Chinese fluke. Clonorchiasis: mgbaàmà, na ọgwụgwọ. nje nke mmadụ

Clonorchiasis mmadụ - biogelmintoz trematodozov si otu ji a bụ isi lesion nke biliary tract, pancreas na imeju na parenchyma.

Epidemiology

The isi iyi nke ọrịa - a onye oria klonorhami. Ke adianade do, mmiri òké nkịta na nwamba. Chinese fluke nile na Japan, Vietnam, China, North Korea, na Amur efere, Obi na Primorye. Helminth àkwá ekenyela na faeces na okenye na-ajụ loro klam cercariae (larvae) ii na ahụ nke dị 14 ụbọchị. Mgbe na kọntaktị na aru nke erùrù nke azụ na ịsha si eriri afọ, na ha na-amalite ime n'ime uru na subcutaneous anụ ahụ. N'ihi ya, a metacercariae. Clonorchiasis mmadụ oria eri nke ndu, insufficiently okpomọkụ emeso azụ ma ọ bụ ịsha. Ma na-amalite clonorchiasis. The ọrịa mgbaàmà na-emekarị na-amalite na-egosi mgbe ndị nje abanye obere eriri afọ.

Flukes: e ji mara

Trematodes (flukes) - ikpuru, metụtara ụdị nke flatworm. Dị ka a na-achị, ha nwere akwukwo-ekara. Ha size dịgasị n'elu a dịgasị iche iche site na 0,1 mm na 15 cm n'ogologo. Chinese fluke nwere ike parasitize na organism nke ụmụ anụmanụ na ụmụ mmadụ. All ụdị flukes bụ parasitic si ebi ndụ.

Morphology na usoro ndu nke trematodes

Isi trematode constricted na dorsoventral direction. Cuticle ọnụ na muscular oyi akwa na-etolite a akpụkpọ-muscle nwa nke esịtidem akụkụ na-emi odude. Flukes na ofu site pụrụ iche muscular ozu - suckers. E nwere ike abụọ - onu na abdominal. The akụkụ nke fixation mkpọ nwekwara ike ikwu na cuticle na glandular olulu.

alimentary usoro

N'ihu nke ahụ bụ metụtara nanị akụkụ ụfọdụ onu ọkpọ, emi odude na ala ọnụ oghere. N'ime ọnụ ga pharynx (pharynx) na ihe elongated na nkọlọ. Nsia tube - abụọ slepozakanchivayuschihsya ogwe. Ike na ewepụghị ikpuru na-emekarị bụ. Anọgide unhydrolyzed nri chụpụrụ site n'ọnụ. Part nke ike nke flatworms nwere ike rụrụ site tegument.

Ụjọ na excretory usoro

The ụjọ usoro mejupụtara akwara ganglia, emi odude ke idak pharynx, na nozzles inyịme ka n'akụkụ ndị ọzọ nke ahu. Excretory usoro na-anọchi anya a mgbagwoju usoro nke tubules nke na-etolite abụọ excretory duct.

omumu usoro

The omumu usoro nke trematodes nwere nke ọma mepụtara. Flukes (ma e wezụga Schistosomatata ụdị Representatives) - hermaphroditic (bisexual e kere eke).

Nwoke omumu usoro, dị ka a na-achị, mejupụtara abụọ testes. Ha wezuga Vas efferens, nke na-ejikọrọ na a nkịtị Vas deferens. Ọ na-emekarị nchọ na Cirrus nwa (pụrụ iche muscular nwa). The ikpeazụ nke Vas deferens - Cirrus (copulatory ngwa).

Ọdịdị nke ahụ nwanyi omumu ngwa agụnye ovary, jajtceprovoda, ootype, spermatheca, Vitellaria Laurerovy ọwa Mehlis 'gland na akpanwa, nke agwụ na nwanyị oghere.

etiology

The causative gị n'ụlọnga bụ clonorchiasis fluke - Chinese fluke. Nke a na-ezo aka a ezinụlọ ikpuru Opisthorchidae - Clonorchis sinensis. First bot a kọwara McConnell na 1874 Chinese fluke n'ime ahụ mmadụ nwere ike parasitize ruo afọ 40. Isi helminth ewepụghị, lanceolate 10-20 mm na obosara nke 2-4 mm. trematode àkwá bụ ìhè-ọlaedo na agba, na otu nke okporo osisi nke okpu bụ doro anya na anya. Clonorchis sinensis okenye ogbo nwere ike parasitize ma na ụmụ mmadụ na na carnivorous mammals. Nke ikpeazụ bụ definitive ụsụụ ndị agha. Dị ka ihe na obere oge emume freshwater klam, mmezi - freshwater ịsha na azu kaapu azụ.

