Amebiasis: Kurapa. Dr. Tips

A nyika inoshamisa yatiri kurarama, zvinosuruvarisa riri yaigarwa nemazana rezvisikwa vari kuita chete kuti atipe dambudziko, uye dzimwe nguva kunyange kukanganisa upenyu hwedu. Imwe muvengi hondo tupukanana - the faceless nemaziso amoeba kuti chinokonzera chirwere chinouraya amebiasis. Vachiona zvinofanira kutanga pakarepo uye pachoto kunodiwa disinfect. Amebiasis iri achinyengera chaizvo nokuti amoeba chisvetasimba akauya kwatiri ari paura, kuti ropa rinogona kugara mune dzimwe nhengo, kuti papi zvakaoma. Zviri kunyanya ngozi kuupenyu, kana amoeba tigopinda uropi. Unofanira panguva chiratidzo chirwere wokutanga kumhanya kusvika chiremba kuti hazvina kuitika. Ngatitorei kunyatsoongorora mibvunzo inotevera: apo anoita amebiasis, zviratidzo uye pakurapa chirwere, uye Chikurukuru, kuti matanho kuendeswa regai dhumhana navo.

The causative nomumiririri amebiasis

Chokutanga, uswedere mufananidzo nyore chete-celled chisikwa inonzi amoeba nemanyoka, kana, nesayenzi, Entamoeba histolytica. Nehama dzavo, iye ane zvimwe mwero kukura prolegs uye mhuru yose. Anorarama amoeba ichi chete parasitic, uye vanodzvinyirirwa vanogona kuva isu chete vanhu. The zviduku chisvetasimba zvakadaro manomano kuti anenge akakwanisa kukanganisa nyika vanhu vanopfuura mamiriyoni 900 ne awarding navo zvirwere zvakadai amoebiasis. kurapwa chirwere yatotanga nenguva nenzira, ane fungidziro yakanaka. Kana rikasakurumidza chiremba uye kuzvinzwira medicate, unogona kubhadhara noupenyu hwavo. Manyoka amoeba anokwanisa zviripo matatu zvikuru zvakafanana siyana:

1. cysts. Ivo ingafananidzwa zai. Vane yakapoteredza, vashomashoma, kusvikira microns 12 nemvumi zvemapuranga aine bilayer Kamudzira, muri saibva (mukati asingasviki 4 nuclei) uye dzinovaka (4 zvakanaka mukati musimboti). In vanhu utano, chirwere pamwe cysts ndiko mhosva. Akaumba mumuviri murwere, vari faeces kuenda panze. In kwezvakatipoteredza vanorarama kwerinenge mwedzi, uye mvura - 3-4 mwedzi, vazhinji disinfecting mhinduro haagoni kurarama navo. Saka nguva yose iyi, unogona nyore osimudza amebiasis, mishonga izvo tichakurukura pazasi.

Ari munhu mudumbu cysts kuramba ari yokuzorora rwakazara. Ivo wokuparadza goko chete ura duku. Pane munhu Quad vakura, inonzi motherboard, inokamukana, kuchinja ane 8 mononuclear subsidiaries.

2. luminal fomu. Amoeba-mwanasikana kudya tupukanana kuti vagere ura edu, kukura nesimba uye zvishoma nezvishoma kufamba kubva duku ura munzvimbo huru. Vachiri isingakuvadzi conditionally.

3. tishu fomu. Paaizosvika guru ura, amoebae akura midzi muna masvingo aro, apo vanotanga kuwanda nokukurumidza. Ulcerated Ura, uye mamiriyoni tupukanana itsva aunonyanya pachituru. With thickening ravo duku amoeba dzosa rutsoka rwake venhema, vakagumisa, akafukidza miviri goko uye dzikava cysts.

The kutenderera inodzokororwa.

