Koripi Amoebic: te tukumate, tohu, maimoatanga

mate intestinal Ko te rōpū nui o mate e fakatahai hinga o te wahi gastrointestinal me nga tohu haumanu āhuatanga pērā i whakapairuaki, ruaki, korere (ki hūpē me te toto) kōroke ranei. āpiha te pīmua o mate intestinal whakapeka taea mahi huakita, huaketo, hātare me helminths. tēnei, he uaua ki te tātari me te titau pinepine maimoatanga syndromic.

whakamāramatanga

Amoebiasis (koripi amoebic) - i te reira mate anthroponotic ki tikanga fecal-waha o te tuku. Ko tōna faaiteraa taketake nuinga ko te colitis paipa ma'i me mau faaiteraa extraintestinal pērā i abscesses ate, mariao me ētahi atu. Nuinga o ngā wā, te auraa te wā kei te amoebiasis amoebic te koripi, meinga nei e te histolytica werau Entamoeba.

I roto i te tahi atu amebiasis mavahe keratitis amoebic me encephalitis. E ai ki te Health Organization World, e huaketo e pā ana ki tekau ōrau o te taupori o te ao ki tenei mate, me he reira tetahi o nga take ārahi o te mate i mate pirinoa. He tino uaua ki te whakatau faaiteraa tāpiri-intestinal, pera ki te tātari me te hamani e kore te mea tonu e taea amoebiasis.

mātai tahumaero

I roto i te whenua katoa ki āhuarangi wera me te takawai he amoebic noa te koripi. Tohu o te mate maha e taea e kitea i roto i te iwi e whakarerea e nga paerewa hauora me te akuaku. Te kōtore ki te tukumate ko Central ko Amerika ki te Tonga, rawa Mexico, ko India.

I te tahi taime urutā nui o mate intestinal rēhita i roto i te whenua ngā pai-atu, pērā i roto i 1933, i roto i te Ao Expo, i tū i roto i Chicago. I tēnei wā, take papatipu me te katea puta i roto i nga wahi i reira manene mai i ngā rohe tetehi. Nuinga o ngā wā, faaite te mate ake i roto i te wa mahana.

Ko te puna o te mate ko te tangata kawe ranei hātare mate. puta Belgium i roto i paru ringa, kai me te wai anake. Hoki, ka taea te tuku i te mate i roto i takatāpui whakapā wateatanga. Kei te mohiotia te reira e kia horahia amoebas puka whēwhē ki nga waewae, me parirau o ngā ngārara.

exciter

He aha te mea i reira te koripi amoebic? Tukumate pā reira ki te māmā, e taea te tīariari i roto i ngā puka rerekē e toru:

- kiko (kitea anake i roto i te tūroro tangata);

- luminal;

- whēwhē.

E kitea ana te rua whakamutunga i roto i kawe o te mate. Ko te rahi pūtau o 40 micrometers, e kua he matua, me te rota o vacuoles. Ki te neke i roto i te tinana tangata whakamahi waewae teka. Hei tuku ratou huakita e tika ana, te kōpura whetū, matūriki kai. koripi Amoebic meinga e tenei puka ngā.

Whēwhē he tawhio porotītaha ranei rahi pūtau o 30 micrometers. pea te reira e rave rahi karihi (e rua ki te wha), tei reira ki runga ki te atamira o te whanaketanga.

Ko te huringa ora o te Pūora

Whēwhē tomo te whēkau iti i roto i te ringa tangata paru, wai, rau ranei. He anga whēwhē te ngaro, me nga lumen tinana tera taha te matua pakeke Pūora. Tenei puka o te timatanga ki te faaite. Ka rite ki te hua o tenei tukanga hua waru tukumate kotahi-matua hou. tīmata koripi Amoebic i tenei momeniti. I te kongutu o tikanga pai o te tinana, me te nui kotahi momo matua vegetative o te Pūora tonu ki te tini me te neke atu ki te whēkau.

