Created at:1/16/2025
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I-Toxoplasmosis iwukutheleleka okubangelwa yi-parasite encane ebizwa nge-Toxoplasma gondii. Le parasite evamile ihlala ezindaweni eziningi ezizungezile, kusukela emhlabathini wegadieni kuya kubhokisi le-litter lika-kati, futhi abantu abaningi abathintekayo abazange baqaphele ukuthi kwenzeke.
I-immune system yakho ngokuvamile ilawula lokhu kutheleleka kahle kangangokuba ungase ungabi nazimpawu nhlobo. Noma kunjalo, amaqembu athile abantu adinga ukuba aqaphele kakhulu, kufaka phakathi abesifazane abakhulelwe nabane-immune systems ebuthakathaka.
I-Toxoplasmosis kwenzeka lapho i-parasite ye-Toxoplasma gondii ingena emzimbeni wakho bese iqala ukwanda. Lo mzimba omncane ubelokhu ukhona izigidi zeminyaka futhi ufunde ukuhlala nabantu ngokuthula kakhulu ezimweni eziningi.
I-parasite iya ngezigaba ezahlukene zokuphila, kodwa ingagcwalisa kuphela umjikelezo wayo ophelele ngaphakathi kwamakati. Kungakho amakati adlala indima ekhethekile endleleni lokhu kutheleleka kusabalala ngayo, yize kungeyona yona kuphela indlela ongayibamba ngayo.
Abantu abadala abaningi abaphilile abathinteka yi-toxoplasmosis bazolwa nokutheleleka ngaphandle kokwelashwa. Umzimba wakho ngokuvamile ugcina i-parasite esimweni esingasebenzi, lapho ihlala khona ngokuthula ezicutshini zakho ngaphandle kokubangela izinkinga.
Abantu abaningi abane-toxoplasmosis bazizwa bephilile ngokuphelele futhi abazange babe nazimpawu. Lapho izimpawu ziveleka, ngokuvamile zizizwa njengokulimala okukhulu kwe-influenza okuza nokudlula.
Nazi izimpawu ezivamile ongaziqaphela:
Lezi zimpawu zivame ukuqala ngemva kwamasonto ambalwa nje ukutheleleka futhi zinyamalala zodwa ngaphakathi kwezinyanga ezimbili. Amandla emvelo omzimba wakho aphilile kakhulu ekunqobeni lokhu kutheleleka.
Kodwa-ke, abanye abantu bangase babe nezimpawu ezinzima kakhulu, ikakhulu uma isimiso sabo sokugcina impilo singasebenzi ngokugcwele. Kwezinye izikhathi ezingavamile, ukutheleleka kungathinta amehlo akho, kubangele ukubona okungacace, ubuhlungu beliso, noma ukusabela ekukhanyeni.
Odokotela bahlukanisa i-toxoplasmosis ngezinhlobo eziningi ngokuya ngesikhathi lapho utheleleke khona nokuthi umzimba wakho uyaphendula kanjani. Ukuqonda lezi zindlela ezahlukene kungakusiza ukwazi ukuthi yini okulindelekile.
I-toxoplasmosis ebukhali iwukutheleleka okusebenzayo, okokuqala okwenzeka lapho i-parasite ingena emzimbeni wakho okokuqala. Yilapho cishe uzizwa khona izimpawu, yize abantu abaningi bengaboni lutho olungavamile.
I-toxoplasmosis efihliwe yenzeka lapho isimiso sakho sokugcina impilo silawula ngempumelelo ukutheleleka kokuqala. I-parasite ayinyamali ngokuphelele kodwa ihlala iphumule ezihlangwini zakho, ngokuvamile ebuchosheni nasemisipeni yakho, ngaphandle kokubangela noma yiziphi izinkinga.
I-toxoplasmosis yamehlo ithonya amehlo akho futhi ingenzeka ngesikhathi sokutheleleka okubukhali noma okubuyayo. Le ndlela ingabangela izinkinga zobono nokuvuvukala kweliso okudinga ukunakekelwa kwezokwelapha.
