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"code": "B74",
"name": "Филяриатоз",
"icd_name": "Филяриатоз",
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6
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"lead": "Паразитарное заболевание человека и животных, вызываемые филяриями (нитчатками) — нематодами семейства Onchocercidae",
"description": "",
"etiology": "<p>Болезнь передается от человека к человеку через укус комара. Когда комар кусает человека, который имеет лимфатический филяриатоз, микроскопические черви, циркулирующие в крови человека, заражают насекомое. Здоровые люди получают лимфатический филяриатоз путем укуса зараженного комара. Микроскопические черви проникают вместе со слюной комара под кожу жертвы, а затем попадают в лимфатические сосуды. В лимфатических сосудах они растут. Взрослый червь живет около 5-7 лет. Когда взрослые особи спариваются, они выпускают в кровь человека миллионы микроскопических червей, которые называются микрофиляриями. Таким образом, болезнь передается от зараженного человека к насекомому, а затем от насекомого к здоровому человеку.</p>",
"pathogenesis": "<p>В зависимости от области, которая повреждена червями, филяриоз может проявляться в трех различных формах.</p>\r\n<ol>\r\n<li>Лимфатический филяриатоз (слоновость конечности). Поражает лимфатическую систему и лимфатические узлы. Возбудители - Нитчатка Банкрофта, Brugia malayi и Brugia timori.</li>\r\n<li>Подкожный филяриатоз (страдает подкожная клетчатка и ближайшие к ней ткани). Этот вид инфекции вызывает Лоа Лоа (глазной червь).</li>\r\n<li>Серозный полостной филяриатоз (заболевание локализуется в полости живота). Его возбудителями являются паразиты Mansonella perstans и Mansonella ozzardi.</li>\r\n</ol>\r\n<p>Филяриоз не представляет угрозы для жизни человека, однако он наносит существенный вред лимфатической системе. Болезнь не вызывает никаких симптомов на начальном этапе. Таким образом, большинство людей не знают, что больны. Лимфедема с утолщением кожи и ближайших тканей - это классический симптом филяриоза.</p>\r\n<p>Филяриоз обычно диагностируется путем прямого обнаружения паразита в образцах кожи или крови. Основные симптомы начинают появляться после гибели червей в организме.</p>",
"diagnostics": "<p>Несмотря на серьезность заболевания, оно мало изучено, что вызывает определенные трудности с диагностикой. Из-за отсутствия характерных симптомов врачи часто приступают к лечению аллергии или других болезней по своему профилю, не догадываясь о паразитарной природе болезни.</p>",
"treatment": "<p>Консервативное лечение направлено на дегельминтизацию посредством химических препаратов, однако, их нельзя принимать длительно (из-за возникновения тяжелых побочных эффектов), поэтому подобный подход зачастую не способен вывести личинки филярий, «прячущиеся» в верхних слоях кожи. Сертифицированный и клинически апробированный Антипаразитарный комплекс «Оптисалт», в состав которого входят только натуральные ингредиенты растительного происхождения, показан для приема длительными курсами, достаточными для дегельминтизации. Помимо этого, препараты «Оптисалт» снимают симптомы аллергии (устраняют <a href=\"/symptom/zud/\" title=\"Перейти на страницу симптома Зуд\">зуд</a>), выводят токсины гельминтов, нормализуют обмен веществ, позволяя человеку быстро восстановиться после инвазии.</p>",
"prevention": "<p>Предотвратить укусы комаров можно такими способами:</p>\r\n<ul>\r\n<li>использовать аэрозоли; кремы от комаров, антимоскитные сетки;</li>\r\n<li>не создавать привлекающих комаров источников воды или отходов;</li>\r\n<li>носить одежду из плотной ткани с рукавами и длинными штанинами;</li>\r\n<li>использовать в помещении эфирные масла и реппеленты.</li>\r\n<li>спать под москитной сеткой в период пребывания в эндемичном по филяриатозу месте;</li>\r\n<li>в период после заката солнца особенное внимание уделить равномерному нанесению мази или крема от насекомых.</li>\r\n</ul>",
