Ola kino, Maʻi a me nā kūlana
Intestinal amebiasis:ʻike, a me ka lapaʻau
intestinal amebiasis: He aha ka mea? He 'ano, he pono ole infectious maʻi i ua pu ma ka iniiaiie lesion o ka intestinal Tube, e like me nā nā loko, a nenoai ma hope o ka generalization kaʻina. Kēia mea pilikia loa pathological kaʻina a e 'ai pono i ka make.
ka wehewehena
intestinal amoebiasis - he maʻi i ua kena ae la ia e pathogenic? ueo Entamoeba histolytica. Kēia poe noonoo ole meaola Ua laha ma ka'āina me ka humid a me ka wela aniau. Eia hou kekahi, ma ka'āina aia ma ke koaʻe ke a me subtropics, ka loa haahaa nui o ka lawelawe malama, no laila, intestinal nā mea palahēhē ana i loko o ka hapanui o ka heluna kanaka. Kēia mea he mamao lehulehu ola pilikia o ke kolu o ka honua'āina.
I mea e maopopo pehea pilikia no kanaka amebiasis, ia mea nui i ka ike i kana mea lua wale i ka malaria make. ʻaneʻane ka hapa o ka ieeeea kanaka i loko o ke ao nei i nā moku halihali mokulele o ka Entamoeba histolytica. He umi pakeneka o ia i lapaʻau symptoms, a hiki i ka iwakalua pakeneka mai ka make mai complications me mua hoike ana o ka maʻi.
Ka ikaika Polenekia ana o kanaka, mai ka ulu 'aina i oi noho pomaikai ka poʻea pau i ka laha ana o ka pathogen, a mahuahua morbidity. Ma Rusia ma ka pili ana me ka emigration, mai ka Middle Hikina'āina, i ka maʻi i laha.
etiology
Intestinal amebiasis kena ae la ma ka'aʻaʻa-mea hoʻoheheʻeʻia a me ka hī koko amoeba, i noho ana ma ka lumen o ke ao kanaka liʻiliʻi. Ke amoeba hiki nei i loko o ekolu ano: cystic,'aʻaʻa, a me ka luminal precystic.
- 'aʻaʻa palapala loaʻa wale nō i loko o nā mea maʻi i loko o ka huʻi pae ana o ka mai a me wale i loko o ka naʻau liʻiliʻi nā'aʻaʻa, akā,ʻaʻole i loko o ka noho. Heʻuʻuku ma ka nui amoeba, i mea pahee a me ka ectoplasm endoplasmʻaʻole i loaʻa organelles. Ko ia neiʻoniʻoni ma ke kino me ke kōkua o nā prolegs. Kēia palapala ke hoʻokemuʻana i ka ula koko keena, e like me ka hahauʻia nā'ūhū e kōkua iā ia e hele i loko o ka mucosa a me ka submucosal papa o ka naʻau liʻiliʻi. Ua hoʻololi i nā hana necrosis o nā'aʻaʻa a me na mai hehe.
- Luminal palapala ua loaʻa i loko o ka lumen o ka AeXIeAaOIePEAaI. Ua hanai ma koʻohune mea e i ka maʻamau flora o ke kanaka, e like me ka pono me'aʻaʻa detritus mai ana ka ulceration. Ua pinepine ia lŘlŘ i loko o kanaka, ka poe i waiho wale aku no i ka huʻi ano o ka maʻi a me nā nā moku halihali mokulele. Ana o kona liʻiliʻi neʻe i ke kua'āina ma mua o'aʻaʻa.
- Precystic hana i ka hoʻololi, a ua loaʻa wale nō i loko o keia? Ueo o amoebae. Hoʻopale ai i na ki ina hana like o ka disinfection a koke make mawaho o ka puali.
