Diphyllobothriasis: cov tsos mob nyob rau hauv tib neeg thiab kev kho mob regimen

Diphyllobothriasis yog ib tug cab tus kab mob, nrog los ntawm ib tug thawj lesion ntawm tus kabmob ntawm cov hnyuv, raws li zoo raws li megaloblastic anemia. Nws activator yog nyob ze tapeworm - ib tug tapeworm (D.latum), uas yuav ua tau mus txog rau 10 m thiab tsawg tshaj li 10 hom ntawm cov genus Diphyllobothrium kawm Diphyllobothrium.

Cov ua rau tus kab mob

Kab mob ntawm tib neeg diphyllobothriasis tshwm sim los ntawm kev noj raug insufficiently kho thermal txoj kev los yog tsis zoo las ntses khoom, thiab thaum txiav cov ntses thiab cov tuav ntawm txaus los khi zoo glassware tom qab nws. Wherein lub ingress ntawm cua nab nyob rau hauv tib neeg lub cev tshwm sim raws li qhov ntev saw.

Ib tug qauv ntawm cov sib koom diphyllobothriosis

Tapeworm qe paub tab mus rau hauv cov dej tshiab nrog ib tug kub ntawm 10-20 ° C rau txog ib lub hlis. Ces, lawv yog cais los ntawm koraditsii-embryos, uas nyob rau hauv lem yog noj me me crustaceans, e.g., copepods. Qhov no - plerocercoids - ib tug thawj intermediate theem ntawm kab mob uas tus kab raug tsim helminth. Ces tus thib ob theem, thaum lub dej tsis qab ntsev ntses xws li pike, dab, perch, eel, trout thiab al., Noj crustaceans thiab nws lub cev kab tiav lawv txoj kev loj hlob mus rau theem ntawm mature nrws. Thiab tsuas yog tom qab uas cua nab nrhiav tau lawv tseem party thiab, raws li, qhov kab mob - ib tug neeg, los yog, yam tsawg kawg, tus neeg sawv cev ntses noj tsiaj xws li npua, hma liab, Xyooj, foob, thiab lwm yam Nws yog nyob rau hauv lawv lub cev twb mature cab helminth qe uas tawm tuaj thaum lub sij hawm defecation thiab tsau tshuaj lub caij nplooj zeeg tshiab dej, pib ib tug tshiab saw ntawm kab mob.

Parasitizing cov hnyuv dav tapeworm muaj ob peb txhiab tus feem (proglottids) uas muaj qe, thiab khov kho txuas mus rau ntawm cov phab ntsa uas pub me me hnyuv ntawm ob slits (bothria) nyob rau ntawm lub taub hau kawg thereof. Txawm tias tus kab mob ntev tej zaum nce mus txog 10 meters, muaj mob thaum ib tug tib neeg lub cev coexisted ob peb cua nab.

Qhov chaw kis ntawm tus kab mob

tib neeg Diphyllobothriasis feem ntau ntawm cov neeg nyob rau hauv lub cheeb tsam nrog tsis kub tsis txias huab cua txias, qhov twg cov pejxeem yog lub ntsiab khoom noj khoom haus ntses thiab nws lwj uas. Tus kab mob no tshwm sim nyob rau hauv European lub teb chaws, tshwj xeeb tshaj yog nyob rau hauv Scandinavia, Nyiv, South America, Teb chaws Africa, teb chaws USA, Canada, thiab Russia.

Pathogenesis thiab Pathologic duab diphyllobothriasis

Ib zaug nyob rau tib neeg lub cev, ib tug tapeworm niamntiav ib pathogenic cov nyhuv txhua yam, tshuaj lom thiab kev tsis haum thiab Neuro-reflex xwm. Firstly, nws yog ib lub cuam tshuam ntawm lub plab hnyuv mucosa bothria thaum uas txuas mus rau cov phab ntsa hauv lub helminth. Qhov no los tau nyob rau hauv Atrophy thiab necrosis ntawm lub mucosa. cab metabolic khoom ntxias autosensibilizatsionnye dab. Cai ib tug tseem ceeb endogenous gipoavitaminoz folic acid thiab vitamin B12, uas ua ke nrog cov khoom ntawm tus kab mob intoxication cab lub neej nyob rau hauv lub 2% provokes megaloblastic anemia. Duration ntawm kab mob yog mus txog kaum xyoo.

