Cudurka 'Systicercosis'
Cysticercosis waa infakshan ku dhaca dulin loo yaqaan Taenia solium (T solium). Waa ubax cajalad doofaar ah oo ku abuureysa fiix meelo kala duwan oo jirka ah.
Cysticercosis waxaa sababa liqidda ukunta T solium. Ukunta waxaa laga helaa cuntada wasakhaysan. Cudurka 'autoinfection' waa marka qof uu horey ugu dhacay qof weyn T solium liqdaa ukumaheeda. Tani waxay dhacdaa sababo la xiriira gacmo dhaqid aan habboonayn ka dib saxaro (gudbinta saxarada afka).
Waxyaabaha halista keena waxaa ka mid ah cunista hilibka doofaarka, miraha, iyo khudradda ku sumoobeen T solium iyadoo ay sabab u tahay cunto karinta oo aan kuleyn ama aan habooneyn. Cudurka sidoo kale wuxuu ku faafi karaa taabashada saxarada cudurka qaba.
Cudurkaan ayaa dhif ku ah Mareykanka. Waxay ku badan tahay dalal badan oo soo koraya.
Badanaa, gooryaanku waxay kujiraan muruqyada mana keenaan astaamo.
Calaamadaha dhacaya waxay kuxiran yihiin halka cudurka laga helo jirka:
- Suuxdin maskaxeed ama astaamo la mid ah kuwa burooyinka maskaxda ku dhaca
- Indhaha - aragga oo yaraada ama indho la’aanta
- Wadnaha - garaaca wadnaha oo aan caadi ahayn ama wadne istaag (dhif)
- Dhabarta - daciifnimo ama isbeddelka socodka sababo la xiriira dhaawac soo gaara dareemayaasha ku dhaca laf dhabarta
Tijaabooyinka la qaadi karo waxaa ka mid ah:
- Baadhitaanada dhiigga si loo ogaado unugyada difaaca jirka ee dulinka
- Cad ka-qaadis (biopsy) ee aagga dhibaatadu gaadhay
- Baadhitaanka CT-ga, sawirka MRI, ama raajada si loo ogaado dhaawaca
- Qalliinka laf-dhabarka (dalool lumbar)
- Imtixaan uu takhtarka indhaha ku fiirinayo isha gudaheeda
Daaweyntu waxay ku lug yeelan kartaa:
- Daawooyinka lagu dilo noolaha, sida albendazole ama praziquantel
- Xoog-ka-hortagga infakshanka (steroids) si loo yareeyo bararka
Haddii systu ku jiro isha ama maskaxda, steroids waa in la bilaabaa dhowr maalmood ka hor daawooyinka kale si looga fogaado dhibaatooyinka uu keeno bararka inta lagu jiro daaweynta antiparasitic. Dadka oo dhan kuma wada faa’iideystaan daaweynta antiparasitic.
Mararka qaarkood, qalliin ayaa laga yaabaa in loo baahdo si meesha looga qaado cudurka.
Aragtida ayaa wanaagsan, illaa iyo inta nabarku sababay indho la'aan, wadne istaag, ama dhaawac maskaxda ah. Kuwani waa dhibaatooyin dhif ah.
Dhibaatooyinka waxaa ka mid noqon kara:
- Indho la’aan, araga oo yaraaday
- Wadnaha oo istaaga ama garaaca wadnaha oo aan caadi ahayn
- Hydrocephalus (dheecaan ka soo baxa qayb maskaxda ka mid ah, badanaa cadaadis saaid ah)
- Suuxdin
Haddii aad leedahay wax calaamado ah oo ah cysticercosis, la xiriir daryeel caafimaad bixiyahaaga.
Ka fogow cuntooyinka aan la maydhin, ha cunin cunnooyinka aan la karin intaad safraysid, mar walbana si fiican u dhaq miraha iyo khudradda.
- Xubnaha habka dheefshiidka
White AC, Brunetti E. Cestodes. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: baab 333.
White AC, Fischer PR. Cudurka 'Systicercosis' Gudaha: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Buugga Buugga Caafimaadka Caruurta. 21aad ed. Philadelphia, PA: Elsevier; 2020: cutubka 329.