Echinococcal cyst. Echinococcosis yechiropa: kurapa, zvinokonzera, zviratidzo, kudzivirira

Echinococcosis is helminthiasis inobva mukirasi ye cestodoses, semugumisiro wechechi yekinococcal inomuka mumapapu, impso, chiropa uye dzimwe nhengo kana maviri. Echinococcosis yechiropa inokonzerwa nekusvitsa nekutsvaira mukati maro yemapuranga e tapoporms.

Zvinokonzera chirwere chacho

Izvozvo zvinokonzerwa nehutachiona hwevanhu ne echinococcosis ndeyokusangana nembwa (mutakuri wezvipembenene), iyo inogona kuwana chirwere ichi pavanodya nyama yemarara. Chimwe chikonzero chinokonzerwa nehutachiwana hwehudzi dzinogona kuva migumisiro yekuvhima - nhengo dzakagadzikana kana mhuka yemhuka dzesango.

Muvanhu, chirwere ichi chinowanzobva pamaoko asina kushambwa. Kurwara kubva kune imbwa kunogona kuitika kuburikidza nejasi kana rurimi. Mimwe mhuka inogonawo kunge inopinda mazai evha uye inovapawo kubva pakusangana neye imbwa inorwara.

Iko kunewo mukana wekuti munhu anogona kuwana echinococcosis nekudya michero, miriwo uye mazai emusango asina kugezwa kana asina kushandiswa. Mvura inobva kumadziro echisikigo inoshandawo sechikonzero chekutapukirwa.

Echinococcal cyst inogonawo kuonekwa kune vanhu vanoshanda mumakwai. Uyu akaveura makwai, vafudzi, vafudzi nevaya vanobata vanhu ava (nhengo dzemhuri dzavo).

Zviratidzo zve echinococcosis

Zviratidzo zvechirwere ichi zvinorwadza mukodzero yepamusoro ye quadrant, kuputika kwechiropa, chirwere chinopisa. Kubva pakutanga kwehutachiona kusvika pakuwanikwa kwezviratidzo zvekutanga, makore akawanda anoenda, dzimwe nguva kunyange makumi emakore. Zviratidzo zve echinococcosis zvinokonzerwa nenzvimbo, mabhuku, maitiro ekukura kwechistasi uye simba rayo kune nhengo dziri pedyo nematukisi.

Mune zvimwe zviitiko, malaise inogona kupfuura pasina zviratidzo, uye inogona kuitika nenzira inonzwisisika nemufananidzo we ultrasound kana X-ray. Chirwere ichi chinowanzotanga nemararamiro anowanzoitwa - kwenguva yakareba subfebrile kutsetseka, kurasikirwa kwemahombekombe, kushaya simba kukuru, kugadziriswa kwehutano.

Pamusoro pechikamu chikuru, cystococcal cyst inotanga iri muchiropa. Izvozvo ndizvo zvinoshandiswa neropa rekupararira: kubuda kweropa kubva mumutsipa kunoenda kumusana wemasuo, ropa rinocheneswa nechiropa. Kuwedzerwa kwechinococcus munhengo kunonzi chiropa echinococcosis.

Zviratidzo zvechiropa echinococcosis ndezvi:

• Kupfupika kwemhepo inokonzerwa nekugadzirisa kwemafaira ekufamba;
• Pain iri kurudyi;
• Nausea uye kurutsa;
• Kunokonzera jaundice (nekupenya kwe bile ducts);
• Kuwedzera kwechiropa.

Ko chirwere chechichinococcal chiropa chinobviswa sei?

Kurapa nemasimba ehutano akadaro se echinococcosis yechiropa hazvibviri. Kunyange zvazvo muzviitiko zvisingawanzoitiki kuporeswa kunoitika, kunobatanidza nerufu rwemapuranga. Kana cyst, yakaberekerwa echinococcus, inowanikwa, saka hapana mushonga wezvinodhaka unogona kubvisa maronda. A ruptured cyst inoratidza kukosha kwekuvhiyiwa pakarepo.

Nokupindira kwekuvhiya, kristi yose inobviswa. Kana iri mucheka wechiropa chechiropa, zvino bvisa zvachose hazvibviri nekuda kwekugona kwechigadziko chemuviri. Mune mamiriro ezvinhu, bvisa rusvingo rwechitiniti rwekrisiti uye uise zvarinotaura. Zvadaro krasti yacho pachayo inobviswa, sezvo pasina mukana wekupararira uye kupatsanurwa kwepasisite. Kana iyo cyst inobviswa zvakabudirira, nzvimbo yekusunga kwayo inodzivirirwa uye yakasimbiswa.

