The resulting trichinell larvae through the intestinal mucous membrane penetrate the blood and lymphatic vessels. Together with blood current, they are spread throughout the body, while the lesion of cross-striped muscle tissue is most often noted. Due to the presence of special enzymes, the larva penetrates the inside of the muscle fiber and continues its development there. In response to an alien agent, the body is trying to protect it from the surrounding tissues by forming a connective tissue capsule, which is calcified in several months. The following muscle is the favorite location of the localization of Helmint:
According to the pathogenesis, signs and symptoms of trichinosis can be divided into three groups:
During the disease, the incubation period is distinguished, the acute phase and the period of recovery. By the flow of the disease, there is an ether, light, moderate severity and severe forms. Treatment will depend on the severity of the pathological process.
The incubation period on average lasts 2-3 weeks, but maybe more than a month. During this period, a person can not disturb anything. Then comes the manifestation of the disease. The most common symptoms of trichinosis in the acute phase is:
In addition to the main symptoms, a polymorphic rash as a manifestation of an allergic reaction occurs during trichinelosis. Also observed abdominal pain, digestion disorder. Infiltration of organs leads to the development of myocarditis, pneumonia, meningoencephalitis with the development of relevant symptoms, so it is very important to carry out timely treatment and prevention. Blood test can show pathological symptoms from the coagulation system.
Not only characteristic symptoms help confirm infection. Pi formulation of diagnosis take into account the anamnestic data, namely the fact of use of infected meat, not subject to proper thermal processing. To confirm, the laboratory tests are shown:
Detection of larvae in meat is not only diagnostic manipulation. The method also relates to methods for the prevention of invasion.
Treatment of trichinelosis includes two directions - the fight against the causative agent and eliminating the consequences of its invasion. As a etiotropic treatment, drugs are used, destructive on trichinelle and on its encapsulated forms. These include drugs such as furnacesol, Mintesol, Albendazole.
The furnish is prescribed in a daily dose of 300 mg, divided into 3 receptions. Take drugs recommended after meals. The duration of treatment determines the doctor depending on the severity of the symptoms, on average it is about two weeks.
Preparations of the Mithsol and Albendazole are less effective regarding the causative agent of the disease. In this regard, they are shown as treatment with the impossibility of using furnishings.
Considering the amount of drugs, it is clear that the price of treatment can be high. But the fact that the complications of helminthosis often lead to a fatal outcome, indicates the need for therapy under the control of the doctor and preventing the progression of pathology. Any amateurness at home increases the risk of unfavorable outcome. Treatment of trichinellosis by folk remedies is also not recommended. First, efficiency is significantly lower, and secondly, the likelihood of the development of complications and the spread of the pathological process increases largely.
Trichinelosis prevention occupies a very important role and first should be carried out by veterinary and hooting organizations. Their task is to identify the source and prevent the spread of Helmint. An important role is played by checking and disposal of animal corpses.
Individual prevention of trichinelosis includes:
Trichinleoses are a great threat. The course of the disease is often accompanied by serious complications. Therefore, it is important to comply with prevention measures and test a suspicious meat product in the laboratory. Special device helps checking.
A person is infected with the use of raw or poorly thermally treated meat. And the sensitivity of people to this type of helminths is high. Practice shows that it is enough to eat 15 grams of an infected product to get sick.
It is worth noting that the infection of trichinelles is always family. If one of the household fell in the family, then the likelihood that everyone is infected, equals 100%.
What is a diagnosis, and what analysis determines that trichinells settled in the human body, and what is the prevention?
Trichinella (Trichinella Spiralis) is barely visible with the naked nematode eye. When it turns into an adult individual, it is localized most often in the small intestine, and a large intestine chooses the place of residence.
The course of this pathology is characterized by a special complexity, and is accompanied by a whole complex of pathological reactions of the body, due to penetration into the body of the "starting mechanism" - trichinells.
Trichinelles in humans flows at certain stages:
On the allergic stage in patients, feverish condition, swelling is revealed, the catarrhal syndrome is formed in the lungs, respiratory disorders, articular and muscle pain.
Immunopathological stage follows intensive infection. It is accompanied by allergic vasculitis (inflammatory processes that arise in the vascular blood walls) are affected by the internal organs.
In the liver, brain and the remaining internal organs, nodule infiltrates occur.
A characteristic sign of infection is the daily fluctuation of the temperature regime of the body within a few degrees (such a state can last several weeks), muscle and articular pains, rashes on human skin, face swelling.
Options for the course of the disease can differ significantly in terms of the severity of pathology, the duration of the incubation period, the duration of the feverish state, respectively, and the outcome. Relying on the medical classification, trichinels are divided into forms of invasion:
During the development itself, the disease is divided into certain periods: the incubation period, the time of acute symptoms, the period of development of complications, the period of recurrence.