Nzira chirwere

Kubva pane zvataurwa, zviri pachena kuti utachiona kunosanganisira chete cysts. Small uye zvikuru akaomarara, vari mutsvina yadzo vakakurumidza vakagara munharaunda yacho. Batsirai izvozvo inobhururuka, mapete, uye dzimwe nezvipembenene. Tsvina tsvina, izvo, sezvo tichiziva, havasi pasi vavashandire, kushandiswa muminda wakanaka kwazvo fetiraiza kana kungoti kudirwa zvakatipoteredza. Izvi hunowedzerawo dzinogarisana amoebae. In mhuka, shiri, hove, havaiti kurarama chete murume.

Imwe nzira yakatinakira kuwana mutsva akuvara cysts - kuwana vave zvinhu zvezuva nezuva kushandisa maoko avo vari yakarohwa amebiasis tsvina. Vachiona vanorwara vanogona kutanga pakarepo, asi kunyange kana vanhu ava kutora nenguva matanho, ndivo vatakuri chirwere, nepo kubva ura hwavo kuramba dzinounzwa cysts.

Saka, nzira amebiasis chirwere zvinotevera:

- maoko dzakasviba;

- kunwa mvura kubva munzizi, mumadziva, zvose reservoirs rakashama;

- kushandisa asina kushambwa michero nemiriwo.

Pane nzira nhatu chirwere:

- mumagaro kurara;

- Kushandisa nejira uye akapfeka zvakafanana mbatya pamwe mutakuri amebiasis;

- kutapukirwa kubva mai varwere naye mwana utsanana asiri abvume.

Intestinal amoebiasis nedzevakuru, zviratidzo uye kurapwa

The chirwere zvikuru akakurumbira apo inodziya okunze, asi muzhizha zviri pamutemo uye latitudes dzedu. VokuEurope abate amebiasis kuenda zvekumwe dzekuchamhembe uye kubva ikoko vauye naye kumba. Kana munhu muviri simba zvakakwana, cysts uye kunyange translucent zvitarisiko amoeba mhenyu nekaupenyu refu ari zvomudumbu turakiti pasina zvirwere. Kana, zvisinei, ane simba rokuzvidzivirira, atova nezuva rechinomwe mushure chirwere angatanga kuoneka amebiasis. In vakuru, zviratidzo uye kurapwa kuvimba apo ari mumuviri rakasimba amoeba. Kana ichi chiri ura, akaonekwa intestinal amebiasis. Notupukanana kugara zvinenge zvose muzvipoka dzayo - the cecum, kukwira muura, sigmoid uye yakananga. Mugore intestinal masvingo vakaumba vemakumi erosions uye maronda kunosiyana dhayamita nokudzika (anosvika 3 cm), dzimwe nguva inosvika perforation uye peritonitis. Chero zvazvingava zviri intestinal mucosa uchazvimba, pus rinoungana mu nemaronda.

zviratidzo:

- tembiricha;

- Hope, utera;

- kurwadziwa dumbu;

- fivhiri;

- anongoremberera zvituru.

Inokosha: chakakomba manyoka mumazuva chirwere rokutanga chete kunoitika muna 10% iwayo vatapukirwa.

Mune ramangwana, zvose akawedzera zviratidzo:

- kakawanda zvituro (mvura, pus uye ropa);

- zviratidzo zvokusava nemvura (muromo yakaoma, rurimi, ganda turgor simba);

- zviratidzo kudhaka (nemusoro, kurutsa, kuda kurutsa);

- kuparadzwa.

Zviratidzo chiropa extraintestinal amebiasis

Tupukanana, inobatwa muropa, vari kugara nedzimwe miviri. Most vanowanzotambura kubva chiropa, asiwo yakakodzera nomumapapu, uropi, pericardium, cornea, chirwatata, uye ganda. Kana izvi zvikaitika, nemamwe-intestinal amebiasis kunokwanisa kuonekwa, kurapwa kunoenderana localization ari tupukanana. Dzimwe nguva pane pamberi notupukanana uye dzimwe nhengo mushure zvinopedzwa vari dumbu.

The chiropa iri nechirwere amebiasis, mashandiro zvikuru nguva dzose, uye kuongorora kuti tupukanana ropa haisi kuratidzwa. Kunze iri ALPL chakarurama - alkaline phosphatase. Kana hepatic amebiasis tsika dzayo pamusoro 140 Iu / l.

