolilo ia hai i Ka Hānai Ā Huhu canines i i ua ia e hoala mai i ka ulu lāʻau.

A lāʻau Kāohi e wale kōkua i loko o ka pale 'ana i cutaneous maʻi. No laila, i ke kanaka nana au i hoouna i loko o ka endemic wahi, vaccination.

Leishmaniasis - muli o kona kulana he nui maʻi e pepehi ana i ka hapalua o ka miliona kanaka mai ia i kela makahiki, no laila, pono ia ia e ku ana me ka piha kuleana, a ma o ka hoailona mua, e holo ana i ke kauka. Wale na kuʻina kakahiaka nui o ka maʻi hiki ke hoola ia me kekahi hou hopena.

Akā, no laila, i loko o ko makou aina ua kukuluia,, i nā mea a pau i ka "malama ole lakou i na mai" ka mea, i hoʻolako, no laila i kekahi e e e vaccinate i ka heluna kanaka, oiai ke kanaka ia ia iho, aole ia e kuai i ka laʻau koʻokoʻo, a i ole e ninau ia ia e komo. A no laila, e huli mai i ka maʻi ua loa ua 'ike nui, a me ka pono hooponopono o ka iapaau ana mea wale,ʻaʻole lawa ka waiwai. No ia mea, e mea maikaʻi ma luna o lākou iho, e hana na mea a pau i hiki ke pale maʻiʻaʻai.