Amebiasis: Kev Kho Mob. Dr. tswv yim

Ib tug zoo lub ntiaj teb no nyob rau hauv uas peb nyob, hmoov tsis, yog inhabited los ntawm pua pua ntawm beings uas koom xwb nyob rau hauv uas muab peb cov teeb meem, thiab tej zaum kuj txawm hem peb lub neej. Ib tug yeeb ncuab ntawm cov tub rog ntawm lub cab - tus faceless me amoeba uas ua rau lub cov kab mob amebiasis. Kho nws yuav tsum pib tam sim ntawd thiab lub hearth yog yuav tsum tau mus Tsau tshuaj rau cov. Amebiasis yog heev insidious vim hais tias cov amoeba cab tuaj rau peb nyob rau hauv cov hnyuv, cov ntshav tau khom nyob rau hauv lwm yam kabmob, qhov twg yuav nrhiav lawv tsis tshua muaj neeg yooj yim. Nws yog tshwj xeeb tshaj yog txaus ntshai rau lub neej, yog hais tias tus amoeba tau mus rau hauv lub hlwb. Koj yuav tsum tau cov thawj kos npe rau ntawm tus kab mob rau Rush mus tus kws kho mob uas tsis tshwm sim. Cia wb mus ze zog saib hauv qab no cov lus nug: qhov twg puas amebiasis, cov tsos mob thiab kev kho mob ntawm tus kab mob no, thiab tseem ceeb tshaj, tus tiv thaiv kev ntsuas yuav tsum tau coj mus rau ua tsis tsoo nrog lawv.

Lub causative tus neeg saib xyuas ntawm amebiasis

Yuav pib, kos ib portrait ntawm lub nyuaj ib leeg-celled zeej hu ua amoeba dysentery, los yog, ncav, Entamoeba histolytica. Los ntawm lawv cov txheeb ze, nws muaj ib tug ntau coj loj prolegs thiab calf raws li ib tug tag nrho. Nws muaj sia nyob no amoeba heev dua lwm yam cab, thiab nws cov neeg raug yuav ua tau tsuas yog peb tib neeg. Lub me me cab yog li ntawd cunning uas tau muaj kev tswj los mus kis tau rau lub ntiaj teb no ntau tshaj 900 lab cov neeg los ntawm awarding lawv cov kab mob xws li amoebiasis. kab mob kev kho mob pib nyob rau hauv ib tug raws sijhawm, muaj ib tug zoo raug. Yog hais tias koj tsis maj nrawm nroos tus kws kho mob thiab rau nws tus kheej-medicate, koj yuav tau them nrog lawv lub neej. Dysentery amoeba yog tau nyob ua ib ke nyob rau hauv peb zoo heev cov ntaub ntawv:

1. hlwv. Lawv yuav tsum tau muab piv ib yam rau ib lub qe. Lawv yog cov puag ncig, heev me me, kom txog 12 microns tuab coated nrog ib tug bilayer membrane, yog tsis paub qab hau (tsis pub dhau tsawg tshaj li 4 nuclei) thiab paub tab (4 ntseeg nkaws hauv lub nucleus). Nyob rau hauv cov neeg noj qab, kab mob nrog cov hlwv yog los liam. Tsim nyob rau hauv lub cev ntawm tus neeg mob, lawv yog faeces mus nraum zoov. Nyob rau hauv lub cheeb tsam lawv nyob rau txog ib lub hlis, thiab nyob rau hauv cov dej - 3-4 lub hlis, ntau tua kab mob tshuaj yuav tsis tau tiv nrog lawv. Yog li ntawd tag nrho cov sij hawm no, koj tau yooj yim khaws cov amebiasis, cov kev kho mob uas peb yuav xav txog hauv qab no.

Nyob rau hauv tib lub plab hlwv nyob twj ywm nyob rau hauv lub so theem. Lawv yaj lub plhaub xwb nyob rau hauv cov hnyuv. Muaj quad mature neeg, hu ua ib tug motherboard, yog muab faib, transforming ib tug 8 mononuclear subsidiaries.

2. luminal daim ntawv. Amoeba-ntxhais noj microbes uas nyob peb cov hnyuv, loj hlob kwm thiab maj txav los ntawm cov hnyuv mus rau hauv lub loj loj. Thaum lawv yog harmless conditionally.