Kuvhiya kwechiropa kunoitwa kuti ubvise zvachose kristi nechemberi kwayo uye zviri mukati, kuitira kuti hapana chinhu chiri mumutezo pachako, mimba uye thoracic cavity. Nekudzika kwakadzika kana chironda chakanyanya, membrane inoramba iri. Basa racho uye rutivi rwaro rwebasa rinotsanangurwa nehukuru hwe cyst uye matambudziko ayo akaendesa. Kana cyst iri iri munzvimbo yepakati, ipapo inobviswa pamwe chete ne capsule. Mukushanda kwakadaro, kushandiswa kwemaser echinococcal cyst inogona kushandiswa.

Mhando dzebasa

Kana pane echinococcosis yakawanda yechiropa, maitiro makuru, ipapo kugadzirisa kwayo kunoitwa. Apo imwe cyst yakakura inowanikwa, opera inowanikwa paSpasokukotsky kana Bobrov, iyo iyo inchinococcectomy inowanikwa.

Kuti urege kupindira nehutachiona hwekrisiti, membrane haibviswi, uye chikwata chayo chinotarisirwa nekugadzirira kubva kumaronda, somuenzaniso, formalin, iodine kana doro.

Kana iyo cyst iri pasi pechipfupa, uye nekuda kwekuvhiyiwa, ganda guru rinowoneka, zvino rakasimbiswa uchishandisa nzira yePulatov kana Delbe kana kufukidza chigadziko chakaumbwa nechine chidimbu chechirafu.

Kana paine kupera kwe cyst mu bile ducts, zvino basa rinokurumidza rinoitwa. Bvisa masvingo nemajasi kubva munzvimbo dzakapararira dzebazi rebhaariary. Mumamiriro ezvinhu akadaro, kudhakwa kwe bile bile ducts hakudzivisiki.

Mune chiitiko apo kuputika kwekrisiti kuchipinda mumimba yepamuviri, zvino basa rinokurumidza rinoitwa. Munguva iyi, ma-cysts uye capsules zvinobviswa, izvo zvinowanikwa mubronchi, mudumbu remuviri uye mutsindo. Semi-yakavharwa uye yakavharwa echinococcectomy inoitwa. Mumamiriro ezvinhu akaoma, anotungamirira echinococcectomy.

Nechiropa chikuru chekikichoko, zvakakosha kuita kupindira kunopera matambudziko asati asvika. Kushanda pachiropa kunogona kuitwa muna 2-3 matanho uye nguva yevhiki mbiri kusvika mwedzi mitatu.

Kufa kune echinococcus iri pakati pe1 ne5% yevanhu vane utachiona. Ikoko kunogonawo kudzokazve kana cyst yakaputsika.

Kudzivirira

Utachiona hwezvipfuwo zvevanhu uye hwevanhu hunobva pamitambo inoitwa nehutano uye zvehutano. Kuongorora nguva dzose imbwa dzekumba uye dzebasa dze helminths, kunyanya munzvimbo dzisina kunaka, kurapwa kwavo, kurira kwezvipfuwo zvakatsauka, uye kudzora nyama muzviurawa zvinofanira kuitwa nguva dzose.

Chii chinodiwa?

Nguva dzose unoita uhu hwehuwandu hwevanhu (vadzidzisi vembwa, vafudzi, vanovhima nemhuri dzavo), chengeta imbwa dzakachena, nguva dzose vashamba maoko avo mushure mokutaura kwavari, uye vasati vadya, vanorambidza vana kusangana nemhuka dzisina misha, kushambidza mishonga nemakroti, kunwa chete kuvharwa ropa Mvura.

Echinococcal cyst yemapapu

Zvirwere mumavambo ekutanga hazviratidzi pachena uye zvinowanikwa ne X-ray kuongororwa kwemapapu nenzira yechimiro chemasvikiro ane mitsetse chaiyo. Muchikamu chinoratidza eosinophilia.

Muchikamu chakasimbiswa chendaneti isina kubviswa, kuora kunoramba kuripo uye kwakanyanya kunoratidzika, kupererwa kwemhepo, kufemwa kwekufema panzvimbo yepasisite, kurwadziwa nenzira dzakasiyana mubhokisi, kufamba kwezvikamu zvemukati, nekuderera kwehupenyu hwemuviri. Dhidhiyo inoratidzira mumapapu mumvuri wakakura wakazara nemimwe mitambo, iyo inoshandura chimiro nekufema kwekufema kwechidimbu.

Chikamu chechitatu chemapapu echinococcosis ine zvakakomba zvikuru zvekudzivirira kwehutano uye nzira yezvinetso. Zviratidzo zvekunyengedza kwemidziyo mikuru uye nhengo dzemudumbu dzinoonekwa, kushandiswa kwebhokisi kunoonekwa, dyspnea uye hemoptysis inoonekwa. Apo kufa kwe echinococci kunokonzerwa nekuputika kwe cyst ine kliniki inoratidzira zviratidzo zvezwi kana mapapu.

