血吸虫(英语).ppt

3. Clinical symptom: Acute and chronic stage: When the abscess fall down into the intestine : the patient feel abdomen pain ,diarrhea , blood stood. When the egg locate in the liver: enlarging liver, spleen become large. At last it lead to fibrosis Intestinal wall fibrosis Liver cirrhosis Diagnosis Look for egg--- sure diagnosis Method: 1. Natural sedimentation,miracidium hatching method 2. Rectumscopy : 3. Immunologic examination: ID, COPT, IHA, ELISA, IFAT Epidemiology It has reported in china ,Japan, Indonesia, Philippines 1. Infective souce: patient ,cow or rat etc.mammal animal 2. Spread way: A. egg is passes into the water, B. intermediate host exit: C. human contact with “water” 3. All people are easy to be infective The factors which affect epidemiology: 1. Biological factor; snail exit 2. Natural factor : rain ,temperature , geography environment ,water, soil ,plant. 3. Social factor: live level, culture,habit etc. Prevention control 1. Control infective resource: A. Treat patient, carrier, infectived cow B. eliminate mouse: 2. Cut off spread way: A. Use physical and chemical ways to eliminate intermediate host B. Do not let the egg which is in the feces into water 3. Prevent yourself Other two kind of schistosome: Trichobilharzia orientobilharzia Both of them cause people infected cercarial dermatitis 1. Their definitive hosts are animal (duck ,bird, cow etc.) 2. The animal feces pass into water,the egg become cercarial (infective stage) 3. People are infected by contact with the “water” Treatment: 1. Prevent the animal’s feces pass into water 2. Protect people himself: Take boots, packing leg, give unction before labour The cercarial dermatitis will cure itself. Hug * * cause * vessal * located * eosinophilic * granulomatous * affect * Schistosoma japonicum Shen Jiqing morphology Adult male and female are different. They always hug together. ： Seven test