Intestinal amebiasis: kuongorora chirwere uye kurapwa

intestinal amebiasis: chii? Zviri zvakajairika zvirwere iro pamwe chikuru lesion pakati intestinal chubhu, uyewo dzimwe nhengo uye enyika mushure zvavo rikurumidze. Izvi zvine ngozi zvikuru pathological mutoo izvo kungaguma rufu.

tsananguro

intestinal amoebiasis - chirwere kunokonzerwa pathogenic mhando Entamoeba histolytica. Ichi muviri nyore kwakapararira munyika nyorovera uye inopisa. Uyezve, munyika iri munzvimbo dzinopisa uye subtropics, asi zvikuru yakaderera pamwero evanhu hanya, saka intestinal zvirwere kuitika dzakawanda vemo. Ndiro dambudziko kukurumidza ruzhinji utano wechitatu nyika nyika.

Kuti tinzwisise sei ngozi amebiasis kwevanhu, zvakakosha kuziva kuti iye wechipiri chete marariya nzufu. Vanenge hafu bhiriyoni vanhu munyika vari vatakuri Entamoeba histolytica. Gumi muzana vavo vane zvekuchipatara zviratidzo, uye kunyange maviri muzana kunobva rufu kubvira matambudziko pasina kuratidzwa rokutanga chirwere.

The Kugara yokutama kwevanhu kubva kusimukira kuti yakabudirira zvikuru zvinoita kuti kupararira nayo utachiona uye kwakawedzera hwevanhu vanorwara. In Russia chokuita kuenda kumwe kubva Middle East nyika, chirwere dzakasvika.

etiology

Intestinal amebiasis anokonzerwa zvinyama-Kuparadzwa kana manyoka amoeba, izvo anogara ari lumen kwerima ura kwevanhu. The amoeba anogona kuvapo muna zvitatu siyana: cystic, rinenge uye luminal precystic.

1. Zvinyama fomu akawana chete varwere vari rikwanise chokutambudzika chirwere uye oga ura munyama, asi kwete pachituru. Hazvina mupfupi amoeba, riri nyoro uye ectoplasm endoplasm kwete ine organelles. Inofamba mumuviri nokubatsirwa prolegs. chimiro ichi inogona kupinza tsvuku masero eropa, uyewo The kurohwa makemikari kuti kumubatsira kupinda mucosa uye submucosal rukoko yacho ura. Kunoita necrosis kuti munyama uye maronda.
2. Luminal chimiro chinowanika lumen ari muura. Rinodya utachiona anoumba chakaipa Maruva murume, uyewo zvinyama detritus kunokonzerwa kubva ulceration. It rinowanzoberekera vanhu vakatambura kusachengeteka kukuru chimiro chirwere kana vari vatakuri. Kukura kufamba ayo madiki vari nomumugwagwa kwaitora nguva pane tishu.
3. Precystic kuumba kuchinja uye rinowanikwa chete marudzi iyi amoebae. Husingakwanisi dzokudzidzisa disinfection uye nokukurumidza akafa kunze hondo.
4. Cysts vari wakaderera fomu dysenteric ameba. Saka unogona kuvapo muna zvakatipoteredza. Izvi Hauoneki kumativi masero kuti vane cores mana uye vacuole. chimiro ichi rinowanikwa intestinal zviri uye convalescent vatakuri.

epidemiology

intestinal amebiasis - nayo anthroponotic chirwere. Ndizvo causative nomumiririri upenyu chete muvanhu uye chakasvitswa pamunhu nomunhu. The mashandiro kuti kupararira fecal-zvokuudzwa nomuromo nzira angava akasiyana :. kuburikidza nemvura, zvokudya, mhuri nhumbi, kana kuonana "ganda-to-neganda" Munhu mutakuri, anogona ose zuva kuparadzaniswa mumuviri, mamiriyoni cysts uye zvinogona kombera kumativi ose. chimiro ichi amoebae anogona kuramba pachena mhepo kupfuura mwedzi, uye panguva kuoma nechando - kusvika mwedzi mitanhatu. Tap mvura utachiona hwakakura anorarama kwemwedzi anopfuura maviri, uye pamusoro ivhu pamusoro - zvishoma pane mavhiki maviri.

