Akemāmā fluke - Paragonimiasis pathogen. Paragonimiasis i loko o kānaka: symptoms, lapaʻau, Kāohi

Infectious maʻi i kekahi o ka loa e like me ka hui o kanaka pathology. A hui hoʻokaʻawale i waena o ia nō ka parasitic maʻi. One ia kaʻina mea paragonimiasis ia maʻiʻaʻai.

He aha ka mea?

Paragonimiasis haawiia i ka infectious maʻi, kena ae la ia e ka parasite, mai ka pae ana o trematodes - annelids. Uaʻano nui loli ma ka akemāmā'aʻaʻa, nāʻiʻo. Ka lolo ua komo i loko o ka maʻiʻaʻai kaʻina mea he pohihihi keia.

Sam causative Agena - paragonimus westermani ( 'ole kona' ē aʻe inoa - "akemāmā fluke") - mai ia i hua manu-hoʻokino ula-eleele waihoʻoluʻu. Ua uhiʻia kona kino a pau i spines liʻiliʻi, a E ho oku ui maluhia paa ma na nā'aʻaʻa o ka meaola parasite. Ma ka abdomen he mea he sucker, hoʻokō i like ka laka kuleana pili i.

I ka maʻi ua wehewehe aku ma kekahi mau mea o ka maʻiʻaʻai a me ka endemicity. Ua pili ia i zoonoses.

I ka hopena o hoomaka lapaʻau ke alakai i ka mea complications, kekahi o i mea ola-na olelo hooweliweli au.

Pehea, laila, ala no ka iho mailoko a me ka mea i loaʻa ka hiʻona no keia parasite?

Laha ana o ka maʻi

Akemāmā fluke ua hoʻomano māhele ma ka waena Lane. Loa pinepine outbreaks o ka maʻi i mālama i loko o Rusia a me Asia.

Kuwaena koa fluke ua uuku na crayfish a me arthropods. Ka hope loa Make Loa - uuku rodents, muskrats, beavers, na iliohae,ʻalopeke. No ka mea hope loa nona ia mea i ke kanaka oiaio.

Ma ka kanaka akemāmā fluke komo iloko ma kaʻaiʻana improperly moa crayfish a me ka pāpaʻi.

Parasite hua excreted me feces a me ka mimi. Ma hope o hui 'ana me ka mea mawaho i hoʻolilo' o ia e make, a me ka hapa komo i ka wai, i ka ilo mau ulu kalapona.

I ke kanaka kino, ka ilo ua IIeEeAIEUIeXAIIUEʻano nui i loko o ke akemāmā'aʻaʻa - kona uuku bronchioles. Mai laila, pālahalaha ma ka moku lymphatic ke komo i loko o nā oihana a me nā loko o ke kino o ke kanaka, i hiki aku ai i ka huikau papa o infectious kaʻina.

Pehea, laila, i ke ola kalapona o ka pathogen?

Ka hooulu ana o ka parasite

Pehea la e hiki ai ka ulu 'akemāmā fluke? Kona ola kalapona ninoieo o ekolu kahua o ka hoʻonaʻauao.

I ka mua o ia ua hana miracidia (nymph). Kēiaʻanuʻu o ka loiloi mua a me ka parasite ala ma hope o kona OAAIeOO mai i ka hua. I ka wai miracidia komo iloko o ke kino o ka mea mua waena poʻe kaua - freshwater clam. Iloko o ka elima mahina o asexual nā'ōlelo mua ia lŘlŘ i loko o ke kino o ka mollusk, ma o na la ia e make, a koe ka wai he nui helu o cercariae - i ka lua o ke kahua o ka parasite. Mau larvae lilo ka hoʻoneʻe, a komo i loko o ke kino o ko lākou waena kaua invasively, oa ma ka ili o ko lākou mau kino.

Ka ilo i keia kahua i loko o ke kino crayfish a me ka pāpaʻi i hoʻomōhala ai i ka metacercaria - ke kolu o ke kahua o ka? Acaeoey. Kēia palapala ka mua he kanaka pathogen.

