Tsanangudzo yakadzama
Visceral leishmaniasis, kana Kala-azar, chirwere chinoparadzirwa chinokonzerwa nemhando dzakawanda dzeL. donovani.Chirwere ichi chinofungidzirwa neWorld Health Organisation (WHO) kuti chabata vanhu vanosvika mamiriyoni gumi nemaviri munyika makumi masere nemasere.Inotapuriranwa kuvanhu nekurumwa kwePhlebotomus sandflies, iyo inowana hutachiona kubva mukudyisa mhuka dzine hutachiona.Kunyange zvazvo chiri chirwere chinowanikwa munyika dzine urombo, kuSouthern Europe, ndicho chazova chirwere chinotapukira chinotapukira muvarwere veAIDS.Kuzivikanwa kweL. donovani organism kubva muropa, bone marrow, chiropa, lymph nodes kana spleen inopa nzira chaiyo yekuongororwa.Serological kuonekwa kweAnti-L.donovani IgM inowanikwa kuva yakanakisa mucherechedzo weacute Visceral leishmaniasis.Miedzo inoshandiswa mukiriniki inosanganisirwa ELISA, fluorescent antibody kana yakananga agglutination bvunzo 4-5.Munguva pfupi yapfuura, kushandiswa kweL. donovani chaiyo mapuroteni muyedzo kwakavandudza kunzwisiswa uye hunhu zvakanyanya.Iyo Leishmania IgG/IgM Combo Rapid Test irecombinant protein based serological test, iyo inoona masoja ekudzivirira chirwere eIgG neIgM kuL. Donovani panguva imwe chete.Muedzo unopa mhedzisiro yakavimbika mukati memaminitsi gumi nemashanu pasina zviridzwa.