I-toxoplasmosis ezelwe yenzeka lapho owesifazane okhulelwe edlulisela ukutheleleka kumntwana wakhe ophambukayo. Lolu hlobo ludinga ukulandelelwa okukhethekile nokunakekelwa kwabahlinzeki bezempilo.
I-toxoplasmosis ebuyayo ingenzeka uma isimiso sakho sokugcina impilo sibuthakathaka kamuva ekuphileni, sivumela i-parasite ephumule ukuthi ibuyele ekuhlaleni. Lokhu kuvame kakhulu kubantu abanezinhlungu ezifana ne-HIV noma labo abasebenzisa imithi yokucindezela isimiso sokugcina impilo.
Ukuqanduseka kwe-Toxoplasmosis kuvela ekuthintweni ne-parasite ye-Toxoplasma gondii, enezindlela eziningi zokufinyelela kuwe. Ukuqonda lezi zindlela kungakusiza wenze izinqumo ezicacile mayelana nokuvimbela.
Izindlela ezivamile abantu ababuleleka ngazo zihlanganisa:
Amakati abuleleka lapho ezingela futhi edla izilwane ezincane njengempaphe noma izinyoni eziphethe i-parasite. I-digestive system yekati bese ivumela i-parasite ukuba izale futhi idale izinhlobo ezithathelwanayo ezidlula emathunjini ayo.
Kubalulekile ukwazi ukuthi awukwazi ukubamba i-toxoplasmosis ngokuqondile ngokuthinta ikati noma ukuba eduze kwalo. I-parasite idinga isikhathi sokuvuthwa emathunjini ekati ngaphambi kokuba ibe yingozi, okuvame ukuthatha izinsuku eziyi-1 kuya kwezi-5.
Kwezinye izikhathi ezingavamile, i-toxoplasmosis ingasakazeka ngokudlulisa izitho noma ukudlulisa igazi kubanikazi ababuleleka. Abesifazane abakhulelwe bangadlulisa ukutheleleka kubantwana babo abathuthukayo nge-placenta.
Abantu abaningi abane-toxoplasmosis abadingi ukubona udokotela ngoba izimpawu zabo zibuthakathaka futhi ziyaphela zodwa. Noma kunjalo, izimo ezithile zidinga ukunakekelwa kwezokwelapha.
Kufanele uxhumane nodokotela wakho uma uthuthukisa izimpawu futhi ungumuntu ophethwe kakhulu. Lokhu kuhlanganisa abantu abane-HIV, labo abamukela i-chemotherapy, abamukela izitho, noma noma ubani othatha imithi ecindezela isimiso somzimba.
Abesifazane abakhulelwe kufanele bakhulume nodokotela wabo uma becabanga ukuthi bangase babekezelele i-toxoplasmosis. Ukubona kwasekuqaleni nokulandelela kungasiza ekuvikeleni umama ne-baby kokubili ezingxabanweni ezingase zenzeke.
Funani ukunakekelwa kwezokwelapha uma uhlushwa yizimpawu ezihlobene namehlo njengokubona okungacacile, ubuhlungu lwamehlo, ukusabela ekukhanyeni, noma ukubona amabala noma ama-floaters. Lezi zimpawu zingase zibonise i-ocular toxoplasmosis, edinga ukwelashwa okusheshayo ukuvimbela izinkinga zobono.
Shayani nodokotela wakho uma izimpawu zakho ezifana ne-influenza ziqhubeka amasonto amaningi noma kubonakala sengathi ziya ba sibi kunokuba zibe ngcono. Nakuba lokhu kungavamile, kungase kubonise ukuthi umzimba wakho udinga usizo olwengeziwe ekulweni nokutheleleka.
Izici ezithile zingandisa amathuba akho okuthola i-toxoplasmosis noma ukuthuthukisa izimpawu ezinkulu. Ukubazi le mikhakha yokusongela kukusiza ukuqonda isimo sakho siqu kangcono.
