Source: Guangxi News Channel
Speaking of raw fish, Lao Guang should be particularly familiar with it. Many friends love and hate it, because the temptation of fresh sweet and refreshing taste is difficult to resist, but the risks cannot be ignored. Therefore, the exquisite foodies will enjoy the freshwater fish raw with dipping sauce and small wine, but is this really safe and worry-free?
Recently, the Department of Hepatobiliary Surgery of the First Affiliated Hospital of Guangxi Medical University admitted a patient with a serious parasitic infection. Doctors found a large number of liver flukes in his bile ducts, the larger of which were comparable to melon seeds. After the surgical removal of the living body, there are still dead worms in the patient's body that are constantly discharged through the drainage tube.
The reporter learned that this patient has 32 years of frequent enjoyment of freshwater fish raw "qualifications", but the trick of small wine with food did not allow him to avoid a disaster.
Patient Mr. Jia: I thought that a mouthful of fish and a mouthful of wine could kill the worms. If there's any discomfort, just suspect, hey, the stomach is a little uncomfortable.
Doctors told reporters that liver flukes are a parasite, scientific name "Chinese mycodycardia", they are usually attached to freshwater fish, shrimp. If the related products are not cooked at high temperatures, eaters are often susceptible to liver fluke disease. In the past, most of the patients had the habit of eating dishes such as freshwater fish raw and drunken shrimp, and the "folk remedies" they believed in such as wine and vinegar were also proved ineffective.
Peng Tao, director of the Department of Hepatobiliary Surgery of the First Affiliated Hospital of Guangxi Medical University: If it is raw fish, if it is 90 degrees (high temperature cooking), it must reach more than 10 seconds to kill this, parasitic freshwater fish, fish flesh in the hairy caterpillar. In general, the steeping of this highly high wine and the soaking of aged vinegar are impossible to kill this parasite.
Areas with a high incidence of adult fluke disease in Guangxi Freshwater fish should be consumed with caution
Eating freshwater fish is the most common route of liver fluke transmission. Circulation data show that hepatic fluke disease presents two endemic areas in the country, one in the south and one in the north. The south is dominated by the two Cantons, and the north is more common in Heilongjiang and Jilin. As of 2019, 60 counties (cities, districts) in Guangxi have found hepatosomiasis epidemics or existential, and the number of infected people in the whole region is 3 million to 5 million, ranking second in the country. It is difficult for relevant patients to detect obvious discomfort in the early stages, but after long-term infection, their bile ducts may be localized and dilated, which can lead to a variety of diseases, such as gallstones and cholangitis. Severely ill patients can also develop cholangiocarcinoma, cirrhosis, liver cancer and so on. After a child is infected, the normal development of the body is affected, and may even face dwarfism.
Peng Tao, director of the Department of Hepatobiliary Surgery of the First Affiliated Hospital of Guangxi Medical University: Although the effect of the anthelmintic drug, although its deworming effect, can be as high as more than 90%. However, the damage caused to people by killing liver flukes is long-term. The insect body it dies will still become the core of the occurrence of biliary stones. It is still possible that in the future it will induce infections of the biliary tract. These dead insect bodies and excrement, the carcinogens produced, and the induced cancerous transformation of the bile duct epithelium will also be a chronic process
Experts remind that adequate heating of freshwater fish and other ingredients can not only kill liver flukes, but also kill pathogens and other types of parasites. Friends who love to eat freshwater fish raw, it is best to pay attention to the state of physical health at any time. Every 1 or 3 years, you can go to the hospital regularly for special examinations, and once the infection is confirmed, treatment must be carried out in a timely manner.
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Reporter | Yuan Mu Ling Lin Lan FeiYan