cov tsos mob diphyllobothriasis

Los ntawm 20 mus rau 60 hnub - xws ncu tus kab mob lub sij hawm muaj bothriocephaliasis cov tsos mob nyob rau hauv tib neeg pib tshwm tsuas yog tom qab lub sij hawm no. Nws yog thaum lub sij hawm lub sij hawm no cua nab ua kev sib deev paub tab daim ntawv, txuas mus rau lub plab hnyuv phab ntsa thiab pib ua num. Diphyllobothriasis pib mus rau manifest nws tus kheej maj mam. Xeev siab, belching thiab ntuav, mob plab distention, mob nyob rau hauv lub epigastric mob, cov neeg pluag qab los noj mov, disturbance ntawm ib lub rooj zaum - tag nrho nrog los ntawm thaum ntxov tsos mob bothriocephaliasis. Diam duab ntawm ib tug txiv neej nrog diphyllobothriasis ib tug tom qab theem yuav tsis depict nws nrog cim pallor ntawm daim tawv nqaij thiab qog ua kua week, thiab tus neeg mob yuav raug kev txom nyem los ntawm qaug zog, kiv taub hau, tsis muaj zog, mob plab, paresthesia, hepatosplenomegaly, Achille, tawg tus nplaig (tom qab ntawm tus nplaig yuav du).

Cai tachycardia, hypotension, nkees nkees, systolic yws nyob rau apex, lub suab nrov ntawm lub sab saum toj. Kuaj ntshav txawm mob cov neeg mob pom qhov nram qab no daim duab: tsis hemoglobin, tsis tshua muaj cov xov tooj ntawm cov ntshav liab, kom nyob rau hauv ncaj qha bilirubin, siab xim index, neutropenia, leukocytosis, kom ESR. Lub degree ntawm heev ntawm anemia, raws li zoo raws li lub heev ntawm tus kab mob no muaj feem xyuam rau cov kev siv helminthic infestations, muaj cov concomitant cov kab mob, tag nrho cov kuj ntawm lub cev, qhov zoo tshaj thiab muaj nuj nqis ntawm cov zaub mov noj.

Loj diphyllobothriasis myelosis yam ntxwv funicular, uas yog qhia nyob rau hauv yuam cai ntawm lub sib sib zog nqus rhiab heev, ceg tsis muaj zog, qhov muag plooj paresthesia. Nyob rau hauv ib co neeg mob, daim tawv nqaij yuav tshwm sim tsis haum ua pob ua xyua (ua xua), nce nyob rau hauv tus nqi ntawm cov siab thiab tus po. Nyob rau hauv tsawg tus neeg mob tas epileptoformnye (apnea) qaug dab peg, xws li loog loog ntawm lub nqua, unsteady taug kev. cov no yog cov bothriocephaliasis muaj cov tsos mob nhyav thiab kev kho mob ntawm tus kab mob no yuav tsum tau pib tam sim ntawd tom qab mob. Ntev ntev diphyllobothriosis ua ileus.

Txawm li cas los, nws yog tsim nyog sau cia hais tias bothriocephaliasis, cov tsos mob ntawm uas yog tsim los ntawm ib tug impressive array ntawm ailments tej zaum muaj kiag li latent (asymptomatic) rau ib tug kab mob nyob rau hauv uas tau tus kab mob yog kuaj tsuas nrog lub foundations ntawm tus kab mob nyob rau hauv cov quav tawg tsam.

mob diphyllobothriasis

Lub hauv paus rau qhov mob "bothriocephaliasis txiv neej" yog tus neeg mob tsis txaus siab thiab sib nug xov kuaj kev tshawb fawb cov ntaub ntawv. Xav hais tias nws kab mob no yuav pab eosinophilia nyob rau hauv cov ntshav (rau tsis ntev los no invasions), thiab thrombocytopenia thiab leukopenia, txhawb erythrocyte sedimentation tus nqi thiab hyperchromic anemia. Ib tug yam ntxwv feature ntawm tus kab mob yog ntaus megaloblastic hematopoiesis. Qhov tsom xam qhia tau hais tias ib tug loj tus naj npawb ntawm cov tub ntxhais cov ntaub ntawv erythrocytes (megaloblasts, normoblasts, polychromatophilia, poikilocytes etc.). Ib tug loj luag hauj lwm nyob rau hauv lub mob plays epidemiological keeb kwm: tseeb tus neeg mob nyob twj ywm nyob rau hauv lub teb cheeb tsam, noj nyoos dej tsis qab ntsev ntses los yog las insufficiently caviar. Tab sis qhov kawg tsom xam yog muab tso rau thaum tus neeg mob lub quav tsom qhia tau hais tias nws muaj qe los yog feem ntawm lub sab tapeworm.