3. Nqaij daim ntawv. Thaum ncav lub hnyuv loj, amoebae zus kos nyob rau hauv nws cov phab ntsa, qhov chaw uas lawv pib muab sai heev. Ulcerated hnyuv, thiab lab ntawm cov tshiab cab sawv tawm nyob rau hauv cov quav. Nrog lawv thooj hluas amoeba nkaum nws cuav ko taw, npawv, them nrog ob plhaub thiab tig mus rau hauv cov hlwv.

Lub voj voog yog rov qab.

Txoj kev uas kab mob

Los ntawm cov foregoing, nws yog tseeb hais tias tus kab mob no yuav tsuas hlwv. Me me thiab tsis tshua muaj neeg muaj zog, lawv yog cov quav sai sai tswm thoob plaws hauv lub cheeb tsam. Pab nws yoov, kab laum, thiab ib co lwm yam kab. Dej pov tseg, uas, raws li peb paub, yog tsis raug mus rau tshwj xeeb kev kho mob, siv nyob rau hauv lub teb raws li ib qho zoo heev chiv los yog tsuas yog poured mus rau hauv ib puag ncig. Qhov no kuj pab vaj tse amoebae. Nyob rau hauv cov tsiaj, noog, ntses, lawv tsis ua neej nyob tsuas nyob rau hauv tus txiv neej.

Lwm txoj kev yooj yim mus nrhiav tau ib tug tshiab raug tsim txom hlwv - tau txais lawv mus rau hauv niaj hnub siv siv cov qias neeg ob txhais tes ntawm cov neeg uas yog ntaus los ntawm amebiasis. Kho mob yuav pib tam sim ntawd, tab sis txawm hais tias cov neeg no yog coj raws sij hawm ntsuas, lawv yog nqa ntawm tus kab mob, thaum los ntawm lawv cov hnyuv tseem yuav faib cov hlwv.

Yog li no, txoj kev ntawm amebiasis kab mob nram qab no:

- qias neeg ob txhais tes;

- cov dej haus los ntawm cov niam dej, pas dej, tag nrho cov qhib reservoirs;

- kev siv cov tsis ntxuav cia txiv hmab txiv ntoo thiab zaub.

Muaj peb txoj kev kab mob:

- qhov quav com;

- siv ib tug phuam thiab hnav ib qho ntxhua khaub ncaws nrog cov cab kuj amebiasis;

- kis los ntawm muaj mob leej niam nrog nws tus me nyuam kev tu cev uas tsis yog raws kev cai.

Plab hnyuv amoebiasis rau cov neeg laus, cov tsos mob thiab kev kho mob

Tus kab mob yog ntau qhov chaw uas sov kev nyab xeeb, tab sis nyob rau hauv lub caij ntuj sov nws yog sau npe thiab nyob rau hauv peb latitudes. Europeans yuav ntes amebiasis taug kev mus rau kab txawv yav qab teb lub teb chaws thiab los yeej muaj mus coj nws tsev. Yog hais tias tib neeg lub cev muaj zog txaus, hlwv thiab txawm translucent nrhiav amoeba kuj ntev nyob rau hauv cov hnyuv tsis tas yuav ua tus kab mob. Yog hais tias, txawm li cas los, ib tug tsis muaj zog tiv thaiv kab mob, yog twb nyob rau hauv xya hnub tom qab tau tus kab mob tej zaum yuav pib mus rau manifest nws tus kheej amebiasis. Nyob rau hauv cov laus, cov tsos mob thiab kev kho mob nyob ntawm seb qhov twg nyob rau hauv lub cev nws yog tswm amoeba. Yog hais tias qhov no yog qhov hnyuv, thiaj paub hais tias plab hnyuv amebiasis. Amoebas nyob yuav luag tag nrho cov ntawm nws kev sib cais - lub cecum, ascending cov nyuv, sigmoid thiab ncaj. Nyob rau hauv lub plab hnyuv phab ntsa tsim kaum erosions thiab ulcers ntawm qhov ntau thiab lub cheeb thiab tob (mus txog 3 cm), tej zaum nce mus txog perforation thiab peritonitis. Nyob rau hauv txhua rooj plaub lub plab hnyuv mucosa kub lug, kua paug accumulates nyob rau hauv ulcers.

cov tsos mob:

- kub;

- nkees nkees, tsis muaj zog;

- mob nyob rau hauv lub gut;

- kub taub hau;

- zaug.

