ტრიქინელოზი

triqinelozi

triqinelozi parazituli daavadebaa, romlis gamomwvevia spiraluri triqinela. invaziis wyaros mtaceblebi da mRrRnelebi warmoadgenen. saqarTveloSi adamianis dasnebovnebis ZiriTadi wyaroa Rori, gareuli Rori da mura daTvi. triqinelas larvebis Semcvel, arasaTanadod moxarSul an Semwvar xorcTan erTad parazitis Canasaxi nawlavis sanaTurSi xvdeba, iq mwifdeba da gamoyofs larvebs, romlebic nawlavis kedels gaivlis da sisxlZarRvebis meSveobiT kunTovan qsovilSi moiTeseba, aqve lokalizdeba da ikeTebs kafsulas.

bunebaSi triqinela kerebad gvxvdeba da gareul cxovelebs Soris cirkulirebs. amas xels uwyobs cxovelTa kanibalizmi, mtacebloba, leSis Wama. igive faqtorebi uwyobs xels triqinelozis Sinauri kerebis aRmocenebas.

klinikuri suraTi

triqinelozis simZime organizmSi moxvedrili larvebis raodenobazea damokidebuli. adamianisTvis sasikvdilo dozad iTvleba 5 larva wonis yovel kilogramze.

triqinelozis simptomatika sxvadasxva stadiaze sxvadasxvaa. ganasxvaveben sam stadias:

4 I (invaziis) stadia - viTardeba inficirebidan erTi kviris Semdeg, rodesac naxevrad mwife helminTebi aqtiurad mravldebian. Tavs iCens Semdegi simptomebi: umadoba, gulisreva, Rebineba, diarea, muclis tkivili da kolika;

4 II (diseminaciis) stadia - dgeba inficirebidan 10 dReSi, roca triqinelebi lorwovani garsidan xvdebian wvril nawlavSi da ganivzolian kunTebSi migrireben. am stadiisTvis damaxasiaTebelia saxis (gansakuTrebiT - quTuToebis) SeSupeba, kunTebis tkivili (pirvel rigSi - kiduris kunTebisa), gamonayari, qavili da wva, temperaturis 38-40 gradusamde mateba. mZime SemTxvevaSi ziandeba sasunTqi, gul-sisxlZarRvTa da centraluri nervuli sistemebi.

4 III (inkafsulirebis) stadia dgeba gamojanmrTelebis periodSi, Cveulebriv, meore stadiis dasawyisidan erTi kviris Semdeg, magram daavadebulis kunTebSi kafsulebi tovebs eroziebs. triqinelebis larvebi sisxlis nakadTan erTad edebian mTel organizms da garkveuli jgufis kunTebSi rCebian. yvelaze xSirad isini azianeben diafragmas, saReW kunTebs, neknTaSua da deltisebr kunTebs, iSviaTad - Tvalisas.

triqinelozi iwvevs garTulebebs sasunTqi, nervuli da gul-sisxlZarRvTa sistemebis mxriv. Zalian mZime mimdinareobis SemTxvevaSi viTardeba imunopaTologiuri reaqcia, romelsac difuzur-kerovani miokarditis, pnevmoniis, meningoencefalitis ganviTarebamde mivyavarT.

iSviaTad daavadeba sruldeba letaluri SedegiT.

diagnostika

triqinelozis diagnostika emyareba pacientis anamnezs - Termulad saTanadod daumuSavebeli xorciT kvebis faqts, klinikur niSnebs da laboratoriul monacemebs - sisxlis saerTo analizisa da imunologiuri gamokvlevebis Sedegebs.

mkurnaloba

triqinelozis mkurnaloba tardeba rogorc uSualod parazitebis sawinaaRmdego preparatebiT (minTezoli, vermoqsi, albendazoli), aseve glukokortikoidebiT, antihistaminuri (alergiis sawinaaRmdego) preparatebiT, saWiroebisamebr - kardiologiuri medikamentebiT. drouli mkurnaloba efeqtiania, Tumca warmatebuli mkurnalobis SemTxvevaSic ki pacients SesaZloa 2-4, iSviaTad 6 Tvis ganmavlobaSi awuxebdes kunTebis tkivili, aReniSnebodes eozinofilia.

profilaqtika

triqinelozs Tavidan asacileblad saWiroa Roris xorcis sworad momzadeba.

Roris umi xorci da misi nawarmi unda inaxebodes sayinuleSi. kerZis momzadebis dros triqinela rom mokvdes, xorcis SigniT temperatura 65 gradusze maRali unda iyos. vardisferma xorcma unda miiRos ruxi feri.

triqinelozTan brZola gulisxmobs saRoreebSi virTxebis mospobas, gasayidad gamotanili xorcis Semowmebas. Seumowmebeli xorcis yidva ar SeiZleba!

triqinelas larvebi kargad itanen xangrZliv sicives, gaTbobas, damarilebasa da Sebolvas. -19 graduze gayinul xorcSi isini didxans cocxloben, -12 gradusze - 57 dRe, -18 gradusze - 21 saaTi. +50 gradus temperaturaze larvebi ramdenime wuTs Zleben, magram unda gvaxsovdes, rom aseT temperaturaze xorcis gacxelebisas naWris sisqeSi yovelTvis igive temperatura ar aris.

damarilebul xorcSi larvebma SesaZloa wlamdec ki icocxlon.