M'mapapo fluke - Paragonimiasis tizilomboto. Paragonimiasis anthu: zizindikiro, chithandizo, kupewa

Matenda opatsirana ndi limodzi mwa magulu ambiri kudwala anthu. A gulu osiyana mwa iwo ndi matenda parasitic. Mmodzi ndondomeko amenewa ndi paragonimiasis mapapo.

Ndi chiyani icho?

Paragonimiasis amatchedwa matenda opatsirana chifukwa cha tiziromboti ku gulu la trematodes - annelids. Makamaka amakhudzidwa minofu m'mapapo, minofu. ubongo ndi amene amasamalira matenda osowa ndithu.

Sam causative wothandizila - paragonimus westermani (kapena dzina inayo - "m'mapapo fluke") - ali dzira woboola mtundu red-bulauni. thupi lake lonse ali ndi spines ang'ono, amene amalola adzatsekeredwa lokhazikika mu zimakhala za chamoyo tiziromboti. Pa pamimba pali sucker, muchita potseka ntchito.

Matendawa ali ndi makhalidwe zinthu zina matenda ndi endemicity. Zimatanthauza zoonoses.

Chakumapeto chithandizo wayamba zingachititse mavuto aakulu, ena ndi moyo pachiswe.

Nanga njira kachilomboko ndi zimene mbali ziti zomwe tiziromboti izi?

Kufala kwa matenda

M'mapapo fluke ndi inafalitsidwa mu kanjira pakati. Nthawi zambiri kubuka matenda anati mu Russia ndi Asia.

Wapakatikati khamu fluke ang'ono nsomba zazinkhanira ndi arthropods. Chomaliza bwana - yaing'ono makoswe, abwampini, beavers, afisi, nkhandwe. Kwa eni mtheradi ndi munthu woona.

Mu anthu m'mapapo fluke likulowerera m'badya yosayenera yophika nsomba zazinkhanira ndi nkhanu.

mazira tiziromboti excreted ndi ndowe ndi mkodzo. Pambuyo kukhudzana ndi chilengedwe kunja iwo amafa, ndi gawo kulowa m'madzi, nyongolotsi akupitiriza chitukuko mkombero.

Mu thupi, mphutsi za isanafalikire makamaka m'mapapo minofu - bronchioles wake wamng'ono. Kuyambira pamenepo, kufalitsa mwa zotengera lymphatic amatha kulowa mu Dipatimenti zina ndi ziwalo za thupi la munthu, imbaenda kuna njira zovuta za ndondomeko opatsirana.

Nanga anapanga mkombero moyo wa tizilomboto pa?

Kukula kwa tiziromboti ndi

Kodi osauka m'mapapo fluke? moyo wake mkombero tichipeza magawo atatu:

The oyamba aumbike miracidia (nymph). Sitepe limeneli n'lofunika koyamba ndi tiziromboti mipita pambuyo kuchoka ake kwa dzira. Mu madzi miracidia umalowa mu thupi la woyamba wapakatikati khamu - madzi oyera Nsomba. Pa miyezi isanu asexual kubalana amapezeka mu thupi la mollusk, ndi kuchititsa kuti afe, ndipo madzi masamba ambiri cercariae - gawo lachiwiri la tiziromboti lapansi. mphutsi ali ndi kuyenda ndi kulowa mu Thupi la makamu awo wapakatikati invasively, mwachitsanzo kudzera padziko matupi awo.

Mbozi pa siteji iyi mu thupi nsomba zazinkhanira ndi nkhanu imene akufotokozera kuti metacercaria - siteji yachitatu ya chitukuko. fomu iyi ndi kale tizilomboto anthu.

Mu anthu intestine metacercaria ukatuluka mwa chipolopolo wake ndi zimachokera kwa mapapo, kumene chitadutsa fixation ake ndi maphunziro owonjezereka mazira.

matenda chipatala

Kodi n'zotheka akuganiza kuti kusanduka paragonimiasis? Zizindikiro za matenda si yeniyeni zokwanira, chifukwa cha ntchito yomwe inkafuna matenda enieni ndi mwatsatanetsatane.

matenda angayambe mu njira zosiyanasiyana - m'mimba ndi pleuropulmonary.

M'mimba zambiri amapezeka ndi enteritis matenda kapena chiwindi kungachititse kuti peritonitis parasitic Inde ndi yabwino.

Pleuropulmonary mawonekedwe a matenda kumaonekera nthawi zambiri. Pakhala kuwonjezeka kutentha kwa madigiri 38 ndipo pamwamba, chifuwa zoipa ndi purulent expectoration wamagazi sputum kwa mazira a tiziromboti lapansi. Palinso chipatala cha chibayo, pleurisy.

Pamene malo tiziromboti pa m'mbali lakunja la kuwala, mapangidwe cysts parietal ndi chitukuko cha empyema pleural kapena pleural effusion.

Ndi kupitirira kwa matenda akufotokozera akakufunsani fibrosis ndi akuchuluka wa ntchito kupuma.

N'zotheka chophukacho wa m'mapapo minofu ndi chitukuko cha kukha magazi m'mapapo mwanga.

zosokonezeka

Palokha, nthendayo kovuta Komabe, zimachitika ndi mavuto osiyanasiyana. Kodi Umayenda paragonimiasis ndizovuta? Zizindikiro odziletsa njira zotsatirazi.

Ndi kuchuluka kwa mtundu m'mimba zotheka matumbo perforation ndi zipatala peritonitis ndi maphunziro a empyema ndi abscesses peritoneal.