Tseem ceeb: zawv plab heev nyob rau hauv thawj hnub ntawm tus kab mob tsuas tshwm sim nyob rau hauv 10% ntawm cov neeg raug tus kab mob.

Nyob rau hauv lub neej yav tom ntej, tag nrho cov ntxiv rau cov tsos mob:

- qhov tso quav heev (ua kua, kua paug thiab ntshav);

- tej yam tshwm sim ntawm lub cev qhuav dej (qhov ncauj qhuav, tus nplaig, daim tawv nqaij turgor tsis muaj zog);

- tej yam tshwm sim ntawm intoxication (mob taub hau, ntuav, xeev siab);

- depletion.

Cov tsos mob ntawm daim siab extraintestinal amebiasis

Parasites, daig nyob rau hauv cov hlab ntsha, yog tswm ntawm lwm lub cev. Feem ntau cov feem ntau txom nyem los ntawm daim siab, tab sis lawv kuj tsis tsim ntsws, lub hlwb, pericardium, cornea, tus po, thiab daim tawv nqaij. Yog hais tias qhov no tshwm sim, ntxiv-plab hnyuv amebiasis yog kuaj mob, kev kho mob nyob rau hauv lub chaw ntawm cov cab. Tej zaum kuj muaj yog muaj cov amoebas thiab lwm yam kabmob tom qab lawv tshem tawm nyob rau hauv lub plab.

Lub siab muaj tus kab mob nrog amebiasis, zog heev tsis tu ncua, thiab soj ntsuam ntshav rau cab yog tsis tso tawm. Qhov kos yog ALPL qhia - alkaline phosphatase. Thaum hepatic amebiasis nws qhov tseem ceeb saum toj no 140 IU / l.

Nyob rau hauv lub siab rwj tsim lub hnab (rwj), uas yog incorrectly xaiv rau cov kev kho mob ntawm amoebiasis peev xwm perforated. Tom qab ntawd nws nchuav ua lub txheem mus rau hauv lub plab kab noj hniav, muaj internal los ntshav, sepsis yuav tshwm sim.

Cov tsos mob ntawm daim siab muaj amoebas:

- mob tej kev mob nyob rau hauv lub sab xis, feem ntau extending nyob rau hauv lub xub pwg hniav thiab / los yog nyob rau hauv lub xub pwg;

- cov kev siv ntawm qhov mob nyob rau hauv txoj cai qaum quadrant poob thaum tus neeg mob yog tig mus rau sab laug sab;

- hepatomegaly (daim siab ib thaj tsam nce);

- rhiab;

- xeev siab;

- raws plab;

- kub;

- tawm hws, ua daus no;

- tsis qab los noj mov thiab, thiaj li, qhov hnyav.

Cov tsos mob ntawm lub ntsws amebiasis

Qhov no yam tab kaum yog ua tau rau ob yog vim li cas:

- amoeba ntawm cov ntshav ntaus lub teeb ntawm lub plab;

- cov tshuaj rau kev kho mob ntawm amoebiasis nyob rau hauv lub siab raug xaiv kom zoo, raws li ib tug tshwm sim ntawm uas muaj ib tug kov yeej nyob rau hauv lub siab rwj thiab paug nchuav tawm rau hauv lub pleural kab noj hniav.

Thaum lub txav ntawm cab nyob rau hauv lub ntsws los ntshav yuav tsum ceeb toom rau cov tsos mob:

- pheej hnoos nrog phlegm, nyob rau hauv uas yog ib tug ntshav impurity;

- ua tsis taus pa;

- kub;

- mob hauv siab.

Tsis muaj kev kho mob no kuj tsim nyob rau hauv lub ntsws rwj rwj. Nyob rau hauv cov ntaub ntawv no, tus neeg mob yog:

- kub taub hau;

- High ce nyob rau qhov chaw ntawm lub rwj;

- tej yam tshwm sim ntawm lub plawv tsis ua hauj lwm.