If we speak on average, the incubation time varies from 10 to 25 days. In a number of situations, this time interval can be up to 45 days. Based on medical practice, it can be said that the duration of the incubation period is proportional to the severity with which the disease occurs.
The following signs of trichinelosis are distinguished:
The patient of a person may have the following signs of infection: sleep disorder, in particular insomnia, hallucinations, depressive syndrome. In some cases, when pathology proceeds in very intense and severe form, resistant mental and neurological syndromes are revealed.
Trichinelles are diagnosed on the basis of a clinical picture of the patient, epidemiological history (eating a man's raw meat or not, whether it works with raw meat and so on), as well as analyzes that were conducted in laboratory conditions.
Common blood test shows the amount of eosinophils in the blood. Such an analysis is important because it shows the content of blood cells that contribute to the development of allergic reactions.
Analysis by serological reaction. The patient's biological fluid (blood) is investigated for the presence of antibodies to trichinells.
Such diagnostics are rarely carried out, because in some cases the analysis can show a negative result, although in reality in patient trichinelle.
In a number of situations, when a patient has a severe pathology, the course of treatment can significantly increase, but solely on the appointment of the attending physician.
To reduce the intensity of pain syndrome in muscles, painkillers are recommended that buy pain. With a strong severity of the allergic reaction, antihistamine pills are prescribed.
Preventive measures are in careful and proper processing of raw meat, which kills Trichinel's larvae. At temperature mode, 80 degrees and more, the meat product is disinfected.
Prevention should be carried out not only in a separate family to protect the health of households - Son, wives, husband, daughter, but also on a different level. It is necessary to rationally equip the pigsties, fight rodents.
The prevention of trichinosis implies the refusal to eat a raw saline with meat layers, as well as in the overall salt or smoked pork. In the pork ham, the larvae may be viable for 12 months, and even more. It is worth noting that the cooking of a meat product with small pieces for 3-4 hours reliably relieve the larvae.
Trichinelles is called such a disease, which is characterized by an extensive clinical picture, the severity of negative symptoms, damage to internal organs, and serious complications, up to death.
Therefore, when observing the characteristic features, it is recommended to immediately consult a doctor. Only timely treatment guarantees a favorable forecast. In this article, Elena Malysheva will tell you how not to infect trichinelles.
In addition to animals and people, there are still a lot of various organisms in nature. And they live just because of their "owners" - people and animals. They poison their livelihoods of organisms, and also cause terrible pathologies to cope with which it does not always work.
This can be seen in the photo of the symptoms of trichinosis in humans.
Symptoms of trichinellosis in humans
Worms live everywhere, in any corner of the world. The exclusion is Australia, but most of all in the north. The terrain with large natural foci is also characterized by a high degree of incidence among the population.
You can get infected both from home and wild animals.
It is enough to eat 10 grams of meat to reward yourself with this disease. Not all understand this. Moreover, most people do not know that almost every day risks to get infected. This category of people includes lovers of poorly roasted meat with blood.
In addition to meat products, the source of the disease can be fat. Infection is often epidemiological character. For example, people get sick by whole groups if they rested together on kebabs, the whole company would be sick, if they went to hike the whole group, the whole group is sick and so on.
Trichinella
It is important to know that the larvae is killed only 80 degrees. Therefore, the method of smoking and the solment will not affect the life of helminths.
The symptoms of a person will not be if Trichinells amaze it for the first time in life. But it is important that the symptoms of trichinosis will be absent only at the initial stage. At the same time, they can make themselves to know the following phenomena:
But in most cases, people do not pay attention to these manifestations and take signs of trichinelosis in a person for ordinary poisoning or pathology of the digestive system.
However, at the next stage of development of the disease, the larva will get to the muscles and then the symptoms of trichinelosis, as in the photo above, will let them know in all its glory, namely:
Strong headache one of the symptoms of trichinosis
When the larvae turns into capsules, the disease reaches its final stage of development. At this stage, symptoms becomes less pronounced.
The defeat of the body, which caused helminths, can end for a person fatally, because it is very important to establish the correct diagnosis and start treatment in time.
Such a severe disease, like trichinosis, can not be allowed on samonek. It always makes serious harm to the body, especially if you do not take the necessary medical measures. As a result of this ailment, as suffering, above all, immunity, CNS, cardiovascular system, gastrointestinal tract, respiratory organs, etc.
Even with timely treatment, the disease causes serious harm to protective forces. As a result, myocarditis, lung inflammation, etc. can develop, etc. Cases of death.
Unfortunately, this ailment today has not yet been fully studied. Not always, in the formulation of the diagnosis of the doctor, the correct diagnostic tactics complies, which is due to the time.
