Amebiasis intestinal: tātaritanga me te maimoatanga

amebiasis intestinal: he aha te mea te reira? Ko te mate hopuhopu tika noa tahi nei e te lesion tuatahi o te ngongo intestinal, me te tahi atu whēkau me ngā pūnaha i muri i te tukanga whakatau. Ko te tino kino tukanga pathological e kia hua i roto i te mate tenei.

whakamāramatanga

amoebiasis intestinal - he mate meinga e te e pathogenic histolytica momo Entamoeba. he whānui i roto i te whenua ki te āhuarangi takawai, me te wera tenei rauropi ohie. I tua atu, i roto i whenua kei roto i te tropics me subtropics, te taumata tino iti o te tiaki pāpori, mate na intestinal puta i roto i te nuinga o te taupori. Ko te raruraru hauora tūmatanui akiaki o te toru o nga whenua ao tenei.

I roto i te tikanga ki te mārama me pēhea te kino mo amebiasis tangata, he mea nui ki te mohio e he ia te rua anake ki mate malaria. Tata ki te haurua i te piriona iwi i roto i te ao, he kawe o Entamoeba histolytica. Kotahi tekau ōrau o ratou i tohu haumanu, a tae noa ki e rua tekau ōrau mai te mate i pōauautanga kahore whakakitenga tuatahi o te mate.

Ko te hekenga tamau o te iwi i whenua whakawhanake ki āwhina atu whai ki te horapa o te tukumate me nui haere atu tahumaero. I roto i Russia i roto i te hononga ki te hekenga i te whenua Middle Te Tai Rāwhiti, ka whānui te mate.

etiology

amebiasis intestinal meinga e kiko-rewa te koripi Pūora ranei, e nohoia te lumen o te matotoru whēkau tangata. Ka taea e te Pūora tīariari i roto i ngā puka e toru: whēwhē, kikokiko, me luminal precystic.

1. kitea puka kiko anake i roto i tūroro i roto i te wāhanga whakapeka o te mate, me te anake i roto i te kopa whēkau, engari i roto i te kumete e kore. Ko reira iti i roto i te Pūora rahi, i te mea ngawari, me te ectoplasm endoplasm kore kei roto organelles. neke te reira i roto i te tinana ki te awhina o prolegs. Ka taea e tēnei puka mimiti te pūtau toto whero, me te te whākōkī mea patu e te tauturu ia ia te tiki ki te apa mucosa me submucosal o te whēkau. ai te reira i necrosis o te kopa me tuwhenua.
2. kitea puka Luminal te i roto i te lumen o te kopirua. kai te reira i runga i huakita e hanga ake te tipu noa o te tangata, me te kiko detritus hua i te ulceration. Te reira i maha puta i roto i te iwi nei i tukua e te puka whakapeka o te mate ranei he kawe. He pōturi ake i te kiko āhuatanga o ona nekehanga iti.
3. Precystic hanga he whakawhitinga, me te kitea anake i roto i tenei momo o te amoebae. Ātete ki te tikanga o te disinfection me hohoro mate waho te ope.
4. Cysts e hohe ameba puka dysenteric. Na e taea te tīariari te reira i roto i te taiao. Tenei pūtau a tawhio taekore e whai wha otaota me te miru. kitea ana tēnei puka i roto i te tirotiro intestinal me kawe mātūtū.

mātai tahumaero

amebiasis intestinal - reira mate anthroponotic. Ko te kaihoko fakatupu o ora anake i roto i te tangata, me te te tuku i te tangata ki te tangata. Ko te tikanga o te tuku o te ara tuku fecal-waha kia rerekē :. roto i te wai, kai, taonga whare, ranei whakapā "kiri-ki-kiri" Ko te tangata e ko te kawe, kia kia wehea nga ra i te tinana, milioni o cysts me pea whakapoke katoa a tawhio noa. Tenei puka o amoebae taea noho taea i roto i tuwhera te rangi, nui atu i te marama, me te wā mīti - ki runga ki te ono marama. ora Tap tukumate wai mo neke atu i te rua marama, a ki runga ki te mata oneone - he iti iti iho i te rua wiki.

