ВОзвращает список болезней. Можно фильтр/искать

search, age, gender, parent, symptoms, sort_name, sort_by, rand, branches
GET /disease/?format=api&ordering=name&page=575
HTTP 200 OK
Allow: GET, HEAD, OPTIONS
Content-Type: application/json
Vary: Accept

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            "etiology": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Обычно это заболевание является результатом внедрения церкариев (личинок) трематод, паразитирующих в организме водоплавающих птиц, а человек в данном случае выступает в роли &laquo;случайного хозяина&raquo;. Неприспособленность личинок паразита к условиям человеческого организма во многом обуславливает особенности течения шистосоматидного дерматита.</span></p>\r\n<p>&nbsp;</p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Чаще всего церкарии обнаруживаются в теплых мелководных водоемах с пресной застойной водой. Обязательным условием является обитание в озере некоторых видов моллюсков, выступающих в качестве промежуточного хозяина для трематод &ndash; в их организме происходит превращение мирацидиев в церкарии. При купании человека в таком водоеме личинки паразита сначала прикрепляются к поверхности кожи, а затем при помощи грызущего аппарата проникают в ее толщу.</span></p>",
            "pathogenesis": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Причиной заражения человека является способность церкарий шистосоматид активно проникать через кожные покровы. Церкарии вызывают механические (часто множественные) поражения кожных покровов и оказывают токсическое и сенсибилизирующее воздействия на организм человека, способствуют заносу вторичной инфекции. Особенно тяжело церкариозы протекают у детей.</span></p>\r\n<p>&nbsp;</p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">В местах внедрения церкариев в кожу человека развиваются отеки с лизисом клеток эпидермиса. По мере миграции церкариев в кориуме возникают инфильтраты из лейкоцитов и лимфоцитов. В результате развившейся иммунологической реакции шистосоматиды в коже человека погибают, и дальнейшее их развитие прекращается.</span></p>",
            "diagnostics": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">В диагностике шистосоматидного дерматита используют метод дерматологического осмотра, расспрос и изучение анамнеза больного, в спорных случаях может быть произведена биопсия кожи на пораженных участках и гистологическое исследование.</span></p>\r\n<ul>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Анамнез и объективные данные. Больные шистосоматидным дерматитом жалуются на упорный кожный зуд, болезненность и жжение в области поражения. При расспросе выясняется, что первые симптомы заболевания проявились вскоре после купания в пресноводном водоеме. При осмотре выявляют эритематозную сыпь в виде красных пятен диаметром 1-4 миллиметра, при более тяжелом течении заболевания могут определяться папулы размером 2-4 миллиметра.</span></li>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Морфологическое исследование. Гистологическая картина при шистосоматидном дерматите представлена признаками неспецифического воспаления (расширение артериол, отек, нейтрофильная инфильтрация) и лизисом клеток эпидермиса. Иногда под микроскопом можно обнаружить церкарии.</span></li>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Прочие анализы. Изредка на фоне развития церкариоза возникает шистосомоз мочевыделительных путей, кишечника или других органов, поэтому рекомендуется произвести анализ кала и мочи на яйца этих паразитов.</span></li>\r\n</ul>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\">&nbsp;</p>\r\n<p>&nbsp;</p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\">&nbsp;</p>",
            "treatment": "<p>&nbsp;</p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Лечение шистосоматидного дерматита обычно неспецифическое, направлено на уменьшение активности аллергической и иммунологической реакции организма. Используют антигистаминные средства, в тяжелых случаях назначают препараты кальция и глюкокортикоиды. Наружно для уменьшения болезненности наносят анестетики (масляный раствор анестезина, лидокаин), для облегчения зуда и снижения воспалительных проявлений применяют цинковую мазь. В случае обнаружения шистосомоза назначают комплексную антигельминтную терапию.</span></p>",
