Diphyllobothriasis: calaamado in aadanuhu iyo daawada

Diphyllobothriasis waa cudur dulinka, Ulasocto nabar hoose oo ka mid ah xubnaha marinka dheef shiidka, iyo sidoo kale anemia megaloblastic. Its activator ku dhow tapeworm - tapeworm ah (D.latum), kaas oo noqon kara ilaa 10 m oo ka yar 10 nooc oo panulirus ku Diphyllobothrium bartay Diphyllobothrium.

Sababaha cudurka

Cudurka of diphyllobothriasis aadanaha dhacdaa by cunista cayayaan habka waafi loola dhaqmo kaamerada ama wax soo saarka kalluunka liidata cusbayn, iyo sidoo kale markii jarida Kalluunka iyo maaraynta ee galaasyada tayo ku filan waxaa ka dib. War sidee ingress ee dirxi in jidhka bini'aadamka dhacdaa sida ay silsiladda dheer.

Habka of qaybsiga diphyllobothriosis

ukunta Tapeworm hagaagaan galay biyo cusub leh heerkul ah 10-20 ° C muddo bil. Markaas, waxay kala soocan yihiin ka koraditsii-uurjiifka, taas oo iyana la cuno crustaceans yar, tus, copepods. Tani - plerocercoids - a marxaladda dhexe ugu horeysay ee cudurka at kaas oo dirxiga loo sameeyay helminth. Markaas wajiga labaad, marka kalluunka biyaha saafiga ah sida Pike, Dab, kaluun, kalluun, kalluun et al., Crustaceans Cunista iyo dirxiga jirka iyada u dhamaystirto horumarinta marxaladda of tijaabooyinka baaluq. Oo ka dib markii kaliya in gooryaan ka heli ciidankooda kama dambaysta ah iyo, sida, halka uu cudurka - qof, ama, ugu yaraan, xayawaanka kalluunka-cunista wakiil sida doofaarka, dawacada, orso, seal, iwm Waa in jirkooda mar hore qaan ukunta helminth noole ka soo baxa inta lagu guda jiro ku saxaroodaan iyo fayadhowrka fall in ay biyo nadiif ah, laga bilaabo silsilad cusub ee caabuqa.

Parasitizing tapeworm ee xiidmaha ballaaran wuxuu ka kooban yahay dhowr kun oo qaybaha (proglottids) ukunta ku jirto, iyo si adag ku lifaaqan derbiyada deeq xiidmaha yar-yar via laba wangsan (bothria) oo ku yaalla dhamaadka madaxa dhanba ka. Inkasta oo dhererka noole mararka gaadho 10 mitir, waxaa jira xaalado marka jidh bani coexisted dhowr Gooryaanka.

faafidda Location cudurka

Diphyllobothriasis aadanaha ka mid ah dadka deggan gobollada la cimiladu qabow qoraxda, halkaas oo dadka waa kalluunka cuntada ugu muhiimsan oo ay cawl ugu badan. Cudurku wuxuu ku dhacaa dalalka Yurub, gaar ahaan Scandinavia, Japan, South America, Africa, USA, Canada, iyo Russia.

Pathogenesis iyo diphyllobothriasis sawirka Pathologic

Marka jidhka bini'aadamka, tapeworm a fulyo dabiiciga ah si farsamaysan, sun iyo xasaasiyad iyo neuro-reflex saamayn pathogenic ah. Marka hore, waa xadgudub ku ah bothria ku xabka xiidmaha marka lifaaqan derbiyada helminth ah. Tani waxa ay keentey in atrophy iyo galleeyda xabka. noole alaabta dheefshiidka ka cadhaysiinina geedi socodka autosensibilizatsionnye. Kuurgalay acid iyo vitamin B12 weyn qoomiyadda gipoavitaminoz folic, taas oo si wadajir ah ula soo saarka nolosha noole ah wanataas shaqeeyo ee 2% dhirfinaya anemia megaloblastic. Duration cudurka waa ilaa iyo toban sano.

