Amoebic me ka hi koko: o ka pathogen, symptoms, lapaʻau

Intestinal nā mea palahēhē mea he nui pūʻulu o ka maʻi i hiehie pio o ka gastrointestinal'āpana a me ke ano lapaʻau symptoms e like me nausea, ka luaʻi, diarrhea (me mucus a me ke koko) a constipation. Causative konohiki o ka huʻi intestinal nā mea palahēhē ke hana koʻohune, nā mea hoʻomaʻi, protozoa a me helminths. Kēia i mea paakiki e diagnose a pono loa pinepine syndromic lapaau.

ka wehewehena

Amoebiasis (amoebic me ka hi koko) - ia anthroponotic maʻiʻaʻai me fecal-moʻoleloʻano papa hana o ka EYI. Kona walaʻauʻana hoike ana i ka maʻi relapsing colitis a extraintestinal hoike ana e like me akepaa abscesses, ulcers a me na mea e ae. Loa pinepine, i ka manawa i manaoia amoebiasis amoebic ka hī koko, a ua kauoha ia e ka parasite Entamoeba histolytica.

I waena o nā amebiasis kaʻawale amoebic keratitis a me ka encephalitis. E like me ka World Health Organization, ma kahi o umi pakeneka o ko ke ao nei i ka heluna kanaka i iho mailoko me keia maʻiʻaʻai, a me ia mea i kekahi o ka alakai kumu o ka make mai parasitic maʻi. Keu-intestinal hoikeana i loa paʻakikī e diagnose, no laila, e diagnose a hana amoebiasis mea,ʻaʻole e mau ana e hiki.

epidemiology

Ma'āina a pau me ka wela a me ka humid aniau mea, he pono ole amoebic ka hī koko. Symptoms o ka maʻi pinepine hiki ke loaʻa i loko o kanaka, ka poe malama ole i ke ola kino a me kou niho hae. Endemic i ka pathogen i Central a me Amerika Hema, o ka oi aku Mexico, a me India.

I kekahi manawa, nui outbreaks o intestinal nā mea palahēhē helu i loko o ka kŘpa a pono-i nā'āina, e like me ka makahiki 1933, i ka World Hōʻike, a i paʻa i loko o Chicago. Currently, nuipa a me ka sporadic hihia ana i loko o nā wahi a pau nā meaʻeʻe moku mai endemic wahi. Loa pinepine, i ka maʻiʻaʻai hoike mai ai ia ia iho i loko o ka mehana wa pono.

Ke kumu o ka maʻiʻaʻai mea he maʻi kanaka a lawe protozoa. Maʻiʻaʻai ia lŘlŘ wale maʻino mau lima, ai a me ka wai. Nō hoʻi, i ka maʻi hiki e pū i hiki ma unprotected homosexual ihe. Ua ua ike ia cystic palapala amoebas i palahalaha ae i na wawae a me nā'ēheu o nā mea kolo.

exciter

No ke aha lā i loaʻa amoebic ka hī koko? Pathogen ka mea pili i ka simplest, i hiki nei i ka ekoluʻokoʻa 'ano apau loa.

-'aʻaʻa (loaʻa wale nō i loko o kanaka hoʻomanawanui iki mai);

- luminal;

- cystic.

Ka mea hope elua i loaʻa i loko o nā moku halihali mokulele o ka maʻi. He He halepaahao nui o 40 micrometers, i ka mea i kāna mau 'ōlelo a me ka hailona o vacuoles. E neʻe aku i loko o ke kanaka kino hoʻohana wawae wahahee. E hoolako ia kupono koʻohune, fungi, meaʻai (particles). Amoebic ka hī koko, kena ae la ma keia mau palapala.

Cyst Ua puni paha ka'ololaha aeea nui o 30 micrometers. Ua hiki e kekahi mau nuclei (elua i eha), ka mea hilinaʻi nui ma luna o ke kahua o ka? Acaeoey.

Ke ola kalapona o ka amoeba

Cyst komo i ka poe uuku a liʻiliʻi ma kanaka limaʻino, ka wai, a me foliage. Aia cyst iwi ua luku, a me ka kino lumen ma kela aoao o ka oo makua amoeba. Kēia palapala o ka hoomaka ana e kaʻana. E like me ka hopena o kēia kaʻina hua ewalu hou hookahi-kāna mau 'ōlelo pathogens. Amoebic me ka hi koko hoʻomaka i kēia manawa. Ma ka confluence o 'ano kūpono o ka kino a me ka lawa hoʻokahi kāna mau' ōlelo vegetative ano o ka amoeba hoʻomau e hoonui a me ka neʻe hou i loko o ka naʻau liʻiliʻi.

