Komarovsky About Worms In Children: Symptoms, Treatment And Prevention, Video

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Komarovsky About Worms In Children: Symptoms, Treatment And Prevention, Video
Komarovsky About Worms In Children: Symptoms, Treatment And Prevention, Video

Video: Komarovsky About Worms In Children: Symptoms, Treatment And Prevention, Video

Отличия серверных жестких дисков от десктопных
Video: Гельминты #2. Острицы. / Worms #2. Pinworms. 2023, February

Page content

  • Causes of the disease
  • How to confirm the presence of helminthiasis
  • Anthelmintic drugs for children according to Komarovsky

    • Anthelmintic drugs for children
    • After 2 years
  • Reasons, ways of invasion
  • Komarovsky on the diagnosis of helintoses in babies
  • Prevention of infection with helminths
  • You can defeat parasites!

Infection with worms is unpleasant, but quite common. Modern medicine has enough capabilities to get rid of this problem.

The main thing is to timely and accurately identify the type of parasites - Komarovsky is sure. Worms can be removed from the body with the right treatment.

What to do in such a situation? To get started, we recommend reading this article. This article details the methods of dealing with parasites. We also recommend contacting a specialist. Read the article >>>

Causes of the disease

Infection of children with helminths most often occurs due to non-compliance with the rules of personal hygiene, says Dr. Komarovsky. Walking on the street, rolling on a swing, playing in the sandbox, the baby touches dirty objects with his hands.

The source of infection can be unwashed fruits, contact with people already sick or pets.

Flies carry the infection. In addition, you can get infected with worms by eating meat or fish that have not been thoroughly cooked.

Doctor Komaroski
Doctor Komaroski

Most often, the child's body is affected by representatives of roundworms: pinworms, roundworms, trichinella, whipworm.

Cases of infection of babies with flatworms, such as tapeworm, pork tapeworm, echinococcus, are much less common and diseases caused by these parasites do not develop often.

Pinworm diseases are most common in children. These small worms, 3-6 ml in size, are usually located in the lower part of the intestine. At night, female pinworms crawl out through the anus to lay eggs, which quickly spread through the air and settle on the bed, floor, toys.

The next most common doctors call ascaris. Adults reach a length of 20 centimeters and lay up to 2000 eggs. Once in the soil with feces, the larvae can live for several years without moving, and when a favorable environment appears, they will begin to multiply.

Dr. Komarovsky considers ascaris infection one of the most dangerous. The larvae of this worm can be carried to any organs by the flow of blood or lymph.

Ascaris worms
Ascaris worms

Ascaris worms

The large size of roundworm can cause consequences such as allergies, asphyxia, intestinal obstruction, nervous system disorders and other diseases that need complex treatment, without which they can become chronic.

How to confirm the presence of helminthiasis

If a pinworm infection is suspected, the pediatrician will prescribe a scraping for enterobiasis or a smear. Scraping is considered the most convenient. It can be carried out with a stick or with adhesive tape.

To do this, take adhesive tape, touch its sticky side to the anus, then stick it on a glass slide. The analysis is delivered to the laboratory within 2 hours. These manipulations are carried out by a nurse attached to a kindergarten or school.

A smear is taken with a cotton swab dipped in petroleum jelly. After the procedure, the analysis is also sent to the laboratory at the same time.

Komarovsky draws attention to the fact that the analysis of feces for pinworm eggs is not informative, since they are located on the skin of the perineum. Therefore, it is pointless to take it.

Anthelmintic drugs for children according to Komarovsky


There is not a single person who could insure himself against helminthic invasion. Children have the greatest chance of this misfortune.

Their lifestyle, mobility, desire to touch everything with their hands and even taste, and then forget to wash their hands - all this can cause infection with worms.

At first, parasites do not manifest themselves in any way, so not every doctor is able to timely identify the onset of the disease.

