Lub ntiaj teb zoo kawg nkaus uas peb nyob, hmoov tsis zoo, muaj ntau pua tus tsiaj nyob uas tsis ua dab tsi tab sis ua rau peb muaj teeb meem, thiab qee zaum txawm hem peb lub neej. Ib tus yeeb ncuab ntawm cov tub rog ntawm cov kab mob no yog lub ntsej muag tsis pom lub ntsej muag amoeba uas ua rau cov kab mob tuag taus amoebiasis. Kev kho mob yuav tsum pib tam sim ntawd, thiab tshuaj tua kab mob yuav tsum tau ua thaum muaj kev sib kis. Amoebiasis yog insidious heev, vim hais tias cov kab mob amoeba, tau nkag mus rau hauv peb cov hnyuv, muaj peev xwm kis tau cov ntshav mus rau lwm yam kabmob, qhov uas nws yog ib qho nyuaj heev los mus ntes lawv. Nws yog qhov tshwj xeeb tshaj yog kev hem thawj rau lub neej yog tias amoebas nkag mus rau hauv lub hlwb. Txhawm rau tiv thaiv qhov no tshwm sim, koj yuav tsum maj mus rau tus kws kho mob ntawm thawj qhov cim ntawm tus kab mob. Cia peb ua tib zoo saib cov lus nug hauv qab no: qhov twg amoebiasis tuaj ntawm, cov tsos mob thiab kev kho mob ntawm tus kab mob, thiab qhov tseem ceeb tshaj plaws, kev tiv thaiv kev tiv thaiv uas yuav tsum tau ua kom tsis txhob ntsib nws txhua.
Amebiasis kab mob
Pib nrog, cia peb kos ib daim duab ntawm cov tsiaj txhu uas yooj yim tshaj plaws hu ua dysenteric amoeba,los yog, scientifically, Entamoeba histolytica. Nws txawv ntawm nws cov txheeb ze nyob rau hauv ntau me me ntawm cov pseudopods thiab lub cev tag nrho. Qhov no amoeba nyob tsuas yog parasitic, thiab tsuas yog peb tib neeg tuaj yeem dhau los ua nws cov neeg raug tsim txom. Tus kab mob me me no txawj ntse heev uas nws tau tswj kom kis tau ntau dua 900 lab tus tib neeg hauv ntiaj teb, muab nqi zog rau lawv nrog cov kab mob xws li amoebiasis. Kev kho mob ntawm tus kab mob, pib nyob rau hauv lub sij hawm, muaj ib tug zoo prognosis. Yog tias koj tsis maj mus rau tus kws kho mob thiab kho tus kheej, koj tuaj yeem them nrog koj lub neej. Lub dysenteric amoeba tuaj yeem muaj nyob hauv peb hom sib txawv:
1. cysts. Lawv tuaj yeem muab piv rau qe. Lawv puag ncig, ntau heev, txog 12 microns, npog nrog tuab ob-txheej plhaub sab hauv) thiab paub tab (meej 4 cores sab hauv). Cov cysts yog lub luag haujlwm rau kis cov neeg noj qab haus huv. Tsim nyob rau hauv lub cev ntawm tus neeg mob, lawv tuaj tawm nrog quav. Nyob rau hauv ib puag ncig sab nraud, lawv nyob li ib hlis, thiab hauv dej - 3-4 lub hlis, thiab ntau cov tshuaj tua kab mob tsis tuaj yeem tiv nrog lawv. Yog li ntawd, txhua lub sijhawm no, koj tuaj yeem ntes tau amoebiasis tau yooj yim, kev kho mob uas peb yuav xav txog hauv qab no.
Nyob hauv tib neeg lub plab, cysts nyob dormant. Lawv daim nyias nyias tsuas yog yaj hauv cov hnyuv. Nyob ntawd, ib tug neeg laus plaub-tub ntxhais, hu ua leej niam, faib, hloov mus ua 8 tus ntxhais ib leeg.
2. daim ntawv translucent. Cov ntxhais amoebas noj cov microbes uas nyob hauv peb cov hnyuv, loj hlob sai thiab maj mam txav ntawm cov hnyuv mus rau cov hnyuv loj. Tsuav yog lawv tsis muaj mob.