Ma ke kaʻina hana o ko lākou ola poe noonoo ole pee waiwai i ka mea awaawa make kānaka, a i ka typical symptoms o intestinal maʻiʻaʻai. Me feces vegetative a cysticʻano a hāʻule i loko o ka mawaho kaiapuni. Where ka mea, e hoomau ana i ka lōʻihi manawa. Eia hou, ka mea e hoʻopale ai i disinfectants.

pathogenesis

Pehea hiki ulu na maʻi me ka hī koko, amoebic? Maʻiʻaʻai hoʻomaka me kaʻaiʻana unwashed ka ai. No ka mea, o ka amoeba komo i ka poʻe makapō a me ka pii aku AeXIeAaOIePEAaI, a i e ka lōʻihi manawa e hoike mai ai ia ia. Akā, ma ka adverse kanaka rula (dehydration, no kou kino, dysbiosis) cysts hookahe aku i kona iwi, a he mea i ka luminal kino o amoebas.

Me ke kōkua o ko lākou mau cytolytic a me ka proteolytic nā'ūhū o ka pathogen komo iloko o ka mānoanoa o ka'aʻaʻa, ma o na la li nui, a me ka ho okumu ana o ulcers, a mau mea uuku o ka necrosis. Ma kekahi mau hihia, o ka amoeba komo i ka ipu koko a me ke kahe ana o ke kinowai ai haule i loko o nā nā loko, ho okumu i loaʻa abscesses.

Ma ka intestinal ano o ka maʻi i ka li nui kŰlń ao ma ka lalo ala e hiki aku, mai ka cecum a hiki i ka laina. Mucous edematous kino, e ku e hiki hyperemia uuku nodules a me ulcers i pihaʻi me necrotic'ōpala hoʻi a me ka vegetative pepa amoebae. Over manawa, e luku i nā nodules, a waiho ana ma kona wahi i ka hou ulcers mai i elua a me ka hapalua kenimika ma anawaena. Deep mā ma ka lalo uhiia me ka pus. Inā kekahi hoike o ka biopsy o ka ulcer pa, oe e loaʻa amoebas.

Maʻi maʻi pu ma ke kahua o ka cysts, polyps, a me ka amoebae. Kēiaʻeho ho okumu, a iloko o ka granulation'aʻaʻa fibroblasts a me eosinophils.

extraintestinal palapala

Amoebic ka hī koko, he dyspeptic symptoms elua, a me ka somatic. I ka vegetative ano amoebae komo i loko o ka mānoanoa o ka intestinal pa, ka mea i komo i ka systemic holo. Kēia hiki aku ai i ka laha ana o ka pathogen ma ke kino. E like me ka'ōnaehana o ka nū aa koko amoeba komo i ke akepaʻa parenchyma.

Ka hui, e hoʻomōhala lesions o ka loli iki ana degere o ka oolea, mai ka kumuʻiʻo paha, e hoike steatosis hepatitis a me akepaa abscess, aia ma lalo o ka Dome o ka diaphragm. I kekahi manawa he hana no hoi ia i kapa kokoleka cysts no ka mea, o ka mea i ho'ākāka 'ano o ka pus. Inā ka aat i ua ole kamailio ana, hele mai kekahi noho'na makaainana i ulu puka o ka abscess i loko o ka abdominal lua a me ka hooulu ana o ka peritonitis. A cyst ke hemo mai ma ka diaphragm i loko o ka maʻiʻaʻai, mediastinum a pericardium, e kauoha ana i ka like complications. Ma waho aʻeo i ke akepaa, o ka Agena mea hiki, e hoopau i ka lolo, a me kaʻili me nā loko.

? aaieou

Ke incubation au mau no e pili ana i ka hebedoma, ma hope i hoike mai ai ia amoebic ka hī koko. Symptoms hoʻomaka me kekahi mau nawaliwali,ʻeha ma ka iliac'āina, a ku ma ke kino ana wela. He umi pakeneka o na hihia a pau i ka maʻi i ka fulminant papa. Ua Ua wehewehe aku ma profuse diarrhea me ke koko a me ka mucus, i ke kumu no loa dehydration a me ka make. Somewhere i loko o ke kolu o nā mea maʻi i kuni i loko o ka huipūʻana me ka hoʻonui o ke akepaʻa. Li nui i ka hoʻomaka o ka maʻi mea nawaliwali, no laila, i loko o ka nui Ka Ikepili o ke koko ka i mālama ano loli.

Ma nā extraintestinal hoikeana pu ka hī koko. Symptom i hiki ke kapaia pathognomonic, ma keia hihia i kahi e. Amebiasis kūpono kou e hoike ia ia iho i loko o ke kino a hiki i ka loaa a me ka pilikia nui o ka pūnaewele.