Kuzarura kstst mukutenderera kwebronchi kunopfurikidza nekubuda kwemazana akawanda ezvinyorwa zvakajeka nemwanasikana wechinococci nemavhepa eropa. Kana kudyidzana kwe cyst kuzaruka, purulent-haemorrhagic sputum inowanikwa, uye kutyisa kunoonekwa zvakare. Kujekesa kwekrisiti mumupata wechipfuva kunokonzera kuonekwa kweexudative pleurisy uye anaphylactic shock. X-ray inoongorora inoratidza ganda rine mvura yakanyanyisa pamusoro, kwete zvakasimba kuratidza kuputika kwepachivi. Kupinda kwakadaro kunowanikwa kana echinococcal cysts inodzingwa.

Kurapa

Shandisa maitiro ekurapa (bvisa cyst kubva ku cuticle capsule, bvisa mapapu). Izvo zvinonzi zvakanyanya, zvakasvibirira uye zvechipiri echinococcosis - kusuruvara.

Echinococcosis yeinso

Echinococcal cyst yeinso yekusangana nayo isingawanzoitiki, kunyanya mune zvekurima. Iyo malaise inokonzerwa ne helminth yeTaenia echinococcus. Vaparidzi ve causative agent ndivo zvipfuwo - imbwa nemakati. Sezvo mutemo, imwe tsvo inobatwa, mune zvisingawanzoitika - zviviri. Echinococcosis yechiropa inobata vanhu vemazera emakore kubva pamakore makumi maviri kusvika makumi mana, kunyanya vakadzi.

Iko helminth yeza inopinda muinyo ne lymphogenous kana hematogenous way, kazhinji kacho kusvika muortical thickness.

Therapy uye kufungidzira

Kurapa kwechikamu chikuru ndiko kuchengetedza uye kushanda. Basa rinonyanya kuvimbika uye rinobudirira iri mukati mekutanga-echinococcotomy. Nzirafomeri inowanikwawo.

Kudzivirirwa kweEchinococcosis kunoda hutsanana uye nzira dzekudzidzisa kudzidzira vanhu vane hutachiona hwekutyisidzira kubva kumhuka dzinochengeterwa mhuka, hutsanana hwehutsanana uye hutano hwehutano hwezviurayi.

Mushure mekushandiswa kwechirwere chekushandiswa kwechirevo chacho zvakanaka.

Echinococcosis of the spleen

Zvinyorwa zvinonzi cysts zvepleen zvinowanzobudiswa ne echinococci. Nguva yehutano inogona kugara kwemakore gumi nemashanu uye kupfuura. Nekukura kwehutachiona, nhengo dzakapoteredza dzechipfupa chemuviri dzinodzingwa kure, mhuka dzepleen iri necrotic.

Denda rakadaro harisi nyore kuona. Ichinococcal cyst ye spleen inofambidzana nekuoma mukati-kuruboshwe hypochondrium, kuvhiringidzika kana kuvimbiswa, kurwadziwa kwechinguva chiduku, kushungurudzika mushure mekudya, kushandiswa kwezvinhu zvose. Pakurota iyo yakawedzera spleen yakasimbiswa. Mabhuru makuru anogona kuputika, izvo zvinowanzokonzera kurufu kubva kune chinhengo chinoputika.

Nehutachiona hunoshingaira, pane kazhinji zviratidzo zvehutachiona - ming'u, kutema, uye vamwe. Kana kuomesa spleen echinococcosis, cyst inogona kuputsa kana kuyananisira kwayo nemakiriniki ezvirwere.

Kuongorora kwechigaro, zvinosuruvarisa, hazviratidzi pachena kuvapo kwezvipembenene. Kuongororwa kwakavakirwa pa X-ray uye ultrasound kuongororwa, umo ma-bubble emakamuri akawanda anoonekwa.

Kurapa

Nzira yakanakisisa yekurapa spleen cyst inoshandiswa ne laparoscopic. Echinococcal cyst inogona kushandiswa nenzira dzinoverengeka:

• Kuzadzikiswa kubviswa kwepleen;
• Kuvhura kwe cyst uye kubudiswa kwezviri mukati maro, kuchenesa kwemukati;
• Kuchengetedzwa kwenzvimbo yakagadzikana yepleen;
• Kubviswa kwepleen cyst nemadziro aro uye mukati;
• Kudonha kwe cyst shell.

Kushanda kwemalaparoscopic muystro yepleen ndiyo nzira inowanzoshandiswa yekurapa, iyo inoita kuti zvibvirire kubvisa chitubu chechirwere pasina kusiya mutsara. Kubviswa kwepleen cyst kunoitwa nekubatsirwa kwezvinhu zvakarurama uye kuiswa kwekamera yakakosha. Nguva yebasa iri maawa 1.5-2. Zvadaro kwenguva yakati pane manzwiro anorwadza, asi kwechinguva chiduku nguva murwere zvachose anoenda kunoshandurwa.