Amebiasis: Ukwelashwa. Dr. Amathiphu

Izwe ezimangalisayo esiphila, ngeshwa, is uhlalwe amakhulu nezidalwa abenza kuphela ezisinika enkingeni, futhi ngezinye izikhathi kuze kusongele ezimpilweni zethu. Omunye isitha ibutho izimuncagazi - the azikubheki amoeba ezincane elibanga ebulalayo isifo amebiasis. Ukwelapha kufanele uqale masinyane futhi le liyadingeka zokukhipha igciwane. Amebiasis kuyinto omshoshaphansi kakhulu ngoba amagciwane amoeba beza kithi e amathumbu, igazi bakwazi ukuba bazohlala kwezinye izitho, kuphi kunzima kakhulu. Luyingozi kakhulu ekuphileni, uma amoeba singene ubuchopho. Udinga ngesikhathi kuqubuka isifo ukusheshe udokotela akwenzekanga lokho. Asithathe sihlolisise imibuzo elandelayo: kuphi amebiasis, izimpawu kanye nokwelashwa isifo, futhi okubaluleke kakhulu, izinyathelo okumele zithathwe ukuze musa kungqubuzana nabo.

I-ejenti causative of amebiasis

Ukuze uqale, ukudweba isithombe elula isidalwa owumphumela ngokuthi amoeba uhudo, noma, ngokwesayense, Entamoeba histolytica. Kusukela izihlobo zabo, enendawo usayizi nesizotha more prolegs nezinyane iyonke. Uhlala le amoeba kuphela yisinanakazana, futhi ngezisulu zako bangaba abantu thina kuphela. Amagciwane encane ngakho ngobuqili ukuthi uye wakwazi ukuthelela wonke abantu abangaphezu kuka-900 million ukunikeza kubo izifo ezifana amoebiasis. ukuphathwa isifo kuqalile ngendlela esifike ngesikhathi, has a Izibikezelo ezinhle. Uma ungenalo ngiphuthume udokotela futhi ukuzithiba medicate, ungakwazi ilahlekelwe ukuphila kwayo. Uhudo amoeba uyakwazi khona ezintathu izinhlobo iyafana:

1. izinhlumba. Abakwazi kungafaniswa iqanda. Ziyakwazi round, ezincane kakhulu, kufika ku-12 microns obukhulu camera ulwelwesi bilayer, kukhona beya (ngaphakathi esingaphansi 4 nuclei) futhi uvuthwe (4 ngokushelela ngaphakathi kuyi-nucleus). Ngo abantu abayimiqemane, ukutheleleka nge izinhlumba unesandla. Kwakheka emzimbeni wesiguli, zingabantu indle ukuphumela phandle. In imvelo abahlala isikhathi esingangenyanga, futhi emanzini - 3-4 izinyanga, abaningi isixazululo magciwane akakwazi ukubhekana nabo. Ngakho naso sonke lesi sikhathi, ungakwazi kalula sithathe amebiasis, ukwelapha esizokucabangela ngezansi.

Esikhathini esiswini womuntu izinhlumba bahlale esigabeni yokuphumula. Bangancibilika igobolondo kuphela emathunjini amancane. Kukhona umuntu isikwele avuthiwe, esibizwa ngokuthi i-motherboard, ahlukane, nokuguqula i 8 mononuclear ezingaphansi.

2. Ifomu luminal. Amoeba-indodakazi ukudla amagciwane abahlala amathumbu wethu, sikhule ngamandla futhi kancane kancane emathunjini amancane emagatsheni amakhulu. Batsi akunangozi kunemibandela.

3. Tissue fomu. Lapho ufika emathunjini ezinkulu, amoebae esekhulile linamathele izindonga zayo, lapho baqala ande ngokushesha. amathumbu sasigcwala izilonda, kanye nezigidi ezidala entsha ivelele kwesihlalo. Nge ukuqina yabo amoeba abasha ahoxise unyawo bakhe bamanga, babanjwa, embozwe igobolondo kabili bese uvula ezikhula zibe izinhlumba.

Umjikelezo iyaphindwa.

Izindlela ukutheleleka

Kulokhu osekushiwo, kuyacaca ukuthi ukutheleleka kuhilela izinhlumba kuphela. Mancane futhi aqine kakhulu, basuke indle ixazululwe ngokushesha kuyo yonke le ndawo. Siza indiza, amaphela nezinye izinambuzane. Indle imfucuza, okuyinto, njengoba sazi, awekho ngaphansi ukwelashwa okukhethekile, asetshenziswa emasimini njengenhlangano Umanyolo kakhulu noma umane batheleka imvelo. Lokhu kuthuthukisa olwenzeka endaweni amoebae. Ngo izilwane, izinyoni, izinhlanzi, abazi ukuphila kuphela indoda.