3. Npuag daim ntawv. Thaum mus txog rau txoj hnyuv loj, cov loj hlob amoebas tau nkag mus rau hauvnws cov phab ntsa, qhov chaw uas lawv pib sib yuav sai heev. Cov hnyuv ulcerate, thiab ntau lab tus kab mob tshiab raug tso rau hauv cov quav. Thaum lawv tuab, cov tub ntxhais hluas amoeba thim lawv cov pseudopods, puag ncig, npog nrog ob daim nyias nyias thiab tig mus ua cysts.
Lub voj voog rov ua dua.
Txoj kev kis kab mob
Los ntawm cov saum toj no nws pom tseeb tias tsuas yog cysts koom nrog kev kis kab mob. Me me thiab tsis tshua muaj siab tawv, lawv sai sai kis thoob plaws thaj chaw los ntawm cov quav. yoov, kab laum, thiab lwm yam kab pab tau qhov no. Cov khib nyiab pov tseg, uas, raws li koj paub, tsis raug rau kev kho mob tshwj xeeb, yog siv hauv cov teb ua cov chiv zoo heev lossis tsuas yog nchuav rau hauv ib puag ncig. Qhov no kuj tseem txhawb nqa kev nthuav dav ntawm qhov chaw nyob ntawm amoebas. Lawv tsis nyob hauv tsiaj, noog, ntses, tsuas yog tib neeg xwb.
Lwm txoj hauv kev yooj yim rau cov hlwv kom pom cov neeg raug tsim txom tshiab yog kom tau lawv ntawm cov khoom siv hauv tsev nrog cov tes qias neeg uas twb raug ntaus los ntawm amoebiasis. Cov neeg mob tsis tuaj yeem pib kho tam sim ntawd, tab sis txawm tias cov neeg no ua haujlwm raws sijhawm, lawv yog cov neeg kis tus kab mob ntev npaum li cov hlwv tseem tso tawm ntawm lawv cov hnyuv.
Yog li, txoj hauv kev kis tus kabmob amoebiasis yog raws li hauv qab no:
- tes qias neeg;
- haus dej los ntawm cov dej ntws, pas dej, dej qhib;
- noj txiv hmab txiv ntoo tsis huv, zaub.
Muaj peb txoj kev kis tus kabmob ntxiv:
- qhov quav;
- siv ib daim phuam thiab hnav ris tsho hauv qab uas muaj cov kab mob amoebiasis;
- kis ntawm niam mob mus rau tus menyuam thaumnws tsis huv.
plab amoebiasis hauv cov neeg laus, cov tsos mob thiab kev kho mob
Tus kab mob no tshwm sim ntau dua qhov chaw huab cua sov, tab sis nyob rau lub caij ntuj sov nws kuj tau sau tseg hauv peb lub latitudes. Cov neeg nyob sab Europe tuaj yeem nqa amoebiasis thaum taug kev mus rau lwm lub tebchaws sab qab teb thiab coj nws mus tsev los ntawm qhov ntawd. Yog hais tias ib tug neeg lub cev muaj zog txaus, cysts thiab txawm translucent daim ntawv ntawm amoeba nyob rau hauv lub plab hnyuv ib ntsuj av tau ntev heev yam tsis muaj kab mob. Yog tias lub cev tiv thaiv kab mob tsis muaj zog, twb nyob rau hnub xya tom qab kis kab mob, amoebiasis yuav pib tshwm sim nws tus kheej. Hauv cov neeg laus, cov tsos mob thiab kev kho mob nyob ntawm seb qhov twg hauv lub cev cov amoeba tau nyob. Yog tias nws yog cov hnyuv, plab hnyuv amoebiasis yog kuaj. Amoebas nyob yuav luag tag nrho nws cov chaw haujlwm - caecum, ascending, colon, sigmoid thiab rectum. Kaum ob ntawm erosions thiab rwj ntawm ntau qhov tob thiab txoj kab uas hla (txog 3 cm) yog tsim nyob rau hauv cov hnyuv phab ntsa, qee zaum ncav cuag perforation thiab peritonitis. Txawm li cas los xij, lub plab hnyuv mucosa ua rau mob, thiab cov kua paug nkag mus rau hauv cov kab mob.
