Amebiasis isisu (segazi amebic): Oonobangela, Iimpawu, diagnosis and Treatment

amoebiasis isisu - isifo eqhelekileyo kumazwe nococeko olunqongopheleyo. Oku kubangelwa lenyama ekumfimfitheni eziphilayo - le amoeba. Ngubani na kakhulu ukuba bosulelwe nge amebiasis? njani indlela wamathumbu zesi sifo, kwaye ke iphathwa njani? Olu lwazi kunokubaluncedo kubantu uhambo okanye uhambo olude.

ezinye izibalo

Amathuba ephezulu yokosulelwa amebiasis wamathumbu of kuxhaphake kwiindawo apho kukho izinga eliphezulu ucoceko, ekubeni usuleleko yi indlela ngomlomo-ubumdaka. Kumazwe zone lomngcipheko Kuyashisa sabutropikhi athi ndijonge. Isikakhulu bahambi bazise amebiasis wamathumbu of India ne Mexico. Kula mazwe, inqanaba eliphezulu kakhulu wesifo phakathi kwabantu basekuhlaleni. Kwakhona, ipesenti enkulu lezifo e-Afrika kunye South Asia. Kwezinye iindawo nedugoi lachithwa-50 ukuya kuma-80% yabemi. Ngoko ke, ukuya kumazwe akude, kubalulekile ukwazi konke malunga amebiasis - yintoni nokuba indlela ukukhetha nga phezulu usulelo kwindawo yokuqala.

Ill ne amebiasis wamathumbu kunokwenzeka kuphela kumazwe exotic. Hayi yonke into yahamba ngokutyibilikayo yaye lalisakuba yiSoviet Union. Ukusasazeka amoebiasis, Kakade, ungekho namandla angako. Awayezibona eArmenia, Georgia, Kyrgyzstan kunye Turkmenistan.

Okuphoxayo kukuba, abantu bayahlupheka ukusuka amebiasis wamathumbu kaninzi ngaphezu abafazi. Kuye kwafunyaniswa ukuba susceptibility endalo umzimba kwabantu kuya ziintshulube amoebic iphezulu. Ngokutsho manani, amebiasis wamathumbu labonwa umguli mnye kwabalishumi, uyichole sisidleleli. Idatha epapashwe yi-World Health Organization zibonisa ukuba ngaphezulu kwezigidi 480 abantu ehlabathini lonke babethwele ziiamoeba. Minyaka fixed ngokusemthethweni ukuya kwizigidi ezingama-50 amatyala amebiasis wamathumbu kunye nezinye iindlela. Kwezi, 2% amatyala ziyabulala.

Le amoeba - i-arhente causative of amebiasis emathunjini

Njengoko kucacile, unobangela esi sifo ameba dysenteric. E Latin, igama elibangela ekumfimfitheni iyalila Entamoeba histolytica. zenyathi Dysenteric ziiamoeba ezincinane kwe eziqhelekileyo amoeba (Amoeba proteus). Ba mobile ngakumbi, pseudopodia yabo (pseudopodia) zincinane, kodwa abanzi. I engaphandle cell inwebu kukho icytoplasm emida yi-endoplasm embilwini.

Umjikelo wobomi a ameba dysenteric ibandakanya iintlobo ezintathu: lilaphu, luminal kunye cysts. ifomu lolwabo ibanjiwe kuphela kwizigulane abasungula amebiasis. It infests lo mucosal kunye submucosal ungqameko zodonga colonic. ifomu Luminal kunye cysts zichongwa nabakhi, kunye nezigulane. Habitat iintlobo kwezityalo segazi amoeba - phezulu emathunjini enkulu. Zezona nqanaba kuzo ubomi ameba dysenteric.

Njengoko wosuleleko ethunyelwayo

amoebiasis isisu luyasuka ukusuka komnye umntu ukuya komnye. Umthengisi sele waba usuleleko irhashalala, kwaye ngoku uthathwa ukuba ngokwezonyango usempilweni, kodwa inaso cysts. Oogqirha bakholelwa amebiasis wamathumbu kunye giardiasis, kwakunye nezinye izifo isisu, isifo kwezandla ezimdaka.