Enye indlela elula ukuthola isisulu izinhlumba entsha - ukuthola wabayisa izinto zangamalanga usebenzisa izandla ezingcolile labo ehlaselwa amebiasis. Ukwelapha ogulayo ingaqala ngokushesha, kodwa ngisho noma laba bantu ukuthatha izinyathelo ngesikhathi esifanele, zingabantu abathwali ukutheleleka, kuyilapho kusukela amathumbu abo asalokhu izinhlumba esabiwe.

Ngakho, indlela amebiasis ukutheleleka ezilandelayo:

- izandla singcolile;

- phuza amanzi emifuleni, emachibini, zonke amadamu evulekile;

- ukusetshenziswa izithelo ezingahlanjiwe nemifino.

Kukhona izindlela ezintathu ukutheleleka yilezi:

- ukuya anal;

- ukusetshenziswa ithawula efake ilondolo esifana ngakho amebiasis yenethiwekhi;

- lisuka kumama ogulayo naye umntwana inhlanzeko abangahambisani nawo.

amoebiasis emathunjini e abadala, izimpawu kanye nokwelashwa

Lesi sifo sivame uma kakhulu lapho isimo sezulu esifudumele, kodwa ehlobo ke ibhalisiwe futhi zindawo zethu. BaseYurophu ungakwazi ukubamba amebiasis abajikelezayo emazweni exotic eningizimu futhi ukusuka lapho yokumngenisa ekhaya. Uma umzimba womuntu owenziwe kahle uqine ngokwanele, izinhlumba ngisho Umumo ayevumela amoeba bukhoma kuqhathaniswa eside e ipheshana wokugaya ukudla ngaphandle abangela izifo. Nokho, uma uhlelo ababuthakathaka mzimba, isivele ngosuku lwesikhombisa emva ukutheleleka kungenzeka ziqale ukuzibonakalisa amebiasis. Kubantu abadala, izimpawu kanye nokwelashwa zincike lapho emzimbeni it is ixazululwe amoeba. Uma lokhu emathunjini, kwatholakala ukuthi nginesifo amebiasis emathunjini. Amoebas hlala cishe zonke izigaba layo - cecum, sinyuka ikholoni, sigmoid futhi iqonde. Esikhathini izindonga emathunjini kwakhiwa amashumi erosions kanye nezilonda ka ububanzi nokujula (kufika ku 3 cm) obuhlukahlukene, ngezinye izikhathi ifinyelela perforation futhi peritonitis. Kunoma ikuphi le mucosa emathunjini abavusa, ubomvu aqoqana izilonda.

izimpawu:

- lokushisa;

- ukozela, ubuthakathaka;

- ubuhlungu esiswini;

- umkhuhlane;

- indle okuxekethile.

Okubalulekile: uhudo olubi ezinsukwini zokuqala zesifo kuphela kwenzeka ngo-10% yabantu abangenwa.

Esikhathini esizayo, sonke ukungezwa izimpawu:

- izigqiki njalo (ewuketshezi, ubomvu negazi);

- izimpawu zokuntula amanzi emzimbeni (nomlomo owomile, ulimi, isikhumba turgor ababuthakathaka);

- izimpawu zokudakwa (ikhanda, ukuhlanza, isicanucanu);

- Ukuwohloka.

Izimpawu kwesibindi amebiasis extraintestinal

Izimuncagazi, abanjwe esegazini, kusingathwa ngamanye emizimbeni. Ngokuvamile uhlushwa isibindi, kodwa nayo futhi amaphaphu efanelekayo, ubuchopho, pericardium, i-cornea, ubende, futhi isikhumba. Uma lokhu kwenzeka, amebiasis extra-emathunjini sitholakale, ukwelashwa incike kwasendaweni we izimuncagazi. Ngezinye izikhathi kuba khona-amoeba kanye nezinye izitho ngemva kokuba kuyaqedwa esiswini.

Isibindi etheleleka amebiasis, imisebenzi ngempela njalo, kanye nokuhlolwa kwegazi ngoba izimuncagazi kungaveli. Ukukhethwa kuyinto inkomba ALPL - phosphatase ane-alikhali. Lapho hepatic amebiasis namagugu awo ngaphezu 140 IU / l.

