Taeniasis

Introduction to tsutsugamushi The tapeworm, also known as the worm, belongs to the class Cestoda in the flat animal door. The disease caused by various aphids of parasitic human body is collectively called cestodiasis. Ascariasis is a common parasitic disease in the human body and one of the earliest recorded human parasitic diseases in ancient Chinese medicine. There are more than 30 species of parasitic human aphids belonging to the Cyclophyllidea and Pseudophyl-lidea. The parasitic aphids in China are mainly swine locusts, and cattle mites are the most common. Taeniasissuis is an intestinal ascariasis caused by the parasitic worms in the human small intestine. Taeniasolium (Linnaeus, 1758) is also known as pork aphid, chain aphid or hooked aphid. Ancient Chinese medical books are called white worms or white worms, and they have already understood that eating raw meat is the cause of tsutsugamushi disease. It is the main human parasitic aphid in China. Taeniasisbovis is an intestinal ascariasis caused by the parasitic human small intestine. Taeniasaginata (Goeze, 1782) is also known as beef aphid, no hookworm, and aphid tapeworm. Its morphology and life history are similar to those of pork tapeworms, but the intermediate host is cattle. The larva does not parasitize the human body. It is also one of the main human parasitic mites in China. basic knowledge The proportion of illness: 0.001% Susceptible people: no specific population Mode of infection: fecal mouth spread Complications: optic atrophy vitreous opacity retinal detachment cataract

The cause of tsutsugamushi disease

Dietary factors (60%):

The cause of tsutsugamushi disease is that people eat uncooked pork or beef containing cysticercosis. The cysticercosis enters the body and adsorbs on the intestinal wall. The neck segment gradually divides to form a body segment, which develops after about 2 to 3 months. For adults. The adult worms are out of joint and are excreted from the anus. Therefore, white worms can be found on the underwear or on the clothes. The sputum can be seen in the feces with the worms.

Bad living habits (20%):

Inadequate hygiene in life can cause infection with tsutsugamushi. If you do not wash your hands before and after meals, you can cause accidental eating of eggs. The management of toilets and pigs is weak. When people come into contact with livestock, they are not thoroughly cleaned and disinfected, which can also cause humans and animals to infect each other.

Ascaria prevention

Strengthen meat inspection, do not sell rice pork or cysticercosis beef, do not eat unripe pork and beef, should thoroughly treat mites patients, do a good job in manure management, strengthen pig and cattle management, and prevent livestock from being infected by mites.

1. Treating patients: People are the only source of infection. Early deworming can not only reduce the source of infection, but also prevent the infection of cysticercosis. Pregnant women or motion sickness carriers often cause self-infection due to vomiting, and should be dewormed early;

2. Strengthen the management of manure: build toilets that meet the hygiene requirements and do not poop anywhere. Manure must be treated harmlessly before being used as fertilizer;

3. Improve pig raising methods: promote captivity, separate pig pens from toilets;

4. Strict meat inspection: It is strictly forbidden to sell pork containing cysticercosis;

5. Strengthen health promotion: Pay attention to personal hygiene and food hygiene. Wash hands before and after meals, do not eat raw meat, and cut the raw and cooked knives and cutting boards.

In the prevention and control, it is necessary to strengthen leadership, agriculture, animal husbandry, health, and commercial departments to closely cooperate with each other, pay close attention to the implementation of comprehensive measures, and effectively achieve effective control.

Ascariasis complications Complications optic atrophy vitreous opacity retinal detachment cataract

Sometimes optic nerve head edema, optic atrophy, etc., cysticercosis death, can cause vitreous opacity, retinal detachment, optic atrophy, cataract, secondary glaucoma and other eyeball atrophy and blindness, common complications cysticercosis.

Symptoms of tsutsugamushi Common symptoms: nausea, abdominal pain, diarrhea, feces, white streaks, streaks, spots, bloating

In the early stage of tsutsugamushi disease, adults live in the intestines, affecting the intestinal qi, causing dull pain in the abdomen or upper abdomen, discomfort in abdominal distension, or even nausea and vomiting. White patches are often found in underpants, bedding or faeces, or itching with anus. If the disease is long, the spleen and stomach function is impaired, and the water valley can not be transported. In addition, the mites use nutrients, so that the human body is not enough, and the blood is not full. Therefore, on the basis of the above symptoms, the complexion is often sallow or pale, and the body is thin and burnout. Weakness, loss of appetite, pale tongue, fine pulse and other symptoms of qi and blood deficiency.

Locust disease check

1, ask the history: the patient's initial abdomen or upper abdomen faint pain, abdominal distension, or even nausea, vomiting. White patches are often found in underpants, bedding or faeces, or itching with anus. If the disease is long, the spleen and stomach function is impaired, and the water valley can not be transported. In addition, the mites use nutrients, so that the human body is not enough, and the blood is not full. Therefore, it is often accompanied by sallow or pale, body weight loss, fatigue, loss of appetite, and pale tongue. Symptoms such as fine blood and blood deficiency.

2, anal swab inspection or transparent plastic paper method.

3, blood routine examination.

Diagnosis and identification of tsutsugamushi disease

Diagnosis of swine tsutsugamushi disease

You should ask if you have eaten the history of beef pork and whether you have found a piece in the stool. Although the eggs can be found in the stool examination, the detection rate is not high, and the method of checking for several days can improve the detection rate. However, it is impossible to distinguish the species with aphids according to the morphology of the eggs. If the gestational age can be obtained, the species can be determined according to the number of uterus branches.

Diagnosis of bovine tsutsugamushi disease

Asking for a medical history is the simplest and most reliable way to diagnose a tapeworm. Because the gestational age is continuously discharged with the feces or automatically crawling out of the anus, most patients can find the segmentation themselves and become a common complaint when they are seeking medical treatment, sometimes even with a segment. At this point, the pregnancy can be sandwiched between two slides, and the species are determined according to the number of uterus branches.

The detection of eggs or segments in the stool is the basis for diagnosis. However, because the eggs are not directly discharged into the intestine, the detection rate of feces is low. When the segment passes through the anus, it is broken due to the enhanced activity of the segment, so there are more eggs around the anus. Therefore, the detection rate of the anal swab method and the transparent adhesive tape method is higher than that of the direct smear method. However, due to the similar morphology of the two eggs (incomplete eggs), the eggs can only be diagnosed as tsutsugamushi disease. Therefore, after the insect repellent, the worms can check the head section, the worm body or the gestational section, which can not only determine the curative effect, but also Identify the species.

Differential diagnosis

It is often necessary to identify with the locust mites, and the sections of the two can be identified by the tissue structure that is not used in the microscope.

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