tamata Doctors ki te tātari rite wawe rite taea amoebiasis intestinal e. E whakawhanake tere tohu i roto i nga wahine, me tamariki, a ka he uaua te mate. Na reira, i homai te kaha o nga isolations o te tinana, me to ratou pūmautanga i roto i te taiao o waho, ko te mea e tika ana ki te mau akuaku whaiaro pai, me te ki te kawe i roto i horoi mākū auau o ngā whare ki te disinfectants.

nuinga

He whānui amebiasis intestinal, ahakoa o āhuarangi iwi ranei. I roto i te whenua pārūrū, he tino noa hoki te ōrau o te wā i runga, engari ano hoki i roto i te tahi atu wāhanga o tenei mate. Horapa o te mate whai wāhi ki te ahurea parukore rawakore o te taupori me te tikanga akuaku rawakore: te ngaro o te supply pokapū wai, kohinga paru materoto me hake horoi.

Te tokomaha o te iwi nei he kawe o te tukumate, a he kore noa mōhio o ratou mate, he maha nga wa nui atu te tokomaha o te hunga e kua kite tohu haumanu. I roto i te tahi mau whenua e whakatika tenei ahua ki wha tekau ōrau o te taupori. I roto i te climates hitahita tuhia pā tāmutumutu. whakaahua ana te tuhinga i te pakarutanga o te amoebiasis i roto i ngā tautuhinga whare herehere, me te i roto i te pa.

I roto i te amoebas whenua Pūunu Kihi, ahu ki te hei iwi ki te tangata huaketo ārai, injecting kaiwhakamahi tarukino me tūroro AIDS. puta tukumate tuku i roto i te patunga mahana.

pathogenesis

amebiasis intestinal - he aha te mea te reira? Ko te mate intestinal taimaha e whanake i pāpaka o te kopirua tenei. Ko te whanaketanga o te mate e tika ana ki te āhuatanga o te tukumate. I muri horomia tangata cysts e whai wāhi ai ki te taiao waikawa o te puku, me te iti whākōkī whēkau, me te haere ki te puka vegetative.

Kotahi whēwhē tahuri waru amoebas, e neke i roto i te wāhanga o runga o te kopirua. Ahakoa te pūnaha ārai mate tangata Kōpeke te tārua papatipu o amoebas, e kore ratou e faaite mai ia ratou: te whangai i runga i huakita me te chyme. Otiia ki te kei te timata i te huru ki te paingia ratou, mo te tauira, ko te takahi o te kawatanga, te whara taiepa whēkau, ioio waimaero, te putanga o noke ahotea ranei, tīmata te tukumate ki proliferate mātātoa, ka tomo i te lumen o te ngongo intestinal i roto i tona taiepa.

Ko te putanga werau protease, hemolysin me ētahi atu whākōkī e whakangaro kiko, me te āwhina i te tukumate ki tomo ki roto ki te roto o te tinana. Kei te ngana Neutrophils (macrophages kiko) ki te kai i te amoebae, engari hei utu e rewa a whakahokia ana monooksidanty e whakarei mumura me te necrosis. I roto i nga wahi i reira i reira ko te hinu o keha herenga microflora pathogenic me pathogenic, te kaihoko fakatupu o totohu hohonu ki te kikokiko, me whakanuia tere. Mai te arotahi tuatahi i hanga he whēwhē ranei.

Neke atu i te wā kua whakatuwheratia reira, a ka hanga e i roto i tona wahi whewhe ki tapa podrytymi me te necrosis i roto i te pokapū. Kei te ngana mucous ki te kati i te koha ki te kiko hou, me te granulation. I roto i te mutunga, i reira he mucous kakakīrehe, scarring me whakatūpehupehu. e kore e Abscesses puta i te wa ano. Ka taea e kitea e koe e rua whewhe kitea hou i runga i te mucosa o te kopirua me kua Epithelialising me pokapoka.

