Lung Iphiko - Paragonimiasis gciwane. Paragonimiasis abantu: iimpawu, unyango, uthintelo

Izifo ezosulelayo yenye maqela uqhelekileyo zokugula kwabantu. Iqela eyahlukileyo phakathi kwabo kukho isifo ekumfimfitheni. Enye inkqubo enjalo imiphunga paragonimiasis.

Yintoni na?

Paragonimiasis wabhekisela sisifo esosulelayo esibangelwa sisidleleli evela kwiqela trematodes - annelids. Oku ikakhulu bahlukunyezwe esiqwini lung, izihlunu. Ubuchopho othatha inxaxheba kwinkqubo usulelo kakhulu inqabile.

Sam causative arhente - paragonimus westermani (okanye elinye igama layo - "Iphiko wemiphunga,") - ine umbala obomvu-omdaka iqanda-ezimile. umzimba wayo wonke igutyungelwe ameva ezincinane, nto leyo evumela ukholosile ezisisigxina nezihlunu sisidleleli eziphilayo. Kwi esiswini kukho ngumtya, enza njengoko uvala umsebenzi.

Isifo luphawulwa kwiindawo ezithile yosulelo kunye endemicity. Libhekisela ezinokusulela abantu.

Xa unyango kuqala emva kwexesha kunokubangela iingxaki ezinzulu, ezinye kuzo nezibeka ubomi emngciphekweni.

Njani, ngoko, indlela bayosuleleka yaye ziziphi iinkalo ziyafumaneka kule sisidleleli?

Ukunwenwa kwesi sifo

Lung Iphiko zisasazwa kule leyini ephakathi. Amaninzi uqhushumbo sifo kuvandlakanywa eRashiya and Asia.

EsiPhakathi host Iphiko ezi yenamvuna amancinci arthropods. Umphathi yokugqibela - ezincinane iimpuku, muskrats, beaver, iingcuka, iimpungutye. Kuba abanini yokugqibela ngayo nayo indoda lokwenyaniso.

Xa Iphiko lung yabantu ingena ngokutya yenamvuna engafanelekanga ulidle oononkala.

amaqanda Isidleli idubule kunye endleni kunye nomchamo. Emva qhagamshelana ne-bume lwangaphandle kubo kufa, yaye inxalenye engena emanzini, umbungu iyaqhubeka umjikelo nophuhliso.

Emzimbeni womntu, umbungu yenzelwe ubukhulu becala inwebu imiphunga - bronchioles ayo. Ukusuka apho, ukusasazwa ngokusebenzisa iimpahla emithanjeni kusichukumisa kwezinye amasebe kunye amalungu omzimba womntu, nto leyo ekhokelela ukuba ikhondo elukhuni yenkqubo esosulelayo.

, Ngoko, benza njani umjikelo wobomi pathogen?

Uphuhliso sisidleleli

Njani ukuphuhlisa ngengozi lung? umjikelo wayo wobomi iqulathe izigaba ezithathu:

Eyokuqala kubo ezikhandelwa miracidia (Uphunguphungu). Eli nyathelo lo abapasileyo lokuqala ekutyeni nasemakhalaneni emva ukuphuma kwayo ukusuka eqandeni. Xa amanzi miracidia ukugqobhoza umzimba esiphakathi host yokuqala - lembaza amanzi. Kwiinyanga zokuqala ezintlanu yokuzala maqanda kwenzeka kumzimba wenkumba, ebangela ukuba afe, yaye amanzi kushiya inani elikhulu cercariae - ibakala lesibini le sisidleleli. Ezi ezidla ilifa ukushukumiseka kwaye angene kwi umzimba ngokwemikhosi yabo esiphakathi invasively, ie ngokusebenzisa kumphezulu imizimba yazo.

Ntshulube kweli nqanaba kulo yenamvuna emzimbeni kunye oononkala leyo iphuhlise to metacercaria - wesithathu inqanaba lophuhliso. Le fomu sele lwegciwane yabantu.

