曼森血吸虫.ppt

Malaria 瘧疾;Schistosomiasis 血吸蟲症;Distribution of S. mansoni and S. intercalatum 血吸蟲症分佈 (曼氏血吸蟲及間插血吸蟲);Distribution of S. japonicum, S. mekongi and S. haematobium 血吸蟲症分佈 (日本血吸蟲，湄公血吸蟲及埃及血吸蟲);雌雄異體 蟲體呈細柱狀 具口吸盤及腹吸盤 生殖孔在蟲體前端的腹側 腸在腹吸盤前分成兩支以後又匯合成一單管盲腸;雄蟲呈灰白色 圓柱狀 10~20×0.5~0.55 ㎜ 腹面具有抱雌溝 (gynecophoric canal) 圓形睪丸呈串狀排列 於腹吸盤下方;表皮之 結節 (nodules) 及棘 (spines);呈暗褐色，體細長 12~28×03㎜ 卵巢長橢圓形位於蟲體腸支匯合處前 子宮長管狀，內含蟲卵。後端由葉狀卵黃腺組成;血吸蟲成蟲形態比較;Intermediate hosts for Schistosomes: Freshwater snalis;移行至最終寄生部位 －靜脈叢 雌雄交配產卵 (有性生殖期);Migration of Schistosomules 血吸蟲幼蟲內臟移行;Clinical Diseases;Stage 1;Clinical Disease;Clinical Disease;The cellular contents diminishes with time to be replaced by fibroblasts and collagenous scar;Granulomatous reaction 血吸蟲肉芽腫;Granulomatous reaction 血吸蟲肉芽腫;Obstructive Uropathy 阻塞性泌尿道病變 in S. haemtobium infection;Schistosomal cor pulmonale 血吸蟲心肺症 in S. haemtobium infection;Colon pseudopolyposis 大腸性假息肉症;Hepatosplenomegaly 肝脾腫大;Ectopic Mansoni Schistosominiasis 曼氏血吸蟲異位感染;Schistosome Eggs;Laboratory Diagnosis;Laboratory Diagnosis