I roto i te tukanga o ratou matū te huna hoki te ora ohie e te tangata paihana, me te meinga te tohu angamaheni o mate intestinal. Ki te feces vegetative me taka puka whēwhē ki te taiao o waho. Hea ratou e nehenehe e tohe mo te wa roa. I tua atu, e ātete ki disinfectants ratou.

pathogenesis

Pehea i taea e te whakawhanake pērā mate rite te koripi, amoebic? haamata Belgium ki te kai kai i horoia. No te mea te Pūora tomo te kopirua matapo me e piki, e kia he wa roa ki te faaite mai ano. Otiia i roto i ngā āhuatanga tangata kino (maroketanga, rawakore kai tōtika, dysbiosis) whakaheke cysts tona anga, me i reira ko te ahua luminal o amoebas.

Ki te awhina o ratou ake whākōkī cytolytic me proteolytic o te tukumate ô te matotoru o te kikokiko, meinga mumura me te hanganga o keha me ngā wāhi iti o te necrosis. I roto i ētahi wā, tomo te Pūora nga oko toto me te rere o te hinga wai ki ētahi atu whēkau, hanga reira abscesses.

I roto i te puka intestinal o te mate atu i te mumura i roto i te ahunga whakararo i te cecum noa te rārangi tika. tinana edematous mucous, ki hyperemia kitea nodules iti me mariao e roto i otaota necrotic me ngā puka vegetative amoebae. Neke atu i te wa, kua ngaro nga nodules, mahue i roto i tona wahi i te tuwhenua hou ake ki henimita e rua me te hawhe te whānui. hē hohonu i runga i te raro hipoki ki te pirau. Ki te titiro tetahi ki te unuhanga o te taiepa whewhe, ka kitea e koutou amoebas.

mate mau tahi e te hanganga o cysts, polyps, me amoebae. Tenei hanganga puku, e ngā o granulation fibroblasts kiko me eosinophils.

puka extraintestinal

He rua tohu dyspeptic, me somatic koripi Amoebic. A, no te amoebae puka vegetative tomo ki te matotoru o te pakitara intestinal, kia tomo ratou te tohanga nahanaha. arata'i te reira i ki te horapa o te tukumate i roto i te tinana. E ai ki te pūnaha o te rua tomokanga Pūora tomo te parenchyma ate.

kia whakawhanake te okana pāpaka o rerekē nekehanga o te pakeke, i te pūmua ranei ki te whakapuaki i steatosis kakā me ate whēwhē, kei raro i te kikorangi o te HWM. I te tahi taime te huaina ano a reira cysts tiakarete no o te tae motuhake o te pirau. Ki te te kore tukinotia te mumura, i reira haere mai he māhorahora whakatuwheratanga o te whēwhē i roto i te kōhao puku ki te whanaketanga o te peritonitis. kia ranei whati i whēwhē i roto i te HWM ki te pūkahukahu, mediastinum pericardium ranei, meinga nga pōauautanga hāngai. I tua atu ki te ate, taea ki te whakangaro i te roro, kiri, me te tahi atu whēkau te kaihoko ko te.

whare hauora

pumau te wā heki hoki e pā ana ki te wiki, i muri nei faaite amoebic te koripi. timata Tohu ki te ngoikore whānui, mamae i roto i te rohe iliac me ara i roto i te pāmahana te tinana. Kotahi tekau ōrau o te take te mate e te akoranga fulminant. Kei te āhuatanga i te reira na roto i te korere auau ki te toto, me hūpē, e ai maroketanga kino, me te mate. Vahi i roto i te toru o tūroro ki kirika, i honoa e ki te hua i roto i te ate. Mumura i te timatanga o te mate, ko te ngoikore, na i roto i kore te te tātari whānui o te toto kitea huringa āhuatanga.

I roto i te tahi atu mau faaiteraa extraintestinal haere tahi te koripi. Tohumate e taea te huaina pathognomonic, i roto i tenei take, ko te ngaro. Amebiasis nui e kore e faaite mai ano i roto i te tinana noa te putu ra ano te papatipu tino o te kaihoko.

