Simila. Echinococcosis isibindi: ukwelashwa izimbangela, izimpawu, zokuvimbela

Echinococcosis kuyinto helminthiasis ikilasi ka cestodosis, okwaphumela emaphashini, izinso, isibindi kanye nezinye izitho noma izicubu kwenzeka simila. isibindi isifo hydatid kubangelwa isingeniso kanye nokuvuthwa e izikelemu elalikudle lapho liseyisibungu.

Izimbangela zesifo

Lunqume e ukutheleleka of echinococcosis womuntu kubonakala ukuxhumana inja (izimuncagazi yenethiwekhi), okuyinto ungathola isifo ngokudla udoti. Esinye iselelesi ezingaba kungaba isifo izinja ukuzingela Imiphumela - izitho ezilimele noma offal izilwane zasendle.

Kubantu, igciwane ikakhulukazi livela ngezandla ezingcolile. Ukutheleleka singenzeka kusuka inja ngokusebenzisa izinwele zakhe, noma ulimi. Nezinye izilwane kungaba efanayo nokuguqulwa amaqanda omoya futhi inamathele kuyo kanye ukuxhumana izinja ogulayo.

Futhi kukhona kungenzeka ukuthi umuntu angase zithole isifo hydatid ngezithelo ukudla, imifino kanye amajikijolo, abangasizakalanga ngakho nagezwa noma cha ukuthi wathola ukwelashwa kokuqala. Amanzi aphuma amachibi emvelo ikhonza njengombonisi umthombo ukutheleleka.

Simila kusengenzeka lapho kanye nabantu abasebenza emkhakheni imvu. It strigali izimvu, abelusi, abelusi labo kukhona nabo laba bantu (amalungu omndeni).

izimpawu echinococcosis

Izinkomba zesifo ubuhlungu ngakwesokudla quadrant engenhla, lesisu isibindi isicanucanu. Kusukela ekuqaleni ukutheleleka ukuthola izimpawu zokuqala kuthatha iminyaka eminingana, ngezinye izikhathi ngisho namashumi eminyaka. Ukubonakaliswa echinococcosis zibangelwa ukubekwa, ivolumu, amazinga ukukhula simila kanye nomthelela wakhona izitho ezizungezile nezicubu.

Kwezinye izimo, lesi sifo izophela ngaphandle izimpawu, futhi kungaba ngezinye izikhathi ukuthola nge-ultrasound, noma-X-ray umsebenzi. Lesi sifo ngokuvamile iqala izimpawu ezivamile - ende ongaphakeme-ebangeni imfiva, ukuncipha emzibeni, ubuthakathaka, nokungezwani komzimba.

Ezikhathini eziningi simila ekuqaleni etholakala esibindini. Factor limelela izakhiwo kwegazi: outflow igazi emathunjini ingena vein portal kwesibindi ukuhlanza igazi. Ukuthola tapeworm emzimbeni okuthiwa hydatid isifo sesibindi.

echinococcosis Hepatic yilezi:

• iphika ngenxa kwasendaweni we ukuhamba diaphragm;
• ubuhlungu ohlangothini lwesokudla;
• isicanucanu nokuhlanza;
• jaundice nokuguqulwa (lapho isibambo amavesi biliary);
• isibindi ukukhulisa.

It iqeda simila kwesibindi?

Ukwelashwa lesi sifo bebodwa ezifana nesifo hydatid kwesibindi, kumane nje akunakwenzeka. Nakuba ezimweni ezingajwayelekile kakhulu kukhona self-ukuphulukiswa elihlobene ne-lilokhu libuna we izibungu. Uma nginesimila kutholakala, ukuzalwa echinococcus ke akukho ukwelashwa ukuthi ngabe eseyiqedile amagciwane. simila ukudabuka ukhuluma ngesidingo ahlinzwe ngokushesha.

Lisuswe lonke simila. Uma kuwukuthi ungqimba kwezicubu isibindi ngalesosikhathi enyula it kungenzeki ngokuphelele ngenxa kungenzeka umonakalo isitho. Kulesi simo, ukususa chitin simila odongeni bese udonsa elikuqukethe. Khona-ke kukhona kokususwa simila ngokwaso, kusukela akukho amathuba ukudabuka nokuhlukaniswa amagciwane. Lapho ingqondo isibuyile ngemphumelelo simila endaweni yayo ngibopha disinfected futhi sutured.