Ka taea e mariao kia hohonu kia e tomo i roto i te matotoru katoa o te taiepa, a taea hei te take o te okana perforation ki peritonitis me toto intestinal. whai wāhi ana tēnei ki te whānui o te mate, me te hekenga amoebas roto i te bloodstream ki ētahi atu whēkau me te kopa.

tohu

E tāutu ana te Health Organization World rave rahi puka, e kia whakawhanake amebiasis intestinal. Ko te tohu o ia o ratou tika pathognomonic, na e kore e tātaritanga meinga raruraru tino hauora.

colitis Dysenteric. Ko te puka tino noa o te mate. He rua rere whakapeka me rerekē ma'i. Ko te wā heki - i rua wiki ki te wha marama. Ko te tohu matua - korere. Tuatahi, e pā ana ki te ono nga wa i te ra, engari ka nga piki auau ki e rua tekau nga wa atu ranei i roto i te feces puta hawhekaihe o te toto, me te hūpē. Neke atu i te wa, hei nga feces rite rōpere tiēre. Amuamu o mamae, pāmahana tangata rohirohi ranei e kore e whakaatu. Otiia ki te kino kia cramping mamae i roto i te puku tika o raro (maha raruraru ki te mumura o te poi), me te tiketike pāmahana.

pumau tukanga whakapeka kore ake atu i te ono wiki, aru e te wā o te murunga. I te tahi taime haere reira ki ora, engari he mea i te varavara. Ko te tikanga, i muri i o nga marama i te tokorua, kua anō te mate, engari kua i roto i te puka ma'i. Te kore maimoatanga, kua te tukanga kua roa hoki tau. Ka taea te wehea amoebiasis ma'i ki ngā puka recurrent, me te tonu.

I roto i te wā o te mate recurrent i roto i wā o remissions exacerbation smeryayutsya, engari nga tohu e kore e tino whakamatauria, a anake hei iti korerotia (i te taumata o disorders pūkahukahu kumete). I roto i exacerbation koripi kore te pāmahana tinana nui taui puta mamae puku, toronga auau ki te wharepaku (rite ki te murunga). Motukore mō pānui katoa nui haere tohu intestinal, ahua o te toto me te hūpē i roto i te kumete.

akoranga o te mate wā-roa nui depletes tūroro, kite ratou anemia, mate taimaha ki runga ki te cachexia, tohu asthenovegetative.

amoebiasis anō-intestinal

tukumate kătahi kararehe pūtautahi i roto i te tinana e taea whakaatu iho rite amoebiasis intestinal kore anake. kia tino rite ki te mate matarohia Tohu o te mate, engari ahakoa kua meinga ratou e te tukumate taua. puta puka Extraintestinal ka tomo te Pūora te tohanga nahanaha. Nuinga o ngā wā riro te okana ūnga te ate, pūkahukahu roro ranei.

abscesses whakawhanake i roto i te tinana i runga ake-whakahuatia. Ratou hua aroaro i roto i nui haere ate me te pāmahana e whakaarahia ki tau teitei (39, neke atu rānei), ki tahi Chills, sweating (ina koa i te po). Ki te kia puta te inhibition kaha o te ate mahi jaundiced. I te tahi taime pakaru te whēwhē i runga i piata ranei rewa me ona tirotiro ki te kōhao pleural. whakaoho tenei te hanganga o empyema, pūkahukahu whēwhē, me atelectasis.

amebiasis intestinal i roto i ngā tamariki

I roto i te take me kawe o Entamoeba histolytica maha tamariki, no te mea kahore ratou e mau i te ture o te akuaku whaiaro , me te maha whiwhi paru. I tua atu, to ratou he pūnaha ārai mate ngoikore. Tetahi tangata pakeke atu i te 5 tau e puta amebiasis intestinal. Tohumate, maimoatanga me te tātaritanga kore e tino rerekē i te hunga o ngā pakeke. faaite tika faaiteraa Haumanu, atu pāmahana noa, iti iti-kōeke. Kei te cramping korere i roto i te natura, i reira he koputaputa i roto i te toto kumete me hūpē. Tau o te ru e taea rerekē i 2 ki te 15 ngā wā i te ra. kia ngaro mamae puku e tika ana ki te huru tia ore o te pūnaha io taitama o te tamaiti.

