Echinococcosis, zviratidzo zvevanhu uye kurapwa kwechirwere zvinoreva kuhofisi yechirwere chepachirwere chiremba uye chiremba. Denda iri rakaoma kurapa nemishonga, saka chirwere chikuru chinoitwa chirwere, umo vanachiremba vanoedza kubvisa ma cysts nemapasitini.
Echinococcosis - chii chiri muvanhu?
Echinococcosis inoreva zvirwere zvisingaoneki zvinoitika munzvimbo dzine zvipfuwo zvakagadzirwa. Izvo zvinokonzera chirwere ichi chinonzi echinococcus - chipfupa chakareruka. Inoparadzanisa muzvipenyu zvezvikara zvinoparadza. Mhuka dzomumusha uye dzomusango, vanhu vanobatana pamwe chete uye panguva imwe chete nechisimba ichi, nokuti havanzwi mazai ehupachivi mumhepo.
Ikochinoko inogona kusvika kusvika 9 mm murefu. Iine kupona kukuru: inoshandura kutonhora kubva -30 ° C kusvika + 30 ° C uye inogona kurarama kwemwedzi inoverengeka muvhu. Muviri wezvipembenene zvine suckers nezvikorekedzo, nenzira iyo inowanikwa pamadziro emukumbo. Ekiinococcus inogona kuparadzanisa mune imwe nhengo, asi kazhinji inobata mapapu nechiropa. Mhuka inogamuchira zvakanyanya kukuvadza ne echinococcosis kubva kuma cysts, iyo inokanganisa basa romuviri uye inotungamirira kumatambudziko mubasa reimwe nhengo nhengo dzesangano. A ruptured cyst inogona kutungamirira kurufu rwemunhu.
Vanotapukirwa sei nechinococcus?
Idzo huru dzevanhu vanoita zvepabonde echinococcus minye zvikara zvinotyisa, zvisinei, imbwa, makati nemhuka dzomukati zvinogonawo kutapukirwa nehutachiona. Mhuka ine utachiona inovanza mazai ehonye pamwe nemasese muvhu, kubva kwavanouya kumiti, miriwo nemiriwo. Kutapukisa ne echinococcosis kunowanikwa kuburikidza nekushambidzwa kwemasvi, uye nekubatana zvakananga nemhuka inotapukirwa. Kakawanda, vana vanotambura ne echinococcosis, nekuda kwekuti vanowanzosangana nembwa uye mukati uye vanokanganwa kushamba maoko avo.
Upenyu Hwendo rweEkinococcus
Kuenderera mberi kwekugadzirwa kwekichinococcus kunosanganisira matanho akadaro:
- Irovha inopinda mumuviri. Mushure mokunge chirwere chinopinda mukati memutsetse wepamuviri, inotanga kuparara pasi pesimba rejusi. Kuonekwa kwemaruva kunopinda mumukati, uye zvino inotakura ropa kuburikidza nemuviri. Kazhinji inogadzirisa muropa kana mapapu. Dzimwe nhengo nhengo dzekodha dzisinganzwisisi zvinomwe zvinomwe kunze kwezana.
- Bubble bubheji. Muchikamu chekupedzisira, zvipembenene zvinotanga kuumba bhisikiti echinococcus, kana cyst. Iyo cyst inokura zvishoma nezvishoma, ichiwedzera kwete kupfuura 1 mm pamwedzi. Zvishoma nezvishoma, bubble inotanga kuva bhora guru, richimhanya pamagumo emagetsi nemidziyo yeropa. Kukura kwe-cyst kunobatanidza nekuwedzera kwevanga mukati.
Pathogenic inoitwa echinococcus
Izvo zvinokonzera echinococus muhupenyu hwehupenyu zvayo zvinobudisa zvigadzirwa zvemetabolism mumuviri wemunhu. Kuunganidzwa kwezvinhu izvi kunotungamirira kudhakwa kwemuviri uye kusina simba kwechiropa basa. Apo echinococcosis inokura, zviratidzo mumunhu uye mamiriro emuviri anove akabatana zvakanyanya nekuumbwa kwe-cysts inomirira nhengo uye zvinetso mukushanda kwechiropa. Kuparara kwemasikirini emasikisi kunounza anaphylactic kushungurudzwa uye rufu.