Symptoms:
- kub;
- lethargy, qaug zog;
- mob plab hnyuv;
- npaws;
- quav quav.
Ib qho tseem ceeb: raws plab hnyav nyob rau thawj hnub ntawm tus kab mob tsuas yog pom nyob rau hauv 10% ntawm cov neeg mob.
Yav tom ntej, cov tsos mob tau ntxiv rau txhua tus:
- cov quav nquag (kua, nrog cov kua paug thiab ntshav);
- cov cim qhia ntawm lub cev qhuav dej (dhau di ncauj, nplaig, tawv nqaij, tsis muaj zog turgor);
- Cov tsos mob ntawm kev qaug cawv (mob taub hau, ntuav, xeev siab);
- qaug zog.
Cov tsos mob ntawm daim siab extraintestinal amoebiasis
Parasites uas tau nkag mus rau hauv cov hlab ntsha yog nyob rau hauv lwm yam kabmob. Lub siab feem ntau cuam tshuam, tab sis lub ntsws, hlwb, pericardium, cornea, spleen, thiab tawv nqaij kuj raug cuam tshuam. Yog tias qhov no tshwm sim, kuaj mob extraintestinal amebiasis, kev kho mob uas nyob ntawm qhov chaw ntawm cov cab. Amoebas qee zaum pom hauv lwm lub cev tom qab lawv tau raug tshem tawm hauv cov hnyuv.
Lub siab mob amoebiasis ua haujlwm tau zoo, thiab tsis pom muaj kab mob tshwm sim hauv kev kuaj ntshav. Qhov tshwj xeeb yog qhov ntsuas ALPL - alkaline phosphatase. Nrog rau kab mob siab amoebiasis, nws cov txiaj ntsig tau siab dua 140 IU / l.
Ib purulent sac (abscess) yog tsim nyob rau hauv daim siab, uas, yog hais tias cov kev kho mob ntawm amoebiasis tsis raug xaiv kom raug, yuav perforate. Tom qab ntawd nws cov ntsiab lus yog nchuav rau hauv lub plab kab noj hniav, los ntshav sab hauv tshwm, sepsis yuav tshwm sim.
Cov tsos mob ntawm amoebas hauv siab:
- mob ib sab ntawm sab xis, feem ntau kis hauv qab lub xub pwg hniav thiab / lossis lub xub pwg;
- qhov mob ntawm txoj cai hypochondrium txo qis thaum tus neeg mob tig mus rau sab laug;
- hepatomegaly (loj ntawm ciam teb ntawm daim siab);
- mob ntawm palpation;
- xeev siab;
- mob plab;
- kub;
- tawm hws, txias;
- poob qab los thiab, yog li, poob phaus.
Cov tsos mob ntawm amoebiasis ntawm lub ntsws
Qhov teeb meem no ua tau rau ob qho laj thawj:
- amoeba nrog ntshavnkag mus rau hauv lub ntsws los ntawm txoj hnyuv;
- tshuaj rau kev kho mob amebiasis hauv daim siab raug xaiv tsis raug, vim qhov tshwm sim ntawm cov kab mob hauv daim siab tawg thiab cov kua dej ntws mus rau hauv cov kab noj hniav pleural.
Thaum cov kab mob nkag mus rau hauv lub ntsws nrog cov ntshav, cov tsos mob yuav tsum ceeb toom:
- hnoos hnoos nrog ntshav;
- ua tsis taus pa;
- kub;
- mob plab.
Yog tsis muaj kev kho mob kom raug, ib qho purulent abscess kuj tshwm sim hauv lub ntsws. Tib lub sijhawm, tus neeg mob muaj:
- npaws;
- mob siab ntawm qhov chaw ntawm abscess;
- Cov cim qhia ntawm lub plawv tsis ua haujlwm.
Thaum qhib suppuration, hnoos nrog cov hnoos qeev xim, glossitis, pharyngitis tshwm.
