Toxocariasis hauv menyuam yaus. Kev kho mob toxocariasis hauv menyuam yaus. Toxocariasis: cov tsos mob, kev kho mob

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:46

Toxocariasis yog ib yam kab mob uas, txawm hais tias nws muaj kev faib tawm thoob plaws, cov kws kho mob tsis paub ntau. Cov tsos mob ntawm tus kab mob no muaj ntau haiv neeg, yog li cov kws kho mob tshwj xeeb los ntawm ntau qhov chaw tuaj yeem ntsib nws: kws kho menyuam yaus, kws kho mob hematologist, kws kho mob, kws kho mob hlwb, kws kho mob neuropathologist, kws kho mob plab, kws kho mob dermatologist thiab ntau lwm tus..

Toxocariasis hauv menyuam yaus muaj ntau dua li cov neeg laus. Cov menyuam yaus feem ntau kis tau ntawm hnub nyoog kaum thiab kaum plaub. Nws yog ib qho tseem ceeb uas feem ntau ntawm cov neeg mob nyob hauv cov cheeb tsam nyob deb nroog. Feem ntau, tus kab mob teb tau zoo rau kev kho mob, tab sis yog tias lub cev tseem ceeb raug cuam tshuam, qhov tshwm sim tuag kuj tseem tuaj yeem ua tau. Thiab tus kab mob no yog dab tsi, nws ua rau thiab cov tsos mob dab tsi? Nov yog qhov peb yuav sim nrhiav kom paub. Yog li, cov ntsiab lus ntawm peb kev sib tham: toxocariasis - cov tsos mob, kev kho mob thiab kev tiv thaiv kab mob.

Ntse ntawm pathology

Toxocariasis hauv menyuam yaus tshwm sim los ntawm kev puas tsuaj rau lub cev los ntawm toxocara - kab mob cab. nwshelminths atypical rau tib neeg, txawm hais tias nyob rau hauv lawv cov khoom lawv muaj ntau yam zoo ib yam li roundworms. Nyob ntawm cov kab mob uas tau nkag mus rau hauv lub cev, ob hom pathology txawv. Qhov no lossis qhov toxocariasis tshwm sim li cas? Cov tsos mob, kev kho mob thiab ib qho thiab ntau yam yuav zoo ib yam. Yog li, tus kab mob tuaj yeem tshwm sim los ntawm Toxocara, kab mob cab hauv dev, lossis Toxocara, kab mob cab hauv miv.

Cov menyuam yaus uas tau ntsib nrog tus dev kis mob feem ntau kis tau. Helminth larvae tuaj yeem pom nyob rau saum npoo ntawm tus tsiaj plaub, hauv cov quav dev, thiab txawm nyob hauv av uas tus dev taug kev. Kev nthuav dav ntawm cov worms hauv miv yog qhov kev txiav txim siab qis dua.

Parasite morphology

Toxocars, thaum lawv nkag mus rau tib neeg lub cev, tuag vim tsis muaj cov xwm txheej tsim nyog rau lawv txoj sia nyob thiab kev loj hlob ntawm cov neeg muaj kev sib deev puv puv. Txiv neej, yog li ntawd, nyob rau hauv lawv lub neej voj voog yog ib tug tuag kawg ceg. Tias yog vim li cas tus kab mob los ntawm tus kab mob tsis kis mus rau lwm tus neeg, nyob rau hauv lwm yam lus, toxocariasis tsis kis tau. Hauv cov menyuam yaus, txawm li cas los xij, xws li pathology tsis yog qhov tshwm sim tsawg. Yuav ua li cas, peb cov me nyuam nyiam cov tsiaj stray, khawb hauv cov xuab zeb los yog av. Tsis tas li ntawd, ntau tus niam txiv tsis qhia me nyuam kom saib xyuas kev nyiam huv. Raws li qhov tshwm sim - toxocariasis!

