Hepatic fluke: zviratidzo, kurapwa, kuongororwa

Hemophagus hepatic ishonye inopisa yekirasi ye digenetic flukes (trematodes). Utachiona hunogona kuitika kana uchishandisa hove yakachena yakachena muhove yakasvibira kana isina kubikwa. Iyo mishonga inogona kurarama pamiti yemvura, somuenzaniso kune mamwe marudzi ewatercress, zvakare anoshandiswa kudya. Mushure mokupinda muhutachiva hwemimba, flukke inotama kubva mumatumbu kusvika kune bile ducts echiropa, iyo inotanga kukura. Utachiona hunogona kuitika zvakakwana, asi kazhinji hepatic fluke inokonzera kushungurudzika kwebriary system, iyo inosanganisira bile ducts pachiropa uye gallbladder. Kunyange zvazvo munyika dzakabudirira hutachiona nehonye (fascioliasis) isingawanzoitiki, chokwadi chinoramba chiripo: chirwere chacho chinowanzoonekwa, uye zvikurukuru pakati pevanhu vanoenda kune zvikamu uko zvipembenene zvakadaro zvakanyanya.

Chii chinonzi fascioliasis?

Pakutanga, chirwere chacho chaizivikanwa chete kune veterinarians, uye honye ine chirwere chinonzi Fasciola hepatica chakanyanya kunyanya mombe kuSouth Africa. Mhou, mbudzi nemakwai vaitakura vanhu vakuru, vachiisa mazai mumvura. Mazai akavharwa nehonye, ari muchechi yemakore ekufambisa. Hp hepatic hepatitis inotapukisa mamwe marudzi e slugs anogara mumvura, uye akakura, zvishoma nezvishoma achienda kumiti (semuenzaniso, watercress), uko yaidyiwa pamwe nemichero nemhuka dzemombe dzichidya munzvimbo. Minyove yakagadzika matumbo uye yakaramba iri muchiropa, iyo yakasvika kumhando dzevanhu vakuru uye yakatanga kuisa mazai. Munhu fascioliasis ndiyo yakafanana, asi mumuviri womunhu chete.

Kurwara

Hepatic fluke (mufananidzo unoona munyaya yacho) inopa dambudziko kune avo vanodya nyama yakasvibirira kana isina kuomeswa (isina kunyorerwa) yehove yakachena, pamwe chete nemiti yakasvibirira pamashizha ayo anogara mararamiro. Pakati pemiti yakadaro ndiyo mvuracress, wild mint, dandelions, pistachia uye vamwe vamiririri vemaruva ari kukura mumvura kana mumhenderekedzo yemvura uye anoshandiswa kugadzira saladhi itsva. Muzviitiko zvisingawanzoitiki, munhu anogona kubata chirwere chinokonzerwa nokushandiswa kwemvura yakasvibiswa.

Kunatswa kwemashizha anosvibiswa nemvura hazvidziviriri kumaperembudzi anouraya, asi vanofa panguva yekubika nekushamba mbeu ne 6% acetic acid kana potassium permanganate.

Kurwara nekudya nyama yemhuka inotapukirwa hazvibviri.

Zviratidzo

Kana munhu atora chirwere chakadai sechirwere chinotyisa, zviratidzo zvehutachiona hunogona kunge husipo zvachose. Zvisinei, muzviitiko zvakawanda, varwere vanocherechedza zviratidzo zvisingawanzwisisiki zvehutano mukati memwedzi mushure mekudya zvikafu zvekunze zvine mvura yemvura kana hove yakasvibirira. Panguva iyi yechirwere ichi, zviratidzo zvinowanzobatanidzwa nekugadzirisa kwekuputika kwehonye muchiropa. Kufamba kwemhepo kunogona kuendeswa nekuwedzera kwekushisa kwemuviri, kunhuwa, kurwadziwa mukati memumimba, kubhuruka kweganda uye kunyange kukwezva. Kana imwe nyungu ichisvika kumunhu mukuru wekukura mukati mechiropa, zviratidzo zvehutano zvinenge zvakafanana neyekudziviswa kweB bile duct. Nhamo mucheche inowanzobatanidzwa nekurwadziwa kunokonzerwa nematombo mujeri. Jaundice inowoneka, uye bile ducts inowedzera kutapukirwa nehutachiona - cholangitis. Anenge nguva dzose kune utera, hutsika, kurasikirwa kwechido, kuora kurasikirwa.