Umsebenzi kuyiswe kwesibindi ukuze ususe ngokuphelele nginesimila kusukela igobolondo wakhe kanye nokuqukethwe, kangangokuthi akukho lutho kwaba emzimbeni, le lesisu kanye izimbotshana thoracic. Nge indawo ezijulile noma sina ukunqotshwa igobolondo izinsalela. Ukusebenza nemiqulu yawo ka emsebenzini abangelwa ubukhulu simila futhi izinkinga ukuthi alethwe. Uma Kutholwe umngcele ukubekwa simila ke isuswe kanye capsule. Le nqubo kuhlinzwa Ungasebenzisa laser ukususwa simila hydatid.

izinhlobo imisebenzi

Uma oimeetsya izinhlumba isibindi amaningi hydatid makhulu ke resected. Lapho ngekuchumanisa izinhlumba omkhulu ezivezwa ukusebenza Spasokukotsky noma Bobrov, lapho kuyinto echinococcectomy yangaphakathi.

Ukuze sibhekane ukugula kwesikhumba simila engahlanzekile, futhi ingaphakathi layo ziphathwe izidakamizwa ngokumelene eziwuhlupho, isibonelo, formalin, i-iodine noma utshwala.

Uma nginesimila itholakala ngaphansi diaphragm, futhi ngenxa ukuhlinzwa kukhona umgodi omkhulu, bese qinisa it usebenzisa indlela Pulatova noma Delbo noma ukumboza ingaphakathi kwakhiwa isiqeshana diaphragm.

Uma kukhona ukuphumelela simila ku Amapayipi Bile, ukusebenza eziphuthumayo wenziwa. Futhi simila odongeni lisusiwe kusuka kumasayithi ethintekile ipheshana biliary. Kulesi simo, amanzi biliary ngenakuvikeleka.

Uma igebe kwenzeka izinhlumba ku ingaphakathi lesisu, bese eyohlinzwa eziphuthumayo kwenziwa. Kule nqubo, wasusa simila, futhi amaphilisi, okwakusendlini bronchi, pleural futhi endaweni besisu. It wenziwa echinococcectomy semi ivaliwe. Ezimweni ezinzima avulekele Echinococcectomy.

Nge mass echinococcus isibindi kubalulekile ukwenza kokungenela kuhlinzwa phambi zenzeka izinkinga. Ukusebenza engenziwa kwesibindi 2-3 Process esilinganayo kusukela emasontweni amabili kuya ezinyangeni ezintathu.

Nokufa e Echinococcus ivela 1 kuya ku 5% of the labantu abanaleli gciwane. Uyahluleka uma elwa nokuphuza futhi kungenzeka uma simila yayihlukene phakathi.

zokuvimbela

Ukutheleleka nayizilwane ezifuywayo nayiwo abantu isekelwe izinqubo eyenziwa lezempilo wezilwane. Kumele njalo ahlole ekhaya futhi inkonzo izinja ukuze izimpethu, ikakhulukazi ezindaweni ezabe zincishwe amathuba, imishanguzo yabo, ukubulawa kwesiguli kwezilwane abangenamakhaya, kanye ukuqaliswa ukulawula inyama e namadela.

Yini edingekayo?

Ukwenza inhlanzeko njalo sabantu (inja abalimi nemfuyo abalimi, abazingeli kanye nemindeni yabo), ukuze bagcine izinja nokuhlanzeka, njalo bageze tandla ngemuva nabo, kanye ngaphambi kokuba udle, enqabela abantwana ukuxhumana ne izilwane abangenamakhaya, ukuwasha imifino, izithelo, isiphuzo disinfected amanzi.

Lung simila

Lesi sifo e zisaqala futhi ubonisa kancane ukutholwa-X-ray Ukuhlolwa yokukhanya ngesimo i ngalé okusaqanda ngemigqa eqondile. I hemogram abonisa eosinophilia.

I degree of izinhlumba non-eziya ziba zimbi kwakheka ukukhwehlela ukuqhubeka futhi obunzima, iphika, impumuzo zokuphefumula at indawo amagciwane, ubuhlungu balingisi ezahlukene esifubeni, ukunyakaza kwezitho mediastinal, ebonakaliswa nokwehlisa eshaywayo umsindo. Radiography libonisa yamaphaphu omkhulu isithunzi isiyingi ne wabuka othize, lapho kushintsha ukuma hambo zokuphefumula diaphragm.

