Intestinal amebiasis (amebic manyoka): Zvinokonzera, Zviratidzo, kuongorora chirwere neMarapirwo

Intestinal amoebiasis - chirwere nevakawanda munyika murombo utsanana. Zvinonzi anokonzerwa majemusi parasitic zvinenge - the amoeba. Ndiani kazhinji hutachiwana hweHIV pamwe amebiasis? Sei intestinal chimiro chirwere, uye sei kubatwa? ruzivo urwu zvinogona kubatsira kuti vanhu parwendo kana rwendo rurefu.

vamwe nhamba

The soro ndingangokuvara nezvirwere intestinal amebiasis kwakapararira munzvimbo yakakwirira azvipire zvoutsanana, sezvo chirwere iri waiita-faecal nzira. Ngozi nyika mapazi munyika dzinopisa uye subtropical nyorovera okunze. Kakawanda Vafambi kuunza intestinal amebiasis of India uye Mexico. Munyika idzi, yakakwirira chaizvo pamwero chirwere pakati vomunzvimbo. Uyewo, hombe chikamu hwevanhu vanorwara muAfrica uye South Asia. Mune dzimwe nzvimbo nedugoi akarova kubva 50 kusvika 80% vemo. Saka, kuenda kunyika kure, zvinobatsira kuziva zvose pamusoro amebiasis - chii uye sei kwete osimudza chirwere pakutanga.

Vachirwara intestinal amebiasis zvinogoneka kwete chete muna zvekumwe munyika. Kwete zvose vakaenda zvakanaka uye yaimbova Soviet Union. Kupararira amoebiasis Chokwadi, havasi simba kudaro. Akaona muArmenia, Georgia, Kyrgyzstan uye Turkmenistan.

Sezvineiwo, vanhu vanotambura intestinal amebiasis kakawanda kupfuura vakadzi. It Vakawana kuti chaiwo susceptibility womunhu muviri kuti amoebic infestation zvakakwirira. Maererano nenhamba, intestinal amebiasis dzakaonekwa imwe murwere kubva gumi, akanonga chisvetasimba. Data rakabudiswa World Health Organization inoratidza kuti vanhu vanopfuura mamiriyoni 480 munyika yose vatakuri notupukanana. Gore negore pamutemo wakaiswa kuti mamiriyoni 50 nyaya intestinal amebiasis uye nedzimwe nzira. Izvi, 2% nyaya zvinouraya.

The amoeba - the causative nomumiririri intestinal amebiasis

Sezvo zviri pachena, mhaka chirwere chiri dysenteric ameba. In Latin, zita parasitic majemusi unorira Entamoeba histolytica. Dysenteric subspecies notupukanana duku pane zvavo amoeba (Amoeba proteus). Vanonyanya Mobile, pseudopodia yavo (pseudopodia) iduku, asi vakwanise. Chokunze Sero paiva cytoplasm delimited nokuda yomukati endoplasm.

The kutenderera munhu dysenteric ameba upenyu kunosanganisira matatu siyana: a rejira, luminal uye cysts. Zvinyama chimiro ari kuona chete varwere dzakabudirira amebiasis. It infests ari mucosal uye submucosal akaturikidzana ari colonic rusvingo. Luminal chimiro uye cysts vanozivikanwa uye vatakuri, uye varwere. Habitat pakati vegetative siyana nemanyoka amoeba - pamusoro huru ura. Ndivo chikuru Danho muupenyu kunoita munhu dysenteric ameba.

Sezvo chirwere iri inoparadzirwa

Intestinal amoebiasis iri chakasvitswa pamunhu nomunhu. Distributor vaitova chibhokisi noutachiona, uye pari kuonekwa navanachiremba utano, asi ari mutakuri cysts. Doctors tenda intestinal amebiasis uye giardiasis, uyewo vamwe zvirwere intestinal, chirwere namaoko tsvina.

