Enterobiasis yog kab mob plab hnyuv ntawm Enterobius vermicularis pinworms, feem ntau hauv cov menyuam yaus, tab sis cov neeg laus hauv tsev neeg thiab cov neeg saib xyuas, cov neeg koom nrog thiab cov neeg uas tau ntsib qhov ncauj-qhov quav nrog tus khub kis mob thaum sib deev kuj muaj kev pheej hmoo.

Cov tsos mob tseem ceeb yog perianal khaus.

Kev kuaj mob yog nyob ntawm qhov pom kev pom ntawm cov kab mob hauv cov kab mob hauv perianal lossis scotch-test rau kev txheeb xyuas qe.

KEV KHO MOB ZOO TSHAJ PLAWS ZOO TSHAJ PLAWS hauv NETWOK: Mus ntsib MEDICHILD STAND AT EMERGENCY EXPO

Oxides: kev kho yog ua raws li mebendazole, pyrantel pamoate lossis albendazole

Txog li ib txhiab tus neeg thoob ntiaj teb los ntawm txhua chav kawm kev lag luam hauv zej zog tau kis tus kab mob.

Pinworm infestation yog kab mob helminth ntau tshaj plaws hauv Tebchaws Meskas, tshwm sim nyob rau hauv kwv yees li 20-42 lab tus tib neeg.

Feem ntau tshwm sim hauv cov menyuam yaus hnub nyoog kawm ntawv thiab cov menyuam yaus, lawv tsev neeg, lossis cov neeg saib xyuas.

Pathophysiology ntawm pinworms infestation

Cov qe ntawm pinworms kis tau nyob rau hauv ob peb teev tom qab ncav lub perineum.

Kev kis kab mob feem ntau tshwm sim los ntawm kev hloov cov qe cab los ntawm thaj tsam qhov quav mus rau tsheb (cov khaub ncaws, txaj, rooj tog, pam vov, cov khoom ua si, rooj zaum tso quav), uas cov qe tau dhau mus rau tus tswv tsev tshiab, coj mus rau qhov ncauj thiab nqos.

Tus ntiv tes xoo yog ib qho kev pheej hmoo.

Kev kis kab mob rov ua dua tshiab (kev kis tus kheej) tuaj yeem yooj yim tshwm sim los ntawm cov ntiv tes tsis huv nqa cov qe los ntawm thaj tsam perianal mus rau lub qhov ncauj.

Kab mob ntawm pinworms kuj tau raug ntaus nqi los ntawm kev xyaum anilingus ntawm cov neeg laus.

Pinworms ncav cuag kev loj hlob nyob rau hauv qis gastrointestinal ib ntsuj av nyob rau hauv 2-6 lub lis piam.

Tus poj niam worm migrate tawm ntawm lub qhov quav mus rau thaj tsam perianal (feem ntau thaum hmo ntuj) thiab tso qe.

Kev txav ntawm tus poj niam cab thiab cov kua nplaum gelatinous uas nws tso nws cov qe ua rau perianal khaus.

Qe tuaj yeem muaj sia nyob ntawm lub tsheb rau 3 lub lis piam ntawm qhov ntsuas kub hauv tsev.

Symptomatology ntawm pinworms infestation

Cov neeg mob feem ntau tsis muaj tsos mob lossis cov tsos mob tshwm sim, tab sis qee tus mob perianal khaus thiab tsim cov kab mob perianal khawb.

Cov kab mob thib ob tuaj yeem tshwm sim hauv daim tawv nqaij.

Tsis tshua muaj, migrating poj niam nce mus rau poj niam qhov chaw mos, ua rau vaginitis thiab, txawm tsawg dua, peritoneal lesions.

Ntau lwm yam mob (xws li mob plab, insomnia, convulsions) tau raug ntaus nqi rau tus kab mob pinworm, tab sis kev sib raug zoo tsis zoo li.

Hauv qee hom kab mob appendicitis, pinworms tau pom muaj qhov cuam tshuam rau appendicular lumen, tab sis muaj cov kab mob cab kuj tuaj yeem tshwm sim.

