Cysticercosis: zizindikiro anthu, chithandizo, kupewa

Mu dziko pali masauzande a ang'ono, majeremusi zina zing'onozing'ono kuti awononge wamphamvu, wochenjera, pafupifupi wamphamvuzonse chilengedwe cha uthunthu - mwamuna. Mmodzi amapha awa ndi njoka zam'mimba za matepi wotchedwa nkhumba njoka zam'mimba za matepi. Izo zimayambitsa matenda aakulu cysticercosis, zizindikiro ndi mankhwala zotsatira zake zimadalira malo kafukufuku wa nyongolotsi mu thupi la munthu. Nsomba zingakhale zovuta, ndipo nthawizina zosatheka kuchiza. Lankhulani kupirira mdani, muyenera kudziwa kuti munthu. Tiuzeni zambiri za tiziromboti ndi kukapeza chake ndi oopsa cysticercosis, kapena ngati iwo amati, nkhumba njoka zam'mimba za matepi.

mkombero Helminth moyo

Izi njoka zam'mimba za matepi amatchedwa nkhumba njoka zam'mimba za matepi. The wamkulu ali ndi ting'onoting'ono (3 mm) ndi mutu ndi yaitali (kwa 6m) segmented thupi. Pamutu pali suckers ndi ngowe kuti tiziromboti uthina thupi la asilikali. Chaka nyongolotsi kutchera pafupifupi 600 miliyoni mazira amene ndowe akhoza kuthetsa m'nthaka kapena udzu. Kukula, ayenera khamu wapakatikati. Pamene mazira kugwera mu nkhumba m'mimba (kalulu, kalulu, galu, Boar), zomwe kuwaswa mphutsi (hexacanth), ofanana nsangalabwi bwino ndi mbedza. Ndi zida izi mphutsi perforate khoma m'mimba, kudutsa nsembe mtsinje wa magazi ndi akutsatiridwa ndi izo ziwalo zonse. Kamodzi malo, hexacanth kukula kwa mtola, wotchedwa cysticerci. Mkati lili ndi madzi. Ngati inu kuyang'anitsitsa, muona ndi mtola ni. Mutu uwu mwana mphutsi m'tsogolo. Onse. Kenako njoka zam'mimba za matepi woterewu, kuyembekezera khamu okhazikika, amene ayenera kukhala munthu yekhayo. Iye tiziromboti "kupereka" cysticercosis, zizindikiro za magawo oyambirira asanawonetseredwebe. Kotero kuti nyongolotsi ali nayo nthawi yochuluka kuti apeze kufalikira.

Njira kachilombo

Ife zambiri bungwe masanje, kuphika kanyenya. Pali mwayi pang'ono kusunga ukhondo. Ambiri a ife ngati nyama theka wophikidwa ndi timagawo. Zonsezi ndi zabwino, koma tiyenera kukumbukira kuti Chophweka njira kukakwera cysticercosis, zizindikiro ndi kovuta kusiyanitsa ku mkwiyo wamba ndi kutopa ndi:

1. Akuda manja.
2. Osauka thermally ankachitira nkhumba, kalulu, nguluwe nyama.
3. Osasamba masamba, zitsamba (sorelo, katsabola, parsley).
4. Madzi kuchokera malo a.

Kuti si kudwala ndi mliri, muyenera kutsatira malamulo zofunika. Kuwonjezera ukhondo, ndi bwino kuyendera nyama pamaso kuphika. Mphutsi za mphutsi Tingaone ndi apoyera. Bwino komabe, kugula nyama okha ku misonkhano sanepidnadzora yosindikiza.

Masamba ndi zitsamba mipira kugwa pamene feteleza minda ndi minda ndi manyowa otengedwa nyama yowola.

Pali njira ina matenda cysticercosis, pamene khamu wapakatikati cha nyongolotsi ndi sizimawoneka nyama, ndi munthu. Matenda amatchedwa teniasis (teniodozom) ndipo izo zikutanthauza kuti ndi intestine anthu mphutsi za tiziromboti ali. Izi zimachitika pamene mulibe kugwera mu mazira cysticercus anthu ndi mphutsi, ndiye, akuyamba yekha gawo loyamba la mkombero moyo wake. Teniasis limodzi ndi kusanza pafupipafupi, imene mphutsi kutuluka kwa kusanza kudzera pakamwa panu. Ngati wodwala kumeza iwo, iwo anabwera kwa iye m'mimba ndipo amayamba cysticercosis. Choncho, poyamba chizindikiro teniasis, ndipo izi m'mimba, kutsegula m'mimba, kunyansidwa, muyenera yomweyo dokotala anu ndi kuyamba chithandizo.

