Daaweyn loogu talagalay infekshanka kabuubka waxaa ku jiri doona daawooyin dijitaal ah. Daawooyinka waxaa laga yaabaa in ay ku kala duwan yihiin nooca mashiinka hilibku ku jiro, sida hilibka lo'da ( Taenia saginata) , hilibka doofaarka ( Taenia solium) , kalluunka geedka kalluunka ( Diphyllobothrium latum ), macmacaanka Asian ( macunia asiatica ), iyo macmacaanka muraayada ( Hymenolepis nana ).
Waa muhiim in la qaato daawada sida loo qoray iyo in la raaco tilmaamaha si looga fogaado dib u soo kabashada inta lagu jiro iyo ka dib daaweynta ka dib.
Caabuqa la xidhiidha hilibka doofaarka, haddii xaalad halis ah loo yaqaan 'cysticercosis', waxaa laga yaabaa in daawooyinka la siiyo daaweynta calaamadaha iyo xaaladaha qaarkood qalliin ayaa laga yaabaa in loo baahdo.
Rijeetooyinka
Praziquantel
Praziquantel (Biltricide) waa hal dawo oo loo isticmaalo in lagu daaweeyo infekshanka xaydha. Waa daawada antiparasitic ee ka tirsan fasalka daroogada loo yaqaanno antihelmintics. Si loo daweeyo infekshin leh maaddo, waxaa la bixiyaa hal qadar ah prizewillel.
Shukumaatiyadu waxay isku xiraan marinnada dhiigga ee derbiga xiidmaha. Praziquantel wuxuu u shaqeeyaa in uu iska nadiifiyo infekshinka isaga oo xakameynaya Gooryaanka, ka dibna ka soocaya xuubka mindhicirka kadibna wuxuu ku sii gudbaa mindhicirka iyo jidhka isaga oo u maraya futada leh mindhicirka.
Kiniinnada Praziquantel waa in la qaato oo dhan (haddii aan la jebin kiniinku waa lagama maarmaanka u ah qiyaasta), oo aan la jajabin, sababtoo ah waxay leeyihiin dhadhan qadhaab ah waxayna u sahlanaan doontaa inay la qabsadaan haddii la wada liqo.
Waa in sidoo kale la qaato cunto iyo galaas oo buuxa oo biyo ah.
Daroogadaasi waxay sababi kartaa dawakhaad ama daal iyo dadka qaadanaya waa in ay ka fogaadaan baabuur iyo cabitaanka khamriga maxaa yeelay taasi waxay kordhin kartaa saameyntaas. Qaar ka mid ah dhibaatooyinka kale ee caadiga ah ee daawadani waxaa ka mid noqon kara madax xanuun, calool xanuun, lallabo, daal, daciifnimo, matag, qandho, dhidid, xannuun ama murqo xanuun, finan maqaarka ah, iyo cunto xumo.
Dareenka xasaasiyadeed ee ka yimaada prziquantel waa calaamado, laakiin calaamadaha fal-celinta xasaasiyadda sida fawdada, cuncunka, madax-wareer, neefsashada oo dhibta, ama barar dhuunta ama luqadda ayaa ah sabab u ah in la raadsado daryeel caafimaad isla markiiba.
Praziquantel waxay la falgalaan xayawaanka, sidaa daraadeed dadka qaata daroogadaan waa in aysan cunin raashin ama cabitaan casiir leh markaad qaadato. Praziquantel waa nooca B, taasoo macnaheedu yahay in daraasado lagu sameeyay xayawaanka, laakiin aaney dadka ku jirin, daroogada lama filayo inay saameyn ku yeelato ilmaha caloosha.
Si kastaba ha ahaatee, waa in loo isticmaalo dumarka uurka leh markii loo baahdo, haweenka uurka leh waa inay la hadlaan dhakhtarkooda inta aysan qaadan daawadan si ay go'aan uga gaaraan. Daawadani waxay u gudubtaa caanaha naaska iyo joojinta naas-nuujinta saddex maalmood (72 saacadood) ka dib markii qiyaasta ugu dambeysa lagu taliyo.