Imikhakha ebaluleke kakhulu yokusongela ifaka:
Ubudala bungadlala indima emazingeni akho okusongela. Abadala bangase babe nethuba elikhulu lokuthuthukisa izimpawu ngoba izistimu zabo zokuthola amandla zingase zingaphenduli ngamandla ekuthelelekeni.
Umsebenzi wakho ungase ukhulise ukubukelela uma usebenza nezilwane, ezolimo, noma ekulungiseni ukudla. Odokotela bezilwane, abalimi, nabathengisi benyama bangase bahlangane ne-parasite kaningi kunabanye.
Ukuba nezinye izimo zezokwelapha njengesihlalo noma ukuthatha ama-steroids ngenxa yezinye izinkinga zempilo kungenza isimiso sakho sokuvikela sibe buthakathaka ekulweni nezifo, kufaka phakathi i-toxoplasmosis.
Kubantu abaningi abaphilile, i-toxoplasmosis ayibangeli lutho olude. Kodwa-ke, izinhlanganisela zingase zenzeke ezimweni ezithile, futhi kuwusizo ukuqonda ukuthi zingase zibonakale kanjani.
Izinhlanganisela ezivame kakhulu zihlanganisa:
Lezi zinhlanganisela ezinkulu azivamile futhi ngokuvamile zenzeka kubantu abanesimiso sokuvikela esibuthakathaka kakhulu. Udokotela wakho uzokugcina uqaphile uma ungumuntu ophethwe yingozi enkulu.
Kubakhulelwe, ukukhathazeka okuyinhloko ukudlulisela ukutheleleka kumntwana ophucukayo. I-toxoplasmosis yokuqala ingabangela ukulahleka komntwana, ukuzalwa kwengane efile, noma izinkinga zempilo ezinkulu ezintsheni ezintsha, kufaka phakathi ukonakala kwengqondo, izinkinga zamehlo, noma ukulahleka kokuzwa.
Ingozi yokudlulisela ukutheleleka kumntwana ixhomeke ekutheni umama uthola ukutheleleka nini ngesikhathi sokukhulelwa. Ukutheleleka kamuva ngesikhathi sokukhulelwa kungenzeka kakhulu ukuba kudluliselwe kumntwana, kodwa ukutheleleka kwasekuqaleni kuvamise ukubangela izinkinga ezinkulu.
Ezimweni ezingavamile, abantu abane-toxoplasmosis efihliwe bangase babhekane nokuvuselelwa uma isimiso sabo sokuvikela sibuthakathaka kamuva ekuphileni ngenxa yesifo noma imithi.
Unganciphisa kakhulu ingozi yokuthola i-toxoplasmosis ngokulandela izindlela ezilula zokuphepha kokudla nokuhlanzeka. Lezi zinyathelo zibaluleke kakhulu uma ukhulelwe noma unezimpawu zesimiso somzimba esibuthakathaka.
Izindlela zokuphepha kokudla ezisiza ekunqobeni ukutheleleka zihlanganisa:
Uma unemikati, usengayijabulela ubungane bayo ngokuphepha ngezinye izinyathelo zokuqapha. Yenza omunye umuntu ahlanze ibhokisi le-litter nsuku zonke uma kungenzeka, noma ubeke izihlangu bese ugeza izandla zakho ngokucophelela ngemuva kwalokho.
Gcina imikati yakho ingaphandle ukuvimbela ukuba ingazingeli futhi ingatheleleki. Yondle ukudla kwemikati okuthengwa esitolo kunokudla inyama eluhlaza, futhi ugweme ukuthatha imikati ehambahambayo isimo sayo sempilo singaziwa.
Uma ulima, gqoka izihlangu njalo bese ugeza izandla zakho kahle uma usuqedile. Mbopha amabhokisi esihlabathi sezingane uma enga sebenzi ukuvimbela imikati ukuba ingawasebenzisi njengebhokisi le-litter.
Uma uhlela ukukhulelwa, buza udokotela wakho mayelana nokuhlolwa kwama-antibodies e-toxoplasmosis. Ukubona isimo sakho kusengaphambili kungasiza ekuqondiseni imizamo yakho yokuvimbela ngesikhathi sokukhulelwa.
