Chiwindi fluke: zizindikiro, chithandizo, matenda

Chiwindi fluke - ndi parasitic mphutsi a kalasi digenea (trematodes). Infection n'zotheka ntchito kachilombo nsomba madzi oyera yaiwisi kapena bwino kuphika. Tiziromboti angathe kukhala pa zomera madzi, monga ena yonse ya cress, komanso edible. Kamodzi mu m'mimba thirakiti fluke achoke intestine mu ya ndulu ducts a chiwindi, kumene iwo anayamba kukula. Infection kumachitika asymptomatic kwathunthu, koma zimayambitsa chiwindi fluke matenda dongosolo biliary kuphatikizapo ducts kwa chiwindi ya ndulu ndi ndulu. Ngakhale m'mayiko olemera ndi kachilombo nyongolotsi izi (fascioliasis) ali osowa kwambiri, mfundo ndi yakuti matenda amawapeza nthawi, ndipo kumakhala mwa anthu amene anapita ku madera kumene majeremusi awa ambiri.

fascioliasis ndi chiyani?

Poyamba, matenda anadziwika kokha kwa veterinarians, ndi nyongolotsi yoopsa Fasciola hepatica anakhudzidwa makamaka ng'ombe South Africa. Ng'ombe, mbuzi ndi nkhosa onyamula fluke wamkulu kuika mazira m'madzi. mazira kuwaswa mphutsi, amene ali pa siteji ya umwana chitukuko. Young lidakhudza chiwindi fluke mitundu ina ya slugs zokhala m'madzi, ndipo ndinakulira, pang'onopang'ono kusamukira ku zomera (mwachitsanzo, watercress), kumene kudya ndi ziweto wobiriwira, msipu m'deralo. Nyongolotsi kudziluma khoma matumbo ndi kukhala mu chiwindi, kumene kumafika wamkulu ndi osauka mitundu anayamba kuikira mazira. fascioliasis anthu - ndi mkombero imodzi, mu thupi la munthu.

matenda

Chiwindi fluke (onani chithunzi. M'nkhani) ngozi amene adya yaiwisi kapena akuya yokazinga ndi zoipa (undercooked) madzi oyera nsomba ndi zomera yaiwisi masamba amene moyo majeremusi. Mwa zomera kutchulidwa watercress, timbewu zakutchire, dandelion, Piste ndi ena zomera zina kukula mu madzi kapena mtsinje wa Madamu ndi ntchito yokonza saladi atsopano. Nthawi zina munthu angathe kukatenga matenda chifukwa cha kumwa madzi oipa.

Zambiri rinsing ndi madzi edible tsamba amateteza mphutsi za tizilombo, koma iwo amafa pa kuphika ndi kutsuka chomera 6% acetic asidi kapena potaziyamu permanganate.

Infection ndi kudya nyama yowola sizingatheke.

zizindikiro

Ngati munthu agwidwa tiziromboti, pamene fluke chiwindi, zizindikiro matenda mwina sinkapezeka. Komabe, nthawi zambiri odwala lipoti zizindikiro osaka matenda kwa iwo mu mwezi atatha kudya zakudya zosowa ndi nkhani za zomera za m'madzi kapena nsomba yayiwisi. Pa nthawi imeneyi, zizindikiro matenda zokhudza kwenikweni ndi mbozi malowedwe ndondomeko mu chiwindi. Anasamutsa fluke akhozanso kukopeka ndi malungo, kuyabwa, kupweteka m'dera m'mimba, ziwengo, ndipo ngakhale chifuwa. Kamodzi mbozi umalandira gawo wamkulu mwa zizindikiro chiwindi matenda ofanana ndi zizindikiro za biliary thirakiti blockage. ululu m'mimba kwambiri kugwirizana ndi ululu chifukwa cha gallstones. Matenda a chikasu ndiyo kutuluka, ya ndulu ducts kukhala osatetezeka kwambiri ku matendawa - cholangitis. Pafupifupi nthawi zonse amalembedwa kufooka, ulesi, kusafuna kudya, kuwonda.

The fluke wamkulu chiwindi akhoza kukhala moyo mu chiwindi anthu kwa zaka khumi ndi ziwiri, koma ngakhale pambuyo pa imfa ya zizindikiro tiziromboti, zikuoneka kuti apitirize view kuwonongeka chifukwa ya ndulu ritsa. Dzitetezeni zotsatira za matenda sikawirikawiri anati.

diagnostics

Mu magawo oyambirira a matenda fascioliasis chitetezo cha thupi kuyankha matenda ndi kusintha chiwerengero cha maselo oyera a mwazi - eosinophils, amene amapereka kuthekera atakhala matenda presumptive. Ultrasound mapanga sikani ngati ziwalo ndi yopangidwa tomography (CT) amalola kuti younikira ndi zoyendera mayendedwe a nyongolotsi mu chiwindi. Ngakhale tiziromboti chakhazikika pa malo enaake a biliary ducts, matumbo ndi kuwonongeka chiwindi adzakhala kuziona pa ultrasound. Komanso, ngati amaganiziridwa fluke chiwindi mu chimbudzi kufunafuna mazira mphutsi. Palinso maphunziro enieni kuyesa chitetezo cha m'thupi poyankha kukhalapo kwa tiziromboti, koma osati zipatala zonse angakwanitse kuchita zoterezi diagnostics mtengo.

chithandizo

Tayani tiziromboti ndi wosavuta - muyenera mlingo mmodzi wa mankhwala pansi pa dzina "Triclabendazole". Mwatsoka, izo sikukudziwika kugula South Africa, kumene anthu am'deralo ndi alendo zambiri kupita kwa dokotala madandaulo zizindikiro ankaikira fascioliasis, koma chitsimikiziro cha matenda ndi zovuta kukhazikitsa mwa kundipatsako kwa mankhwala payekha. Akatswiri amalangiza bedi zina ndi zakudya wolemera nyama ndi masamba mapuloteni. Mungafunike kutenga mavitamini owonjezera ndi zowonjezera chitsulo.

Nthawi patsogolo kumene fascioliasis anapezeka mu masiteji kukalamba ndipo wamkulu chiwindi fluke mankhwala yogwira chingakhale kuchititsa opaleshoni opaleshoni kochotsa zoipa tiziromboti endoscopic retrograde cholangiopancreatography.

kupewa

• Zikhalire zomera za m'madzi mu njira 6% asidi acetic kapena permanganate potaziyamu kwa mphindi 5-10.
• Masamba kukula mu madzi, ayenera bwinobwino yophika pamaso kumwa.
• Khalani kumadera kukula zomera edible; simungathe kuwaletsa kuipitsa zimbudzi.
• Kuchitira nkhosa ndi ng'ombe, ngati a vetenale matenda fascioliasis. Zochizira nyama amagwiritsidwanso ntchito mlingo umodzi "triclabendazole."

Panopa, asayansi ntchito kukhala katemera motsutsana fascioliasis.