U sheeg takhtar ku saabsan wixii daawooyin kale ah ama wax dheeraad ah sababta oo ah waxay saameyn karaan waxtarnimada prziquantel, oo ay ku jiraan:
- Daawooyinka qallalka ah sida Carbatol (carbamazepin, Equetro, Tegretol), Dilantin (phenytoin), Felbatol (felbamate), Mysolol (primidone), phenobarbital, Trileptal (asoxarbazepine)
- Aralen (chloroquine)
- Antifungal Azole (itraconazole, ketoconazole)
- Barbiturates sida Amytal (amobarbital), Butisol (butabarbital), Mebaral (mephobarbital), Seconal (secobarbital), ama Solfoton (phenobarbital)
- Decadron (Hexadrol, dexamethasone)
- Erythrocin (erythromycin (EES, EryPed, Ery-Ta)
- Daaweynta HIV, oo ay ku jiraan Sustiva (efavirenz, Atripla), Intelis (etravirine), Viramune (nevirapine), ama Norvir (ritonavir, Kaletra)
- Ketozole (ketoconazole, Extina, Nizoral, Xolegal)
- Mycobutin (rifabutin)
- Priftin (rifapentine)
- St. John's wort
- Daawooyinka khalkhalka hurdada, oo ay ku jiraan Nuvigil (armodafinil) ama Progivil (modafinil)
- Sporanox (itraconazole)
- Tagamet (cimetidiin)
Alinia
Daawada kale, Alinia (nitazoxanide), waxaa loo isticmaalaa xaaladaha caabuqa leh ee la yiraahdo "Cowana" ( H nana ).
Alinia waa daawada antiprotozoal oo laga yaabo in lagu karsado sida kaniiniga ama ka-joojinta dareeraha. Waa in la qaataa uun kadib marka cuno cunto fudud iyo diyaarinta dareeraha waa in la ruxaa ka hor inta aan la bixin.
Qaar ka mid ah waxyeelada ugu badan ee daawadani waxaa ka mid ah xanuunka caloosha, madax-xanuun, lallabo, shuban, matag, iyo midabeyn ku-meel-gaar ah oo kaadida. Ka hor inta aadan Alinia qaadin, u sheeg dhakhtarka ku saabsan cudurada kale ama shuruudaha kale, gaar ahaan sonkorowga, cudurka beerka, cudurka kalyaha, infekshanka HIV, ama cudurada difaaca jirka. Astaamaha astaamaha fal-celinta xasaasiyadda sida fawdada, cuncun, firiiric, ama barar afka iyo afka ah ayaa sabab u ah in la raadsado daryeel caafimaad isla markiiba.
Alinia waxaa lagu bartaa xayawaanka, laakiin maaha kuwa uurka leh waxaana loo kala saaraa qeybta B ee uurka sababtoo ah lama filayo inay saameyn ku yeelato ilmaha caloosha. Si kastaba ha noqotee, waa in la isticmaalo keliya marka uurka la siinayo marka loo baahdo, haweenka uurka leh waa inay ka wada hadlaan faa'iidooyinka iyo khatarta daawadan leh dhakhtarkooda kahor intaadan helin. Lagama yaabo in Alinia ay u gudubto caanaha naaska iyo saameynta ilmaha ilmo xanaaneeyo lama garanayo.
