Cysticercosis: izimpawu kubantu, ukwelashwa, zokuvimbela

Ezweni kukhona izinkulungwane encane eziwuhlupho ngezinye izikhathi ezincane ezibhubhisa eqinile, ubuqili, ukudalwa cishe onke bemvelo - indoda. Omunye la ababulali kuyinto tapeworm ngokuthi ingulube tapeworm. Kubangela ezifweni ezimbi cysticercosis, izimpawu kanye nokwelashwa umphumela okuyinto kuncike esikhundleni cwaningo of worm emzimbeni womuntu. Catch kungaba lula, futhi ngezinye izikhathi akwenzeki ukwelapha. Khuluma ukuze ubhekane ngokuphumelelayo nalesi isitha, odinga ukukwazi mathupha. Sazise okwengeziwe amagciwane futhi uthole ukuthi kungani kuba cysticercosis esiyingozi kanjalo, noma njengoba besho, ingulube tapeworm.

umjikelezo Helminth ukuphila

Lokhu tapeworm libizwa yengulube tapeworm. Umuntu omdala has a amancane (3 mm) nenhloko lide kakhulu (kuze kufike 6m) ihlukene umzimba. Ekhanda kukhona amaswidi kanye izingwegwe ukuthi amagciwane linamathela umzimba yempi. Minyaka yonke isihlava kubeka abantu abalinganiselwa ezigidini ezingu-600 amaqanda okuyinto indle kungase axazulule enhlabathini noma utshani. Ukuze bekhula, badinga i aphethe Lesisemkhatsini. Lapho Amaqanda ukuwela esiswini ingulube (unogwaja, unogwaja, inja, izingulube), zazo dweba izibungu (hexacanth), afana zemabula ecacile ngezingwegwe. Ngalezi amathuluzi izibungu perforate odongeni esiswini, zingene umhlatshelo ukusakaza igazi abazenzi nalo zonke izitho. Uma esikhundleni, hexacanth zikhula ipea, ngokuthi cysticerci. Ngaphakathi it has uketshezi. Uma ubuka eduze, uzophawula le isifaca Pea. Leli khanda beya izimpethu esizayo. Zonke. tapeworm Landelayo akwenzeki, elinde zaziziningi unomphela, okufanele umuntu kuphela. Yena amagciwane "ukunikeza" cysticercosis, izimpawu kusaqalwa engavezwanga ngamazwi. Ngakho ukuthi worm unemisebenzi isikhathi ukuthola ukusizakala.

Izindlela ukutheleleka

Sivame ahlele namanye esake sawenza sisendleleni, ukupheka izoso. Kukhona ithuba kancane ukuba bagcine inhlanzeko. Iningi lethu like steaks isigamu-wabhaka chops. Konke lokhu kuhle, kodwa kumelwe sikhumbule ukuthi indlela elula ukubamba cysticercosis, izimpawu nzima ukuhlukanisa kusuka ukucasuka abavamile kanye ukukhathala yilezi:

1. izandla Dirty.
2. Kubi yengulube thermally iphathwa, hare zasendle izingulube inyama.
3. imifino angawashiwe, amakhambi (Sorrel, dill, parsley).
4. Amanzi aphuma amadamu.

Leyo akuyona agule sesifo esibulalayo, badinga kuphela ukugcina imithetho eyisisekelo. Ngaphezu inhlanzeko yomuntu siqu, kuyancomeka ukuba ahlole inyama ngaphambi kokuba ziphekwe. I izibungu worm kungabonwa ngeso lenyama. Okungcono nakakhulu, ukuthenga inyama kusukela kumasevisi sanepidnadzora ukuphrinta kuphela.

Imifino kanye namakhambi amabhola iwe lapho efaka umquba izingadi namasimu ngomanyolo ethathwe kwezilwane ezinegciwane.

Kukhona nenye indlela cysticercosis ukutheleleka, lapho umninikhaya Lesisemkhatsini worm aliveli isilwane, futhi indoda. Lesi sifo okuthiwa teniasis (teniodozom) futhi kusho ukuthi emathunjini womuntu izibungu amagciwane ukuphi. Lokhu kwenzeka uma ungenawo ukuwela cysticercus womuntu futhi isihlava amaqanda, okungukuthi, iqala kuphela esigabeni sokuqala sokuphila kwayo umjikelezo. Teniasis ephelezelwa ukuhlanza njalo, phakathi kwesikhathi lapho izibungu ziyaphuma ukuba ahlanze ngomlomo. Uma isiguli konjane them they sondela kuye esiswini iqala cysticercosis. Ngakho-ke, ngaleso teniasis lokuqala uphawu, futhi lokhu ubuhlungu esiswini, nohudo, ukucanuzela kwenhliziyo, kufanele ngokushesha uxhumane nodokotela wakho futhi uqale ukwelashwa.