Ma ke kanaka naʻau liʻiliʻi metacercaria hele mai ana mai o kona mau iwi, a E neʻe i ai i ka ia maʻiʻaʻai, kahi e ae kona fixation a me ka hou ia ka hoʻonaʻauao 'ana o hua.

maʻi? aaieou

Pehea la e hiki ai i ka manao e loli Hawaiʻi paragonimiasis? Symptoms o keia maʻi i ole kekahi lawa, no ka mea, o ka i koi oi kūlike loa a me ka pihaʻike.

I ka maʻi ke hana ma kekahi mau 'ano apau loa - abdominal a me ka pleuropulmonary.

Abdominal pinepine ia lŘlŘ me ka lapaʻau enteritis a hepatitis ke alakai i ka peritonitis parasitic kŘpa a maikaʻi papa.

Pleuropulmonary ano o ka maʻi hoike mai ai ia ia iho i loko o ka hapanui hihia. A ua noho ka hoomahuahua i loko o ke ana wela i ka 38 degere a me luna, he ino cough me purulent expectoration koko sputum mai o ka hua o ka parasite. Aia mea no hoi kekahi? Aaieou o pneumonia, pleurisy.

A hiki i ka wahi o ka parasite ma ka pā kihi o ka malamalama, i ke kahua o ka parietal cysts me ka hooulu ana o pleural empyema a pleural effusion.

Me ka Holomua o ka maʻi? Acaeoey? Eiei? Fibrosis me worsening o naehana kuleana pili i.

Hiki rupture o ke akemāmā'aʻaʻa me ka hooulu ana o pulmonary hemorrhage.

complications

I iho, i ka maʻi ua hala loa paʻakikī, nae, e hana ana a me ka like complications. Pehea la e hiki ai a pele paragonimiasis huikau? Symptoms hoike mai ai ia mea i loko o ke kēia mau alanui.

Me ka prevalence o abdominal ano o ka hiki na naau oʻu perforation me ka peritonitis nā keʻena lāʻau lapaʻau a me ka hoʻonaʻauao 'ia' ana o empyema a me peritoneal abscesses.

Ke pulmonary palapala ua huikau e kahe ana ke koko, pleural effusion, pulmonary infarction. Mea kūpono 'ana o cysts ma ka ikaika a o ka naau i ka haʻalele akemāmā.

Ka wā hematogenous ole lymphatic kūkākūkā o ka parasite mea hiki 'Aeʻa i loko o kekahi nā loko a me nā'aʻaʻa. Paragonimiasis lolo ka wā loli mea pohihihi keia, akā, e kūkulu i ka parasitic meningitis a me ka meningoencephalitis.

Paragonimiasis akemāmā e alakai ai i ka ho okumu intrapulmonary cysts. Keia ia lŘlŘ ka wā inadequately paa ana i ka wa a ka ilo anthelmintic Inc, e pale waiū o nā hoomakaukau, ano puni iho anuanu calcified mea hōʻikeʻikeʻuʻuku e leie aku kali adverse kumu (i loko o keia hihia - i ka hana o ka ai '). Oia cysts koiʻoki kino.

ʻike, no ka maʻi

He aha ke ano o ka hana noiʻi, e kōkua hooholo i ke kino i komo iloko o ka akemāmā fluke?

Mua o nā mea a pau ia mea e pono e hoʻomaka i ke ao ana i mau koko Ka Ikepili. He loa hana hoihoi nā hoailona e ia i ka ESR, i ka nui o ka ulaula koko keena a me eosinophils.

A e hoi kōkua i ke ahonui o ka hoopii, e like me ke akahele ohi mōʻaukala (ai crayfish paha pāpaʻi, ka hoʻohana 'ana o ka wai e kahe ana mai ka muliwai o endemic wahi).

Helminthiasis e mahuahua, e eosinophils a me ESR. erythrocyte 'ilikai emi ka wā o ka he kaʻina ka lōʻihi.

