Posts Tagged ‘metacercaria’

Eaten raw freshwater? CDC experts recommend early and early investigations


Comics Wang Jianming

Shenzhen News May 13 News
Even if only eaten a raw freshwater, there may be infected with liver fluke disease. Proposed members of the public as soon as the eating of raw fish to the formal investigation and inspection departments, early and early investigation. "Recently, the CDC Yantian district population to understand the infection status of clonorchiasis, raw freshwater fish were collected health history of voluntary counseling and blood samples were tested and found that many people infected with liver fluke infection rate high. Yantian District CDC experts said most people infected with liver fluke disease may be no symptoms for several years, but with the liver fluke and multiply, will lead to cholecystitis, liver cirrhosis and other hot and cold diseases and may even be turned into liver cancer.

eaten raw freshwater? CDC experts recommend early and early check

Eat only one fish can be infected with liver fluke Health

"In our recent testing, many of those that are detected only once or rarely ate fish a few students, but all were found to liver fluke." Yantian District CDC's experts say that physical examination results, be detected by the first reaction is that incredible, one named Liu, said: "A few years ago, there are times and a few friends to eat, they ordered sashimi, try to eat a few bites, did not expect to 'in the move'. "

Fukuda said in the work of Lee, he used to love eating raw freshwater, "Every time I eat all people advised not to eat, but I think nothing has been eaten for a few years. While ago that news, then went to testing, True to infection. Now, I being treated, mainly hospitalization, medication, go review over time. "Mr Lee said:" The treatment of liver fluke disease medicine smell, hard to eat. "

Experts believe that people can eat raw freshwater fish were "bug" is necessary, it is possible to eat a raw freshwater liver fluke infection, "test, it was only eaten drunken, has a bad liver fluke disease."

Who lives in Nanshan Taoyuan Village of Mr. Guo said: "I am more resistant to eating raw, especially the freshwater fish health, did not always feel safe to eat cooked things. There was a time, and friends to the restaurant to eat raw freshwater point, in their under the influence, I ate a few times, drunken, but not to eat raw freshwater. "Even so, Mr. Guo has been uneasy. He said: "not to have been checked, always feel fine. It seems, must find time to look up the."

edition photography: Gan Yuefei

Pursuit of "fresh tender," which are dangerous to eat

In Guangdong, people like to eat raw freshwater fish and Congee. Although I know many people will be suffering from liver fluke sashimi eating disease, but mistaken for mustard, soy sauce or vinegar mixed with food and drink, it can kill bacteria and parasites, which eat and drink.

Diners eat raw fish all heard a saying: The sauce, vinegar mix over the raw fish, which the parasite eggs have been killed. Some restaurants also said no problem as long as the attention to eat: "When fish eat raw garlic, ginger, and then drink alcohol, what can kill insect friends."

Reporter online forums that a lot of friends that knows the harmful effects of eating raw freshwater fish, but still think that way as long as attention, eat it anyway.

User "poles apart" does not like to eat raw freshwater, but to see friends eating, he decided to "help" friends. "That day, a group of friends to eat raw freshwater Shiyou point, I can not stand most of the scene to teach them the recipe: 1, will be poured white vinegar soak for a minute, fish health, putting to drain; 2, down bottle of Erguotou in, soak for three minutes, remove to; 3, to find a clean platter up, and sprinkle with fried white sesame seeds, making a lot of raw garlic, shredded fresh mint, red Zhi Tianjiao silk, mixed the sesame oil, soy sauce, This is barely the entrance. "solemnly said that were friends, best not to eat raw freshwater, if the non-eating is not, must use the good spirits to give the dish height.

These can kill liver fluke eat? Experts say, vinegar, wine, etc. Although some high bactericidal effect, but it does not kill liver fluke.

Qi Cheng no obvious symptoms in patients with acute

What are the symptoms after liver fluke infection is not the treatment of symptoms such as weight these go?

It is understood that after the cause of the symptoms of liver fluke infection vary from mild infections are generally asymptomatic performance. However, if a large number of short-term ingestion of metacercariae, will produce symptoms of acute infection, manifested as upper abdominal pain and diarrhea, high fevers, then there hepatomegaly; examination showed tenderness of liver area, jaundice, urticaria, peripheral blood mononuclear granule cells increased. About 30% of people have acute symptoms, the remaining 70% had no obvious symptoms.

