Manifestations Of Chronic Opisthorchiasis

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Manifestations Of Chronic Opisthorchiasis
Manifestations Of Chronic Opisthorchiasis

Video: Manifestations Of Chronic Opisthorchiasis

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Manifestations of chronic opisthorchiasis

Chronic opisthorchiasis is a disease provoked by the penetration of flatworms - opisthorchias into the human body. In this case, the hepatobiliary system is affected, and therefore in the clinic of helminthiasis, signs of hepatitis, cholecystitis, duodenitis, gastritis, etc. prevail. It occurs not only in adults, but also in children.

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Chronic opisthorchiasis is a disease provoked by the penetration of flatworms - opisthorchias into the human body.

What it is

The disease belongs to extraintestinal natural focal biohelminosis. It has a latent course disguised as other pathologies, which complicates the diagnosis. Infection occurs when eating foods contaminated with worm eggs. This may be insufficiently salted or fried fish. In the host's body, the helminth reaches puberty within 3-4 weeks. Chronic opisthorchiasis develops as a result of prolonged parasitic worms.

Is it possible to cure chronic opisthorchiasis

The disease belongs to severe helminthiasis, which is caused by damage to the functioning of human internal organs. The sooner you start treating chronic parasitosis, the more chances you have to quickly cope with the problem and get rid of adult worms and their larvae.

Even with a chronic course of the disease, a person can recover. With the development of complications from the gallbladder, liver or pancreas, it will be more difficult to restore the patient's health.

Effects

Complications of chronic opisthorchiasis are caused by the penetration of parasites into the liver and gallbladder. The accumulation of adults can provoke a blockage of the biliary tract, which threatens digestion. It also promotes infection and stone formation.

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As a result of the long course of a chronic disease, an inflammatory reaction develops in the liver tissues.

As a result of the long course of a chronic disease, an inflammatory reaction develops in the liver tissues. The occurrence of cirrhosis, cancer, abscess, etc. is not excluded. Massive damage to the gastrointestinal tract by parasites leads to sensitization, which threatens the occurrence of allergic reactions and even bronchial asthma.

With the penetration of worms into the pancreas, pancreatitis develops, which is accompanied by a blockage of the excretory duct.

Signs of chronic opisthorchiasis

The chronic form of opisthorchiasis is characterized by polymorphism of clinical manifestations. With helminthic invasion, the gastrointestinal tract is damaged.

As a result of severe sensitization of the body, itchy skin appears
As a result of severe sensitization of the body, itchy skin appears

As a result of pronounced sensitization of the body, itchy skin appears.

The main sign of pathology is a deterioration in appetite
The main sign of pathology is a deterioration in appetite

The main symptom of pathology is a deterioration in appetite.

Irritability is a sign of chronic opisthorchiasis
Irritability is a sign of chronic opisthorchiasis

Irritability is a symptom of chronic opisthorchiasis.

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The main signs of pathology:

  1. Pain. Patients complain of pain in the right hypochondrium. Sometimes there is a feeling of heaviness and pressure.
  2. Dyspeptic syndrome. Manifested by nausea, vomiting, loss of appetite, weight loss, and the development of diarrhea.
  3. On palpation, pain in the projection of the stomach, duodenum, gallbladder, liver and pancreas is determined. This is due to the involvement of all organs of the gastrointestinal tract in the pathological inflammatory process.
  4. Allergic manifestations. As a result of pronounced sensitization of the body, itching and rashes appear.
  5. Asthenovegetative syndrome. Chronic fatigue, increased fatigue and irritability develop. There is sweating, dizziness, hand tremors.
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Sometimes there is a slight increase in body temperature.

Sometimes there is a slight increase in body temperature.

Chronic opisthorchiasis and pregnancy

Chronic opisthorchiasis has an adverse effect on the course of pregnancy. This is due to the fact that a lot of nutrients and energy are required for the vital activity and development of parasites. As a result, the child is deficient in vitamins, minerals and other nutrients. This can lead to impaired growth and development of the fetus with the further formation of birth defects.

If at the stage of planning pregnancy a chronic course of opisthorchiasis is detected, you first need to undergo a therapeutic course and get rid of parasites. This will help prevent complications from developing while carrying a baby.

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Chronic opisthorchiasis has an adverse effect on the course of pregnancy.

Diagnosis of the disease

To make a diagnosis of chronic opisthorchiasis, it is not enough to take a history and examine the patient. A person must undergo a comprehensive examination, which includes:

  • general clinical blood test;
  • biochemical blood test (determination of the activity of aminotransferases, alkaline phosphatase, proteins, cholesterol, alpha-amylase and liver function tests);
  • general urine analysis;
  • scatological examination of feces;
  • fibrogastroduodenoscopy;
  • study of duodenal contents;
  • ultrasound examination of the abdominal organs;
  • blood for opisthorchiasis by enzyme-linked immunosorbent assay (ELISA) to determine antibodies to parasites.
General urine analysis is prescribed for chronic opisthorchiasis
General urine analysis is prescribed for chronic opisthorchiasis

General urine analysis is prescribed for chronic opisthorchiasis.

Scatological examination of feces is carried out for chronic opisthorchiasis
Scatological examination of feces is carried out for chronic opisthorchiasis

A scatological examination of feces is carried out with chronic opisthorchiasis.

A person must undergo a comprehensive examination, which includes a general clinical blood test
A person must undergo a comprehensive examination, which includes a general clinical blood test

A person must undergo a comprehensive examination, which includes a general clinical blood test.

