Treatment , prevention and prognosis of opistorhoze
Helminthiases / / August 12, 2017
Young opisthorchis resistant to anthelmintics and therefore in the early phase of infection has to be limited desensitizing therapy - appointment of antihistamines (diphenhydramine, etc.).In the most severe forms of the disease resort to steroid hormones.After 1 month after entry into the human body opistorhisov reach sexual maturity.Since that time, they become susceptible to hloksilu (geksahlorparaksilol) and biltricid that kill them in the host (human, etc.).
Evaluating the effectiveness of the treatment is carried out by clinical observation and long-term (up to 6 months) controlled trials of eggs opisthorchis feces and duodenal contents of the patient.This is due to the fact that even with all the death opistorhisov their eggs for a long time (sometimes for months) are retained in the bile and pancreatic ducts.Often the dead opisthorchis depart after treatment with duodenal sounding.In the case of in feces and duodenal contents helminth eggs in 6 months after the first treatment cycle
Specific treatment hloksilom biltricid and should be combined with the pathogenetic and symptomatic therapy - drainage of the biliary tract with or without a probe for Dem'yanov, appointment antispasmodic, choleretic, sometimes antibiotics and antihistamines.
Opisthorchiasis often takes a relatively benign and is rarely the direct cause of death of the patient.Prediction becomes questionable when complications opisthorchiasis bile peritonitis, suppurative cholangitis and nearly hopeless - with primary cancer of the liver or pancreas.
- Symptoms opisthorchiasis
great importance in the prevention of opisthorchiasishave health education and the protection of water from fecal contamination.Opisthorchis larvae die in the fish when cooked, hot smoked and careful roasting.Cold smoked fish becomes safe with the prior (to smoke), warm salting it for 14 days.With vigorous larvae opistorhisov cold salted fish die in it in 8-10 days.With a weak cold salting this period shall be extended to 24-26 days.
Very often infected through opisthorchiasis properly dried fish.Fish carp species (no longer than 25 cm) after two, three days of salting necessary to jerk at least 3 weeks.
When freezing fish in piles at a temperature of 3-12 ° C larvae die only after 24-25 days.Rapid freezing to a temperature of 30-40 ° C neutralizes the fish in 6 hours.
active struggle with opisthorchiasis carried out by a planned mass screening and treatment of the population.