Unikezelo kwenzeka ngolu hlobo lulandelayo:

1. Le cysts carrier, beshiya imithetho zobuqu nococeko yabela zibe amanzi emhlabeni okanye emizimbeni vula amanzi (release kwenzeka kunye ilindle). Amanzi ifumana imiyezo kwaye yosulela imifuno kunye neziqhamo. Umntu nempilo utya cysts iziqhamo ezingahlanjwanga kunye nemifuno.
2. cyst carrier akuthethi uhlambe izandla ngesepha emva kokusebenzisa indlu yangasese. Cysts zidluliselwa naziphi na izinto, kuquka ukutya, apho wachukumisa ngezandla ezimdaka. abantu Healthy ngaphandle ukuhlamba izandla zabo ngaphambi kokuba udle, yokuginya cysts, kwaye zisasazwe nge amathumbu.

Njengoko sele kukhankanyiwe, le indlela kuthiwa ngomlomo-gciwane.

Njengoko esi sifo senzeka

cyst wabaginya ifikelela Amathumbu amakhulu kwaye ludlulele lusanda esebenzayo yophuhliso. Kodwa ke oku akuthethi ukuba loo mntu amebiasis emathunjini abagulayo. Segazi amoeba zihlale kwi Amathumbu amakhulu, lusidla imixholo yazo. Kulo mzekelo, umntu uya kuba yenethiwekhi nazimpawu. Ukonakala imeko yakhe amoeba akubangeli, kodwa ibalula cysts.

Ukuba umntu ukungalingani microflora isisu, okanye amajoni omzimba buthathaka, ifomu ebonakalayo sisidleleli uziphethe ngamandla. Amoeba Iqinisekile eludongeni wamathumbu, wegqitha waya udidi izinambuzane zeethishu. Phantsi impembelelo segazi amoeba emathunjini udonga kancane isihla ngokuhla. Yibani pores ebonakalayo angakhula abe nezilonda. izilonda ubungakanani beendonga ingaphezulu kwe-10 mm. Ngenxa izilonda egazini yomguli ukufumana umsebenzi iimveliso amoeba. Cause ukuziphatha segazi amoeba nako ni ntshikilelo rhoqo, ukutya engalungelelananga (yindlala) kunye ukukhathala ezihamba.

Iingxaki amebiasis emathunjini

Nezilonda kunokuba kakhulu kakhulu. Kwezinye iimeko, "badle phezulu" eludongeni emathunjini. Oku kuthiwa perforation okanye perforation ye kwethumba. Le meko ibangela iingxaki amebiasis isisu, ngokuba okubhalwe amathumbu lungena ngokukhululekileyo kwisisu, ebangela peritonitis.

Ezinye iimeko ezinobuzaza kunokwenzeka ukuba isilonda senziwa kwindawo yokwaluka kwemithambo yegazi enkulu. Oku kunokubangela ukopha kakhulu emathunjini. Kwaye kule meko kuvula indlela ukusasazeka iifom esebenzayo amoebic wonke umzimba nokuqukuqela kwegazi.

Igazi uphethe ekutyeni nasemakhalaneni protozoan esibindini, ingqondo kunye namanye amasebe (bronchi, imiphunga kunye njalo njalo). Ke iqala ekukhuleni amathumba amoebic ngohlobo izilonda ezinkulu. Kungenzeka, la amathumba kwenzeka nomhlehlo lasekunene esibindini. Ezi iingxaki kunokukhokelela ukufa isigulane.

Iingxaki ezihamba amebiasis isisu, kunokubangela ithumba isisu, ebizwa ngokuba yi-ziiamoeba, babe okanye ikholoni. Ezi meko kwakhona yingozi ubomi yomguli yaye zifuna unyango olungxamisekileyo.

iimpawu

Iimpawu amebiasis (isisu) ziboniswa ngolu hlobo lulandelayo:

1. Ogulayo ilindle rhoqo. Xa lokuqala inqanaba usulelo - up to amaxesha 6 ngosuku, ngaphezulu - ukuya kumaxesha ali-10. Endleni baba yangaphakathi ezibonakalayo kunye elimsulwa igazi. Usihlalo waqala fomu aguqulelwe mass uxakaxa-wamagazi.
2. Ekuqaleni esi sifo iqondo lobushushu emzimbeni igcinwe ngaphakathi kuluhlu eziqhelekileyo, linganyuka.
3. Isigulane uyaxhalaba esiswini asezantsi. Uhlobo intlungu - ezibuhlungu, cramping. Xa ngamandla iintlungu defecation kwandisa.
4. Waphawula lobuxoki iinzame defecation (tenesmus).

