Whēwhē. Echinococcosis ate: maimoatanga take, tohu, te ārai

Echinococcosis he piha helminthiasis o cestodosis, i hua i te pūkahukahu, whatukuhu, ate, me te tahi atu whēkau te kopa ranei puta whēwhē. meinga mate hydatid ate e te whakataki, me te matuatanga i roto i ona tapeworms piri.

Ko te take o te mate

Ko te take te whakatau i roto i te mate o te echinococcosis tangata puta reira whakapā ki te kuri (pirinoa kawe), e taea te tiki i te mate na roto i te kai ururua kai. Ko tētahi atu kaiwero pea taea e mate o kuri hopu hua - pakaru whēkau paru o kararehe mohoao ranei.

I roto i te tangata, mate te nuinga mai i nga ringa ina. Ka taea e mate tupu i kuri i roto i tona makawe, arero ranei. Ka taea e ētahi kararehe e rite māhorahora hua foaki me whiwhi ratou ratou rite te pai i whakapā ki kuri mate.

Hoki i reira ko te pea e kia whiwhi i te tangata mate hydatid mā te kai hua, huawhenua me hua, e kore kua horoia kihai ki kua riro maimoatanga tuatahi ranei. Wai i roto taiao tavini hoki rite te puna o te mate.

kia tonu whēwhē puta me te iwi e mahi ana i roto i nga mara o te hipi. strigali reira hipi, hepara, hepara, me te hunga e kei roto i te whakapā ki enei iwi (te mau melo o te utuafare).

tohu o te echinococcosis

Tohu o te mate, ko te mamae i roto i te hautahi o runga tika, puku whakapairuaki ate. Mai te timatanga o te mate, me te ki te kitea te tohu tuatahi e te reira e rave rahi tau, i ētahi wā noa tekau tau. E meinga faaiteraa o echinococcosis i te whakanohonga, rōrahi, auau o te tipu o te whēwhē, me tona pānga i runga i nga okana kopa a tawhio noa, me te.

I roto i ētahi wā, ka taea e te raruraru haere, kahore tetahi tohumate, a taea wā kitea reira i te ultrasound X-ray ranei te mahi. maha haamata te mate ki te tohu noa - he iti-māka kirika roa, mate taimaha, ngoikore, me mate pāwera.

Hoki te wahi whēwhē tino tuatahi kei roto i te ate. Factor tohu āhuatanga o tohanga: te matamua o te toto i te whēkau haere ki te rua tomokanga o te ate ki te horoi i te toto. Whiwhi tapeworm i roto i te tinana i huaina mate hydatid o te ate.

echinococcosis ate ko:

• hāhā o te manawa rite ki te hua o te localization o te nekeneke HWM;
• mamae i roto i te taha ki matau;
• whakapairuaki me te ruaki;
• jaundice noa (ina romia irava biliary);
• whakarahi ate.

faaore te reira i te whēwhē o te ate?

Treatment o te mate i runga i to ratou ake pērā i te mate hydatid o te ate, e kore e taea noa. Ahakoa i roto i te wā tino onge reira ko te whakaora-whaiaro e pā ana ki te pakoko haere o te torongū. Ki te kitea te whēwhē te, te whanau o te echinococcus, na reira he kore therapy tarukino e e kua to'o te werau. korero whēwhē whaturama o te hiahia mo te pokanga tonu.

Hāparapara nekehia te whēwhē katoa. Ki te mea i roto i te apa ate kikokiko, ka tango i te reira tino e taea no te mea o te pea o te kino okana. I roto i tenei āhuatanga, tango i te chitin taiepa whēwhē, me te wahia ona tirotiro. Na reira ko te tango o te whēwhē iho, mai i reira he kore tūponotanga ka o whaturama me wehenga o te werau. Ki runga ki ärai angitu o te wāhi whēwhē o tona kohao wharahanga me sutured.

kawea mahi te ki te ate i roto i te tikanga ki te tango i te katoa he whēwhē i tona anga me ihirangi, kia e kahore i roto i te tinana, te puku, me te kōwhao rei. Ki te wāhi hohonu kōiwi nui anga hinga ranei. E meinga ana Operation me ona rōrahi o te mahi i te rahi o te whēwhē, me nga raruraru e kawea ana e ia. Ki te te whēwhē rohe whakanohonga kitea, ka kua nekehia reira tahi ki te capsule. Ka taea e tēnei tukanga hāparapara whakamahi tango taiaho whēwhē hydatid.

momo o ngā mahi

Ki te he nui oimeetsya cysts ate hydatid maha, ka te resected reira. A, no te tautuhi i te cysts nui whakaputaina e mahi Spasokukotsky Bobrov ranei, i roto i te mea he echinococcectomy ā-.