Instrumental ano o ka fluoroscopy o ka pono. Ua apono 'oe e hoʻoholo i ke alo o ka lua ho okumu i loko o ka akemāmā'aʻaʻa, e hōʻike kona wahi a me ka nui. Ma muli o ke kiʻi, e kau i kaʻike,.

Sputum hoʻolako i ka manawa e hōʻike ilo hua, a me streaks o ke koko ka wā e hoʻomaka kahe ana ke koko.

lapaʻau

Pehea, alaila, o ka iapaau ana o kēia maʻi?

Parasites i loko o ka kanaka akemāmā mea he nui pilikia, no laila, lapaʻau e hoʻomaka ana i ka wanaʻao me hiki, a AIM ma ka make ana o ka helminth.

I ka papa kuhikuhiE ai 'hoʻohana i ka hana Paragonimiasis mea "Praziquantel". Kona mahele lāʻau he pōpilikia mai ka huliāmahi o 60-70 mg lāʻau no kilogram o ke kino ke kaumaha. Ke koʻi o nā parasites lawelawe i loko o ekolu nā māhele ma hope o kēlā me kēia palaoa. Ka lāʻau 'Ua lawelawe hōʻike waha.

Eia kekahi mea i hiki ke hoʻohana i na mea e like "Emetine" "hloksila", akā, i ka hope o ko lākou? Eaia nunui uuku ma mua ia o ka "Praziquantel".

Ma ke kahua o ka papakaukau cysts koiʻoki lāʻau lapaʻau wehe '. Ma kekahi mau hihia, o ka oi aku ina na cysts i nui, e hiki pono i ka pneumonectomy - ana o ka akemāmā holoʻokoʻa.

I ka lolo lesions ia me kaʻoki kino wale.

Kāohi

He aha e au e hana i ka mea i ole hoʻomōhala paragonimiasis? Kāohiʻana i hoʻokomo i ka helu o nā hanana:

• Mua o nā mea a pau, oe e malama hahai i ka rula o ka sayings freshwater arthropods. Ka nui loa ka helu o nā mea palahēhē Paragonimiasis kau mai maluna o ka politika-kaʻaeʻana me ka culinary koi a me ka hae.
• Hapa laha ana o ka maʻi hiki ke 'ole ma ka huikala ana o ka muliwai, a me nā waikahe mai ka pathogen. E ka mea, o kona kulana paakiki, e like me ka hopena o ka hana ana o ke e lilo a me na flora a? Aaoa o keia wahi.

Inā he mea i hoʻohuoiʻia no ka maʻi (ke ano o ka cough 'ole' ē aʻe symptoms), he kāohi ana hiki ke poprinimat i loko o 4-5 lā "Praziquantel". Eia naʻe, mai nānā i ka hoʻoponopono ka lapaʻauʻia, e like me 'oe ke hana ino wale oe ia oe iho. E aho e kōkua imi mai i ka palapala hōʻoia no 'oihana i ka mea i manao ia i kēia maʻi, a ua kupono lapaʻau papahana.

Outlook

I mau, ina o ka hoʻomanawanui ua i hōʻike 'ia ma ka kakahiaka nui ke kahua o ka hoouka kaua ana o symptoms, a me ke kaʻina i ole ua maopopo ho'ā' ia paha, i koke laweʻike mai, a hoonoho i kūpono lapaʻau papahana, ke Outlook mea he maikaʻi. He nui nā kanaka ola loa mai Paragonimiasis.

Inā ke kaʻina i hoʻomaka 'ana, a ma ka ia maʻiʻaʻai hana cysts, ka prognosis mea kekahi nahae. ole Small cysts e i ka nui hopena ma luna o ke kino; lōʻihi, e ka mea lawe, e lawe ia, a, me ka hopena, ke alakai mai i ka hoʻomanawanui kīnā o ke kino. I mau, hoʻomanawanui iki mai ma hope oʻoki kino hoʻomau maʻamau haʻawina me kekahi hoʻokau 'ma physical haʻawina a me ka hana.

Ka loa lakou malaila kēla ma ka 'ai, inu o pathogens i loko o ka lolo. Ināʻaʻole koke lawe kūpono ana, o hiki mai ona.