Nrog rau cov qhib ntawm suppuration tshwm hnoos chocolate, glossitis, pharyngitis.

Mob ntawm pulmonary amebiasis muaj xws li kev kuaj ntshav, x-rays, ib txoj kev kawm ntawm cov quav mus ntes cov hlwv, hnoos qeev , thiab pleural kua, serological kev ntsuam xyuas.

Amoebiasis lwm yam kabmob

Feem ntau yeej tsis, tab sis tseem muaj ib daim tawv nqaij amoebiasis. Tus mob yog yus muaj los ntawm ulcers, feem ntau cai nyob rau hauv lub plab mog, crotch thiab pob tw. Feem ntau cov mob ntxaum, ib tsos tsaus tsawv ntawm lub npoo, muaj ib tug unpleasant tsw.

Amoebiasis hlwb - ib qho ntawm feem mob mob ntawm tus kab mob. Yus muaj zog tsis stoped mob taub hau, qaug dab peg, piav thoob hlo ua cuam tshuam, tuag tes tuag taw. Muaj peev xwm tsim ib tug rwj los yog o ntawm lub paj hlwb cov ntaub so ntswg. Focal cov tsos mob yuav sib txawv, nyob ntawm seb lub chaw ntawm rwj tsim nyob rau hauv qhov chaw ntawm lub paj hlwb, thiab coincide nrog lub sib nug xov neurological ntshawv siab. Kev kho mob ntawm amoebiasis rau cov neeg laus thiab cov me nyuam sawv tawm ntawm lub plab hnyuv cheeb tsam, nyob nrog lub yuav tsum tau cov tshuaj ntawm tshuaj tua kab mob nyob rau hauv tandem thiab cov nqaij mos amebotsidami ( "Metronidazole", "Degidroemitin", "Hingamin"). Thaum amebiasis hlwb nyob rau hauv txoj tshuaj ntxiv nootropic tshuaj.

Thaum amebiasis siab thiab daim tawv nqaij, nyob rau hauv tas li ntawd mus yooj yim tshuaj, tshuaj "Diyodohin", "intestopan", "Meksaform".

Yog hais tias cov kws khomob tsis txhob muab cov kev tsim tau thiab muaj cov ua paug ua kev phais.

mob amoebiasis

Dysentery amoeba nyob hauv peb cov hnyuv rau xyoo, ces muaj yog ib tug mob hauv daim ntawv ntawm tus kab mob no yuav mob. Qhov no tshwm sim thaum amebiasis kev kho mob yog tsis ncaj ncees lawm nyob rau hauv cov neeg laus thiab cov me nyuam, tsis tag los yog tsis ua. Cov neeg mob uas quaj los kuamuag vim lub hli tas los los yog li ntawd, pib los ua ib tug txais tos nyem. Mob plab pass, raws plab, dhau lawm, zuag qhia tag nrho noj qab haus huv pab. Qhov no yog hu ua kev so ib pliag, uas haum txog ib lub hlis, thiab tej thaum mus txog rau peb los yog plaub lub hlis. Ib tug neeg pib zoo li tias tus kab mob retreated. Tab sis tom qab txoj kev zam txim yog ib txwm tshiab exacerbations, thaum lub sij hawm uas txhua yam yog pheej rov qab ua dua. Xws li ib tug hauv daim ntawv ntawm mob amebiasis hu ua recurrent.

Muaj kuj yog ib tug thib ob daim ntawv no, hu ua tas mus li. Thaum nws cov yam ntxwv cov tsos mob ntawm amoebiasis yog amplified, ces yuav txo tau, tab sis yeej tsis nres kiag li.

Cov tsos mob ntawm tus kab mob amebiasis:

- tsis qab los noj mov, ua rau poob phaus, anemia;

- tsis kawm, kev loj hlob;

- qaug zog;

- asthenic syndrome;

- vitamin tsis muaj peev xwm;

- hepatomegaly;

- tachycardia;

- nyob rau hauv lub gut muaj peev xwm tsim polyps, narrowing ntawm txoj hnyuv, perforation ntawm nws phab ntsa, los ntshav.

