Ukwelashwa kwe-Opisthorchiasis, izimpawu, izimbangela nokuvimbela

I-opisthorchiasis yisifo se-helminthic sayo yonke izilwane ezincelisayo, kuhlanganise nabantu, okubangelwa yi-trematodes (i-Opisthorchis felineus). Lokhu kuphazamisa isilonda sesibindi, isibindi, kanye nasemiphakathini ye-pancreas.

Umuntu usulele kanjani nge-opisthorchiasis? I-helminth evuthiwe ngokocansi ifihla emaqanda angaphandle angama-miracidia (isigaba sokuqala somjikelezo wokuphila we-flatworms - trematodes). Uma i-mollusc isetshenziswe ngeqanda elinjalo emzimbeni wayo, i-miracidium ingena emathunjini futhi ifinyelele odongeni lwamathumbu emgodini lapho i-sporocyst yakha khona. Cishe ngemva kwenyanga, i-redios (isizukulwane sesibili se-parthenogenetic of fluctuations) sakhiwe kusuka eziprocystst, lapho i-cercariae (izibungu) ziqala ukuthuthukisa. I-Cercariae iphuma e-shellfish futhi ihamba ngokukhululekile echibini. Izibungu ezinjalo zihlaselela ngenhlanzi inhlanzi yamanzi ahlanzekile, kuyilapho zikwazi ukungena kalula ngokusebenzisa izinhloso zazo zibe imisipha kanye nezicubu ezixhunyiwe. Kulezi zicubu zimboza imvilophu ekhethekile futhi ziguqulwa zibe metacercariae (izibungu ku-cysts). Njengomthetho, i-metacercariae yendawo yakhiwe emisipha engemuva futhi ejulile ngemuva, imisipha ye-intercostal, amaphiko, izigulana, udonga lwamathumbu kanye ne-caviar.

Abantu banesandulela ngculazi uma bedla inhlanzi eluhlaza, eyomisiwe, efakwe efriziwe, efakwe efriziwe, futhi engaphelele. Engxenyeni encane yamathumbu omzimba wokugcina, ama-Opisthorchis felineus larvae akhishwa emagqumeni (cysts) futhi ngokusebenzisa i-bile duct ingene emathangeni enobindi esibindi. Kule nqubo, impilo ye-opisthorchus ifihla imikhiqizo enobuthi obangela ukusabela okuvuthayo emithonjeni ye-bile. Lokhu nakho kungaholela ekutheni i-cirrhosis yesibindi.

Njengomthetho, izimpawu ze-opisthorchiasis, ukwelashwa kuxhomeke esiteji sokuthuthukiswa kwesifo esiyisisekelo. Izimpawu zomtholampilo zingabonakala njenge-jaundice, ukunciphisa ukudla, ukucindezeleka, ukukhathala okuvamile nokuphazanyiswa komgudu wokugaya (ukuqothulwa kuthatha indawo yesifo sohudo), izinga lokushisa lomzimba lishintsha ngaphakathi kwezimiso zomzimba. Uma i-palpation, isiguli sizwa ubuhlungu esibindi. Isibindi sikhulisiwe, sihlanganiswe , kaningi sinama-tubercles ahlukahlukene ngobukhulu nobubuningi obuhlukahlukene. Ngokuhlasela okuncane, isithombe somtholampilo kungenzeka ukuthi asikho.

Uma kutholakala ukuthi une-opisthorchiasis, ukwelashwa kunqunywe okunzima. Ikhiqizwa ngezigaba ezintathu. Isigaba sokuqala silungiselela, kule nkathi, yeka isifo sofuzo, ukuvuvukala komsele wamathunjini kanye namadayipi ensimbi. Bathuthukisa ukusebenza kwesistimu ye- hepatobiliary, benza ukwelapha okuvimbela i-anti-detoxification, futhi bahlanze amathumbu. Ngesifo esinjalo, ukwelashwa kwe-opisthorchiasis nokusebenza kwayo kuncike ekutheni ikhwalithi yesikhathi sokulungiselela. Libuye indima ebalulekile ekwelapheni anti-worm udlala ukushuba ukutheleleka, ubude yokugula ekhulile kanye degree of ukungakhuli esiqeshini gastro-emathunjini. Lapho uphethwe opistorhoz ukwelashwa iqondiswa ukukhulula umzimba isiguli helminths nge amazinga okukhishwa maximal izidakamizwa anthelmintic.

Udokotela ukuba khona utjho Ukudla nge ayimbijana amanoni, ebonisa ukuthi ukusebenzisa ama-antihistamine kanye sorbents. Nge inkinga main isifo imvelo ezithathelwanayo ukusabela ukuvuvukala wasebenzisa ama-antimicrobial. Ukuqinisa i- cholagogue yokumisa amanzi . Iziguli ukuthi nginesifo ukwelashwa opistorhoz iqondiswa usebenzisa spasmolytics (Nospanum, Baralginum, drotaverine, meteospazmil, Duspatalin), probiotics (vetom, Biovestin, lineks, baktisubtil, hilak Forte) kanye ama-enzyme (Creon, penzital, Pankreoflat, Forte mezim futhi Okunye).

Esigabeni sesibili sokwelashwa, sebenzisa izidakamizwa ze-anthelmintic ne-active substance prazikvantel. Ngemuva kokususwa kwe-opisthorchias, ukwelashwa okubuyiswayo kunqunywe emzimbeni ukuze kulungiswe imisebenzi yemoto kanye nemfihlo yesibindi (akhillan, hepatosol, vitamin, lithovit O, florent).

Ezinye iziguli ezitholwa nge-opisthorchiasis ziphathwa ngamakhambi omuntu asebenzisa amacwecwe ahlukahlukene kanye namagciwane okusekelwe ezihlotsheni ze-immortelle, utshani obumile, u-hip, umhlonyane, i-cranberry, ijusi le-beetroot negalikhi, njll.

Ngenhloso yokuvimbela, akufanele ukondle izilwane ezinwabuzelayo izinja nezinja ezinenhlanzi eluhlaza, eyomile noma ebhemayo. Phakathi kwabantu, kubalulekile ukwandisa ukufunda nokubhala, ikakhulukazi phakathi kwabazingeli, abadobi, abasebenzi bepulazi kanye nabase-seamen emikhumbi yemifula.