In chiropa pute kuumbwa homwe (pute), izvo kana zvisiri kusarudzwa kuti kurapa amoebiasis anokwanisa Perforated. Akadira zviri munzvimbo abdominal mhango, pane womukati ropa, sepsis anogona kuitika.

Zviratidzo chiropa Kuwanikwa notupukanana:

- vachirwadziwa marwadzo ari kurudyi, kazhinji pakukoka pasi papfudzi chipande uye / kana papfudzi;

- kusimba marwadzo zvakarurama repamusoro quadrant kunoderedza apo murwere yaenda kurutivi rworuboshwe;

- hepatomegaly (chiropa miganhu kuwedzera);

- nounyoro;

- svoto;

- manyoka;

- tembiricha;

- vangadikitira, chills;

- kurasikirwa kudya uye, naizvozvo, uremu.

Zviratidzo bapu amebiasis

kuomesa Izvi zvinogoneka kwezvikonzero zviviri:

- amoeba ropa yarova chiedza kubva dumbu;

- mishonga yokurapa amoebiasis ari chiropa vanosarudzwa zvakanaka, somugumisiro iyo paiva budiriro iri chiropa pute uye pus akadurura kupinda pleural mhango.

Kana vasakukurwa kuti tupukanana mumapapu ropa vanofanira kuona zviratidzo:

- Kuramba chikosoro pamwe phlegm, umo mune ropa tsvina;

- kupfupika mweya;

- tembiricha;

- bhokisi marwadzo.

Pasina kurapwa iri kuumbwa mune zvemapapu pute pute. Panyaya iyi, murwere ari:

- fivhiri;

- High soreness pa nzvimbo pute;

- zviratidzo mwoyo kukundikana.

Panovhurwa suppuration sokuti chikosoro chocolate, glossitis, pharyngitis.

Chirwere pamusoro pulmonary amebiasis zvinosanganisira nemiedzo ropa, x-mwaranzi, kudzidza mutsvina yadzo kuziva cysts, sputum , uye pleural fluid serological nemiedzo.

Amoebiasis dzimwe nhengo

Kashoma, asi zvakadaro pane ganda amoebiasis. The chirwere kunoratidzwa nemaronda, kazhinji akacherechedza mudumbu, crotch uye magaro. Kazhinji ronda zvakadzika, zvasviba panguva micheto, vane risingafadzi kwakanaka.

Amoebiasis uropi - chimwe chezvinhu zvinorwadza zvikuru nemamwe matambudziko ari chirwere. Dzinoratidzwa simba haana stoped nomusoro, nezvipusha, kutsinga dzinouya nenyonganiso, rutivi rwomuviri. Anogona kuva pute kana mumatenhere uropi. Zvatichiri zviratidzo zvakasiyana, zvichienderana localization pakati pute inotungamirwa muzvikamu muuropi, uye uwirirane unoenderana chetsinga zvirwere. Mabatirwo amoebiasis mune vakuru nevana yomuka kubuda intestinal nzvimbo, vakatsigira fanira mushonga inorwisa mabhakitiriya ari tandem uye zvinyama amebotsidami ( "Metronidazole", "Degidroemitin", "Hingamin"). Kana amebiasis uropi mune mishonga kunzwisisa anowedzerwa mishonga nootropic.

Kana amebiasis chiropa uye ganda, kunze zvinodhaka zvinokosha, ushandiswe "Diyodohin", "intestopan", "Meksaform".