Pathogenesis nezimpawu cysticercosis

Lesi sifo iqala ngamadijithi cysticerci falling in the esiswini futhi / noma emathunjini isisulu. juice Kukhona esiswini ancibilikisa igobolondo elalikudle lapho liseyisibungu. Kwagxila ikhanda lokuqala bulged phandle. It seluvele Corolla ngezingwegwe futhi amaswidi ezisiza ukunamathisela izindonga ngokweqile, izitho zokugaya, bese seep ngabo lingene egazini. Khona-ke izibungu chithi wonke umzimba, ukuyohlala emaphashini, amehlo, inhliziyo, ubuchopho kanye nomgogodla, isikhumba. Izimpawu kanye nokwelashwa cysticercosis zincike lapho umzimba wakhetha izimuncagazi endaweni yabo yokuhlala. Ukuthuthukisa, yini ukwandisa ngobukhulu, ifaka ingcindezi amaseli elingumakhelwane, okubangela zaziziningi ubuhlungu eziphathekayo. imikhiqizo yabo imfucuza ubuthi umuntu. Kodwa ukufa worm kuyinto okuhle kancane. kungenzeka Isidumbu amagciwane ziyoncibilika (eqashisa ngamafulethi kwenzeka). Bona ukhombe izinto eziyingozi kakhulu, ngokuvamile abangela ukushaqeka nomzimba, zazo 20% ziyabulala. Ngezinye izikhathi ama-worms efile calcined (calcify), kodwa ukuvuvukala kwezitho abathintekayo izisulu uyaqhubeka.

ubuchopho lesion

Uhlobo oluvame kakhulu sifo cysticercosis palsy. Izimpawu kusaqalwa zimi kanje:

• paresis ukukhanya (imisipha ekhululekile, ukunyakaza languid);
• nobunzima ezincane ngenkulumo;
• nokucindezeleka;
• ukusangana;
• ukuquleka engqondo, nese ukukhanyiselwa;
• delirium;
• ukukhohlwa izenzakalo zamanje (inkumbulo yesikhathi esidlule iyagcinwa).

Esikhathini esizayo, kukhona:

• ubuchopho edema;
• izinhlungu zekhanda ezinamandla;
• ukuhlanza;
• ukuquleka (enye ezizolile).

Uma cysticercus ezinza ventricles zobuchopho, izimpawu kunezelwa:

• emaphilisini ekhanda ukuze nokulahlekelwa ukwazi;
• nokuvaleka kwemigudu yokuphefumula;
• ukungasebenzi inhliziyo.

Brain isihlava izibungu Ukhetha kaningi (angu-60%). Bahlala lapho iminyaka engu-18. Izimuncagazi basakazwa ezingqimbeni ebusweni cortex cerebral, ventricles e ulwelwesi ubuchopho, futhi nenombolo yabo angaya namakhulu noma ngisho izinkulungwane. Ngezinye izikhathi isithombe lesi sifo sifana meningitis, ebuchosheni, isithuthwane neurosyphilis. Ukuze olunembile uphethwe Ucwaningo olwenziwa ka cerebrospinal fluid, i-MRI, X-ray, DGC, ukuhlaziywa igazi, lapho khona wokuzimisela eosinophils. Ukwelashwa, uma izibungu ebuchosheni kancane, ukuchitha kuhlinzwa. Uma eziningi kubo, khona-ke thatha "Praziquantel". Lapho kunqotshwa izibungu ventricles ubuchopho kanye izilonda amaningi Izibikezelo ayiyinhle kakhulu.

cysticercosis umgogodla

Izimuncagazi izibungu iwela umgogodla, avame kusukela ekhanda, kodwa kungase futhi ngokuqondile isisu namathumbu, futhi kuxazululwe phezu izimpande, amagobolondo, noma izidakamizwa ingqondo. Libuye cysticercosis ngempela ezisindayo, izimpawu zazo zibandakanya:

• Uhlushwa imilenze, izingalo, emuva;
• ibhande ubuhlungu esiswini nasesifubeni;
• ukwephulwa traffic imisebenzi;
• ezimweni ezimbi kakhulu, ukukhubazeka.

Lokhu konke kwenzeka ngoba izibungu imbangela spikes kwi ameva neziqhumane, kanye kumiswa izinhlumba. It is hhayi ngaphandle kokucindezelwa we nomgogodla.

Sifo Kwenziwa ngokusebenzisa impendulo serological, i-MRI, myelography.

Akukho oluthile lokwelapha.

Worm emehlweni

Kuyinto isifo kubuhlungu ngempela kuyinto amehlo cysticercosis, okuyizinto zimpawu:

• ukuvuvukala ijwabu (retinitis, uveitis);
• izinguquko esiwohlozayo kuzo;
• conjunctivitis;
• ezibukwayo ukungakhuli up ukuqedela ukulahlekelwa kwayo.

