saqarTvelos samedicino Jurnali Medical Journal of Georgia

27bi Tvalis toqsokarozis dros naklebad informatiulia.toqsokarozis umetesi simptomiar warmoadgens specifikurs da isiniSeiZleba iyos gamowveuli bevri sxva daavadebisSedegad. diferenciuli diagnozitardeba Sistosomozis, askaridozis (migraciulifaza), opistorqozis, fasciolozisada sxva daavadebebTan, romelTamimdinareobisas aRiniSneba maRali eozinofilia.toqsokarozis dros Tvalis dazianebasaWiroebs diferenciacias retinoblastomasTanda sxva etologiis qorioretinitebTan(tuberkulozuri, toqsoplazmurida citomegalovirusuli).gaurTulebeli visceruli toqsokarozisdros daavadebis prognozikeTilsaimedoa. masobrivi invaziisa da poliorganulidazianebisas SesaZloa letalurigamosavali. Tvalis toqsokarozisdros prognozi seriozulia (3).visceruli toqsokarozis samkurnalodgamoiyeneba axali Taobis antihelminTuripreparatebi. daavadebis profilaqtikamdgomareobs dainvaziebuli ZaRlebis, gansakuTrebiTki, lekvebis dehelminTizacia-Si. kategoriulad unda aikrZalos ZaRlebisSeyvana bavSvTa saTamaSo moednebze.angiostrongilozi – (sinonimebi:eozinofiluri meningiti, cerebruli angiostrongilozi).daavadebis gamomwveviamRrRnelebis nematoda Angiostrongyluscantonensis. mRrRnelebis dainvazieba warmoebsparazitis Suamavali patronis –moluskebis sakvebad gamoyenebisas.parazitis e.w. rezervuar patronebs kikrevetebi da kiborCxalebi warmoadgenen,romelTa organizmSi cxovrobenparazitis larvebi.adamianis dainvazieba warmoebs umi anTermulad arasakmarisad damuSavebulikrevetebisa da kiborCxalebis sakvebadgamoyenebisas. adamianis organizmSi moxvedrililarvebi migrireben Tavis tvin-Si, sadac sqesobrivad mwifdebian da iqveiRupebian.geografiulad adamianis angiostrongilozisSemTxvevebi registrirebuliamsoflios mraval qveyanaSi, ker-Zod, samxreT-aRmosavleT aziisa da okeaniisregionebSi, sporaduli SemTxvevebisada epidemiuri afeTqebebis saxiT.klinikurad daavadebebis pirveli simptomebidainvaziebidan 10-28 dRis SemdegmJRavndeba. dasawyisi yovelTvis mwvavea:mkveTri Tavis tkivili, gulisreva, Rebineba,zomieri cxeleba, iSviaTia kunTebisrigidoba, muclis tkivili, paresTeziebi.daavadebis qvemwvave dasawyisisasaRiniSneba zogadi saerTo sisuste, mialgiebi,surdo, xvela, zomierad gamoxatuliTavis tkivili, ris Semdeg vlindebadaavadebis mTliani klinikuri suraTi.angiostrongilozis dros yvelaze metadgamoxatuli simptomia _ Zlieri Tavistkivili, romelic xSirad SeteviTi xasia-Tisaa da lokalizdeba Sublisa da safeTqlismidamoSi.tkivilis intensivoba SesamCnevad mcirdebaTav-zurgtvinis siTxis punqciis Sedegad.xSirad aRiniSneba Zilad mivardna, heqtiurcxeleba, romelic grZeldeba 4 kvira. xSiradirRveva refleqsebi. mZime SemTxvevebSiSeiZleba ganviTardes koma. periferiul sisxlSi,rogorc wesi, vlindeba leikocitozi, ma-Rali eozinofiliiT. sisxlis SratSi momatebuliaIgG done. Tav-zurgtvinis siTxeSi ma-Ral donezea IgG, IgM, IgA. aseve damaxasiaTebeliamaRali citozi. daavadebis xangr-Zlivoba 2-4 kviras ar aRemateba. kanis dadebiTi,alergiuli da sisxlis serologiurireaqciebi naklebad informatiulia.daavadebis samkurnalod gamoiyenebaaxali Taobis antihelminTozuri da antialergiulipreparatebi.profilaqtikuri RonisZiebebi iTvaliswinebsdaavadebis endemiur kerebSisakvebad gamosayenebeli moluskebis, kiborCxalebisada krevetebis energiulTermul damuSavebas.anizakidozi (anizakioz)_nematodozia,romelic warmoadgens zoonozur biohelminTozs.daavadebas axasiaTebs qronikulitoqsikur-alergiuli mimdinareoba dakuW-nawlavis traqtis sxvadasxvagvari dazianeba.anizakidozis dros parazitislarvebi imyofeba Sinagan organoebSi spiraluraddaxveul gamWvirvale kapsulaSian Tavisufal mdgomareobaSi.bunebaSi anizakidebis didi ojaxidanadamianisaTvis paTogenurad iTvleba Contracaecum-is,Pseudoterranova-s da Hysterothylacium-issaxeobebi.zrdasruli anizakidis saboloo – obligaturmaspinZels warmoadgens zRvisZuZumwovari cxovelebi – veSapismagvarnida farflfexianebi. am cxovelebisparazitis ganayofierebuli kvercxebi,ganavalTan erTad, zRvis wyalSi xvdeba daiCekebian parazitis larvebi, romelTacylapavs parazitis Suamavali patroni, e.w.zRvis sxvadasxva saxis kiborCxala,romelTa organizmSi larvebi mesame invaziurstadiamde viTardeba. rogorc cnobilia,zRvis kibosnairebi zRvis cxovelebisumetesobisaTvis warmoadgensZiriTad sakvebs. amrigad, kibosnairebi