- Cysts i moe ko palapala dysenteric ameba. No laila, ka mea hiki ke ola i loko o ke kaiapuni. Kēia colorless a aeee i i eha Kora naʻEsau, a me ka vacuole. Kēia palapala ua loaʻa i loko o ka intestinal Contents a me convalescent nā moku halihali mokulele.
epidemiology
intestinal amebiasis - ia anthroponotic maʻiʻaʻai. Ia mea i ka causative Agena o ke ola wale nō i loko o kānaka, a ua i hiki mai kanaka i ke kanaka. Keʻano papa hana o ka EYI o fecal-ku una EYI alanui paha e kekahi :. ma ka wai, ka ai, ka hale waiwai, a me ka hui ' "ili-i-ili" A kanaka i mea i lawe, i nā lā e hoʻokaʻawale, mai ka kino, miliona o cysts a me ka palena papaha iho mailoko o nā mea a pau a puni. mai i ka eono mahina - kēiaʻano o ka amoebae hiki i ke kūpaleʻana noho viable i loko o ka wehe ea oi ma mua o ka mahina, a me ka. Piula wai wai pathogen ola no ka oi mamua o elua mahina, a ma luna o ka lepo ili honua - he uuku emi malalo o elua pule.
Kauka ho'āʻo e diagnose i kakahiaka nui me intestinal amoebiasis hiki ia. Symptoms i na wahine a me na keiki i ulu hikiwawe loa, a me ka maʻi mea pilikia. Nolaila, haawi mai i ka nui o na isolations o ke kino a me kā lākou kumupaʻa i loko o ka mawaho 'ia, ka mea i pono, e malama i ka pono pilikino kou niho, a ke lawe mai regular pulu, i ka hoʻomaʻemaʻe o nā pā me disinfectants.
prevalence
intestinal amebiasis Ua laha, nānā 'ole o ke aniau a me ka lāhui. Ma Tropical'āina, Ua hoi ka pakeneka o ka hoopii luna, akā, i loko o nā wahi o kēia maʻiʻaʻai lā, he pono ole. Laha ana o ka maʻi ka poʻea pau i ka ilihune hui hoʻomaʻemaʻe moʻomeheu o ka heluna kanaka, a me ka poʻeʻilihune hygienic keia: i ka wa e kaawale aku o ke kikowaena wai lako, untimely ioni? Haul a me ka hoʻomaʻemaʻe eioea.
I ka helu o ka poʻe e noho ana nā moku halihali mokulele o ka pathogen, a me ka ike o ko lākou mau maʻi ole, i na manawa he oi aku ia mamua o ka helu o ka poe i malama lapaʻau symptoms. Ma kekahi'āina i kēia huahelu e pii ai i hookahi kanaha pakeneka o ka heluna kanaka. Ma pakiko no ka huliau i hoʻopaʻa sporadic mea hiki wale mai. Ke moʻokalaleo ho'ākāka ka outbreak o amoebiasis i loko o ka hale paʻahao napoo ana no hoi, a ma na Barracks.
Ma ka Moscow aina Extractor amoebas, kamaʻilioʻana ia e kanaka me kanaka immunodeficiency mea hoʻomaʻi, injecting lāʻau mea hoʻohana, a kōkua iā ia, nā mea maʻi. pathogen EYI ia lŘlŘ i ka mehana hahau ana.
pathogenesis
intestinal amebiasis - He aha ka mea? Kēia mea he kaumaha intestinal maʻiʻaʻai e hoʻomōhala ana i loko o lesions o ka AeXIeAaOIePEAaI. Ka hooulu ana o ka maʻi aie i ka waiwai o ka pathogen. Ma hope o moni 'ia ke kanaka cysts ka mea, ua olohelohe ia lakou i kaʻakika' ia o ka opu a me ka meaʻuʻuku liʻiliʻi nā'ūhū, a hele i loko o ka vegetative palapala.