Ethunjini metacercaria yabantu kuphuma iqokobhe yakhe zifudukela emiphungeni, apho udlula nenkanuko yalo kunye nemfundo ngakumbi amaqanda.

ikliniki izifo

Kwenzeka njani sokukrokrela ukuba bavela paragonimiasis? Iimpawu zesi sifo ngqo hayi ngokwaneleyo, ngenxa leyo efunekayo sifo ngqo ngakumbi eneenkcukacha.

Isifo angenzeka ngeendlela ezininzi - esiswini kunye pleuropulmonary.

Esiswini kaninzi kwenzeka kunye enteritis clinical okanye hepatitis kunokukhokelela peritonitis ekumfimfitheni ikhondo zangaphakath.

uhlobo Pleuropulmonary esi sifo esizibonakalisa kwiimeko ezininzi. Kubekho ukwanda lobushushu ukuya degrees 38 nangaphezulu, ukhohlo-khohlo embi kunye ubovu expectoration yesikhohlela anegazi ukusuka amaqanda sisidleleli. Kukho kwakhona kwiklinikhi yinyumoniya, unepleurisy.

Xa indawo sisidleleli emiphethweni zangaphandle ukukhanya, ukuyilwa cysts Parietal kunye nophuhliso empyema pleural okanye effusion pleural.

Ngenxa ukuqhubeka kwesifo iphuhlisa abanesigulo ehlasela kunye zisiba mbi kakhulu umsebenzi sokuphefumla.

uqhekeko eli inwebu kwemiphunga kunye nophuhliso legazi miphungeni.

ukungaphili

Ngokwayo, esi sifo kakhulu kunzima, Noko ke, ukuze kwenzeke kunye neengxaki ezahlukeneyo. nga kokungcola paragonimiasis nzima njani? Iimpawu bokuzeyisa kule ndlela ilandelayo.

Ngenxa yokwanda uhlobo esiswini of kunokwenzeka perforation namathumbu neeklinikhi peritonitis kunye nemfundo empyema kunye amathumba peritoneal.

Le fom pulmonary nzima nokopha, effusion pleural, iposi miphungeni. Uphuhliso eyingozi cysts kukunyameka ngokwentliziyo lung ngasekhohlo.

Xa nokusasazwa hematogenous okanye emithanjeni lwe sisidleleli xi nga kwexesha kwizigqeba ezahlukeneyo kunye namalaphu. Paragonimiasis ingqondo xa ezichaphazelekayo kunqabile, kodwa basenokuba meningitis ekumfimfitheni kunye meningoencephalitis.

Paragonimiasis kwemiphunga kungakhokelela ekubeni cysts ekwakhekeni intrapulmonary. Oku kwenzeka xa ezigcinwe ngokwaneleyo xa umbungu unyango anthelmintic, ukunqanda ukungakhuseleki ngamalungiselelo, iintlobo ngeenxa ngokwayo capsule calcified ashinyeneyo evumela ulinde iimeko ezimbi (kulo mzekelo - isenzo ARVs). cysts zifuna uqhaqho.

lokufunyaniswa kwesifo

Enjani zophando ziya kunceda ukuqonda ukuba umzimba singene ngengozi lung?

Okokuqala nje kubalulekile ukuqhuba isifundo lokuvandlakanya egazini jikelele. Kuyinto zalathisi umdla iya kuba ESR, iiseli ezibomvu kunye eosinophils.

kwakhona kwaye iya kunceda izikhalazo yesigulane, kwakunye imbali ziqokelelwa ngocoselelo (ukutya yenamvuna okanye kanonkala, ukusetyenziswa kwamanzi aphilileyo evela emilanjeni kwiindawo zikho).