Muaj mob qhov twg cov neeg mob kho, pom cov tawg tsam ntawm tus kab mob nyob rau hauv lawv tus kheej cov quav.

Nws yog ib qho tseem ceeb tsis txhob yuam kev anemia Addison-Birmera thiab bothriocephaliasis, uas yog heev uas zoo sib xws cov tsos mob. Yuav kom qhov no kawg, nqa los ntawm lub pais plab txheem rau lub xub ntiag ntawm qhov zoo tshaj Tsev fuabtais tsis tuaj kawm ntawv anemia.

Diphyllobothriasis: kev kho mob

Yog hais tias ib tug neeg mob thiaj paub tias yog "bothriocephaliasis" kev kho mob yog nqa tawm sai li sai tau nyob rau hauv lub tsev kho mob. Nyob rau hauv muaj ntshav liab txaus ua ntej vyvedeniiyu helminth txheej txheem ntawm vitamin muab tus nqi (B12, folic acid, hlau). Vitamin B12 yog muab raws li intramuscular tshuaj ntawm 200-500 mg 2 los yog 3 lub sij hawm ib lub lim tiam. Lub caij ntawm vitamin txoj kev kho yog 30 hnub.

Rau degelmentizatsii siv tshuaj xws li "biltricid", "Praziquantel", "Niclosamide" los yog "Azinoks". "Fenasal" cov tshuaj kuj yuav siv tau kom tshem tawm tus kab mob. Tag nrho cov tshuaj noj hais lus thiab muaj ib tug paralyzing nyhuv ntawm helminth. Raws li ib tug tshwm sim, qhov no cab loses muaj peev xwm yuav tsum tau muab khaws cia tseg nyob rau hauv lub hnyuv thiab tawm. Nws yog ib qho tseem ceeb heev nyob rau ntawm no khiav, uas tapeworm tuaj tawm kiag li. Nyob rau hauv thiaj li yuav ua tau zaum kawg tshwm sim tej zaum yuav ntxuav enema plob tsis so tswj.

Cov hauj lwm zoo xws li ib tug yeeb tshuaj yog hais txog 95%, nyob rau hauv uas tsis tshua muaj mob, nyuab ileus, degelmentizatsiya ua surgically. Cov neeg mob uas muaj tus mob ntawm "bothriocephaliasis", uas muaj tau ntse kho dehelminthization kauj ruam proceeds ntawm dispensary soj nrog noj quav tsom xam txhua hli rau rau lub hlis.

pej xeem kev

Nyob rau hauv pej xeem cov tshuaj rau lub ntiab tawm ntawm cua nab yog feeb siv cov noob taub dag thiab ib tug decoction ntawm lawv. Taub dag noob, nyoos los yog qhuav, triturated nrog dej thiab zib ntab thiab coj nyob rau hauv ib tug npaum li ntawm 300 g. yoo mov portionwise dua ib teev. Qhov no yog txig chav nrog ib qhov teeb meem zoo li tib neeg bothriocephaliasis. Xyuas ntawm lub kev vam meej degelmentizatsii siv taub dag noob pub rau kom cov hauj lwm zoo ntawm no txoj kev.

Noj cov zaub mov, khoom noj khoom haus

Thaum lub sij hawm kev kho mob, tus neeg mob yuav tsum tau ua raws li diphyllobothriasis sparing noj cov zaub mov uas excludes cov khoom noj uas yog irritating mus rau lub txheej membrane ntawm qhov kev txiav txim ntawm lub plab hnyuv phab ntsa. Advantageously menyuamuas nyob rau hauv cov khoom noj cov khoom noj uas muaj ib tug siab cov ntsiab lus ntawm vitamin B12, thiab folic acid.

Tshwj xeeb tshaj yog nyob rau hauv cov me nyuam

Cab kab me nyuam kis ntau npaum li cas hnyav zog tsos mob ntawm anemia thiab vitamin raug nyob rau hauv cov tub ntxhais cov neeg mob qhia ntau vividly.

Kev tiv thaiv diphyllobothriasis

Yog hais tias koj - ib tug lover ntawm dej tsis qab ntsev ntses thiab nyob rau hauv sab qaum teb thaj tsam ze lub cev ntawm cov dej, nyob rau hauv thiaj li tsis mus mus ntes tau nyob rau hauv lub sib ntsib rau no unpleasant kab mob raws li bothriocephaliasis neeg, cov kev tiv thaiv ntawm nws yuav tsum tau koj txoj cai ntawm lub neej №1.

