Mafitsara. Echinococcosis hanta: magani haddasawa, cututtuka, yin rigakafi

Echinococcosis ne helminthiasis aji na cestodosis, wanda ke haifar a cikin huhu, kodan, hanta da kuma sauran gabobin ko kyallen takarda auku mafitsara. hanta hydatid cuta ne ya sa ta bullo da maturation a larval tapeworms.

A Sanadin cutar

A kayyade factor a da kamuwa da cuta daga mutum echinococcosis ta bayyana lamba tare da kare (parasites m), wanda za a iya samu da cutar ta hanyar cin nama sharar gida. Wani m m iya zama kamuwa da karnuka farauta sakamakon - lalace gabobin ko offal na dabbobin daji.

A cikin mutane, kamuwa da cuta, yafi zo daga marsa wanki hannuwanku. Kamuwa iya faruwa daga kare ta ta gashi, ko harshe. Sauran dabbobi na iya zama kamar wancan maras wata-wata qwai riwayar kuma su karɓo su, su da daga lamba tare da rashin lafiya karnuka.

Har ila yau, akwai yiwuwar cewa wani mutum zai iya saya hydatid cuta ta hanyar cin 'ya'yan itatuwa, da kayan lambu da kuma berries, wanda ba a wanke ko ba don sun samu farko magani. Ruwa daga halitta tabkuna kuma hidima a matsayin tushen kamuwa da cuta.

Mafitsara iya har yanzu faruwa da mutane aiki a filayen da tumaki. Yana strigali da tumaki, da makiyaya, da makiyaya, da waɗanda suke a cikin lamba tare da wadannan mutane ( 'yan uwa).

ãyõyin echinococcosis

Manuniya da cuta ne zafi a dama babba quadrant, ciki hanta tashin zuciya. Daga farkon kamuwa da cuta da kuma gane na farko bayyanar cututtuka yana daukan shekaru da dama, wani lokacin ma shekarun da suka gabata. Bayyanuwar echinococcosis suna lalacewa ta hanyar da jeri, juz'i, rates na ci gaba da mafitsara da kuma da tasiri a kan kewaye gabobin da kyallen takarda.

A wasu lokuta, da rashin lafiya na iya wuce ba tare da wani bayyanar cututtuka, kuma yana iya lokaci-lokaci gane da duban dan tayi ko X-ray aiki. Haka kuma cutar sau da yawa fara da bayyanar cututtuka na kowa - dogon low-sa zazzabi, nauyi asara, wani rauni, kuma rashin lafiyan halayen.

Domin mafi part mafitsara da farko dake a cikin hanta. Factor wakiltar Properties na wurare dabam dabam: da outflow na jini daga hanji yake shiga a cikin portal jijiya daga cikin hanta don wanke jini. Samun tapeworm a cikin jiki kira hydatid cuta daga cikin hanta.

Hanta echinococcosis ne:

• shortness na numfashi a sakamakon da sarrafawa da diaphragm motsi.
• zafi a gefen dama.
• tashin zuciya da kuma amai.
• maras wata-wata jaundice (a lokacin da ya matse biliary sassa).
• hanta kara girma.

Yana gusar da mafitsara da hanta?

Jiyya da cutar a kan nasu, kamar hydatid cuta daga cikin hanta, shi ne kawai zai yiwu ba. Ko da yake a sosai rare lokuta akwai wani kai-waraka hade da withering bãya daga cikin larvae. Idan mafitsara da aka samu, a haifi echinococcus, sa'an nan akwai wani magani far cewa zai yi shafe ta da m. mafitsara katsewa yayi magana da bukatar nan da nan tiyata.

Surgically cire dukan mafitsara. Idan shi ne a cikin hanta nama Layer, sa'an nan kuma cire shi gaba daya ba zai yiwu ba saboda yiwuwar Gabar lalacewa. A wannan halin da ake ciki, cire mafitsara bango chitin da kuma ja da abinda ke ciki. To, akwai da kau da mafitsara da kanta, tun da babu wani alama na katsewa da kuma rabuwa da m. Bayan nasara, damƙa daga cikin mafitsara yanki na wajabci disinfected da sutured.