Isigaba wesithathu wamaphaphu echinococcosis has inkulumo sina nokuthuthukiswa sokugembula yezinkinga inqubo. Unezimpawu kokucindezelwa izitsha ezinkulu futhi zeNhlangano mediastinum, imakwe ukusonteka kwesifuba, dyspnea futhi hemoptysis. Lapho ukufa kwenzeka echinococcus izinhlumba ukuvuvukala ne izimpawu ezithile zokwelashwa empyema pleural noma wamaphaphu.

izinhlumba Autopsy ephelezelwa ndima bronchus ukudedelwa inani elikhulu KULETHA eliqhakazile bladders ezingaphansi echinococci ezinemishwe ngegazi. Nge iqhubeka evulekile shayela eshiya oluhambisana ubovu isikhwehlela, kanye ukubonakaliswa waphawula ubuthi. Ukudalulwa izinhlumba igobolondo eziyize kuphakamisa ukubukeka pleurisy exudative futhi ukushaqeka anaphylactic. -X-ray luhlolo sikhombisa ingaphakathi nge evundlile ketshezi Kwamanzi hhayi kakhulu wabonakaliswa kokuziphatha perifocal. kokuziphatha okunjalo lutholwa, uma simila ithumba.

ukwelashwa

Sebenzisa zokwelapha tekusebenta (simila ikhishiwe ukusuka cuticular capsule wamaphaphu isuswe). Isibikezelo serzno eyaneleyo, zamazwe amabili echinococcosis wamanje kanye yesibili - edabukisayo.

kwezinso isifo hydatid

Hydatid simila of izinso namuhla ukuba likhithike, ikakhulukazi ezindaweni zasemakhaya. Umkhuhlane ijabule helminth Taenia echinococcus. Nabasabalalisi pathogen kukhona ezifuywayo - izinja namakati. Njengomthetho, omunye izinso kuthintwa, ezimweni ezingajwayelekile - amabili. isibindi echinococcosis labantu kabi iqembu yobudala ephakathi kuka-20 no-40 iminyaka, ikakhulukazi abesifazane.

helminth Iqanda engena lymphogenous izinso noma indlela hematogenous, iningi ukushuba cortical.

Ukwelashwa futhi Izibikezelo

esikhathini esiningi, ukwelashwa engashiyi futhi op. Ukusebenza enokwethenjelwa kakhulu futhi esebenza kahle - kuba yangaphakathi ehinokokkotomiya eyodwa-esiteji. Libuye nephrectomy.

ukuphathwa Echinococcus kudinga izinqubo imfundo yezempilo ukuze wazi abantu ukutheleleka esisongela kusuka ezifuywayo, ukuphoqelelwa lokugada sanitary wezilwane lokuhlaba.

Ngemva ukwelashwa op ka umbono oqondile ngezinto.

ubende isifo hydatid

izinhlumba ezidlayo we ubende Ngokuvamile Echinococcus. Isikhathi ukugula ingahlala iminyaka engu-15 noma ngaphezulu. Ngokwe-degree ukuthuthukiswa amagciwane wenziwa ukuhambisa eceleni ezungeze izitho besisu, ubende izicubu necrosis kwenzeka.

Lesi sifo kunzima ukuthola. Simila ephelezelwa ubende nesisindo kwesokunxele quadrant engenhla, iziyaluyalu noma ukuqunjelwa, ezincane ubuhlungu zomile, isicanucanu postprandial komzimba. On palpation we ubende ukufaka izandiso. Bubbles elikhulu kungaba wavele, okuvame ukuholela kokufa ohambisana isitho ukudabuka.

Ngaphansi amagciwane zamanje ngokuvamile ukubika izimpawu of yokungezwani komzimba - isifuba, ukulunywa nabanye. Lapho ubende echinococcosis sequelae kungenzeka izinhlumba igebe suppuration noma izinkulumo emitholampilo yayo isifo.

Uhlaziyo endleni, ngeshwa, akazivezi khona ezidala. Sifo kusekelwe-X-ray luhlolo kanye ultrasound, lapho multi-ekamelweni abagcwele obonakalayo.

ukwelashwa

Indlela ephumelela kakhulu sokwelashwa ubende izinhlumba kubhekwe ukuhlinzwa laparoscopic. Simila ingase eziqhutshwa ngezindlela eziningana:

• ukususwa ephelele ubende;
• ukuvulwa simila nokususa okuqukethwe therefrom uhlanzekile umgodi;
• ngokunciphisa Endaweni ethintekile ubende;
• kokukhipha ubende esuka odongeni simila nokuqukethwe;
• ezibaziweyo simila amagobolondo.

Ukusebenza yohlobo laparoscopic elashwe simila ubende kuyinto ngendlela evamile, okubenza ukususa ngokuphelele umthombo sifo. Ukususwa we simila ubende Kwenziwa esebenzisa imisindo ephakeme-ngokunemba amathuluzi futhi ufake ikhamera ekhethekile. Isikhathi isenzo op - amahora 1.5-2. Khona-ke ngesikhathi esithile ukuhlala emizweni kubuhlungu, kodwa esikhathini esifushane isiguli ngokugcwele kwi lungisa.