Kekahi cyst huli ewalu amoebas, i neʻe i loko o ka uka pauku o ka AeXIeAaOIePEAaI. Oiai na kanaka'ōnaehana paleʻea'ōnaehana suppresses ka nui nā'ōlelo o amoebas, ka mea, e hoike aku ia lakou iho:ʻai nō ma luna o koʻohune a me chyme. Akā, inā na kumu e hoomaka ana i ka lokomaikaʻi iā lākou, no ka laʻana, mea he 'aʻe' ana o kaʻakika, na naau oʻu pa poino, hoʻopōʻino peristalsis, i ka muli o nā ilo a stress, ka pathogen hoʻomaka e 'Imi proliferate a komo iloko, mai ka lumen o ka intestinal Tube i loko o kona pā pōhaku.
Ke parasite ke hookuu aku oia protease, hemolysin a me ka 'ē nā'ūhū e luku'aʻaʻa, a kōkua i ka pathogen e komo i loko o ke Keena Kalaiaina o ke kino. Neutrophils ('aʻaʻa macrophages) e imi, eʻai i ka amoebae, akā, ma kahi i hoʻoheheʻeʻia, a loaʻa hou monooksidanty i ka hōʻoi 'li nui a me ka necrosis. Ma nā wahi ma kahi o ka he hui pu iaʻi o ulcers conditionally pathogenic a me ka pathogenic microflora, ka causative Agena o ka palemo malalo iho i loko o ka'aʻaʻa a me multiplies hikiwawe loa. Mai ka iniiaiie pulakaumaka a hana i abscess.
Over manawa ka mea, ua wehe, a ma kona wahi i hana ulcer me podrytymi lua penei, a necrosis i loko o ka waena. Mucous ua ho'āʻo ana e pani i ka hewa me ka hou'aʻaʻa, a me ka granulation. Ma ka hopena, he mea mucous fibrosis, scarring a me strictures. Abscesses mai e hōʻike i ka ia manawa. oe hiki ke loaʻa nā hou wehe iho la i na mai hehe ma ka mucosa o ka AeXIeAaOIePEAaI, a ua Epithelialising a me scars.
Ulcers hiki e ai hohonu i komo iloko ma ka holoʻokoʻa mānoanoa o ka pa, a ua hiki ia i ke kumu o ka hui, perforation me peritonitis a me intestinal kahe ana ke koko. Kēia ka poʻea pau i ka generalization o ka maʻi a me ka poʻe Polenekia amoebas ma ke koko i nā nā loko a me nā'aʻaʻa.
symptoms
The World Health Organization e hōʻike ana kekahi mau pepa, a e hoʻomōhala intestinal amebiasis. Nā symptoms o kela a me keia o ia 'ano pathognomonic, no laila,ʻike,' aʻole i i nui 'inikua pilikia.
Dysenteric colitis. Ka loa e like me ka ano o ka maʻi. Aia nō nā huʻi a me ka maʻi Lolina pele. Ka incubation au - mai ka elua pule a hiki i eha mahina. Na ka papa kuhikuhiE symptom - diarrhea. Mua, ma kahi o eono manawa o ka lā, akā, laila, i ka uku, piʻi pū i ka iwakālua o ka manawa a oi ma na feces ikeia admixture o ke koko a me ka mucus. Over manawa, na feces e me raspberry jelly. Hoopii o ka eha, ana wela a me ka luhi kanaka 'Aʻole e hōʻike. Akā, inā loa e cramping eha ma ka akau haʻahaʻa abdomen (pinepine pioloke me ka li nui o ka i paiiaʻi na), a me ka kiʻekiʻe ana wela.
Huʻi kaʻina mau ole hou aku eono hebedoma, i ukali ia e ka wā o ke kala. I kekahi manawa e hele ai i ke ola, akā, ia mea he rarity. IeAUPIIe, IAa IO, ma hope o kekahi mau o ka mahina, i ka maʻi ua laila, akā, ua i loko o ka maʻi palapala. Me ka lapaau, ke kaʻina ua, ua hoopanee no ka makahiki. Maʻi amoebiasis hiki ke maheleia i recurrent a me ke ana 'ano apau loa.