Doctors edza rokuongorora kare intestinal amoebiasis kunogona kuva. Zviratidzo vakadzi nevana vari kukura nokukurumidza, uye chirwere chakaoma. Saka, vakapa kusimba pakati isolations muviri wavo nokugarika pasi zvokunze zvakatipoteredza, zvakakodzera kuchengeta zvakanaka utsanana uye kuita dzose nyoro pakuchenesa kwakavakirwa vane mishonga yokuuraya utachiona.

Kupararira

intestinal amebiasis kwakapararira, zvisinei okunze kana rudzi. Munyika dzinopisa, kuti chikamu nyaya apa, asiwo dzimwe nzvimbo chirwere ichi Uyewo zvikuru zvakajairika. Kupararira chirwere chinowedzera murombo utsanana tsika yevanhu uye varombo Utsanana ezvinhu: kusavapo nechepakati mvura, kukurumidza marara muunganidzwa uye kuchenesa maiiswa.

Nhamba yevanhu vari vatakuri utachiona hwakakura, uye havasi kunyange vachiziva kurwara kwavo, nguva zhinji kupfuura nhamba yevaya ndachengeta zvekuchipatara zviratidzo. Mune dzimwe nyika mufananidzo uyu achisimuka mana muzana yevagari. In unozvidzora mumamirire ekunze hwakanyorwa nguva dziri kure kuitika. Mabhuku anotsanangura yaizotangira amoebiasis mujeri muzviruva uye yemauto.

Mugore Kishi nyika inofashaira notupukanana, kunowanzova kuva vanhu nevanhu immunodeficiency utachiona, Kubayiwawo jekiseni zvinodhaka vanoshandisa uye varwere AIDS. utachiona hwakakura Kupfuudzwa kunoitika munguva inodziya nevanga.

pathogenesis

intestinal amebiasis - chii? Ichi rinorema intestinal chirwere kuti ikabuda maronda ari muura. Kukura chirwere nokuda ehupfumi pakati nayo utachiona. Shure pakuparadza murume cysts zviri pachena kune acidic ezvinhu mudumbu uye diki ura makemikari uye zvinoenda vegetative muchimiro.

Mumwe chikofu anotendeuka notupukanana sere, izvo kufamba chokumusoro zvikamu muura. Kunyange zvazvo zvirwere vanhu hurongwa anovanza vakawanda kubereka vana notupukanana, havasi kuratidza pachavo: uchidzidza utachiona uye chyme. Asi kana mamiriro ezvinhu vari kutanga nyasha kwavari Somuenzaniso, kutyora acidity, bowel rusvingo kukuvara, havachanyatsogoni peristalsis, kuti chidzoke honye kana kunetseka nayo utachiona anotanga nokushingaira kuwanda uye kupinda kubva lumen of intestinal chubhu iri pamadziro wake.

The chisvetasimba zvabudiswa runovharidzira mamwe, hemolysin nezvimwe makemikari anoparadza zvinyama uye kubatsira nayo utachiona dawo kupinda mukati muviri. Neutrophils (zvinyama macrophages) vari kuedza dzipedze amoebae, asi pachinzvimbo vari yakanyauka uye akapora monooksidanty kuti tiwedzere kuzvimba uye necrosis. Munzvimbo umo pane vaiitawo nemaronda conditionally pathogenic uye pathogenic microflora, ari causative nomumiririri kunyura zvakadzama kupinda zvinyama uye Achiwanza nokukurumidza. Sezvo chinangwa kana akaumba munhu pute.

Nokufamba kwenguva kuzarurwa, uye panzvimbo yacho kuumbwa urikanwi pamwe podrytymi micheto uye necrosis pakati. Mucous ari kuedza kuvhara mhosva pamwe zvinyama itsva, uye granulation. Pakupedzisira, pane mucous fibrosis, scarring uye strictures. Abscesses haamo panguva imwe chete. unogona kuwana zvose matsva chokufuka maronda pamusoro mucosa ari muura uye ane Epithelialising uye mavanga.

Nemaronda anogona kuva akadzika kuti kupinda kuburikidza yose moupamhi hworusvingo, uye unogona kuva chikonzero nhengo perforation pamwe peritonitis uye intestinal kubuda ropa. Izvi zvinobatsira kuti kungotaurawo chirwere uye kutama notupukanana kuburikidza muropa kune dzimwe nhengo uye munyama.

zviratidzo

The World Health Organization rinoti dzakawanda, izvo zvinogona kuva intestinal amebiasis. Zviratidzo neimwe zvakanaka pathognomonic, saka chirwere haakonzeri chinokosha matambudziko dzokurapa.