Kev kuaj mob amoebiasis ntawm lub ntsws suav nrog kev kuaj ntshav, X-ray, kuaj cov quav rau kev kuaj pom cov hlwv, kuaj cov hnoos qeev thiab cov kua pleural, kuaj serological.
Amebiasis ntawm lwm lub cev
Tsis tshua muaj, tab sis tseem muaj amoebiasis ntawm daim tawv nqaij. Tus kab mob no tshwm sim los ntawm ulcers, feem ntau pom nyob rau hauv lub plab mog, perineum thiab pob tw. Feem ntau cov qhov txhab yog qhov tob tob, tsaus nti ntawm cov npoo, muaj ntxhiab tsw tsw.
Amebiasis ntawm lub hlwb yog ib qho mob hnyav tshaj plaws ntawm tus kab mob. Nws yog tus cwj pwm los ntawm kev mob hnyav, tsis nres taub hau, convulsions, impaired rhiab heev, tuag tes tuag taw. Ib qho abscess los yog qog ntawm lub paj hlwb tuaj yeem tsim. Cov tsos mob ntawm focal yog txawv, nyob ntawm seb qhov chaw ntawm lub abscess tsim nyob rau hauv lub paj hlwb cheeb tsam thiab coincide nrog rau cov kab mob neurological. Kev kho mob ntawm amoebiasis hauv cov neeg laus thiabCov menyuam yaus uas tau tshwm sim sab nraum lub plab zom mov, yog ua los ntawm cov ntawv yuav tsum tau muab tshuaj tua kab mob hauv tandem thiab cov ntaub so ntswg amoebicides (Metronidazole, Dehydroemitin, Khingamine). Nrog amoebiasis ntawm lub hlwb, cov tshuaj nootropic tau ntxiv rau cov tshuaj complex.
Nrog amebiasis ntawm daim siab thiab daim tawv nqaij, ntxiv rau cov tshuaj yooj yim, Diyodochin, Intestopan, Mexaform tau sau.
Yog tshuaj khomob tsis muab qhov kev xav tau thiab thaum muaj abscesses, kev phais yog ua.
Chronic amoebiasis
Dysentery amoeba tuaj yeem nyob hauv peb cov hnyuv tau ntau xyoo, uas yog, daim ntawv mob hnyav dhau mus ntev. Qhov no tshwm sim thaum kev kho mob ntawm amoebiasis hauv cov neeg laus thiab cov menyuam yaus tau ua tsis raug, tsis yog tag nrho, lossis tsis tag nrho. Cov neeg mob, tau raug kev txom nyem rau ib hlis lossis me ntsis ntxiv, pib muaj kev xav tau. Mob plab ploj, raws plab ib yam nkaus, kev noj qab nyob zoo. Cov theem no yog hu ua kev zam txim, uas txaus siab rau txog ib hlis, thiab qee zaum mus txog peb lossis plaub lub hlis. Tus neeg pib xav tias tus kab mob tau rov zoo lawm. Tab sis tom qab kev zam txim, muaj ib txwm exacerbations tshiab, thaum lub sij hawm uas txhua yam rov qab los ntawm qhov pib. Hom kab mob amoebiasis no hu ua recurrent.
Tseem muaj ib daim ntawv thib ob, hu ua txuas ntxiv. Nrog nws, cov cim qhia ntawm amoebiasis nce thiab txo qis, tab sis yeej tsis nres kiag li.
Cov tsos mob amoebiasis ntev:
- poob qab los ua rau poob phaus, anemia;
- txo qis hauv kev ua haujlwm,viv ncaus;
- qaug zog;
- asthenic syndrome;
- beriberi;
- hepatomegaly;
- tachycardia;
- polyps, nqaim ntawm txoj hnyuv, perforation ntawm nws cov phab ntsa, los ntshav tuaj yeem tsim hauv txoj hnyuv.
