Opisthorchiasis kev kho mob, cov tsos mob, ua rau thiab kev tiv thaiv

Opisthorchiasis - helminthic kab mob ntawm tag nrho cov hom tsiaj, xws li tib neeg, yog tshwm sim los ntawm trematode (Opisthorchis felineus). Hais tias helminth kab mob nyob rau hauv lub tsib lub zais zis, lub siab thiab nyob rau hauv pancreatic ducts.

Yuav ua li cas puas muaj tus tib neeg kab mob opisthorchiasis? Sib deev paub tab cua nab tso rau hauv lub cheeb tsam qe uas muaj miracidia tsim (tus thawj theem ntawm lub neej voj voog ntawm tiaj cua nab - trematode). Yog hais tias nqos, shellfish xws qe nyob rau hauv nws lub cev miracidia nkag mus rau hauv cov hnyuv ntawm lub plab hnyuv phab ntsa thiab penetrates mus rau hauv cov kab noj hniav, qhov twg nws yog tsim sporocyst. Tom qab hais txog ib lub hlis ntawm sporocysts yog tsim rediae (thib ob parthenogenetic tiam ntawm cab trematodes), uas pib los tsim cercariae (kab). Cercariae mam li tawm hauv mollusk thiab ntab dawb nyob rau hauv cov dej. Cov kab muaj kev koom zuj dej tsis qab ntsev ntses, nrog yooj yim txeem los ntawm lawv daim tawv nqaij mus rau hauv cov nqaij thiab connective cov ntaub so ntswg. Nyob rau hauv cov ntaub so ntswg, lawv yog enveloped zoo ntawm plhaub thiab tig mus rau hauv metacercariae (kab nyob rau hauv cov hlwv). Raws li ib tug txoj cai, metacercaria laus nyob rau hauv lub dag thiab sib sib zog nqus cov nqaij ntshiv ntawm lub qab, tus intercostal nqaij, fins, gills, cov phab ntsa ntawm lub plab hnyuv ib ntsuj av tau thiab caviar.

Tib neeg yuav kis los ntawm kev noj nqaij nyoos opistorhisov, qhuav, khov thiab insufficiently kib ntses raug. Nyob rau hauv cov hnyuv seem tseem party kab Opisthorchis felineus zam los ntawm tus neeg zoo li (hlwv) thiab txeem los ntawm cov kua tsib ciav nyob rau hauv lub siab kua tsib tsiv. Thaum lub sij hawm lub neej kev ua opistorhusy emit lom khoom uas hais tias ua ib tug inflammatory cov tshuaj tiv thaiv nyob rau hauv cov kua tsib ducts. Qhov no nyob rau hauv lem yuav ua tau kom mob npuas paug ntawm lub siab.

Feem ntau, opistorhoz kab mob cov tsos mob, kev kho mob nyob rau cov theem ntawm lwm tus kab mob. Soj ntsuam cov tsos mob yuav tshwm sim li daj ntseg, tsis qab los noj mov, kev nyuaj siab, kev qaug thiab mob ntawm lub alimentary kwj dej ua si (cem quav hloov los ntawm raws plab), lub cev kub nws txawv tsis pub dhau lub physiological ntau yam. Nyob rau palpation tus neeg mob hnov mob nyob rau hauv lub siab cheeb tsam. Lub siab yog tsam, kaw, feem ntau nrog ib tug ntau ntawm pob ntawm txawv ntau thiab tsawg pab thiab nrhiav. Thaum tsis muaj zog tua cov kab kev soj ntsuam daim duab tej zaum yuav tau uas ploj lawm.

Yog hais tias koj tshuaj mob opisthorchiasis, kev kho mob yog muab rau koj. Nws yog tsim nyob rau hauv peb ua sawv. Tus thawj theem yog ib tug preparatory, thaum lub sij hawm lub sij hawm no cropped tsis haum syndrome, o ntawm tus mob huam thiab cov kua tsib ciav. Txhim kho lub hauj lwm ntawm lub hepatobiliary system, siv antidetoksikatsionnuyu kev kho mob, ntxuav cov hnyuv. Nyob rau hauv xws li ib tug kab mob raws li opistorhoz kev kho mob thiab nws cov efficiency lom zem ntau nyob ntawm qhov zoo ntawm cov kev npaj lub sij hawm. Nws yog ib qho tseem ceeb luag hauj lwm nyob rau hauv lub anti-worm kev kho mob plays kev siv ntawm tus kab mob, ntev ntawm kev mob thiab kev cov neeg kawm ntawv ntawm puas nyob rau hauv lub gastro-plab hnyuv ib ntsuj av. Thaum mob opistorhoz kev kho mob yog raws kev coj kom tso ib tug neeg mob lub cev los ntawm helminths nrog maximal koob tshuaj anthelmintic tshuaj.

Cov mus kawm tus kws kho mob prescribes noj cov zaub mov nrog ib tug tsawg heev npaum li cas ntawm cov rog, thiab ascribes nrog ib tug siv ntawm antihistamines thiab sorbents. Nrog mob lub ntsiab kab mob kis xwm inflammatory tshua siv antimicrobials. Yuav txhim khu kua muab cholagogue npaj. Cov neeg mob mob opistorhoz kho mob muab siv spasmolytics (Nospanum, Baralginum, drotaverine, meteospazmil, Duspatalin), probiotics (vetom, Biovestin, lineks, baktisubtil, hilak forte) thiab digestive enzymes (Creon, penzital, Pankreoflat, mezim forte thiab et al.).

Nyob rau hauv lub thib ob theem ntawm kev kho mob siv anthelmintic tshuaj muaj tus nquag muaj praziquantel. Tom qab tshem tawm ntawm lub cev opistorhisov tshuaj yuav txo tau txoj kev kho kom normalize lub cev muaj zog thiab secretory kev ua ntawm lub siab (ahillan, gepatosol, Vitamix, Litovit O Florenta).

Ib txhia neeg mob kev kho mob opistorhoz pej xeem kev ua siv txawv extracts thiab infusions raws li nyob rau hauv paj immortelle, nyom thoroughwax, rosehips, wormwood, cranberry, beet kua txiv, cov qij, etc.

Nrog rau lub hom phiaj ntawm kev tiv thaiv yuav tsum tsis txhob noj plaub tsiaj miv thiab dev nyoos, qhuav los yog smoked ntses. Cov pejxeem yuav tsum tau nce helminthological nyeem ntawv, tshwj xeeb tshaj yog cov neeg tua tsiaj, fishermen, fisheries thiab cov neeg tsav nkoj dej fleet.