Mr Li said that when he went to check whether the infection of liver fluke disease when no symptoms, "said the news may lead to liver fluke disease fatigue, lack of energy, but my work is more intense, long-term in the sub-health state, it is difficult to say This is not caused by a liver fluke disease. examination and treatment are necessary, the doctor said that the two parasites can cause cancer, one schistosomiasis, the second is the liver fluke. "

What is a liver fluke disease

Human and animal liver fluke is a symbiotic parasite, sunflower seed size, parasitic in the body of the liver fluke from approximately 10 to more than a thousand, mainly lives in the medium-sized bile ducts within the liver can also be parasitic in the common bile duct, gall bladder, pancreatic duct and duodenum. Adults attracted to the bile duct mucosa, with mucous secretions of nutrition, life expectancy in the human body is about 15 to 30 years. Liver fluke life cycle requires two intermediate hosts: the first intermediate host for the freshwater snails (Alocinma Lo, Wen marsh snail, snail bean, etc.), the second intermediate host for the freshwater fish (white grass carp, black carp, carp, wheat and fish) and freshwater shrimp, crab (small enough rice shrimp, Macrobrachium larger hands, etc.). Liver fluke eggs can be excreted with the patient or sick animals in vitro, if he swallowed the first freshwater snail intermediate host, the development into cercaria from the snail body after discharge. In the water, cercariae encountered in the second intermediate host fish or shrimp, crab, then the invasion of their body form metacercariae. Metacercariae containing fish or shrimp, or crab is like dogs and cats eat before the stomach intestine, the larvae in the duodenum de sac within the capsule out along the direction of retrograde flow of bile, after a few hours can be arrived from the common bile duct bile duct, develop into adults after about a month to begin spawning. Therefore, parasitic in the freshwater fish meat in the liver fluke metacercariae in the period of very strong resistance on the outside, only the specific anthelmintic or high temperature to kill metacercaria.

Experts said the liver fluke in itself not cause harm, but the liver fluke parasite in the bile duct near the waste will stimulate the gall bladder mucosa can be blocked bile duct to form gallstones, chronic cholecystitis. In the liver fluke infection, no symptoms does not mean that no infected liver fluke. If we ignore, hide biliary liver fluke will undermine the gallbladder, liver, patients may gradually appear several years after the discomfort. The most common gastrointestinal symptoms such as upper abdominal pain, fatigue, lassitude, and symptoms such as hepatomegaly, the liver area dull pain, diarrhea or constipation, inexplicable weight loss and often feel tired; if long ignored, the end may also be induced cirrhosis gallbladder cancer, liver cancer.

Experts advise
Although very serious
Treatment is not difficult

Love raw fish people should take the initiative to the CDC or hospital. A simple check, check check stool blood and can, as long as the blood found in the liver fluke antibodies were positive, essentially confirms the diagnosis. Did not cause liver fluke gallbladder, serious damage to the liver when the treatment is simple, taking 0.40 yuan 1 of praziquantel tablets, each eating seven times a day; Two days later, 97% of patients can be eliminated in vivo liver fluke , and another 3% of the re-medication can also be cured.

Experts remind patients cured after liver fluke, never stop raw fish, a liver fluke infection, can not produce immunity, infection will eat!

How can I not infected with liver fluke disease? First of all, to change bad eating habits, do not eat fish raw or undercooked freshwater fish, shrimp, snails, crabs, to avoid the "worm from the mouth"; Second, contact with raw freshwater fish and shellfish after going to toilet; Third, food cooked, fully cooked; Fourth, all raw and cooked food, chopping boards, knives and other utensils to wash use; 5 is not raw freshwater fish and shellfish to feed cats, dogs and other domesticated pets.

Related News

Eating seafood sashimi are also at risk

Foreign raw seafood has become a habit. CDC experts said that in foreign countries, mostly seafood, sashimi, choose deep sea fish as raw material non-polluting, where the raw stuff, there are strict standards. There is no specific domestic raw food inspection and operation standards, the domestic seafood, sashimi, there are certain extent, the risk of parasite infection.

As part of the sea pollution, the marine life is also infected with the bacteria, these bacteria can be killed if the cooking, but if the raw contaminated seafood, is susceptible.

Recognized as the safest raw salmon can easily be "Anisakis" infection, the human body if infected, parasites will be the gastrointestinal wall and other organs, destruction of human nutrition absorption, increased burden on the stomach. This long-popular insect eating sashimi, like Japan, Korea, France and other countries.