If the child says that he has itching in the anus, loses weight and complains of abdominal pain, has problems with cleansing the intestines, then there is a reason to be examined for helminth infection.

Anthelmintic drugs for children

When worms are found in a child, there is a high probability that everyone who lives with him in the same house has them. You should not immediately buy pills until the type of parasite has been determined, then it will be clear with whom and how to fight.

Different worms require different treatment approaches. There are all sorts of ways to get rid of: from pharmaceuticals to folk methods. The best are classic medicines.

The folk method, although tested, is less effective. It does not interfere with the migration of parasites through the organs. It is better to use natural treatments as an adjuvant.

Release form
Release form

Pyrantel tablets and suspensions

The active substances of drugs are different, therefore, the effect on helminths is fundamentally different. Most often, the worms are paralyzed, which means they cannot feed and cling to the intestinal wall. In this state, they die faster and come out naturally.

Literally in the first month after birth, the doctor can prescribe Enterosgel and Polysorb to infected infants.

Enterosgel is sold in the form of a gel in order to obtain a suspension and a sweet paste from it, which the baby will not spit out. Polysorb is a powder, it is diluted with water to obtain a suspension.

Babies from six months to a year can already be prescribed the following medicines for worms:

  • Helmintox;
  • Pirantel;
  • Combantrine;
  • Nemocide.
Release forms
Release forms

After 2 years

Inattention of parents becomes the reason for the infection of children with helminths at this age, since the invasion is possible after contact with pets, sick people, the use of unwashed fruits and vegetables, as well as thermally poorly processed meat.

It is not easy to treat a two year old toddler. The drugs themselves are toxic, and their effects on the liver are not at all beneficial.

A very small number of options for cleansing the body of babies 2 years old:

  1. Pirantel (as well as Kombantrin, Nemocid and Helmintox) affects pinworms, ascaris, hookworm, nekator.
  2. Piperazine is not very toxic in its action. It only brings paralysis to helminths, but does not kill them. Pinworms and roundworms are its main targets, it has a narrow spectrum of influence and its effect is only in the initial stage of helminthic invasion.

At the age of 2 to 5 years, children are very curious and explore everything literally "to the teeth". Stay in the sandbox, play with stray cats and dogs.

Mebendazole and Albendazole are recognized as effective pills for worms.

  1. Albendazole is also called Sanoxal, Nemozol and Gelmadol. These tablets can be used in the treatment of children at least 2 years old. These agents are used in the treatment of mixed invasions. Albendazole is considered an aggressive medicine, it gives a large number of side effects: stomatitis, urticaria, disrupts the normal functioning of the intestinal tract. If the same dosage. Prescribed by the doctor, it is strictly observed, they may not occur.
  2. Mebendazole (also called Mebex, Vormin and Vermox) is able to fight almost all helminths, but the patient's age must be at least 2 years old. Side effects: fever, anemia, allergies and liver failure.


Reasons, ways of invasion

In medicine, infection with worms is called helminthic invasion. The most common cause of this phenomenon is a gross violation of hygiene rules. We will consider the symptoms of infection of a child with worms and methods of treatment further, and now let's talk about the reasons.

How a child may develop worms:

  1. Contact method - a child becomes infected through contact or from parents or other children. The sources are bedding, toys, things. Contact with animals is especially dangerous. While walking on the street, they pick up dirty objects, and children love to hug pets.
  2. Water also poses a danger to children in terms of the likelihood of helminthic infestation. Swimming in water bodies, they often swallow water, which may contain larvae and eggs of parasites. In addition, during the hot season, children often drink from the tap, and the quality of water purification is not always high. Teaching a child to drink filtered, bottled or boiled water helps reduce the likelihood of infection.
  3. Infection with worms through food. Fish and meat are especially dangerous. Semi-finished products based on them must undergo heat treatment in strict accordance with the recommended rules. The risk of infection arises from the use of poorly processed fruits, berries, vegetables. Even if they have a domesticated one, washing the fruits is required as they came into contact with the soil into which the animals defecated.
  4. Insects as an intermediate host of helminth larvae. The living quarters should be free of flies, fleas, mosquitoes. The former often come into contact with feces and, at the same time, human food. Mosquitoes and fleas infect humans with helminths through their bites.