            "prevention": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">В целях личной профилактики церкариозов при контактах с водой водоемов (при купании, стирке белья, играх в воде, рыбной ловле и т.д.) следует:</span></p>\r\n<ul>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">избегать заросших водной растительностью мелководных участков водоемов (или их зон), где обитают утки (более безопасны прибрежные зоны, лишенные водной растительности);</span></li>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">при необходимости длительного пребывания в воде применять защитную одежду и обувь (сапоги, брюки, рубашку), предохраняющие от нападения церкарий шистосоматид;</span></li>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">после контакта с водой в &laquo;подозрительной&raquo; зоне водоема тщательно вытереть кожу жестким полотенцем или сухой тканью и</span></li>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">быстро сменить промокшую одежду.</span></li>\r\n</ul>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Общественная профилактика церкариозов включает:</span></p>\r\n<ul>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">оснащение внутренних городских водоемов, где имеется риск заражения людей церкариями, указателями, запрещающими купание и игры в воде;</span></li>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">регулирование (снижение) численности кряквы в городских водоемах, используемых в рекреационных целях;</span></li>\r\n<li><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">регулярную очистку водоемов (или наиболее посещаемых населением участков водоемов) от водной растительности.</span></li>\r\n</ul>\r\n<p>&nbsp;</p>",
            "clinical_picture": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Интенсивность высыпании зависит от степени сенсибилизации, интенсивности и длительности контакта с церкариями.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Высыпания возникают на участках тела, не закрытых купальным костюмом. После первого контакта первичные симптомы незначительные. Папулы возникают только после сенсибилизации, примерно через 5-13 дней после проникновения.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\">&nbsp;</p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Типичные высыпания появляются у сенсибилизированного человека при последующих проникновениях личинок. Высыпания начинаются с момента испарения с кожи воды и внедрения в нее церкарий, что может сопровождаться острой болью. Зуд начинается примерно через 30-60 мин. после купания. Через несколько часов возникают разрозненные, сильно зудящие эритематозные пятна, быстро превращающиеся в красные отечные папулы, похожие на укусы. Зуд и высыпания достигают максимальной интенсивности через 2-3 дня. У сильно сенсибилизированных лиц могут развиться вторичные уртикарные везикулы, содержащие прозрачную опалесцирующую жидкость или экзематозные бляшки.</span></p>\r\n<p>&nbsp;</p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Описаны случаи развития разлитой гиперемии, захватывающей почти весь кожный покров (шистосомная эритродермия). В случае присоединения бактериальной инфекции везикулы могут трансформироваться в пустулы окруженые эритемой. В большинстве случаев через 4-5 дней острота воспалительных явлений уменьшается, а через 10-20 дней процесс спонтанно разрешается.</span></p>",
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            },
            "code": "N30",
            "name": "Цистит",
            "icd_name": "Цистит",
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            "slug": "n30_cistit",
            "lead": "Нарушение здоровья, относящееся к группе другие болезни мочевой системы",
            "description": "<p>Цистит &ndash; воспалительное заболевание слизистой и подслизистого слоя мочевого пузыря. В большинстве случаев цистит имеет инфекционную природу.</p>",
            "etiology": "<p>Циститом болеют преимущественно женщины, что связано с анатомо-физиологическими и гормональными особенностями их организма.</p>\r\n<p>Предрасполагающими факторами для развития цистита являются:&nbsp;травма&nbsp;слизистой оболочки&nbsp;мочевого пузыря, застой крови в венах таза, гормональные нарушения,&nbsp;гиповитаминозы,&nbsp;переохлаждение&nbsp;и др. Большое значение имеет нарушение уродинамики, в том числе затрудненное или неполное опорожнение мочевого пузыря.</p>\r\n<p>Самый распространенный возбудитель цистита&nbsp;&mdash; кишечные бактерии, в частности,&nbsp;кишечная палочка.</p>\r\n<p>Вторичный цистит развивается на фоне заболеваний мочевого пузыря (камни,&nbsp;опухоль) или близлежащих органов (аденома&nbsp;и&nbsp;рак&nbsp;предстательной железы,&nbsp;стриктура&nbsp;уретры, хронические воспалительные заболевания&nbsp;половых органов).</p>",