"clinical_picture": "<p>Симптомы лимфатического филяриатоза (слоновости):</p>\r\n<ul>\r\n<li>отек с утолщением кожи и подкожных тканей (классический симптом слоновости). Она обычно поражает нижние конечности. Тем не менее, вульва, грудь у женщин и область промежности у мужчин так же могут страдать от этого симптома.</li>\r\n<li>отек конечностей, груди или половых органов может привести к их увеличению в несколько раз.</li>\r\n</ul>\r\n<p>Происходит это из-за закупорки лимфатических сосудов.</p>\r\n<p>Симптомы подкожного филяриатоза:</p>\r\n<ul>\r\n<li><a href=\"/symptom/syp/\" title=\"Перейти на страницу симптома Сыпь\">сыпь</a>;</li>\r\n<li>гипер или гипопигментированные макулы;</li>\r\n<li>речная <a href=\"/symptom/slepota/\" title=\"Перейти на страницу симптома Слепота \">слепота</a> (симптом онхоцеркоза).</li>\r\n</ul>\r\n<p>Симптомы серозного филяриатоза:</p>\r\n<ul>\r\n<li><a href=\"/symptom/bol_v_zhivote/\" title=\"Перейти на страницу симптома Боль в животе\">боль в животе</a>;</li>\r\n<li><a href=\"/symptom/syp/\" title=\"Перейти на страницу симптома Сыпь\">высыпания</a>;</li>\r\n<li>артрит;</li>\r\n<li>появление пигментированных макул.</li>\r\n</ul>\r\n<p>До 70% инфицированных лиц на начальных этапах заболевания не чувствуют никаких неприятных симптомов. Обычно, при заражении в детском возрасте, признаки заболевания начинают проявляться у человека в подростковый период или в зрелости. Поскольку филяриоз в развитых странах встречается крайне редко, изначально больному может быть поставлен неверный диагноз. Чтобы избежать этого, у пациентов с подозрительными симптомами узнают историю путешествий и пребывания в непривычных местах.</p>\r\n<p>Острая форма заболевания характеризуется внезапным появлением высокой температуры, болезненностью лимфатических узлов, а также ложным бактериальным лимфаденитом. Кожа обычно становится сухой, шелушится. У мужчин воспаляются паховые лимфатические узлы, яички и семенной канатик. У женщин может возникнуть отек промежности, груди.</p>",
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"etiology": "<p>Болезнь передается от человека к человеку через укус комара. Когда комар кусает человека, который имеет лимфатический филяриатоз, микроскопические черви, циркулирующие в крови человека, заражают насекомое. Здоровые люди получают лимфатический филяриатоз путем укуса зараженного комара. Микроскопические черви проникают вместе со слюной комара под кожу жертвы, а затем попадают в лимфатические сосуды. В лимфатических сосудах они растут. Взрослый червь живет около 5-7 лет. Когда взрослые особи спариваются, они выпускают в кровь человека миллионы микроскопических червей, которые называются микрофиляриями. Таким образом, болезнь передается от зараженного человека к насекомому, а затем от насекомого к здоровому человеку.</p>",
"pathogenesis": "<p>В зависимости от области, которая повреждена червями, филяриоз может проявляться в трех различных формах.</p>\r\n<ol>\r\n<li>Лимфатический филяриатоз (слоновость конечности). Поражает лимфатическую систему и лимфатические узлы. Возбудители - Нитчатка Банкрофта, Brugia malayi и Brugia timori.</li>\r\n<li>Подкожный филяриатоз (страдает подкожная клетчатка и ближайшие к ней ткани). Этот вид инфекции вызывает Лоа Лоа (глазной червь).</li>\r\n<li>Серозный полостной филяриатоз (заболевание локализуется в полости живота). Его возбудителями являются паразиты Mansonella perstans и Mansonella ozzardi.</li>\r\n</ol>\r\n<p>Филяриоз не представляет угрозы для жизни человека, однако он наносит существенный вред лимфатической системе. Болезнь не вызывает никаких симптомов на начальном этапе. Таким образом, большинство людей не знают, что больны. Лимфедема с утолщением кожи и ближайших тканей - это классический симптом филяриоза.</p>\r\n<p>Филяриоз обычно диагностируется путем прямого обнаружения паразита в образцах кожи или крови. Основные симптомы начинают появляться после гибели червей в организме.</p>",
