La yaabka lahaa Shiinaha. Clonorchiasis: calaamadaha, daaweynta. dulin nin

Clonorchiasis aadanaha - trematodozov biogelmintoz ka tirsan lagu gartaa nabar hoose ee marinka biliary, xammeetidu iyo parenchyma beerka.

saf-

Isha ugu weyn ee cudurka - qofka cudurka klonorhami. Intaa waxaa dheer, biyo infest eyda iyo bisadaha. la yaabka lahaa Chinese waa mid baahsan ee Japan, Vietnam, China, North Korea, iyo maddiibad Amur ah, Obi iyo Primorye. ukunta Helminth qoondeeyey la saxarada ee clams cercariae dhexdhexaad ah aqueous liqay (dirxiga) loo sameeyay ee jirka ka mid ah oo ku dhowaad 14 maalmood. Ka dib markii xiriir la jirka ah ee dirxiga of kalluunka iyo carsaanyada ka xiidmaha, ay bilaabeen in ay u guurto muruqyada iyo unugyada subcutaneous. Sayidka, metacercariae ah. dadka Clonorchiasis cudurka by cunista cayriin, kalluunka si waafi kulaylka loola dhaqmo ama carsaanyada. Oo uu yeesho clonorchiasis. Calaamadaha bukaanka sida caadiga ah bilaabaan inay u muuqdaan dib markii pathogene galo xiidmaha yar.

Flukes: caan

Trematodes (flukes) - Gooryaanka, oo la xiriira nooca flatworm. Sida caadiga ah, waxay leeyihiin caleen-qaabeeya. Waxa ay size kala duwan ka badan ballaaran oo kala duwan ka soo 0.1 mm ilaa 15 cm oo dherer ah. la yaabka lahaa Chinese parasitize karaa shaqeeyo xayawaanka iyo bini'aadanka. Dhammaan noocyada flukes waa qaab nololeed Dulin.

Fataahadda iyo bayoolaji ah trematodes

trematode Body Cidhiidhi ah jihada dorsoventral. wada Cuticle la lakabka muruqa ah u sameeyaan koleyga maqaarka-muruqa ah, taas oo ku yaalaan ee xubnaha gudaha. Flukes go'an yihiin taasi oo ka meydadka muruqa gaar ah - suckers. Waxaa laga yaabaa in laba - afka iyo caloosha. The xubnaha of musmaarradii u qardarin sidoo kale loo saarin karaa in ay cuticle iyo godad u jilacsan.

nidaamka alimentary

In hore ee jidhku waa sucker afka goosgoos ah, oo ku yaalla furitaanka afka hoose. In ka badan afka waa dalqada (dalqada) iyo hunguriga ah elongated. tube xiidmaha - laba jir slepozakanchivayuschihsya. Futada ee guriga of Gooryaanka sida caadiga ah ma aha. Weli cunto unhydrolyzed tuuraa afka. Qayb ka mid ah xoogga flatworms la fulin karo iyada oo loo marayo tegument ah.

habdhiska iyo excretory

habka dareemayaasha jirka ka kooban ganglia dareemayaasha, ku yaalaan hoos dalqada, iyo nozzles kordhin qaybaha kale ee jidhka. nidaamka Excretory ka wakiil yahay nidaam adag oo tubules taas oo samaysa laba koollo excretory.

habka taranka

Nidaamka taranka ee trematodes ayaa aad u horumarsan. Flukes (nooc Schistosomatata Wakiilada marka laga reebo) - hermaphroditic (uun bisexual).

habka taranka Lab, sida caadiga ah, ka kooban yahay laba xiniinyaha. ka tago casri efferens, taas oo ku xiran yihiin a deferens caadi ah. Waxaa sida caadiga ah ku lifaaqan koleyga cirrus (koleyga muruqa gaar ah). qaybtii ugu danbaysay ee deferens ah - cirrus (xubin copulatory).

Qaab-dhismeedka hay'adaha dumar taranka ka mid ah ugxan, jajtceprovoda, ootype, spermatheca, qanjirka Vitellaria Laurerovy channel Mehlis 'iyo ilmo-galeenka, taas oo ku dhammaanaysaa furitaanka taranka.

etiology

Daafla waa clonorchiasis la yaabka lahaa - yaabka lahaa Shiinaha. Tani waxa ay tilmaamaysaa qoyska of Gooryaanka Opisthorchidae - sinensis Clonorchis. robot First waxa lagu tilmaamay McConnell sanadkii 1874kii iyagoo la yaabka lahaa Shiinaha ee jidhka bini'aadamka parasitize karaa ilaa 40 sano. helminth Body flat, lanceolate 10-20 mm iyo width a of 2-4 mm. ukunta trematode midab khafiif ah-oo dahab ah, oo ku saabsan mid ka mid ah ulaha of cap waa si cad u arki karo. sinensis Clonorchis-yada dadka waaweyn parasitize laga yaabaa in labada aadanaha iyo in nuujiya carnivorous. Arintaan waa ciidammadu kama dambaysta ah. Sida an clams biyaha saafiga ah fal meel gaarka ah, oo dheeraad ah - carsaanyada biyaha saafiga ah iyo kalluunka kalluun.

trematodes meertada

wareegga nolosha trematodes ka kooban yahay afar xilli:

• embriogonii;
• partenogonii;
• tsistogonii;
• maritogonii.

