Opisthorchiasis - causes, symptoms, tests , treatments


1. Etiology and pathogenesis

2. Symptoms opisthorchiasis

3. Diagnostics

4. Treatment opisthorchiasis

Opisthorchiasis - this is one ofhardest helminth infections, which affects the ducts of the pancreas, gall bladder and bile ducts of the liver.The disease is characterized by a long passage.It occurs with a fairly frequent exacerbations as well, contributes to pancreatic and liver cancer.According to statistics, the number of infected people across the planet is about 21 million people.

Etiology and pathogenesis

opisthorchiasis main cause of the people and is a Siberian cat fluke.The causative agent of this disease parasite in the gall bladder and its ducts and liver, as well as, in the pancreas of dogs, cats and humans.The source of infection may be as sick people and animals.Parasite eggs in the faeces disease carrier into the water in which they ingest the cochlea.Then, in the body of the snail eggs turn into larvae, which quickly multiply, and again fall into the

water in the form of cercariae.Further, these larvae from the water current to penetrate into the body of carp fish.Infection of animals and humans opistorhozom occurs when eating fish that has not passed a sufficient heat treatment (not fish meat is salted or provyalennym).

The analysis on opistorhoz, the causative agent of this helminthiasis found in the bile ducts within the liver, and in 100% of patients in the gallbladder - in 60% of patients in the pancreas - 36% infested.In animals and humans increase in invasion is only after reinfection.Germs can live in the human body up to 20-25 years.

Symptoms opisthorchiasis

Infectiologists argue that opisthorchiasis symptoms depend on the time and intensity of infection, the patient's age, as well as the individual characteristics of the organism.This illness may be, and acute and chronic.The acute stage of the disease lasts no more than 4-8 weeks.With regard to chronic opistorhoza, it can flow over the years - 20-25 years or more.

acute phase of the disease begins within 6-40 days after infection.The incubation period averages 21 days.Onset is usually characterized by acute symptoms.Sometimes opistorhoz begins weaker - sweating, malaise, fatigue, low-grade body temperature.Opisthorchiasis children in early acute phase may not have clinical manifestations or symptoms occur without marked.

acute form of moderate severity is characterized by high fever and catarrhal symptoms of upper respiratory tract.As regards babies, they have in this stage also observed similar symptoms.Opisthorchiasis in children, in addition to catarrh of the upper respiratory tract, accompanied by another disorder and stool.Laboratory testing and inspection ascertain lymphadenopathy, enlarged liver, eosinophilia, and a low concentration of albumin in the blood.After 1-2 weeks in patients start to improve, that is, the latent period of the disease, which then becomes chronic.

Severe acute opisthorchiasis has several options: gepatoholangitichesky, typhoid, and gastroenterokolitichesky option with a primary respiratory tract disease (pneumonia, bronchitis, wheeze).

Symptoms opisthorchiasis tifopodobnaya options are quite serious and dangerous.For this form of the disease characterized by high fever with chills, skin rashes, symptoms of intoxication, lymphadenopathy, severe weakness, myalgias, severe headaches, cough and some other manifestations of allergic reactions.

Gastroenterokolitichesky variant of the disease is manifested in the form of erosive, catarrhal gastritis, gastric ulcer and duodenal ulcer, enterocolitis.The most striking symptoms opisthorchiasis of this option are: loss of appetite, disturbance of stool, nausea, vomiting, pain in the right upper quadrant and epigastric pain, fatigue, irritability, weakness, and so on.

Gepatoholangitichesky type of infection occurs with symptoms of diffuse liver disease (functional impairment, hepatosplenomegaly, jaundice), eosinophilia and a high fever.Patients complain of dyspeptic symptoms and girdle pains in the left and right upper quadrant.

In some cases, the disease is marked prolonged duration of the acute phase.In such situations, the symptoms opisthorchiasis (pulmonary syndrome, signs of liver damage, and fever) are saved to a few months.

Very often, the disease becomes chronic manifestations of chronic pancreatitis, chronic holangioholetsistita and biliary dyskinesia.In chronic opistorhoze children celebrated gastroenteropathy, holepatiya, fatigue, loss of appetite, diarrhea or constipation, and stunted physical development.

Diagnosis Diagnosis of this disease at an early stage is difficult, as helminth eggs in feces and bile can only be detected after 4-6 weeks after infection.Therefore, acute opistorhoz it based only on clinical manifestations and epidemiological history data.

Regarding the chronic phase, to diagnose the disease using parasitological method - on opistorhoz analysis.It is based on the detection of helminth eggs in feces or duodenal contents.

Treatment opisthorchiasis

If the person accompany the above symptoms, and analysis on opistorhoz was positive, the patient is obliged to immediately proceed with the elimination of this disease.opisthorchiasis treatment in chronic and acute stage should be complex (a combination of causal and pathogenetic therapy).Treatment of this disease need to perform stages: preparation, the appointment of anthelmintic drugs, rehabilitation, medical examination and monitoring the effectiveness of therapy.If the patient is accompanied by an allergic reaction, they will still be appointed by antihistamines.

opisthorchiasis Treatment in Children (with a high body temperature and violation of internal organs functioning) must start with reducing intoxication.In addition, the appointed glucocorticoids, antihistamines, as well as drugs that improve the cardiovascular system.

If we talk about the national treatment opisthorchiasis, it is today quite popular.The specialists of traditional medicine argue that with the help of certain foods and herbs can also get rid of the above-mentioned diseases.

The treatment opisthorchiasis folk remedies huge popular: garlic, celandine, St. John's wort, plantain leaves, marigold flowers, roots, Elecampane, Bilberry fruit, herb sage, flowers, Helichrysum, growths of fungus, green pumpkin seeds, thyme, flax seeds, cloves and barkaspen.

Before you begin this treatment, patients need to learn one rule - a popular treatment for opistorhoze will only be effective if to approach him with the maximum care, literacy and perseverance.


This article is available exclusively in the educational purposes and is not research material or professional medical advice.

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