            "pathogenesis": "<p>Инфекционные циститы могут возникать восходящим, нисходящим, гематогенным, лимфогенным и контактным путями.</p>\r\n<p>Возбудители инфекций могут проникать в мочевой пузырь восходящим путем при воспалительных заболеваниях мочеиспускательного канала, предстательной железы, семенных пузырьков, яичка и его придатков. Нисходящий путь инфицирования чаще всего бывает при туберкулезном поражении почки. Гематогенный путь поражения слизистой оболочки мочевого пузыря бывает при инфекционных болезнях или наличии гнойного очага в организме: тонзиллите, пульпите, фурункулезе. Лимфогенный путь заражения бывает при заболеваниях половых органов: эндометрите, сальпингоофорите, параметрите. Инфицирование мочевого пузыря может наступить при его катетеризации или во время цистоскопии. Прямое инфицирование мочевого пузыря может возникать при наличии свищей, соединяющих влагалище с мочевым пузырем или влагалище с прямой кишкой.</p>\r\n<p>Слизистая оболочка мочевого пузыря обладает значительной устойчивостью к инфекции, поэтому одного его инфицирования недостаточно для развития цистита. В развитии цистита помимо инфекции важную роль играют дополнительные предрасполагающие факторы. К ним относят снижение резистентности организма, обусловленное переохлаждением, переутомлением, авитаминозами, истощением, перенесенными заболеваниями, вторичным иммунодефицитом, гормональными нарушениями, оперативными вмешательствами.</p>\r\n<p>Значение имеют нарушение оттока и застой мочи у больных с аденомой предстательной железы, стриктурой уретры, с камнем мочевого пузыря, нейрогенная дисфункция мочевого пузыря. Предрасполагающим моментом служит нарушение кровообращения в стенке мочевого пузыря или малом тазу.</p>\r\n<p>&nbsp;</p>\r\n<p>&nbsp;</p>",
            "diagnostics": "<p>При неосложнённом цистите обязательно проведение общего анализа мочи (иногда выполняется с помощью тест-полосок), при этом в моче обнаруживаются лейкоциты, бактерии, белок и эритроциты.</p>\r\n<p>Обследование при осложнённом или рецидивирующем цистите, помимо общего анализа мочи, включает:</p>\r\n<ul>\r\n<li>бактериологическое исследование мочи, которое проводят для точного выявления возбудителя и его чувствительности к антибактериальным лекарственным средствам; ▪ обследование на инфекции, передаваемые половым путём (ПЦР из двух локусов &mdash; уретра, цервикальный канал);</li>\r\n<li>обследование на вирусные инфекции (ИФА для определения иммуноглобулинов к герпесу, цитомегаловирусу), мазок и посев отделяемого из влагалища с количественным определением лактобактерий) для исключения дисбиоза.</li>\r\n</ul>\r\n<p>Анализ мочи с использованием тест-полосок &mdash; альтернатива общему анализу мочи, который используется для постановки диагноза острого неосложненного цистита.</p>\r\n<p>Инструментальные вмешательства при остром цистите или обострении рецидивирующего цистита противопоказаны.</p>\r\n<p>УЗИ почек или органов малого таза, экскреторную урографию, цистоуретрографию, КТ или МРТ малого таза проводят при подозрении на камень, опухолевые или другие заболевания, требующие оперативного вмешательства, а также при рецидивах мочевой инфекции и отсутствии положительной динамики на антимикробную терапию.</p>",
            "treatment": "<p>Немедикаментозное лечение</p>\r\n<p>Диета с исключением солёной, острой, раздражающей пищи (стол №10); питьё, достаточное для поддержания диуреза 2000&ndash;2500 мл (после разрешения дизурии). При рецидивирующем цистите &mdash; инстилляции препаратов в мочевой пузырь вне стадии обострения. Фитотерапия при цистите самостоятельного значения не имеет, но широко используется как вспомогательное лечение, на этапе долечивания.</p>\r\n<p>Медикаментозное лечение</p>\r\n<p>Этиологическое лечение &mdash; антибактериальная терапия. Длительная (до 7&ndash;10 дней). Выбор препарата с учётом выделенного возбудителя и антибиотикограммы. Назначение антибиотиков с бактерицидным действием.</p>\r\n<p>Патогенетическое лечение &ndash; коррекция анатомических нарушений, лечение воспалительных и гормональных гинекологических заболеваний у женщин.</p>\r\n<p>Симптоматическая терапия &ndash; при выраженной боли показаны анальгетики. У больных с бактериальным циститом потребность в обезболивающих препаратах возникает редко.</p>",
            "prevention": "<p>Профилактика развития цистита:</p>\r\n<ul>\r\n<li>Строгое соблюдение гигиенических приёмов у новорождённых девочек для предотвращения развития вагинитов, а затем уретритов и циститов;</li>\r\n<li>Своевременная коррекция анатомических нарушений (аномалии расположения наружного отверстия мочеиспускательного канала) при наличии показаний;</li>\r\n<li>Адекватное лечение гинекологических заболеваний, инфекций, передаваемых половым путём, причём у обоих половых партнеров;</li>\r\n<li>Гигиена половой жизни и т.д.;</li>\r\n<li>Адекватная оценка и лечение бессимптомной бактериурии беременных;</li>\r\n<li>Антибиотикопрофилактика перед инвазивными урологическими вмешательствами, особенно при наличии факторов риска;</li>\r\n<li>Лечение урологических заболеваний, приводящих к нарушению уродинамики.</li>\r\n</ul>",