Qorista macluumaadka ayaa kugula talineysa in aad qaadato Alinia inta aad qaadaneysid Coumadin (warfarin). U sheeg takhtar ku saabsan wixii daawooyin kale ah ama waxtar dheeraad ah maxaa yeelay waxay saameyn karaan wax ku oolnimada Alinia, oo ay ka mid yihiin:
- Aspirin
- Bumex (bumetanide)
- Cleocin (Clindesse, clindamycin)
- Coumadin (Jantoven warfarin)
- Gawaarida (Stavzor, valproic acid)
- Diabeta (Glynase, Glyburide)
- Diamox Sequels (acetazolamide)
- Dilantin (Phenytek, phenytoin)
- Glucotrol (glipizide)
- Hygroton (Thalitone, chlorthalidone)
- Platinol (cisplatin)
- Prograf (Astagraf XL, tacrolimus)
- Soriya (acitretin)
- Oncovin (Vincasar PFS, vincristine)
Daaweynta Cudurrada Asaasiga ah
Cysticercosis waa cilad infekshanka leh xajinta hilibka doofaarka ( T. solium ). Marka bini'aadanku ku boogo ukunta hilibka doofaarka, ha ahaato cuntada wasakhaysan, biyaha, ama qof kale, ukumaha ayaa abuuri kara xeelado lagu magacaabo qulqulo.
Oncospheres ayaa laga yaabaa inay ka baxaan mindhicirka iyo jidhka. Waxay markaa ka qaadi karaan degaan maskaxda, muruqyada, indhaha, maqaarka hoostiisa, ama xubnaha kale, waxayna sameeyaan fiix-yada. Noocyadaasi waxay noqon karaan ama uma baahna daaweyn.
Marka cysts ay ku sameyso maskaxda (oo keenaysa xaalad la yidhaahdo neurocysticercosis), suuxdintu waxay dhalin kartaa. Daawooyinka Antiparasitic ee dila fiixda ayaa la siin doonaa, laakiin dawooyinka kale ayaa laga yaabaa in loo baahdo. Marka bukaanka loo yaqaan 'tapeworms die' oo lagu daaweynayo waxaa laga yaabaa inuu jiro caabuq loo baahan yahay in lagu daaweeyo antibiyootiko sida prednisone (corticosteroid). Anticonvulsant waxaa laga yaabaa in loo baahdo si looga hortago qallalka. Cudurada gudaha xudunta laf-dhabarta ama indhaha, antiparasitics lama siinayo sababtoo ah khatarta caabuqa oo dhaawici kara unugyada meelahaas.
Ka dib Daaweynta
Si loo hubiyo in infekshanka kabuubku uu cadeeyo, dhakhtarku wuxuu amri doonaa baaritaanka saxarada. Tijaabadani waxay muujinaysaa gooryaanka, ukunta, ama proglottids ee saxarada si loo xaqiijiyo in daaweyn dheeraad ah loo baahnayn ama dib u soo noqoshadu ma dhicin.
Waa muhiim inaad ilaaliso ballamadan dabagalka ah oo aad hesho dhammaan tijaabada lagu taliyay. Dib-u-soo-ceshadu sidoo kale waa halis, sidaas darteed gacmaha si fiican u dhaqo kadibna talooyin kale oo dhakhtarka ah oo ku saabsan cunto karinta waa muhiim. Xaaladda neurocysticercosis, dabagal waxaa ku jiri kara tijaabooyin sawirro iyo daaweyno kale sida loo baahdo.
> Ilo:
> Alinia Warbixinta Qorista. Romark, LC. Abriil 2017.
> Xarumaha Xakamaynta iyo Ka Hortagga Cudurrada. "Parasites - Cysticercosis." Caafimaadka Caalamiga ah - Qeybaha Cudurrada Dhiigga ah 16 Apr 2014.
> Xarumaha Xakamaynta iyo Ka Hortagga Cudurrada. "Parazit - Taeniasis." Caafimaadka Caalamiga ah - Qeybta Cudurrada Dabiiciga ah 10 Jan 2013.
> Ururka Caafimaadka Adduunka. "Taeniasis / Cysticercosis." WHO.int April 2017.
> Zimmer C. "Cadaadiska Qarsoon: Deeqaha Dhiiggu ku Jiraan Maskaxda Dadka" Discovery.