Alukho ugonyo oluchaseneyo nesi sifo. Uthintelo lungokubaleka ukubethwa ziimpukane. Oku kungaquka ukusetyenziswa kweyeza lokugxotha izinambuzane kunye nesinxibo esifanelekileyo. Amanye amalinge aquka lawo okunciphisa isininzi seempukane ngokufefeza izibulala-zinambuzane. Asaqhubeka amalinge okuphelisa isifo ngokunyanga onke amaqela abantu kabini ngonyaka kuthotho lweendawo zasehlabathini. Unyango lwabo bosulelweyo lungechiza eliyi-ivermectin rhoqo ukusuka kwiinyanga ezintandathu ukuya kwezilishumi elinambini. Olu nyango luyawubulala umbungu kodwa alikwazi ukwenza njalo kwiintshulube ezindala. Ichiza eliyi- doxycycline, elibulala intsholongwane eyi-associated ekuthiwa yi-Wolbachia, ibonakala izithomalalisa iintshulube kwaye iyanconywa ngabanye kananjalo. Ukususwa kweengongoma ezingaphantsi kwesikhumba ngotyando nalo lungenziwa.