Kutapukirwa kunoitika sezvinotevera:

1. Mutakuri cysts, vachiregeredza utsanana mitemo allocates vave wastewater muvhu kana kupinda hayo zvitunha mvura (kusunungurwa kunoitika pamwe faeces). The mvura zvikanzwika mapindu uye hwacho miriwo nemichero. Munhu utano anodya cysts pamwe asina kushambwa michero nemiriwo.
2. keriya chikofu hakubvisi maoko nesipo pashure kushandisa chimbuzi. Cysts vari kune chero zvinhu, kusanganisira zvokudya, iyo akabata nemaoko akasviba. Healthy vanhu vasina kugeza maoko avo vasati vachidya, pakuparadza cysts, uye vari anoparadzirwa kuburikidza muura.

Sezvambotaurwa, gwara ichi anonzi nemumuromo-fecal.

Sezvo chirwere hwapedyo

Yakamedza chikofu rinosvika huru ura uye zvinoenda chinoshingaira danho okukura. Asi izvi hazvirevi kuti munhu anorwara intestinal amebiasis. Manyoka amoeba anogona kurarama zvakanaka guru ura, kudya mariri. Panyaya iyi, munhu chichava asymptomatic keriya. Kukuvadza mamiriro yake amoeba haakonzeri, asi iye anosarudza pakati cysts.

Kana munhu aine kusaenzana kwezvinhu intestinal microflora, kana simba rokuzvidzivirira, zvinoshingaira chimiro chisvetasimba achiita rinopikisa. Amoeba ndee kuna intestinal kumadziro uye zvinoenda muchikwata che tishu tupukanana. Achifuridzirwa nemanyoka amoeba intestinal rusvingo zvishoma kuipa. Ivai pores zvinoonekwa kuti kuva nemaronda. maronda ukuru masvingo kunopfuura 10 mm. Kuburikidza maronda muropa murwere kuwana zvigadzirwa amoeba basa. Chikonzero kwakakasharara nemanyoka amoeba rinogonawo kuva kugara mupfungwa, kudzikama kudya (nenzara) uye rinotevera kuneta.

Matambudziko intestinal amebiasis

Nemaronda inogona kunyatsonanga chaizvo. Mune zvimwe zviitiko, ivo "kudya" kuburikidza intestinal madziro. Izvi zvinonzi perforation kana perforation yacho urikanwi. Chirwere ichi chinoita kuti matambudziko anoitika intestinal amebiasis, nekuti zviri ura runoyerera munzvimbo abdominal mhango, zvichikonzera peritonitis.

Other yematambudziko zvingaitika kana urikanwi aumbwa munzvimbo kwemutemo makuru tsinga. Kunogona kukonzera intestinal kubuda ropa. Zvino ichi zvakafamba kunozarura nzira nokuda kuparadzirwa yezviri amoebic siyana yose muviri neropa chekubuda.

Ropa kutakura protozoan chisvetasimba iri chiropa, pfungwa nezvimwe madhipatimendi (principales, mapapu uye zvichingodaro). Zvadaro anotanga kuibvisa kuti amoebic abscesses muchimiro guru maronda. Ungangove, abscesses izvi zvichiitika zvakarurama akafukidza chiropa. yematambudziko izvi zvingaita kuti rufu nomurwere.

Matambudziko muchiridzira intestinal amebiasis, anogona kukonzera intestinal bundu, vanonzi notupukanana, neronda rinonyenga kana muura. Izvi zvinhu ndiwo ngozi murwere upenyu uye zvinoda nechimbichimbi kurapwa.

zviratidzo

Zviratidzo amebiasis (intestinal) vanoonekwa sezvinotevera:

1. Murwere ane kakawanda zvituru. In kuchava kutanga kwekupwanyiwa chirwere - kusvika 6 kanomwe pazuva, zvakawanda - kusvika 10 nguva. The mutsvina yadzo zvava kuonekwa mucous uye ropa netsvina. The cheya akatanga fomu kutendeukira mucous-reropa guru.
2. Pakutanga hosha tembiricha muviri wakachengetwa mukati inowanzotorwa siyana, mamwe kunowedzera.
3. Murwere ane marwadzo ari yepazasi mudumbu. Hunhu kurwadziwa - dzava, cramping. Kana defecation marwadzo umbirimi kunowedzera.
4. Vakachengeta venhema vakaedza defecation (tenesmus).