calaamadaha diphyllobothriasis

Laga soo bilaabo 20 ilaa 60 maalmood - Xilliga cudurku sida uu leeyahay calaamadaha bothriocephaliasis in aadanuhu ay bilaabaan in ay u muuqdaan oo kaliya muddo ka dib. Waxa ay ahayd inta lagu guda jiro this Gooryaanka muddo noqon foomka galmada baaluq, dhegganaa derbiga xiidmaha iyo bilaabaan inay shaqeeyaan. Diphyllobothriasis uu bilaabo inuu si tartiib ah laftiisa mariyo. Lallabo, belching iyo matag, calool distention, xanuunka ee xanuun gaastari, cunto xumo, khalkhal of kursi - oo dhan oo ay la socdaan calaamadaha hore bothriocephaliasis. Nin la photo diphyllobothriasis wariyaasha mar dambe isaga u muujinayaa doonaa doorsoonka wayn oo ka mid ah maqaarka iyo xub-axaleedka, iyo bukaanka oggolaan doono in ka daal, wareer, daciifnimo, calool xanuun, paresthesia, carrabka hepatosplenomegaly, Achille, dillaac (ka dib carrabka noqdo siman).

tachycardia fiirsanayo, hypotension, hurdo, murmurs systolic Cardiff oo, qayladii ay hogaanka. baaritaan dhiig Laboratory ineey bukaanada qaba cudurka tusay sawir soo socda: hemoglobin, tirada yar ee unugyada dhiigga cas hoos u, la kordhiyo in bilirubin toos ah, index midabka sare, neutropenia, leukocytosis, kacsantahay ESR. Degree ee adkaanta dhiig, iyo sidoo kale heerka uu cudurka saamayn ku xoogga ee injirta helminthic, jiritaanka cudurada saameen, iska caabin guud ee jirka, tayada iyo tirada cuntada baabbi'iyey.

Waayo, Tariin sifo diphyllobothriasis daran myelosis, kaas oo muujiyay in xad gudub ku ah dareenka ay u qoto dheer, tabar lugta, paresthesia isku darsamay. In bukaanka qaar ka mid ah, maqaarka muuqdaan finan xasaasiyad (finan), korodhka lacagta beerka iyo caajisnimo. Marar dhif ah go'an epileptoformnye (joogsiga) qalal, kabuubyo ee addimmada waxay aad, maha socodka. kuwanu waa bothriocephaliasis leeyahay calaamado halis ah iyo daweynta cudurrada this waa in isla markiiba bilaabay ka dib markii cudurka. diphyllobothriosis muddo dheer sababa ileus.

Si kastaba ha ahaatee, waxaa xusid mudan in bothriocephaliasis, calaamadaha of taas oo ka kooban yihiin soo diyaariyeen cajiib ah nno mararka qaarkood ayaa gabi ahaanba qarsoon (astaamo) ee cudur ay cudurka la ogaado oo kaliya la helay ee noole ah in jajabkii saxarada.

diphyllobothriasis cudurka

The eed cudurka "nin bothriocephaliasis" waa cabashada bukaanka oo u dhiganta macluumaadka cilmi baadhista shaybaarka. cudur lagu tuhunsan yahay shaqayn karo eosinophilia ee dhiigga (waayo, jabsata dhawaan), iyo Torombositobiiniya iyo leukopenia, heerka Kimikada erythrocyte kacsantahay iyo dhiig hyperchromic. Muuqaalka caan ku cudurka waa nooca hematopoiesis megaloblastic. Falanqaynta muujinaysaa tiro badan oo ah noocyada dhallinyarada ahaa oo erythrocytes (megaloblasts, normoblasts, polychromatophilia, poikilocytes iwm). door weyn ee cudurka ciyaara taariikhda epidemioligal: xaqiiqooyinka bukaanka ee joogaan meesha gud, cunista kalluunka biyaha saafiga ah cayriin ama cusbayn waafi rash. Laakiin falanqaynta final waxaa la dhigayaa oo keliya marka falanqaynta saxarada bukaan ayaa muujinaya in uu ka kooban ukun ama qeybaha kala duwan ee tapeworm ballaadhan.

