Schistosomiasis: izimpawu, ukwelashwa, uphethwe

Kwezokwelapha, igama elithi "Schistosomiasis" isetshenziselwa ukuchaza isimo kwabantu abatheleleke nge-worm bohlobo lwe-Schistosoma. Ungathola elinye igama lesi sifo - noma isifo isichenene Manson sika. Lezi yizilwanyana eziwuhlupho empeleni zimele bayingozi empilweni yomuntu. Ukungabi ukwelashwa okufika ngesikhathi kungase kube ngisho ukubulala. Kulesi sihloko sizobona ukuthi uchaze kabanzi ngezindlela eyinhloko ukuwudlulisa izinhlobo isimo isifo njengoba schistosomiasis.

pathography

Izimpawu zalesi sifo uqale nge ukuthuthukisa dermatitis. Kuye kamuva ijoyina umkhuhlane futhi ubuthi okunzima wonke umzimba. Isithombe ngeziguli nalesi sifo sibangelwa ukuthuthukiswa wokusabela immunoallergic amaqanda amagciwane.

Schistosomiasis - isifo esingelapheki ukuthi kubangela umonakalo emathunjini, kanye izitho kohlelo urogenital. Ukubhebhetheka esiphezulu kwalesi sifo kwaba emazweni nge Isimo sezulu esishisayo indinganiso eliphansi ephilayo, lapho abantu abanawo amanzi okuphuza ahlanzekile. Ngokusho kwemibiko, manje abantu abangaphezu kwamakhulu kwezigidi ezimbili emhlabeni asebengenwe igciwane. On endaweni Russian Federation, lezi zibalo ephansi kakhulu. Ngokuyinhloko, uphethwe kuqinisekiswa izihambi ngubani usanda kubuya esabelweni iholidi emazweni ashisayo. E-Afrika abafa unyaka ngamunye abantu abangaphezu kuka abayizinkulungwane ezingamakhulu amabili kusukela schistosomiasis uphethwe. Izimpawu, ukwelashwa kanye nokuvinjelwa kwalesi sifo namuhla, riveting ukunakwa ochwepheshe abavela emhlabeni jikelele.

Lokho kuphakamisa ukuthuthukiswa zesifo?

ejenti Causative lesi sifo baziwa okuthiwa trematodes (flukes bohlobo Schistosoma). ukutheleleka eqondile izibungu ngokuvamile kwenzeka lapho ngokuluhlaza ageza amanzi ahlanzekile noma ukungenisa amanzi angcolile. amaqanda Amagciwane bangene imvelo kanye umchamo noma indle kusesimweni esinjani abantu abagulayo izilwane. Khona-ke, phakathi kwezinsuku eziyisihlanu amaqanda ukuthuthukisa futhi baqala ukuba lusebenze ku-shellfish. Uma amagciwane zikhule kancane, bephuma umzimba silwanyana futhi usesimweni i osebenzelana aqueous, ukungena emzimbeni womuntu. Lapha, they finyelela khula zabo zobulili, amaqanda kule izitho zangaphakathi. Ngokusekelwe indawo izibungu secrete wokugaya ukudla, urinary futhi gastro-emathunjini schistosomiasis. Izimpawu azifani ifomu ngalinye.

schistosomiasis emathunjini

Ukutheleleka kwenzeka ngesikhathi ebhukuda echibini noma ezinye contact nge namanzi angcolile. Ngemva Ukungena ezidala esikhunjeni, baqala uthuthe ngokusebenzisa igazi lymph izitsha. Ngosuku lwesikhombisa sokuhlala emzimbeni, flukes bangene inhliziyo namaphaphu, nangemva - esibindini. helminths ke zingene okuthiwa mesenteric ama-venule, okuyinto bayaqhubeka yokuvuthwa izinsuku ezingu-40. Emva kwalesi sikhathi, insikazi iqala ngenkuthalo amaqanda. Usuku inani lawo likhuphuka lize izingcezu 300. kwezinsuku ezingu-50 emva KWAMAGUNDANE e kwesihlalo zomuntu onesifo kungathola izimpawu trematodes. amafomu avuthiwe amagciwane bangaphila umzimba womuntu kuze kufinyelele eminyakeni engu-30.

