Recently, 26-year-old Xiao Yun (pseudonym) went to the department of hangzhou Yuhang District Maternal and Child Health Hospital for abdominal pain for one day, and the doctor considered cholecystitis and acute appendicitis to be admitted to the hospital, and did not want to find out that there were many ciliates in her gallbladder when she was hospitalized...
<h3 class="pgc-h-arrow-right" > the gallbladder contains parasites</h3>
Not long ago, Xiao Yun, who lived in Yuhang Trail Mountain, suddenly felt abdominal pain, which lasted for a day and did not improve, accompanied by her husband, went to the surgical department of Hangzhou Yuhang District Maternal and Child Health Hospital.
Wu Liang, deputy chief physician of the department, found physical examination that Xiao Yun's right lower abdomen was tender. Pursuing the medical history found that she had previous pain in her right upper abdomen, and both ultrasound and abdominal CT examination suggested gallbladder stones, and considered gallbladder stones with cholecystitis and acute appendicitis, and was immediately admitted to the hospital for treatment.
Because gallbladder stones exist for a long time, it is easy to cause infection, and the stones will gradually increase, coupled with the presence of inflammation of the appendix, under the advice of the doctor, Xiaoyun chose surgical treatment, laparoscopical removal of the gallbladder and appendix, and sent for examination.
However, the results of the gallbladder pathology a week later surprised everyone: it suggested that there were multiple ciliates in the gallbladder. It turned out that Xiaoyun loved to eat salmon very much and often ate sashimi, which led to parasitic infection. Currently, she is undergoing deworming treatment.
< h3 class= "pgc-h-arrow-right" > increased chance of getting parasites</h3>
"Cases of ciliate infection in humans are rare, mostly orangutans, monkeys, pigs, wild rats, etc., especially domestic pigs, the infection rate is very high, and most of them parasitize in the human colon, and parasitize in the gallbladder like Xiaoyun is more common." Wu Liang said that more and more people like to eat raw food, such as sashimi, pickled shrimp and crabs, etc., so the probability of the public getting parasites is also on the rise.
He introduced that sachet ciliosis is a protozoal disease caused by ciliate parasitizing pouches in the human colon. More than 30 species of animals are known to infect the insect. After ciliate infection, most people are asymptomatic, and the clinical manifestations can be divided into acute and chronic types:
Acute type: sudden onset, diarrhea is obvious, several times a day or more than ten times, severe cases can reach dozens of times. Stools have mucus or pus blood, abdominal pain is common with tenesmus, and tenderness is periumbilical or both lower abdomen. Patients often have irregular fever, nausea, vomiting, fatigue, and loss of appetite. Severe patients can cause dehydration, malnutrition, and wasting, and occasionally intestinal perforation. The course of this type is short and often does not cure itself.
Chronic: insidious onset, characterized by recurrent episodes of diarrhea, which can last from months to years and are cyclical; often induced by exertion, cold, alcohol consumption, or fatty food. Stools are mushy or watery several times a day, with mucus, but pus and blood are rare. A small number of patients present with alternating diarrhea with constipation. Patients are often accompanied by abdominal distention, paroxysmal abdominal pain, active bowel sounds, and tenderness in both lower abdomen. Elderly patients may have wasting, anemia, weight loss, irritability, insomnia and so on.
<h3 class="pgc-h-arrow-right" > service:</h3>
<h3 class="pgc-h-arrow-right" > how to avoid "worms coming in through the mouth"? </h3>
Wu Liang said that fish, shrimp, crabs, frogs, snakes, snails, pork, beef, etc. are all high-risk foods for Tibetan parasites, so the most effective way to prevent insects from entering is to cook and then eat. In addition, Wu Liang advised the public to do the following:
1. Vegetables and fruits must be washed
In the process of growing vegetables and fruits, it is possible that animal manure is applied. The parasite is mainly excreted from the body by the animal's feces, and it is washed several times to prevent the eggs from remaining.
2. Prepare 3 knives at home
Cut meat, cut vegetables, cut fruit. Raw and cooked to separate, cut the meat knife, and then cut the onion and coriander, etc., green onions and coriander we generally cooked and sprinkled, which also gives the parasite a way to live.
3. After cutting the meat, the cutting board should be cleaned
After cutting the meat, the cutting board is best washed with dish soap, and every once in a while, blanch it with hot water. The cutting board for cutting fruit is best separated from the cutting of meat dishes. Pay attention to small details, you can save a lot of unnecessary trouble.
4. Wash your hands before meals and after using the toilet
Similarly, because many parasites are excreted through feces, it is important to wash your hands after defecation, especially for children.