Ascaris in children. Symptoms and treatment, folk remedies, drugs, effective advice of doctors, Komarovsky

Ascariasis - it is a common pathology in children whose symptoms can be confused with other diseases. It is very important as soon as possible to identify the infection in the body and begin treatment.

What are roundworm

Ascaris - are round worms, parasitic in the small department of human digestion system.

For nematodes are characterized by the following features:

• lack of attachment bodies;
• always moving towards the food;
• Ascaris outside is arranged a flexible hard formation, plays the role of an external skeleton;
• around the mouth are benign, working as a sensory organ;
• in the worm gut of a tube;
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• nervous system consists of dendrites, axons and the glial cells in the form peripharyngeal ring;
• adult length varies from 15 cm to 40 cm, depending on the floor;
• the rear end of the tail section is bent to the male side of the peritoneum;
• reproduction takes place through sexual contact;
• internal fertilization;
• every day female roundworm lays about 25,000 eggs in the human body;
• nematodes embryos are protected from mechanical impact and ultraviolet radiation;
• extend outwardly from human feces food helminth eggs;
• larvae to grow to maturity occurs in the soil;
• the most favorable temperature for the development of eggs is 25 degrees Celsius.

The collection of all the phases of development of the human roundworm

The process of forming roundworm occurs without the human body. The maturation of the eggs is carried out in the soil. Fall nematodes in the host organism by eating infected eggs of the worm food and water.

Life cycle	Features
development process	eggs; larvae - bypassing the digestive tract wall, fall on the vascular system of the lungs; grown larvae migrate with mucous secretions by coughing into the cavity of the stomach; adults live in a thin section of the digestive system.
migratory	find themselves in the digestive system, nematodes resets shell eggs; using a hook protuberance cuts into the inner cladding of thin card digestion and penetrates in local blood circulation; Further, in the vessels of the young worms to the liver and myocardium, move into the lungs and bronchi.
intestinal stage	for this stage of life is characterized by the formation of roundworm adult worm; so-called dolly roundworm into an adult nematode; The duration of 1 parasite no more than 12 months.
reproduction	Ascaris lumbricoides - dioecious parasite; in the process of sexual intercourse with a male joins the female protrusions, which he has in the rear section of the body.
Atypical nematode life cycle	for large parasitic worm characterized by atypical life-cyclicality; a period intraenteric changes not always occurs the migration phase; Some larvae can stay in the hepatobiliary system, which in turn includes the protection functions and destroying vermin; cough roundworm extend outwardly.

The roundworm dangerous to children's health

Ascaris in children (Symptoms and Treatment identifies pediatrician) can affect many organ systems in the body:

• applied intestine injury;
• poison baby food metabolism;
• provoking pain in the digestive system;
• contribute to a decrease in appetite;
• have an impact on performance.

Keep in mind that you can not leave without treatment ascariasis, prolonged pathology can lead to:

• intestinal obstruction;
• perforated peritonitis;
• bronchitis;
• focal pneumonia;
• hemoptysis;
• pathological changes in the liver;
• pancreatic disease;
• suffocation.

Roundworms freely in the circulatory system, respiratory and digestive system, and there is a risk of their falling into:

• paranasal sinuses;
• nasolacrimal duct;
• Post nasal cavity to the pharynx;
• part of the auditory system, emerging from the bones of the lower jaw;
• outer ear;
• perirenal fat;
• appendage of the cecum.

How do you get infected

nematode infection occurs through:

• ingestion of parasite eggs baby with unwashed fruits and vegetables;
• transfer flies parasitic infections in food;
• drinking unboiled water.

In everyday life, you can become infected with worms when using:

• paper money;
• door handles;
• handrails in public transport;
• dirty outdoor shoes;
• toys.

The symptoms of ascariasis

Manifestations of ascariasis are closely related to the stage of disease:

Title	evidence	symptoms
parasitic migration	general malaise; migraine; lack of physical strength; increased salivation; cough; a feeling of painful skin irritation; nettle rash.	wheezing and noise in the lungs; cough; expectoration of bloody sputum; chest pain; on the X-ray determined eosinophilic infiltrates; extensive hemorrhage in the lung capillary network; dysfunction of the cardiovascular system; disorder of the liver; low-grade fever.
intestinal stage	fatigue; exhaustion; eating disorders; increased production of saliva; mood instability; absent-mindedness; Spontaneous Seizures and convulsions with loss of consciousness; weakening of self-control; sleep disturbance; intolerance; irritable weakness; itchy sensation in the rectum.	heartburn; belching; abdominal distension; rumbling; loose stools; pain in the abdomen; muscle spasms; change of the relief of the mucous of the small intestine; pain on palpation; increase in the number of eosinophils in the blood; gipohromaziya; lowering blood pressure numbers; ileus.

