It is said that there is a saying that has been circulating in the food world:
For example, the sashimi and sashimi are mouth-watering, and the raw pickled shrimp crickets, oysters, and drunken crabs are tender and delicious. However, behind the extreme deliciousness,It could be a hidden "worm's nest".
Recurrent abdominal pain, yellowing of the eyes
Just because I love to eat sashimi
Mr. Zhang (pseudonym) began to have paroxysmal cramps in his right upper quadrant a year ago, radiating to his back, and repeatedly failed to do so.
In the past week, he had another attack of right abdominal pain, accompanied by yellow urine, yellow eyes, and **yellow, so he went to the gastroenterology department of the hospital for treatment, and was admitted to the hospital with an outpatient diagnosis of "common bile duct stones and obstructive cholangitis".
Mr. Zhang had often eaten sashimi before the onset of the disease, and combined with his clinical manifestations such as abdominal pain, jaundice, choledocholithiasis, and obstructive cholangitis, the examination results showed that the number of blood eosinophils was high, and parasitic infection was highly suspected.
After endoscopic retrograde cholangiopancreatography (ERCP) + basket lithotomy + external nasobiliary drainage, combined with anti-liver fluke**, Mr. Zhang's condition improved rapidly.
A few days after surgeryLiver flukes like sunflower seeds are drained out one by oneMr. Zhang and his family looked at the still wriggling liver flukes, and their scalps were numb with fright, and they said that they would never eat yusheng again, and mobilized their relatives and friends who ate yusheng to go to the hospital for a physical examination as soon as possible.
Hepatobatosomiasis can cause hepatobiliary cancer and liver cancer
Hepatic flukes are also known as clonorchiasisIt is a common foodborne parasitic disease in China, which is caused by raw or semi-raw freshwater fish and shrimp containing live cysts of liver flukes, and adult parasites are in the human liver and bile ducts, which is one of the important causes of hepatobiliary cancer.
Symptoms of liver flukes vary from mild to severe, and they can generally be divided into 3 categories:
Mild:No self-conscious symptoms, only eggs found during stool examination, or mild gastrointestinal symptoms, such as stomach tenderness after eating, soft stools, etc.;
Moderate:There are obvious gastrointestinal symptoms, such as loss of appetite, dyspepsia, right upper quadrant distension pain, hepatomegaly, mild edema, such as concurrent bacterial infection can be secondary to cholangitis, cholecystitis;
Severe:There are obvious gastrointestinal symptoms, recurrent diarrhea or constipation, pain in the right upper quadrant or splenomegaly, ascites, anemia, etc.
In recent years, the popularity of sashimi and raw pickled fish has increased, and with the increasing number of diners, patients with liver flukes are not uncommon.
And some of the "insecticidal home remedies" circulated among the people are often unreliable:
Some people think that liver fluke cysts can be killed by simply soaking them in liquor, but in reality, liver fluke cysts can survive for a long time in liquor.
willGarlic juice, mustard, chili pepper, vinegarand other condiments soaked in the fish although it will increase the taste, but at allIt is not possible to kill liver flukes.
How?
Hepatic flukes are preventable and can be treated as a result. Early detection, as long as it is reasonable and rational with drugs, 97% of infected people can be cured.
1.Medications**
Deworming drugs**, with a short course of treatment, high efficacy, low toxicity, light reaction, absorption, metabolism, excretion in the body and other advantages, 3 months after the effectiveness of **, fecal eggs to negative rate of more than 90%.
2.Symptomatic**
Patients with cholelithiasis and common bile duct obstruction may be considered for surgery**;Patients with cholecystitis and cholangitis should be treated with antibacterial drugs in addition to dewormingPatients with severe infection and severe malnutrition or cirrhosis of the liver should strengthen nutrition, correct anemia, protect the liver to improve the general condition, and carry out deworming in time**In the case of viral hepatitis, in addition to actively protecting the liver, deworming should be carried out as soon as possible on the basis of improvement**.
How to prevent it?
Do not eat "sashimi", do not eat undercooked freshwater fish and shrimp, and wash your hands and knives, cutting boards and other related kitchen utensils in time after handling raw fish and shrimp. Raw and cooked kitchenware must be used separately. Do not feed raw fish and shrimp to pets such as dogs and cats.
Reminder
If the blood test is positive for liver fluke antibody, and the ultrasound examination shows that the echo of the bile duct wall in the liver is thickened, the stool should be left to look for liver fluke eggs repeatedly, which is the "gold standard" for diagnosing liver flukes.
*: Popular Science China.
Editor: Ji Zhiping.
Let's see how Hongkou Binjiang is built into a holy place for walking babies
The first case in the city!This community started "borrowing light to generate electricity".
This carpentry workshop in Hongkou has been awarded the Science Education Base of the Architectural Society of China for the second time in a row.
Hongkou District released a new plan to march towards the blue sky and white clouds!