Dysenteric colitis. Vakawanda chimiro chirwere. Pane zvose kuyerera chakasimba uye chisingaperi dzakasiyana. The incubation nguva - kubva vhiki mbiri mwedzi mina. Huru chiratidzo - manyoka. Chokutanga, nguva vanenge vatanhatu pazuva, asi zvino mwero kunowedzera kusvika makumi nguva kana kupfuura ari mutsvina yadzo kuonekwa admixture ropa uye madzihwa. Nokufamba kwenguva, mashoko mutsvina yadzo yafanana razibheri mondo. Zvichemo kurwadziwa, tembiricha kana kuneta munhu asingadi kuratidza. Asi kana yakanyanya anogona cramping marwadzo zvakarurama yepazasi dumbu (kazhinji kuvhiringidzwa kuzvimba okuwedzera), uye yakakwirira tembiricha.

Chenjera muitiro rinovapo anopfuura matanhatu mavhiki, zvichiteverwa nenguva kanganwiro. Dzimwe nguva anoenda apore, asi husiri nyore kuwana. Kazhinji, pashure vaviri mwedzi, maperembudzi dzakatanga, asi kare mune chirwere chimiro. Pasina kurapwa, muitiro rwanonoka kwemakore. Chirwere amoebiasis inogona rakakamurwa idzokororo uye chinopfuurira siyana.

Muzviitiko idzokororo chirwere panguva yatinenge exacerbation smeryayutsya remissions, asi zviratidzo vasiri zvakazara vaedzwa, uye chete havazodi raidudzwa (pachiyero zvemapapu zvirwere chitsiko). Panguva exacerbation nemanyoka kwete tembiricha muviri substantially Kuchinja kuzviratidza abdominal marwadzo, kakawanda kuti chimbuzi (zvichienzaniswa rekukangamwirwa). Kuramba nokuti anoratidza zvose zvakawedzera intestinal zviratidzo, chitarisiko ropa uye madzihwa zviri pachituru.

kosi refu kwechirwere chacho depletes zvikuru varwere, vakaona kupererwa neropa, uremu kusvikira cachexia, asthenovegetative zviratidzo.

yokuwedzera-intestinal amoebiasis

Kupinda protozoan utachiona mumuviri kungazviratidza kwete chete sezvo intestinal amoebiasis. Zviratidzo zviri chirwere ingava akafanana chaiwo chirwere, asi zvisinei vari anokonzerwa chete utachiona hwakakura. Extraintestinal chimiro kunoitika apo amoeba anopinda systemic riparadzirwe. Kakawanda kubaya nhengo anova chiropa, mapapu kana uropi.

abscesses kuva kumusoro-dzataurwa mitumbi. Kuvapo kwavo kunoguma yakawedzera chiropa uye tembiricha vanomutsirwa yakakwirira nhamba (39 kana kupfuura), pamwe kuenda chills, vangadikitira (kunyanya usiku). Kana chinovhiringidza kuti chiropa basa simba kuonekwe jaundiced. Dzimwe nguva pute kuparuka pamusoro aperture kana yakanyauka uye ayo zviri mukati pleural mhango. Izvi chinokurwadzai paumbwe empyema, zvemapapu pute, uye atelectasis.

intestinal amebiasis muvana

Pakati nyaya uye vatakuri Entamoeba histolytica vana vazhinji, nekuti havachengeti kuchengeta mirayiro utsanana uye vanowanzotaura tsvina. Mukuwedzera, vane simba rokuzvidzivirira. Chero munhu mukuru kupfuura 5 years zvingaitika intestinal amebiasis. Zviratidzo, kurapwa uye chirwere hadzisi zvakasiyana chaizvo nevaya vakura. Clinical kuratidzwa akaratidza mwero, zvakawanda zvakajairika tembiricha shoma shoma-mugiredhi. Manyoka ari cramping zvakasikwa, pane mitaro ari pachituru ropa uye madzihwa. Number yokukurumidzira anogona anosiyana kubva nguva 2 kusvika 15 pazuva. Abdominal marwadzo kungava ndisipo nokuda Kusakwana wemucheche tsinga.

The wevana inogona kunetsa kuziva amebiasis intestinal Zviratidzo vana vari avhiringidzwa uye yakazonyorwa sezvo vamwe zvirwere intestinal. Saka unofanira kunyatsofunga kuunganidza anamnesis, kuti kutaridzwa nguva kuenda kunze, uye kuvapo zviratidzo vabereki.