Daim duab ntawm sab xis pom tseeb tsis ua rau muaj kev xav zoo. Thiab xav txog tias tus kab mob no nkag mus rau hauv koj tus menyuam lub cev! Yog, txaus ntshai heev. Cov neeg laus toxocara tuaj yeem loj hlob mus txog kaum tsib lossis kaum yim qhov ntev.centimeters. Lawv txoj kev loj hlob ntawm larva mus rau kev sib deev paub tab tshwm sim nyob rau hauv cov hnyuv ntawm tus tswv - dev thiab miv. Tom qab ntawd cov poj niam tso qe rau hauv ib puag ncig sab nraud (txog li ob puas txhiab daim ib hnub), tab sis lub sijhawm no lawv tseem tsis paub qab hau, yog li tsis muaj kab mob. Cov txheej txheem ntawm maturation ntawm cov qe nyob rau hauv cov av yuav siv sij hawm txog nees nkaum hnub, thiab nyob rau hauv tej yam kev mob ntawm ib chav tsev lawv muaj peev xwm nyob twj ywm txaus ntshai txhua xyoo puag ncig, nyob rau hauv lub fur ntawm tsiaj. Ib tug neeg kis tus kab mob ntawm cov qe thaum nqos, lawv feem ntau poob rau hauv lub qhov ncauj los ntawm txhais tes qias neeg. Koj tuaj yeem kis tus kab mob txhua lub sijhawm ntawm lub xyoo, vim tias cov larvae ua rau muaj kev tiv thaiv ib puag ncig, txawm li cas los xij, kev kis kab mob feem ntau tshwm sim thaum lub hli sov, thaum cov xwm txheej zoo tshaj plaws rau kev txhim kho cov ntaub ntawv cuam tshuam.

Yuav ua li cas thaum kis kab mob

Hauv tib neeg lub cev, Toxocara tsuas yog nyob rau theem larval xwb. Ib zaug los ntawm ib puag ncig sab nraud mus rau hauv txoj hnyuv, cov qe invasive hloov mus rau hauv cov larvae, uas tom qab ntawd nkag mus rau hauv lub plab hnyuv phab ntsa rau hauv cov hlab ntsha thiab, zoo li cov kab mob roundworms, tsiv los ntawm cov kab mob mus rau qhov me me, tom qab ntawd lawv nkag mus rau hauv daim siab thiab lub ntsws. muaj thiab tsim cov granulomas tshwj xeeb. Qhov no tshwm sim feem ntau, tab sis feem ntau cov larvae tuaj yeem nyob hauv txhua lub cev thiab cov ntaub so ntswg. Cov kab mob parasite nyob ib puag ncig los ntawm cov tshuaj ntsiav ntom, thiab ua tsaug rau nws nws tuaj yeem ua haujlwm tau ntau xyoo. Yog li ntawd, txawm hais tias kev kho mob ntawm toxocariasis hauv ib tus neeg tau ua tiav, kev rov qab los ntawm tus kab mob tuaj yeem ua tau.

Symptoms of disease

Kev kho mob tshwm sim yuav tag nrhonyob ntawm seb qhov hnyav ntawm cov lus teb ntawm tus menyuam lub cev tiv thaiv kab mob thiab nyob ntawm seb muaj pes tsawg tus toxocariasis tau dhau los hauv lub cev. Cov tsos mob nyob rau hauv cov me nyuam zoo li lub ci ntsa iab, qhov siab dua ntawm cov kab mob. Feem ntau tus kab mob yog tus yam ntxwv los ntawm ib tug latent los yog latent chav kawm, lub sij hawm ntawm exacerbation yog hloov los ntawm remissions. Toxocara tuaj yeem muaj nyob hauv lub cev los ntawm ob peb lub hlis mus rau ntau xyoo. Muaj tsawg zaus, raws li twb tau hais lawm, txhua yam xaus rau hauv kev tuag. Kev tuag tshwm sim yog kab mob kis rau hauv nruab nrab lub paj hlwb lossis lub plawv.