Ukuhlonishwa kwe-toxoplasmosis kuvame ukubandakanya ukuhlolwa kwegazi okubukela ama-antibodies athile esimiso sakho somzimba asiza lapho silwa ne-parasite. Lezi zivivinyo zingatshela udokotela wakho ukuthi une-infection esebenzayo noma ubethelelekile esikhathini esidlule.
Udokotela wakho ngokuvamile uzokukhipha isivivinyo se-IgM antibody, esithola ama-antibody umzimba wakho awenza ngesikhathi sokutheleleka kwamuva. Uvivinyo oluhle lwe-IgM luphakamisa ukuthi ungase ube utholakele ezinyangeni ezimbalwa ezedlule.
Uvivinyo lwe-IgG antibody lubukela ama-antibody aqandisa kamuva ekuthelelekeni futhi angahlala egazini lakho ukuphila kwakho konke. Lovivinyo lusisiza ukuthola ukuthi uke watheleleka yini nge-toxoplasmosis, ngisho noma kwakungeminyaka edlule.
Uma ukhulelwe, udokotela wakho angakuncoma ukuhlolwa okuqhubekayo ukuze ubone ukuthi ukutheleleka kwenzeke nini nokuthi kukhiqiza yini ingozi engabenzela ingane yakho elikhula. Lokhu kungafaka ukuhlolwa kwegazi okukhethekile noma i-amniocentesis ezimweni ezithile.
Kubantu abanezimpawu zamehlo, udokotela wamehlo angahlola i-retina yakho futhi athathe amasampula wefutha emehlweni akho ukuze abukele i-parasite ngokuqondile. Lokhu kusisiza ukuqinisekisa ukuthi izinkinga zakho zamehlo zihambelana ne-toxoplasmosis.
Ezimweni ezingavamile lapho kukhona ukucatshangelwa kokuthi ingqondo ihilelekile, udokotela wakho angakukhipha ukuhlolwa kwezithombe njenge-CT scans noma i-MRI ukuze abukele izimpawu zokuvuvukala noma ezinye izinguquko ezihlalweni zengqondo yakho.
Ukwelashwa kwe-toxoplasmosis kuncike empilweni yakho yonke nokuthi uhlushwa yizimpawu yini. Abantu abaningi abaphilile abadingi ukwelashwa ngoba isimiso sabo somzimba siphatha ukutheleleka ngempumelelo ngokwalo.
Uma une-immune system enempilo nezimpawu ezilula, udokotela wakho cishe uzokuncoma ukuphumula nokukhathalela okusekela ngenkathi umzimba wakho ulwa nokutheleleka. Le ndlela isebenza kahle kubantu abaningi futhi igwema imiphumela emibi yemithi engadingekile.
Lapho ukwelashwa kudingeka, odokotela ngokuvamile bancoma ukuxuba kwemithi esebenza ndawonye ukuze balwe ne-parasite. Ukuxuba okuvamile kunama-sulfadiazine ne-pyrimethamine, kanye ne-leucovorin ukuvimbela imiphumela emibi.
Imithi ehlukile ingase isetshenziswe uma ungakwazi ukubekezelela ukwelashwa okujwayelekile noma uma i-parasite ingaphenduli kahle. Le mi thi ingafaka i-clindamycin, i-atovaquone, noma i-azithromycin, kuye ngesimo sakho esithile.
Abesifazane abakhulelwe abanokulimala okuqinisekisiwe badinga ukulandelelwa ngokucophelela futhi ngezinye izikhathi ukwelashwa ukuze kuncishiswe ingozi yokudlulisela ukutheleleka engane yabo. Ukukhetha imithi kuncike ekutheni ukukhulelwa kude kangakanani kanye nezinye izici zomuntu.
Abantu abanesistimu yokuvikela emzimbeni ebuthakathaka ngokuvamile badinga izikhathi ezinde zokwelashwa futhi bangadinga ukwelashwa okuqhubekayo ukuvimbela ukutheleleka ukuba kubuyele. Udokotela wakho uzosebenza nawe ukuthola indlela ephumelela kakhulu enezinye izingozi ezincane.
