ndi moyo

Zamkati

• Momwe kufalitsa ndi kuzungulira kumachitikira
• Zizindikiro zazikulu
• Momwe mungatsimikizire
• Momwe mankhwalawa amachitikira
• Momwe mungapewere

Fasciolosis, yotchedwanso fascioliasis, ndi parasitosis yoyambitsidwa ndi tiziromboti Fasciola hepatica, ndipo kawirikawiri Gigantic fasciola, zomwe zimapezeka mumiyendo ya bile ya nyama, monga nkhosa, ng'ombe ndi nkhumba, mwachitsanzo.

Kutenga ndi Fasciola hepatica ndizochepa, komabe zimatha kuchitika ndikulowetsa madzi ndi ndiwo zamasamba zoyipitsidwa ndi kachilombo koyambitsa matendawa, chifukwa mazira omwe amatulutsidwa m'deralo amatuluka akakumana ndi madzi, zozizwitsa zomwe zimatulutsidwa zimayamba mu nkhono mpaka mawonekedwe opatsirana komanso amatulutsidwa kenako nkukhala mawonekedwe opatsirana otchedwa metacercaria, osasiya madzi owonongeka okha, komanso zomera zam'madzi, monga watercress, mwachitsanzo.

Ndikofunikira kuti matenda ndi chithandizo apangidwe mwachangu, chifukwa tizilomboto sitinasinthane ndi thupi la munthu, zizindikilozo zimakhala zovuta kwambiri. Chithandizo chikuyenera kuchitika ndi Albendazole, Bithionol ndi Deidroemetina.

Momwe kufalitsa ndi kuzungulira kumachitikira

THE Fasciola hepatica imafalikira kwa munthu kuchokera pakumwa madzi kapena ndiwo zamasamba zosaphika zomwe zimakhala ndi metacercariae wa tiziromboti. Njira inanso yotheka, koma yocheperako, ndiyo kudya nyama ya chiwindi yaiwisi kuchokera kuzinyama zomwe zili ndi kachilomboka ndikukhudzana ndi nkhono kapena zotulutsa zake.

Tizilombo toyambitsa matendawa timakhala ndi moyo womwe umakhudza matenda opatsirana komanso otsimikizika, ndipo zimachitika malinga ndi izi:

1. Mazira a nyongolotsi amamasulidwa ndi ndowe za alendo, omwe atha kukhala anthu kapena nyama monga ng'ombe, mbuzi ndi nkhumba;
2. Mazira amamasulidwa atalumikizana ndi mswa wamadzi ndikutulutsa chozizwitsa;
3. Chozizwitsa chomwe chimapezeka m'madzi chimakumana ndi wolandila wapakatikati, yemwe ndi nkhono zam'madzi zamtunduwu Lymnaea, PA sp.;
4. Mkati mwa nkhono, zozizwitsa zimayamba m'matope, m'matope komanso m'matope okhala ndi cercariae;
5. Ma cercariae amatulutsidwa m'madzi ndikudziphatika pamwamba pamasamba ndi mbewu kapena kufika pamtunda, amataya chifukwa chake, amakopeka ndikudziphatika ku masamba kapena kupita pansi pamadzi, amatchedwa metacercaria ;
6. Nyama ndi anthu akamamwa madzi owonongeka kapena zomera za m'mphepete mwa mtsinje, amatenga kachilombo ka metacercariae, kamene kamatayika m'matumbo, kamadzaza khoma la m'matumbo ndikufikira njira zowopsa, ndikuwonetsa gawo lalikulu la matendawa;

Patatha pafupifupi miyezi iwiri, tizilomboto timasunthira m'mimbamo ya bile, timayamba kukula, timachulukitsa ndikuikira mazira, omwe amatulutsidwa mu ndowe, ndipo kuyambika kwatsopano kumatha kuyamba.

Zizindikiro zazikulu

Zizindikiro zomwe fasciolosis imatha kuyambitsa zitha kukhala zosiyana pazochitika zilizonse, mosiyanasiyana malinga ndi gawo komanso kukula kwa matendawa. Chifukwa chake, kudwala koopsa komwe kumachitika pakusamuka kwa tiziromboti, mu 1 mpaka 2 milungu itadutsa matenda, zizindikilo monga kutentha thupi, kupweteka m'mimba ndi kutupa kwa chiwindi zimatha kuyambika.

Pakadali kuti tiziromboti timakhala m'mitsempha ya ndulu, matendawa amakhala osachiritsika, kutupa kwa chiwindi kumatha kuchitika, kuchititsa zizindikilo monga kuchepa thupi, kutentha thupi, chiwindi chokulitsa, kudzikundikira kwamadzi m'mimba, kuchepa magazi, chizungulire komanso kufupika wa mpweya.

Nthawi zina, kutupa kwa chiwindi kumatha kubweretsa zovuta, monga kutsekeka kwa ma ducts kapena chiwindi cha chiwindi. Khansa ya chiwindi sichimayambitsa matendawa Fasciola hepatica, komabe, amadziwika kuti chiwindi cha carcinoma chimafala kwambiri mwa anthu omwe ali ndi chiwindi cha chiwindi.

Momwe mungatsimikizire

Matenda a fasciolosis amakayikiridwa ndi adotolo malinga ndi kuwunika kwazachipatala ndikuwona momwe zimakhudzira munthuyo, monga kuweta nyama kapena kudya masamba osaphika. Mayeso omwe angatsimikizire kuti ali ndi kachilomboka akuphatikizira kuzindikiritsa mazira m'mipando ndi kuyesedwa kwamagazi.

Kuphatikiza apo, ultrasound kapena tomography yamimba imatha kuthandizira kuwonetsa tiziromboti mkati mwa mtengo wa biliary, kuwonjezera pakuzindikira malo am'mimba ndi kutupa. Dziwani zambiri za mayeso omwe amayesa chiwindi.

Momwe mankhwalawa amachitikira

Chithandizo cha fascioliasis chimayendetsedwa ndi dokotala, ndipo chimaphatikizapo kugwiritsa ntchito mankhwala osokoneza bongo monga Bithionol masiku 10 pamasiku ena, Deidroemetina masiku 10 kapena Albendazole, ngakhale zovuta zoyipa zomwe zimadza chifukwa chogwiritsa ntchito antiparasitic zafotokozedwa.

Ngati pali zovuta kale m'chiwindi, monga chiwindi kapena kutsekeka kwa ma ducts, kuyenera kutsatiridwa ndi a hepatologist, omwe akuwonetsa njira zowonjezera thanzi la chiwindi ndipo, ngati kuli kofunikira, awonetse mtundu wina wa opareshoni kukonza zoletsa.

Momwe mungapewere

Kuteteza matenda mwa Fasciola hepatica, tikulimbikitsidwa kuti tiziwononga masamba obiriwira asanadye, ndipo nthawi zonse mugwiritse ntchito madzi oyera oyenera kumwa. Kuphatikiza apo, ndikofunikira kupewa kudya nyama zosaphika.

Ndikofunikanso kuti osamalira ng'ombe ndi nyama zina azisamala ndikudyetsa ndikuchiritsa, ngati ali ndi kachilomboka, ngati njira yopewa kupitirira kwa mphutsi m'deralo.