            "clinical_picture": "<p>Самым характерным симптомом цистита является болезненное мочеиспускание, сопровождающееся остаточными ощущениями жжения и рези. Кроме того, больных циститом беспокоят боли в нижней части живота и ощущение неполного опорожнения мочевого пузыря. Иногда при цистите развивается&nbsp;недержание мочи, появляющееся при сильном желании помочиться.</p>\r\n<p>Моча при цистите может становиться мутной или приобретать красноватый оттенок вследствие примеси красных кровяных телец. Может незначительно повышаться температура тела до субфебрильных значений.&nbsp; Для тяжелых форм острого цистита (флегмонозный, гангренозный, геморрагический) характерны выраженная интоксикация, высокая температура тела, олигурия. Моча при этом мутная с гнилостным запахом, содержит хлопья фибрина, иногда пласты некротизированной слизистой оболочки, примесь крови. Продолжительность заболевания в этих случаях значительно увеличивается, возможно развитие тяжелых осложнений. При тотальном, диффузном воспалении слизистой оболочки мочевого пузыря боли усиливаются по мере накопления мочи, растяжения воспаленной слизистой оболочки. Усиление болей в конце акта мочеиспускания связано с сокращением воспаленной слизистой оболочки мочевого пузыря и с соприкосновением воспаленных поверхностей.</p>\r\n<p>Клиническая картина хронического цистита разнообразна и зависит от этиологического фактора, общего состояния больного и эффективности проводимого лечения. Основные клинические симптомы те же, что и при остром цистите, но выражены слабее. Хронический цистит протекает либо в виде непрерывного процесса с постоянными, более или менее выраженными жалобами и изменениями в моче (наличие лейкоцитов, бактерий), либо имеется рецидивирующее течение с обострениями, протекающими аналогично острому циститу, и ремиссиями, во время которых все признаки цистита отсутствуют.</p>",
            "image": null,
            "image_alt": null,
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        },
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            },
            "code": "B69",
            "name": "Цистицеркоз",
            "icd_name": "Цистицеркоз",
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                7
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            "lead": "Цистицеркоз - паразитарное заболевание человека, вызываемое личинками свиного цепня - цистицерками.",
            "description": "Цистицеркоз - паразитарное заболевание человека, вызываемое личинками свиного цепня - цистицерками. В данном случае человек становится промежуточным факультативным хозяином гельминта. ",
            "etiology": "",
            "pathogenesis": "<p>Заражение цистицеркозом происходит при попадании в желудок яиц, онкосфер свиного цепня, развивающихся в организме человека так же, как у основного промежуточного хозяина - свиньи. В желудке под действием пепсина оболочка онкосфер разрушается, освободившиеся шестикрючные зародыши активно вбуравливаются в стенку кишки, попадают в кровеносные суды и гематогенно разносятся по организму, оседая в различных органах, где онкосферы превращаются в цистицерки. Цистиц представляет собой прозрачный пузырек величиной в диаметром от просяного зерна до 1,5 см, наполненный жидкостью, со сколексом внутри. Чаще всего, по мнению многих исследователей цистицеркоз поражает центральную нервную систему (74,5 - 82%), глаза и мышцы. <br /><br />Известны два пути заражения цистицеркозом - экзогенный и эндогенный. При экзогенном заражении онкосферы попадают извне. Так, больные тениозом могут заразиться через собственные грязные руки, лаборанты - в случаях нарушения правил работы с исследуемым материалом, а также любой человек через овощи, ягоды, фрукты, загрязненные онкосферами при удобрении почвы огородов и ягодников необезвреженными нечистотами, инвазированными свиным цепнем. <br /><br />Эндогенным путем заражаются только больные тениозом при антиперистальтике, попадании члеников свиного цепня из кишечника в желудок с последующим их перевариванием и освобождением десятков тысяч яиц. В этих случаях инвазия очень интенсивна. Причины антиперистальтики различны: любое пищевое <a href=\"/symptom/ostraya_intoksikaciya/\" title=\"Перейти на страницу симптома Острая интоксикация\">отравление</a>, алкогольное опьянение, выход из состояния наркоза, а также введение зонда и др. <br /><br />Цистицерки оказывают местное и общее влияние на организм: местное обусловлено механическим их действием и локализацией, а общее связано с поступлением в кровь и ликвор токсических продуктов жизнедеятельности личинок. Наиболее выраженное влияние связано с процессом отмирания цистицерка, усилением рубцово-сморщивающих процессов в его теле и его обызвествлением. В зависимости от локализации различают цистицеркоз мозга, глаза и мышц.</p>",