Nyob ntawm seb lub cev lossis lub cev ntawm lub cev tau cuam tshuam, muaj ntau hom kab mob: visceral, ocular, tawv nqaij thiab paj hlwb. Cov cim qhia ntawm pathology hauv txhua kis yuav txawv.

1. Visceral toxocariasis

Hauv cov menyuam yaus, daim ntawv no tshwm sim feem ntau. Tus kab mob no cuam tshuam rau cov kab mob hauv nruab nrog cev. Qhov ntau invasive larvae nkag mus rau hauv lub cev, ntau pronounced cov tsos mob. Toxocariasis nyob rau hauv cov ntaub ntawv no yog manifested los ntawm kub taub hau, nrog los ntawm txias txias (qhov no qhia txog kev puas tsuaj rau lub ntsws), o ntawm lymph nodes. Ntawm cov cim qhia ntawm tus kab mob, uas tsuas yog kuaj pom nyob rau hauv chav kuaj sim, ib tus tuaj yeem paub qhov nce qib ntawm eosinophils thiab gamma globulins hauv cov ntshav, nce siab hauv daim siab. Cov tsos mob tshwm sim tshaj plaws hauv daim ntawv no, tshwm sim hauv yuav luag xya caum feem pua ntawm cov menyuam yaus, yog mob ntsws pulmonary, uas tau tshwm sim hauv hnoos qhuav uas ua rau hmo ntuj, ua tsis taus pa, thiab thaj chaw xiav nyob ib ncig ntawm lub qhov ncauj. Tej zaum kuj yuav hawb pob hauv lub ntsws. Yog tias koj tsis pib kho tus kab mob toxocariasis raws sijhawm, tus neeg mob tuaj yeem tsim mob ntsws. Kev kuaj mob raws sij hawm thiab kho kom txaus yog qhov lav tias tus kab mob yuav swb!

2. Ocular toxocariasis

daim ntawv no feem ntau tshwm sim thaum helminths nkag mus rau hauv lub cev me me. Pathology yog tshwm sim los ntawm optic neuritis, keratitis, kev loj hlob ntawm mob endophthalmitis, uveitis, thiab tsim granulomas. Tus kws kho mob, thaum kuaj hauv lub cev vitreous, tuaj yeem kuaj pom cov larvae ntab uas tsim cov kab mob abscess nyob ib puag ncig ntawm thaj tsam ntawm qhov mob.

3. Cutaneous toxocariasis

Nrog rau daim ntawv no, kev tsis haum tshuaj feem ntau tshwm sim nyob rau hauv daim ntawv ntawm eczema, urticaria, thiab ntau yam pob khaus. Nyob rau tib lub sijhawm, cov cheeb tsam cuam tshuam ua rau mob, tuaj yeem swell, tig liab. Cov tsos ntawm pob liab liab yog nrog los ntawm qhov mob, khaus khaus. Qhov muaj zog tshaj plaws thiab ci ntsa iab yog pom nyob rau hauv thaj chaw tsiv teb tsaws chaw hauv qab daim tawv nqaij ntawm cov larvae thiab cov hlab ntsha.

4. Neurological toxocariasis

Qhov no yog daim ntawv txaus ntshai thiab hnyav tshaj plaws, vim tias qhov no, cov kab mob cab nkag mus rau hauv cov hlab ntsha, thiab qhov no yog fraught nrog txhua yam kev puas hlwb, nrog rau kev nco tsis zoo, tsis xis nyob, teeb meem kev coj cwj pwm, kev chim siab., nyeem ntawv nyuaj, hyperactivity. Qee zaum, convulsions thiab qaug dab peg tshwm sim.