Mawonekedwe m'mapapo mwanga ndi kobvuta ndi magazi, pleural effusion, m'mapapo mwanga infarction. Koopsa chitukuko cha cysts mu changu cha mtima kwa m'mapapo kumanzere.

Pamene hematogenous kapena lymphatic kufalitsa tiziromboti izo zikhoza asanduke ziwalo zosiyana ndi zimakhala. Paragonimiasis ubongo pamene anakhudzidwa ndi osowa, koma akhoza kukhala ndi matenda oumitsa khosi parasitic ndi meningoencephalitis.

Paragonimiasis m'mapapo zingachititse kuti cysts mapangidwe intrapulmonary. Izi zimachitika pamene inadequately unachitikira pamene mbozi anthelmintic mankhwala kupewa padzuwa la kukonzekera, mitundu kuzungulira yokha wandiweyani calcified kapisozi kuti amalola dikirani nyengo ikhale yoipa (Pankhaniyi - zochita za mankhwala). cysts amenewa opaleshoni.

matenda a matenda

Kodi mtundu wa kufufuza kudziwa kuti thupi aloŵa m'kati m'mapapo fluke?

Choyamba m'pofunika phunziro la kusanthula ambiri magazi. N'zochititsa chidwi kwambiri zizindikiro adzakhala ESR, kuchuluka kwa maselo a magazi ndi eosinophils.

Ndipo kumathandizanso madandaulo wodwalayo, komanso mbiri mosamala anasonkhana (kudya nsomba zazinkhanira kapena nkhanu, kugwiritsa ntchito madzi kuchokera mitsinje m'madera kuderako).

Helminthiasis udzakhala wautali eosinophils ndi ESR. erythrocyte mlingo amachepetsa pamene ndondomeko panopa yaitali.

njira malangizo a fluoroscopy ndi yabwino. Timatha kudziwa pamaso pa M'mimbamo lomenyera minofu m'mapapo, kudziwa malo ndi kukula. Kuchokera pa chithunzichi, kuika matenda.

Sputum amapereka mwayi kudziwa mazira mphutsi, ndi milozo magazi pamene kuyambira magazi.

chithandizo

Nanga ndi mankhwala a matenda?

Majeremusi mu m'mapapo anthu ndi vuto lalikulu, kotero chithandizo ayenera kuyamba mwamsanga ndi cholinga pa chiwonongeko cha helminth lapansi.

The mankhwala chachikulu ntchito pofuna kuchiza Paragonimiasis ndi "praziquantel". mlingo wake masamu anapangira 60-70 mg wa mankhwala pa kilogalamu ya kulemera kwa thupi. The chida cha tizilombo kutumikiridwa mu Mlingo atatu pambuyo aliyense chakudya. Mankhwala chikuyendetsedwera pakamwa.

Komanso n'zotheka ntchito njira monga "Emetine" "hloksila", koma zotsatira za phwando zing'onozing'ono kwambiri kuposa "praziquantel".

Mu mapangidwe cysts chachikulu amafunika kuchotsa opaleshoni. Nthawi zina, makamaka ngati cysts lalikulu, mungafunike pneumonectomy - kuchotsa ndi m'mapapo lonse.

Pamene zotupa ubongo mankhwala opaleshoni yekha.

kupewa

Ndiyenera kuchita chiyani kuti bbwino paragonimiasis? Kuteteza zingaphatikizepo zambiri zomwe zinachitika:

• Choyamba, muyenera amatsatira malamulo a kuphika arthropods madzi oyera. Chiwerengero chachikulu kwambiri cha matenda Paragonimiasis imagwera pa sanali kugwilizana ndi zofunika zophikira abwino.
• Tsankho kufala kwa matenda angakhudzidwe ndi kuyeretsedwa mwa mitsinje ya ku tizilomboto lapansi. Kukhale kovuta kwambiri, chifukwa cha miyeso yogwira mukhoza kutaika ndi nyama ndi zomera za malowa alipo.

Ngati pali kukayikitsa matenda (maonekedwe a chifuwa kapena zizindikiro zina), muyezo njira akhoza poprinimat mwa masiku 4-5 "praziquantel". Komabe, musati muziyang'anira kudziletsa mankhwala, monga inu mukhoza kudzipweteka. Ndi bwino kupempha thandizo kwa dokotala wodziwa kuti watsimikiza kuti matenda, ndipo anali woyenera chithandizo dongosolo.

kaonedwe

Ambiri, ngati mtima wa ukunenedwa pa siteji oyambirira a chiyambire matendawa ndi ndondomeko akanapanda adamulowetsa kwathunthu, matenda anali mwamsanga ikuchitika, ndipo anasankha pulani chokwanira chithandizo, zidzakhalira yabwino ndithu. Anthu ambiri achire mokwanira Paragonimiasis.

Ngati njira linayambika ndipo mu mapapo anapanga cysts, kuti madokotala ananena zawo penapake poipa. cysts Small mwina kukhudzanso pa thupi; yaitali zitenga kuwachotsa, amene, chifukwa, kungachititse kuti kulumala mtima. Ambiri, odwala pambuyo opaleshoni kupitiriza ntchito bwinobwino ndi zofooka pa zolimbitsa thupi ndi ntchito.

The Mapa kwambiri akumane ndi ingestion tizilombo toyambitsa matenda a mu ubongo. Ngati ayi mwamsanga kukhwimitsa yoyenera, mwina amapha.