Echoinococcus - zviratidzo kuvanhu
Kunyangwe kana muviri uchinge uchikura echinococcosis kwemwedzi inoverengeka, zviratidzo mumunhu zvinogona kuratidzika. Zviratidzo zve echinococcosis zvinoenderana nechikamu chechirwere ichi:
- Asymptomatic phase. Mushure mekunge munhu ane chirwere chechichinococcosis, zviratidzo zvinogona kuzviratidza chete pashure pemakore mashomanana. Munguva iyi, maruva anozviwanira nzvimbo yekusingaperi uye anotanga kukura.
- Nhanho yemakiriniki zviratidzo. Munguva iyi, kuora kunenge kuchioneka, uye munhu anotanga kunzwa kurwadziwa panzvimbo yekuziva nzvimbo yemararamiro, kushaya simba, kuderedza kudya, kuora mwoyo. Nguva nenguva, pangave nekuwedzera kwekushisa kusvika ku 37.5 ° C.
- Chikamu chezvinetso. A ruptured cyst inotungamirira kune chitarisiko che peritonitis kana pleuriy . Kuchengetedza kwe cyst kunotungamirira kuonekwa kwefivha huru uye kudhakwa kwakanyanya.
Echinococcosis yechiropa
Muna 60-70% yezviitiko, echinococcus inowanikwa munzvimbo yechiropa. Kwemwedzi inoverengeka uye kunyange nemakore murwere angave asingazivi nezvekuvapo kwechirwere mumuviri. Nenguva iyo murwere anowanikwa ane chiropa echinococcosis, zviratidzo zvichataurwa. Pakati pezviratidzo zvechirwere ndezvekuti:
- general malaise;
- kuderedza kudya, kuyerwa;
- nausea;
- marwadzo nekuremera mukati mekunze hypochondrium uye mudumbu;
- shanduko muzvigaro.
Kana iwe usingaabvise cyst panguva ino, saka kuregererwa kwe cyst kunogona kutanga. Chimiro chechechi chinokonzera kukanganisa kwehutano hwehutano, kuwedzera kwekushisa, kurwadziwa muropa. Kunyunyisa bile duct ye cyst kunogona kutungamirira mukukudzikiswa kwemajeni jaundice . A ruptured cyst nechiropa echinococcosis inokonzerwa nechirevo chinonzi allergen reaction, peritonitis uye anaphylactic shock. Kupararira kwekrisiti kuburikidza nemuviri kunotungamirira kukurudzirwa kwechipiri echinococcosis.
Echinococcosis yemapapu
Paaidzidza echinococcosis, zviratidzo zvevanhu uye kurapwa kwechirwere ichi, vanachiremba vakaona kuti 15 kusvika ku20% yezviitiko zvehutachiona hwepachirwere zvinowanikwa mumapapu. Urwu hutachiona hunonyanya kuipa, nokuti hwakaoma kurapa, hunokura nekukurumidza uye hwakaoma. Kukira kwechiremera kwakajairika kune dzimwe nyika ine mamiriro okunze anopisa uye kukura kwemombe. Ne echinococcosis yemapapu, majekiti akawanda ane maitiro akafanana-mana akawanzoumbwa.
Echinococcosis yemapapu inogona kuva yepamusoro uye yechipiri, ichikura semugumisiro wehutachiona kubva munhengo huru inobatwa nekinococcus. Sezvo mapapu emapapu ane chimiro chakasununguka, cyst iri mairi inogona kukura kusvika kuhukuru hwakakura uye ine maita akawanda emvura. Kana mapapu akakura echinococcus, zviratidzo zvichave zvakadai:
- kurwadziwa mubhokisi ;
- kugunun'una netsitsi, ane mhepa yeropa;
- kupfupika kwemhepo;
- kuporesa kuporesa, bronchospasm ;
- itching, rashes;
- headaches, nausea.
Matambudziko anokonzerwa nemapapu echinococcosis upenyu hunotyisa. Kudyidzana kwe cyst kunotungamirira kukurudzirwa kwechibvumirano chechirongwa ichi. Kana krisst inopinda mubronchi, murwere acharwa nekukanganiswa nekurwadziwa nekuwanda kwephlegm. Kuburikidza kwekrisiti mumumvuri wechipupuriro kunotungamirira kune pleurisy uye pyopneumothorax, uye ku pericardium kusvika kune tamponade yemwoyo. A ruptured cyst inogara iri pamwe nechinetso chevanaphylactic shock.
Echinococcosis yeuropi
Echinococcosis yeruropi chirwere chisingawanzovi, inotarisa kusvika 3% yezviitiko zvose zvehutachiona ne echinococcus. Echinococcosis yeuropi inogona kusanganiswa nechirwere chepachivi chechiropa kana mapapu. Chirwere ichi chinoratidzika sekukudziridzwa kwekrisiti, inowanikwa munyaya yakachena yepamberi, occipital kana parietal lobes. Ma cysts akawanda ane chirwere ichi haachiwanwi.