Ki te kore koe e tango i tetahi mahi ki te whakapai kanohi ki te maimoatanga o te mate, ka muri te i e te mate i te āhua ma'i. Āta, anemia me cachexia. Ko te raro te ātete o te tinana, haere te tere te puka intestinal ki te extraintestinal. Ko te kāwai mōrearea ngā tamariki taitamariki, te kaumātua, wahine hapu me te tūroro tango immunosuppressants.

tātaringa

Na roto i te aha paearu whakapumautia te tātaritanga o "te koripi"? Tātaritanga me te maimoatanga o tenei mate kua tata e pā ana ki te huringa ora o te pūtau-. I roto i te tikanga ki te whakamārama i te etiology o korere, e te tākuta he tauira kumete, i roto i nei i reira he momo kiko o amoebas. Ki te he cysts ranei puka translucent nga tütae, tohu tenei he hariata, me te kore e taea te mahi i rite te haamauraa o te tātaritanga.

Mai te tinana tangata rite he kua he tipu kapo e rave rahi ngā momo o amoebas, kia uaua ake i te tātaritanga. Hape pāngia taea hoki te kitea ki Entamoeba dispar. Ko te Pūora kore-pathogenic, i te mea tino te kinokore ki te tangata, engari ko te morphologically tino rite ki te koripi.

Hei manatoko i te tātaritanga me te whakamahi o te polymerase chain reaction me whakamātautau serological. Ki te kitea momo extraintestinal o amoebiasis, he mea e tika ana ki te whakahaere i X-ray whakamātautau, ultrasound me tomography computed. Rerekëtanga mate amoebic ki shigellosis, salmonellosis me nonspecific colitis ulcerative.

maimoatanga

Maimoatanga o te koripi amoebic tīmata ki taero cytotoxic pērā i metronidazole tinidazole ranei. Ki te kahore he tohu te manawanui, he reira ki te whakakore i taea te whakamahi i te pirinoa yodohinod paromomycin ranei.

Ko te rongoa rawa tuatahi ki amoebiasis ko emetine, i keria i Amerika ki te Tonga o te ipecac. Na te whakamahia te reira uaua, mai te mea te reira tino paitini, me te kore e whai hua nui. Na roto i te tikanga o tenei o te tono anake i roto i te hui o te rere roa, i roto i ngā puka ātete, me te mate pāwera ki metronidazole.

Hoki te maimoatanga o ngā puka anō-intestinal he metronidazole ngā ki yatrenom, doydohinom, meksaformom me ētahi atu taero. I roto i ētahi wā huihui ki te pokanga.

pōauautanga

taea ki te kia uaua e perforation o te taiepa whēkau koripi Amoebic i roto i te tangata, ko te. puta tenei i roto i te hanganga o te koha hohonu rawa. A, no te perforation tirotiro intestinal ki te kōhao puku, me te whakapoke i te reira. Te whakawhanake i te fifi e whai ake nei - peritonitis. I roto i te tikanga ki te whakaora ora o te manawanui, he mea e tika ana ki te huihui ki te tiaki hāparapara: Hanga he laparotomy kātahi me okana puku ki te whakahaere i tētahi arotake.

Ko tētahi atu pōauautanga nui - toto intestinal. whakawhanake hoki i roto i te tukanga o te hanganga o mariao. Ka tango i ngā tikanga e rua momo, me te mana ki tona te tauturu taea. E tika ana ki te hanganga o te nawe kikokiko lumen kuiti, whawhati te kupu te wahi o te kai whakaora mariao.

ārai

koripi Amoebic - mate intestinal, na ki te ārai i reira, me te wā decontaminated puna o tukumate: roto kouru nui, Faarii me ētahi atu pūnaha tohatoha wai.

I tua atu, ki te hiahia te tango mehua ki te kitea kawe me te sporovydeliteley, me te ki te hamani tūroro ki momo whakapeka o tautukunga ki mehua anti-urutā. e kore e hiahia ana te iwi mātūtū me waka i roto i kore take ki te kia tukua ki te mahi i roto i te whakatutuki.

Ko tētahi atu huarahi ki te whakaiti i te maha o te iwi pangia ko ki te whakatairanga akuaku whaiaro, me te whāwhā tika o te kai i mua i te kohi. I muri i te mate o mua i roto i te tangata me wā i roto i te tau kitea i roto i te ako o ngā mate hopuhopu. I reira anake i muri i te tätari i roto i nga marama e toru, ka kia kino hoki amoebiasis, ka kia whakaaro te manawanui rite hopea hauora.