I roto i te tikanga e kore e ki te kanohi i te kiri mate whēwhē kore he poke, ka tukinotia ona kōhao i te taero ki pirinoa, hei tauira, formalin, iodine waipiro ranei.

Ki te kei te whēwhē te i raro i te HWM, me rite ki te hua o te pokanga i reira ko te kōhao nui, ka whakakikī te whakamahi i te reira i te tikanga Pulatova Delbo ranei ranei hipoki te kōhao i hanga ko te wahi o te HWM.

Ki te reira te mea he pakaruhanga whēwhē i roto i te aerodynamics ate, whakamana te mahi whawhati tata te. Na ka nekehia atu taiepa whēwhē i te pae pāngia o te wahi biliary. I roto i tenei āhuatanga, pana biliary hapa.

Ki te puta te āputa cysts i roto i te kōhao puku, ka mahi i te mahi ohotata te. I roto i tenei tukanga, nekehia te whēwhē, me capsules, i nga i te bronchi, pleural me te wāhi puku. Kei te whakamana te reira i echinococcectomy āhua-katia. I roto i te āhuatanga kino e tuwhera Echinococcectomy.

Ki te ate echinococcus papatipu he nui ki te hanga wawaotanga hāparapara i mua i raruraru puta. Ka taea te whakamana i te mahi i runga i te ate o te 2-3 Tukanga mokowā i rua wiki ki te toru marama.

Te tahuti nei i roto i te Echinococcus he i te 1 ki te 5% o te iwi huaketo. kia hoki puta Relapses ki te haea te whēwhē i.

ārai

hāngai Belgium o kararehe, me te tangata i runga i te ngā tukanga whakamana e ratonga hauora, me te kararehe. Me tirohia tonu nga kuri kāinga me te mahi ki te kutukutu, rawa i roto i ngā wāhi rawakore, ratou therapy, euthanasia o kararehe manene, me te te whakatinanatanga o te mana o te kai i roto i slaughterhouses.

He aha te mea e hiahiatia ana?

Whakahaere akuaku auau o te taupori (tutu'a kuri, tutu'a kararehe, mohoao me o ratou hapu), ki te mau kuri te mâ, horoi tonu o ratou ringa i muri i whakapā ki a ratou, me te aroaro o te kai, ki te whakakahore e tamariki ki te whakapā atu ki te kararehe manene, me pehea ki te horoi huawhenua, hua, he inu wharahanga wai.

Lung whēwhē

Ko te mate i roto i ona tīmatanga, me te faaite iti kitea e tirohanga X-ray o te marama i roto i te puka o te silhouette porotītaha ki ngā rārangi pū. Ko te hemogram tohu eosinophilia.

Ko te tohu o cysts kore-ähua i hanga te mare tonu, me te nui, hāhā o te manawa, te tauturu romahā i te wāhi o te werau, te mamae o te takotoranga rerekē i roto i te pouaka, te kaupapa o whekau mediastinal, whakakitea whakaiti o te tangi percussion. E whakaatu ana Radiography pūkahukahu atarangi porohita nui ki takiwa motuhake, e taui te āhua o ngā haerenga romahā o te HWM.

