Trichuriasis

Short characteristic of a disease

The trichuriasis is caused by the Trichocephalus trichiurus activator (the name, more usual for us, – a threadworm). The trichuriasis is followed by the neurotic phenomena and a dispeptic syndrome. As a rule, at the diagnosis a trichuriasis symptoms gradually progress for several years that demonstrates chronic disease.

Puberal parasites live in a large intestine. Their front part which makes more than a half from the total length of a body is strongly extended. Back end, on the contrary, short and thick. Females of a threadworm lay from 100 to 3500 unripe eggs a day. Getting to a carrier organism, they concentrate in intestines where further develop to larvae. The last are implemented into blankets of a mucous membrane of body and injure it, provoking a trichuriasis. Let's notice also that the threadworm parasitizes only in a body of the person. For it cells of a mucous membrane of intestines and the owner's blood are the main source of food.

Danger of a trichuriasis is that average life expectancy of its activators makes 5-6 years. During all this term parasites injure intestines that exerts impact on work of other systems and bodies. In our country the trichuriasis at children and adults regularly comes to light in areas of the Central Black Earth and in the North Caucasus. By the way, by the number of the diseased this infection takes the second place after an ascaridosis.

Pathogeny

Threadworms injure a mucous membrane of intestines. Owing to penetration into wounds of microbic flora and toxins, at the person inflammatory processes begin to develop. Besides, damages of small vessels to walls of thick and thin guts provoke anemia. Toxins which are emitted in the course of life activity of activators exert impact on all bodies and systems. Most strongly the trichuriasis mentions a nervous system. For this reason patients of patients with a trichuriasis often have various functional and neurologic frustration considerably reducing quality of life.

Symptoms of a trichuriasis and clinical picture of a disease

Symptoms of a trichuriasis differ in a variety. Their intensity depends on quantity of parasites and a condition of immune system of the carrier. Chronic diseases and the accompanying pathologies lead to development of severe forms of a trichuriasis, and if such trichuriasis begins to develop, treatment will be inevitable long and will demand carrying out several courses of therapy.

There is a wish to note that in certain cases the trichuriasis proceeds asymptomatically. This fact complicates early diagnosis of a disease and provokes development of heavy complications.

At the expressed clinical symptoms of a trichuriasis patients most often complain of various pathologies of digestive tract and a nervous system. Typical complaints of patients are connected with:

• nausea, vomiting;
• loss of appetite;
• disturbances of a chair (as a rule, the long, ultimate diarrhea is observed);
• the pains in the right ileal area which are quite often reminding skhvatkoobrazny painful attacks at appendicitis.

As you can see, the trichuriasis has no pronounced characteristic signs. Its manifestations are similar to symptoms of many other infections therefore the qualified laboratory researches are necessary for statement of the exact diagnosis. It is rather important point. From that how soon the diagnosis will be made, health of the person as impetuous ponosa with impurity of blood and slime sharply worsen health of the patient depends, and the trichuriasis at children quite often leads to a prolapse of the rectum. In process of development of an infection patients begin to complain also of trichuriasis symptoms from a nervous system: headaches, unconscious states, spasms, irritability, sleep disorders, the increased aggression.

Diagnosis of a trichuriasis

Diagnosis of a trichuriasis assumes laboratory analyses a calla regarding existence of eggs of helminths in it. Accumulations of mature individuals can be found at a usual rektoromanoskopiya.

Treatment of a trichuriasis

At treatment of a trichuriasis for extermination of parasites Naftamonum is used. The general dosage of drug depends on age of the patient and a condition of its immune system. In certain cases Naftamonum can be replaced with success on метендазол, but also in that, and in other case it is necessary to control efficiency of the conducted courses and to adjust a medicine dosage if there is no positive effect. Samples a calla are taken in 2 and 4 weeks after an initiation of treatment.

Prevention of a disease

Symptoms of a trichuriasis are usually shown at those people who live near the crude, darkened places dirtied by excrements of the person. It is necessary for prevention of infection:

• to protect the soil from pollution with excrements;
• it is strict to follow elementary rules of personal hygiene;
• before the use carefully to wash vegetables and fruit;
• to boil the water taken from open reservoirs and wells.