Kana muviri uchisvika echinococcosis yeuropi, zviratidzo zvevanhu zvinogona kuva seizvi:
- headaches;
- chizoro;
- epiprids;
- matambudziko ne psyche;
- paresis;
- kuora mwoyo;
- kuora kwekuziva kwepfungwa, kuora mwoyo.
Echinococcosis yeinso
Echinococcosis yeminyo inzvimbo yechinomwe pakati pezvose zvinokonzerwa nemakumbo echinococcal. Kune miviri miviri yechirwere ichi: kristin imwe-kamuri uye ma-multi-chamber, asi fomu yekutanga inowedzera kakawanda. Nekuwedzera kwakasimba kwe cyst inokwanisa kuungana nhengo dzomunharaunda: utumbo, chiropa, spleen, diaphragm. Kudyidzana kwekrisiti yepasisita kunogona kutungamirira pakuputika kwayo uye kubuda kwezvinhu zviri mukati mutsvo, izvo zvinotungamirira pakuonekwa kwe purulent-kuvhiringidza nzira mumuviri.
Zviratidzo zve echinococcosis yeinso inogona kuzviratidza ivo makore akawanda mushure mekusvibiswa kwepasitini. Kana muviri uchisvika echinococcosis yeinso, zviratidzo zvevanhu zvinogona kuonekwa chete pashure pekubuda kwekristi kana nekuwedzera kwakasimba mairi. Ichi chirwere chinogona kuratidza zviratidzo zvakadaro:
- renal colic ;
- kuchinja mumurini;
- general weak;
- zviratidzo zvekudhakwa.
Echinococcosis yemoyo
Echinococcosis yemoyo inowanikwa mu2-2-2% yevanhu vanobatwa neparinicoccus parasite. Iyo honye inopinda mukati memutsipa wemwoyo kuburikidza neropa uye inowanzowanikwa munzvimbo iri kuruboshwe. Kuburikidza kwekrisiti isati yatanga zviratidzo zvechirwere mumunhu zvinogona kusvika kumakore mashanu. Echinococcosis yemwoyo, zviratidzo zvayo zvakafanana nechirwere chemwoyo, zvinoonekwa kuti zvine dambudziko. Kukura kwe cyst kunokonzera murwere zviratidzo zvakadaro:
- moyo rhythm mhirizhonga, tachycardia;
- kurwadziwa munharaunda yemwoyo uye manzwiro ekudzvinyirira mubhokisi;
- kupfupika kwemhepo;
- chifuva;
- cyanosis yemigumo.
Kuongororwa kwe echinococcosis
Kuongororwa kwenguva nenguva kweEchinococcosis kunodziviswa nekusavapo kwezviratidzo pakutanga kwechirwere uye kusavapo kwezviratidzo zvakananga. Paunounganidza nhoroondo yezvokurapa kwechiremba, chiremba anofanirwa kuona kana murwere wacho asingabatanidzi nemhuka, angave akabata nemhuka, kakawanda sei chirwere chinoitika munzvimbo yacho. Kuti asimbise kana kubvisa kuongororwa, nzira dze laboratori dzinoshandiswa: chirwere cheropa, biochemistry, urine analysis, sputum kuongorora, Casoni zvirwere zvekuongorora uye ropa rekichinococcus (serological reaction), iyo inoona ma antibodies kune echinococcus.
Kana zvichidikanwa, kuongororwa kwekichinococcus kunowedzerwa nemaitiro anobatsira:
- Ultrasound yechipfuva chemuviri kana nhengo chaiyo;
- CT kana MRI yeuropi;
- chifukidzo X-ray nechifuva CT;
- Echo, coronary, ECG;
- kuongorora kwe duodenal fluid;
- chiropa chinopesana;
- angiography ye trin celiac.
Echinococcosis - kurapa
Irococcus parasite inopinda uye inowedzera mukati memuviri, saka kurapa kwe echinococcosis kwakaoma uye kazhinji kunotungamirira kuhutachiwana huwandu. Muchirapa, pane zviitiko apo eshinococcosis, zviratidzo zvomunhu ari muchirwere ichi zvinonyangarika, cyst inouraya pachayo, asi izvi zvinowanzoitika kazhinji. Panguva ino pane imwe nzira inoshanda yekurapa echinococcosis. Iyi inzira yekuvhiya. Anthelmintic therapy pasina chirwere hachipi mhinduro dzinodiwa, saka inoshandiswa chete mushure mokubvisa krisiti yepasita.