Ko te atamira tuatoru o te pūkahukahu echinococcosis he faaiteraa nui me te whanaketanga pathological o tukanga pōauautanga. Whai tohu o kōpeketanga o nga oko nui, me whēkau o te mediastinum, tohua deformation o te pouaka, dyspnea me hemoptysis. A, no te puta te mate mumura cysts echinococcus ki tohu haumanu motuhake o te empyema pleural pūkahukahu ranei.

tahi cysts tūpāpaku irava ngōrahi rere o te maha o ngā tīwharawhara kanapa ki bladders āpiti echinococci whakahekeheke ki te toto. Ki te hakihaki tuwhera rau te paraihe hemorrhagic purulent sputum, me te te mau faaiteraa i kitea ai o paihana. Whāki o cysts i roto i te anga tuwhera whakaoho te ahua o te kiripūkahu exudative me ru anaphylactic. X-ray whakamātautau whakaatu kore te he kōhao ki te mata wai whakapae kaha whakakitea kookuhutanga perifocal. Kei te kitea taua kookuhutanga, ki te te whēwhē whēwhē.

maimoatanga

Whakamahia tīkina whakahaere (whēwhē nekehia atu i cuticular capsule pūkahukahu nekehia atu). Matapae serzno nui, ki më echinococcosis nāianei, me te tuarua - pouri.

mate hydatid tākihi

Hydatid whēwhē o tākihi tenei ra nohinohi, te nuinga i roto i ngā wāhi tuawhenua. Ahuatanga he oaoa echinococcus helminth Taenia. Distributors o te tukumate he mōkai - kuri me te ngeru. Ka rite ki te tikanga, kua pāngia kotahi whatukuhu, i roto i te wā onge - rua. ate echinococcosis taupori kino o te rōpū pakeke i waenganui i te 20 me te 40 nga tau, rawa wahine.

helminth hua tomo te lymphogenous tākihi ara hematogenous, te nuinga o te matotoru cortical ranei.

Treatment me te waitohunga

mo te wahi tino, kei te tohu, me te operative maimoatanga. Ko te mahi tino pono, me te pai - ko reira he ehinokokkotomiya kotahi-atamira ā. Ko nephrectomy hoki reira.

titau maimoatanga Echinococcus ngā tukanga mātauranga hauora i roto i te tikanga ki te waia iwi ki mate whakawehi i mōkai, uruhi o te tirotiro parukore, me te kararehe o te parekura.

I muri i te maimoatanga operative o te outlook pai.

takihi mate hydatid

Kei te maha cysts Parasitic o te kōateate i hanga e Echinococcus. Ko te roanga o te mate e taea muri 15 tau, neke atu rānei. E ai ki te tohu o te whanaketanga o kawea te te werau neke peka nga whekau puku e karapoti ana, puta kōateate kiko necrosis.

He uaua ki te kitea tenei mate. Whēwhē haere tahi kōateate taimaha i roto i te hautahi o runga maui, disorders kōroke ranei, iti te mamae puhoi, whakapairuaki postprandial tauhohe mate pāwera. I palpation o te kōateate tāuta toronga. Ka taea e mirumiru nui pakaru, e maha arata'i ki te mate o te whaturama okana tahi.

I raro i te werau nāianei maha pūrongo tohu o mate pāwera - pununga honé, minamina me etahi atu. A, no te kia puta echinococcosis sequelae kōateate cysts āputa suppuration tona mate kīanga haumanu ranei.

Ko te tātaritanga o feces, kāore, e kore e whakakitea ki te aroaro o pirinoa. hāngai ana tātaritanga te i runga i te whakamātautau X-ray, me te ultrasound, i roto i nei mirumiru kitea nga-ruma maha.

maimoatanga

Ko te ara whai hua te nuinga o te maimoatanga cysts kōateate whakaaro pokanga laparoscopic. kia whakahaeretia whēwhē i roto i te maha o ngā huarahi:

• oti tango o te kōateate;
• tuwhera whēwhē me te tango i nga tirotiro reira, purenga kōhao;
• tapahi i te wahi i pangia o te kōateate;
• te tango i te takihi i te taiepa whēwhē me ona tirotiro;
• anga whēwhē whakairo.

Ko mahi o te momo laparoscopic ki whēwhē kōateate therapy i roto i te tikanga tikanga, taea ratou ki te tango i te katoa te pūtake o te mate. kawea Tangohanga o te whēwhē kōateate te i roto i te whakamahi i nui-pū mea, me te tomo i te kāmera motuhake. Ko te roanga o te mahi operative - 1.5-2 haora. Na i etahi wa noho sensations fakamamahi, engari i roto i te wā poto o te wā ko te tino te manawanui i runga i te tapitapi.