Waxaa jira kiisas bukaanka loola dhaqmo, ogaaday jajabkii ka noole ee saxarada iyaga u gaar ah.

Waxaa muhiim ah in aan la isku qaldin anemia Addison-Birmera iyo bothriocephaliasis, kuwaas oo ah calaamado aad u la mid ah. Si taas loo gaaro, qaadeen by waxyaabaha gastric joogitaanka of factor Castle anemia maqan.

Diphyllobothriasis: daaweynta

Haddii bukaanka ah waxaa lagu gartaa "bothriocephaliasis" daaweynta dhakhso loo fuliyay isbitaalka. In anemia nidaamka daran helminth vyvedeniiyu ka hor of vitamin heerka loo qoondeeyey (B12, folic acid, bir). Vitamin B12 waxaa maamula sida irbado duridda of 200-500 mg 2 ama 3 jeer toddobaadkii. Muddada vitamin therapy waa 30 maalmood.

Waayo, degelmentizatsii isticmaalaa daroogada sida "biltricid", "Praziquantel", "Niclosamide" ama "Azinoks". "Fenasal" daroogada ayaa sidoo kale waxaa loo isticmaali karaa si loo soo saaro noole ah. Dhamaan daawooyinka waa kuwo afka laga daama iyo leeyihiin saamayn baraalis of helminth. Sidaas darteed, noole this lumiyo awood u leh inay la hayn gudaha xiidmaha oo soo baxay. Waxaa aad muhiim ugu track this, in tapeworm soo baxay gebi ahaanba. In si loo gaaro natiijada kama dambaysta ah ku nadiifiyey laga yaabaa in saxarada enema.

Saamayntii daaweynta sida daroogada waa ku saabsan 95%, marmar dhif ah, ileus adag, degelmentizatsiya sameeyaa qalitaan. Bukaanka qaba cudurka ah "bothriocephaliasis", kaas oo lagu guuleystey in laga daweeyo soo baxa tallaabo dehelminthization at dhawrid dispensary qaadashada bil kasta falanqaynta saxaarada muddo lix bilood ah.

dawayn lahaa dad

In daawada dad eryo ee Gooryaanka waxaa dhaqan ahaan loo isticmaalaa abuurka bocorka iyo decoction ah oo iyaga ka mid. abuur bocorka, cayriin ama la qalajiyey, triturated biyo iyo malab la barwaaqaysan, oo waxay qaadan qadarkuu of 300 g. soonka portionwise ka badan saacad. Habkani waxaa si fiican u la dhibtoonayo arin sida bothriocephaliasis aadanaha. Reviews ah degelmentizatsii guul isticmaalaya abuur bocorka ogolaan si loo hubiyo waxtarka habkan.

Cuntada, Nafaqada

Inta lagu jiro daaweynta, bukaanku waa inuu u hoggaansamaan diphyllobothriasis uubatooyin cunto in ka saaraysaa cuntooyinka ay diiqayaa in xuub-axaleedka of tallaabo derbiga iyo xiidmaha. Advantageously daro cuntada cunto la content sare ah vitamin B12, iyo folic acid.

Gaar ahaan carruurta

carruurta deris Worm wareejiyo calaamado badan ka culus oo ah dhiig iyo vitamin dhiman in bukaanka dhallinyarada more gaalda, ayaa muujiyay.

diphyllobothriasis Ka Hortagga

Haddii aad - lover ah kalluunka biyaha saafiga ah oo ku nool aagagga waqooyiga dhow jidhkooda oo biyo ah, si aan loo qabsan on jillaab ku for cudur xun sida qof bothriocephaliasis, ka hortagga waxaa ka mid ah waa in ay ku taliso nolosha №1.