Iimpawu flow ngokulinganisela amebiasis wamathumbu ibandakanya ukubambelela ezi mpawu zingasentla emesis, isicaphucaphu kunye nelahleko namdla.

Acute ifomu amoebiasis isisu kwiiveki ukuya ku-6. Xa unyango ucwangciselwe ngendlela ngexesha, kuza bachache ngokupheleleyo. Ukuba unyango lwe amoebiasis hayi onyulwa okanye yaphukile (uphazanyiswa), iimpawu zizonke ziya kudlula, kodwa kwenzeka isenzo. Isigulane ongena ixesha uxolelo, nto leyo sasibambezeleka seeveki ezimbini ukuya iinyanga eziliqela. Ngoko kukho kut- amebiasis kunye lenguqu ukuya ifomu ezigulo ezondeleyo. Ukuthintela oku, amebiasis wamathumbu abadala kunye nabantwana kufuneka ngokukhawuleza ngayo.

Ifom njalo amebiasis emathunjini

Ifom ezingapheliyo isifo unokuthatha iminyaka. Kodwa xa kukho unyango ayoneli okanye ukungabikho kwalo, isiphumo Kunzima ukuqikelela. Iimpawu zale fom ezingapheliyo kwezi zilandelayo:

1. Man uziva incasa kabi ukutshisa ulwimi, oku kunciphisa onombilini. Ngamanye amaxesha ke uthi shwaka ngokupheleleyo, nto leyo ebangela ukukhathala.
2. Isigulane uyakhathala ngokukhawuleza, nazo ubuthathaka jikelele. Kunokuba enze umsebenzi olula.
3. Kukho ukwanda okubonakalayo esibindini.
4. Anaemia, amanqanaba ihemoglobin kuba sezantsi kakhulu. Isikhumba kuba luthuthu.
5. Kukho iintlungu 'apha esiswini. "
6. Ophilisayo nokubetha kwentliziyo, ukubetha spasmodic uvalo, Nguwo lowo umqondiso kuzo izilonda sentliziyo.

Le fom ezinganyangekiyo kudla ngokukhokelela iingxaki ezinokuba ezisongela ubomi.

Diagnosis. Uhlaziyo ndle

Ukuze ubone ugqirha isigulane ichaza iimpawu kunye ugqirha uqhuba uhlolo kwaye Ngokucofa esiswini. Ngexesha lo gqirha nokuqhathwa uziva na ukuqunjelwa sinxilisayo, ityhila ubuthathaka kwindawo colon, Uphanda ukunyuka nomhlehlo lasekunene kwesibindi (in esibindini ithumba) sibonisa isisu equmbile phezu (kwimeko sohlobo amoebic).

Ukuba amebiasis isisu yesigulane, uxilongo iquka ukuqeshwa iimvavanyo elebhu. Eyokuqala isifundo njengesihlalo apho smear zilungiselelwa ngomnye iindlela ezimbini:

1. smear Native, ngamanye isicelo sehla intwana elincinane endleni (amathontsi ambalwa esitulweni wamanzi). Ukongeza wezenzi eziyimfuneko ukunika smear ecacileyo, nto leyo ancinwe ngemicroscope. Ngoko ke eziphilayo of amoebae nako kuqwalaselwa (luminal kunye inyama) kunye cysts. Ukuchonga eziphilayo izixhobo kufuneka ibe nentlahla, waqokelela imizuzu engama-30 phambi kokuba isifundo. Kungenjalo die amoeba kwaye ukunyhibhela elibi lobuxoki.
2. yokudaya indlela Lugol. Kulo mzekelo, i-smear ukulungiselela lomthonyama kwaye ongeziwe isisombululo zolwelo iodine. Iodine ukwazi ukuba angcolise ubungangamsha cysts iiseli ngaphaya.

Gciwane ukwazi ukwahlula nje iintlobo ezahlukeneyo segazi amoeba, kodwa ukuseka usulelo inyathelo.

izifundo instrumental

Ezi ndlela zilandelayo izifundo zomculo kusetyenziselwa ukufumanisa amebiasis emathunjini:

• sigmoidoscopy;
• ultrasound;
• Itomography ngekhompyutha.

amoebiasis

ziiamoeba Okokuqala eyafunyanwa isitulo lomguli ngo-1875. Wenza inzululwazi Russian F. A. Lesh. Kwaye ngo-1883, lo Isazinzulu uRobert Goch wachaza arhente causative yale izilonda emathunjini kunye amathumba. Ngowe-1891, i amebiasis isifo entsha ifakiwe kudidi kwezifo ezizimeleyo. Kodwa ke wanikwa igama "segazi amoebic".