Zviratidzo mwero kuyerera intestinal amebiasis kunosanganisira kuomerera pamusoro unhu emesis, kuda kurutsa uye kurasikirwa kudya.

Chenjera intestinal amoebiasis fomu kusvika 6 mavhiki. Kana marapirwo yainorongwa mu nenguva nenzira, kunouya kunaya zvakakwana. Kana kurapa amoebiasis hadzina yakatarwa kana yatyoka (hwakakanganiswa), zviratidzo zvichapfuura, asi kupora haisi kuitika. Murwere chinopinda nguva rokuregererwa iro kunonoka ne vhiki mbiri kuti kwemwedzi yakawanda. Ipapo pane resumption kuti amebiasis pamwe yezwi chirwere chimiro. Kuti izvi zvisaitika, intestinal amebiasis mune vakuru nevana vanofanira kubatwa nokukurumidza.

The chirwere chimiro intestinal amebiasis

The chirwere chimiro chirwere anogona kwemakore. Asi kana pane kukwana kurapwa kana kwaro kusavapo, mugumisiro kwakaoma kufembera. Zviratidzo zvechirwere chirwere chimiro zvinotevera:

1. Man anonzwa kusingafadzi kunaka uye rurimi ichipfuta, izvozvo kunoderedza kudya. Dzimwe nguva anonyangarika chose, iro hunokonzera okuneta.
2. Murwere anoneta nokukurumidza, kutarisana mukuru utera. Inogona kuita nyore basa.
3. Pane kuwedzera chiropa.
4. Kupererwa, Chizenga yomuropa zvinogona yakaderera chaizvo. The ganda anova zvacheneruka.
5. Pane kurwadziwa "mudumbu."
6. Unoraramisa kwemwoyo, spasmodic palpable kupomba, ndicho chiratidzo zvemwoyo maronda.

The chirwere fomu kazhinji kunotungamirira yematambudziko kuti chingava upenyu pangozi.

Kuongorora chirwere. The kuongorora mutsvina yadzo

Kuona chiremba murwere kurondedzera zviratidzo uye chiremba inoitisa rokuongorora uye palpation pakati mudumbu. Panguva chiremba uyu kuchinja anonzwa asina simba bloating, anozivisa simba pfungwa dziri muura nzvimbo, Yatanga Kuongorora kuwedzera rworudyi akafukidza chiropa (mu chiropa pute) kunoratidza bulging dumbu pamusoro (panyaya amoebic chiropa).

Kana murwere intestinal amebiasis, Diagnostics inosanganisira kugadzwa mumarabhoritari nemiedzo. Chokutanga kudzidza chitsiko iyo smears vakagadzirira nomumwe nzira mbiri:

1. Native smears, i.e. kushandisa kuti Vaiisa chiduku chigamba mutsvina yadzo (madonhwe emura chetsoka shoma). VaGumbo zvakakodzera reagents kupa zodzera zvakajeka, iyo aongororwe maikorosikopu. Naizvozvo zvipenyu siyana amoebae anogona kunzi (luminal uye zvinyama) uye cysts. Kuziva zvipenyu zviri zvinhu zvinofanira kuva yakachena, vakaunganidza maminitsi 30 asati pakudzidza. Zvikasadaro amoeba kufa uye achaita vaname akaipa venhema.
2. värjäys nzira Lugol. Panyaya iyi, iyo zodzera achigadzirira chizvarwa uye akawedzera kuti aqueous mhinduro kuti ayodhini. Ayodhini anokwanisa aizonyatsovachenesa cysts masero segirazi.

Fecal haagoni chete musiyano zvakasiyana siyana manyoka amoeba, asiwo kumisa chirwere danho.

paku zvidzidzo

Zvinotevera nzira zvidzidzo paku yaishandiswa kuona intestinal amebiasis:

• sigmoidoscopy;
• Ultrasound;
• computed tomography.

amoebiasis

notupukanana First inowanikwa pachituru murwere muna 1875. It akaita musayendisiti Russian F. A. Lesh. Uye muna 1883, musayendisiti Robert Koch akaratidza causative mumiririri uyu intestinal maronda uye abscesses. Muna 1891, mumwe mutsva chirwere amebiasis zvaisanganisira muboka kuzvimirira zvirwere. Asi zvino iye akapiwa zita "amoebic nemanyoka".