Inā 'oe e i lawe i kekahi hana me ka manao no ka lapaau ana i ka maʻi, laila, ma hope o ke ana o ka maʻiʻaʻai i kekahi maʻi maoli. Ua, anaemia, a cachexia. I ka lalo o ka ia'ku o ke kino, ka wikiwiki o ka intestinal palapala ae i loko o ka extraintestinal. Ke kamepiula waeʻano keiki hou, i ka kūpuna, hapai na wahine a me nā mea maʻi lawe immunosuppressants kikowaena.

lapaʻau '

Ma ka 'Oihana hoʻokumuʻike, o "ka hī koko"? ʻike, a me ka lapaʻau o keia maʻiʻaʻai ua pili loa me ke ola kalapona o protozoa hou pili. I mea e möakäka hou i ka etiology o diarrhea, ke kauka i ka paepae hāpana, ma a he mea'aʻaʻa ano o amoebas. Inā na faeces i cysts a translucent palapala, i kēia Hōʻike he kaa, a hiki ole ke malama i hōʻoiaʻiʻo nō o kaʻike,.

No kekahi mau 'ano o amoebas ke kanaka kino me ka conditionally pathogenic flora i ua, i kaʻike, e e oi pilikia. Ua'āpono diagnosed hiki no hoi ke 'akomi i me Entamoeba dispar. He 'ole-pathogenic amoeba, i ka pau loa hewa ole i kānaka, akā, i morphologically mea i like loa me ka hī koko.

E hōʻoia i kaʻike, a me ka pono o ka polymerase kaula naoh a me serological ho'āʻo ma. E huai ae extraintestinal ano o ka amoebiasis, ia mea pono e hoʻomaka X-Ray hookolokolo, ultrasound a Me tomography. Differentiate amoebic maʻiʻaʻai me shigellosis, salmonellosis a me nonspecific ulcerative colitis.

lapaʻau

Lapaʻau o amoebic me ka hi koko hoʻomaka me cytotoxic ai 'e like me metronidazole paha tinidazole. Inā ka hoʻomanawanui i ole symptoms, ia mea, e hoʻopau i nā parasites hiki ke hoʻohana yodohinod a paromomycin.

Ka loa mua laau e ku e amoebiasis ua emetine, i i koʻu mau i loko o America South o ipecac. Ano ka mea, ua hoʻohana 'ia kākaʻikahi, no ka mea, he nuiʻawahia, a i kona mana nui iho la ia. Ma keia mea, o ka hoopii wale nō i loko o ka hanana o ke hooloihi ae i pele, i ka hoʻopale ano a me ka allergy i ka metronidazole.

No ka iapaau ana o keu-intestinal pepa i metronidazole hui me yatrenom, doydohinom, meksaformom a me ka 'ē aʻe ai'. I kekahi manawa e akoakoa ai i kaʻoki kino.

complications

Amoebic me ka hi koko i loko o kānaka mea hiki ia e huikau ma perforation o ka naʻau i pa. Kēia ia lŘlŘ i ke kahua o ka oi hohonu kina. I ka perforation intestinal Contents i loko o ka abdominal lua, a mailoko o ia. E hana i ka mea kēia complications - peritonitis. I mea e hoola i ke ahonui o ka ola, ka mea i pono, e akoakoa ai iʻoki lāʻau lapaʻau malama: E ka midline laparotomy a me ka abdominal nā loko, e hoʻomaka i ka hooia ia.

Kekahi mea complication - intestinal kahe ana ke koko. Nō hoʻi e hoʻomōhala ana i loko o ke kaʻina hana o ka ho okumu ana o ulcers. I kona kokua hiki ia, e lawe nā makeʻe kulana a me ka operative ki ina hana like. Ka hoola ulcers e ku pono ana i ke kahua o ka me ka makaʻu no'aʻaʻa ololi lumen, ka uhaʻiʻana, ke'ōlelo mai ai ka hooholo ia ana o ka ai.

Kāohi

Amoebic me ka hi koko - intestinal maʻiʻaʻai, no laila, e pale ia, pono e 'eleu decontaminated kumu o ka pathogen: malu loko, Reservoir a me nā wai o ka makana kahua.

Eia hou, i ka pono, e lawe ana, e huai ae nā moku halihali mokulele a me sporovydeliteley, e like me ka pono nā mea maʻi me ka huʻi ano o kaʻaeʻana me ka Anati-laha ana. Convalescent kanaka a kaa ma kekahi hihia eʻaʻole pono e e ae e hana i ka hana hoʻomoʻa.

ala e emi i ka helu ana o iho mailoko o kanaka i kekahi mea, e hoʻokō pilikino kou niho a me ka pono pēpēʻana o ka ai ma mua hokii. Ma hope o ka maʻiʻaʻai mua i loko o ke kanaka pono mau i ka makahiki ike i loko o ke ao o infectious ka maʻi. Ka mea, ua wale ma hope o ka kālailai i loko o na malama ekolu, e e io no amoebiasis, ke hoʻomanawanui, e e noʻonoʻo i hope ola.