Komarovsky on the diagnosis of helintoses in babies

Not always the presence of worms in a child can be determined by external signs. Therefore, there are certain laboratory diagnostic methods, the purpose of which is to determine how infected the child's body is, what type of helminths are present, as well as the stage of the disease.

In laboratory conditions, the following types of research are used:

  1. Study of the child's feces for the presence of helminth larvae. In this case, the feces are submitted for analysis, as a rule, three times with an interval of 3-4 days. There is no need to wash the baby's stool before collecting the stool.
  2. Scraping with a special adhesive tape or a spatula of the anal folds helps to determine the presence of helminth larvae.
  3. A blood test for the presence of worms is used if the stool test gave a negative result with clear suspicions of helminthiasis. Requirements before donating blood for helminths do not differ from the usual ones (do not eat before taking blood, do not drink carbonated water, exclude foods with high fat content in a week, do not take medications if possible).
  4. In the case of severe damage to the child's body with worms, an ultrasound, endoscopic examination of the organs of the gastrointestinal tract is performed to establish the location of the worms.

How to treat worms in children? Komarovsky offers several methods. Treatment in children can only be started after the cause has been identified and the baby has been diagnosed.

Doctor Komarovsky about lamblia in children
Doctor Komarovsky about lamblia in children

In order to completely get rid of helminths, it is recommended to carry out wet cleaning in the house in parallel with the treatment.

It is advisable to iron the baby's things well every day and restrict access to pets. Treatment is carried out in different ways.

Special diet. If a specialist detects worms in a child, he advises to adhere to a special diet. It is recommended to eat daily food that will help to quickly get rid of worms.

It is desirable that the diet contains:

  • Onion.
  • Garlic.
  • Pumpkin.
  • Carrot.
  • Cabbage.
  • Melon.
  • Dried fruits compote.
  • Porridge.
  • Butter and vegetable oil.
  • Dairy products.

The diet must necessarily include fiber, which is found in almost all fruits and vegetables, coarse bread. It is also worth making sure that the child consumes foods containing vitamins B, C, A. These include:

  • Rosehip.
  • Yolk.
  • Peas.
  • Walnuts.
  • Black currant.
  • Liver.

Before you include them in your baby's diet, you should make sure that he does not have an allergic reaction.

Drug treatment. Experts advise to cleanse the body of worms with complex therapy. It is desirable that several drugs be used at the same time with short breaks. Most medicines are also suitable for infants.

Recently, a special therapy has been created that helps to get rid of helminths in children. This therapy consists of several stages. To begin with, anthelmintic therapy is performed. It includes the Pirantel suspension.

It is allowed to use in children from 6 months of age. There are several inexpensive analogs for the product: "Helmintox" and "Nemocid".

You can also take medicines for parasites, such as Mebendazole. It is not recommended to take it for up to two years.

Analogs: "Vormil", "Vermox", "Termox", "Mebeks". The therapy is carried out depending on the drug taken. It usually lasts 3-5 days.


Prevention of infection with helminths

Since worms, like any disease, are better prevented than treated later, you need to follow simple hygiene rules.

Komarovsky recommends:

  • After walking, communicating with animals, wash your hands before eating;
  • Make sure that no sand gets into your mouth on the site;
  • Wean your baby off nail biting;
  • Meat and fish must be cooked;
  • Do not give unwashed fruit;
  • Keep the room clean;
  • Avoid contact with sick people.

Dr. Komarovsky reminds that physical activity, hardening, being in the fresh air, healthy eating will make your baby's health stronger, which means more resistant to various diseases.

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