ʻO Enterobiasis kahi maʻi ʻōpū o Enterobius vermicularis pinworms, maʻamau i nā keiki, akā ʻo nā ʻohana makua a me nā kahu mālama, nā kānaka i hoʻokumu ʻia a me ka poʻe i pili waha-anal me kahi hoa maʻi i ka wā o ka moe kolohe.

ʻO ka hōʻailona nui ka perianal itching.

Hoʻokumu ʻia ka hōʻike ʻana ma ka ʻike maka o nā threadworms ma ka ʻāpana perianal a i ʻole scotch-test no ka ʻike hua manu.

NĀ KĀLĀWAI KĀLĀWAI MA NETWOK: E Kipa aku i ke kū ʻo MEDICHILD MA EMERGENCY EXPO

Oxides: Hoʻokumu ʻia ka lāʻau lapaʻau ma ka mebendazole, pyrantel pamoate a i ʻole albendazole

A hiki i hoʻokahi piliona kānaka a puni ka honua mai nā papa socio-economic i maʻi ʻia.

ʻO ka maʻi pinworm ka maʻi helminth maʻamau ma ʻAmelika Hui Pū ʻIa, e loaʻa ana ma kahi o 20-42 miliona mau kānaka.

Loaʻa ka hapa nui o nā maʻi i nā keiki o ke kula a me nā keiki liʻiliʻi, ko lākou ʻohana, a i ʻole nā ​​​​mea mālama.

ʻO ka pathophysiology o ka maʻi pinworms

Lilo nā hua o nā pinworms i loko o kekahi mau hola ma hope o ka hiki ʻana i ka perineum.

Hoʻopuka pinepine ʻia ka maʻi ma muli o ka hoʻoili ʻana o nā hua parasite mai ka ʻāpana anal a i nā kaʻa (ʻaʻahu, nā moena, nā lako, nā pākeke, nā mea pāʻani, nā noho lua), kahi e hāʻawi ʻia ai nā hua i kahi hoʻokipa hou, lawe ʻia i ka waha a moni ʻia.

ʻO ka omo ʻana i nā manamana lima kahi mea pilikia.

Hiki ke ma'i hou (self-infestation) ma o na manamana lima haumia e lawe ana i na hua mai ka wahi perianal a i ka waha.

ʻO nā maʻi o nā pinworms kekahi i pili i ka hana anilingus ma waena o nā pākeke.

Hiki i nā pinworms ke oʻo ma ka ʻōpū o ka ʻōpū haʻahaʻa i 2-6 mau pule.

Holo ka ilo wahine mai ka anus a hiki i ka ʻāpana perianal (maʻamau i ka pō) a waiho i nā hua.

ʻO ka neʻe ʻana o ka ilo wahine a me ka waiwai gelatinous viscous kahi e waiho ai i kāna mau hua e kumu ai ka ʻeha perianal.

Hiki ke ola nā hua ma luna o nā kaʻa no 3 pule i ka mahana maʻamau o ka hale.

Symptomatology o ka ma'i pinworms

ʻAʻohe hōʻailona a hōʻailona paha ka hapa nui o ka poʻe i maʻi ʻia, akā ua loaʻa i kekahi poʻe i ka maʻi perianal a hoʻomohala i nā ʻeha ʻōpala perianal.

Hiki ke ulu ka ma'i bacteria lua ma ka ili.

ʻAʻole kakaikahi, piʻi ka wahine neʻe i ka ʻōpū o ka wahine, e hoʻoulu ai i ka vaginitis a me ka liʻiliʻi loa, nā ʻeha peritoneal.

Nui nā maʻi ʻē aʻe (e laʻa ka ʻeha ʻōpū, ka hiamoe, ka ʻāʻī ʻana) i hoʻopili ʻia i ka ulu ʻana o ka pinworm, akā ʻaʻole hiki ke loaʻa kahi pilina kumu.

I kekahi mau ʻano o ka appendicitis, ua ʻike ʻia nā pinworms e keakea ana i ka lumen appendicular, akā ʻo ka loaʻa ʻana o nā parasites he coincidental paha.

ʻO ka ʻike ʻana o ka maʻi pinworms

• Ka nānā ʻana i ka ʻāina perianal no nā ilo, hua, a i ʻole nā ​​​​mea ʻelua

Hiki ke ʻike ʻia kahi maʻi pinworm ma ka ʻimi ʻana i ka ilo wahine, ʻo ia ka 8 a 13 mm ka lōʻihi (ʻo nā kāne he 2 a 5 mm), ma ka ʻāpana perianal 1 a 2 mau hola ma hope o ka waiho ʻana o ke keiki i kahi moe a i ke kakahiaka paha. , a i ʻole ma ka hoʻohana ʻana i ka microscope e ʻike i nā hua ma ka hoʻāʻo scotch.

