Sakamakon ganewar cutar Chagas ya dogara ne akan ko rashin kamuwa da cuta ya kasance mai tsanani, na ciwon zuciya, ko kuma yanayin haihuwa.
Gano Magungunan Ciwon Cigaba Mai Muta
Mafi kyawun lokacin da za a gano cutar Chagas a lokacin wani mummunan lokaci na rashin lafiya, lokacin da damar kawar da kwayar cutar ta Trypanosoma cruzi (T. cruzi) shine mafi girma.
Abin baƙin ciki, wannan dama yana da yawa sau da yawa rasa.
Wannan shi ne saboda bayyanar cututtuka da cutar ta Chagas ta kasance mai sauƙi kuma ba musamman mai ban tsoro ba, saboda haka mutanen da ke da babbar Chagas ba sa neman taimakon likita.
Mutanen da suke zama a wuraren da ke cikin iyakoki suyi kula da bayyanar cututtuka na cutar Chagas mai tsanani , musamman ma idan sun lura da ciwon kwari waɗanda suke da mahimmanci ko dogon lokaci, ko kuma idan sun san cutar cutar Chagas a yankinsu. Idan sun kasance m suna ganin likita.
Amma ga likitoci, yana da mahimmanci cewa su ma sun kasance masu tsammanin cewa cutar Chagas zata kasance a nan sannan kuma ya yi gwajin gwaji. A ainihin aikin, wannan yakan faru ne kawai a lokacin da aka sani da annobar gida, lokacin da aka kafa tsarin gari.
Samar da ganewar asali
A lokacin mummunar cutar Chagas, adadin T Cruzi parasites a cikin jini yana yawanci sosai. Wannan yana ba da damar ganewar cutar Chagas ta hanyar nazarin samfurori da aka shirya ta musamman a ƙarƙashin microscope.
Duk da haka, adadin T. cruzi a cikin jini ya sauka a hankali bayan kwana 90 na farko, koda kuwa ba a bada magani ba. Binciken kwayoyin jini ba shine hanyar da za a iya gano maganin cutar Chagas ba bayan wancan lokacin. Binciken gwajin kwayar cutar ba shi da amfani a lokacin lokacin Chagas.
Bugu da ƙari ga jarrabawar microscopic, gwajin gwajin gwaje-gwaje na iya zama cikakke a cikin bincikar cutar ta Chagas. Anyi haka ne tare da gwajin maganin polymerase (PCR) , wanda ke gano DNA na T. cruzi a cikin samfurin jini. Wani gwajin PCR mai kyau, kamar gwaji na microscope, yana nuna cewa kwayoyin T. cruzi suna cikin jini.
Kwayoyin cututtukan da ke fama da mummunar cutar Chagas-irin su rauni, zazzabi, ciwon makogwaro, raguwa, da tsoka-tsoka-za a iya rikicewa tare da bayyanar cututtuka na ƙwayoyin cuta , ko kuma mummunan cutar HIV . Don haka idan an gwada mutumin da ke zaune a yankunan da ke fama da cutar Chagas ko dai daga cikin wadannan yanayi, yawancin abu ne mai kyau don gwada magungunan T. Cruzi.
Binciken Bincike na Chagas
A cikin cutar Chagas ta yaudara, magungunan T. Cruzi yawanci ba a cikin jini, saboda haka gwajin microscopic na samfurin jini yana kusan kullun, kamar yadda jarrabawar PCR ta kasance.
Binciken cutar yawan Chagas yana dogara akan gano kwayoyin cutar da jiki ya yi don yaki da kamuwa da cutar. An gabatar da wasu gwaje-gwaje don neman magunguna ga T. cruzi, ciki har da gwajin immunosorbent (ELISA) da aka danganta da enzyme da kuma gwagwarmaya ta gwaji (IFA).
Babu wani gwajin gwagwarmaya da ya dace don yayi amfani da kansa, don haka don tantance cutar Chagas ta yaudara, akalla gwaje-gwaje daban-daban guda biyu daban-daban suna aikatawa - kuma idan sakamakon ya bambanta tsakanin su, ana gwada gwaji na uku don aiki ƙulla-karya.
A lokaci guda kuma, ana gwada gwadawa don neman wani abu da zai iya haifar da nau'in zuciya da matsalolin gastrointestinal da suka shafi cutar Chagas ta yau da kullum . Jerin yanayin da zai iya yin wannan yana da rashin alheri sosai, kuma likitoci sunyi amfani da hukunci masu yawa a yanke shawara game da gwajin da za su yi, da kuma wace tsari.
Binciken Gizon Cigaba
Har zuwa kashi 10 cikin dari na jariran da aka haife su ga iyaye mata da T. cruzi zasu bunkasa cutar Chagas mai tsanani-yanayin da ake kira cutar Chagas. Yana da mahimmanci ga jaririn da cutar ta Chagas ta kasancewa tare da maganin antitrypanosomal don hana rikice-rikice na yau da kullum.
Akwai yiwuwar la'akari da cutar yiwuwar cutar Chagas a duk wani jariri wanda mahaifiyarsa ta fito ne daga yankin da cutar ta haifar. Ana gwada gwaje-gwaje a cikin mata masu ciki da ke zaune a wa annan yankunan, kuma ana iya kula da jariran uwaye da suke gwada gwaji don cutar.
Kula da jariran da ke kan cutar cutar Chagas yawanci ne a lokacin haihuwa tare da gwajin PCR na jini, ko akan samfurin jini wanda aka samo a cikin kwanakin farko bayan haihuwa. Idan an san mahaifiyar tabbatacciyar cutar ta Chagas da kuma bayanin farko na jaririn ya zama mummunan, za'a sake gwada gwajin jaririn bayan wata daya ko biyu.
> Sources:
> Bern C, Martin DL, Gilman RH. Maganin Ciwon Cigaba Mai Sauƙi da Ciki. Adv Parasitol 2011; 75:19.
> Manzo LA, Gilman RH, Verastegui M, et al. Don inganta ingantaccen asirin cututtukan cutar Chagen na al'ada a Tsarin Endemic. Clin Infect Dis 2017; 65: 268.