Zina mwa zowopsa kwambiri ndi echinococcus. Iye ali wa mtundu wa tapeworms, umatulutsa m'matumbo a agalu, nthawizina - amphaka. Thupi la thupi la chitsanzo chokhwima lifika kufika 3-5 mm. Mphutsi ya mphutsi imene imakhudza thupi la munthu imachititsa kuti echinococcosis ipangidwe. Kutenga ndi echinokotiki kumachitika nthawi zambiri kudzera mwa kukhudzana ndi nyama yodwala.
Wothandizira khansa yachinococcosis ndi mphutsi ya echinococcus. Malingana ndi malo a mphutsi, ziwalozi kapena ziwalo zina zimakhudzidwa, zomwe zimayambitsa kupanga mapuloteni m'chiwindi, mapapo kapena ziwalo zina ndi ziwalo zina.
Echinococcus mu mtima ndi 0.2-2% mwa matenda omwe amachititsidwa ndi helminth, amapezeka kuti, monga lamulo, kwa anthu oposa zaka 20, ndi kotheka kwa ana.
Zimayambitsa makina ochuluka mu mtima
Mphuno ya echinococcus imakafika pamtima pambali ya magazi a venous, kapena kupyolera mu mphuno yachinococcal kuchokera m'mapapo kupita mu mitsempha ya pulmonary. M'magulu a myocardium, pang'onopang'ono, nthawi zina mpaka 1.5 zaka, mphutsi imapanga mpweya. Pankhani ya matenda osiyanasiyana, makina angapo a 3-9 masentimita amapangidwa. Nthawi zambiri, ziphuphu zimapezeka kumbali zina za mtima, monga pericardium, left atrium ndi atrium yolondola. Kusungunuka kwa mphutsi kumakhala kosavuta.
Pokhala okhwima, chifuwachi chimapangitsa zizindikiro zofanana ndi matenda a mtima.
Zizindikiro za kankikopu mu mtima
Kupweteka mu chifuwa, zizindikiro za myocardial ischemia, mtima wosalimba , kusokonezeka kwa mtima, kuphatikizapo tricycardia ya ventricular, nyimbo ndi vuto loyendetsa. Zovuta za mtima wachinococcosis, monga lamulo, zikhoza kupha: kupweteka kwa mphuno mu mtima kumapangitsa kuti ziwiya zikhale zovuta.
Kuphulika kwa mphutsi kumanzere kumapeto kwa ventricle kungawononge stratification ya khoma laulere ventricular, kuphatikizapo kupweteka kwamagetsi embolism.
Chifukwa cha kupweteka kwa mphuno zomwe zili mu mtima woyenera, mitsempha yamatumbo imayamba, imayambitsa mavuto, monga chifuwa, kupwetekedwa mtima, hemoptysis komanso, nthawi zina malungo.
Ekinokotiki imapezeka pa maziko a mbiri yakale ya matenda, X-ray data, allergological ndi serological zitsanzo. Njira zamagwiritsidwe ntchito zimagwiritsidwanso ntchito pozindikira ma antibodies ofanana.
Matenda a antichinocus
Kufufuza kwa echinococcus sizowonjezeka nthawi zonse, ndipo nthawi zambiri zimapereka zotsatira zabodza, kotero njira zowonjezera zowonjezera zimafunikira: X-ray, radioisotope, ultrasound, computed tomography. Nthaŵi zina, matenda a laparoscopy amasonyeza. Kusankhidwa kwa njira kumadalira kumudzi ndi gawo la matenda.
Njira zowonjezereka zogwiritsira ntchito ma antibodies kwa Ekinokosi ndi RPGA, RSK, machitidwe a latex agglutination, ndi ELISA, njira yotsirizayi ndi yopambana kwambiri. Kugwiritsidwa ntchito kwa njirayi sikupereka chithunzi cha 100%, popeza ambiri ogwira ntchito zopanga mavitamini samakhala ndi magwero a chitetezo cha mthupi, ma antibodies m'magazi sapangidwa. Mwachitsanzo, pa matenda a chiwindi, zotsatira zabwino za ELISA zingapezeke mwa odwala 90%, ndipo 50-60% ndizowonongeka ndi mapapo.
Kuchiza kwa Ekinococcus
Malingana ndi malowa, mukhoza kulingalira njira zosiyanasiyana zochizira, kuphatikizapo anthu. Tiyenera kuzindikira kuti njira imeneyi
Njira yothandiza kwambiri ndi, mwina, kupaleshoni, makamaka pamene kupeza chithunzithunzi ndiwopseza moyo. Zikatero, chipolopolocho n'chosangalatsa kwambiri.
Benzimidazoles (albendazole, mebendazole) amalembedwa.