Tsambali limapereka chidziwitso pazachidziwitso chokha. Kuzindikira ndi kuchiza matenda kuyenera kuchitika moyang'aniridwa ndi katswiri. Mankhwala onse ali ndi contraindication. Kufunsira kwa akatswiri ndikofunikira!

Kuwonekera kwa matendawa komanso mawonekedwe a matenda

Matenda oyambitsidwa ndi nsunguimatchedwa enterobiosis. Pinworm ndi nyongolotsi yoyera yaying'ono, yomwe kutalika kwake ndi 10 mm kwa mkazi, ndi 5 mm kwa chachimuna. Akazi, malekezero ake am'mbuyo amalozedwa, pomwe lamphongo limapendekeka mbali ya mbali. Pakhomo pakhomo panu pomwe pali chitsamba cham'mimba pali tchire - kutupa pang'ono komwe nyongolotsi zophatikizika kukhoma lamatumbo. Mazira a Pinworm ali ndi mawonekedwe owundana, amata mbali imodzi ndikuwonekera mbali inayo, ndi chipolopolo chopanda utoto. Kwenikweni, momwe ma pinworm amawonekera kapena mazira awo amatha kupezeka poyang'ana mu ma encyclopedia kapena kulemba mu injini yofufuzira funso lolingana: "pinworms, chithunzi" kapena "mazira a pinworm, chithunzi". Kwa ma pinworms (Enterobius vermicularis, pinworm yaumunthu), wolandila yekhayo ndiye munthu, ndiye kuti, zochitika zawo zonse zimachitika mthupi la munthu. Ngakhale matenda amtundu wa ana agalu amadziwika, enterobiosis sapezeka mwa agalu akuluakulu. Nthawi zambiri izi zimawonedwa m'mabanja momwe muli ana aang'ono. Matendawa ndi opatsirana kwambiri, choncho, kachilombo ka kachilomboka kakuyenera kuthandizidwa. Izi ndichifukwa cha zikhalidwe. majeremusi: zazikazi zimayikira mazira pakhungu pafupi ndi anus, matako, zovala. Nthawi yomweyo amapatula isovaleric acid, yomwe imayambitsa kuyabwa kwambiri mwa anthu. Chifukwa chophatikiza malo owuma, mazira a pinworm amagwera pa zala ndi misomali ya munthu, kenako amawasinthira kumalo achilendo. Monga gawo la fumbi la mnyumba, mazira a tiziromboti amatha kukhala ndi moyo kwa nthawi yayitali, ndikuyambitsanso matenda.

Enterobiosis imakhala yodziwika pakati pamagulu onse a anthu, koma ma pinworm nthawi zambiri amapezeka mwa ana (zithunzi za "nyama" zotere zimapezeka pa intaneti) kuyambira azaka 5 mpaka 10, ochepera kwa ana osakwanitsa zaka ziwiri, komanso osapita kusukulu zamaphunziro. Chifukwa chake, majeremusi otere nthawi zina amatchedwa "njoka."

Matenda a Pinworm siachilendo nthawi yapakati. Nthawi zambiri, mwana wachikulire "amabweretsa" nyongolotsi, ndikuzipatsira ena onse pabanjapo. Zoterezi zikachitika, wina sayenera kuchita mantha - ma pinworm siziwopseza khanda m'mimba. Komabe, kutenga kachilombo ka khanda kumene kumakhala kotheka. Chifukwa chake, chithandizo chanthawi yake cha nkhanu m'mabanja ndikofunika kwambiri kwa ana ndi akulu. Ndikofunikira kuonana ndi dokotala za momwe mungagwiritsire matenda a ntchentche: pali mankhwala apadera a ma ntchentche, kugwiritsa ntchito komwe kumakhala kotetezeka panthawi yomwe muli ndi pakati, ndipo kudzidziwitsa nokha munthawi imeneyi sikuthandizira komanso kungowonjezera matendawa.

Matenda a Enterobiosis

Kuwunikira kwa enterobiosis kuyenera kuchitika kuyambira m'mawa kupita m'matumbo, popanda ukhondo. Popeza ma pinworm samayikira mazira tsiku lililonse, ndikofunikira kubwereza kusanthula kwa masiku atatu (mwachitsanzo, kupendekera kwa tsiku limodzi pakati pa zisonga) kuti mupeze zotsatira zodalirika.

Kusanthula kwachizolowezi kwa mazira a pinworm sikugwira ntchito, chifukwa sikumaikidwa m'matumbo, koma pakhungu la dera la perianal.

Pakayezetsa magazi ambiri, kuchuluka kwa ma eosinophils kumatha kuonedwa.

Komanso, kuwunika kwa dera la perianal panthawi yodandaula ya pruritus kumavumbula chizindikiro cham'mimba komanso zikanda.

Mankhwala a Pinworm

Zochizira nsungu, mankhwala anthelmintic ndi mankhwala. Mwambiri, mankhwalawa a pinworm mu mwana ndi wamkulu amachitika ndi mankhwala omwewo. Kusiyapo ndi azimayi oyembekezera komanso oyembekezera, makanda.

Mankhwala ayenera kuvomerezedwa ndi dokotala, mukuganizira za wodwala ndi kusankha kwa enieni mlingo wa yogwira. Nthawi zina, njira yachiwiri ya mankhwala ikuchitika pakadutsa milungu iwiri. Chifukwa cha chiwopsezo chachikulu chotenga kachilomboka, ndikofunikira kuchitira onse achibale komanso anthu omwe ali pafupi ndi wodwalayo.

Mankhwala othandizira zikhomo, mankhwalawa monga Pirantela pakuat, Albendazole, Mebendazole amagwiritsidwa ntchito. Piperazine ilibe ntchito yothandiza, koma nthawi yomweyo, kugwiritsidwa ntchito kwake ndizoyenera kwambiri pochiza ma pinworms mwa amayi apakati.

Ma radiation a Ultraviolet ali ndi zovulaza mazira a pinworm. Komabe, kuti izi zitheke, zoterezi ziyenera kuchitika patangopita maola ochepa.

Zithandizo za anthu

Kuyankha funso la momwe mungachotsere kachilomboka, njira zina zamankhwala zimapereka zotsatirazi:
1.Chithandizo cha Garlic - adyo awiri ophwanyika a adyo amasakanizidwa ndi madzi muyezo wa 1: 1, amatengedwa pakamwa asanagone, osambitsidwa ndi madzi ambiri, masiku atatu. Pakatha sabata, maphunzirowo amabwerezedwa.
2.Chithandizo cha mbewu dzungu. 100 g ya mbewu zosaphika dzungu zosakanizidwa ndi 100 ml ya mafuta a azitona. Kwa masiku atatu, tengani osakaniza m'mimba yopanda kanthu m'mawa (maola atatu musanadye). Pambuyo pakupuma kwamasiku awiri, maphunzirowo amabwerezedwa. A decoction wa dzungu mbewu ndi ogwira.
3.Chithandizo cha anyezi. Pafupifupi 100 g ya anyezi grated amakhala ndi supuni ya mchere ndi 50 ml ya mafuta a mpendadzuwa. Gwiritsani ntchito musanadye masiku asanu.
4.Chithandizo cha mpunga. Akhathamiritsa usiku mpunga (50 g) yophika, ndi kusakaniza supuni ziwiri za ginger wouma wowuma ndi supuni ya clove. Phula lotsatira limadyedwa m'mawa. Pambuyo maola awiri, imwani kapu yamadzi amchere (supuni ya mchere pa 200 ml). Maphunzirowa amachitika kwa masiku asanu ndi limodzi.

Njira yothanirana ndi ma pinworms ndi mankhwala osiyanasiyana azitsamba motengera:

• Maluwa owuma,
• Zitsamba zowawa
• Kutolere masamba ofanana ndi wotchi, maluwa, tchuthi.

Ngati vutoli - momwe mungachotsere ma ntchentche - limakhalabe lothandiza kwa nthawi yayitali, ndiye kuti mutha kuyesa kugwiritsa ntchito enemas. Mwachitsanzo, kuchokera mkaka ndi adyo. Mu kapu ya mkaka, wiritsani mutu wa adyo mpaka zofewa ndi kufinya. Enema imayikidwa usiku kwa sabata, pamlingo wa 1 galasi la munthu wamkulu ndi theka lagalasi kwa mwana. Ngakhale kwa ana, nthawi zambiri, kugwiritsa ntchito mankhwala wamba ndi madzi ozizira (200 ml) ndikokwanira.

Mukamathetsa vuto, ndikofunikira kwambiri momwe mungathanirane ndi kachilombo ka ana ndi kulabadira zotsutsana polandirira chowawa ndi kuvunda. Zitsamba zoterezi sizingagwiritsidwe ntchito kuchotsa zitsamba za m'mimba mwa mwana wosakwana zaka 12. Kuphatikiza apo, atha kukhala ndi zovuta m'matenda a mtima, chiwindi ndi impso, komanso nthawi yapakati.