Ziyini izimpawu schistosomiasis emathunjini? Izimpawu lolu hlobo sifo iqala mgomani, dermatitis, urticaria, ukulunywa. Phakathi ngokushesha amaqanda e abantu bangase baveze izibonakaliso lokudakwa (uphethwe yikhanda, imfiva, ukuba buthakathaka kwezicubu).

schistosomiasis urogenital

izifo ezidlayo ezifana, phakathi ezihlanganisa isifo futhi adinga ukunakekelwa okukhethekile. Indawo eyinhloko kwasendaweni kwamagciwane yesifo urogenital kuwuhlobo emithambo yegazi plexus esifundeni ukhalo. izinsikazi esezikhulile amaqanda e ngemithambo we fallopian amashubhu, isinye, ureter nentambo spermatic.

Uphawu oyinhloko lolu hlobo sifo - hematuria, ie khona igazi umchamo. Ezimweni sina ngokukhethekile, iziguli kutholakala ukuthi uphethwe yini esinyeni cystic. Ukungabi ukwelashwa okufika ngesikhathi ngokuvamile kuhilela emdlavuzeni. Abameleli ukujabulisa ubulili isifo sihlasela kakhulu isibunu, okuyinto sivezwe kula uhlobo ukuguguleka komhlabathi, compaction, ukopha lwesitho sangasese sowesifazane. Ngo madoda, zokugula ngokuvamile kakhulu imbangela ukungabi nenzalo.

schistosomiasis Gastro-emathunjini

Ungathola ezinye izihloko lokhu zokugula: Katayama isifo, schistosomiasis Japanese. Izimpawu lolu hlobo isifo esifana samuntu isifo enteric, kodwa kulokhu izinsikazi amagciwane amaqanda izikhathi 10 ngaphezulu. Ukulimala izicubu esiswini kanye emathunjini avuse ukubukeka cystic of kobukhulu ahlukahlukene.

Ikakhulukazi iyingozi isifo fulminant esiteji lapho lenyuka namathuba okufa. It libhekene zimpawu ezilandelayo: imfiva, izimpawu okunzima njengemithi yokungezwani komzimba nokuthile, hypereosinophilia.

In esigabeni okungamahlalakhona, kukhona ukuphazamiseka ukusebenza evamile pheshana emathunjini, nobuhlungu obukhulu endaweni besisu, uhudo ngegazi futhi i isibindi lakhulisiwe. Cishe emva kokutheleleka iminyaka emihlanu eba ngempela isifo esiyingozi esibizwa isifo sokusha.

uphethwe

Okokuqala odokotela bakhathazekile, lokho kuhambisana izimpawu schistosomiasis (izimpawu). Ukwelashwa ezinqunyiwe kuphela ngemva ahlolwe kahle emzimbeni. Inkomba enkulu isiqinisekiso lesi sifo khona amaqanda helminth endleni. Lokho kwenzeka ngesikhathi ebeka kuphela noma ngesikhathi umfutho eliphezulu KWAMAGUNDANE.

iziguli esabelwa futhi ukuhlolwa igazi, njengoba kwaba njalo endabeni kwalesi sifo kungenzeka igazi.

Kanjani ukuqinisekisa schistosomiasis urogenital? Izimpawu yaleli fomu lesi sifo - inkomba oyinhloko khona ezidala emzimbeni. komzimba, hematuria, ubuhlungu ukungakhululeki - zonke lezi zibonakaliso + ibonisa isifo. Ngesisekelo-X-ray idatha umumo womsebenzi kanye cystoscopy udokotela genitourinary uhlelo kwenza ukuxilongwa sokugcina. Ngaphezu kwalokho, kungase iqondiswa ngqo biopsy lwesinye.

ukwelashwa ezidingekayo

Ngingayithola kanjani ukunqoba schistosomiasis? I izimpawu nokwelashwa ifomu ngamunye ingahluka. Nokho, namuhla, ukwelapha lesi sifo kusetshenziswa umuthi owodwa ngokuthi "praziquantel". Lokhu ejenti yesimanje antiparasitic ukuthi isetshenziselwa ukwelapha zonke izinhlobo lesi sifo. Umuthi kunikezwa kanye kuphela (30 mg ngayinye 1 kg isisindo isiguli).