Esikhathini isibindi ithumba isikhwama kwakhiwa (ithumba), okuyothi uma ngokungalungile akhethiwe for ekwelapheni amoebiasis uyakwazi perforated. Wathela okuqukethwe phakathi komgodi ongaphakathi kwamathumbu, kukhona ukopha zangaphakathi, sepsis singenzeka.

Izimpawu kwesibindi ukutholakala amoeba:

- ezidabukile ubuhlungu ngakwesokunene, ngokuvamile kuyoshaya ngaphansi isiphanga kanye / noma ehlombe;

- ukushuba ubuhlungu ngakwesokudla quadrant engenhla kwehle lapho isiguli ivuliwe kuze kufike ohlangothini lwesobunxele;

- hepatomegaly (imingcele isibindi ukwanda);

- ngesisa;

- ukucanuzelelwa inhliziyo;

- sohudo;

- lokushisa;

- ukujuluka, Ukugodola;

- ukungakuthandi ukudla, ngenxa yalokho, isisindo.

Izimpawu wamaphaphu amebiasis

Lokhu inkinga kungenzeka ngenxa yezizathu ezimbili:

- amoeba wegazi hit ukukhanya esiswini;

- imithi ukwelapha amoebiasis esibindini akhethiwe kahle, ngenxa lapho kuye kwasusa umgoqo e ithumba isibindi ubomvu luthululelwe ngalo ingaphakathi pleural.

Lapho drift ezidala emaphashini ngegazi kufanele wazise izimpawu:

- uhlale ukhwehlela njalo nge phlegm, lapho kukhona okuphothula igazi;

- iphika;

- lokushisa;

- ubuhlungu besifuba.

Ngaphandle kokwelashwa esifanele futhi kwakheka ithumba wamaphaphu ithumba. Kulokhu, isiguli:

- umkhuhlane;

- soreness High endaweni ithumba;

- izimpawu yinhliziyo.

Nakuvulwa suppuration livela ukukhwehlela ushokoledi, glossitis, pharyngitis.

Ukuxilongwa amebiasis yamaphaphu tifaka ekhatsi tivivinyo igazi, x-reyi, ukutadisha indle ukuthola izinhlumba, isikhwehlela , futhi uketshezi pleural, ukuhlolwa serological.

Amoebiasis nezinye izitho

Akuvamile, kodwa namanje kukhona amoebiasis isikhumba. Ukugula libhekene izilonda, avame ebonwe esiswini, ukuxhuma nezinqe. Ngokuvamile isilonda ezijulile, mnyama emaceleni, ube yiphunga edabukisayo.

Amoebiasis ubuchopho - omunye yezinkinga obuhlungu kunayo sifo. Libhekene bekhanda eqinile hhayi stoped, ukuquleka, ukuphazamiseka sezinzwa, ukukhubazeka. Can ukuthuthukisa ithumba noma ukuvuvuka ijwabu ingqondo. izimpawu Focal zihlukile, kuncike kwasendaweni kumiswa ithumba e izingxenye zobuchopho, futhi kuhambisane elihambisana iziyaluyalu zezinzwa. Ukwelashwa nokuvikelwa amoebiasis e abadala nezingane okungenxa endaweni emathunjini, aphethwe ne kadokotela saziso kwamaphilisi Ngohlelo nezicubu amebotsidami ( "metronidazole", "Degidroemitin", "Hingamin"). Lapho amebiasis ebuchosheni nemithi eziyinkimbinkimbi kunezelwa izidakamizwa nootropic.

Lapho amebiasis isibindi isikhumba, ngaphezu izidakamizwa eziyisisekelo, okunqunyiwe "Diyodohin", "intestopan", "Meksaform".

Uma imiphumela emibi yokwelashwa ngamakhemikhali akukuniki imiphumela kulindeleke futhi khona abscesses ukuqhuba ukuhlinzwa.

amoebiasis okungamahlalakhona

Uhudo amoeba bangaphila amathumbu ethu iminyaka ke kukhona ifomu acute lesi sifo kuba amahlala khona. Lokhu kwenzeka uma ukwelashwa amebiasis eyayingalungile e abadala kanye nezingane, hhayi ngokuphelele noma cha kwenziwa. Iziguli ihlushwe enyangeni edlule noma kunjalo, angaqala ukuzwa impumuzo wamukelekile. Ubuhlungu besisu pass, uhudo, futhi, impilo jikelele ngcono. Lokhu kubizwa ngokuthi yi ukuthethelelwa, okuyinto ejabulisa esingangenyanga, futhi ngezinye izikhathi kuze kube izinyanga ezintathu noma ezine. Umuntu uqala kubonakale ukuthi isifo ahlehla. Kodwa ngemva ukuthethelelwa zihlale exacerbations entsha, phakathi kwesikhathi lapho konke iyaphindwa futhi. ifomu okunjalo amebiasis ezingamahlalakhona ngokuthi yansukuzonke.