Pochiza, ndikofunikira kuganizira lingaliro lina lomwe lingachitike ngati mulibe mankhwala a anthelmintic (onse azachipatala ndi wowerengeka) - omwe amatchedwa "mapangidwe opunduka a mphutsi." Chifukwa cha zochita za khunyu yotsika, ma parasita amasuntha kudzera m'mimba. Kuphatikiza apo, amatha kulowa m'matumbo kudzera m'makoma am'matumbo, ndikunyowerera ndulu zakunyumba kapena chiwindi, zowonjezera, ndikamachoka m'mphepete kulowa m'mapapu. Zowopsa zoterezi zimafuna chithandizo chamankhwala mwachangu, chofunikira kwambiri.

Kupewa kwa Pinworm

Njira yodziwika yodzitetezera ku matenda amtundu wa peworm ndikusunga malamulo aukhondo (kusamba m'manja kwa mphindi zosachepera 20, kusamba tsiku ndi tsiku, kutsuka masamba ndi zipatso pansi pamadzi, zina ndi zina). Enterobiasis nthawi zambiri imatchedwa "matenda akuda amanja."

Pofuna kupewa kutenganso matenda, kuyeretsa konyowa konyowa kumafunikira. Nthawi yomweyo, mankhwala ophera tizilombo (kuphatikizapo mankhwala okhala ndi chlorine, monga Domestos) satha ntchito, nyumbayo ndi zinthu zamkati (makhoma, mipando yamiyendo, mipando, makatani, ndi zina zotere) ziyenera kutsukidwa ndi madzi a sopo. Zovala ndi zofunda ziyenera kutsukidwa kutentha kwambiri. Zopangira pepala zachitsulo kapena kutaya. Zovala zamkati ndi zofunda zofunda ziyenera kusinthidwa tsiku ndi tsiku. Ana ayenera kudula misomali yawo mwachidule.

Ngakhale ziweto sizimatetezedwa kuti zingagwire bwino ntchito, zimatha kunyamula mazira ankhanira pa malaya awo. Chifukwa chake, ndikofunikira kusamba ziweto zanu pafupipafupi ngati matenda akupezeka mwa eni a mnyumbayo.

Osamamwa mapiritsi kuchokera ku pinworms "kungoyambira" ngati prophylactic (makamaka mwa ana) popanda kufunsa dokotala.

The causative wothandizila wa enterobiosis

Pinworm ndi nematode ya mtundu woyera, kakang'ono kakang'ono, wamkazi amafika 5 mm, wamwamuna 12 mm.

Wamphongo amakhala ndi malembedwe opindika, wamkazi amakhala. Pamaso pa vesicle pamawoneka - gawo lamkamwa la tiziromboti, mothandizidwa ndi pini yake limalumikizidwa kukhoma la thupi

Ntchito yofunikira ya majeremusi imachitika chifukwa cha zomwe zili m'matumbo, gawo lalikulu la kadyedwe limapindulitsa mabakiteriya aanthu. Amathanso kudya magazi. Zotsatira zake, zovuta zam'mimba ndi m'mimba zimapezeka mwa anthu odwala.

Mu dzira loyikira majeremusi, palibepo mphutsi wokhwima. Kusintha komaliza kumachitika mkati mwa maola 4 - 5, kufikira masikono akuluakulu pakatha mwezi.

Ndiye kuzungulira kwa kubwereza kumabwerezedwanso. Pankhaniyi, mikhalidwe yabwino ndiyofunikira, kutentha kwina kwa thupi la munthu osatsika ndi madigiri 36,5, chinyezi chokwera mpaka 70% - 100% (malo oyenera ndi crotch ya munthu).

Zomera za Pinworms Life

Nthawi yamoyo ya ma pinworms si yayikulu. Munthu amaikira mazira ndi mwana wosabadwayo, yemwe amasandulika kukhala mphutsi mkati mwa maola asanu. M'malo abwino, mazira amakhala pafupifupi mwezi umodzi. Matenda amatenga poyanjana ndi wodwala kapena kucheza ndi zinthu, mbale za kachilombo.

Ziphuphu zimalowa mkatikati mwa matumbo aang'ono, kenako ndikulowetsa matumbo akulu.

Pambuyo pa milungu iwiri, mphutsi imakhala munthu wamkulu, wokhoza kudziikira mazira popanda kudziimira, koma imawasunga m'thupi lake, pomwe imayenda pang'onopang'ono m'matumbo akulu.

Pakupumula kwausiku, njirayo imatuluka mwa anus ndikumayikira mazira 20,000 mozungulira kuzungulira anus. Nthawi yozungulira ya kachilomboka m'thupi siyidutsa mwezi umodzi. Wamphongo amafa nthawi yomweyo mkazi atatenga umuna.

• atayika mazira, wodwalayo amatha kupondaponda munthu pakuphika,
• amwalira asanaike mazira, koma kuwola kwa helminth, mphutsi zimamasulidwa ndikuyamba ntchito yawo ya moyo.

Kwa munthu yemwe ali ndi kachilomboka, kutsegula m'mimba pafupipafupi sikumabweretsa kusasangalala komanso kusakwiya komanso kuyabwa. Popeza ma helminths nthawi zambiri amatuluka kukagona mazira usiku, munthu amatha kusokonezedwa ndi tulo, kutopa kumawonekera, mantha amomwe amachititsa mantha amtunduwu komanso kuchitira ena zachilendo.

Ndi kuchepa kwa michere mthupi, anthu amachepetsa thupi, kuchuluka kwa hemoglobin m'magazi kumatsika kwambiri.

Ana, potengera msinkhu wawo, samvetsetsa zomwe zikuwachitikira, amatha kuphatikiza malo oyenda, pomwe amatha kuyikira mazira m'manja, pansi pa misomali. Atsikana, mazira nthawi zambiri amalowa mu nyini ndikuyambitsa kutupa - vulvovaginitis. Mtsikanayo amatsogozedwa kwa dokotala wachikazi, pomwe chomwe chimayambitsa matendawa pawokha, nthawi zambiri sichidziwika.

Wodwalayo amakhala wothandizirana ndi helminth, zoseweretsa, zinthu, mbale zamanja zopatsirana. Kuphatikiza apo, tiziromboti timayenda modekha kudzera mmiyendo yakuda ndikubwerera mthupi ndipo kakulidwe ka nthendidwe timadzibwereza.

Zofunika! Amadziwika kuti, pokhudzana ndi ukhondo, helminths amafa m'thupi ndikupita kunja mkati mwa miyezi itatu!

Nthawi ya moyo wa tiziromboti ndi yosavuta, imaberekanso chamoyo chokha, safunanso munthu wina. Wotenga kachilombo payekha akhoza kukhala yekhayo komanso wapakati wonyamula helminths.

Enterobiosis Kuzindikira

Kuzindikira majeremusi ndikosavuta, ndikofunikira kudutsa magawo awiri.

Gawo loyamba limaphatikizapo kafukufuku wokwanira:

• zomwe zikudandaula
• kumayambiriro kwa zizindikiro zoyambirira
• pali aliyense amene amakhala mdera lanu amadandaula za zotere
• ngati lamulo la ukhondo wamunthu limawonedwa (manja oyera oyeretsa nthawi zonse).

Gawo lachiwiri:

• yowerengera labulo ndowe amachitika,
• zopindika zimatengedwa pafupi ndi anus ndi tepi yomatira;
• kuyesedwa kwa kuyesedwa kwa magazi konse kuchokera chala (pali zisonyezero za kukhalapo kwa majeremusi).

Chizindikiro chachikulu ndi hemoglobin yotsika, mulingo wabwinobwino - 120 - 140 g / l, erythrocyte - 3.5 - 5.3 wokhala ndi chizindikiro chotsika, kuchepa kwa magazi kumachitika. Anemia amawoneka ndi njira yothamanga, ali ndi tiziromboti komanso timatenda totupa mthupi.

Kutupa kumaliseche, makamaka mwa atsikana. Zowonjezera - palibe deta yodalirika yomwe helminth, kulowa mmatowo imapangitsa kuti chiwopsezo chizikhala. Chikhodzodzo cha ndulu - umakhudzidwa ndi ntchito yokumba.

Ma pinworm omwe amagwira, amatha kuyenda m'matumbo kuti asatuluke ku anus, koma m'malo mwake kupita kutsogolo kwa thirakiti la m'mimba. Kudzera kwa bile kumalowerera kulowa mu ndulu ndipo kumakhumudwitsa mucous nembanemba khoma kumayambitsa kutupa - cholecystitis.

Pa nthawi yoyembekezera

Pa pakati pa miyezi itatu yoyambirira, kugwiritsa ntchito mankhwala osokoneza bongo ndizoletsedwa. M'pofunika kuti tichepetse njira zodzitetezera.