Zvakakosha kusiyanisa romuzvarirwo nemanyoka (shigellosis) uye amoebiasis - zvirwere zvakasiyana. Muchiitiko chokutanga kunokanganisa distal muura. Kana yechipiri - the proximal nhengo. Uyezve, marwadzo chete nemanyoka dziri kurutivi mudumbu rworuboshwe, uye mune intestinal amebiasis - kurutivi rworudyi. Amoebic manyoka uye shigillez vane utachiona zvakasiyana. Inowanzobvunzwa nemanyoka anokonzerwa Shigella utachiona.

Kurapa varwere vakura. The chinyakare kusvika

mushonga Traditional anoda Mabatirwo nyoro siyana amoebiasis mumba. Zvakakomba chirwere zvinoda mirayiridzo kutapuriranwa dhipatimendi chipatara. The chikuru dambudziko amebiasis zvinodhaka. The zvinodhaka zvikuru vanoonekwa "Metronidozol", "Trykhopol" uye "Fazizhin". antiprotozoal ichi uye inorwisa utachiona nevamiririri. Kunze izvi, kazhinji kushandisa mishonga nezvimwe mapoka:

• pamusoro luminal chimiro amoeba chiito zvinobudirira, "Interoseptol", "Meksaform", "intestopan";
• pamusoro zvinyama mhando notupukanana yakanakisisa mabasa "Ambilgar", "Digidroemetin" uye zvimwe zvinodhaka;
• zvose zvipenyu mhando nemanyoka amoeba kukanganisa zvinodhaka tetracycline.

Intestinal amoebiasis haugoni kushivirira kuzvidzora. Chero mishonga uye avo chipimo chemushonga zvinogona kupiwa chete nachiremba. Kusarudza zvinodhaka chimiro chirwere chinobata nekuomarara.

Kuomesa amebiasis sezvo munyika abscesses, murwere vangada kuvhiyiwa.

Amebiasis kurapwa mune vana

Intestinal amebiasis muvana kubatwa muchipatara. Vana kunan'anura "Trykhopol", "Fazizhin" uye (kana) "oleandomycin". In abscesses Kuvhiya hadziwanzowaniki.

mitumbi zvevana nokukurumidza kurasikirwa fluid saka chinofanira kukasawedzerwa kuitira kudzivirira kupera mvura mumuviri. Kungopa nemvura vanochiva zvinokosha kudzora padanho hemoglobin.

Vana nyore kushivirira intestinal amebiasis, sezvo ivo kudhaka unowanikwa zvikuru. Uyezve, vana amoebiasis kunokonzera wakakwirira muviri tembiricha.

Treatment. ethnoscience

Kwaye hapana kurapa intestinal amebiasis miriwo uye zvirimwa. Asi kushandisa chevarwere mishonga, sezvinoita kwokunwa kwakajairika kurapwa unoshanda chaizvo.

Zvinowanzoshandiswa negariki tincture. Kuti vawane 100 ml vodka yepamusoro dzakarukwa zvakanaka chiwondomoke 50 g negariki. Tincture imire murima mazuva 14 uye akabva aendeswa kuna yogati 15 Madonhwe 3 kanomwe pazuva.

Chimwe resipi akanaka - aizomupa hawthorn. Izvi zvinoda hwakaoma hawthorn muchero, anenge 100 g, uye 2 mikombe kufashaira mvura. Kana aizomupa haachandidi, kunotadzisawo uye kuinwa kusvikira zuva. The ichocho zaparivat zvibereko gungwa buckthorn.

chimiro amebiasis

Vose vaya vakashamisika: "amebiasis: chii uye sei kurapa nayo," zvino vanoziva mhinduro. We wedzera kuti, kuwedzera kune intestinal chimiro amoebiasis, pane imwe-intestinal uye ganda fomu. Kubva yokuwedzera-intestinal siyana vangatambura chero muviri womunhu, asi kazhinji kunokanganisa chiropa. Of cutaneous nemaronda akaumba pamusoro magaro, mumagaro nharaunda, perineum, kana maoko.