Diagnosis ntawm pinworms infestation

• Kev ntsuam xyuas ntawm thaj av perianal rau cov cab, qe, lossis ob qho tib si

Tus kab mob pinworm tuaj yeem kuaj tau los ntawm kev nrhiav tus poj niam cab, uas yog 8 mus rau 13 hli ntev (cov txiv neej yog 2 mus rau 5 hli), nyob rau thaj tsam perianal 1 mus rau 2 teev tom qab tus menyuam tau muab tso rau hauv txaj lossis sawv ntxov. , los yog los ntawm kev siv lub tshuab ntsuas ntsuas los txheeb xyuas cov qe hauv qhov kev xeem scotch.

Cov qauv tau txais thaum sawv ntxov ua ntej tus me nyuam sawv los ntawm kev kov lub perianal folds nrog ib daim kab xev nplaum, uas tau muab tso nrog cov nplaum sab ntawm ib daim swb thiab tshuaj xyuas hauv qab lub tshuab tsom.

Lub qe 30 x 50 micron yog oval, nrog lub plhaub nyias uas muaj cov kab mob coiled.

Ib qho poob ntawm toluene muab tso rau nruab nrab ntawm cov sawb thiab cov swb ua rau cov nplaum nplaum thiab tshem tawm cov npuas npuas hauv qab lub strip uas yuav tiv thaiv kev txheeb xyuas cov qe.

Cov txheej txheem no yuav tsum tau rov ua dua 3 sawv ntxov yog tias tsim nyog.

Qee zaum, kev kuaj mob tuaj yeem ua tau los ntawm kev tshuaj xyuas cov qauv coj los ntawm tus neeg mob cov ntiv tes.

Qe kuj tuaj yeem pom, tab sis tsawg dua, hauv plab, zis lossis qhov chaw mos smear.

Kev kho mob ntawm pinworm infestation

• Mebendazole, pyrantel pamoate los yog albendazole

Txij li thaum pinworm infestation tsis tshua muaj teeb meem, qhov tshwm sim ntau heev thiab rov kis tau ntau zaus, kev kho mob tsuas yog qhia rau cov tsos mob.

Txawm li cas los xij, cov niam txiv feem ntau xav tau kev kho mob thaum lawv tus menyuam muaj kab mob pinworm.

Ib koob tshuaj ntawm ib qho ntawm cov hauv qab no, rov ua dua tom qab 2 lub lis piam, muaj txiaj ntsig zoo hauv kev tshem tawm cov kab mob (tab sis tsis qe) hauv> 90% ntawm cov neeg mob:

• Mebendazole 100 mg ntawm qhov ncauj (tsis hais lub hnub nyoog)
• Pyrantel pamoate 11 mg / kg (qhov siab tshaj plaws ntawm 1 g) ntawm qhov ncauj (muaj raws li cov tshuaj hauv khw muag khoom)
• Albendazole 400 mg ntawm qhov ncauj

Carbinated vaseline npaj (piv txwv li, muaj carbolic acid) los yog lwm yam tshuaj tiv thaiv khaus khaus los yog tshuaj pleev rau hauv zos rau thaj tsam perianal tuaj yeem txo qhov khaus.

Tiv thaiv kab mob

Kev rov ua dua nrog tus kab mob pinworm yog nquag, vim tias cov qe muaj peev xwm raug tshem tawm mus txog 1 lub lis piam tom qab kho, thiab vim tias cov qe tso rau hauv ib puag ncig ua ntej kev kho mob tuaj yeem muaj sia nyob 3 lub lis piam.

Ntau yam kab mob ntawm cov neeg hauv tsev neeg muaj ntau thiab kev kho mob ntawm tag nrho tsev neeg tej zaum yuav tsim nyog.

Cov hauv qab no tuaj yeem pab tiv thaiv kev sib kis ntawm pinworms:

• Ntxuav tes nrog dej sov, xab npum tom qab siv chav dej, tom qab hloov cov ntaub so ntswg, thiab ua ntej kov cov zaub mov (qhov zoo tshaj plaws)
• Ntxuav khaub ncaws, txaj thiab khoom ua si nquag.
• Yog tias tib neeg kis tus kab mob, da dej txhua tag kis los pab tshem tawm cov qe ntawm daim tawv nqaij
• Nqus ib puag ncig sim thiab tshem tawm cov qe
• Tsis txhob sib chwv qhov ncauj thaum sib deev hauv cov neeg laus

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Tau qhov twg los:

MSD