Lapho ukuphendula immunoallergic ukuze helminth amaqanda corticosteroids esimisiwe. Ngokuphathelene ukwelashwa kuhlinzwa ke yakhetha azomsiza ezimweni ezehlukile, isibonelo, nge stenosis we ureter. Kuyinto nenkinga enjalo ezibhekene ezigulini schistosomiasis kwatholakala sekudlule isikhathi eside.

Izimpawu, ukuxilongwa kanye nokwelashwa - yezingxenye ezintathu indlela abanekhono ekulweni nalesi sifo. Lapho izimpawu eyinhloko okufanele ngaphandle kokulibala kudokotela. Ngemva ukuhlolwa okugcwele, okubandakanya ushintsho assays kungenziwa eyabelwe ukwelashwa okufanele. Nale ndlela, umhlahlo cishe njalo evumayo.

Kanjani ukuba siqonde ukuthi ukwelashwa kuye kwasisiza ngempela?

Ukuze uqinisekise ukuthi imishanguzo wawuphumelela (izimuncagazi omdala emzimbeni wafa), emva Inkambo yokwelashwa udokotela angase atuse ukuba kabusha pass ukuhlaziya indle kanye nomchamo. In iziguli eziningi, isivivinyo isipele libonisa ukuthi amaqanda siqhubeke ngenkuthalo ivelele, kodwa babulawa izibungu. Lesi simo imizwa kubhekwa njengento evamile futhi ingase iqhubeke ezinyangeni ezimbalwa.

Ngakolunye uhlangothi, uma ukuhlaziywa libonisa ukuthi amaqanda of izibungu bukhoma abakhona, sincoma inkambo yesibili yokwelashwa.

izinyathelo

UBANI isu ukuze ulwe nesifo ngokuyinhloko usekelwe emisebenzini yasemahhovisi akhawunti kanye nokwelashwa kweziguli kokutshelwa ngokukhubazeka kwengane, usebenzisa protivogelmintyh izidakamizwa abantu engozini, ukuhlanzwa amanzi ukudla nezinto zasendlini izidingo. Ochwepheshe emhlabeni wonke namuhla bayaqhubeka ngenkuthalo alwe nalo sifo.

Ngokuphathelene izinyathelo siqu zokuvimbela, uya eholidini emazweni ashisayo, ungakhohlwa imithetho eyisisekelo zokuphepha. It is hhayi Kunconywa ukubhukuda emanzini angcolile, ukuphuza amanzi unboiled. Lezi zinyathelo kungaba kakhulu ukunciphisa ingozi yokuba nezifo ezifana schistosomiasis (isichenene). Izimpawu zesifo (ukuphendula nomzimba, imfiva, Ukulunywa wonke umzimba) kufanele waziswe wayeseba isikhathi ukubiza usizo kumuntu ofanelekayo. Uma uphethwe kuqinisekisiwe, kufanele ngokushesha uthole ihlolwe futhi uqale ukwelashwa.

isiphetho

Ngeshwa, kaningi phakathi izivakashi kanye abomdabu kwelivekati le-Afrika sitholakale schistosomiasis Manson. Incazelo, izimbangela, izimpawu kanye zokwelapha lesi sifo kungafundwa ngokufunda kulesi sihloko. Lesi sifo libhekene ukubonakala izimpawu lokudakwa i umzimba, dermatitis kanye urticaria. Isizathu esiyinhloko ivela khona - ubhukuda emanzini angcolile. Izimuncagazi ezihlala emanzini ukungena emzimbeni womuntu futhi ukuhlehlisa amaqanda emizimbeni. Kuye "indawo", izazi, kunezinhlobo ezintathu yalesi sifo. indlela yesimanje ekwelapheni lesi sifo ivumela ukukhohlwa mayelana nale nkinga. Into esemqoka kule ndaba - a ngesikhathi esifanele pass ukuhlolwa ukuqinisekisa ukuxilongwa kanye ngokuqinile landela imiyalelo kadokotela. Hlala uphilile!