Kudzorwa pamwe chete kweivermectin, diethylcarbamazine, uye albendazole inova nechokwadi chekuchengetedza misa pharmacotherapy.

suma:

Mukubudirira kwezvirongwa zvehutano hweveruzhinji, vaongorori vakasimbisa kuchengetedzwa uye kushanda kwemusanganiswa mukuru wezvinodhaka we ivermectin, diethylcarbamazine (DEC) uye albendazole. Kufambira mberi kukuru uku kuchakanganisa zvikuru kuedza kwenyika kurwisa zvirwere zvakasiyana-siyana zvakaregeredzwa munzvimbo dzinopisa dzepasi (NTDs).

kumashure:

Zvirwere zvemunzvimbo dzinopisa zvisingatarisirwi zvinobata vanhu vanopfuura bhirioni imwe munyika dzine urombo uye zvinounza matambudziko makuru kuutano hwepasi rose. Ivermectin inoshandiswa zvakanyanya kurapa zvirwere zveparasitic, kusanganisira rwizi upofu, nepo DEC inotarisa lymphatic filariasis. Albendazole inoshanda kurwisa makonye emudumbu. Kushandira pamwe kwemishonga iyi kunogona kugadzirisa maNTD akawanda panguva imwe chete, zvichiita kuti mishonga yekurapa inyatsoshanda uye inodhura.

Kuchengetedza uye kushanda zvakanaka:

Ongororo ichangoburwa yakaitwa nechikwata chevaongorori vepasi rese ine chinangwa chekuongorora kuchengetedzwa kwekutora mishonga mitatu iyi pamwe chete. Kutongwa uku kwaisanganisira vanopfuura zviuru zvishanu vatori vechikamu munyika dzakawanda, kusanganisira idzo dzine hutachiona. Mhedzisiro yechidzidzo ichi yakaratidza kuti kurapwa kwakabatana kwakanyatso kushivirirwa uye kwakave nemhedzisiro yakaipa. Chekucherechedza, chiitiko uye kuoma kwezviitiko zvakashata zvakafanana nezvakaitwa apo mushonga wega wega wakatorwa uri woga.

Uyezve, kushanda kwemishonga misanganiswa mikuru kunoshamisa. Vatori vechikamu vakaratidza kuderedzwa kwakanyanya mumutoro weparasite uye nekuvandudza mhedzisiro yekiriniki muhuwandu hwezvirwere zvakarapwa. Mhedzisiro iyi haingoratidzi chete kupindirana kwemaitiro ekurapa akasanganiswa asi zvakare inopa humwe humbowo hwekugoneka uye kusimba kweiyo yakazara NTD kutonga zvirongwa.

Kukanganisa hutano hweveruzhinji:

Kuitwa kunobudirira kwemushonga wemusanganiswa kunounza tariro huru yemabasa makuru ekurapa zvinodhaka. Nekubatanidza mishonga mitatu yakakosha, matanho aya anogona kufambisa mabasa uye kuderedza mutengo uye kuoma kwezvinhu zvine chekuita nekuita zvirongwa zvekurapa zvakasiyana. Pamusoro pezvo, kuwedzera kwekuita uye kuderedzwa kwemhedzisiro inoita kuti nzira iyi ive yakakurumbira, kuve nechokwadi chekuteedzera kwakakwana uye mhedzisiro.

Zvinangwa zvekubvisa pasi rose:

Iko kusanganiswa kwe ivermectin, DEC uye albendazole kunoenderana neWorld Health Organisation (WHO) nzira yekubvisa maNTD. The Sustainable Development Goals (SDGs) inodaidzira kutonga, kubviswa kana kupedzwa kwezvirwere izvi panosvika 2030. Iyi musanganiswa therapy inomiririra danho rakakosha pakuzadzisa zvinangwa izvi, kunyanya mumatunhu umo maNTD akawanda anogara.

tarisiro:

Kubudirira kwechidzidzo ichi kunovhura nzira yekuwedzera nzira dzekurapa dzekubatanidza. Vatsvakurudzi pari zvino vari kuferefeta kugona kwekuisa mimwe mishonga yakanangana neNTD mumisanganiswa yemishonga, yakadai sepraziquantel yeschistosomiasis kana azithromycin yetrachoma. Zvirongwa izvi zvinoratidza kuzvipira kwesaenzi kuenderera mberi nekugadzirisa nekugadzira zvirongwa zvekutonga zveNTD.

Matambudziko nemhedziso:

Kunyange zvazvo kutonga pamwe chete kwe ivermectin, DEC, uye albendazole kunopa zvikomborero zvakakura, matambudziko anoramba aripo. Kugadzirisa nzira dzekurapa idzi kunzvimbo dzakasiyana dzenzvimbo, kuve nechokwadi chekuwaniswa, uye kukunda zvipingamupinyi zvehurongwa zvinoda kushanda pamwe pakati pehurumende, masangano epasi rose, uye vanopa hutano. Nekudaro, mukana wekuvandudza hutano hweveruzhinji kumabhiriyoni evanhu unopfuura zvakanyanya matambudziko aya.

Mukupedzisa, kusanganiswa kwakabudirira kweivermectin, DEC, uye albendazole kunopa mhinduro inoshanda uye yakachengeteka yekurapa kwakakura kwezvirwere zvisingatarisirwi zvinopisa. Iyi nzira yakazara ine chivimbiso chikuru chekuzadzisa zvinangwa zvekubvisa pasi rose uye inosimbisa kuzvipira kwesaenzi mukugadzirisa matambudziko ehutano hweveruzhinji. Nekumwe kutsvagisa uye zvirongwa zviri kuitika, ramangwana rekutonga kweNTD rinoratidzika kupenya kupfuura nakare kose.