Ukukhathalela wena ekhaya ngenkathi uphulukana ne-toxoplasmosis kugxile ekusekiseni isimiso sakho sokuvikela emzimbeni nasekuphatheni noma yiziphi izimpawu ezingathandeki. Abantu abaningi bazizwa bekhulu ngezindlela ezilula zokunakekela kwabo.
Ukuphumula okuningi ingenye yezinto ezibaluleke kakhulu ongayenza ukusiza umzimba wakho ukulwa nokutheleleka. Zama ukugcina isimiso sokulala esiqondile futhi ungazicinisi ukugcina amazinga akho ajwayelekile wemisebenzi uma uzizwa ukhathele.
Ukugcina umzimba uthambile kusiza isimiso sakho sokuvikela emzimbeni ukusebenza kahle futhi kunganciphisa izimpawu ezifana nobuhlungu ekhanda nobuhlungu bemisipha. Amanzi aphethwe kahle, kodwa ukhilimu olufudumele noma itiye lezimila kungaba oluthambile uma unehlombe elibuhlungu.
Abaphathi bobuhlungu abangenamthetho njenge-acetaminophen noma i-ibuprofen bangasiza ngezinhlungu zemisipha, ubuhlungu ekhanda, nokuqabuka. Landela imiyalelo yephakheji bese uhlola nodokotela wakho uma uthatha eminye imithi.
Ukudla ukudla okunomsoco kusiza imizamo yesistimu yakho yokuvikela emzimbeni ukuhlanza ukutheleleka. Gxila ezithelo, imifino, amaprotheni ahlanzekile, nama-grain aphelele uma isisu sakho sivumela.
Qaphela izimpawu zakho bese uxhumana nodokotela wakho uma ziyanda noma zingaphuli ngemva kwamasonto ambalwa. Gcina uqaphele ubushushu bomzimba wakho nanoma iyiphi impumuzu entsha evela.
Ukulungiselela i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola okuningi ngesikhathi sakho nodokotela wakho. Ukuba nolwazi olufanele kululaza udokotela wakho ukuqonda isimo sakho nokunikeza ukunakekelwa okufanele.
Bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi ziguquke kanjani ngokuhamba kwesikhathi. Qaphela noma iyiphi imiqondo oyibonile, njengezimpawu ezivela nezihamba noma eziyanda ngezikhathi ezithile zosuku.
Yenza uhlu lwawo wonke amayeza, izithasiselo, namavithamini owathatha. Faka imithamo uma uyazi, futhi ungakhohlwa ngamayeza okuthengwa ngaphandle noma izithasiselo zemifino.
Cabanga ngemithombo engenzeka yokubhebhetheka yi-toxoplasmosis emakhulwini ambalwa ngaphambi kokuba izimpawu zakho ziqale. Lokhu kungafaka ukudla inyama engaphekwe kahle, ukulima, ukuhlanza amabhokisi e-litter, noma ukuhamba ezindaweni lapho i-parasite ivame khona.
Letha ulwazi mayelana nomlando wakho wezokwelapha, ikakhulu noma yiziphi izimo ezihlasela isimiso sakho sokukhulula noma amayeza angakwenza ube sengozini yokutheleleka.
Lungiselela imibuzo mayelana nesimo sakho, izinketho zokwelashwa, nokuthi nini kufanele ulinde ukuthuthuka. Buza nganoma yikuphi ukuncika emisebenzini, emsebenzini, noma ukuxhumana nabanye ngenkathi uphulukana.
Uma ukhulelwe, letha amarekhodi akho okukhulelwa futhi ulungele ukuxoxa nganoma yikuphi ukukhathazeka mayelana nendlela ukutheleleka kungathinta ngayo ingane yakho.
I-Toxoplasmosis iyisifo esivamile esiphathwa abantu abaningi abaphilile ngaphandle kwanoma yiziphi izinkinga noma ngisho nokwazi ukuthi banalo. Isistimu yakho yokukhulula ilungile kakhulu ekulawuleni le parasite, futhi izinkinga ezinzima azivamile.
