Lung fluke - Paragonimiasis utachiona hwakakura. Paragonimiasis muvanhu: zviratidzo, kurapwa, dziviriro

Zvirwere zviri chimwe chezvinhu zvakafanana mapoka zvokurwara kwevanhu. A yoga boka pakati pavo ndidzo chirwere parasitic. Mumwe muitiro wakadaro paragonimiasis mumapapu.

Chii?

Paragonimiasis akataura imwe zvirwere yakakonzerwa chisvetasimba kubva boka trematodes - annelids. It kunyanya munguva zvemapapu rinenge tsandanyama. Uropi rinobatanidzwa chirwere kwacho kuri zvisinganyanyi kuitika.

Sam causative mumiririri - paragonimus westermani (kana zvimwe zita raro - "zvemapapu fluke") - ane zai serin'i dzvuku mashava ruvara. muviri wake wose wakafukidzwa spines duku, izvo ambotirega zvakanaka wakaiswa munyama pamusoro muviri chisvetasimba. On mudumbu pane Kuziva, kuita nokukiya ushande.

The chirwere kunoratidzwa nedzimwe nzvimbo neutachiona uye endemicity. Rinoreva zoonoses.

In mukupera atanga kurapwa kunogona dzakakomba matambudziko, zvimwe izvo upenyu pangozi.

Saka, nzira utachiona uye ndezvipi anowanikwa chisvetasimba ichi?

Kupararira chirwere

Lung fluke iri rinoparadzirwa mukati mukoto. Kakawanda panomuka chirwere zvinochengetwa kuRussia uye Asia.

Zvenguva hondo fluke zvidiki crayfish uye arthropods. Kwokupedzisira bhasi - zviduku nemakonzo, muskrats, beavers, mapere, makava. Nokuti mukuru varidzi ichokwadiwo murume.

Muna zvemapapu kwevanhu fluke chinopinda nokudya isina kukodzera yakabikwa crayfish uye magakanje.

Chisvetasimba mazai yabudiswa pamwe mutsvina yadzo weti uye. Mushure neVadzidzi kwokunze ezvinhu wavo akafa, uye chikamu kupinda mvura, honye mberi pakukura inaye.

In womunhu, honye vemunyika kunyanya zvemapapu rinenge - ayo bronchioles diki. Kubva ipapo, kupararira kuburikidza nhengo dzinobudisa midziyo inogona kupinda mune dzimwe madhipatimendi uye nhengo dzomuviri womunhu, iyo inosvitsa munhu yakaoma nzira noutachiona kwacho.

Saka, akaita upenyu kutenderera nayo utachiona?

Kukura chisvetasimba

Sei kugadzira bapu fluke? Its upenyu kutenderera ine matanho matatu:

Wokutanga wavo kuumbwa miracidia (nymph). Danho iri kwokutanga uye chisvetasimba pemipata pashure mbudo wayo kubva zai. In mvura miracidia zvinopfuura muviri rokutanga zvenguva hondo - Freshwater clam. Mumwedzi mishanu asexual kubereka rokutanga kumbowanikwa nomuviri mollusk, zvichiita kuti kufa, uye mvura kunosiya vazhinji cercariae - nguva wechipiri chisvetasimba. mazana izvi nhaka mufambo uye kupinda mumba muviri wavo zvenguva wehondo invasively, kureva kuburikidza pemvura miviri yavo.

Honye Panguva iyi kupinda mumuviri crayfish uye magakanje iyo anova kuti metacercaria - mudariro chetatu pakukura. chimiro ichi ichitova utachiona hwakakura kwevanhu.

Muna ura kwevanhu metacercaria unobuda goko ake uye migrates kuti mapapu, apo wakapfuura ayo Kuda kutamba uye mberi nedzidzo mazai.

zvirwere kiriniki

Zvinobvira sei kufungidzira kuti kumhuka paragonimiasis? Zviratidzo chirwere ichi hadzisi zvakananga zvakakwana, nokuda waida kunyatsoenderana uye hwakadzama kuongorora chirwere.

The chirwere munogona dzakawanda - abdominal uye pleuropulmonary.

Abdominal rinowanzoberekera pamwe kurapwa enteritis kana kuzvimba chiropa kungaita kuti peritonitis parasitic nekaupenyu zvakanaka kosi.

Pleuropulmonary chimiro chirwere kunooneka pacharo kakawanda. Pane kuwedzera tembiricha kuti 38 madhigirii uye kumusoro, mumwe chikosoro zvakaipa pamwe purulent expectoration reropa sputum kubva mazai ari chisvetasimba. Panewo kiriniki nemabayo, pleurisy.

Kana nzvimbo yacho chisvetasimba panguva dzokunze micheto chiedza, paumbwe parietal cysts pamwe kukura pleural empyema kana pleural effusion.

With kuchiita hosha hwapedyo diffuse fibrosis pamwe achiipa pamusoro kufema ushande.

Possible atsamwira of zvemapapu rinenge pamwe kukura pulmonary ropa.

yematambudziko

Pacharo, maperembudzi zvakaoma, zvisinei, kunogona kuitika uye matambudziko akasiyana-siyana. Sei runoyerera paragonimiasis kwakaoma? Zviratidzo vanoratidza nayo zvinotevera nzira.

With kuwanda abdominal chimiro zvichibvira bowel perforation pamwe peritonitis makiriniki uye rokudzidzisa empyema uye peritoneal abscesses.