Nzira dzose dzekurapa kwe echinococcosis, kunze kwekuvhiya, hapana mubvunzo uye kwete nesayenzi yakasimbiswa. Mishonga yemazuva ano inopa nzira dzayo dzokurwisa zvirwere, asi humwe hunyanzvi hwekuvandudzirwa kwechistic maitiro uye chimiro chavo chinoderedza nzira dzese dzekuchengetedza kurapa pasina. Kana uchiziva kuti icococcus mumuviri inofanira kubvumirana nokukurumidza kubviswa kwechirwere kubva mumuviri. Kana zvisina kudaro, iwe unogona kumirira kuputsika kwe cyst, iyo inotungamirira kumatambudziko makuru nekufa.
Echinococcosis - mazano
Irococcus parasite munguva yebasa rayo inokosha inonyadzisa muviri nemiti yemagetsi. Izvi zvinokanganisa hutano huripo hwomurwere uye basa rechiropa neuropi. Nokudaro, mushure mokubvisa mishonga kubva mumuviri, zvakakosha kudzorera kwete chete nhengo yakakanganiswa, asi muviri wose.
Mushure mekuvhiyiwa, zvinokurudzirwa kuti uite mitemo iyi:
- Chikafu chinofanira kuva chakakwana uye chakanyatsogadziriswa.
- Zvakakosha kutora mishonga yekuvandudza ropa nekuyerera uye central metabolism.
- Kuita zvekuita zvinoita mutsika.
- Kufamba mumhepo itsva.
- Tora zvinodhaka zvinopesana.
- Ngwarira nemhuka kuitira kuti urege kutapukirwa nehutachiona hutsva.
- Ngwarira kuchengeta mitemo yehutano hwehupi.
Echinococcosis - madhiragi
Dendaase echinococcosis rinoreva zvirwere zvakakomba zvinokonzerwa nehutachiona. Pamusoro pehonotokisiki, kugadzirwa kwemishonga uye mishonga yemishonga yemagariro haisi basa. Antiparasitic therapy inoitwa mushure mokunge yakasarudzwa ne cyst. Inosanganisira mishonga yakadaro:
- Zvinoreva kuvhiringidza tsvina yemagetsi mumasimba: Albendazole, Mebendazol, Praziquantel.
- Zvinoreva kuora mitezo muzvipembenene : Pirantel, Levamisol, Nichlosamide.
Echoinococcus is opera
Panguva yekuvhiya, zvinokosha kuti chiremba abvise krisiti yakakura kuti irege kuputika uye zviri mukati mayo hazviparadzi mumuviri wose. Zvimwe zvisingaiti, zvinetso zvemashure uye zvirwere zvechipiri nezvirwere zvinogona kuitika. Kana pasina nzira yekubvisa kristi yose, kana mumamiriro ezvinhu kana yakura kune yomuviri, kushamiswa kwechikamu chegoni kunoitwa. Tsanga dzehukuru hwakakura, dzakaoma kubvisa, dzichiparadzanisa mumuviri, dzinobvisa zvinyorwa, dzivabata nevanoriseptic uye antiparasitic zvinogadziriswa uye dzinozvikonzera.
Kubudirira kwekupindira kwekuvhiya kunoenderana nehuwandu hwechirsts parasitic, hukuru hwavo, nzvimbo, kuwirirana nedzimwe nhengo. Dambudziko ndiro kubviswa kwekichinococcus kubva muuropi, nokuti munyaya iyi zvinogona kukanganisa maitiro europi. Iine echinococcus mapapu akawanda, vanachiremba vanoedza kubvisa ma cysts anoomesa mishonga yechiri. Muchiitiko ichi, zvinokwanisika kuwedzera hupenyu hwemunhu, asi hazvibviri kupora zvachose.
Prophylaxis ye echinococcosis
Echoinococcus munhu anonyatsosarudzwa uye anogona kukonzera rufu. Nokuda kwechikonzero ichi, kutarisirwa kunofanira kutorwa kuti tisapinda muropa nechirwere ichi:
- Shamba maoko zvakakwana usati wadya.
- Pakubika, kupisa nyama zvakasimba.
- Kugadzirisa zvinokonzera kudhonha imbwa dzomumba.
- Usagunun'una imbwa dzinokanganisa.
- Usanwa mvura kubva mumvura chaiwo.