Ma na hihia o recurrent mai i manawa o ka exacerbation smeryayutsya remissions, akā, na symptoms ka mea, aole i hiki maopopo ho'āʻo, a wale e emi haʻi (ma ke kiʻekiʻe o ke akemāmā kāna hana paepae). Ma exacerbation me ka hi koko i ke kino mahana kūpono kou hoʻololi ikea abdominal eha, pinepine kipa i ka 'Ia (like ke kala). Ana no nā mea a pau i hoikeia oia, a mahuahua nui intestinal symptoms,ʻikeaʻana o ke koko a me ka mucus ma ka noho.
Lōʻihi-kau papa o ka maʻi nui depletes nā mea maʻi, ka mea malama anaemia, ke kaupaonaʻana emi mai i ka cachexia, asthenovegetative symptoms.
keu-intestinal amoebiasis
Anal protozoan pathogens i loko o ke kino e hoike mai ai ia ia iho,ʻaʻole wale nō me intestinal amoebiasis. Symptoms o ka maʻi i e kokoke like me ka Classic maʻi, akā, aka hoi, ka mea i kauoha ia e ka ia pathogen. Extraintestinal palapala ia lŘlŘ ka wā o ka amoeba komo ka systemic holo. Loa pinepine i ka pale umauma hoʻokahi hui, i ke akepaa, a me ia maʻiʻaʻai lolo.
abscesses hoʻomōhala i ka luna-i oleloia kino. Lākou alo i nā hualoaʻa ma ka mahuahua ake, a me ka mahana ua hoalaia i ka kiʻekiʻe nui (39 a oi), me ka hele pū ana ole, sweating (oi loa aku hoi i ka po). Inā he ikaika inhibition o ke akepaʻa hana i ikea jaundiced. I kekahi manawa, i ka abscess lele aku ma luna o puka a hehee iho a me kona Contents i loko o ka pleural lua. Kēia hoʻonāukiukiʻana mai o ke kahua o ka empyema, akemāmā abscess, a me ka atelectasis.
intestinal amebiasis i keiki
Mawaena o na hihia a me nā moku halihali mokulele o ka Entamoeba histolytica he nui na keiki, no ka mea, ka mea e ole malama i ka rula o ka pilikino kou niho a me ka pinepine kiʻiʻino. Eia hou, ka mea, i ka hoʻonāwaliwaliʻia'ōnaehana paleʻea kahua. Kekahi kanaka mua ma mua o 5 makahiki e hana ana intestinal amebiasis. Symptoms, lapaau a me kaʻike, i ole loa okoa, mai ka poe mai o nā mākua. Lapaʻau hoike ana i olelo ia moderately, oi maʻamau mahana, emi haʻahaʻa-papa. Diarrhea ua cramping ana ma ke ano maoli, he mau streaks i loko o ka noho koko a me ka mucus. Helu o ka urgency ke oko a mai 2 a hiki i 15 manawa i ka lā. Abdominal kaʻeha e hoi ma kahi ee no i ka hemahema o ka uʻi keiki o ko mākou hopohopo kahua.
Ke pediatrician hiki e paʻakikī e diagnose amebiasis intestinal symptoms i loko o nā keiki i blurred, a hoʻonalonalo i like nā intestinal nā mea palahēhē. No laila, e pono e akahele ohi anamnesis, e hoakaka i ka manawa e hele ma kahi e, a me ke alo o symptoms i loko o nā mākua.
lapaʻau '
Ma nā mākua ia mea no hoi he manawa-e hoopau ana i ka diagnose "intestinal amebiasis." ʻike, hoʻomaka me ka ohi ana o epidemiological mōʻaukala. hookani ola rula, i ke alo o ka poe mai kanaka i loko o ka 'ia, hele i ka Hikina Hema Asia ma ka hou i hala kūlana nui i loko o kekahi ikehu pathogen maʻiʻaʻai a hiki orient i ke kauka ma ke ala e hiki aku akau.