Okubaluleke kakhulu ukukhumbula ukuthi ukuvimbela kulula futhi kuphumelela. Imikhuba elula yokuphepha kokudla, ukuhlanzeka okuhle, nokuphatha ngokucophelela amakati nomhlabathi kunganciphisa kakhulu ingozi yokutheleleka.
Uma utheleleka, isimo sibonakala sihle kakhulu kubantu abaphilile. Abantu abaningi bayaphola ngokuphelele ngaphandle kwelapho, futhi ukuba nethumbu elilodwa ngokuvamile kunikeza ukhuseleko oluhlala njalo.
Kunakekelwa okukhethekile okudingekayo uma ukhulelwe noma unezimpawu zokuphazamiseka komzimba. Kulezi zimo, ukusebenzisana eduze nodokotela wakho kuqinisekisa ukuthi uthola ukuqapha nokwelashwa okufanele uma kudingeka.
Khumbula ukuthi ukuba namakati akusho ukuthi kufanele ukhathazeke njalo nge-toxoplasmosis. Ngokuqapha okuhle, ungajabulela ngokuphepha izingane zakho ze-feline ngenkathi unciphise noma yiziphi izingozi zezempilo.
Amakati angaphakathi angahlali ezingcolweni awunamkhawulo wokuthwala i-toxoplasmosis. I-parasite ngokuvamile ingena emakati ngokudla izilwane ezithathelwanayo njengempuku noma izinyoni. Uma ikati lakho lihlala ngaphakathi njalo futhi lidle ukudla kwe-cat kuphela, ingozi incane kakhulu. Noma kunjalo, uma ikati lakho langaphakathi laliyikati langaphandle ngaphambili noma liqatshelwe muva nje, kungase kube khona ingozi kuze kube yilapho wazi isimo sayo sempilo.
Kubantu abaningi abaphilile, izimpawu ezisebenzayo ze-toxoplasmosis zihlala amasonto ama-2-4 ngaphambi kokuba zinyamalale kancane kancane. Noma kunjalo, i-parasite ngokwayo ayihambi ngokuphelele emzimbeni wakho. Esikhundleni salokho, iba yinto engasebenzi futhi ihlale emathinini akho unomphela, kodwa lokhu ngokuvamile akubangeli noma yiziphi izinkinga eziqhubekayo. Isistimu yakho yokuthola amandla iyigcina ilawulwa ukuphila kwakho konke.
Kubantu abaphilile, i-toxoplasmosis ngokuvamile ayibuyi uma isimo sakho somzimba sesiqede ukutheleleka kokuqala. Noma kunjalo, uma isimo sakho somzimba sibuthakathaka kakhulu kamuva ngenxa yesifo noma imithi, i-parasite eyalala ingavuselelwa futhi ibuyise izimpawu. Ukubuyiselwa kuvamile kubantu abane-HIV, abantu abane-kansa abamukele i-chemotherapy, noma abamukeli bezitho.
Yebo, ungaba eduze nekatsi ngesikhathi sokukhulelwa ngokuqapha okuhle. Okubalulekile ukugwema ukuxhumana nemicu ye-cat, engaba ne-parasite. Yenza omunye umuntu ahlanze ibhokisi lemicu, noma ufake izihlangu bese ugeza izandla zakho kahle uma kufanele ukwenze wena. Ungasaphatha, ubambe, futhi ujabulele amakati akho ngokujwayelekile, njengoba i-parasite ingadluliselwa ngokuxhumana okuvamile.
Cha lutho neze. Awudingi ukulahla ikati lakho elithandwayo uma uhlela ukukhulelwa. Esikhundleni salokho, yisa ikati lakho kudokotela wezilwane ukuze ahlolwe, uligcine lisekhomponi, ulibonise ukudla kwamakati okuthengwa ezitolo, futhi uhlele omunye umuntu ophatha imisebenzi yebhokisi lemicu. Abesifazane abaningi abakhulelwe bahlala namakati ngokuphepha phakathi kokukhulelwa kwabo ngokulandela lezi zindlela ezilula.