"diagnostics": "<p>Несмотря на серьезность заболевания, оно мало изучено, что вызывает определенные трудности с диагностикой. Из-за отсутствия характерных симптомов врачи часто приступают к лечению аллергии или других болезней по своему профилю, не догадываясь о паразитарной природе болезни.</p>",
"treatment": "<p>Консервативное лечение направлено на дегельминтизацию посредством химических препаратов, однако, их нельзя принимать длительно (из-за возникновения тяжелых побочных эффектов), поэтому подобный подход зачастую не способен вывести личинки филярий, «прячущиеся» в верхних слоях кожи. Сертифицированный и клинически апробированный Антипаразитарный комплекс «Оптисалт», в состав которого входят только натуральные ингредиенты растительного происхождения, показан для приема длительными курсами, достаточными для дегельминтизации. Помимо этого, препараты «Оптисалт» снимают симптомы аллергии (устраняют <a href=\"/symptom/zud/\" title=\"Перейти на страницу симптома Зуд\">зуд</a>), выводят токсины гельминтов, нормализуют обмен веществ, позволяя человеку быстро восстановиться после инвазии.</p>",
"prevention": "<p>Предотвратить укусы комаров можно такими способами:</p>\r\n<ul>\r\n<li>использовать аэрозоли; кремы от комаров, антимоскитные сетки;</li>\r\n<li>не создавать привлекающих комаров источников воды или отходов;</li>\r\n<li>носить одежду из плотной ткани с рукавами и длинными штанинами;</li>\r\n<li>использовать в помещении эфирные масла и реппеленты.</li>\r\n<li>спать под москитной сеткой в период пребывания в эндемичном по филяриатозу месте;</li>\r\n<li>в период после заката солнца особенное внимание уделить равномерному нанесению мази или крема от насекомых.</li>\r\n</ul>",
"clinical_picture": "<p>Симптомы лимфатического филяриатоза (слоновости):</p>\r\n<ul>\r\n<li>отек с утолщением кожи и подкожных тканей (классический симптом слоновости). Она обычно поражает нижние конечности. Тем не менее, вульва, грудь у женщин и область промежности у мужчин так же могут страдать от этого симптома.</li>\r\n<li>отек конечностей, груди или половых органов может привести к их увеличению в несколько раз.</li>\r\n</ul>\r\n<p>Происходит это из-за закупорки лимфатических сосудов.</p>\r\n<p>Симптомы подкожного филяриатоза:</p>\r\n<ul>\r\n<li><a href=\"/symptom/syp/\" title=\"Перейти на страницу симптома Сыпь\">сыпь</a>;</li>\r\n<li>гипер или гипопигментированные макулы;</li>\r\n<li>речная <a href=\"/symptom/slepota/\" title=\"Перейти на страницу симптома Слепота \">слепота</a> (симптом онхоцеркоза).</li>\r\n</ul>\r\n<p>Симптомы серозного филяриатоза:</p>\r\n<ul>\r\n<li><a href=\"/symptom/bol_v_zhivote/\" title=\"Перейти на страницу симптома Боль в животе\">боль в животе</a>;</li>\r\n<li><a href=\"/symptom/syp/\" title=\"Перейти на страницу симптома Сыпь\">высыпания</a>;</li>\r\n<li>артрит;</li>\r\n<li>появление пигментированных макул.</li>\r\n</ul>\r\n<p>До 70% инфицированных лиц на начальных этапах заболевания не чувствуют никаких неприятных симптомов. Обычно, при заражении в детском возрасте, признаки заболевания начинают проявляться у человека в подростковый период или в зрелости. Поскольку филяриоз в развитых странах встречается крайне редко, изначально больному может быть поставлен неверный диагноз. Чтобы избежать этого, у пациентов с подозрительными симптомами узнают историю путешествий и пребывания в непривычных местах.</p>\r\n<p>Острая форма заболевания характеризуется внезапным появлением высокой температуры, болезненностью лимфатических узлов, а также ложным бактериальным лимфаденитом. Кожа обычно становится сухой, шелушится. У мужчин воспаляются паховые лимфатические узлы, яички и семенной канатик. У женщин может возникнуть отек промежности, груди.</p>",
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"code": "A04",
"name": "Бактериальные кишечные инфекции",
"icd_name": "Другие бактериальные кишечные инфекции",
"gender": 0,
"age_min": 0,
"age_max": 100,
"cause": [
2,