Loaʻa nā laʻana i ke kakahiaka nui ma mua o ke ala ʻana o ke keiki ma ka hoʻopā ʻana i nā peʻa perianal me kahi lipine adhesive, i kau ʻia me ka ʻaoʻao pili ma kahi paheʻe a nānā ʻia ma lalo o ka microscope.

ʻO nā hua 30 x 50 micron he oval, me ka ʻiʻo lahilahi i loko o kahi larva wili.

ʻO kahi kulu o toluene i hoʻokomo ʻia ma waena o ka ʻili a me ka paheʻe e hoʻoheheʻe i ka mea hoʻopili a wehe i nā ʻōhū ea ma lalo o ke kaula e pale ai i ka ʻike ʻana o nā hua.

Pono e hana hou ʻia kēia kaʻina hana no 3 mau kakahiaka inā pono.

I kekahi manawa, hiki ke hana ʻia ka ʻike ma ka nānā ʻana i nā laʻana i lawe ʻia mai lalo o nā manamana lima o ka mea maʻi.

Hiki ke loaʻa nā hua manu, akā emi pinepine, i loko o nā faeces, mimi a i ʻole ka hamo ʻana.

Lapaʻau ʻana i ka maʻi pinworm

• Mebendazole, pyrantel pamoate a i ʻole albendazole

No ka mea ʻaʻole ʻino ka maʻi pinworm, kiʻekiʻe ka laha ʻana a ʻoi pinepine ka hoʻoulu hou ʻana, hōʻike ʻia ka lāʻau lapaʻau no nā maʻi hōʻailona.

Eia naʻe, koi ka hapa nui o nā mākua i ka mālama ʻana i ka wā e loaʻa ai kā lākou keiki i ka maʻi pinworm.

ʻO kahi maʻa hoʻokahi o kekahi o kēia mau mea, hana hou ʻia ma hope o 2 pule, he mea kūpono ia i ka hoʻopau ʻana i nā pinworms (akā ʻaʻole nā ​​​​hua) ma> 90% o nā hihia:

• Mebendazole 100 mg ma ka waha (me ka ʻole o ka makahiki)
• Pyrantel pamoate 11 mg/kg (ke kiʻekiʻe loa o 1 g) ma ka waha (loaʻa ma ke ʻano he lāʻau lapaʻau kūʻai ʻole)
• Albendazole 400 mg ma ka waha

ʻO ka hoʻomākaukau ʻana i ka vaseline carbinated (ʻo ia hoʻi, loaʻa ka carbolic acid) a i ʻole nā ​​​​ʻaila anti-itch ʻē aʻe a i ʻole nā ​​​​ʻaila i hoʻohana ʻia ma ka ʻāina perianal hiki ke hoʻopau i ka ʻeha.

Kāohi ʻana i ka maʻi ʻino

Hoʻopili pinepine ʻia me nā pinworms, no ka mea, hiki ke hoʻopau ʻia nā hua ola a hiki i 1 pule ma hope o ka mālama ʻana, a no ka mea hiki ke ola nā hua i loko o ke kaiapuni ma mua o ka mālama ʻana i 3 pule.

He mea maʻamau ka maʻi ʻino ma waena o nā lālā o ka ʻohana a pono paha ka mālama ʻana i ka hale holoʻokoʻa.

Hiki i kēia mau mea ke pale i ka laha ʻana o nā pinworms:

• Holoi lima me ka wai mehana, kopa ma hope o ka hoʻohana ʻana i ka lua, ma hope o ka hoʻololi ʻana i nā nape, a ma mua o ka hoʻopā ʻana i ka meaʻai (ʻo ke ala maikaʻi loa)
• Holoi i nā lole, nā moena a me nā mea pāʻani pinepine.
• Inā loaʻa nā kānaka i ka maʻi, e ʻauʻau i kēlā me kēia kakahiaka e kōkua i ka wehe ʻana i nā hua ma ka ʻili
• E hoʻomāmā i ke kaiapuni e hoʻāʻo a wehe i nā hua
• Hōʻalo i ka hoʻopili waha-anal i ka wā moe i nā pākeke

E heluhelu pū nō hoʻi:

Hoʻokiʻekiʻe i ka pā no ka mālama ʻana i nā maʻi maʻi maʻi: Ka nānā ʻana a me nā hopena ma US

Stroke, Italian Society of Paediatrics: Hiki iā ia ke hoʻopili i nā keiki mai ka makahiki Perinatal

Source:

MSD