Kuyimfuneko ukuba ukwahlula segazi yesiqhelo (shigellosis) kunye amoebiasis - izifo ezahlukeneyo. Kwimeko yokuqala kuchaphazela ikholoni distal. Kwimeko yesibini - iinxalenye proximal. Ukongeza, iintlungu kunye segazi zifumaneka kwicala lasekhohlo esiswini, kwaye amebiasis wamathumbu - kwicala lasekunene. segazi Amoebic kunye shigillez babe kwamagciwane ezahlukeneyo. segazi yesiqhelo ezibangelwa amagciwane Shigella.

Unyango izigulane abadala. Le ndlela zemveli

amayeza emveli ithanda unyango iintlobo mnene amoebiasis ekhaya. izifo ezimandundu kufuna imiyalelo isebe ezosulelayo kwesibhedlele. Eyona ukunyanga amebiasis iziyobisi. Amachiza kakhulu ngempumelelo zijongwa "Metronidozol", "Trykhopol" yaye "Fazizhin". Le antiprotozoal kunye arhente elwa. Ngaphandle kwezi, ngokufuthi amisele iziyobisi ukusuka kwamanye amaqela:

• kwifom luminal i somthetho amoeba ngempumelelo, "Interoseptol", "Meksaform", "intestopan";
• akwiifom zeethishu of ziiamoeba izenzo best "Ambilgar", "Digidroemetin" kunye nezinye iziyobisi;
• kwi zombini iifom abaphila segazi amoeba kuchaphazela iziyobisi tetracycline.

amoebiasis isisu ungenako ukubathwala self. Naziphi na amayeza kunye umlinganiselo zabo kumiselwe kuphela ngugqirha. Ngokokhetho lohlobo zeziyobisi sesi sifo sichaphazela kwaye zibe zikhulu.

Ingxaki amebiasis njengoko mathumba zangaphakathi, isigulane kusenokufuneka uqhaqho.

unyango Amebiasis kubantwana

amebiasis isisu kubantwana uphathwa esibhedlele. Abantwana ityumbe "Trykhopol", "Fazizhin" kwaye (okanye) "oleandomycin". Kutyando amathumba zinqabile.

izidumbu zabantwana ngokukhawuleza ulahlekelwe fluid, ngoko ke kufuneka zizizalise kwakhona ukuze aphephe ukomisa. Ngaphandle ugcwalisa kwinqanaba engamanzi, kuyimfuneko ukuba ubenemboniselo yangaphezulu mpilo.

Abantwana kunzima ukuzinyamezela amebiasis isisu, njengoko ukunxila kwenzeka ezinzima ngakumbi. Ngaphezu koko, abantwana amoebiasis ebangela lobushushu emzimbeni ephakamileyo.

Unyango. ethnoscience

Ingqondo yayo akukho namnye uya kubaphatha imifuno amebiasis namathumbu kunye nezityalo. Kodwa ukusebenzisa amayeza iintsomi, njengoko ukuncedisana kunyango eqhelekileyo iphumelela kakhulu.

Kakhulu wayedla KFile tincture. Ukuze ufumane 100 ml yomgangatho ivodka luyacolwa ivuthu- 50 g begalikhi. Tincture emi kwiintsuku ezili-14 mnyama kwaye basiwa iyogurt 15 amathontsi ka-3 ngosuku.

Enye recipe - ukumnika hawthorn. Oku kufuna hawthorn iziqhamo eyomileyo, malunga ne-100 g, neendebe 2 amanzi abilayo. Xa iimela lupholile, abahluza usele kuyo yonke imini. efanayo iziqhamo zaparivat siseko lesi yolwandle.

uhlobo amebiasis

Bonke abo wayezibuza: "amebiasis: ntoni na nokuba inyangwa njani," Ndiyazi ngoku impendulo. Songeza ukuba, ukongeza uhlobo wamathumbu of amoebiasis, kukho extra-amathumbu kunye nefomu ulusu. Ukususela iifom extra-wamathumbu sinokuphulukana nantoni na emzimbeni, kodwa amaxesha amaninzi kuchaphazela isibindi. Of izilonda cutaneous kwakheka kwi ngeempundu, indawo ezimpundu, perineum, okanye ezandleni.