Si looga fogaado diphyllobothriasis cudurka waa in ay cunaan kalluunka biyaha saafiga ah Si habboon u la kariyey oo kaliya, sidoo kale ay rash tayo sare leh oo keliya cusbayn. Waxaa lagama maarmaan ah in ay si adag u dhawrtaan sharciyada ee nadaafadda markii goynta kalluunka iyo cunto karinta ka.

Waa in aad ogaato in marka kalluunka Zasole, taas oo ku xidhan fiirsashada Cusbada leh, dirxiga dhiman oo kaliya ka dib markii 2-7 maalmood. ukunta helminth inta lagu guda jiro weylaha geyso dhiman nus saac gudahood at 10% jajab mass oo milix ah ee la xiriirta miisaanka ukunta. Haddii cusbadu waa 5%, sheyga uu noqdo ammaan in la cuno hore aan waxba ka badan 6 saacadood, 3% - ma hore ka badan laba maalmood ka dib.

dirxiga helminth waxaa sidoo kale ku dhintay hoos debcinta qoto dheer (2-4 maalmood -18 ° C, hal toddobaad at heerkul ah -6 ° C).

Marka cudurka bukaanka, waxaa lagama maarmaan ah si ay u sahamiyaan oo dhan xubnaha qoyskiisa, maxaa yeelay, haddii ay taasi waxay halis u yihiin.

Caalami ah isla miisaanka si loo yareeyo itimaalka cudurka waa in ay boqolkiiba hoose ee sidayaal dhexe kaydkan by yaraynta ama baabi'inta dheecaan saxarada ee harooyinka iyo webiyaasha, hubinta socodka caafi geedi socodka, iyo sidoo kale gobolka guud ee xeebta, xeebaha iyo waxyaabaha kalluunka galaan shirkadaha cuntada warshadaha iyo dukaamada. Waa in si taxadir leh loo socdo in hay'ado caafimaad oo cudurka sida dhacdo soo jireenka ah sida calaamadaha bothriocephaliasis. Daaweynta la xaqiijin ah ee cudurka waa in isla markiiba iyo jeeg khasab dhammaan xubnaha qoyska jiritaanka cudurka bilaabay.

Gaar ahaan uurka leh iyo kuwa nuujinaya

dulinka Baadiyaha, - kuwaas oo, yaraanshaha vitamin iyo dhiig la'aan markii ay ka dhigan tahay khatar weyn oo caafimaad mustaqbalka ee hooyada, iyo horumarinta uurjiifka. Haweenka uurka leh waa in ay si gaar ah taxaddar, cunista kalluunka iyo rash. Waxaa muhiim ah in aan ka maqnaan calaamadaha ugu horeeya ee cudurka sida cudurka tapeworm kalluunka, calaamadaha mid ah taas oo si fudud u noqon kartaa qaldo calaamadaha sumoobo (preeclampsia), oo si deg deg ah u doondooni jihada on saxarada baaritaanka shaybaarka joogitaanka of ukunta dixirigoodu waxa ku jira.

Daaweynta cudurka dumarka uurka leh waxaa lagu fuliyaa by, ammaan ah oo caafimaad ee ilmaha aan weli dhalan. Sidaas daraaddeed, Waayo, degelmentizatsii haweenka uurka leh iyo kuwa nuujinaya ma qori daawooyin sida "biltricid" iyo sida loo isticmaalo daawaynta a dad ammaan ah - abuur bocorka. Xaaladaha qaarkood, hooyooyin la ogaanshaha "nin bothriocephaliasis" daaweynta talinaynaa soo saaro habka of qaadan diphyllobothriasis daawo caadiga ah iyo grudnichka wareejiyay dhalada quudinta.