Lifecycle trematodes

trematodes ndụ okirikiri mejupụtara anọ oge:

• embriogonii;
• partenogonii;
• tsistogonii;
• maritogonii.

Embriogoniya - n'oge na-amalite amalite na mmepe nke izizi mkpụrụ ndụ na egg si Fertilization ka trematode miracidia ụzọ ọpụpụ. Na oge nke a na-adọ maka ihe a ọnwa. Partenogoniya - posleembrionalny oge nke mmepe nke larval ogbo ke idem nke etiti usu. Ọkọnọ adọ amalite site guzobe sporocysts tupu cercaria n'ime gburugburu ebe obibi. Na oge nke oge a nwere ike ịdị iche iche site izu abụọ na-ọnwa ise.

Tsistogoniya - akakabarede usoro na cercaria adolescaria (na gburugburu ebe obibi) ma ọ bụ metacercariae (ahu ntụkwasị kpọrọ). Tsistogonii oge - site ọtụtụ awa iji na ọnwa abụọ.

Maritogoniya - oge nke mmepe nke flukes na definitive usu organism mmekọahụ okè (imago), nke na-egosi na àkwá n'ime gburugburu ebe obibi. Na oge nke a na ogbo - si otu izu iji ọnwa abụọ.

pathogenesis

Ọrịa bi jupụtara ejupụta ebe ịzụlite ọgụ na-gafere site na nne na nwa transplacental. Ya mere, ndị dị otú ahụ na-chọpụtara, ọ bụ ezie na ọrịa, ma o nwere a nwayọọ N'ezie. Akpata mmepe nke daa ọrịa bụ trematode n'ibu mmetụta, na njikọ nke abụọ microflora, neurotrophic ọrịa, na-egbu egbu na nfụkasị Jeremaya. Ọzọkwa, klonorhi ime ka cirrhotic mgbanwe imeju.

ọrịa mgbaàmà

Ọ bụrụ na ị a chọpụtara clonorchiasis, ọrịa mgbaàmà ndị yiri opisthorchiasis. Na nnukwu na-adọ nke ọrịa bụ nnọọ ọnwụ nke agụụ, malaise, adịghị ike, bụ ngosipụta nke nfụkasị Jeremaya. Na progression nke ọrịa na-egosiwokwa ji mara imeju, pancreas, na biliary tract. Ọrịa mkpesa nke fever na oké ihe mgbu metụtara nanị akụkụ ụfọdụ na nri hypochondrium.

Ekwe Omume nsogbu nke ọrịa

Nke a pụrụ ịbụ:

• -adịghị ala ala cholecystitis;
• imeju;
• adịghị ala ala gastroduodenitis;
• pancreatic cancer na afo;
• -adịghị ala ala ịba ọcha n'anya.

daa ọrịa nchọpụta nsogbu

Diagnosis dabeere adakarị data na epizootic na gelmintokoprologicheskih ọmụmụ. Iji dokwuo anya nchoputa emepụta Biochemical analysis of ọbara (ngụkọta protein, ọbara sugar, bilirubin, ọrụ nke alkaline phosphatase, aminotransferases, amylase, trypsin, na lipase), na-kenyere ngwaọrụ (cholecystography, ultrasound nnyocha nke gallbladder, imeju, pancreas, fibrogastroduodenoscopy) na serological (Bibie , RIHA, PCR) ụzọ.

ọgwụ

Ọ bụrụ na onye ọrịa a chọpụtara clonorchiasis, ọgwụgwọ kwesịrị mgbagwoju:

• dietetics;
• anthelmintic ọgwụ ọjọọ ( "biltricid", "Niklofolan", "hloksila");
• Antihistamines ( "calcium gluconate", "loratidine," "Suprastin");
• ndị so ná ndị mgbochi mkpali ọgwụ ọjọọ ( "Ibuprofen", "Nimisulid");
• enzymes ( "Panzinorm", "Mezim", "Creon");
• Sorbents ( "Enterosgel" "ataxia", "Polysorb");
• antispasmodics ( "papaverine", "No-spa", "Mebeverin");
• macrolides ( "oleandomycin", "Spiramycin", "azithromycin", "Roxithromycin", "Fluritromitsin");
• cholagogue ọgwụ ọjọọ ( "Xylitol" "Sorbitol", ọka silk, immortelle, bilie n'úkwù, Mint epupụta);
• gepatoprotektory ( "Essentiale", "Ursohol").