Pathogenesis ndi zizindikiro za cysticercosis

Matendawa amayamba ndi cysticerci kugwera mu m'mimba ndi / kapena matumbo a wovulalayo. madzi kumeneko chapamimba amasungunula larval chipolopolo. Tikuona woyamba mutu bulged kunja. Izo kale corolla ndi ngowe ndi suckers kuti kuthandiza angagwirizanitse malinga ziwalo m'mimba, kenako seep mwa iwo mu magazi. Ndiye mphutsi ndi kufalitsa thupi lonse, yothetsa mu mapapo, maso, mtima, ubongo ndi msana, khungu. Zizindikiro ndi mankhwala a cysticercosis zimadalira thupi anasankha majeremusi malo awo okhala. Osauka, iwo kuwonjezera kukula, kuika kukakamiza maselo wapafupi kuchititsa khamu la ululu chogwirika. zinyalala mankhwala awo poizoni munthu. Koma imfa ya mphutsi ndi laling'ono labwino. Thupi la tiziromboti mwina zidzasungunuka (kubwereketsa amapezeka). Iwo amati thunthu oopsa kwambiri, makamaka, nthawi zambiri kuchititsa mantha awo sagwirizana, amene 20% amapha. Nthawi zina mphutsi akufa calcined (calcify), koma kutupa mu ziwalo anakhudzidwa mwa anthu akupitiriza.

ubongo chotupa

Mtundu owopsa matenda ndi cysticercosis ubongo. Zizindikiro mu magawo oyambirira ndi izi:

• kuwala paresis (minofu omasuka, kayendedwe languid);
• zazing'ono bvuto ndi mau;
• maganizo;
• kuyerekezera zinthu m'maganizo;
• khunyu maganizo, alternating ndi kuunikiridwa;
• kuona zilubwelubwe;
• kuiwala zinthu zikusinthira (kukumbukira zakale ukhale).

M'tsogolo, pali:

• ubongo edema;
• mutu chaukali;
• kusanza;
• khunyu (taphunzira intervals chete).

Ngati cysticercus kukhazikika mu ventricles ubongo, zizindikiro ndi anawonjezera kuti:

• litsipa imfa ya chikumbumtima;
• kupuma kulephera;
• wonongeka za mtima.

Brain mphutsi mphutsi akusankha zambiri (60%). Iwo amakhala kumeneko kwa zaka 18. Majeremusi amafalitsidwa mu zigawo padziko kotekisi oziziritsa, ventricles mu nembanemba ubongo, ndipo chiwerengero chawo angam'fikire mazanamazana ngakhalenso zikwizikwi. Nthawi zina chithunzi cha matenda akufanana meninjaitisi, chotupa mu ubongo, khunyu, neurosyphilis. Pakuti molondola matenda kuchititsa phunziro la madzimadzi cerebrospinal, Kujambula, X-ray, DGC, kusanthula magazi, imene anatsimikiza pamaso pa eosinophils. Chithandizo, ngati mphutsi mu ubongo pang'ono, pezani opaleshoni. Ngati kwambiri a iwo, chitani "praziquantel". Ndi kugonjetsedwa kwa mphutsi wa ventricles ubongo ndi zotupa angapo madokotala ananena zawo ndi osauka kwambiri.

msana cysticercosis

Tiziromboti mphutsi kugwa mu chingwe msana, nthawi zambiri mutu, koma Mukhozanso mwachindunji kwa m'mimba kapena matumbo, ndi kukhazikika pa mizu, zipolopolo kapena medulla lapansi. Ndi katundu ndithu cysticercosis wodwalayo monga:

• ululu miyendo, manja, kumbuyo;
• lamba ululu pamimba ndi chifuwa;
• kuphwanya ntchito magalimoto;
• Zikavuta ziwalo.

Izi zonse zimachitika chifukwa spikes mphutsi chifukwa pa spines ndi zipolopolo, komanso mapangidwe cysts. Si lilibe psinjika za chingwe msana.

Matenda ikuchitika ntchito poyankha serological, Kujambula, myelography.

Palibe mankhwala enieni.

Nyongolotsi mu maso

Ndi matenda opweteka kwambiri ndi maso cysticercosis, ndiwo zizindikiro:

• kutukusira kwa diso minofu (retinitis, uveitis);
• kusintha osachiritsika mwa iwo;
• conjunctivitis;
• zithunzi kuwonongeka kwa kumaliza imfa yake.