Kukhona ifomu lesibili, ngokuthi okuqhubekayo. Lapho izimpawu wakhe isici amoebiasis is iyakhula, bese wehlise, kodwa akazange ayeke ngokuphelele.

Izimpawu amebiasis okungamahlalakhona:

- ukungakuthandi ukudla, okuholela kwesisindo, ukuntuleka kwegazi emzimbeni;

- kwehle ukusebenza, ubungqabavu;

- ukukhathala;

- asthenic syndrome;

- amavithamini;

- hepatomegaly;

- tachycardia;

- esiswini ingaqala polyp, olugcwele emathunjini, perforation udonga lwaso, ukopha.

ukuhlola

Ngaphambi kokuqala ekwelapheni amebiasis emathunjini, uhlelo kwamangqamuzana kwamagciwane zikhonjwe indle isiguli. Kungase kube khona uhudo amoeba hhayi kuphela, kodwa futhi amoeba emathunjini (Entamoeba coli), amoeba yemifino (Endolimax nana) noma abanye, futhi ukuze uqinisekise uphethwe "amoebiasis", udinga ukuthola ncamashi uhudo amoeba futhi sisesigodlweni ifomu lendwangu. Uma esikhathini sezinyawo kuphela izinhlumba zabo noma amafomu angenisa ukukhanya, uphethwe - esiphathiswa amoebiasis. Ukwehlukanisa wenziwa PCR. Ngaphezu cwaningo of sezinyawo esimweni amoebiasis emathunjini enze colonoscopy.

ukwelashwa

Noma ubani uphethwe ukuqinisekisile of "amoebiasis", imithi elwa namagciwane kanye amebotsidami kwenziwa esibhedlela. Aqokwe "metronidazole", "Ornidazole", "Tinidazole" noma ezinye izidakamizwa ezifanayo, umphumela ezicindezelayo phezu amoeba uhudo. Isakhiwo linqume izidakamizwa tertatsiklinov amaqembu ezisebenzayo ukuze lesi silwanyana.

Lapho beqeda izifundo eziyisisekelo inikezwa i kuhlanganise amebotsidy eyengeziwe esebenza kwifomu luminal. Lokhu "Klefamid", "Etofamid", "Paromomycin." Le mithi kuthiwa ashiwo abantu zitholakala sezinyawo kuphela izinhlumba futhi luminal uhlobo amoeba.

ethnoscience

Njengoba kungekho ukwelashwa okufanelekile kungaholela ekufeni amoebiasis, amakhambi abantu ekwelapheni lesi sifo kungenzeka kuphela ibhekwa inkambo main njengoba. Ngokuyinhloko ukusiza abelaphi ngiwuqede iziguli sohudo igazi. Abantu kuvezwa inqwaba zokupheka ukukusiza nale nkinga. Ezinye zazo yilezi:

- Film inkukhu gizzards. It is ahlukaniswe, kahle wageza, omisiwe, phansi udle izikhathi 2 noma 3 ngosuku.

- itiye Dry eshiya itiye. isipuni Akuphelele kahle ukuhlafuna niginge ngamanzi.

- Oak amagxolo. (Medicine abadala). A isipuni ezomile amagxolo oluyimpuphu uthele 400 ml amanzi abandayo kanye abilisiwe kodwa bagcizelele 8 amahora. izindlela Ready isiphuzo ngosuku.

- Kabanzi esetshenziswa amajingijolo, cherry, ijikijolo lingase, hawthorn, mountain ash. Recipe ukulungiselela efanayo kuwo wonke izitshalo - 100 amagremu izithelo ezomile kuthululwe 400 ml amanzi abilisiwe, nokuthatha 100 ml ngosuku. Kuphela izithelo inyoni cherry kufanele uthathe amagremu 10 kuphela.