It is important to pass the following diagnostic stages:
Inexperienced and unfair doctors may mistaken due to the similarity of symptoms to put such a diagnosis as dysentery, a common cold and the like.
When contacting the doctor, choose only a competent specialist, it is possible on the recommendation of your loved ones whose opinion you respect. If some doctor is questioned, go to another. This disease is very serious, because even if you do not have it, it is very important to exclude it. Specialist special attention should be paid to resistant eosinophilia and increased leukocytes.
The differential diagnosis of trichinellosis is very important. It is to find the differences of this ailment from others.
In order not to reach the critical state, the hunters for the game, and all the other meat lovers should know how to check it on suitability. You can conduct an express trichinelle test at home, which is very difficult, expensive and little informative. The best solution is the analysis of trichinosis in veterinary examination.
It is impossible to get helminth from meat, but you can deframe the source of the infection. The earlier the symptoms of trichinelosis in humans are revealed, the more effective the treatment of symptoms of trichinelosis in humans.
After installing the diagnosis, as a rule, resort to the following therapeutic methods:
Treatment of severe forms of pathology is carried out under hospital. The doctor warns the patient that the pain in the muscles can be observed within six months.
To prevent the risk of infection with trichinells, it makes sense to check the meat in special laboratories. Professionals recommend not to compare meat grown at home and game. In any of these cases it can be dangerous for a person.
Typically, the meat is checked in a laboratory. Take with you completely all the carcass, cuts are taken from different parts. For this purpose, take parts with the most developed blood supply system: intercostal part, chewing muscles, tongue, etc. It is in these parts of the larvae.
To check the meat of the house, you need to purchase a special device. As a rule, they are able to use experienced hunters. With the help of technology, you can see the larvae yourself, they have an oval or round shape.
If you see at least one larva, you need to get rid of the entire carcass, as it is unsuitable for consumption.
Prevent trichinelles is much easier than fighting with it, so special attention should be paid to the prevention. Choose meat for cooking with the mind, proceed correctly before use.
Bind-free game lovers who love to enjoy meat right by the fire in the forest should get rid of this habit. Be sure to conduct sanitary control of domestic animals.
The remaining preventive measures are as follows:
It must be remembered that any meat like a boar and chicken can cause trichinelosis, therefore it does not matter where meat comes from: homemade either brought from hunting. Remember that the larvae of worms live in three days under the lowest temperature minus 23 degrees.
Freeze products need not less than seven days and ensure that the temperature is constantly minus 23. Only so you can protect yourself. Your health in your hands and is often dangerous finds us where it is not waiting for it, therefore it is always to be very attentive to what you eat.
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Causes of widespread trichinelosis:
Good adaptability of the pathogen to high and low temperatures provided it with living in many climatic zones;
The human body is extremely susceptible to this disease;
Galminithosis group outbreaks are not uncommon among the members of one collective or one family, used meat with trichinells;
Repeated cases of infection occur due to unstable immunity formed after primary invasion.
The development of trichinosis in the human body after infection:
Time from the moment of infection |
Process |
The larvae vacated from the capsule is introduced into the mucous membrane of the stomach or duodenum and the connecting tissue under it. |
|
The larva turns into a mature worm. |
|
A mature worm female larvae larvae (one female is able to produce from 100 to 2000 new worms). |
|
42-56 days |
The time during which the adult worm female is capable of laying the larvae. |
17-18 days from the date of deposits of the female larvae |
The larvae ripen in the muscles and become infectious for the new owner. |
3-4 week from the date of deposit of the female larvae |
The larva is covered with a capsule. A year later, the occurrence of the capsules occurs. |
This is a period during which the larva in the form of a capsule is able to persist in the master's musculature. |
Incubation period of trichinosis.It lasts from 5 to 30 days, more often - 10-25 days. There are no symptoms of the disease. There is a regularity - the harder form, the longer the latent (hidden) period.
Period of patch. The long period of development of symptoms indicates the development of severe trichinellosis.
Easy and medium-haul form - Symptoms:
Hyperthermia. The temperature increases slightly, more than 37 ° C, the daily amplitude varies within 1 ° C.
Eyefather on the body and limbs. Its reason is an allergic reaction to the introduction of alien protein. A characteristic symptom is a "froggy face" in the patient.
Rash on the skin. It has different forms:
In the form of an allergic urticaria - pink bubbles of various sizes, pale with pressing;
Raised over the surface of the skin itching bubbles (fragmentary rash);
Balax groups merging with each other (Papulose rash).
Meningoencephalitis is inflammation of the shells of the brain.
Inflammation of the lungs (eosinophilic). The disease is caused by an increased concentration in tissue of light eosinophils - allergic reaction products. It is possible to develop, the appearance of symptoms.