diagnostics

Ua ntej yuav pib cov kev kho mob ntawm plab hnyuv amebiasis, lub ntau yam ntawm pathogens nrhiav tau nyob rau hauv cov quav ntawm tus neeg mob. Tej zaum yuav muaj tam sim no tsis tsuas dysentery amoeba, tab sis kuj plab hnyuv amoeba (Entamoeba coli), ntsias amoeba (Endolimax Nana) los yog lwm tus neeg, thiab kom paub meej tias qhov mob "amoebiasis", koj yuav tsum nrhiav tau tawm raws nraim dysentery amoeba thiab nws yog nyob rau hauv daim ntawv ntawm cov ntaub. Yog hais tias nyob rau hauv cov quav tsuas yog lawv cov hlwv los yog translucent cov ntaub ntawv, cov mob - cov cab kuj ntawm amoebiasis. Ntau yam yog ua los ntawm PCR. Nyob rau hauv tas li ntawd mus ntsuam quav nyob rau hauv cov ntaub ntawv ntawm plab hnyuv amoebiasis ua xoos hnyuv laus.

kev kho mob

Neeg twg uas muaj paub tseeb hais tias mob ntawm "amoebiasis", tshuaj tua kab mob thiab amebotsidami ua nyob rau hauv ib tug lub tsev kho mob. Tsa los ntawm "Metronidazole", "Ornidazole", "Tinidazole" los yog lwm yam uas zoo sib xws tshuaj, ib tug depressing ntxim rau cov dysentery amoeba. Lub complex muab tshuaj tertatsiklinov pawg neeg uas yog active rau no cab.

Thaum kawm tiav ntawm lub hoob pib yog muab ib tug ntxiv xws li amebotsidy kuj nyob rau luminal daim ntawv. Qhov no "Klefamid", "Etofamid", "Paromomycin." Cov tshuaj yog ntaus nqi mus rau cov neeg uas muaj nyob rau hauv cov quav xwb hlwv thiab luminal daim ntawv ntawm cov amoeba.

ethnoscience

Vim tsis muaj zoo kev kho mob muaj peev xwm ua rau tuag amoebiasis, folk tshuaj kev kho mob ntawm tus kab mob no tsuas yog tau raws li ib tug ntxiv rau cov ntsiab kawm. Yeej pab healers tiaj tus neeg mob nrog ntshav raws plab. Cov neeg portrayed nyob rau hauv dozens ntawm cov zaub mov txawv uas yuav pab tau koj nrog rau qhov teeb meem. Ib txhia ntawm lawv yog:

- Zaj duab xis ntawm nqaij qaib gizzards. Nws yog sib cais, kom huv si ntxuav, qhuav, hauv av thiab noj 2 los yog 3 zaug ib hnub twg.

- Qhuav tshuaj yej yoojyim tshuaj yej. Uas ua tsis tiav me nyuam diav kom huv si ntxo thiab nqos nws nrog dej.

- Oak tawv. (Tshuaj rau cov neeg laus). Ib tug me nyuam diav ntawm qhuav hmoov tawv mus ncuav rau 400 ml ntawm cov dej txias thiab boiled tab sis hais 8 teev. Npaj txoj kev haus dej ib hnub twg.

- siv lug blueberry, lws suav, buckthorn, hawthorn, roob tshauv. Daim ntawv qhia kev npaj yog zoo tib yam rau tag nrho cov nroj tsuag - 100 grams qhuav txiv hmab txiv ntoo yog poured 400 ml ntawm boiled dej, thiab noj 100 ml ib hnub twg. Tsuas yog txiv hmab txiv ntoo ntawm lws suav noog tau noj xwb 10 grams.

- Qej. Nws ntshiab, av, ntsuas tawm 40 grams thiab ncuav ib nrab ib khob ntawm vodka, muab nws brew. Txhua lub sij hawm ib tug ib nrab ib teev ua ntej noj mov noj 15 rau ntawm.

Amebiasis nyob rau hauv cov me nyuam: Cov tsos mob thiab kev kho mob

Tus kab mob yog yuav luag tsis cai nyob rau hauv cov me nyuam mos. Tab sis cov me nyuam los ntawm ib xyoos mus rau peb xyoos raug kev txom nyem los ntawm lawv feem ntau, vim hais tias lawv kawm tau mus taug kev, xav mus tshawb lub ntiaj teb no nyob ib ncig ntawm thiab ua nws feem ntau yog los ntawm txhais tes. Thiab cov me nyuam laus tshaj peb xyoo twb to taub hais tias koj yuav tsis rub txhua yam rau hauv nws lub qhov ncauj. Cov niam txiv yuav tsum coj mus rau hauv tus account cov nta thiab tau los tiv thaiv koj tus me nyuam los ntawm kab mob.