Kana mishonga Haapi inotarisirwa zvabuda uye kuvapo abscesses kuitisa kuvhiyiwa.

chisingaperi amoebiasis

Manyoka amoeba anogona kurarama ura edu kwemakore, ipapo pane rikwanise chimiro chirwere anova chisingaperi. Izvi zvinoitika kana amebiasis kurapwa zvakanga zvakaipa vakuru nevana, kwete zvachose kana kwete akaita. Varwere anoshushikana mwedzi wokupedzisira kana zvakadaro, kutanga kuona nomufaro ruyamuro. Abdominal marwadzo vanopfuura, manyoka, zvakare, kunopindirana utano anovandudza. Izvi zvinonzi rokuregererwa iro achifara pamusoro mwedzi, uye dzimwe nguva kusvika mitatu kana mina. Munhu anotanga sokuti chirwere ichidzokera. Asi pashure kuregererwa vanogara exacerbations itsva, umo zvose inodzokororwa zvakare. chimiro kwakadaro echirwere amebiasis rinonzi idzokororo.

Panewo chimiro wechipiri, inonzi chichiitwa. Kana varo zviratidzo runozivisa amoebiasis iri yakakura, ipapo kuderera, asi kumborega zvachose.

Chirwere amebiasis:

- kurasikirwa kudya, zvichitungamirira uremu, kupererwa neropa;

- ungaderedza waivako, simba;

- nekuneta;

- asthenic urwere;

- vhitamini kushaikwa;

- hepatomegaly;

- tachycardia;

- ari dumbu angatanga polyps, kuderedza pamusoro ura, perforation rusvingo rwaro, kubuda ropa.

Diagnostics

Asati atanga pakurapa intestinal amebiasis, ari Kusiyanisa kuti utachiona kuzivikanwa muna mutsvina yadzo murwere. Pangava varipo kwete chete manyoka amoeba, asiwo intestinal amoeba (Entamoeba coli), zvipfupi amoeba (Endolimax Nana) kana vamwe, uye kusimbisa chirwere "amoebiasis", unofanira kuziva chaizvoizvo manyoka amoeba uye chiri muchimiro rejira. Kana pachituru chete cysts dzavo kana translucent siyana, chirwere - the mutakuri amoebiasis. Kusiyanisa rinoitwa nevanhu PCR. Mukuwedzera Analyses ose chetsoka panyaya intestinal amoebiasis vanoita colonoscopy.

mabatiro

Munhu pamwe akasimbisa chirwere kuti "amoebiasis", mishonga uye amebotsidami akaita muchipatara. Akagadzwa "Metronidazole", "Ornidazole", "Tinidazole" kana zvimwe zvinodhaka zvakafanana, mumwe mwoyo zvainoita nemanyoka amoeba. Zvakaoma kushandisa mishonga tertatsiklinov mapoka kuti zvinoshingaira kuti chisvetasimba ichi.

Panopera chikuru kosi iri basa mamwe kusanganisira amebotsidy kuita pamusoro luminal fomu. Izvi "Klefamid", "Etofamid", "Paromomycin." zvinodhaka aya anonzi nevanhu vanowanikwa munzvimbo pachituru chete cysts uye luminal chimiro amoeba.

ethnoscience

Sezvo pasina kurapwa kunogona kutungamirira kurufu amoebiasis, chevarwere mishonga kurapwa chirwere ichi zvinokwanisika chete ari kwokunwa huru kosi. Kumboda kubatsira varapi nokugumisa varwere reropa manyoka. Vanhu vanoratidzwa yakawanda Quick kukubatsira dambudziko iri. Vamwe vavo:

- Film yehuku gizzards. Zvinonzi vakaparadzana, kushambidzwa kwazvo, yakaomeswa, ivhu uye kudya 2 kana 3 kanomwe pazuva.

- Dry tii mashizha tii. kwazvo kukwana yetea kutsenga uye kumedza nemvura.

- Oak kuhukura. (Medicine nokuti vakuru). A yetea akaoma weupfu nemakwati kudira 400 ml mvura inotonhora uye akabika asi kusimbirira maawa 8. Agadzirira achishandisa chinonwiwa pazuva.

- Nokuzivikanwa kushandiswa Blueberry, Cherry, buckthorn, hawthorn, gomo dota. gadziriro Recipe ndiye akafanana zvinomera zvose - 100 magiramu muchero yakaoma uchidururwa 400 ml yakabikwa nemvura, uye akatora Rine mamiririta 100 pazuva. Chete zvibereko shiri Cherry kutora magiramu chete 10.