Munhu mukuru wechiropa anokwanisa kurarama muchiropa chomunhu kwemakore gumi namaviri, asi kunyange mushure mokufa kwechirwere chepachirwere, zviratidzo zvinogona kuramba zvichiripo nekuda kwekukuvadza kune bile duct. Chigumisiro chinouraya chechirwere chisingawanzoitiki.

Diagnostics

Pakutanga kwechirwere ichi ne fascioliasis, masimba ezvirwere zvemuviri wemunhu anopindura kune hutachiona nekuchinja nhamba yemasero machena eropa-eosinophilia, izvo zvinoita kuti zvikwanise kuronga kuzvidzivirira kwekudzivirira. Ultrasound kuongororwa, kufanana nekupenya nhengo dzomukati uchishandisa computed tomography (CT), inokubvumira kutevera nzira dzehonye kufamba mukati mechiropa. Kunyangwe kana zvipembenene zvave zvagadziriswa pane imwe nzvimbo ye bile ducts, kubatwa kwepachivi uye chiropa zvicharamba zvichionekwa pa ultrasound. Mukuwedzera, kana hepatic fluke inofungidzirwa, tsvina yehonye inowanikwa mumucheka. Panewo zvidzidzo zvakananga zvinotarisirwa kuedza kupindura kwemuviri wezvirwere zvezvirwere kusvika pakuvapo kwechirwere chepachiona, asi kwete makiriniki ose anokwanisa kubhadhara mari yakadai inodhura.

Kurapa

Bvisa chirwere chinokonzera zvakakwana - iwe unoda kutora chiro chimwe chete chechirwere chinonzi "Triclabendazole." Zvinosuruvarisa, hazviwanikwi kutenga munyika dzeSouth Africa, umo vagari vomunharaunda uye vatashanyi vanowanzotendeukira kuna vanachiremba vane mhere-mhere pamusoro pezviratidzo zvehutachioliasis, asi nechisimbiso chekuongororwa zvinokwanisika kuronga humwe hutano hwemishonga. Nyanzvi dzinokurudzirawo kuchengetedza zororo zororo uye nekuomerera kune kudya kunotapira mumhuka nemaprotina emaprota. Iwe unogona kudiwa kutora mavitamini uye zvigadzirwa zvesimbi mukati.

Muzviitiko zvakanyanya, apo fascioliasis yakaoma uye inoshanda munhu mukuru wehepatic fluke inoonekwa, kurapa kunogona kuita mukuita chirwere chokuvhiya kuti abvise chirwere chinokuvadza nenzira yekusingaperi kwekudzoka kwechirongwa cholangiopancreatography.

Kudzivirira

• Simira midzi yemvura mune 6% solution ye acetic acid kana potassium permanganate kwemaminitsi mashanu kusvika ku10.
• Miti inokura mumvura inofanira kuve yakabikwa zvakanyanyisa isati yashandiswa.
• Ramba uchitarisa kuchenesa kwenzvimbo dzinodyarwa mbeu dzekudya; Usavabvumira kuti vasvibiswe nemvura.
• Tora makwai nemombe kana chirwere chechiremba chichiongororwa chichiitwa fascioliasis. Chirwere chimwe chete che "Triclabendazole" chinoshandiswawo mukurapa mhuka.

Pari zvino, masayendisiti ari kushanda kuti aite chirwere chinopesana ne fascioliasis.