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If necessary, the doctor can refer the patient for X-ray diagnostics, computed tomography, retrograde cholangiopancreatography, etc.

A comprehensive examination makes it possible not only to establish signs of an inflammatory process in the organs of the digestive system, but also to detect accumulations of worms in the bile ducts, as well as their larvae in the feces and contents of the duodenum.

Treatment of the disease

The chronic phase of opisthorchiasis requires complex treatment.

After all, it is necessary not only to remove the parasite from the body, but also to eliminate the unpleasant consequences of the violation. To speed up the patient's recovery, alternative medicine methods can be used, which have a pronounced effectiveness.

Drugs

Therapy of chronic opisthorchiasis takes place in several stages. First of all, you should prepare the body for the use of specific antihelminthic drugs. To do this, it is necessary to relieve inflammation of the mucous membrane, remove sensitization of the body, protect liver cells, improve the outflow of bile, facilitate digestion with the help of enzymes, etc.

Ursosan helps to restore the functioning of hepatocytes damaged as a result of the vital activity of parasites
Ursosan helps to restore the functioning of hepatocytes damaged as a result of the vital activity of parasites

Ursosan helps to restore the functioning of hepatocytes damaged as a result of the vital activity of parasites.

Allochol is necessary to accelerate the evacuation of bile from the gallbladder, to prevent the development of congestion and the formation of calculi
Allochol is necessary to accelerate the evacuation of bile from the gallbladder, to prevent the development of congestion and the formation of calculi

Allochol is necessary to accelerate the evacuation of bile from the gallbladder, to prevent the development of congestion and the formation of calculi.

Preliminary therapy includes the use of Enterosgel
Preliminary therapy includes the use of Enterosgel

Preliminary therapy includes the use of Enterosgel.

Festal improves food digestion, normalizes stool
Festal improves food digestion, normalizes stool

Festal improves food digestion, normalizes stool.

Suprastin relieves itching, removes skin rashes and other signs of an allergic reaction
Suprastin relieves itching, removes skin rashes and other signs of an allergic reaction

Suprastin relieves itching, removes skin rashes and other signs of an allergic reaction.

Ibuprofen blocks the production of inflammatory mediators, resulting in a rapid improvement in the patient's well-being
Ibuprofen blocks the production of inflammatory mediators, resulting in a rapid improvement in the patient's well-being

Ibuprofen blocks the production of inflammatory mediators, which results in a rapid improvement in the patient's well-being.

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Preliminary therapy includes the use of drugs of the following groups:

  1. Sorbents. Provide for the use of Enterosgel, Smecta, Activated carbon, etc.
  2. Antihistamines. Relieve itching, remove skin rashes and other signs of an allergic reaction. These are Suprastin, Tavegil, Diazolin, etc.
  3. Digestive enzymes. Improves food digestion, normalizes stool. These include: Pancreatin, Mezim, Festal, etc.
  4. Choleretic drugs. They are necessary to accelerate the evacuation of bile from the gallbladder, to prevent the development of congestion and the formation of calculi (Allochol, Hologal, etc.).
  5. Hepatoprotectors. Contribute to the restoration of the functioning of hepatocytes damaged as a result of the vital activity of parasites. In the chronic course of the disease, you can use Silymarin, Galstena, Ursosan, etc.
  6. Non-specific anti-inflammatory drugs. They block the production of inflammatory mediators, thereby achieving a rapid improvement in the patient's well-being (Ibuprofen, Paracetamol, etc.).
  7. Antibacterial therapy. It is used when attaching pathogenic microflora and the development of an inflammatory process. To do this, use broad-spectrum antibiotics from the group of penicillins, cephalosporins or macrolides.

Of the specific antihelminthic agents in the chronic course of opisthorchiasis, the use of Biltricide or Chloxil is shown, which contribute to the death of parasites. The required dosage and duration of the therapeutic course is calculated individually for each patient, depending on his weight and the massiveness of the helminthic invasion.

The third stage in the treatment of a chronic disease includes the use of funds to restore the gastrointestinal tract. These are multivitamin complexes Sanasol, Alphabet, etc. In addition, the doctor prescribes enzymes, choleretic and hepatoprotectors to speed up the patient's complete recovery.

Folk remedies

The use of birch tar shows good results in the treatment of chronic parasitosis.

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The use of birch tar shows good results in the treatment of chronic parasitosis.

This substance has an adverse effect on the functioning of the worms. Birch tar should be taken daily at 1 g, pre-mixed with a small amount of any food product, such as mashed potatoes or carrots.

To speed up the process of recovery from opisthorchiasis, a person must take a rosehip infusion. To prepare the medicine, 100 g of dry berries need to brew 0.5 boiling water and drink 1 glass a day.

Diet

Diet for chronic worm infestation is an important part of effective treatment of the disease. The patient's food should be frequent and high in calories. In this case, food should enter the body in small portions. It is advisable that the preparation of dishes is carried out using cooking, stewing or baking. During the day, the patient must consume at least 2 liters of clean water.

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Diet for chronic worm infestation is an important part of effective treatment of the disease.

The diet of a patient with chronic opisthorchiasis should contain dairy and sour milk products, lean fish, dietary meat, eggs, fresh fruits and vegetables, rye or wheat bread of yesterday's baking, biscuit biscuits. Of the drinks, preference should be given to homemade compotes, non-acidic juices and jelly, tea, rosehip decoction.

It is strictly forbidden to include mushrooms, caviar, fatty fish and meat, lard in the menu. Confectionery and fresh baked goods are banned.

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