Operation aka kwashe su a kai da hanta domin gaba daya cire wani mafitsara daga ta harsashi da abun ciki, don haka ba abin da yake cikin jikin ciki da kuma thoracic cavities. Tare da zurfin wuri ko matsanancin faduwa harsashi saura. Operation da kundin na aikin suna lalacewa ta hanyar da girman da mafitsara da kuma matsalolin da cewa ta kawo. Idan gano iyaka jeri mafitsara, sa'an nan aka cire tare da kwantena. Wannan m hanya zai iya yin amfani da Laser kau hydatid mafitsara.

-daban na yadda ake gudanar da

Idan oimeetsya mahara hydatid hanta cysts ne manyan, to, shi ne resected. Lokacin da gano wata babbar cysts samar da aiki Spasokukotsky ko Bobrov, a cikin abin da yake ciki, echinococcectomy.

Saboda haka kamar yadda ba su fuskanci kamuwa da cuta mafitsara fata ne ba su da tsabta, kuma ta rami da aka bi da kwayoyi da parasites, misali, formalin, aidin ko barasa.

Idan mafitsara da aka located a karkashin diaphragm, kuma a sakamakon aikin tiyata akwai wata babbar rami, sa'an nan ya ƙara ja da shi ta amfani da wani Hanyar Pulatova ko Delbo ko rufe da kafa rami ne wani yanki na diaphragm.

Idan akwai wani mafitsara nasara a bile ducts, da gaggawa aiki aka yi. Kuma mafitsara bango aka cire daga shafa shafukan da biliary fili. A wannan halin da ake ciki, biliary magudanun gunawa.

Idan da rata auku cysts a cikin kogon ciki, sa'an nan gaggawa aiki ne yake aikata. A wannan tsari, kuranye mafitsara, da kuma capsules, wanda sun kasance a cikin bronchi, pleural da kuma na ciki yankin. An yi Semi-rufe echinococcectomy. A tsanani yanayi ne bude Echinococcectomy.

Tare da taro echinococcus hanta da muhimmanci a yi m baki kafin matsaloli faruwa. The aiki za a iya yi a kan hanta na 2-3 Tsari spaced daga makonni biyu zuwa uku da watanni.

Mace-mace a Echinococcus ne daga 1 zuwa 5% na kamuwa da mutane. Sake komowan cutar iya faruwa idan mafitsara an tsãge.

rigakafin

Kamuwa na cikin gida da dabbobi da mutane dogara ne a kan hanyoyin da yi da kiwon lafiya da kuma dabbobi da sabis. Dole ne kullum duba cikin gida da kuma sabis da karnuka don tsutsotsi, musamman a disadvantaged yankunan, su far, euthanasia na rashin gida dabbobi, kazalika da aiwatar da iko da nama a cikin slaughterhouses.

Menene ake bukata?

Gudanar yau da kullum da kiwon lafiya da yawan (kare shayarwa, dabbobi shayarwa, dayansu da iyalansu), su kiyaye m karnuka, kullum wanke hannuwansu bayan lamba tare da su, kazalika da kafin cin abinci, su hana yara a tuntube tare da rashin gida dabbobi, da yadda za a wanke kayan lambu, berries, abin sha disinfected ruwa.

huhu mafitsara

A cuta ne a cikin farkon matakai da kuma bayyana kadan gano ta X-ray dubawa na haske a cikin nau'i na wani m silhouette tare madaidaici Lines. A hemogram nuna eosinophilia.

A mataki na ba-worsening cysts kafa ci gaba, kuma mai tsanani tari, shortness na numfashi, numfashi taimako a wuri na m, da zafi na wani daban-daban fuskantarwa a cikin kirji, da motsi na mediastinal gabobin, bayyana akan rage feat. Irfan sauti. Radiography nuna huhu babbar madauwari inuwa tare da takamaiman contours, wanda ya musanya masa a siffar numfashi balaguro din na diaphragm.

The uku mataki na huhu echinococcosis yana da wani tsanani magana da pathological ci gaban da rikitarwa aiwatar. Da bayyanar cututtuka na matsawa daga cikin manyan tasoshin da kuma gabobin da mediastinum, alama nakasawa daga cikin kirji, dyspnea da hemoptysis. A lokacin da mutuwa ta auku echinococcus cysts kumburi da takamaiman asibiti bayyanar cututtuka na pleural empyema ko huhu.