- Garlic. okumsulwa yakhe, phansi, ngiyolinganisa 40 amagremu futhi uthele isigamu ingilazi vodka, lona phisa. Gcwele khathi isigamu sehora ngaphambi kokudla ukuthatha 15 amaconsi.

Amebiasis ezinganeni: Izimpawu kanye Ukwelashwa

Lesi sifo cishe ningagcini in izinsana. Kodwa izingane kusuka onyakeni owodwa kuya eminyakeni emithathu uhlushwa ngabo kaningi, ngoba ukufunda ukucathula, ufuna ukuhlola umhlaba emhlabeni futhi sikwenze ikakhulukazi ngesandla. Futhi izingane ineminyaka engaphezu kwemithathu, kakade ukuqonda ukuthi awukwazi ukudonsa konke emlonyeni wakhe. Abazali kufanele bacabangele lezi zici kungenzeka ukuvikela ingane yakho ezifweni.

Izimpawu amebiasis ezinganeni:

- sohudo (kwamakhamera ocingo imfanelo ebaluleke kakhulu);

- moodiness;

- ukwenqaba ukudla;

- ubuhlungu lwesisu;

- izinga lokushisa (noma ongama kancane kuze highs).

Ezinganeni, uhudo akuyona ovamile kakhulu ekuqaleni, mayelana 6-7 izikhathi ngosuku, sezinyawo kuncibilike, isikhwehlela kungase kube khona kuyo. Ngemva kwalokho nesifiso sokufuna njalo izikhathi ezingu-20 noma sezinyawo nakakhulu labelwe buhlanjululwe ngegazi ne isikhwehlela. Ingane kulesi sigaba iba ucobekile, enqaba imidlalo uyakhononda ka ubuhlungu besisu, isicanucanu.

amafomu Extraintestinal ka amebiasis ezinganeni awavamile. izimpawu zabo ziyefana kwabadala. Ifomu acute lesi sifo ngaphandle ukwelashwa okufanelekile zingakapheli izinsuku ezintathu kuya ezine amasonto kuba amahlala khona.

Sifo kusekelwe umlando wezokwelapha kanye sezinyawo ukuhlaziywa (ezitholakala kuyo isikhwehlela, erythrocyte, izinhlumba, eosinophils). Lokhu kuhlaziya wenziwa izikhathi eziningana ukuqeda iphutha. Kwezinye izimo, ingane Kwenziwa serological omzimba ukuhlolwa, kodwa uqala "umsebenzi" kuphela emva 2 amaviki izimpawu zokuqala. Imiphumela Igazi yokuhlola amebiasis acute kungaqali, kodwa ezingamahlalakhona ezinophawu ukwanda e ESR kanye eosinophils, ukuncishiswa elithwala umoya-mpilo.

Ukwelashwa nokuvikelwa amebiasis ezinganeni wenziwa esibhedlela. Isetshenziswa "Osarsol" izidakamizwa "ukwenza Lago", tetracycline antibiotic, "ifulege", "Trykhopol", "Fasizhin", "Meratin" amavithamini "Bififor", "Symbiter". Ngokukhethekile ikhokhelwa ekubuyiselweni elahlekile lomzimba, ngoba lapho umntwana unikezwa amaningi isiphuzo (I-ukuhlanza ku spoon, kodwa ngokuvamile kakhulu). Ukuze ugweme ukulahlekelwa nosawoti, kuyinto efiselekayo ukwenza isixazululo ukuphuza: 1 l yamanzi, plus 1 tsp .. ngaphandle letintsaba usawoti kanye soda, plus 2 tbsp. l. ushukela ukuxubana ukuncibilikisa izingxenye, eliwu lokushisa +37 ° C ngaphambi kokusetshenziswa.

zokuvimbela

Njenganoma iyiphi ukutheleleka emathunjini, amebiasis ingavinjelwa uma inhlanzeko, geza izandla ngaphambi kokudla nangemuva kokuya endlini encane, geza yonke imikhiqizo, uthenge noma waklebhula eziqiwini ezizimele, ubilise amanzi ethathwe amadamu evulekile. Ngaphezu kwalokho, kubalulekile ukuba abhubhise abathengisi izinhlumba - izimpukane, amaphela.

Ngesikhathi izimpawu zokuqala amoebiasis Kudingeka uphuthume kudokotela futhi ukuba bangalibali self-ukuphulukiswa, ngisho ne efakazelwe kakhulu zokupheka "abanolwazi". Lokhu kuzokwenza ukuvimbela ukutheleleka amebiasis izihlobo.