saqarTvelos samedicino Jurnali Medical Journal of Georgia

25bis SemTxvevebi zRvaSi banaobisas. am drosSistosomebis definitur patrons gadamfrenifrinvelebi warmoadgenen.daavadebis SemTxvevebi, ZiriTadad, aRiricxebahavais kunZulebze, aSS-is kaliforniisada floridis StatebSi.adamianis kanSi SeWrili larvebiswrafad iRupebian. epidermisSi daxocililarvebis irgvliv viTardeba SeSupeba infiltratisCamoyalibebiT, romelic SeicavspolimorfulbirTvian leikocitebs.Sistosomaturi dermatitis klinikurimimdinareoba zogjer metad Taviseburia,rac dakavSirebulia adamianis kanSicerkariebis SeWris jeradobaze. misi pirveladSeWrisas upiratesad vlindeba sustiCxvletis SegrZneba qaviliTa da eriTematozurigamonayariT, rac SemdgomSi papulozurida pustulozuri gamonayaris saxesiRebs. es movlenebi Tavs iCens wyalSi Sesvlidan10-15 wuTis Semdeg da TavisTavad qrebaramdenime saaTis an dRis Semdeg.ganmeorebiTi dainvaziebisas dermatitismovlenebi SedarebiT mwvaved damkveTrad gamoixateba, rasac Tan axlavskanis xangamoSvebiT Zlieri qavili,eriTemebisa da wiTeli papulebis gaCena.daavadebis specifikuri mkurnaloba ararsebobs. qavilis sawinaaRmdegod gamoiyenebaantihistaminuri preparatebi.Sistosomaturi dermatitebi profesiuldaavadebad iTvleba da isini Ziri-Tadad gavrcelebulia msoflios brinjismomyvan regionebSi.gnatostomozi – daavadebas iwvevsgnatostomas (Gnathostoma) gvaris nematoda.parazitis saboloo maspinZeliaZaRlebi da katebi. Suamavali patroni kiniCbiseburi kibo-ciklopebi. helminTisrezervuar patronebad aRiarebulia Tevzebi,bayayebi, gvelebi, Rorebi da qaTmebi.adamianis dainvazieba warmoebs sakvebadTermulad arasakmarisad damuSavebulirezervuari cxovelebis xorcis an amnematodis larvebiT dabinZurebuli wylissasmelad gamoyenebisas. adamianis kuW-Si moxvedrili parazitis larvebi RviZl-Si migrireben da xvdebian kanSi, kanqveSaqsovilebsa da Sinagan organoebSi.daavadebis hiperendemiuri kerebiatailandSi. igi aRwerilia israelSi, indoeTSi,bangladeSSi, malaiziaSi, iaponiaSi,koreaSi, laosSi, filipinebis kunZulebze,indoneziaSi, meqsikasa da ekvadorSi.aSS-Si registrirebulia mxolod SemotaniliSemTxvevebi.daavadebis dasawyis periodSi pacientsaReniSneba zogadi saerTo sisuste, cxeleba,anoreqsia, gulisreva, Rebineba, diareada gastralgia. daavadebis klinikurimimdinareoba polimorfulia da, Ziri-Tadad, dakavSirebulia parazitis lokalizaciaze.invaziis yvelaze xSiri gamoxatulebaakanisa da kanqveSa qsovilis SeSupeba,eriTematozuri da urtikariuligamonayari, rac larvebis migraciiT arisgamowveuli. gnatostomozis klinikurimimdinareobisas arcTu iSviaTia abdominalurisindromi, apendicitisa da mwvaveqolecistitis suraTis simulaciiT.zogjer vlindeba hematuria, iSviaTadaRiniSneba mxedvelobis gauareseba, Tvaliskaklis tkivili an fotofobia. yvelazemetad saSiSia periferiuli da centralurinervuli sistemis dazianeba, racgamoixateba radikulmieloencefalitis,meningitis, subaraqnoiduli sisxlCaqcevisklinikuri suraTis an fokalurineirogenuri simptomatikis gamoxatviT.invaziis xangrZlivobam SeiZleba Seadginos10-15 weli. rogorc yvela qsovilovanihelminTozebis, aseve gnatostomozisklinikuri mimdinareobisas sisxl-Si, rogorc wesi, vlindeba leikocitozida didi eozinofilia. tailandSi, sadacaRiricxeba gnatostomozis hiperendemiurikerebi, cns-is dazianeba mozrdilTaSoris vlindeba SemTxvevaTa 6%-Si,xolo bavSvebSi 18 %-mde. CamoTvlilqveynebSi am daavadebiT gamowveuli letaloba8-dan 25%-mde meryeobs.daavadebis diagnozi emyareba epidemiologiuranamnezsa da klinikuri mimdinareobissuraTs _ sisxlSi antisxeulebisgaCenas, kanidan aRebul masalaSian naxvelSi migrirebuli larvis naxvas,Tav-zurgtvinis siTxeSi pleocitozs dideozinofiliasTan erTad.gnatostomozis mkurnalobis erT-erTimeTodia kanqveSa kvanZebidan gnatostomislarvebis amoyvana, medikamentebidan _axali Taobis antihelminTuri preparatebisgamoyeneba. daavadebis prognozi, ZiriTadad,keTilsaimedoa, sicocxlisTvissaSiS organoebSi parazitebis lokalizaciisasdaavadeba mZimed mimdinareobs,zogjer letaluri gamosavliT. daavadebisprofilaqtika mdgomareobs sakvebadgamosayenebeli rezervuari _ cxovelTaxorcis Termulad damuSavebaSi.toqsokarozi – ZaRlis, iSviaTad katis(T.canis da T.mystax) askaridis ganayofierebulikvercxidan gamoTavisuflebulilarvebiT adamianis Sinagani organoebisdazianebiT gamowveuli daavadebaa. dadasturebulia,rom msoflios TiTqmis