            "diagnostics": "<p>Для цистицеркоза мозга типично клиническое течение болезни, характеризующееся внезапными обострениями и длительными ремиссиями, полиморфизмом неврологической симптоматики с превалированием симптомов раздражения, лимфоидно-нейтрофильным плеоцитозом ликвора (в 93%), эозинофилией крови (не всегда). При его диагностировании также учитываются рентгенологические данные (краниография, рентгенография, энцефало- и вентрикулография, ангиография), результаты серологического исследования - РСК, ELISA, НРИФ, РНГА. <br /><br />Диагноз цистицеркоза кожи, мышц можно поставить на основании биопсии узелков и рентгенографии обызвествленных цистицерков. <br /><br />Цистицеркоз глаза можно определить в результате офтальмоскопии.</p>",
            "treatment": "<p>При поражении мягких тканей цистицерками, если они не вызывают механического раздражения и исключено поражение ЦНС и глаз, лечение не проводится, больной остается под наблюдением. Это связано с тем, что специфические препараты  вызывают гибель паразитов, продукты распада которых могут давать тяжёлые побочные реакции аллергического характера. <br /><br />Лечение цистицеркоза глаза и единичных цистицерков головного мозга хирургическое. Дополнительно - этиотропная терапия в течение 15 дней перорально на фоне применения дексаметазона по 4-16 мг в сутки. Этиотропная терапия проводится также в неоперабельных случаях цистицеркоза головного мозга. </p>",
            "prevention": "<p>Профилактикой цистицеркозов является успешная борьба с тениозом и соблюдение мер личной профилактики.</p>",
            "clinical_picture": "<p>Цистицеркоз мозга. По особенностям клиники выделяют следующие четыре формы этого заболевания: <br />1. цистицеркоз больших полушарий; <br />2. цистицеркоз желудочковой системы; <br />3. цистицеркоз основания; <br />4. смешанный цистицеркоз. <br /><br />При первой форме инвазия проявляется симптомами повышенного внутричерепного давления вследствие нарушения ликворооттока (больные жалуются на приступообразные головные боли, <a href=\"/symptom/golovokruzhenie/\" title=\"Перейти на страницу симптома Головокружение\">головокружение</a>, рвоту; нередко у них выявляется застойный сосок зрительного нерва). Частым симптомом ее являются эпилептические припадки. <br /><br />Наиболее распространенной формой желудочкового цистицеркоза является цистицеркоз IV желудочка. Ему свойственно внезапное и бурное начало, характеризующееся приступами головных болей с рвотой. Типичны для этой формы заболевания брунсовские приступы, связанные с изменением положения головы. У большинства больных наблюдается вынужденное положение тела, так как перемена позы вызывает резкое обострение головной боли и рвоту. <br /><br />Клиника цистицеркоза основания мозга также вариабельна проявляется нарушением ликвороциркуляции. Довольно часто отмечаются вынужденное положение головы, боли в затылочно-шейной области, снижение вкусовой чувствительности, слуха и вестибулярной возбудимости. Могут возникать чувствительные и двигательные расстройства, вплоть до парезов. В 1/5 части случаев заболевания наблюдаются различные психические нарушения. <br /><br />Смешанная форма цистицеркоза мозга протекает тяжело прогноз ее неблагоприятный. Наиболее типичны для нее эпилептический симптомокомплекс, грубые психические нарушения, галлюцинации и др.; спинной мозг поражается редко. <br /><br />Цистицеркоз глаза. Цистицерки могут локализоваться во всех оболочках глаза, что клинически проявляется различным по тяжести и характеру нарушением зрения, до полной его потери, чувством давления и боли. <br /><br />Наиболее прогностически и клинически благоприятной формой является цистицеркоз кожи, подкожной клетчатки, мышц. <br /><br />Цистицеркоз кожи. <br />При расположении личинок в подкожном жировом слое возникают опухолевидные образования, возвышающиеся над поверхностью кожи, при их пальпации можно определить полостный характер опухолей. Наиболее частая локализация: внутренние поверхности плеч, верхняя половина грудной клетки, ладони. <br /><br />Болезнь сопровождается выраженной эозинофилией в крови (до 40%), крапивницей. <br /><br />Цистицеркоз кожи, мышц протекает бессимптомно. <br /><br />Цистицеркоз сердца. <br />При локализации паразитов в сердце, в области предсердно-желудочного пучка, нарушается сердечный ритм. <br /><br />Цистицеркоз лёгких. <br />Цистицеркоз легких в большинстве случаев, протекает без выраженных клинических симптомов и обнаруживается случайно при рентгенологическом исследовании. На рентгенограмме видны круглые тени, в основном интенсивные с четкими границами величиной от зерна перца до маленькой вишни. Эти тени, как правило, разбросаны в обоих легочных полях, число их может быть различным от нескольких единиц до нескольких десятков. Очаги паразитов могут быть частично или полностью обызвествлены.</p>",
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