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"slug": "a04_bakterialnye_kishechnye_infekcii",
"lead": "к бактериальным инфекциям относится огромная группа заболеваний, причиной которых являются микроорганизмы – бактерии. Это небольшие одноклеточные микроорганизмы",
"description": "",
"etiology": "<p>Обычно заражение происходит при употреблении: сырой воды или молока; тех продуктов, которые не могут быть термически обработанными (торты с кремом, кисломолочные продукты); необработанного термически мясо; птичьих яиц, выпитых сырыми или неполностью проваренных/прожаренных; пользования общими полотенцами, посудой, контакт с сиденьями унитаза, дверными ручками, игрушками в том доме, где живет или работает больной, после чего здоровый ранее человек не помыл руки; купание с заглатыванием воды в открытых водоемах.</p>\r\n<p>Учитывая, что бактерии очень большая группа микроорганизмов, они разделены на несколько групп по определенным критериям.</p>\r\n<full></full>\r\n<p>По способу питания:</p>\r\n<ul>\r\n<li>сапрофиты – свободно живущие бактерии, которые питаются не живыми органическими веществами, не болезнетворные (единственным исключением являются легионеллы – микробы, обитающие в жидкости кондиционеров, при попадании в организм человека вызывают пневмонию);</li>\r\n<li>паразиты – питаются за счет других, в эту группу относятся все болезнетворные бактерии, а также необходимые микроорганизмы, которые живут в «содружестве» с человеком (нормальная микрофлора кишечника состоит из полезных бактерий, которые в процессе жизнедеятельности синтезируют витамины группы В, необходимые организму человека).</li>\r\n</ul>\r\n<p>По форме клетки:</p>\r\n<ul>\r\n<li>кокки – шаровидные бактерии. К ним относятся: менингококк (менингит), стафилококк (большинство гнойничковых заболеваний), пневмококк (пневмония), стрептококк (ангина, , стрептодермии).</li>\r\n<li>палочковидные бактерии – форма клетки в виде прямой или изогнутой палочки. Возбудителями заболеваний являются: кишечная палочка (острые кишечные инфекции, воспалительные заболевания внутренних органов), шигелла (дизентерия), микобактерия туберкулеза, дифтерийная палочка (дифтерия), возбудитель столбняка.</li>\r\n<li>извитые бактерии – по форме напоминают спираль штопора: бледная трепонема – возбудитель сифилиса, лептоспиры – заболевание лептоспироз (интересно, что форма штопора помогает спирохетам буквально «вбуравливаться» через кожу человека и таким способом проникать в организм).</li>\r\n<li>бактерии, меняющие форму – особая группа бактерий без клеточной стенки, являются внутриклеточными паразитами: микоплазмы (хронические заболевания мочеполовых органов, трудно поддающихся лечению).</li>\r\n<li>жгутиковые формы – бактерии на клетке имеют жгутики, активно двигаются во внешней среде, что позволяет им увеличивать возможность заражения (холерный вибрион – возбудитель холеры).</li>\r\n</ul>",
"pathogenesis": "<p>Самым важным в развитии заболеваний, вызванных бактериальной инфекцией является выделение бактериями токсинов (ядов), которые обладают воспалительным действием, вызывают интоксикацию организма и повреждают внутренние органы:</p>\r\n<ul>\r\n<li>эндотоксины – выделятся после гибели бактерии и разрушения ее клетки (кишечные инфекции). Наиболее опасным является эндотоксин менингококка при менингококковой инфекции. В случае гибели значительного количества бактерий, выделившийся эндотоксин может привести к развитию инфекционно-токсического шока и привести к смерти.</li>\r\n<li>экзотоксины – яды, выделяемые живыми бактериями в процессе их жизнедеятельности (дифтерия).</li>\r\n</ul>",