Embriogoniya - inta lagu guda jiro horumarinta SNMna of unugyada jeermiga in ukunta ka labka iyo in trematode bixitaanka miracidia. Muddada wajigan muddo bil. Partenogoniya - muddo posleembrionalny of horumarinta ee marxaladda larval ee jirka ka mid ah ciidankii dhexe. wajiga soo bandhigay bilaabo ka formation of sporocysts hor cercaria galay deegaanka. Muddada mudadaas ku kala duwanaan kara laba toddobaad inay intii shan bilood ah.

Tsistogoniya - hawlaha qaab beddelidda in adolescaria cercaria (deegaanka) ama metacercariae (jirka ciidankii dheeraadka ah). Tsistogonii duration - dhawr saacadood ilaa laba bilood.

Maritogoniya - mudada of horumarinta flukes ee u shaqeeyo ciidanka kama dambaysta ah in ay maturity galmada (imago), oo hoosta ka xariiqday ukunta galay deegaanka. Muddada marxaladdan - mid ka mid toddobaadkii laba bilood.

pathogenesis

Bukaan-socodka ku nool degaamada uu horumariyo xasaanad la maray hooyada ilmaha by transplacental. Sidaa darteed, dadka sida laga helaa, inkastoo uu cudurkani uu, laakiin waxa uu leeyahay dabcan khafiif ah. Salka horumarinta cudurada waa trematode saameynta farsamoyaqaanka, microflora sare la xidhiidha, xanuunada neurotrophic, sun iyo dareen diidmo oo xasaasiyadeed. Intaa waxaa dheer, waxay keeni klonorhi isbedel cirrhotic beerka.

calaamadaha cudurka

Haddii aad laga helay clonorchiasis, calaamadaha cudur la mid ah opisthorchiasis yihiin. Wajiga ba'an ee cudurka waa wayn rabitaanka cuntada oo luma, qidmeyntii, daciifnimo, daliilka dareen diidmo oo xasaasiyadeed. Iyadoo horumarka cudurka yihiin muuqaalada muujiyey sifeeyay beerka, beeryarada, iyo mareenka biliary. Bukaan-caban of qandho iyo xanuun aad u daran kooban ee hypochondrium saxda ah.

Dhibaatooyinka suurtogalka ah ee cudurka

Tani waxay noqon kartaa:

• cholecystitis ah;
• cirrhosis,
• gastroduodenitis chronic;
• kansarka ganaca iyo caloosha,
• hepatitis chronic.

Baadhista cudurada

Cilad ku salaysan tahay xogta caafimaad oo ku sadheysan iyo gelmintokoprologicheskih waxbarashada. Si loo xaqiijiyo cudurka saaro falanqaynta lagmamaarmaanna u ah dhiig (protein total, sonkorta dhiigga, bilirubin, waxqabadka of phosphatase xumadoodu, qalab aminotransferases, amylase, trypsin, iyo lipase), waxaa lagu qoray (cholecystography, baaritaan ultrasound ah kaadi haysta, beerka, xameetida, fibrogastroduodenoscopy) iyo fuliyo (takhalusi , RIHA, PCR) hababka.

therapy

Haddii bukaanka cudurka clonorchiasis, daaweynta waa in kakan:

• Cuntada;
• daroogada anthelmintic ( "biltricid", "Niklofolan", "hloksila");
• xasaasiyadda ( "calcium gluconate", "loratidine," "Suprastin");
• daawooyinka anti-bararka magnyl ( "Ibuprofen", "Nimisulid");
• falgalka ( "Panzinorm", "Mezim", "Creon");
• Sorbents ( "Enterosgel" "ataxia", "Polysorb");
• antispasmodics ( "papaverine", "No-biyood", "Mebeverin");
• macrolides ( "oleandomycin", "Spiramycin", "azithromycin", "Roxithromycin", "Fluritromitsin");
• daroogada cholagogue ( "Xylitol" "sorbitol", xariir hadhuudhkii, immortelle, waxaa kacay sinaha, caleemaha, reexaanta);
• gepatoprotektory ( "Essentiale", "Ursohol").