Kom tsis txhob kis kab mob diphyllobothriasis yuav tsum tau noj dej tsis qab ntsev ntses xwb zoo zoo siav, raws li zoo raws li nws cov high quality las caviar xwb. Nws yog tsim nyog los nruj me ntsis soj ntsuam cov cai ntawm kev tu cev thaum ntses txiav thiab ua noj ua haus los ntawm nws.

Koj yuav tsum paub hais tias thaum Zasole ntses, nyob ntawm seb lub ntsev concentration, lub kab tuag tsuas yog tom qab 2-7 hnub. helminth qe thaum lub sij hawm brining nyuj tuag hauv ib nrab ib teev nyob rau hauv 10% loj feem ntawm ntsev nyob rau hauv relation mus tus luj ntawm lub qe. Yog hais tias lub ntsev yog 5%, cov khoom yuav muaj kev nyab xeeb rau noj muaj tsis ntxov tshaj li 6 teev, 3% - tsis ntxov tshaj li tom qab ob hnub.

helminth kab kuj tua nyob rau hauv sib sib zog nqus khov (rau 2-4 hnub nyob rau -18 ° C, ib lub lim tiam tom ib tug kub ntawm -6 ° C).

Thaum lub mob ntawm tus neeg mob, nws yog ib qho tseem ceeb los mus tshawb nrhiav tag nrho cov tswv cuab ntawm nws tsev neeg, vim hais tias nyob rau hauv cov ntaub ntawv no lawv muaj teeb meem.

Tas tib scale nyob rau hauv thiaj li yuav txo tau qhov tshwm sim ntawm kis kab mob yuav tsum tau tsawg dua feem pua ntawm cov intermediate muaj nyob rau hauv reservoirs los ntawm kev txo los yog tshem tawm paug faeces nyob rau hauv lub pas dej thiab cov niam dej, kom ntseeg tau huv xyuas ntawm tus txheej txheem, raws li zoo raws li lub xeev ntawm cov ntug dej hiav txwv, ntug hiav txwv dej thiab cov ntses khoom uas nkag mus rau cov zaub mov qhauj kev lag luam thiab cov khw. Nws yuav tsum tau ua tib zoo saib xyuas nyob rau hauv kev kho mob tsev xws tus kab mob xam qhovkev tshwm sim raws li bothriocephaliasis cov tsos mob. Kev kho mob rau cov kabke uas tus mob yuav tsum tau pib tam sim ntawd thiab nrog ib tug yuav tsum check ntawm tag nrho cov neeg hauv tsev neeg rau lub xub ntiag ntawm kab mob.

Tshwj xeeb tshaj yog nyob rau hauv cev xeeb tub thiab lactating

Cab kab, - namely, vitamin tsis thiab anemia thaum nws nruab nrab yog ib tug zoo txaus ntshai rau lub neej yav tom ntej kev kho mob ntawm cov leej niam, thiab rau me nyuam hauv plab kev loj hlob. Cev xeeb tub poj niam yuav tsum tau tshwj xeeb tshaj yog tau ceev faj, noj ntses thiab caviar. Nws yog ib qho tseem ceeb kom tsis txhob nco thawj cov cim qhia ntawm tus kab mob xws li ntses tapeworm kab mob, cov tsos mob uas yuav tau yooj yim yuav yuam kev rau tej yam tshwm sim ntawm toxicity (preeclampsia), thiab urgently nrhiav kev pab rau kev kuaj quav rau lub xub ntiag ntawm worm qe nyob rau hauv nws.

Kev kho mob ntawm tus kab mob nyob rau hauv cev xeeb tub cov poj niam yog nqa tawm los ntawm, muaj kev nyab xeeb rau kev kho mob ntawm cov me nyuam hauv plab. Yog li ntawd, rau degelmentizatsii cev xeeb tub thiab lactating cov poj niam tsis txhob muab tej tshuaj raws li "biltricid" thiab siv ib tug muaj kev ruaj ntseg pej xeem cov tshuaj - taub dag noob. Nyob rau hauv tej rooj plaub, niam nrog ib tug mob ntawm "bothriocephaliasis txiv neej" kev kho mob pom zoo kom ua txoj kev tau txais ntawm diphyllobothriasis txheem tshuaj thiab grudnichka pauv mus rau lub raj mis noj.