The pulmonary chimiro rakaoma nekudeura ropa, pleural effusion, pulmonary infarction. Inokuvadza kukura cysts vari kushingaira mwoyo kuruboshwe zvemapapu.

Kana hematogenous kana nhengo dzinobudisa kufambiswa kwemashoko chisvetasimba inogona chitsigiso dzakasiyana nhengo uye munyama. Paragonimiasis uropi kana kukanganiswa hariwanikwi, asi anogona kuva parasitic yomumuzongoza uye meningoencephalitis.

Paragonimiasis bapu zvingaita kuti paumbwe intrapulmonary cysts. Izvi zvinoitika kana inadequately inoitwa kana honye anthelmintic kurapa, kudzivisa nokufumura kugadzirira, siyana kumativi pacharo calcified gobvu Kamudzira unobvumira kumirira yaivhuvhuta ezvinhu (mu iyi - kuitwa zvinodhaka). cysts kwakadaro zvinoda kuvhiyiwa.

chirwere chirwere

Imhandoi kutsvakurudza kuchabatsira kuona kuti muviri hwapinda bapu fluke?

Chekutanga zvose zvakafanira kuti azodzidza rimwe vakawanda ropa kuongorora. Zviri zviratidzi inonakidza zvikuru chichava ESR, uwandu masero matsvuku eropa uye eosinophils.

Uye ruchatibatsira zvichemo murwere, uyewo nokungwarira akaunganidzawo nhoroondo (kudya crayfish kana gakanje, kushandiswa pemvura kubva nenzizi endemic munzvimbo).

Helminthiasis achawedzerwa eosinophils uye ESR. erythrocyte pamwero zvinoderedza kana kuitika muitiro hwakareba.

Instrumental nzira fluoroscopy ndiyo yakanakisisa. Kunoitawo kuti kuona pamberi mhango inotungamirwa ari zvemapapu rinenge kuona kwayo nzvimbo uye kukura. Inobva mufananidzo, akaisa chirwere.

Sputum chinopa mukana kuziva honye mazai, uye mitaro ropa kana kutanga kubuda ropa.

mabatiro

Saka, ndiko kurapwa chirwere ichi?

Tupukanana ari munhu zvemapapu chinetso chakakomba, saka kurapwa vanofanira kutanga mangwanani sezvinobvira uye vanonanga pamukova kuparadzwa helminth.

Mishonga huru inoshandiswa kurapa Paragonimiasis ndiye "Praziquantel". dose Its rinowanikwa kubva kukura 60-70 MG zvinodhaka chete kilogram kurema muviri. Chestkuva tupukanana raitongwa matatu mishonga pashure wadya. The mushonga chinotarisirwa nomuromo.

Uyezve zvinokwanisika kushandisa nzira dzakadai se "Emetine" "hloksila", asi mugumisiro kugamuchirwa kwavo zvikuru chiduku pane kuti "Praziquantel".

Pakugadzirwa hombe cysts inoda kuvhiya kubviswa. Mune zvimwe zviitiko, kunyanya kana ari cysts yakakura, ungada pneumonectomy - kubviswa rose zvemapapu.

Kana pfungwa maronda kubatwa vavhiyiwa woga.

dziviriro

Ndinofanira kuitei kuti kwete kuva paragonimiasis? Kudzivirira kungasanganisira zvinoverengeka zviitiko:

• Chokutanga, unofanira kunyatsoongorora kutevera mitemo kubika Freshwater arthropods. Nhamba huru zvirwere Paragonimiasis inowira asiri zvaidiwa culinary zvinodiwa nemitemo.
• Rushoma kupararira chirwere kunogona kuchinjwa wokunatswa nehova kubva nayo utachiona. Ita izvozvo zvakaoma, somugumisiro yezviri matanho inogona kurasika uye zviripo kasvisto uye Fauna of nzvimbo iyi.

Kana paine fungidziro chirwere (pakuonekwa chikosoro kana zvimwe zviratidzo), kuzvidzivirira mwero inogona poprinimat mukati kwemazuva 4-5 "Praziquantel". Zvisinei, regai kutsvaka dzokuzvirapa, sezvo unogona chete kukuvadza pachako. Zviri nani kuti kutsvaka rubatsiro kubva anokwanisa nyanzvi kuti akasarudza kuti chirwere ichi, uye akanga hwakakwana kurapwa chirongwa.

mataridzikiro

Kazhinji, kana murwere rinotaurwa vachiri pavaipfuura kutanga zviratidzo, uye muitiro wakanga usina zvizere kusashanda, chirwere chakanga nokukurumidza akatakurwa panze, uye akagadza ane zvakakwana kurapwa plan, maonerwo iwayo zvakanaka. Vanhu vakawanda kupora zvakazara Paragonimiasis.

Kana muitiro chakatangwa, uye mumapapu vakaumba cysts, kuti fungidziro iri zvishoma kuipa. cysts Small angasava kuchikosha kukanganisa muviri; refu zvichaita kuti dzibviswe, izvo, somugumisiro, aigona kutungamirira murwere vakaremara. Kazhinji, varwere pashure pokuvhiyiwa mberi muupenyu basa nevamwe yemararamiro kurovedza muviri uye basa.

Chinonyanya vanoshorwa for kubudikidza ingestion kuti utachiona muuropi. Kana kwete nokukurumidza kutora matanho akakodzera, zvichida zvinouraya.