"diagnostics": "<p>Основным методом в диагностики бактериальных инфекций является бактериологическое исследование. При этом от больного берется материал, содержащий бактерии, и засевается на специальные питательные среды. После роста колоний на питательных средах (около 48 часов), бактерии идентифицируют. Огромным плюсом данного метода является возможность проводить исследование чувствительности выделенной бактерии к антибиотикам, для назначения рационального лечения. Также используются:</p>\r\n<ul>\r\n<li>микроскопическое исследование материала – позволяет поставить ориентировочный диагноз при выявлении бактерий с помощью микроскопа.</li>\r\n<li>серологическое исследование – определяется наличие антител в крови к определенным бактериям, увеличение титра антител свидетельствует о наличии в организме бактерий.</li>\r\n</ul>",
"treatment": "<p>Лечение бактериальных инфекций, как и любого другого заболевания, является комплексным и включает:</p>\r\n<ul>\r\n<li>этиотропная терапия – лечение, направленное на уничтожение причины заболевания – бактерии. Для этого используется арсенал антибиотиков. На данный момент есть несколько групп антибиотиков, но самым важным является их разделение на бактерицидные антибиотики (убивают бактерии) и бактериостатические (подавляют рост и размножение бактериальных клеток). Это очень важно знать, особенно в случае менингококковой инфекции назначение бактерицидных антибиотиков приведет к массовой гибели менингококков и выходу эндотоксинов в кровь.</li>\r\n<li>патогенетическая терапия – направлена на выведение из организма бактериальных токсинов, которые накапливаются в процессе инфекционного заболевания (дезинтоксикация). Также проводится лечение, направленное на восстановление поврежденных органов.</li>\r\n<li>симптоматическая терапия – необходима для облегчения состояния человека при бактериальной инфекции и снижения выраженности симптомов.</li>\r\n</ul>\r\n<p>В нынешнее время, благодаря антибиотикам удается излечивать большинство бактериальных инфекций, однако стоит помнить, что неправильный прием антибиотиков может привести к развитию у бактерий резистентности (нечувствительности) и даже зависимости от антибиотиков.</p>",
"prevention": "<p>Специфической профилактики (то есть вакцин или анатоксинов) ни для одной из этих инфекций нет.</p>\r\n<p>Применяются только неспецифические профилактические мероприятия:</p>\r\n<ol>\r\n<li>соблюдение индивидуальных гигиенических мероприятий;</li>\r\n<li>кипячение воды и молока перед употреблением; мытье рук после туалета;</li>\r\n<li>отказ от употребления сырых яиц (даже собранных от собственных же птиц);</li>\r\n<li>достаточная термическая обработка мяса;</li>\r\n<li>скрупулезный просмотр сроков годности тех продуктов, которые вы собираетесь покупать;</li>\r\n<li>мытье овощей, ягод, зелени, фруктов перед употреблением;</li>\r\n<li>хранение готовой продукции в холодильнике;</li>\r\n<li>отказ от кормления грудничков неразведенным коровьим или козьим молоком;</li>\r\n<li>поддержка достаточных санитарных условий в доме/квартире;</li>\r\n<li>если в семье кто-то заболел – кипячение всей его посуды, отказ от употребления еды из одной посуды, обеззараживание испражнений хлорсодержащими препаратами.</li>\r\n</ol>",
"clinical_picture": "<p>Инкубационный период – 6-48 часов. Чем раньше у взрослых появляются какие-либо симптомы с момента употребления инфицированной пищи, тем тяжелее будет протекать кишечная инфекция. Затем развиваются такие синдромы:</p>\r\n<p>Интоксикационный, который проявляется такими симптомами: ; \"></a>; в теле; \"></a>; \"></a>.</p>\r\n<p>Повышается температура тела до разных цифр.</p>\r\n<p>Гастритический синдром: ; \"></a>; после приема пищи или воды – \">Рвота</a>\">\">рвота</a></a>, после нее становится легче.</p>\r\n<p>Энтеритный синдром: тошноты и рвоты почти нет, только в самом начале, но появляется частый жидкий стул.</p>\r\n<p>Колитический синдром: боли внизу живота, болезненные позывы на дефекацию, при этом сам поход «по-большому» – тоже болезнен. Стул скудный, со слизью и кровью. После дефекации легче в животе не становится.</p>\r\n<p>Сочетание трех вышеуказанных симптомов в различных комбинациях. Для каждой из инфекций характерно свое сочетание этих симптомов, но оно не обязательно наблюдается каждый раз. </p>",
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