Cov tsos mob ntawm amebiasis nyob rau hauv cov me nyuam:

- raws plab (lub ntsiab thiab qhov tseem ceeb attribute);

- moodiness;

- tsis kam mus noj;

- mob nyob rau hauv lub plab;

- lub kub (los yog tej zaum yuav sawv me ntsis kom txog rau thaum highs).

Nyob rau hauv cov me nyuam, raws plab yog tsis heev thaum xub thawj, txog 6-7 lub sij hawm ib hnub twg, liquefied quav, hnoos qeev tej zaum yuav tam sim no nyob rau hauv lawv. Tom qab heev kom kuv mus 20 lub sij hawm los yog ntau xav faib quav yuav diluted nrog cov ntshav thiab hnoos qeev. Tus me nyuam nyob rau ntawm no theem yuav lethargic, tsis kam ua si, yws ntawm mob plab, xeev siab.

Extraintestinal ntaub ntawv ntawm amebiasis nyob rau hauv cov me nyuam tsis tshua muaj. Lawv cov tsos mob yog tib yam li nyob rau hauv cov neeg laus. Cov mob hauv daim ntawv ntawm tus kab mob no tsis muaj kev kho mob tsis pub dhau peb mus rau plaub lub lis piam yuav ntev.

Kuaj raws li kev kho mob yav dhau los thiab quav tsom xam (pom nyob rau ntawd hnoos qeev, erythrocytes, hlwv, eosinophils). Qhov no tsom xam yog nqa tawm ob peb lub sij hawm los mus tshem tawm cov kev ua yuam kev. Nyob rau hauv tej rooj plaub, tus me nyuam yog nqa tawm serological antibody xeem, tab sis nws pib "ua hauj lwm" tsuas yog tom qab 2 lub lim piam ntawm cov thawj tsos mob. Ntshav kuaj tau rau mob amebiasis tsis, tab sis nyob rau hauv mob cim nce nyob rau hauv ESR thiab eosinophils, yuav txo tau ntawm hemoglobin.

Kev kho mob ntawm amebiasis nyob rau hauv cov me nyuam yog nqa tawm nyob rau hauv ib tug lub tsev kho mob. Siv "Osarsol" tshuaj "ua Lago", tetracycline tshuaj tua kab mob, "tus chij", "Trykhopol", "Fasizhin", "Meratin" vitamins "Bififor", "Symbiter". Kev mloog yog them mus rau kho tshiab ntawm poob kua nruab nrog cev, rau cov uas tus me nyuam yog muab ntau ntawm haus dej (rau ntuav rau ib diav, tab sis ntau heev). Kom tsis txhob poob ntawm ntsev, nws yog ntshaw kom ua haus tshuaj: 1 l dej, ntxiv 1 tsp .. tsis muaj ib tug toj ntawm ntsev thiab dej qab zib, ntxiv 2 tbsp. l. qab zib mix yaj lub Cheebtsam, rhuab mus rau ib tug kub ntawm +37 ° C ua ntej yuav siv.

kev tiv thaiv

Raws li cov kev plab hnyuv kab mob, amebiasis yuav tiv thaiv tau yog tias kev tu cev, ntxuav ob txhais tes ua ntej noj mov thiab tom qab siv chav dej, ntxuav tag nrho cov khoom, yuav los yog Ripped rau private av, rhaub dej coj los qhib reservoirs. Nyob rau hauv tas li ntawd, nws yog tsim nyog los ua kom puas rau peddlers hlwv - yoov, kab laum.

Thaum thawj cov cim qhia ntawm amoebiasis yuav tsum maj tus kws kho mob thiab tsis mus koom nyob rau hauv nws tus kheej-zoo, txawm nrog rau feem ntau pov thawj "tej" zaub mov txawv. Qhov no yuav tiv thaiv tau kab mob amebiasis cov txheeb ze.