saqarTvelos samedicino Jurnali Medical Journal of Georgia

28anizakidis larvebisaTvis xdebian damatebiTian rezervuari maspinZlebi.msoflio okeanis zRvis cxovelebidandaavadebis gavrcelebaSi gansakuTrebulimniSvneloba eniWeba okeaneebis sarewTevzebs da, agreTve, gamsvlel Tevzebs,romlebic okeanidan an zRvidan qviriTisdasayrelad Sedian mtknari wylis mdinareebSi.naklebi mniSvneloba eniWeba didizomis kibosnairebsa da moluskebs.parazitis obligaturi _ saboloo maspin-Zlis daavadeba warmoebs dainvaziebuli SuamavalimaspinZlebis, kerZod, Tevzebis, kibosnairebis(kreveti da kiborCxali) da moluskebis(kalmari) Termulad daumuSavebelikerZebis sakvebad gamoyenebisas. adamianianizakidebis larvebisaTvis `ekologiurCixs~ warmoadgens, radgan mis organizmSilarvebis ganviTareba ar warmoebs.anizakidebis larvebis lokalizacia dainvazebulicxovelebis organoebsa da qsovilebSierTgvarovani ar aris da igidamokidebulia TviT larvebis saxeobaze.mag. A. simplex da A. aduneum-i ZiriTadadlokalizdebian Tevzis muclis kunTebSi daSinagan organoebSi, xolo larva P. decipienski Tevzis zurgis kunTebSi. umetesad,larvebi Tevzis ukana nawilSi lokalizdebian.am sakiTxis codnas didi mniSvnelobaeniWeba Tevzebis larvebiT dainvaziebisgansazRvrisaTvis da, agreTve, Tevzebisproduqciis larvebisagan gauvnebelyofissakiTxis gadawyvetisas.rogorc wesi, dainvazebuli adamianisorganizmSi parazitul cxovrebas ewevianerTeuli anizakidis larvebi. fiqroben,rom es procesi gapirobebulia adamianiskuW-nawlavis traqtSi larvebis didiraodenobiT daRupviTa da larvebis lorwovangarsebze mimagrebis SeferxebiT.larvebis 90% adamianis kuWSi lokalizdebian(ZiriTadad kuWis did simrudeze),saidanac isini nawlavebsa da SinaganorganoebSi migrireben. larvebismimagrebis adgilas anTebiTi reaqcia vi-Tardeba, rasac Tan axlavs eozinofiluriinfiltracia, lorwovanis SeSupeba, wylulebiswarmoSoba momdevno hemoragiiT.Semdeg etapze eozinofiluri granulomebisgaCena da nekrozuli procesisCamoyalibeba.inkubaciuri periodi larvebis kuWSilokalizaciisas 1-12 saaTs Seadgens,xolo nawlavebSi _ 7-12 dRes. daavadebisklinikuri gamoxatva metad variabeluria_ usimptomo an msubuqi mimdinareobidanmetad mZime klinikuri mimdinareobiT dazogjer letaluri gamosavliT. daavadebismimdinareobaSi ganarCeven mwvave daqronikul stadias.anizakidebis kuWSi lokalizaciisas daavadebamwvaved mimdinareobs, epigastrium-Si Zlieri tkivilebiT, gulisreviTa da pir-RebinebiT, zogjer kuWidan sisxldeniT.garda aRniSnulisa, avadmyofebs awuxebTmeteorizmi, zogjer Semcivneba temperaturismomatebiT da kanze alergiuligamonayariT, kuWidan saylapavSi larvebisretrograduli migraciisas saxezea yelistkivili da xvela.daavadebis qronikul stadiaSi anizakidislarvebiT gamowveuli anTebiTi procesisada Senelebuli tipis imunologiurireaqciis Sedegad larvebis irgvlivformirdeba mcire zomis abscesebi, romlebic6 Tvis Semdeg granulaciuri qsoviliTCanacvldeba.nawlavis anizakidozis dros avadmyofebsaReniSnebaT gamonayari kanze, yru xasiaTismuclis tkivili, romelic umetesadmuclis marjvena qvemo kvadratSi lokalizdeba.garda aRniSnulisa, avadmyofebsawuxebT lorwovan-sisxliani diarea. iSviaTSemTxvevaSi SeiZleba gamoixatos mwvavemuclis simptomkompleqsi an nawlavisgauvalobis klinikuri suraTi, zogjer nawlavebSinekrozuli dazianebis suraTi..nawlavidan larvebs gaaCniaT unari sxvadasxvaorganoSi migraciisa (visceruliforma), sadac maT irgvliv viTardeba an-TebiTi procesi eozinofiluri granulomebisCamoyalibebiT. aRwerilia SemTxvevebigranulomis lokalizaciisa xaxaSi,kuWukana jirkvalSi, elenTasa da limfurkvanZebSi.rogorc aRvniSneT, anizakidis larvebiadamianis organizmSi zrdasrul fazasver aRwevs, samagierod, larvebi organoebSicxovelunarianobas inarCunebenTveebisa da wlebis manZilze. daRupulilarvebis produqti aZlierebs organizmisalergiul reaqcias da bevrad amwvavebsdaavadebis mimdinareobas.lokaluri granulomebi alergiulreaqcias amJRavneben larvebis daRupvisSemdegac. yvelaze seriozul da saSiSgarTulebad nawlavis anizakidozis droswarmoadgens nawlavis perforacia momdevnoperitonitis ganviTarebiT.daavadebis diagnostika dakavSirebuliadid siZneleebTan. gamoiyeneba kuWisendoskopiuri gamokvleva, saidanac Sei-Zleba amoyvanil iqnes parazitis larva.larva SeiZleba aRmoCndes pirnaReb masa-Sic. koproovoskopiuri gamokvlevauSedegoa. daavadebis diagnostikisaTvis