Diagnostics

In vakuru zviri zvakare nguva yakawanda kwazvo rokuongorora "intestinal amebiasis." Chirwere kunotanga kuunganidzwa epidemiological nhoroondo. Magariro, kuvapo vanhu vanorwara vari zvakatipoteredza, kuenda Southeast Asia munguva ichangopfuura iyi akaita basa rinokosha mune waunoda utachiona hwakakura utachiona uye anogona dzokumabvazuva chiremba mugwara.

The inokosha chirwere ndiyo rabhoritari kudzidza chetsoka uye muura munyama, abscesses zviri muna chiropa uye zvemapapu. intestinal amebiasis chirwere yasimbiswa nokuvapo iri yokunyorera vegetative siyana nemanyoka amoeba. Kuti vabudirire Diagnostics, tsvakurudzo rinoitwa kakawanda, kutanga zuva nechirwere kana kubvuma murwere kuchipatara wokutanga. Achicherechedza kungovimba luminal siyana uye chikofu kwete kupa munhu yakakwana hwaro kuongorora chirwere.

Kana zvabuda zviri kunaka parasitological kudzidza kana hwakakanyiwa, zvino danho iri Pfungwa kuti serological miedzo nokuda kuziva miedzo maantigen kana antibodies kune nayo utachiona muropa murwere. Chirwere yokuona chinhu simba kuwedzera antibody titer mana kana kupfuura nguva yepakutanga chechetere.

Kubva paku kuferefeta akatakurwa chiropa ultrasonography, radiography, kombiyuta tomography kana rinobva resonance tomography. Izvi zvakakodzera kuona zvimwe-intestinal foci.

mabatiro

vanachiremba havawanzosarudzi kumirira kusvikira vachapiwa chirwere "intestinal amoebiasis", kurapwa iri chatangwa mushure munhu zvikanzwika kuchipatara. Pakutanga zvakanga symptomatic: rinodzorera kurasikirwa zvinwiwa uye electrolytes nomutsinga raitongwa zvinodhaka, kutsigira basa mwoyo nemapapu. Kana paine fivha, izvozvo ipfupi kuti zvinogamuchirika nhamba. Awana rimwe zvachose chirwere zvakabatana uye yakananga kurapa.

Kana munhu ari mutakuri notupukanana, ipapo kugadza luminal amoebocytes kuti dzinobatsira kubviswa tupukanana kubva mumuviri uye tunodzivisa kubereka yavo. Uyezve, boka iri zvinodhaka ushandiswe uye varwere nedzimwe mhando hosha, kuti kubvisa zvachose nayo utachiona kubva mumuviri.

Nokuti varwere chakasimba amoebic nemanyoka pane amoebocytes zvinyama kuti kuita zvakananga pamusoro vegetative siyana nayo utachiona, uye bvisa kuna nhengo uye munyama. Zvakakosha kuti zvakazara kumbotambudzika kurapwa, kunyange pashure kunyangarika yokuora zviratidzo. Kwave zviitiko dzokororo chirwere emakore pashure yokutanga hafu.

dziviriro

Zvaunofanira kuita kudzivisa intestinal amebiasis? Marapirwo ndehwokuti kubvisa chisvetasimba kubva murwere, uye kudzivirirwa sei ayo zvakavapoteredza uye magariro. Zvirwere chiremba vanofanira kuzivikanwa ngozi uye kuitisa ongororo vanhu ava, uyewo kuvakurudzira tiite mukuru kuchenesa mumba.

Ngozi kazhinji kuwana vanhu vose:

• ane zvokurwara of zvomudumbu hurongwa;
• vagari nemisha, umo hapana centralized mvura;
• zvokudya indasitiri vashandi;
• vafambi;
• vanhu vane siyana zvepabonde.

Clinical Kuongorora varwere pauri rapera gore. Studies pamusoro isolations dzinoitwa ose mitatu, uye kubva dzokai, kana paiva zviratidzo zvinetso zviri nemudumbu. Kuti kuputsa nokupfuuridzirwa mashandiro rinoitwa disinfection zvinhu, dzakanga murwere vakasarudzwa. Mukuwedzera, vanorumbidza anopiwa kuvandudza utsanana-epidemiological hwechiKomonisiti.