ntshav kuaj toxocariasis: transcript

Nyob hauv kev kuaj ntshav kuaj, feem ntauCov tsos mob tas li nyob rau hauv cov ntaub ntawv ntawm tus kab mob no yog ib qho kev nce ntawm cov eosinophils mus rau theem siab (lawv tuaj yeem ncav cuag li 90 feem pua ntawm cov qe ntshav dawb) thiab kev loj hlob ntawm leukemoid cov tshuaj tiv thaiv, uas muaj eosinophilic orientation.. Nyob rau tib lub sijhawm, leukocytes nyob rau hauv tag nrho cov lej kuj nce mus rau 10-15x10 9/ l, thiab erythrocyte sedimentation tus nqi nce sharply. Tag nrho cov naj npawb ntawm erythrocytes thiab hemoglobin tiv thaiv keeb kwm yav dhau los ntawm cov ntshav siab tuaj yeem txo qis.

Tsis tas li ntawd, nyob rau theem pib ntawm kev kis tus kab mob, hypergammaglobulinemia tau pom - qhov tseem ceeb ntawm IgM immunoglobulin hauv cov ntshav, thiab tom qab ntawd IgG immunoglobulin. Nyob rau tib lub sijhawm, tus nqi ntawm albumin hauv cov ntshav poob qis heev. Tsis tas li ntawd, theem ntawm tag nrho IgE feem, reaginic IgE immunoglobulins (antibodies), circulating tiv thaiv complexes maj mam nce, ua rau muaj kev tsis haum tshuaj loj heev.

Qhov kawg ntawm txoj kev tshawb no tso cov titer ntawm cov tshuaj tiv thaiv. Kev kis kab mob tau kuaj pom ntawm titer ntawm 1: 200, tab sis yog tias nws siab dua 1: 800, ces tus kab mob twb nyob rau theem kho mob lawm. Nyob rau hauv cov ntaub ntawv no, nws yog ib qho ceev kom pib kho mob toxocariasis nyob rau hauv cov me nyuam.

Kev tshuaj xyuas sab nraud

Nws yog ib qho tsim nyog sau cia tias, ntxiv rau kev sau tshuaj ntsuam xyuas, tus kws kho mob kuj tau kuaj xyuas tus menyuam sab nraud. Yog hais tias muaj kab mob, thaum lub sij hawm soj ntsuam ntawm daim tawv nqaij integument, nws yuav pom tuberculo zoo li nodules ntawm xib teg thiab ko taw. Hauv cov nodules tsuas yog cov larvae. Tsis tas li, dystrophy ntawm cov plaub hau thiab rau tes tuaj yeem kuaj pom los ntawm tus kws tshaj lij.

kho kab mob

Hnub no univers altsis muaj txoj hauv kev kom tshem tau cov kab mob tag nrho. Muaj cov tshuaj zoo heev, tab sis qhov nyuaj yog qhov tseeb tias cov larvae nyob ib puag ncig los ntawm cov tshuaj tiv thaiv, thiab cov tshuaj tsis nkag mus rau hauv nws. Cov tshuaj muaj txiaj ntsig zoo tsuas yog rau cov kab mob cab uas nyob rau hauv cov txheej txheem ntawm kev tsiv teb tsaws. Thiab tseem, yuav ua li cas kho toxocariasis?

Cov tshuaj zoo tshaj plaws yog Albendazole, Vermox, Mintezol, Ditrazin. Tab sis nco ntsoov tias lawv tag nrho cov tshuaj lom, thiab yog li ntawd txaus ntshai rau lub siab. Tsuas yog nyob rau hauv kev saib xyuas ntawm tus kws kho mob thiab nyob rau hauv ib tug nruj npaum li cas npaum li cas lawv yuav tsum tau siv los kho toxocariasis. Kev tshuaj xyuas ntawm ntau tus niam txiv qhia tias tom qab noj cov tshuaj no, cov menyuam yaus pib xeev siab, plab hnyuv tshwm sim. Yog li ntawd, ua ntej siv cov tshuaj no, koj yuav tsum tau kuaj lub siab thiab kuaj ntshav. Qhov zoo tshaj plaws, cov niam txiv teb rau cov tshuaj "Vermox". Lawv hais tias ntawm tag nrho lwm cov tshuaj, qhov no yog ib qho kev txiav txim ntawm qhov loj ntawm qhov zoo dua rau cov menyuam yaus thiab tsis tshua muaj kev phiv. Cov tshuaj yuav tsum tau noj nyob rau hauv ib chav kawm ntawm ob mus rau plaub lub lis piam, ib ntsiav tshuaj ob zaug ib hnub twg.