Ke kuleanaʻike, He keʻena hoʻokolohua study o ka noho a me ka AeXIeAaOIePEAaI nā'aʻaʻa, abscesses Contents ma ke akepaʻa a me ka akemāmā. intestinal amebiasis maʻi hoʻopaʻaʻia ke alo i loko o ka mea ana i vegetative ano o ka hī koko amoeba. I mea e e pono lapaʻau 'ana, ka noiʻi ua lawe mai pinepine ae la oia, e hoʻomaka ana me ka lā mua o ka maʻi a me ke komo ana o ka hoʻomanawanui a hiki i ka haukapila. Kaʻimiʻana wale nō ke luminal ano a me ka cyst ole i ka lawa iki iloko no kaʻike,.
Inā nā hualoaʻa e io parasitological study a hui pū, a laila, i ke kakahiaka mua o ka hoʻomanaʻo o serological e ho'āʻo ai i ka ka loaʻaʻana o nā antigens a me nā mea'aʻaʻa i ka pathogen i loko o ka hoʻomanawanui ka koko. PalekanaEND_LINK ana o ka hōʻeuʻeu mahuahua ma ka lāʻau lapaʻau kino titer i ka eha a oi pakolu ka muaʻilikai.
Mai vocal hoʻokolokolo 'ana i lawe akepaa ultrasonography, radiography, kamepiula tomography aʻume mākenēki resonance tomography. He mea pono e huai ae keu-intestinal foci.
lapaʻau
kauka mai i IeAUPIIe, IAa IO kali a e e diagnosed me "intestinal amoebiasis", lapaʻau ua hoʻomaka 'koke ma hope o ke kanaka i loaʻa i ka haukapila. Ma mua ka mea, ua symptomatic: e hooponopono i poho o fluids a me electrolytes intravenously lawelawe ai ', e kākoʻo i ka hana ana o ka naau a me ka ia maʻiʻaʻai. Inā he mea wela, ka mea, ua hoemi ia i ka pono imua helu. Ma hope o loaa ia i kekahi definitiveʻike, ua pili a me kekahi Inc.
Inā he kanaka o ka lawe ana o amoebas, laila, koho luminal amoebocytes e hoʻonui ai i ka wehe 'ana o parasites mai ke kino, a inhibit kā lākou'ōlelo. Eia kekahi, ua pae o ka ai 'koi' ia a me nā mea maʻi a me nā ano o ka maʻi, i ka mea e loa hoʻopau i ka pathogen mai ke kino.
No nā mea maʻi me ka huʻi amoebic ka hī koko malaila amoebocytes'aʻaʻa e hana 'ana ma luna o ka vegetative ano o ka pathogen, a lawe aku ia i na nā loko a me nā'aʻaʻa. He nui no ka maopopo undergo lapaʻau, a hiki ma hope o ka nalowale ana o lapaʻau symptoms. A ua noho hihia o recurrence o ka maʻi makahiki ma hope o ka hapa mua.
Kāohi
He aha e pono ai e hana, e pale aku intestinal amebiasis? Ka iapaau ana AIM e hoʻopau i ka parasite mai ke ahonui, a me ka Kāohi ia ma luna o kona 'āina a me ka poe ola ana. Infectious maʻi kauka e kuhikuhi kamepiula a me kēia e hoʻomaka i ke ana o kēia mau kanaka, e like me ka pono i paipai ia lakou e lawe mai mau, i ka hoʻomaʻemaʻe i loko o ka hale.
Ke kamepiula pinepine kiʻi i na kanaka:
- me pathology o ka digestive oihana;
- nā kupa o ka noho, ma i ka mea,ʻaʻohe centralized wai lako;
- ai hana hana;
- mākaʻikaʻi ma;
- kanaka me kekahi moe kohoʻia.
Lapaʻau ninaninau o ka hookuu nā mea maʻi hope makahiki. Haʻawina no ka isolations i paa a pau i nā malamaʻekolu, a me ka mai o ka huli mai, ina he mau symptoms o kāna hana o ka gastrointestinal'āpana. I mea e uhai i ka EYIʻano papa hana ua lawe mai disinfection o mea, a ua hoomanawanui lakou koho. Eia hou, koi i haawiia mai e hoʻoikaika 'i ka hui hoʻomaʻemaʻe-epidemiological? Eia.
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