Diagnosis
Ua ntej pib kev kho mob plab hnyuv amebiasis, qhov sib txawv ntawm cov kab mob pathogenic tau pom hauv tus neeg mob cov quav. Tsis tsuas yog kab mob plab amoeba tuaj yeem tshwm sim ntawm no, tab sis kuj tseem nyob hauv plab amoeba (Entamoeba coli), dwarf amoeba (Endolimax nana) lossis lwm tus, thiab txhawm rau txhawm rau txheeb xyuas qhov kev kuaj mob ntawm amoebiasis, nws yog ib qho tsim nyog yuav tsum kuaj mob plab amoeba thiab nws yog nyob rau hauv daim ntaub so ntswg.. Yog hais tias nyob rau hauv cov quav tsuas muaj lawv cov hlwv, los yog cov ntaub ntawv luminal, ib qho kev kuaj mob - ib tug cab ntawm amoebiasis. Kev sib txawv yog ua los ntawm PCR. Ntxiv nrog rau kev soj ntsuam fecal, nyob rau hauv cov ntaub ntawv ntawm plab hnyuv amoebiasis, ib qho kev kuaj colonoscopy.
Kev kho mob
Txhua tus neeg uas tau kuaj pom tus mob amoebiasis tau kho nrog tshuaj tua kab mob thiab tshuaj amoebicides hauv tsev kho mob. Metronidazole, Ornidazole, Tinidazole lossis lwm yam tshuaj zoo sib xws uas ua rau mob plab amoeba yog sau. Lub complex sau tshuaj ntawm pab pawg tertacycline, uas muaj zog tiv thaiv kab mob no.
Thaum kawg ntawm chav kawm tseem ceeb, tau sau ib chav kawm ntxiv, suav nrog amebocides ua rau cov ntaub ntawv translucent. Cov no yog Clefamid, Etofamide, Paromomycin. Cov tshuaj tib yam yog ntaus nqi rau cov neeg uas tsuas muaj hlwv thiab luminal cov ntaub ntawv ntawm amoeba nyob rau hauv lawv cov quav.
tshuaj ntsuab
Txij li thaum amoebiasis tuaj yeem ua rau tuag yam tsis muaj kev kho kom raug, kev kho mob nrog cov tshuaj pej xeem rau tus kab mob no tsuas yog ua tau ntxiv rau qhov tseem ceeb. Hauv paus, kev pab ntawm cov kws kho mob los txo qis ntshav raws plab hauv cov neeg mob. Muaj ntau ntau cov zaub mov txawv ntawm cov neeg uas pab daws qhov teeb meem no. Qee tus ntawm lawv:
- Zaj movie los ntawm qaib plab. Nws muab cais, ntxuav kom huv si, qhuav, hauv av thiab noj 2 lossis 3 zaug hauv ib hnub.
- Dry brewing tea. Noj ib lub teaspoon uas tsis tiav thiab nqos nrog dej.
- Oak bark. (Cov tshuaj rau cov neeg laus). Ib tug teaspoon ntawm qhuav tws bark yuav tsum tau nchuav nrog 400 ml ntawm txias tab sis boiled dej thiab infused rau 8 teev. Npaj haus ib hnub.
- Blueberry, noog cherry, hiav txwv buckthorn, hawthorn, roob tshauv yog dav siv. Daim ntawv qhia rau kev npaj yog zoo tib yam rau tag nrho cov nroj tsuag - 100 grams ntawm qhuav berries yog poured rau hauv 400 ml ntawm boiling dej, insisted thiab noj 100 ml ib hnub twg. Tsuas yog noog cherry berries yuav tsum tau noj xwb 10 grams.
- Qej. Nws yog ntxuav, crushed, 40 grams yog ntsuas thiab ncuav nrog ib nrab ib khob ntawm vodka, cia nws brew. Txhua zaus ib nrab ib teev ua ntej pib noj mov, noj 15 tee ntawm cov tshuaj.
Amebiasis hauv cov menyuam yaus: cov tsos mob thiab kev kho mob
Tus kab mob no tau xyaum tsis pom hauv cov menyuam mos. Tab sis cov menyuam yaus hnub nyoog ib txog peb xyoos tau mob feem ntau vim tias, tau kawm taug kev, lawv xav tshawb nrhiav lub ntiaj teb nyob ib puag ncig lawv thiab ua nws feem ntau nrog lawv txhais tes. Thiab cov menyuam yaus tshaj peb xyoos twb nkag siab tias koj tsis tuaj yeem rub txhua yam rau hauv koj lub qhov ncauj. Cov niam txiv yuav tsumcoj mus rau hauv tus account cov yam ntxwv no thiab tiv thaiv koj tus menyuam los ntawm kev kis kab mob ntau li ntau tau.