- Garlic. Kwake kwakachena, ivhu, uyere panze 40 magiramu ugodira hafu girazi vodka, kuzvipa bika. Pose nehafu yeawa zvokudya pamberi kutora 15 samadonhwe.

Amebiasis muvana: Zviratidzo neMarapirwo

Maperembudzi zvinenge isingachengetwi vacheche. Asi vana kubva gore rimwe makore matatu vanotambura kwavari kazhinji, nokuti vakadzidza kufamba, kuda zvakamupoteredza uye kuzviita kunyanya namaoko. Uye vana vakura kupfuura makore matatu atova kunzwisisa kuti haugoni kudhonza zvose mumuromo make. Vabereki vanofanira kurangarira zvinhu izvi uye zvichiita kuti kudzivirira mwana wako kubva chirwere.

Zviratidzo amebiasis muvana:

- manyoka (huru uye chinonyanya kukosha chokufunga);

- moodiness;

- Kuramba kudya;

- kurwadziwa padumbu;

- tembiricha (kana anogona kusimuka zvishoma kusvikira ichava nenguva yakanaka).

In vana, manyoka hakusi zvakajairika chaizvo pakutanga, anenge 6-7 kanomwe pazuva, liquefied chetsoka, madzihwa vangave mavari. Naizvozvo kakawanda uchida ka20 kana kusimbaradzwa dzinounzwa chetsoka kuti rakasanganiswa ropa uye madzihwa. Mwana Panguva iyi anova lethargic, anoramba mitambo, anonyunyuta kuti abdominal kurwadziwa, kuda kurutsa.

Extraintestinal siyana amebiasis mune vana mashoma. Zviratidzo zvavo vakafanana nedzevakuru. The chenjera chimiro chirwere pasina kurapwa mukati nhatu mana vhiki anova chisingaperi.

Chirwere hwakavakirwa nhoroondo wezvokurapa uye chetsoka kuongorora (mariri madzihwa, erythrocytes, cysts, eosinophils). Ongororo iyi rinoitwa kanoverengeka kubvisa kukanganisa. Mune zvimwe zviitiko, mwana rinoitwa serological antibody bvunzo, asi iye anotanga "basa" chete pashure 2 vhiki yokutanga zviratidzo. Blood pakuongororwa kuti rikwanise amebiasis haaiti, asi chirwere kwakaratidza kuwedzera ESR uye eosinophils, zvinoderedza kuti hemoglobin.

Mabatirwo amebiasis muvana rinoitwa muchipatara. Used "Osarsol" zvinodhaka "kuita Lago", tetracycline nemishonga, "mureza", "Trykhopol", "Fasizhin", "Meratin" mavhitaminzi "Bififor", "Symbiter". Pfungwa iri rwakabhadharwa kuna kudzorerwa akarasika dzomumuviri, uyo mwana anopiwa zvakawanda chinonwiwa (nokuti kurutsa pamusoro chipunu, asi kakawanda). Kuti tidzivise kurasikirwa munyu, zviri chinodiwa kuti manwiro mhinduro: 1 L mvura, pamwe 1 tsp .. pasina chikomo munyu uye pasoda, pamwe 2 tbsp. l. shuga kunovhengana wokuparadza zvinoriumba, nenharo kuti tembiricha kuti +37 ° C pamberi kushandiswa.

dziviriro

Kungofanana intestinal chirwere, amebiasis zvinogona kudziviswa kana utsanana, kugeza maoko vasati vachidya uye pashure kuchimbuzi, kugeza zvigadzirwa zvose, akatenga kana akabvarura pamusoro private nyika, bikai mvura wakatorwa kubva yakazaruka reservoirs. Uyezve, zvinokosha kuti aparadze vashambadzi veshoko cysts - nhunzi, mapete.

Nezviratidzo amoebiasis rokutanga kurukurei kuna chiremba uye kwete kuita Nemusi kurapwa, kunyange zvikuru yakaonekwa kuti ndeyechokwadi "ruzivo" Quick. Izvi zvichaita hutachiwana amebiasis hama.