saqarTvelos samedicino Jurnali Medical Journal of Georgia

26yvela qveyanaSi ZaRlebis toqsokarebiT dainvaziebaintensiuria, gansakuTrebiT axalgazrdacxovelebisa. toqsokaris kvercxebimetad gamZlea garemo pirobebiscvalebadobisadmi. saqarTveloSi aRricxuliaam daavadebis erTeuli SemTxveva (2).zooaskaridozis Sesaxeb literaturismonacemebi gamoqveynebuli aqvs g. Sengelias(1), sadac gaSuqebulia adamianiszooaskaridoziT dasnebovnebis sakiTxebida saqarTveloSi cxovelTa (ZaRlebis,katebisa da Rorebis) dainvaziebis eqstensiurimaCveneblebi. garda amisa, avtoriganixilavs adamianis zooaskaridozisklinikuri suraTisa da daavadebis mimdinareobisvariantebs.wina wlebSi toqsokarozi qalaqis mosaxleobispaTologiad iTvleboda, rasac,qalaqis pirobebSi, dainvazebuli ZaRlebispopulaciis zrdas ukavSirebdnen, magrambolo dros es Sexeduleba Seicvala. warmoebuliseroepidemiologiuri gamokvlevebiTdadginda, rom dasavleT evropisqveynebis qalaqebis mosaxleobis 2-5% dainvaziebuliatoqsokaroziT, xolo soflismosaxleoba _ 14,2-37%-mde. tropikulqveynebSi daavadeba 63,2%-dan 86%-mdemeryeobs. ZaRlebis dainvazieba saSualod15,2%-s Seadgens, xolo niadagis dabinZurebatoqsokarebis kvercxebiT aRiricxeba 1-3%-dan 57-60%-mde (6, 10).adamianis kuW-nawlavSi SemTxveviT toqsokarismomwifebuli kvercxis Caylapvisas,kvercxidan gamoTavisuflebuli larvaiwyebs migracias, magram am larvisaTvisadamiani e.w. ekologiur Cixs warmoadgensda isini zrdasrul fazas ver aRwevs, samagierodlokalizdebian RviZlSi, filtveb-Si, kuWukana jirkvalSi, ConCxis kunTebSi,Tavis tvinSi, TvalSi an sxva organoebsa daqsovilebSi, sadac isini cxovelunarianirCebian ramdenime Tvis da zogjer wlisganmavlobaSi.toqsokarozis klinikur mimdinareoba-Si, ZiriTadad, ganarCeven viscerul daTvalis dazianebis formebs. visceruliformiT umetesad avaddebian 2-dan 7wlamde bavSvebi, xolo Tvalis formiT -mozrdilebi da moxucebi.visceruli toqsokarozis simptomebia: cxeleba,filtvismieri sindromi, hepatosplenomegalia,limfadenopaTia. filtvis dazianebaaReniSneba avadmyofTa 65%-s, racgamoixateba kataruli movlenebidan mZimeasTmoidur mdgomareobamde. RviZlis dazianebis80%-Si aRiniSneba hepatomegalia.iSviaTad, viTardeba alergiuli miokarditi.aRwerilia swori nawlavis eozinofilurigranulomatozuri dazianeba. cns-is dazianebisasviTardeba epileftoiduriformis gulyrebi, krunCxvebi da nawilobrividamblebi. abdominaluri simptomebidanmuclis tkivili, Seberiloba, Rebineba,gulisreva; kanis dazianebisas - eriTematozurian urtikariuli gamonayari (9).toqsokarozis wamyvan paTognomurniSans wamoadgens periferiul sisxlSimyari, xangrZlivad mimdinare leikocitozihipereozinofiliiT, rac gamowveuliaadamianis organizmSi morecidive, kerovanian generalizebuli eozinofilurigranulomatozuri procesiT.daavadebis diagnostikaSi wamyvaniroli eniWeba imunologiuri kvlevis me-Todebs, radganac am daavadebis erT-erTstabilur niSans warmoadgens sisxlisSratSi specifikuri imunoglobulinebismomateba. daavadebis mwvave fazaSi matulobsIgM-is done, mogvianebiT IgG. yvelazeefeqturi da mgrZnobiare reaqcias,romelic avlens toqsokarozul imunoglobulins,warmoadgens imunofermentulianalizi(ifa), romelic idgmeba T.canis eqskretorul-sekretoruli antigenisgamoyenebiT. ifa-s mgrZnobeloba toqsokarozisdros Seadgens_78%-s, xolospecifikuroba –92%-s. magram specifikuriIg-s titris momateba ar miuTiTebsadamianis organizmSi toqsokarebis cxovelunarianlarvebis arsebobaze da amitommkurnalobis Semdeg igi ar unda Cai-Tvalos warmoebuli efeqturi mkurnalobiskriteriumad.toqsokarozis sadiagnozod kvlevisdamatebiT meTodad mowodebulia, agreTve,toqsokarozuli antigenis mimarT specifikuriIg da sisxlis SratSi cirkulirebulitoqsokarozuli antigenebis gansazRvra.miRebuli maCveneblebis dinamika-Si ganxilva unda gaxdes maCvenebeli specifikuriefeqturi mkurnalobis Catarebisa.toqsokarozis dros arcTu ise xSiriaTvalis dazianeba. aRwerilia toqsokarislarvebiT Tvalis dazianebis Semdegiformebi: Tvalis kaklis wina da ukana saknisgranulomatozuri procesi, uveitissuraTi, qronikuli endofTalmisa da minisebrisxeulis abscesis Camoyalibeba,mxedvelobis nervis nevriti, keratitisCamoyalibeba (12).Tvalis toqsokarozis diagnozi, Ziri-Tadad, retrospeqtulad ismis. awarmoebenTvalidan amoRebuli granulomis histologiurSeswavlas. toqsokarozisdros TvalSi zogjer naxuloben toqsokarislarvebs(11). serologiuri reaqcie-