Cov tsos mob ntawm amoebiasis hauv cov menyuam mos:
- raws plab (lub ntsiab lus tseem ceeb tshaj plaws);
- kev hlub;
- tsis kam noj;
- mob plab;
- kub (tej zaum yuav nce me ntsis lossis mus rau qib siab).
Nyob rau hauv cov me nyuam, raws plab yog tsis heev heev thaum xub thawj, li ntawm 6-7 zaug ib hnub twg, cov quav nyias nyias, hnoos qeev nyob rau hauv lawv. Nyob rau hauv lub neej yav tom ntej, urges ua ntau zaus mus txog 20 los yog ntau tshaj lub sij hawm, feces yog heev liquefied, nrog rau cov ntshav thiab hnoos qeev. Tus me nyuam nyob rau theem no ua qaug zog, tsis kam ua si, yws yws ntawm plab, xeev siab.
Extraintestinal amoebiasis tsis tshua muaj nyob rau hauv cov menyuam mos. Lawv cov tsos mob zoo ib yam li cov neeg laus. Daim ntawv mob hnyav ntawm tus kab mob yam tsis muaj kev kho kom zoo yuav mob ntev li peb mus rau plaub lub lis piam.
Kev kuaj mob yog ua raws li kev soj ntsuam anamnesis thiab fecal (mucus, qe ntshav liab, cysts, eosinophils pom hauv nws). Qhov kev tshuaj ntsuam no tau ua ntau zaus los txiav txim qhov yuam kev. Qee qhov xwm txheej, tus menyuam tau txais kev kuaj serological rau cov tshuaj tiv thaiv kab mob, tab sis nws pib "ua haujlwm" tsuas yog tom qab 2 lub lis piam los ntawm qhov pib ntawm thawj cov tsos mob. Kev kuaj ntshav hauv tus mob amoebiasis tsis muab cov txiaj ntsig, tab sis nyob rau hauv ntev muaj qhov nce hauv ESR thiab eosinophils, txo qis hauv hemoglobin.
Amebiasis hauv cov menyuam yaus raug kho hauv tsev kho mob. Kev npaj Osarsol, Delagil, tshuaj tua kab mob ntawm pawg tetracycline, Flagil, Trichopol, Fasizhin, Meratin, vitamins, Bififor, Simbiter yog siv. Tshwj xeeb yog them raurov qab kho cov kua dej uas poob los ntawm lub cev, uas tus menyuam tau txais cov kua dej ntau (nrog ntuav hauv ib rab diav, tab sis ntau zaus). Txhawm rau kom tsis txhob poob ntsev, nws raug nquahu kom ua cov tshuaj rau haus: 1 liter dej, ntxiv rau 1 tsp txhua. tsis muaj ib tug swb ntawm ntsev thiab dej qab zib, ntxiv 2 tbsp. l. qab zib, sib tov txhua yam kom txog thaum cov khoom tawg, kub rau qhov kub ntawm +37 ° C ua ntej siv.
Kev Tiv Thaiv
Zoo li txhua yam kab mob hauv plab, amoebiasis tuaj yeem tiv thaiv tau los ntawm kev tu cev, ntxuav tes ua ntej noj mov thiab tom qab siv chav dej, ntxuav tag nrho cov zaub mov uas yuav los yog plucked los ntawm tus kheej av, thiab cov dej kub hauv cov dej qhib. Tsis tas li ntawd, nws yog ib qho tsim nyog los rhuav tshem cov kab mob ntawm cov kab mob - yoov, kab laum.
Thaum thawj cov tsos mob ntawm amoebiasis, koj yuav tsum maj mus rau tus kws kho mob, thiab tsis txhob koom nrog kev kho tus kheej txawm tias muaj kev pab los ntawm cov pov thawj tshaj plaws "kev paub" zaub mov txawv. Qhov no yuav tiv thaiv amoebiasis kis mus rau tsev neeg thiab phooj ywg.