Lapho isibungu singena Iso lomuntu, liyaphila futhi nikhula retina yeso futhi umzimba Vitreous. Izinkathi ukuthethelelwa ongaboni esikhundleni, isikhathi lapho isikhathi ngezikhathi incipha. Ukuxilongwa kwenziwa esebenzisa:

• ophthalmoscopy;
• biopsy;
• RSK igazi;
• RAC cerebrospinal fluid;
• ethize igazi ukuhlaziywa.

Ukwelashwa ngamathemba kuhlinzwa, uma ungakwazi - "Praziquantel".

isikhumba athintekayo

Sishilo kakade ezinye zezizathu ezibangela cysticercosis. Izimpawu kanye nokwelashwa izilonda umzimba ngamunye uhlukile. Cysticercosis isikhumba, isibonelo, angabizwa ngokuthi samuntu engcono lesi sifo. Kwakubi-ke kuphela 6% yengulube tapeworm izifo. Ngakho isihlava izibungu ezibekwe kule ungqimba amafutha ngaphansi kwesikhumba. Kulezo zindawo kukhona uhlevane ezincane, okungenalutho uma uyithinta. Kodwa akuzona awunalutho, kepha egcwele uketshezi, sintanta siqonde futhi cysticerci. Kweziningi zazo leli ukuphela uhlevane ku izintende, ebusweni engaphakathi emahlombe, imisipha endaweni esifubeni. Larva likhula kusuka ngamasentimitha amabili kuya eziyishumi ubude. Izimpawu ayikwazi uyalandelwa. Kwezinye izimo, ukuqubuka livela. ukwelashwa kuhlinzwa.

cysticercosis yamaphaphu. Izimpawu, izimpawu, ukwelashwa

Cysticercus axazulule emaphashini zincane kunaloko esikhumbeni, kodwa futhi ukuletha eziningi izikhathi edabukisayo. Inani elikhulu kubo eqoqwe interstitial (interstitial) izicubu, okungenani kule peribronchial. Khona-ke zikhula, ecindezela mafutha anciphisa isikhala esingaphakathi futhi kubangele ukushisa. Ubukhulu of izibungu emaphashini ukufinyelela 2 cm. Around ngamunye ezakhiwe capsule ekhethekile. Le nqubo ibizwa ephelezelwa ukusabela ukuvuvukala kanye nezimpawu i-pneumonia. Lapho amagciwane efa, kungenzeka, namkha ngemva kokuphela calcined. zikhubazekile Kalula. Lapho u-X-ray ungabona lezi zinguquko, kanye emaphaketheni ezidala, like izindawo ezinomthunzi esukela wokusanhlamvu cherry ngosayizi. izimpawu kuthiwa ngokuvamile alikho. Isiguli kungase esekhala:

• ukukhwehlela (ngezinye izikhathi ezinemishwe isikhwehlela noma igazi);
• dyspnea emva ukulayisha;
• lokushisa elincane;
• ubuhlungu alinganiselayo esifubeni.

Ukuxilonga zihlanganisa-x-reyi, izimpethu fecal, ukuhlolwa okukhethekile kwegazi ngoba khona eosinophils.

Ukwelapha akuvamile kakhulu futhi izilonda angawodwa wenziwa surgically. Iningi Yiqiniso onqunyiwe a "mebendazole", noma "Parazikvantela".

Cysticercosis ekukhulelweni

Ngamanye izitho ezifana inhliziyo nezinso, akuvamile zingaphinda zivele cysticercosis, noma yengulube tapeworm. Izimpawu kanye nokwelashwa zincike kwasendaweni. Ngakho, lapho kokunqotshwa wenhliziyo isiguli waphawula inhliziyo isigqi iziyaluyalu. Idlanzana yinhliziyo angagcina iyagula.

kuyingozi kakhulu isifo cysticercosis ngesikhathi sokukhulelwa, njengoba inyama yengulube tapeworm isibungu odlula placenta ezingenzeka embungwini. Ezimweni ezinjalo, ingane ibelethwe efile noma nge ngeziphambeko abalulekile. Ngaphezu kwalokho, cysticerci KWAMAGUNDANE kwesibeletho (wesibeletho, lwamafinyila). Ngenxa inkinga, ukuvuvukala izinto ezihlobene kwenzeka. Uma izibungu Ukhetha indawo yokuhlala e-placenta kungenzeka isisu nokuguqulwa. Ingulube ukwelashwa tapeworm ekukhulelweni is nzima imiphumela engemihle engase ezenzeka lapho izimuncagazi afe. Ngokuvamile, odokotela batusa ukukhipha izisu uma kusaqalwa Kutholwe cysticercosis ubuchopho, umgogodla, amehlo, kwesibeletho noma umzanyana. Phezu ukuthola lesi sifo emabangeni sekwedlule isinqumo esenziwe udokotela.