Pamene larva akulowa diso la munthu, ndi chamoyo ndi kukula mu diso la mwana wa diso ndi thupi vitreous. Nthawi chikhululukiro cha kuwonongeka zithunzi m'malo, nthawi imene nthawi ndi nthawi amachepetsa. Matendawa amapangidwa pogwiritsa:

• ophthalmoscopy;
• biopsy;
• RSK magazi;
• RAC cerebrospinal madzimadzi;
• magazi enieni kusanthula.

Chithandizo cha mwayi opaleshoni, ngati inu simungathe - "praziquantel".

anakhudzidwa khungu

Tanena kale zifukwa zina chifukwa cysticercosis. Zizindikiro ndi mankhwala a zotupa za bungwe ndi osiyana. Cysticercosis khungu Mwachitsanzo, angatchedwe chimake bwino za matendawa. Kalanga yekha 6% nkhumba njoka zam'mimba za matepi matenda. Choncho mphutsi mphutsi anayikidwa mu wosanjikiza mafuta pansi pa khungu. Mu malo amenewo pali tokhala yaing'ono, dzenje ndi kukhudza. Koma iwo sali kanthu, koma wodzazidwa ndi madzi, omwe amayandama ndipo cysticerci. Zambiri za izi ndi tokhala ndi manja, ndi pamwamba lamkati la mapewa, minofu m'dera pachifuwa. Larva amalima ku masentimita awiri khumi m'litali. Zizindikiro sangakhoze anaona. Mu zina, zidzolo akuwonekera. chithandizo opaleshoni.

M'mapapo mwanga cysticercosis. Zizindikiro, zizindikiro, chithandizo

Cysticercus kukhazikika mu mapapo ngakhale zosakwana pakhungu, koma kundipulumutsa kwambiri mphindi zosasangalatsa. Chiwerengero chachikulu kwambiri cha iwo asonkhana mu interstitial (interstitial) minofu, osachepera peribronchial lapansi. Ndiye iwo amakula, kufinya kwa lumen ndi chifukwa kutupa. Makulidwe a mphutsi mu mapapo kufika 2 cm. Iliyonse popangidwa ndi kapisozi wapadera. Zimenezi limodzi ndi yotupa anachita ndi zizindikiro za chibayo. Pamene tiziromboti akafa, iye kapena kusungunuka kapena calcined. Mosavuta olumala. Pamene X-ray inu mukhoza kuwona kusintha, komanso matumba a tizilombo, ngati mawanga pamthunzi, kuyambira kukula mbewu kwa chitumbuwa a. Zizindikiro Akadzauzidwa amakhala sangapezeke. Wodwala angadandaule za:

• chifuwa (nthawizina streaked sputum kapena magazi);
• dyspnea pambuyo potsegula;
• ang'ono kutentha;
• ululu odziletsa pachifuwa.

Diagnostics monga x-ray, nyongolotsi fecal, yeniyeni magazi pamaso pa eosinophils.

Mankhwalawa ndi chosowa kwambiri ndi zotupa akutali anachita opaleshoni. Nthawi zambiri mankhwala njira ya phwando "mebendazole" kapena "Parazikvantela".

Cysticercosis mimba

Ziwalo zina monga mtima ndi impso, kawirikawiri ingaoneke cysticercosis, kapena nkhumba njoka zam'mimba za matepi. Zizindikiro ndi mankhwala zimadalira kutanthauzira ndi. Choncho, pamene kugonjetsedwa kwa mtima wodwalayo anati matenda mtima mungoli. A ochepa kulephera mtima angathe kudwala.

matenda oopsa kwambiri cysticercosis woyembekezera, monga nkhumba njoka zam'mimba za matepi mphutsi akhoza mkatikati mwa latuluka kwa mwana wosabadwayo. Zikatero, mwana wabadwa wakufa kapena ndi zolakwika kwambiri. Komanso, cysticerci infestation chiberekero (chiberekero, mucous). Monga Vuto ndi, kutupa zokhudzana kumachitika. Ngati mphutsi akusankha malo awo okhala mu nsengwa ndi kumachitika mowiriza mimba. Nkhumba njoka zam'mimba za matepi chithandizo mimba ndi kobvuta ndi zotsatira zotheka mbali zimene zimachitika pamene tizilombo kufa. Nthawi zambiri, madokotala amalangiza kuchotsa mimbayo ngati magawo oyambirira wapezeka cysticercosis ubongo, msana, maso, chiberekero kapena latuluka. Pa kudziwika kwa matenda mu magawo mochedwa chisankho anapanga ndi dokotala.