Mukamatsatira malamulo aukhondo, ma helminths adzafa okha. Koma ngati dotoloyo akuwona kuti ndizoyenera kupereka mankhwala, ndiye kuti Mebendazole, omwe akuwalimbikitsa, alibe chilolezo kwa amayi oyembekezera.

Mukamayamwitsa, chithandizo ndi mankhwala anthelmintic amaletsedwanso. Ndikokwanira kuti tichepetse kutsatira njira zopewera.

Zinthu zothandiza za enterobiasis

Ndikulimbikitsidwa kudya zakudya zowola ndi zowawa. Walnuts, nthanga dzungu, fulakesi. Mafuta ophikira amakhala bwino ndi mkwiyo komanso njira yotupa yamatumbo a matumbo. Onse zipatso wowawasa, zipatso ndi ndiwo zamasamba.

Zochita zodziteteza

• ngati matenda a enterobiosis apezeka, nthawi yomweyo yambirani chithandizo kuti muchepetse matenda a ena,
• ukhondo
• kusintha zovala zamkati ndi zovala zamkati,
• chakudya chotentha,
• Khalani omasuka kuuza achikulire za kupezeka kwa kuyabwa kwa anyani.

Pambuyo mankhwala, kuyeretsa wamba kumachitika pogwiritsa ntchito mankhwala ophera tizilombo, zothimbirira, komanso kufinya.

Ngati mliri wa enterobiosis wapezeka, anthu omwe amakumana ndi odwala amagwiritsa ntchito mankhwala anthelmintic popewa.

Zina zambiri

Enterobiosis ndi mitundu yofala helminthiasisophatikizidwa m'gulu la matenda a parasitic. Matendawa amadziwika ndi kusokonezeka kwamatumbo, kusokonezeka kwamitsempha, kuwonda pakhungu komanso kuwonetsa thupi lawo. Amayimbidwa ndi nematode (mozungulira - chingwe). Malinga ndi kwachilengedwenso kamera ka parasitic nyongolotsi, enterobiosis amatanthauza kulumikizana ndi helminth, komwe ndi mbali yomwe makulidwe amtunduwu amayambira:

• Kukula kwa tiziromboti kumachitika popanda wolamulira wapakati.
• Kutulutsa mazira okhwima kwathunthu kapena pang'ono kuchokera kwa omwe akukhala.
• Kukula kopitilira pambuyo pomwe majeremusi atasiya matumbo pa thupi la munthu kapena zinthu zoyandikana, atavala zovala zamkati.
• Njira yapakamwa yothetsera matenda kudzera pakakumana ndi wodwala / zinthu zakhudzana ndi mazira.

M'malo okhala ndi nyengo yotentha (kuphatikiza maiko omwe ali ndi chitukuko chachikulu cha zachuma) parasitosis ili ponseponse, mphamvu inayake yomwe imafikira 70-95% pakati pa ma helminthiase onse, omwe amayamba chifukwa cha kudziyimira kwamphesi yazamoyo kuchokera kuzinthu zachilengedwe. M'gawo la Russian Federation, mphamvu yeniyeni ya enterobiosis imakhala pafupifupi 60% ya ma helminthiase olembedwa ndipo pafupifupi 200 zikwi mazana ambiri amalembetsa chaka chilichonse. Nthawi yomweyo, gawo la ana osakwana zaka 17 limakhala ndi 96% ya milandu. Omwe angatengeke kwambiri ndi matenda a enterobiosis ndi ana azaka 7 mpaka 14 (pafupifupi 50% ya milandu) ndi zaka 3-6 (39% ya milandu).

Kodi chifukwa chiyani ma nthumbu ndi oopsa? Kupezeka kwa ma pini m'thupi la munthu wolowerera kumabweretsa zotsatira zoyipa mthupi la akulu komanso makamaka ana. Pakati pa ana omwe ali ndi ana okalamba, nthawi zambiri pamakhala kuchedwa kwakuthupi / kwamaganizidwe ndi kukula, kuchepa chitetezo chokwanira, zomwe zimapangitsa kuti matenda awonongeke komanso awonongeke kwambiri (ARI, dysbiosis, matenda a m'matumbo) ndikukula kwa kusintha kwa patomorphological mu minofu / ziwalo zomwe zimapangitsa kuti thupi lizigwira ntchito molakwika.

Pathogenesis

Zomwe zimatsogolera pathogenetic ndizo: mawotchi komanso poizoni, chifukwa chomwe njira yotupa imapangika m'magawo osiyanasiyana a m'matumbo mucosa. Chifukwa cholimba kumutu kwa tiziromboti pamatumbo am'mimba komanso kulowerera kwa ma pinworms mu minofu m'malo osiyanasiyana a matumbo, zolakwika zimachitika mu mawonekedwe a semilunar depressions. Kukula kwa njira ya ma pathological kumatsimikizira kukula kwa kuukiraku, popeza zikhwimbi zimafalikira kwambiri. Chifukwa chokwiyitsa cha chemo / mechanoreceptors a m'matumbo, kuphwanya kwamphamvu kwa galimoto / chinsinsi cha m'mimba thirakiti limayamba, zomwe zimakwiyitsa chitukuko. enteritis, gastritis, gastroduodenitis.

Zida za metabolism za Pinworm zimapangitsa chidwi cha thupi ndi chitukuko cha zotsatira zoyipa za thupi. Mphamvu ya immunosuppressive ya zikhomo zakhazikitsidwa, zomwe zimathandiza kukulitsa matenda am'matumbo komanso dermatoses. Masipini amakhudza moipa mkhalidwe womwewo, mphamvu yamanjenje, makamaka kwa ana, luntha lawo, machitidwe awo, akuwonjezera zosokonezakusakwiya, kukumbukira kosauka. Kupezeka kwa masiponji kumathandizira kuti kusokonekera kwa mawonekedwe am'magawo a zinthu wamba zam'mimba zichitike ndikukula kwamatchulidwe dysbiosis. Enterobiosis imakhudza moyenera njira yoyembekezera ndipo nthawi zambiri ndimomwe imayambitsa matenda a toxicosis ndi zina.

Etiology

The causative wothandizila wa enterobiosis pinworm (lat. Enterobius vermicularis) ndi wozungulira wozungulira wa mphutsi wazaka zoyera wokhala ndi mtundu wokhazikika wokhazikika, magawo omwe munthu wamkulu ndi wamkazi ndi 912 mm (wachikazi) ndi wamwamuna 2-5 mm. Momwe ma pinworms amawonekera pachithunzipa.

Kapangidwe kazikazi ndi zazimuna zonse kamaoneka pansipa.

Mazira a Pinworm omwe amasungidwa ndi wamkazi kumalo achilendo amakhala ndi kukula kwa 50 × 30 μm ndi mawonekedwe a oblong-asymmetric, wokutidwa ndi chipolopolo chosalala. Tizilombo toyambitsa majeremusi timalimbana ndi mankhwala ambiri (yankho la lysol, formalin), koma ndimakhudzidwa kwambiri ndi ma radiation a dzuwa ndi kuyanika. Nthenga za Pinworm zimadya zam'mimba. Parasani m'munsi mwa m'matumbo aang'ono, cecum komanso kumtunda kwa matumbo akulu.

Chida chogwiritsira ntchito chovomerezeka chimalola kuti achikulire azikhazikika kukhoma lamatumbo. Nthawi zambiri zazikazi zimatulutsa m'matumbo, chifukwa pambuyo poti abambo amafa ndipo nthawi yomweyo zimatuluka ndi ndowe. Chiwerengero cha anthu parasitic chimasiyana kuchokera makumi angapo mpaka mazana ndi masauzande.

Akazi okhwima pang'onopang'ono kulowa mkatikati, kusiya mwachangu ndi kugona pakhungu m'magawo a dzira, omwe amapezeka ndi zovuta zina (kuthekera kwa kutenga kachilomboka) atatha maola 4-6. Nthawi yamoyo wamkazi siyidutsa masiku 30.

Epidemiology

Gwero la matenda ndi munthu amene ali ndi helminths. Kugawidwa kwa mazira a pinworm kwa odwala omwe amakhala kunja kumayambira pakadutsa masiku 12-14 atadwala, (parasitological incubation) ndipo kusankha kwawo kumapitilira nthawi yonse ya matendawa. Njira yotumizira imakhala yamkamwa. Kodi ma helminths amafala bwanji? Njira zazikulu zotumizira ndi izi:

• Chakudya (ngati chimeza mazira owononga ndi chakudya ndi madzi).
• Kaya (mazira akamalowa mkamwa kuchokera zala kapena zinthu zakanyumba zakusokonekera, zoseweretsa, zofunda).
• Njira yofalikira yopatsirana - poyeretsa ndikugwedeza nsalu ndi fumbi. Sizachilendo.

Njira zowukira auto (re) ndizofala nthawi ya enterobiasis, zomwe zimathandiza kukhalabe ndi matenda nthawi yayitali komanso chiwopsezo chachikulu cha odwala chotere. Zomwe zimayambitsa matenda kufalitsa, i.e., matenda opatsirana ndi enterobiasis, nthawi zambiri zimatha kudzera m'manja mwa zinthu zakhudzana ndi zinthu za m'nyumba (miphika ya ana, zofunda, zoseweretsa, nsalu, nsalu, madesiki amasukulu, matebulo, zitseko zam pakhomo, ndi zina). Chifukwa chake, zomwe zimayambitsa matenda ndizosagwirizana ndi malamulo aukhondo.

Zomwe zimakhudza kwambiri kufalikira kwa enterobiasis machitidwe aukhondo am'nyumba / mabungwe makamaka luso laumoyo. Kuchulukana kwa enterobiosis kumathandizidwa ndi kuchuluka kwa masukulu / kindergartens, ndi kuchuluka kwa nyumba. Kuthamangitsidwa kwa enterobiasis mwa akulu ndipo makamaka mwa ana ndikwambiri. Makamaka omwe ali pachiwopsezo chachikulu ndi ana kuyambira 1 mpaka 9, ndipo kuyambira wazaka 10, chiwopsezo chimachepa. Pambuyo anasamutsa enterobiosis aumbike chitetezo chokwanira, koma sikokwanira kupewa matenda oyambitsanso.

Anthu ambiri amakhulupirira molakwika kuti ziweto, zomwe ndimphaka, ndizomwe zimapangitsa kuti ma peworm aboneke. Izi sizowona. Mutha kutenga kachilomboka kuchokera ku amphaka, koma nyama izi zimakhala ndi mtundu wina wamitundu - feline chozungulira ndipo ngati zapezeka ndowe, ndiye kuti nyamayo iyenera kuthandizidwa mwachangu, popeza pali chiopsezo cha matenda kudzera mu ndowe ndi chitukuko toxocariasis.

Zizindikiro za zikhomo mwa akulu

Nthawi ya makulidwe amasiyanasiyana pakati pa masabata awiri ndi awiri. Zizindikiro ndi chithandizo cha zikhadabo mwa akulu ndizosiyanasiyana ndipo zimatsimikiziridwa makamaka ndi kulimba kwa kulowererapo komanso kuopsa kwa mayankho a omwe akalandira nawo msonkhanowo.

Akuluakulu nthawi zambiri okhala ndi tiziromboti ting'onoting'ono timalekerera matenda omwe amapezeka m'magazi ochepa kapena pafupifupi asymptomatic. Zizindikiro zazikulu: kuyaka mu anus ndi kuyimitsidwa kwa perian, nthawi zambiri usiku. Khungu kukwiya kwa perianal zone ndi perineal dera ndikotheka. Mwa anthu angapo, Zizindikiro za pinworm zimawonetseranso kufooka, kusokonezeka kwa kugona, kutopa, kuchepa kwa mphamvu yogwira ntchito, ndi mutu.

Pakakhala vuto lochulukirapo, majeremusi amatuluka nthawi zambiri madzulo komanso masana. Odwala amadandaula za kupweteketsa kapena kupweteka kwapafupipafupi m'malo osiyanasiyana a m'matumbo (nthawi zambiri m'malo ophatikizira), ndikumva kuwawa palpation. Zimbudzi zotayirira kwambiri zitha kuchitika, chizungulire, mutukudya kwakachepa, nseru.

Chifukwa chokanda pafupipafupi, ming'alu yayikulu komanso yopweteka imatha kuwoneka pakhungu pa perineum ndi perianal zone, komanso kupweteka kosalekeza / kwamakina ndi ma pinworms a dera lino kumathandizira kuti mawonekedwe ena azikhala ngati otupa. chikanga ndi zotupa.

Zosowa kwenikweni mwa akulu enterobiosis zimachitika ndikuwonongeka kwakukulu kwamanjenje, yomwe imadziwulula yokha kusowa tulo, kuchepa kwa ntchito yazidziwitso komanso kuchepa kwa ogwira ntchito. Mwa akazi, matendawa amatha kuoneka enterobiotic vulvovaginitis - pamene zikhomera zam'mimba zimalowa mu nyini zochuluka, zimapangitsa kuyamwa ndi kuyamwa, komanso kuyambitsa microflora yamatumbo kuchokera ku rectum. Kuyesedwa kwa magazi - kulimbikira eosinophilia.

Kuyesa ndi kuwazindikira

Njira zotsogola zothandizira kudziwa matenda matendawa ndi monga: kupweteka kwambiri kwa perianal kuyabwa ndi kupangidwa kwa mikwingwirima ndi mapangidwe abrasions, pyoderma, ming'alu, njira yotupa yamkati, kupweteka kwam'mimba m'chigawo cha hypogastric, dyspeptic syndrome (nseru, pafupipafupi, tulo, chisangalalo), astheno-neurotic syndrome (chizungulire, kupweteka mutu, kutopa, kukwiya, kusokonezeka kwa tulo, kukomoka pafupipafupi, kukonzekera usiku), kulimbikira eosinophilia m'magazi akunja.

Kuti mumvetse bwino za matendawa, kuwunika kwa njomba kumachitika - kuwunika kozama pang'onopang'ono. Kukolowera kumachitika kuchokera kumapanga perianal pogwiritsa ntchito zomatira zomata, spatula, tampon kapena kupindika pogwiritsa ntchito timitengo ta diso ta galasi malinga ndi Rabinovich. Kodi kudutsa kukulira mazira a Pinworm? Njirayi siyovuta. Amachitika ndi thonje swab choviikidwa mu glycerin / wapadera zomatira tepi m'mawa pamaso defecation ndi ukhondo njira za perineum. Ndondomeko Algorithm:

• nyowetsani thonje la thonje mu glycerin kapena gwiritsani tepi yapamwamba yomatira,
• kukankha matako mofatsa ndikutembenuza mafunde kuti azungulire anus mwachindunji kuchokera pamakutuwo kapena gwiritsani tepi yomatira.
• ikani ndodo / tepi mu chubu / pulasitiki yoyesera ndi chivindikiro cholimba,
• musanatumizidwe ku labotale (mkati mwa maola 2) amasungidwa mufiriji pamitengo ya +4,
• Njira akubwerezedwa 3 masiku.

Nthawi zina ma helminths akuluakulu amapezeka pansi pa ndowe. Ngati ndi kotheka, chopaka chachikazi chimatengedwa.

Kodi kuchitira zikhomera akuluakulu?

Chithandizo cha enterobiosis mu akulu zimadalira kuuma kwa matenda, kuwopsa kwa maphunzirowo, kupezeka kwa zovuta, komanso mankhwala osokoneza bongo a etiotropic (pathogenetic), ndiye kuti, mankhwala osokoneza bongo a pinworms, dalili zochizira, kutanthauza kubwezeretsa matumbo microbiocenosis, komanso njira zamankhwala zosagwiritsa ntchito mankhwala osokoneza bongo, kuphatikizapo zakudya, regimen, njira zochitira masewera olimbitsa thupi, njira za ukhondo. Kuchiza sikuyenera kungoyambira kuchotsera kachilombo, mazira ndi mphutsi kuchokera mthupi, komanso poletsa zotsatira za ntchito zawo zofunika (kukwiya, kuchepa kwa magazi, mawonekedwe a asthenic, ndi zina zambiri). Zosavuta enterobiosisMonga lamulo, amathandizidwa pamaziko a kunja (chithandizo kunyumba).

Derivatives nthawi zambiri zotchulidwa etiotropic mankhwala a enterobiosis. carbamatebenzimidazole (Medamine, Nemozole, Albendazole, Vermox, Mebendazole, Carbendacim) ndi tetrahydropyrimidine (Pyrantel) Mankhwala aliwonse opezeka pagululi ndi njira yothandiza yomwe imakhudzira mitundu ya ziwopsezo zogonana ndipo imakhala ndi ovicidal yothandiza kwambiri (mazira) ndi mazira osokoneza.

Mapiritsi a Pinworm mu akulu akulu amafamu. magulu amalepheretsa kayendedwe ka shuga mu helminth komanso njira zosokoneza makutidwe ndi okosijeni, komanso amakhala ndi vuto pa minyewa yamatumbo mwa kutseka kanthu cholineterase ndi kukomoka kwa mgwirizano wamanjenje.

Ndikofunika kumvetsetsa kuti mankhwalawa kwa achikulire ayenera kuperekedwa ndi katswiri, osasankha zomwe angapangire okha, kuyang'ana njira zabwino kwambiri, kuyendera gulu limodzi kapena lina, chifukwa mankhwalawa omwe ali mu Mlingo wolakwika sagwira ntchito, omwe samalola kuchiritsa wodwala pakapita nthawi, ndipo nthawi zina ngakhale owopsa. Chifukwa chake, odwala ambiri amayamba kutenga Kukongolapowerenga zidziwitso kuti ndi zothandiza pothana ndi zovuta zina zomwe zimayambira ndi zowongolera pomwe zimayikidwa ascariasis. Njira ya mankhwala mobwerezabwereza pambuyo masiku 14.

Ndizosatheka kuyankha mosagwirizana "ndizomwe mankhwalawa ali bwino pochotsa kachilombo ka nthomba kapena momwe mungachotsere kachilomboka kunyumba". Mwakutero, phindu la mankhwala amakono omwe amagwiritsidwa ntchito pochiza matenda a enterobiasis ndiokwera kwambiri (pafupifupi 90%), komabe, kuti palibe omwe angatsimikizire kuchira kwathunthu atatha maphunziro amodzi. Kuti muchiritsidwe kwathunthu, ngakhale osagwiritsidwa ntchito ndi mankhwalawa, maphunziro obwereza amafunikira ndipo njira zonse zaukhondo zimatsatiridwa.

Ndikofunikanso kumvetsetsa kuti kusenda panyumba kunyumba kuyenera kuchitidwa nthawi yomweyo ndi anthu onse pabanja. Asanalandire chithandizo, kuyeretsa konyowa koyenera kuyenera kuchitidwa, odwala ayenera kudzipukutira ndi kuvala zovala zamkati zoyenera, ndipo m'mawa, zovala zamkati / zofunda ziyenera kusinthidwa. Mankhwalawa, muyenera kudula misomali yanu mwachidule ndikupewa kukwawa malo.

Ndi kuvuta kwambiri kwa kuyamwa / isanayambike dermatitis, antihistamines amasonyezedwa: madzi / mapiritsi Erius, Desloratidine, Fenistil, Khalid etc. Pakapezeka zilonda zazing'ono pamalo opaka chifukwa cha kulowetsedwa kwa kachilomboka pachiwopsezo, mafuta a zinc amatha kuperekedwa kapena mafuta othandizira antibacterial am'deralo amagwiritsidwa ntchito: Levomekol, Oflokain ndi zina.

Poyimitsa mawonekedwe owoneka - Ketotifen. Ndi matenda otsekula m'mimba komanso kuledzera kwambiri, amayamba mankhwala osokoneza bongo (Sorbex, Diosorb, Yoyambitsa kaboni, Alaum, Enterosgel ndi zina).

Pofuna kubwezeretsa matumbo a microbiocenosis, tikulimbikitsidwa kupereka mankhwala monga Lactobacterin, Linex, Bifidumbacterin, Bifikol, Normoflorin ndi ena osiyanasiyana mitundu (makandulo, makapisozi).

Njira zamatenda

• Mukamayendetsa dera la anus. Usiku, yaikazi imayika mazira, imakwiyitsa malowa, imakwiyitsa kuyamwa ndipo wodwalayo amaphatikiza m'deralo pafupi ndi anus. Ngati ukhondo suwonedwa (kusamba m'manja ndikusowa chimbudzi tsiku ndi tsiku), mazira amalowa mkamwa kudzera m'manja ndikuyambiranso.
• Kuphatikiza ndi chonyamulira cha pinworm.
• Kudzera pazinthu zanyumba (ma handles a pakhomo, mabuku, zoseweretsa, mbale zosamba bwino, zofunda).
• Pamodzi ndi chakudya.
• Kudzera tsitsi la nyama.

Zizindikiro zodziwika bwino za matenda a Pinworm mwa akulu

• Kuyabwa kwa anus (nthawi zambiri usiku).
• Kuchepetsa ululu wam'mimba kwa mphamvu zopanda mphamvu.
• Tulutsani chopondapo.
• Kusowa tulo, kufooka.
• Akazi nthawi zambiri amakhala ndi zotupa kumaliseche, kuwotcha pamalo olowera kumaliseche, zilonda panthawi yogonana.
• Kuchepetsa chidwi.
• Thupi lawo siligwirizana.

Urticaria ndi Enterobiosis

Zizindikiro za Mavuto

Popanda chithandizo, mavuto osiyanasiyana amatha kukhala:

• Chizungulire, mphwayi.
• Mwa akazi, endometritis ndi vulvovaginitis chifukwa cha zikhomera zolowa mu nyini.
• Lakuthwa, lalitali.
• Kufalikira, chisangalalo.

Kuphatikiza khungu la wodwalayo mozungulira anus, kuphwanya kwaukhondo kungapangitse:

• Vuto lachiwiri la bakiteriya la epithelium ndi mafuta onunkhira osakaniza.
• Dermatitis
• Enterobiotic appendicitis.

Pinworms mwa akulu

Kuzindikira enterobiosis, njira zingapo zodziwitsa zagwiritsidwa ntchito:

1. Kuzindikiritsa Zizindikiro zazikulu: kuyabwa usiku, kuchepa kwa chilala, kufooka.
2. Kusanthula ndowe za mazira a pinworm. Njira iyi siyophunzitsa mokwanira. Chifukwa chake, njira zina zimagwiritsidwanso ntchito.
3. Kukula m'dera la anal sphincter. Kuti muchite izi, gwiritsani ntchito thonje la thonje kuti muwononge zomwe zili m'deralo pafupi ndi anus.
4. Chizindikiro cha anal sphincter. Mwanjira imeneyi, tepi yomatira imagwiritsidwa ntchito, yomwe imakongoleredwa kudera lino, ndiye kuti tepiyo imalowetsedwa ku galasi ndikuwonera pansi pa microscope.

Kusanthula kuyenera kuchitika kamodzi kapena kawiri chifukwa cha zotsatira zolondola kwambiri pakadutsa masabata awiri.

Mutha kuthana ndi majeremusi!

Antiparasitic tata® - Kutulutsa kachilombo koyenera komanso kotetezeka kwa majeremusi m'masiku 21!

• Kuphatikizikako kumaphatikizapo zosakaniza zachilengedwe zokha,
• Palibe mavuto
• Kutetezedwa kwathunthu
• Kuteteza chiwindi, mtima, mapapu, m'mimba, khungu ku tiziromboti
• Amachotsa m'thupi zonyansa zamapiritsi.
• Momwe amawononga ambiri amitundu ya helminths m'masiku 21.

Tsopano pali pulogalamu yokonda kwa ma CD aulere. Werengani malingaliro a akatswiri.

Nkhani zamalemba

• Malo Oletsa Kuteteza Matenda. Brucellosis Zomera. Lumikizani
• Matenda a Corbel M. J. Parasitic // World Health Organisation. Lumikizani
• Achichepere a E. J. Masewera abwino kwambiri a majeremusi am'matumbo // Matenda Opatsirana a Clinical. - 1995. Vol. 21. - P. 283-290. Lumikizani
• Yushchuk N.D., Vengerov Yu. A. Matenda opatsirana: buku. - Nkhani yachiwiri. - M: Mankhwala, 2003 .-- 544 p.
• Kuchulukana kwa matenda oyamba ndi majeremusi pakati pa anthu, 2009 / Kokolova L. M., Reshetnikov A. D., Plonov T. A., Verkhovtseva L. A.
• Helminths a carnivores apakhomo a dera la Voronezh, 2011 / Nikulin P.I., Romashov B.V.

Nkhani zabwino kwambiri za owerenga athu

Mutu: Ma paras ndi omwe amayambitsa mavuto onse!

Kuchokera kwa ndani: Lyudmila S. ([email protected])

Ku: Administration Noparasites.ru

Osati kale kwambiri, thanzi langa lidakulirakulira. Anayamba kumva kutopa kosalekeza, kupweteka mutu, ulesi komanso mtundu wina wopanda chidwi. Mavuto am'mimba adawonekeranso: kutulutsa, kutsegula m'mimba, kupweteka komanso kupuma movutikira.

Ndinaganiza kuti izi zinachitika chifukwa chogwira ntchito molimbika ndipo ndimayembekezera kuti zonse zidzangochitika zokha. Koma tsiku lililonse ndimkakulirakulira. Madokotala nawonso sangathe kunena chilichonse. Zikuwoneka kuti zonse ndizabwinobwino, koma ndimamva kuti thupi langa silili bwino.

Ndinaganiza zolumikizidwa kuchipatala chawekha. Kenako ndinalangizidwa, pamodzi ndi kusanthula kwapakati, kuti ndipereke kusanthula kwa majeremusi. Chifukwa chake, m'mayeso amodzi, ndidapeza majeremusi. Malinga ndi madotolo, zinali mphutsi zomwe 90% ya anthu ali nazo ndipo pafupifupi aliyense ali ndi kachilomboka, kwakukulu kapena pang'ono.

Anandisankhira maphunziro a antiparasitic mankhwala. Koma sizinandipatse zotsatira. Patatha sabata limodzi, mnzanga wina adanditumizira ulalo wonena za nkhani pomwe katswiri wina wa parasitala adagawana upangiri weniweni pothana ndi majeremusi. Nkhaniyi idapulumutsa moyo wanga. Ndidayitsatira maupangiri onse omwe analipo ndipo masiku angapo ndinamva bwino!

Chimbudzi chinayamba kuyenda bwino, mutu unasowa, ndipo mphamvu zomwe ndimazipeza zinawonekera. Chifukwa chodalirika, ndinapambananso mayeso ndipo sindinapeze majeremusi!

Ndani akufuna kuyeretsa matupi awo ku majeremusi, ndipo zilibe kanthu kuti ndi zolengedwa ziti zomwe zimakhala mwa inu - werengani nkhaniyi, ndikutsimikiza kuti 100% ikuthandizani! Pitani pa nkhaniyi >>>

Zodziwika bwino

Ambiri ali ndi chidwi ndi funso loti nyongolotsi zimawoneka bwanji komanso zomwe ma pinworm ali oopsa mwa akulu ndi ana. Mtundu uwu wa helminth umatchedwa nematode kakang'ono kwambiri. Malinga ndi malongosoledwe, awa ndi mphutsi zoyera. Maonekedwe a thupi amakhala opindika, amasiyana kutengera mtundu wa nyongolotsi. Chifukwa chake, mu helminth yachikazi, mathero a thupi amalozedwa. Wamphongo amakhala ndi mchira wowoneka ngati mbedza. Kutalika kwa chikazi kumasiyanasiyana kuyambira 9 mpaka 12 mm, omwe amakhala ochulukirapo kangapo kuposa amuna, kutalika kwawo ndi 3 mpaka 5 mm.

Tizilombo ta m'mimba tili ndi njira yosavuta yogaya chakudya, wokhala ndi pakamwa, esophagus yomwe, imadutsa m'matumbo ndi anus, ndikuchotsa zinthu zomwe ziwonongeka.

Poyerekeza dongosolo la kubereka kwa ma pinworm ndizovuta kwambiri. Mwa akazi, amayimiriridwa ndi khungu, nyini, chiberekero ndi thumba losunga mazira. Amuna amakhala ndi testis, yotsirizidwa ndi spicule yomwe imafalitsa umuna.

Njira yopatsirana

Njira yolumikizirana nyumba imawonekera ngati onse akulu ndi ana anyalanyaza malamulo oyambirira aukhondo. Mwachitsanzo, popewa matenda a kachidutswa kakang'ono:

• kusamba m'manja ndi sopo, makamaka mukapita ku chimbudzi,
• Sambani masamba ndi zipatso musanadye,
• Sambani m'manja musanadye,
• ngati m'nyumba muli nyama, yang'anirani zaukhondo wake, muziyesetsa kupewa ndi kuteteza ku nyongolotsi ndi majeremusi ena.
• chotsani tizilombo tosafunikira monga ntchentche, agogo, etc.,
• ngati munthu yemwe ali ndi kachilombo akukhala mnyumba, mupatseni zofunda, ziwiya ndi zinthu zina kuti mugwiritse ntchito kuti muchepetse chiopsezo chotenga matenda ena m'banjamo.

Ndikofunikira kudziwa kuti mkazi akangolowa mkamwa kudzera mkamwa, amakwatirana ndi mwamunayo ndipo pang'onopang'ono amasunthira kumatumbo akulu, komwe kuli malo abwino oberekera mazira. Tiyenera kudziwa kuti ndi wamkazi yemwe amatha kumamatira kukhoma lamatumbo. Pakatha pafupifupi milungu inayi, yaikazi imasunthira kubango. Kwambiri, usiku, mazira amayikidwa pakhungu pafupi ndi anus.

Ndizosavuta kulingalira momwe kudziyambitsa kudzachitika. Kupatula apo, nthawi zambiri ana saganizira chifukwa chake malo ena akukonzekera. Ndipo pambuyo pa njira yofananayo, munthu amakhala ndi kuyamwa mu tchire. Popeza tatha kudera lino, ndikosavuta kudzilowetsa ndikufalitsa mazira kwa mabanja ena. Ichi ndichifukwa chake ndikofunikira kuwunikira ukhondo wamanja ndi misomali yanga pakufunika.

Njira yochotsera majeremusi imawoneka yovuta kwambiri, makamaka ngati banja lonse lagwidwa ndi iwo. Dokotala yemwe amakupatsani mankhwala amakupatsani mapiritsi akuluakulu a ana ndi ana, kutengera zaka za wodwalayo. Koma kuwonjezera pa izi, zinthu zonse zaumwini ziyenera kudzipatula kwa akunja.

Ndikofunikira kufotokozera mwana momwe amasambitsirana manja, ndikofunikira kuti muwaphunzitse kusamba m'manja mutatha kuchimbudzi komanso musanadye.

Nthawi yamoyo wa mphutsi zam'mimba

Mosasamala kanthu za chamoyo, kaya ndi chachikulire kapena mwana, mphutsi yomwe imalowa m'thupi kudzera mkamwa imayamba gawo lamoyo. Poyamba, mothandizidwa ndi michere yam'mimba, chipolopolo cha dzira chimawonongedwa. Mphutsi zimamasulidwa ku chipolopolo. Kamodzi m'matumbo, mphutsi zimayamba kukhazikika bwino pafupifupi ma molts atatu. Pambuyo pake, anthu omwe si amuna kapena akazi anzawo. Amuna atatha kupanga umuna kukhala wopanda ntchito ndikufa, kusiya limodzi ndi ndowe. Yaikaziyo, chifukwa cha kuthekera kwayo kuti ichezetse, imangamira kukhoma lamatumbo kuti iyikire mazira. Wamkazi m'modzi amatha kukhala mphutsi kuyambira 5 mpaka 17,000 nthawi. Munthu akangoyikira mazira, amafa. Ndikosatheka kumuwona ndi maliseche, popeza thupi lake limadzuka.

Zizindikiro za pinworms ndi kukula kwa enterobiosis

Ngati matenda opezeka ndi zikhomo zambiri mwa akulu amapezeka mwachisawawa, ndiye kuti zizindikiro za enterobiosis sizikupezeka paliponse kapena zimawoneka mochepa kwambiri. Ndikofunika kudziwa kuti kutsatira malamulo oyang'anira ukhondo (kutsuka manja ndi antimicrobial othandizira kapena sopo, kusintha zovala zamkati ndi zina) ndiko kupewa bwino kwambiri kwamatendawa, chifukwa mwayi womwe ungayambitsenso matenda pamenepa ndi wochepa. Izi ndichifukwa choti ma nthumbu amafa mthupi la munthu patatha milungu ingapo (momwemo ndiye moyo wawo),, kubereka sikumachitika.

Ndi chiwopsezo chachikulu, chithunzicho ndi chosiyana, popeza munthawi ya kuwukira kwa kachilombo ka thupi la munthu, chizindikiro chodziwikiratu chimawonekera: kutulutsa kuyamwa mu anus, komwe kumatenga masiku angapo, ndipo kumatha kuunikiranso pakatha milungu iwiri kapena itatu. Nthawi zambiri, kuyimitsidwa kumayamba kukulira usiku, pakakhala zochulukitsa zochita za zikhomo za akazi. Kubwerezedwanso kwa kuyimitsidwa kumakwiya chifukwa chobwezeretsanso (kudziyambitsa matenda) - izi zimachitika pamene zikhombazo zimasintha mibadwo. Kuperewera kwa chithandizo chokwanira, kusatsatira malamulo aukhondo, komanso kulumikizana ndi anthu omwe ali ndi kachilomboka kumathandizira kuchuluka kwa anthu okhala ndi matipi. Pankhaniyi, kuyabwa m'dera la anus kumakhala kwamuyaya, komwe kumayambitsa kuzunzika kwambiri kwa munthu ndipo ndikofunikira kusankha njira yothandiza ya kachilomboka mwa akulu.

Kuphatikiza malo oyenda bwino nthawi zambiri kumayambitsa kukanda ndi ma microcracks., chomwe ndichinthu chofunikira kwambiri polowetsamo tizilombo tating'onoting'ono tomwe timalowa m'thupi komanso kuphatikizira kachilombo. Potsutsana ndi izi, mitundu ya dermatitis ndi zotupa zimayamba. Ngati simutenga matenda a zikhomera mwa ana ndi akulu munthawi yake, ndiye kuti mwina matendawo amakumana ndi matumbo. Nthawi zina ndowe zomwe zimakhala ndi magazi kapena ntchofu zimatha kutuluka mwa wodwala.

Pali lingaliro losatsimikizika lazachipatala lomwe limapangitsa kuti kuchuluka kwa zikhadabo mu cecum kungakhale chimodzi mwazomwe zimayambitsa kuchuluka kwa appendicitis.

Zotsatira za matenda a pinworm zimatha kukhala zosiyana kwambiri. Kuperewera kwa chithandizo choyenera ndi chitukuko cha enterobiosis nthawi zambiri kumabweretsa mawonekedwe oyipa ochokera mthupi:

• kuphwanya kapangidwe ka hemoglobin,
• kuledzera kwakukulu,
• kuchuluka kwadzaoneni
• kutopa pakuchita masewera olimbitsa thupi,
• mwadzidzidzi kupweteka kwa mutu.

Kuphatikiza apo, chifukwa cha matendawa atadwala, odwala amatha kukumana ndi mavuto osiyanasiyana komanso kugona. Kwa thupi lachikazi, zofalikira za helminthic ndizowopsa chifukwa zimathandizira kukulitsa kwa ma pathologies monga vulvovaginitis ndi endometritis.

Pinworms pa mimba

Muzochitika zachipatala, milandu ya chitukuko cha enterobiosis mwa amayi apakati sapezeka. Koma ngakhale ndi ma tepi m'thupi la mayi woyembekezera, izi sizikhala chiopsezo chachikulu kwa mwana wosabadwa (posatengera nthawi yayitali). Koma kwa mzimayiyu payekha, chiwopsezo chilipo - atha kukhala ndi mitundu yosiyanasiyana ya majini.

Ngati matenda amtundu wa pinworm amapezeka nthawi yoyamba kubereka, ndiye kuti chithandizo cha mankhwala pamwambapa chimaphatikizidwa. Ngati njira ina yothandizira, wowerengeka azitsamba za kuwonongeka kwa helminthic angagwiritsidwe ntchito. Pakati ndikumapeto kwa pakati, polimbana ndi matenda am'mimba, tikulimbikitsidwa kugwiritsa ntchito Piraten kapena Piperazin, omwe amatengedwa ngati mankhwala otetezeka motsutsana ndi tiziromboti.

Panthawi yoyamwitsa, kugwiritsa ntchito mankhwala sikuloledwa. Kuti achite njira yoyeretsa thupi ndi mankhwala antiparasitic, madokotala nthawi zambiri amasokoneza njira yodyetsera (nthawi zambiri masiku atatu kapena anayi ndi okwanira).

Zotsatira za matendawa

Njira yolondola ya vuto la "parasitic" ndiyo njira yothandizira kuti muchiritsidwe, koma ndikofunikira kuti ntchito zazikulu zomwe zimayambitsa kuwonongeka kwa ma pinworm zimachitika nthawi yake. Popanda chithandizo, zotsatirapo za thupi zimakhala zazikulu. Kuberekera mwachangu kwa zikhadabo ndi kuwonjezeka mofulumira kwa chiwerengero chawo nthawi zambiri kumayambitsa chitukuko cha eosinophilic enterocolitis - izi zimawonedwa ndi matenda opatsirana kwa nthawi yayitali.

Kuyenda kwa zikhomera mwa ana ndi akulu pamodzi ndi ziwalo zamkati kumayambitsa kuwonongeka kwa mucous membrane, zomwe zimayambitsa kukula kwa gastroduodenitis. Kwa azimayi akuluakulu, kuchuluka kwa tiziromboti kumakhala chifukwa cha ulesi wogwirira ntchito. Kuphatikiza apo, pali chiopsezo chachikulu chotenga njira zotupa mu nyini, thumba losunga mazira ndi mafupa a m'mimba. Ngati nsonga za m'mimba zimatulutsidwa mwachindunji mu cecum, kufalikira kwa appendicitis kumachitika kawirikawiri, komwe nthawi zambiri kumatha ndi opareshoni. Kusamukira kwa tiziromboti kulowa m'mimba kumawonjezera mwayi wokhala ndi peritonitis.

Mankhwala

Ngati zotsatira za kusanthula zikusonyeza kukhalapo kwa nsungu m'thupi la munthu, adotolo amakupatsani chithandizo. Zachidziwikire, pali njira yothandiza yolimbana ndi izi. Ndipo momwe tiyenera kuchitira ndi ma kachilombo ka ana? Onse ana ndi akulu nthawi zambiri amapatsidwa mankhwala omwewo, koma osiyanasiyana.

• "Levamisole-Desaris" (mtengo wake umatengera mtundu wa zotulutsira komanso ma ruble 70),
• "Pirantel" (mtengo wake ndi ma ruble 30-35),
• Helminthox (pafupifupi 80-120 ma ruble),
• Mebendazole (kuyambira 90 mpaka 120 ma ruble),
• "Vormin" (mtengo wake ndi ma ruble 20),
• Vermox (pafupifupi 90 ma ruble).

Mankhwala onsewa ndi okhudzana ndi mankhwala ndipo amapezeka nthawi zonse pachipatala chilichonse.

Piperazine amathanso kutumizidwa - mankhwalawa amawonedwa ngati osagwira pakhungu, koma amangotengedwa pokhapokha pakati komanso pakati. Zimawononga pafupifupi ma ruble 30.

Nthawi zina adotolo amatumiza "Nemozol", omwe amatanthauza kuti anthelmintic wamphamvu, koma nthawi yomweyo amakhala ndi zotsutsana zingapo. Kugwiritsa ntchito kwake ndikofunikira ngati, kuphatikiza ndi nsungu, mitundu ina ya mphutsi imapezeka. Nthawi zina, chithandizo chofewa chimakhala chachikulu. Mtengo wa mankhwalawo ndi pafupifupi ma ruble 180.

Chithandizo chilichonse chimakhala chothandiza pokhapokha ngati mankhwalawo abwerezedwa pambuyo pa milungu iwiri. Izi zikuwonetsedwa mu malangizo, izi zimanenedwa ndi adokotala. Kufunikira kumeneku kumachitika chifukwa chakuti zinthu zomwe zimagwiritsidwa ntchito ndi mankhwalawa sizikhudza mphutsi ndi mazira - kokha kwa akuluakulu. Pakatha milungu iwiri, anthu otsalawo akhoza kuwonongedwa kwathunthu.

Ngati kuyamwa kumayambitsa kuyabwa kwambiri, dokotala angakupatseni mankhwala a antihistamines. - mwachitsanzo, "Cestrin", "Zodak", "Loratodin". Kuyabwa kumatha kupumulanso ndi mtundu wapadera. Pa kukonzekera kwake, ndikofunikira kupukuta magalamu 10 a koloko yowotchera mu lita imodzi yamadzi.

Chofunikira pakuchiritsira ndichatsopano munjira yaukhondo. Zofunika:

• kusamba m'manja ndi sopo mukatha kuchimbudzi, musanadye chakudya,
• misomali yayifupi,
• Sinthani zovala zam'mawa ndi zamadzulo,
• Sambani nthawi yomweyo, muziwaza ndi chitsulo,
• tsiku lililonse mchipindamo muyenera kuyeretsa konyowa, kuphera tizimbudzi.

Njira zosavuta izi zithandizira kuchotsa ma parasites, kuchepetsa chiopsezo chakuwopsezedwa ndi ena.

Mankhwala achikhalidwe polimbana ndi zikhwimbi

Mankhwala achikhalidwe, zachidziwikire, ali ndi zomwe angapereke kuti athane ndi ma nthumbu. Enterobiosis amathandizidwa ndi enemas oyeretsa. Mwachitsanzo, kuwola kwa chowawa, kumagwiritsidwa ntchito pochotsa thupi la zikhomo. Chinsinsi ndichosavuta. Zimatenga magalamu 20 a chowawa chowuma ndi kapu imodzi ya madzi otentha. Udzu umathiridwa ndi madzi otentha ndikuumirira maola asanu. Zitatha izi, msuzi umakonzedwa. Enema nthawi zambiri imayikidwa usiku ndikuchita pafupipafupi, mpaka kuchira kwathunthu.

Maphikidwe amadziwika kuposa kuchiza zikhomo zomwe zimakhudza helminths osati mwachindunji mu rectum. Mwachitsanzo, adyo. Kuti mukonzekere mankhwalawa, mumafunikira zovala ziwiri za adyo. Imaphwanyidwa ndikuphatikizidwa ndi madzi. Njira yothetsera vutoli iyenera kukhala yoledzera kwathunthu, ngati kuli kotheka - kutsukidwa ndi madzi oyera. Tengani adyo motere kwa masiku atatu, kenako siyani kumwa kwa masiku asanu ndi awiri, mubwereze njira yamankhwala. Amakhulupirira kuti adyo mwachilengedwe amadzaza magazi ndi zinthu zomwe zimalimbikitsa kupukutira kwa zikhomo ndi ziwindi zina kuchokera mthupi, komanso zimalepheretsa kulowetsedwa kwawo kuchokera kumero.

Ntchito mankhwalawa wowerengeka wazipini ndi anyezi. Kuti mukonze mankhwalawa mufunika ma gramu 100 a anyezi, omwe ayenera kuperewera. Zotsatira zomwe zimatsalira zimasakanizidwa ndi magalamu 50 a mafuta a masamba ndi magalamu asanu amchere. Imwani mankhwalawa usiku kwa masiku asanu.

Mankhwala achikhalidwe amapereka zida zosavuta zomwe aliyense angathe kudzikonzekera. Komabe, palibe chifukwa chokayikira kukhudzika kwa mankhwalawa m'mankhwala amakono. Nthawi zina ndibwino kuti musadziike pachiwopsezo, podziika pangozi nokha ndi okondedwa anu.

Kodi mbawala zimakhala kuti?

Masipinishi ndi achilengedwe, ndiye kuti, afalikira padziko lonse lapansi, koma koposa zonse m'maiko okhala ndi kutentha. Nthawi zambiri, milandu yokhudzana ndi matenda amtunduwu wa helminth imawonedwa ku USA ndi Western Europe.

Matenda a Pinworm amatengera anthu amisinkhu yonse, ngakhale ambiri amatenga matenda asanakwane zaka 12.Munthu aliyense, mosasamala za zinthu monga fuko, chikhalidwe chake ndi chikhalidwe chake, atha kudwala. Dera loopsalo limaphatikizapo ana omwe amakhala pafupi, mabanja omwe ali ndi ana, komanso ogwira ntchito kumalo osamalira ana.

Mazira ophatikizidwa nthawi zambiri amagwera m'manja ndi misomali, komanso amathanso kuvala (makamaka zovala zamkati), zofunda, matawulo, kusamba ndi makhoma amchimbudzi, kapena ngakhale fumbi la m'nyumba.

Mkati mwa munthu, mphutsi zimapezeka m'matumbo ang'onoang'ono. Koma atasamukira ndikusungunuka, zikhadabo zachikulire zimakhala kale m'matumbo, pomwe matumbo ochepa amapitilira m'matumbo ndikutsikira.

Kodi maexworm ndi owopsa motani?

Monga lamulo, osati kwambiri. Nthawi zambiri, zoyipitsitsa zomwe zimayambitsa ndikuyambitsa ndi kusamva bwino mozungulira anus (anus). Izi nthawi zina zimapangitsa ana kudzuka, kusokoneza magonedwe awo. Zikwangwani zimatha kupweteka mu anus komanso zimayambitsa matenda achiwonetsero (bakiteriya dermatitis). Chiwopsezo chachikulu cha ma pini chimatha kupweteka m'mimba komanso kupangitsa mwana kukwiya. Mwa akazi, nyongolotsi izi zimatha kupita patsogolo ndikugona mazira mu nyini kapena urethra. Chifukwa chake, ndikuyenera kuti dokotalayo akuwonetsa kulumikizana pakati pa kukhalapo kwa ma nthumbu mwa atsikana ang'ono ndi kutulutsa kumaliseche, enursis, kapena mavuto pokodza. Nthawi zambiri, tiziromboti timatha kuyambitsa mavuto ena, monga kuchepa kwa chilimbikitso ndi kuchepa thupi.

Kapangidwe

Nyongolotsi za Enterobius vermicularis ndizochepa, zoyera, ngati ulusi. Akazi ndi okulirapo - pamtunda kuchokera pa 8-13 mm ndi 0,3-0,5 mm pamtanda, amuna ndi ochepa - pamtunda kuchokera 2-5 mm ndi 0.1-0.2 mm pamtanda. Amuna achikazi ali ndi kutalika kotsalira, kowoneka ngati mkota, nchifukwa chake ali ndi dzina. Amuna, kumbuyo kwa thupi kumakhala kopindika.

Masiponji amamangiriridwa kukhoma la matumbo mothandizidwa ndi kutupa kwapadera - ma vesicles omwe ali kutsogolo kwa thupi.

Mazira a majeremusi ndi ozungulira, pamwamba amazunguliridwa ndi chipolopolo cholimba chopanda utoto. Thumba losunga mazira limayamwa kuchokera mbali imodzi ndipo pang'ono pang'onopang'ono kuchokera mbali inayo. Kukula kwake ndikuchokera ku 0.02 mpaka 0.04 mm.

Masipini amadya m'mimba yama microflora.

Nyongolotsi zamtundu wa Enterobius anthropopitheci, kuphatikiza ma chimpanzee, ndizosiyana pang'ono: abambo - 1.1-1.8 mm, akazi - 3.3-4.7 mm. Amasiyananso pang'ono pamapangidwe azikhalidwe kuchokera kwa oimira mitundu yakale.

Ndi mazira angati a ntchentche omwe amakhala kunja kwa munthu?

M'malo ena kunja kwa thupi la munthu, mazira a pinworm, m'malo abwino, amatha kukhalabe ndi moyo mpaka milungu itatu (m'madzi apampopi, kutengera kutentha, masiku 7-20). Ndikofunikira kuti akhalebe chinyontho, chifukwa chake sangathe kulekerera kutentha, koma amatha kukhalabe ndi kutentha kochepa - magawo awiri mwa atatu a mazira amakhalabe ochita bwino pambuyo pa maola 18 ku -8 ° C.

Akuluakulu sangakhale kunja kwa thupi la munthu.

Kodi matenda amatenga bwanji?

Masiponji amatumizidwa kuchoka kwa munthu kupita kwa munthu, zomwe zimachitika mazira akamameza kapena nthawi zina akalowa rectum kudzera mwa anus. Mazira enieniwo ndi olimba ndipo amatha kukhala otheka (i.e. infera) m'malo otentha kwa milungu itatu.

Mazirawo atayikidwa kaye pakhungu pafupi ndi anus, amafalikira mosavuta pamalo ena. Zigoba za mazira ndizomata, chifukwa zimasiya zachikazi ndi ntchofu, kuti zikhazikike mosavuta pazomangamanga, zala, zovala ndi usiku komanso zofunda. Kuyambira pano kale kugwera pa chakudya, madzi, mipando, zoseweretsa, nyali zakuchimbudzi ndi zinthu zina zapakhomo. Ziweto nthawi zambiri zimanyamula mazira mu chovala chawo, koma iwo eni sangathe kutenga kachilomboka. Fumbi lokhala ndi dzira limatha kunyamula mlengalenga ndikumabalalitsa mwankhanza likatuluka pansi, mwachitsanzo, pakugwedeza zofunda. Chifukwa chake mazira amatha kulowa mkamwa ndi mphuno pakukomoka, ndikumeza pambuyo pake.

Koma zadziwika kuti ma ntchentche nthawi zambiri siziwala mkati mwa mbuye wawo. Mphutsi zina zam'mimba zimatha kugwera pa mucosa ndikusunthira m'matumbo kuti mubwerere m'matumbo a munthu yemweyo. Kukula kwa zotsatira za njirayi. Ngakhale atakhala nthawi yayitali bwanji ya kachilomboka (mpaka milungu 13), ngati pakadakhala kachilomboka pakulowetsa mazira, kapena kusuntha kwa mphutsi kubwerera m'matumbo, chithandizo chimafunikanso kuchotseratu.

Dzira litagona ndi zikhomo zamkazi mwa ana

Kukonzekera

Chithandizo chothandiza kwambiri komanso chofunikira kwambiri mokhudzana ndi mtundu wa mankhwala othandizira ndi kawopsedwe masiku ano ndi Mebendazole. Ndizoyenera anthu azaka zonse zopitilira zaka ziwiri. Onse m'banjamo, kuphatikiza achikulire ndi omwe alibe zizindikiro, ayenera kumwa mankhwalawo nthawi yomweyo. Mlingo woyamba umapha nyongolotsi. Lachiwiri (pambuyo pa masabata awiri) nthawi zina limakhala lofunikira ngati matendawa sanadutse kwathunthu, kapena kuyambiranso matendawa ndi mazira omwe amakhalabe mnyumba. Mlingo umodzi wa akulu omwe ali ndi enterobiasis ndi 100 mg.

Praziquantel imakhala yofatsa kwa thupi, koma yosavuta kutenga. Iyenera kumwedwa kwa masiku 5, koma imaloledwa ngakhale kwa ana osakwana chaka chimodzi. Mankhwala ena okhala ndi zinthu monga albendazole, levamisole amathanso kupirira ndi ma pini.

Pa nthawi yoyembekezera

Pa nthawi yoyembekezera, nthawi yoyamba ya trimester, simungathe kumwa mankhwala omwe amapha mphutsi. Komabe, njira za ukhondo zimathanso kukhala zothandiza kwambiri. Zomera zimafa pafupifupi masabata 6 mpaka 13. Pokhapokha ngati mazira atsopano samezedwa, ndiye kuti palibe majeremusi atsopano omwe amakula m'malo mwake. Chifukwa chake, ngati njira zoyenera za ukhondo zikapitilizidwa, matenda ogwiritsanso ntchito kachilomboka adzasweka, ndipo enterobiosis imatha yokha.
Ngati mankhwala amawoneka kuti ndi ofunika mu nthawi yachiwiri kapena yachitatu ya kubereka, adokotala angalangize mebendazole. Komabe, silivomerezedwa kuti mugwiritse ntchito panthawi yapakati.