The disease is common worldwide, in addition to Australia, but is particularly often found in the regions where people traditionally use meat of pigs, bears and badgers, but many do not know what trichinelle is.
Gelmint refers to the niphence, he has the main owner, in the body of which lives an adult. And intermediate, in which the development of the larvae occurs. Sometimes it can be one organism.
Trichinelles in humans appears after the use of infected meat, which has been eaten by raw or insufficiently processed thermally (for example, bipfstex with blood), for infection quite literally several grams. First of all, this refers to wild animal meats. At the same time, a clean fat, which does not contain muscle fibers, is safe, since the larvae does not develop in it, but the presence of even small pieces of meat is already dangerous.
Infection trichinelles occurs more often in the autumn-winter period (the season of hunting), and a whole group of people who have eaten meat can become infected, which served as a source of infection.
Trichinell life cycle begins with eating such meat, as a result of which trichinell larvae fall into the stomach of a person, where they lose their protective shell and gradually move into the intestine, which is the main localization site for them.
There females are fixed with the style of the walls on the walls and lay eggs for one and a half or two months, after which they dying.
But the cycle of development of trichinells does not end. At the second stage, the larvae formed from eggs penetrate the lymphatic system, and then into the blood and together with it are spread over all tissues of the body. It was during this period that the first symptoms of trichinelosis appear in the illness.
If the larva stayed in a capsuous state for more than two years, it can no longer get out of it and start a new cycle, this will happen only if the muscle tissue has fallen into the intestine of another carnivorous animal.
Symptoms of infection with trichinelles begin to manifest themselves 7-10 days after hitting Helmint to the human body.
They manifest themselves:
With the development of the disease, the symptoms of trichinelosis are becoming heavier and added:
This means that the larvae fell into the blood and tissue of muscles who are trying to resist foreign invasion. When turning the larvae in the symptom capsules, the symptoms of trichinelosis in a person subsided for a while, but they can at any time appear again as soon as the gelminist comes out of the capsule.
The higher the patient's infection, the stronger the signs of trichinosis, up to the appearance of convulsion, trembling in the limbs and other disorders of the nervous system. Including the disruption of breathing and blood flow, the emergence of anemia.
More than half of the cases of damage contributes to the development of pathologies of respiratory, cardiovascular and nervous systems, in particular, meningitis, myocarditis or meningoencephalitis can be formed. Often the disease ends with paralysis.
Many symptoms of the disease are similar to flu, ORVI and dysentery, therefore it is often an erroneous diagnosis. In addition, the disease poorly studied, which limits the capabilities of medical staff.
The main signs of trichinelosis is fever in combination with muscle pain, edema and hemorrhage into a sclera.
When combining these factors, it is necessary to diagnose on this disease.
Trichinelosis diagnosis is carried out by several methods:
As a rule, a specialist prescribes several methods for diagnosing trichinelosis at the same time, since, in this case, the study will be more accurate and will determine the presence of trichinells at different stages of development, as well as determine how to treat the disease.
The process of treating trichinosis is aimed at two important points: getting rid of helminth and removal of symptoms of the disease.
For the treatment of trichinosis symptoms, painful, antipyretic and antispasmodic preparations are used. Therapy is appointed by a course depending on the level of damage to the body and the development stage of the disease. The medications add a large amount of water balance restoration fluid. Bed mode is recommended.
The erased and lightweight forms of the disease are treated with anti-inflammatory therapy using non-steroid hormones. Heavy forms of trichinellosis need specific treatment. At the same time, drugs that eliminate the effects of trichinosis on the body and reduced allergic reaction are prescribed.
Six months later, repeated surveys are held to identify the effectiveness of trichinelosis treatment.
To prevent the development of the disease, the prevention of trichinelosis is carried out. It is to inform the population about the presence of a focus of infection in the region, as well as regular surrender analyzes on helminths.
Alone to carry out the prevention of trichinosis can everyone. To do this, it is necessary to eat meat products that are well treated thermally. With caution to use smoked, salt and dried meat products, it is desirable that they are produced by the factory way and had appropriate certificates.
Manufacturers of meat need to regularly conduct sanitary treatment of rooms from rodents, since they are carriers of the disease for domestic livestock.
If the quality of the meat is not verified, it must be freeze to minus 25 gr., In such conditions, the larvae die for three days, with minus 18 - after 20 days, and with minus 12 - only in two months.
If pair meat was purchased, it must be thermally treated at a temperature of at least 80 degrees, which acts as good prevention of trichinosis.
The disease trichinelles in humans is quite specific and occurs infrequently, however, its consequences are very dangerous, so it is necessary to carefully refer to the quality of meat used in food and carry out its heat treatment, which will avoid the difficult effects of infection.