Ka taea e te tākuta tamariki e uaua ki te tātari amebiasis tohu intestinal i roto i ngā tamariki e te peroo ka whakaahua ke rite ētahi atu mate intestinal. Na e hiahia ana koe ki te āta kohikohi anamnesis, ki whakapūtā te wa ki te haere ki waho, me te aroaro o tohu i roto i te mau metua.

tātaringa

I roto i te pakeke he hoki reira rawa wa-kai ki te tātari "amebiasis intestinal." haamata tātaritanga ki te kohinga o hītori tahumaero. Ora tikanga, te aroaro o te iwi mate i roto i te taiao, haere ki Tonga Asia i roto i te mua tata te whakatangihanga a te wāhi nui i roto i te mate tukumate pūmanawa, me te taea arata'i ai te tākuta i roto i te aronga tika.

Ko te tātaritanga whakatakotoria he ako taiwhanga o nohoanga me te kopirua te kopa, abscesses tirotiro i te ate, me te pukapuka. mate amebiasis intestinal whakapumautia e te aroaro i roto i te rauemi o ngā momo vegetative o te koripi Pūora. I roto i te tikanga ki te hei tātaritanga whai hua, kawea rangahau i roto toutou, tīmata ki te ra tuatahi o te mate whakauru o te manawanui ki te hōhipera ranei. Kimi puka anake luminal me whēwhē kore whakarato i te pūtake rawaka mō te tātaritanga.

Ki te mea ko nga hua ako parasitological kino whakauru ranei, ka te taahiraa i muri ko te waihanga o whakamātautau serological mo te rapunga o antigens paturopi ranei ki te tukumate i toto o te manawanui. paearu Tātaritanga Ko te hua hihiri i roto i antibody titer i roto i wha atu ranei nga wa te taumata taketake.

Mai i ngā tūhuratanga mauhaa kawea ate ultrasonography, Radiography, tomography rorohiko ranei tomography te kōwarotanga autō. Ko te tika tenei ki te kitea aronga anō-intestinal.

maimoatanga

e kore e kaiwhakaako te tikanga tatari ka pāngia ki "amoebiasis intestinal" noa, tīmata maimoatanga te i muri i tonu whiwhi te tangata ki te hōhipera. I te tuatahi i symptomatic reira: whakahokia mai mate o fluids me electrolytes pâmuhia whakahaere taero, tautoko te mahi o te ngakau, me te pūkahukahu. Ki te reira he kirika, kua heke te reira ki tau manakohia. I muri i kitea he tātaritanga äta hono te me therapy motuhake.

Ki te te tangata ko te kawe o amoebas, ka whakarite amoebocytes luminal e whai wāhi ki te tango o pirinoa i te tinana, me te tautāwhi i to ratou uri. I tua atu, tenei rōpū o taero i whakaritea me tūroro ki ētahi atu momo o te mate, i roto i te tikanga ki te whakakore rawa i te tukumate i te tinana.

Hoki tūroro ki whakapeka koripi amoebic reira amoebocytes kikokiko e mahi tika i runga i nga momo vegetative o te tukumate, ka tango i te reira ki te okana me te kopa. He mea nui ki te tino mamae maimoatanga, ara i muri i te ngaro o ngā tohu haumanu. He kua take o hohokitanga o te mate tekau tau i muri i te hawhe tuatahi.

ārai

He aha e hiahia ana koe ki te mahi i ki te ārai i amebiasis intestinal? E whai ana te maimoatanga ki te whakakore i te werau i te manawanui, me te pānga ārai i runga i ona tikanga taiao, me te hunga ora. rata mate hopuhopu kia tāutu i tūpono, me te ki te whakahaere i te rangahau o enei iwi, me te akiaki ia ratou ki te kawe i horoi whānui i roto i te whare.

Ko te mōrea maha te tiki i te iwi katoa:

• he māuiuitanga o te pūnaha kūnatu;
• noho o ngā whakataunga, i roto i nei kahore he supply centralized wai;
• kaimahi ahumahi kai;
• haere;
• iwi ki rerekē hōkakatanga.

whakamātautau haumanu o tūroro tukua whakamutunga tau. Studies mo nga isolations e tū toru nga marama, a ka i roto i o tahuri, ki te reira he tohu o disorders o te wahi gastrointestinal. I roto i te tikanga ki te wahi i te huarahi tuku kawea i roto i disinfection o ngā, i nga kōwhiringa manawanui. I tua atu, e hoatu tūtohutanga ki te whakapai ake i te tikanga parukore-tahumaero.