How to identify a child roundworm

Ascaris in children (symptoms and treatment depend on the severity of the disease) should be diagnosed by using the following methods, which are characterized by certain parameters:

Title	Features
General laboratory blood tests	decreased hemoglobin; iron deficiency; reduction in the total number of red blood cells; lowering of the small plates, formed in the bone marrow; increase in the number of eosinophils; a high level of white blood cells.
Ascariasis serological marker	reveals the parasitic infection in the early stages; positive test suggests that in the large intestine can be worms; laboratory study infectious diseases doctor appoints in case of detection of leukocytosis in the KLA; the survey is conducted only with a strong clinical manifestations of ascariasis or the pathological process; the test should be done to detect early infestation of the organism in cases where there was a contact with a sick person; It does not make sense to appoint examination for people with immune deficiency - not informative analysis; do the analysis to infants because of the presence of maternal antibodies.
Sputum analysis for the presence of ascarids	larvae are found in the sputum of the sick child in the stage of migration; a negative test is no exception ascariasis.
radiogram	the photographs revealed migratory foci of inflammation; examination using barium makes it possible to detect the parasites living in the form of a dense mass in the digestive system.
Non-invasive examination of internal organs using ultrasonic waves	study reveals the presence of worms in the liver and pancreas.
Anthropometry	additional examination; identifies deviations in the child's development in the long parasitic infestation: stunting; underweight for age; mismatch parameters of the body.
Examination of faeces for the detection of parasite eggs	reliable test result only after 90 days since infection by parasites of the body; To obtain reliable results analysis must be done at least 3 times; when pronounced symptoms ascariasis survey result may be negative, if the body unisexual live parasites; It does not determine the parasitic infection in the migration stage and larvae.
Biochemical analysis of urine for the presence of fatty acids	Ascaris in the vital process of release substances, whose presence in the patient's urine confirms parasitic pathological process; ascariasis diagnose in the early stages.

Treatment of children infected with Ascaris

ascariasis treatment prescribed by a doctor, infectious disease, in accordance with the results of the survey and the stage of the pathological process.

Before starting therapy should be carried out to prepare the body deworming:

• outpatient treatment for 3 days is necessary to sing a child sorbents to purify the blood by ascarids metabolic products;
• It should be used laxatives the night before using drugs to control pests;
• eve deworming to do a cleansing enema;
• to deworming must go on easily digestible food.

stage of the disease	The overall therapeutic strategy
migration	anthelmintic use of pharmacological agents; the use of funds to fight the allergic reaction in the body, triggered by the migration of the larvae; relief of pain; normalization of body temperature; improving the work of the gastrointestinal tract; Combination Therapy for the removal of parasitic toxins from the patient's body.
toadyism	destruction of helminths using drugs; detoxification; symptomatic therapy aimed at relief: pain; allergic reactions; dyspepsia; cough; restoration of damaged parasites organs and systems; a complete diet food; vitamin course; re-infestation prevention measures; supervision by a medical specialist.

medication

Treatment of ascariasis in children should begin with:

• elimination of parasites;
• relief of symptoms of the disease;
• preventing the development of negative processes provoked by the disease;
• prevent the development of secondary pathologies.

Based on the symptoms and examination results, specialist doctor assigns complex drug therapy, which comprises the following groups of drugs:

medicines	Features	names
anthelmintic	inhibit protein complex internal prokaryotic organisms; blocking the reduction reaction of fumaric acid; violate the bioenergetic processes in helminths; inhibit tubulin polymerization; block the absorption of glucose roundworms; slow synthesis adenozitrifosfata nematodes in the body; have a disastrous effect on the intestinal and tissue parasites; have immunostimulating activity.	Albela; Albenzol; Angelmeks; Worm; Nemozol; Farmoks; Mebendazole.
detoxification	reduce hypovolemia; preventing thickening of blood; do not allow to develop metabolic acidosis; stimulates capillary blood circulation; increase the volume of urine.	Acesol; Electrolyte 153; Plazmalit; Ringer malate; Sterofundin; Darrow; Yonosteril.
antiallergic	inhibit the release of mediator of immediate-type allergic reactions; blocking histamine receptors; inhibit phosphodiesterase enzymes; increased level of cyclic adenosine monophosphate; inhibit the effect of platelet activation; prevent coughing.	Zadinet; ketotifen; Agistam; Laurent; Erolin; Aleksofast; Dinoks.
antidiarrheal	inhibit the growth and proliferation of pathogenic bacteria; normalize intestinal biocenosis; cleave toxins; decrease in the enterocytes organic compound, a derivative of ATP; reduce fluid secretion into the intestinal lumen; enhance non-specific immune defense; increase the activity of disaccharidases in a thin section of the digestive system; free spermidine.	Enterol; Normagut; Mitserol; A bacterin; Biolakt; Lactobacterin; bifikol; Fermalak.
corticosteroids	exhibit anti-inflammatory activity; reduce the allergic reaction in an organism; reduced production of immunoglobulins; increase the histamine-binding capacity of the blood; stabilize mast cell membranes; reduce the release of mediators of allergic process; reduced sensitivity of peripheral tissues to serotonin; alter receptor conformation; have an effect on most cells in the body of the patient.	Deksazon; Betaspan; Depos; Tseleston; Primakort; Solu-kortef; Medrol.
antispasmodics	block the action of enzymes that hydrolyze the phosphodiester bond; increase the concentration of cyclic adenosine monophosphate; relax smooth muscle; do not show a negative effect on the heart muscle; increase blood flow to the tissues due to the vasodilating action.	Dolce solution; But-for-sha; Plait spa; Spazoverin; Nohshaverin; Nispazm; Drotaverinum.
NSAIDs	inhibit prostaglandin synthesis; reduce pain during inflammation; inhibit platelet aggregation; normalize body temperature; reduce inflammation in the body.	Arviproks-200; Harofeh; Evrofast; Ibunorm; Kaffetin; Nurosan; Faspik.