Helminthiasis iya kwandiswa eosinophils kunye ESR. inqanaba erythrocyte kunciphisa xa inkqubo yangoku inde.

iindlela negalelo ye fluoroscopy yeyona ilungileyo. It ikuvumela ukuba ukufumanisa ubukho lweHo- uluhlu inwebu lung, ukuchonga indawo yayo kunye nobukhulu. Ngokusekelwe kulo mfanekiso, ukubeka uxilongo.

Isikhohlela kunika ithuba lokuba ukuchonga amaqanda ndingumbungu, wachuba iindawo yegazi xa eqala ukopha.

unyango

Njani, ke, unyango lwesi sifo?

Irhorho kwemiphunga kwabantu ingxaki enzulu, ngoko unyango maziqale kwangethuba kangangoko kunokwenzeka kwaye esijolise ekutshatyalalisweni helminth.

Amachiza lusetyenziswayo ukunyanga Paragonimiasis yi "Praziquantel". umthamo yayo ibalwa ukusuka olinganise 60-70 mg kweziyobisi kwekilogram ubunzima bomzimba ngalinye. Isixhobo lweentshulube alawulwa ngeedosi ezintathu emva kwesidlo ngasinye. Ichiza iphethwe ngomlomo.

Ngaphezu koko kunokwenzeka ukuba ukusebenzisa iindlela ezifana "Emetine" "hloksila", kodwa ke isiphumo reception yabo emincinane kakhulu kunaleyo of "Praziquantel".

Xa ukuyilwa cysts amakhulu zifuna kokususa. Kwezinye iimeko, ingakumbi ukuba cysts makhulu, kusenokufuneka pneumonectomy - ukususwa kwaso sonke kwemiphunga.

Xa izilonda ingqondo liphathwa utyando yedwa.

ukuvimbela

Ndimele ndenze ntoni ukuze asungule paragonimiasis? Prevention zingabandakanya inani lemisitho:

• Okokuqala, kufuneka ulandele ngenyameko imithetho ukupheka arthropods amatsha. Eli nani likhulu usulelo Paragonimiasis iwela-ukungathotyelwa neemfuno okupheka nemigangatho.
• ukwanda Partial le sifo zinokuphenjelelwa ucoco imilambo kunye nemilambo ukusuka gciwane. Yenza kube kakhulu nzima, ngenxa amanyathelo asebenzayo kulahleka kunye nezityalo nezilwanyana kule ndawo ezikhoyo.

Ukuba kukho urhano kwesi sifo (yimbonakalo khohlo okanye ezinye iimpawu), njengenyathelo lokuthintela nga poprinimat kwiintsuku 4-5 "Praziquantel". Noko ke, musa kufuna self-amayeza, njengoko unako buhlungu kuphela ngokwakho. Kubhetele ukuba bafune uncedo evela kugqirha ukuba agqibe ukuba esi sifo, kwaye isicwangciso sonyango abanobuchule.

Outlook

Ngokubanzi, ukuba isigulane usingethwe kwelona lukwisigaba sokuqala uhlaselo iimpawu, kunye nenkqubo engazange yenziwe yasebenza ngokupheleleyo, uxilongo wafelwa wenziwe, Wabeka isicwangciso olwaneleyo unyango, lo mbono kakhulu intle. Abantu abaninzi ukululama ngokupheleleyo Paragonimiasis.

Ukuba le nkqubo yaqalwa, kwaye emiphungeni kwakhiwa cysts, i-ALS sibi thile. cysts Small aliyi kuba nefuthe elibonakalayo umzimba; elide iya kuthabatha ukususa kubo, leyo, ngenxa yoko, kunokukhokelela nokukhubazeka nomonde. Ngokubanzi, izigulane emva kotyando kuqhubeka umsebenzi eqhelekileyo bela kumsebenzi ngokwasemzimbeni kunye nomsebenzi.

Uqikelelo ezingaginyisi yi nokudla inkumbula yeentsholongwane ebuchotsheni. Ukuba akunjalo ngokukhawuleza athathe amanyathelo afanelekileyo, mhlawumbi ebulalayo.