Autopsy cysts tare nassi bronchus sallama na wani babba yawan haske precipitates da rassa echinococci bladders sofane tare da jini. Tare da festering bude goga bar hemorrhagic surkin jini sputum, kazalika da ya lura manifestations na guba. Watsuwar cysts a cikin m harsashi tsokani bayyanar exudative pleurisy da anaphylactic buga. X-ray jarrabawa ya nuna wani rami tare da wani kwance ruwa surface ba karfi bayyana perifocal infiltration. Irin wannan infiltration aka gano, idan ƙurji mafitsara.

magani

Yi amfani da aiki hanyoyin kwantar da hankali (mafitsara cire daga cuticular kwantena cire huhu). Forecast isasshen serzno, tare da hadin halin yanzu da sakandare echinococcosis - bakin ciki.

koda hydatid cuta

Hydatid mafitsara da koda yau ɗai ɗai, yafi a yankunan karkara. Malaise ne m helminth Taenia echinococcus. Rabawa da pathogen ne dabbobi - karnuka da Cats. Kamar yadda mai mulkin, wanda koda an shafa, a rare lokuta - biyu. hanta echinococcosis m jama'ar na shekaru kungiyar tsakanin 20 da 40 shekara, musamman mata.

helminth kwai shiga koda lymphogenous ko hematogenous hanya, mafi yawan cortical kauri.

Magani da kuma hangen nesa

domin mafi yawan bangare, magani ne sunã rãyar da kuma tiyata. A mafi yawan abin dogara da ingantaccen aiki - shi ne wani ciki daya-mataki ehinokokkotomiya. Shi ne kuma nephrectomy.

Echinococcus magani na bukatar kiwon lafiya da ilimi hanyoyin don ka san mutane da barazana kamuwa da cuta daga dabbobi, tilasta yin aiki da tsafta da kuma dabbobi dubawa na kashe.

Bayan gudanar da lura da wani bege mai kyau.

saifa hydatid cuta

Parasitic cysts na baƙin ciki sukan generated da Echinococcus. A tsawon lokaci da cuta iya wuce shekaru 15 ko fiye. Bisa ga digiri na ci gaba da m aka kwashe matsawa ajiye da kewaye na ciki gabobin, saifa nama necrosis faruwa.

Wannan cuta ne wuya a gane. Mafitsara tare baƙin ciki nauyi a hagu na sama quadrant, cuta, ko kuma maƙarƙashiya, qananan maras ban sha'awa zafi, tashin zuciya postprandial rashin lafiyan halayen. A palpation na baƙin ciki shigar kari. Manyan kumfa iya fashe, wanda sau da yawa take kaiwa zuwa mutuwa na rakiyar Gabar katsewa.

A karkashin halin yanzu m sau da yawa bayar da rahoton bayyanar cututtuka na alerji - amya, itching da sauransu. Lokacin da echinococcosis baƙin ciki sequelae iya faruwa cysts rata suppuration ko ta asibiti maganganu cuta.

A bincike na tumbi, da rashin alheri, ba Ya bayyana gaban parasites. Ganewar asali dogara ne a kan X-ray jarrabawa da kuma duban dan tayi, a cikin abin da Multi-jam'iyya kumfa a bayyane.

magani

A mafi inganci hanyar magani baƙin ciki cysts dauke laparoscopic tiyata. Mafitsara iya sarrafa a hanyoyi da dama:

• cikakken kau da baƙin ciki.
• mafitsara bude da kuma cire abinda ke ciki gare ta, tsarkakewa kogo.
• excising ya shafa yankin da baƙin ciki.
• cire baƙin ciki daga mafitsara bango da kuma abinda ke ciki;
• sassaka mafitsara bawo.

Operation na laparoscopic irin tare da mafitsara baƙin ciki far ne a wani al'ada iri, kunna su gaba daya ya cire tushen cutar. Kau da baƙin ciki mafitsara ne da za'ayi amfani high-daidaici kida da shigar ta musamman kamara. A tsawon lokaci na gudanar da mataki - 1.5-2 hours. Sa'an nan a wasu lokaci kasance m majiyai, amma a cikin wani gajeren lokaci da mãsu haƙuri ne cikakken a kan gyara.