Folk remedies

Traditional methods of treatment related to alternative medicine. Basic recipes for home remedies for ascariasis are based on the use of garlicWhose odor repels nematodes, but does not have a destructive action.

At hit of garlic essential oil on receptors round of parasites, worms begin to move up the digestive system and not in the direction of the anus, which is the norm for them. In this case, there is a probability of nematodes entering the esophagus and oral cavity.

Known destructive means for roundworms is celandine. But the use of the plant have negative side - juice herb enters the bloodstream and has a toxic effect not only on the parasites, as well as on the human body.

Folk remedies for major worms:

• 250 g of dried yellow surepy add 0.5 liters of ethyl alcohol. Capacity with means to put in a dark place for 14 days by shaking the mixture every 72 hours. Take the resulting preparation is necessary before a meal to 30 drops every day for 1 month.
• In a glass of warm water you need to add 50 grams of ground Nigella sativa seeds. Mix well. The slurry should be consumed for 1 hour. l. for 20 minutes before meal for 21 days.
• Sex kilogram grated ginger medicament to be mixed with 500 ml of a 40% solution metilkarbinola. Shake. Remove container with the resulting mixture in a dark place. Infuse for 2 weeks. Infusion take 5 mL, previously diluted in 50 ml of warm liquid. The drug is consumed on an empty stomach.
• To prepare the means necessary to take 1 tbsp. l. wild pock, poreznoy herbs and endive. Dry grind plants in a coffee grinder. The mixture was put in a thermos bottle and add 0.5 liters of boiling water. Cover and let stand for 2 hours. Take the resulting formulation need to 30 g in the morning on an empty stomach for 1 week.
• Seeds of coriander seed to dry in the oven and grind in a ceramic mortar. Means to use powder of 1 hour. l. once a day. Treatment duration was 7 days.

Diet

Ascaris in children (symptoms and treatment of the pathological process establishes a medical specialist) quite common. Upon confirmation of the diagnosis by the attending physician prescribes pharmacological therapy and recommends dietary food for which is characterized by certain features:

• high protein content;
• a sufficient amount of fiber;
• products containing vitamins B, C, A.

helpful	harmful
kefir; serum; ryazhenka; olive oil; wholemeal bread; fruits; vegetable crops; sea ​​fish; egg yolks; cream; peas; walnuts; heart (beef or chicken); butter; ground peanuts; rosehip drink; black currant; sea ​​buckthorn; cereal dishes.	flour; potatoes; pasta; any sweets; fried foods; fat meat; canned food; smoked; semi-finished products.

What not to do

To avoid nematode enters the body of the child, should adhere to certain precautions:

• impossible without an accurate diagnosis applied antiparasitic drugs;
• the most basic preventive measure is hygiene rules;
• fruits and vegetables should be washed before use;
• after a walk in the fresh air is recommended to wash hands thoroughly with soap and water;
• You can not allow a child to play in the sandbox crude;
• very closely to ensure that the baby does not touch the shoes, which runs along the street.

complications

Ascariasis provokes in the child's body a plurality of secondary pathologies, which include:

• ileus;
• jaundice;
• holangiogepatity;
• suppurative cholangitis;
• abscesses in the hepatobiliary system;
• peritonitis;
• Free fluid accumulation in the pleural cavity;
• acute inflammation of the pancreas;
• general infection by bacteria of the organism getting into the blood;
• mechanical damage to the vascular system;
• hypersensitivity reactions;
• goiter;
• suppression of the immune system;
• severe forms of pneumonia;
• attacks of acute appendicitis.

The opinion of Dr. Komarovsky

Ascaris in children (symptoms and treatment of a disease condition caused by disease stage development) - a parasitic infection that can be controlled, adhering to the recommendations and advice renowned pediatrician Komarovsky:

• antihelminthic therapy should be conducted only after the laboratory detection of roundworms in the body of the child;
• priority treatment - is the use of pharmacological agents;
• ascariasis therapy should be integrated and staged:

1. anthelmintic drugs;
2. sorbents;
3. enzymes;
4. vitamins / minerals;

• should not be used for the treatment of parasitic infections in children garlic - it can harm;
• necessarily need to observe good personal hygiene;
• 1 time per year need to undergo preventive examination by a pediatrician.

Ascariasis - a vysokozaraznaya parasitic diseases in children, which is characterized by a wide range of symptoms. When the first signs of illness should contact a pediatrician for examination and treatment purposes.

Registration of the article: Mila Friedan

Video of roundworm

Elena Malysheva tell about roundworm in children and adults: