mob plab hnyuv dab tsi? Koj yuav pom cov lus teb rau lo lus nug nyuaj no hauv cov ntaub ntawv ntawm kab lus no. Peb kuj yuav qhia koj yuav ua li cas tshem tawm cov qhua tsis txaus siab no.
Cov ntaub ntawv tseem ceeb
Cov pob txuv hauv plab, daim duab uas koj tuaj yeem pom hauv kab lus no, yog kab mob sib kis. Muaj ntau ntau ntau hom kab mob xws li kab mob. Lawv feem ntau muaj kev nyab xeeb rau tib neeg, tab sis muaj qee qhov ua rau muaj mob hnyav.
Ntawm tus kab mob
Cov kab mob hauv plab, lub voj voog ntawm lub neej pib sai li sai tau thaum tus neeg kis tus kab mob nrog lawv cov larvae, tuaj yeem ua rau muaj kev loj hlob ntawm tus kab mob xws li strongyloidiasis. Qhov no yog kab mob parasitic. Nws yuav tsum tau kho tam sim tom qab kuaj mob.
Cov pob txuv hauv plab muaj peev xwm nyob thiab sib npaug hauv tib neeg lub cev tau ntau xyoo yam tsis ua rau muaj tsos mob. Txawm li cas los xij, nws yuav tsum raug sau tseg tias cov kab mob no ua rau muaj kev hem thawj rau lub neej ntawm cov neeg uas muaj kev tiv thaiv kab mob tsawg.
Kev faib tawm
Strongyloidosis yog qhov dav heev hauv cov tebchaws uas muaj huab cua sov thiab sov sov. Nyob rau hauv cov cheeb tsam endemic, plab hnyuv pob txuv tuaj yeemcuam tshuam txog li 40% ntawm cov neeg. Kwv yees li ntawm 100-180 lab tus tib neeg hauv 70 lub tebchaws thoob ntiaj teb tau kis tus kabmob parasitic no.
Nws yuav tsum tau muab sau tseg tshwj xeeb tshaj yog tias muaj zogyloidiasis muaj ntau heev nyob rau hauv cov neeg nyob rau hauv Azerbaijan, Georgia, raws li zoo raws li nyob rau hauv sab hnub poob Ukraine, nyob rau hauv lub Stavropol thiab Krasnodar cheeb tsam, nyob rau hauv lub Amur cheeb tsam thiab lub Rostov cheeb tsam.
Txoj kev kis kab mob
Cov kab mob hauv plab, lossis lawv cov larvae tuaj yeem nkag mus rau tib neeg lub cev txawm tias los ntawm daim tawv nqaij tsis zoo (piv txwv li, thaum taug kev taw liab qab lossis hauv cov txheej txheem ntawm lwm yam kev sib cuag nrog av).
Cov tsos mob ntawm tus mob muaj zogyloidiasis tuaj yeem nrog khaus thiab tsis yog tsuas yog cov txheej txheem ntawm kev nkag mus ntawm cov larvae, tab sis kuj tseem nyob ntawm cov kab mob hauv tib neeg lub cev, qhov chaw uas lawv tau nqa sai sai los ntawm cov hlab ntsha los ntawm cov kabmob thiab cov hlab ntsha, raws li qhov tshwm sim ntawm lawv xaus rau hauv cov hnyuv. Feem ntau cov tshwm sim ntawm xws li kev ntxeem tau yog cov quav xoob thiab dej, ua pob khaus ntawm daim tawv nqaij, thiab mob plab heev.
plab hnyuv pob txuv: morphology thiab lub neej voj voog
Ugria yog me me filamentous nematode. Tus poj niam ntawm tus kab mob no feem ntau ncav cuag qhov ntev ntawm tsuas yog 2 hli. Raws li tus txiv neej, nws me dua (kwv yees li 0.7 mm).
Nyob ntawm lub qhov ncauj qhib tus cab yog lub npe hu ua daim di ncauj. Tus Tsov tus tw ntawm lub cev ntawm tus poj niam muaj me ntsis thickening. Nyob rau hauv cov xwm txheej zoo, nws nteg qe, qhov loj ntawm qhov ncav cuag 30-58 microns. Xws li cov larvae muaj lub plhaub uas muaj zog heev.
yog dab tsiplab hnyuv pob txuv? Tus qauv ntawm tus kab mob no zoo ib yam li cov kab mob sib kis.
Lub neej voj voog ntawm helminth hauv nqe lus nug yog qhov nyuaj heev. Nws muab cov kev hloov pauv ntawm kev ua neej nyob dawb ntawm eels mus rau cov kab mob cab. Thawj nyob hauv av. Cov poj niam nteg qe ntau, thiab tom qab ib pliag, rhabdite-zoo li larvae tawm ntawm lawv. Nyob rau hauv av, lawv noj cov organic xwm.
Nyob rau hauv cov xwm txheej tsis zoo, cov kab mob no tsis cuam tshuam. Lawv hloov mus rau hauv daim ntawv filariform, thiab tom qab ntawd tuaj yeem ua rau muaj tus kab mob muaj zogyloidiasis.
Fertilization ntawm plab hnyuv pob txuv hauv cov kab mob muaj sia tshwm sim hauv trachea lossis bronchi. Tom qab ua tiav cov txheej txheem no, tus kab mob roundworm nkag mus rau hauv lub pharynx los ntawm txoj kev ua pa, thiab tom qab ntawd nws nqos nrog rau qaub ncaug, hnoos qeev lossis zaub mov. Raws li qhov tshwm sim ntawm qhov no, tus kab mob mus txog cov hnyuv, qhov twg, qhov tseeb, cov qe tau pw. Tom qab qee lub sijhawm, rhabdite-zoo li larvae tshwm sim los ntawm tom kawg. Feem ntau lawv tawm hauv tib neeg lub cev nrog quav. Txawm hais tias qee zaum cov kab mob no tsis tuaj. Yog li ntawd, lawv raug hloov mus rau hauv daim ntawv filariform. Nyob rau theem no, tus cab dua nkag mus rau hauv cov hlab ntsha los ntawm cov phab ntsa ntawm cov hnyuv, thiab tom qab ntawd nws lub neej voj voog rov qab. Qhov tshwm sim no tuaj yeem tshwm sim nrog cem quav lossis lwm yam laj thawj uas tiv thaiv kev khoob rau ib hnub lossis ntau dua.
Signs
Tam sim no koj paub lub voj voog ntawm kev loj hlob ntawm pob txuv plab hnyuv. Cov tsos mob dab tsi nrog xws li tus kab mob parasitictus kab mob zoo li tus mob Stryloidiasis? Cov tsos mob ntawm tus kab mob no nyob ntawm nws qhov hnyav thiab tus yam ntxwv ntawm lub cev.
Strongyloidosis tuaj yeem tshwm sim hauv ntau hom: asymptomatic autoinfection, mob hnyav, kab mob ntev nrog plab hnyuv, Loeffler's syndrome, symptomatic autoinfection, thiab hyperinfection syndrome nrog kev sib kis ntawm helminths thoob plaws hauv lub cev.
Nyob rau hauv cov neeg tiv thaiv kab mob thiab tsis muaj zog, muaj zogyloidiasis tuaj yeem yooj yim dhau mus rau hauv daim ntawv tshaj tawm. Hauv qhov no, larvae kis thoob plaws lub cev. Daim ntawv ntawm tus kab mob no nyuaj heev, ua rau muaj ntshav lom, mob meningitis, myocarditis thiab lwm yam.
Cov tsos mob tseem ceeb ntawm tus mob muaj zog muaj xws li hauv qab no:
- plab hnyuv tshwm sim: tsam plab, mob epigastric, qhov quav khaus, raws plab, xeev siab, tsis qab los, cem quav, poob phaus, ntuav.
- Pulmonary manifestations: hawb pob hauv ntsws, ua tsis taus pa thiab hnoos me ntsis (tej zaum yuav muaj ntshav nrog).
- Cov tawv nqaij tshwm sim: pob khaus ntawm ib feem ntawm lub cev uas tau kov hauv av. Cov pob khaus no yog cov pob liab liab-liab oval hlwv uas nce saum npoo ntawm daim tawv nqaij. Lawv tuaj yeem hloov pauv qhov loj me, nrog rau khaus khaus hnyav thiab nyob ntawm lub npog rau ob peb teev lossis hnub.
- Lwm yam tshwm sim. Yog tias tus menyuam mos tau kis tus kabmob NS, ces tus neeg mob yuav muaj lub caj dab txhav, mob taub hau, cov tsos mob ntawm tus mob meningitis, thiab tseem tsis nco qab.
Nws tseem yuav tsum tau sau tseg tias kev sib kis ntawm helminths thoob plaws hauv lub cev tuaj yeem ua rau lub siab, lub plawv, lub raum, peritoneum, thyroid thiab pancreas, nrog rau cov qog nqaij hlav, prostate thiab zes qe menyuam.
Yuav kuaj li cas?
Kev kuaj mob ntawm tus mob muaj zogyloidiasis yog txheej txheem nyuaj heev. Tsis muaj kev kuaj mob rau tus kab mob no. Feem ntau qhov kev kuaj mob tau ua lig dhau los lossis tsis raug. Qhov no yog vim qhov tsis meej thiab tsis meej ntawm kev tsis txaus siab.
Nyob rau hauv cov neeg uas muaj tus kab mob ntev, cov kab mob cab nyob hauv tsawg tsawg. Nyob rau tib lub sijhawm, cov larvae tau tawm mus tas li nrog rau cov quav, uas ua rau muaj kev cuam tshuam loj heev.
Cov hauv qab no tso cai rau kuaj pom tus kab mob no:
- enzymatic immunoassay;
- fecal microscopy;
- immunofluorescence cov tshuaj tiv thaiv;
- Microscopy method (hloov) raws li Bergman;
- polymerase chain reaction;
- quav kab lis kev cai ntawm ntshav agar;
- aspiration biopsy.
mob plab hnyuv: kho
Cov tshuaj lom neeg thiab tshuaj lom neeg ntawm pob txuv tsis tso cai kom ua tiav kev kho tus kab mob parasitic los ntawm kev siv cov tshuaj me me. Larval theem yog qhov nyuaj heev los kho. Nws yog qhov zoo dua los tshem tawm cov kab mob no hauv cov txheej txheem ntawm nws txoj kev loj hlob.
Cov tshuaj zoo tshaj plaws rau kev kho mob ntawm tus mob Stryloidiasis yog Ivermectin. Cov tshuaj no zoo tagnrho rau kev kho mob ntev thiabDaim ntawv mob hnyav, nrog rau kev nthuav tawm hyperinfection.
Tom qab ob hnub ntawm kev kho mob, tus nqi rov qab los ntawm cov neeg mob yog kwv yees li 97. Txawm li cas los xij, nws yuav tsum tau muab sau tseg tias cov tshuaj no tsis yog siv rau cov menyuam yaus, vim tias nws cov nyhuv rau tus menyuam tsis tau kawm tag nrho.
Mebendazole thiab Aalbendazole yog lwm txoj kev kho mob rau tus kab mob cab. Txhawm rau zam qhov teeb meem ntsig txog CNS, cov tshuaj tom kawg yuav tsum tsuas yog muab los ntawm tus kws kho mob uas muaj kev paub dhau los ua ke nrog glucocorticoids thiab tshuaj tiv thaiv kab mob.
Kev kho mob ntawm cov neeg mob tom qab kev kho mob tiav hauv ib xyoos. Nrog rau kev cuam tshuam ntev dua, thaum tus neeg mob tsim cov kev hloov pauv dystrophic hauv cov mucous daim nyias nyias ntawm txoj hnyuv, tus neeg mob yuav tsum tau noj cov tshuaj enzymatic thiab kho kom rov zoo.