Thaum siv "Mintezol" koob tshuaj yog xam raws li qhov hnyav ntawm tus menyuam. Koj yuav tsum haus nws yam tsis muaj kev cuam tshuam rau kaum hnub. Cov tshuaj no yog absorbed zoo heev, tab sis tuaj yeem ua rau muaj qhov tsis zoo, xws li mob taub hau, xeev siab, mob paj hlwb, thiab mob plab. Nyob rau tib lub sijhawm, kev ua haujlwm ntawm kev ua pa thiab lub plawvtshuaj tsis cuam tshuam. Tag nrho cov kev mob tshwm sim raug tshem tawm sai sai tom qab txiav cov tshuaj. Raws li cov yam ntxwv ntawm daim ntawv thov, cov tshuaj "Ditrazin" zoo ib yam li nws. Nws kuj tsis yog yam tsis zoo - nws tuaj yeem ua rau kub taub hau.

Kev kho mob ntawm lub qhov muag lossis lub qhov muag toxocariasis yog pom zoo los ntawm cov kws kho mob nrog Albendazole lossis nws cov analogue, Thiabendazole.

Huab cua

Feem ntau, kev kho mob toxocariasis hauv cov menyuam yaus ua tiav. Tab sis tsis txhob tos kom kho tus kheej thiab tsis txhob ncua sijhawm ntawm txoj kev kho, txwv tsis pub cov larvae tuaj yeem nkag mus rau hauv lub cev tseem ceeb, ntaus lub qhov muag, lub siab. Ib tug menyuam uas kuaj tau tus kab mob no yuav tsum tau saib xyuas los ntawm tus kws kho mob tshwj xeeb kom txog thaum tus mob no zoo li qub. Txhua hli tom qab qhov kawg ntawm kev kho mob, kev tswj ntshav thiab enzyme immunoassay tau ua tiav. Ib chav kawm kho mob rov qab tau muab tshuaj tom qab peb lub hlis, tsis yog ua ntej. Nws tshwm sim tias kev kho mob ncua sijhawm li ob lossis peb xyoos ua ntej nws tuaj yeem rhuav tshem Toxocar tag nrho. Kev noj tshuaj thiab kev noj tshuaj tsis tuaj yeem nce ntxiv, vim qhov no tsis yog siv tsis tau, tab sis kuj tsis zoo. Tus neeg mob tau tswj xyuas tau peb xyoos.

Yuav tiv thaiv koj tus kheej li cas

Kev Tiv Thaiv ntawm toxocariasis suav nrog cov haujlwm hauv qab no:

• Ua raws caij nyoog deworming ntawm cov tsiaj nrog anthelmintics;
• zam dev quav dev ntawm koj lub vaj, vaj vaj;
• cog qoob loo uas tiv thaivmaturation ntawm toxocar qe (legumes, delphinium, marigolds, calendula thiab lwm yam);
• tsis txhob cia koj tus menyuam noj cov zaub mov tsis huv;
• Ntxuav thiab boil cov txiv hmab txiv ntoo thiab zaub kom huv si ua ntej muab rau menyuam yaus;
• Ua ntej noj mov, muab cov nqaij ntawm cov tswv tsev (cov nqaij qaib thiab cov noog qus, npua) rau kev kho cua sov zoo.