Giardia infection (infection of the small intestine caused by giardia)

Giardia infection (infection of the small intestine caused by giardia)'s disease overview

Giardia infection is an infection of the upper intestinal monument, caused by the type of whip of Giardia Lamblia. The disease circulates globally, especially in areas of poor hygiene conditions, children often become more infected than adults; People with immunodeficiency (AIDS) may be seriously ill.

The test rate shows that there is a parasite in the feces ranging from 1- 30% depending on the community and age group. In some countries in Europe and America (UK, MeHico, USA), the disease is more common in children under 5 years old or ages 25 - 39 and often increases from July to October every year. A few studies in Vietnam show that Giardia Lamblia infection rate in children is about 15%, in adults about 1-10%.

Large fluids are often related to contaminated water sources, small epidemics are often related to food, food or in the same kindergarten.

Most of the sporadic diseases, due to cocoon infections in the water or food, through good contact with patients, or through anal and mouth sex contact. In the family, kindergartens, mental institutions, collective kitchens, susceptible to infection many times. The incident occurs due to the water source infected with parasites. After eating the cocoon, the macrophages appear in the duodenum and small intestine. The factory causes intestinal epithelial damage, degeneration of papillae, hypertrophy of papillae, and strongly invading cells in the main leaf (Lamina Propria). In people with reduced gamma globulin in the blood, IGA concentration in the intestine is low, reducing gastric acid and malnutrition will thrive.

Causes of Giardia infection (infection of the small intestine caused by giardia)'s disease

There are many causes of giardia infection , one of which is:

Exposure to those who are infected; /Li>

unsafe anal sex.

Symptoms of Giardia infection (infection of the small intestine caused by giardia)'s disease

Most infected people are picky but no symptoms. The incubation period is from 1-3 weeks, the disease starts slowly or acute. The acute disease stage usually takes a few days to a few weeks, although the disease will recover, but the patient still exhaustes the cocoon prolonged. In some patients, the disease can become chronic and progress for many years.

Clinical forms of Giardia disease are acute diarrhea, chronic diarrhea, and reduced absorption syndrome. Both acute and chronic diseases, diarrhea usually occur from mild to severe. Patients may have symptoms: crushed and more, bowed once a day; Or the number of times goes more, more loose stools, may contain mucus but often without blood and pus; The feces are often foaming, heavy smell, and greasy; weight loss and fatigue; Children are retarded and retarded; Sometimes anorexia, nausea and vomiting, uncomfortable feeling and epigastric pain, belching, flatulence and bloating; less fever, and headache, pimples, joint pain, and muscle aches ...

Absorbing syndrome can be developed in the acute or chronic phase, which can lead to weight loss and exhaustion.

Transmission route of Giardia infection (infection of the small intestine caused by giardia)'s diseaseGiardia infection (infection of the small intestine caused by giardia)

Most of the sporadic diseases, due to cocoon infections in the water or food, through good contact with patients, or through anal and mouth sex contact. In family, kindergartens, hospitals, collective kitchens, susceptible to infection many times.

The epidemic occurs due to a parasite water source. The source of the disease is caused by the patient to eliminate cocoons in the stool and the healthy person. The disease spreads very easily through the gastrointestinal tract: cocoon whip with food, drinking water, raw vegetables, dirty hands, children's toys ... penetrate the body through the digestive tract. So everyone can get infected.

People at risk for Giardia infection (infection of the small intestine caused by giardia)'s disease

Age: Children are often at higher risk than adults; increases the risk of infection; >

Prevention of Giardia infection (infection of the small intestine caused by giardia)'s disease

Propaganda and health education: Take common prevention measures such as prevention of gastrointestinal infections

Hygiene of disease:

Perform hands before eating, before feeding, before processing food, after going to the bridge or after cleaning the child. Ripe, boiling drink

Providing clean water, avoiding contaminating water sources, filtering water sources of human or animal infection. Hygiene and hygiene fertilizer.

In kindergartens and restaurants, if they are found to have cysts or parasites, they will be isolated and treated immediately. If needed for a job.

Environmental treatment: Attention to treat antiseptic, disinfect the source.

disease Giardia infection If treated, the patient is completely cured without any sequelae. On the contrary, the patient may have severe absorption disorders and can lead to death from other causes.

Diagnostic measures for Giardia infection (infection of the small intestine caused by giardia)'s disease

Dog, duodenal suction fluid or small intestinal mucosa when biopsy is found to be naval follicles or nursing bodies of parasites in the specimen, it is necessary to conduct at least 3 tests before negative conclusions.

Testing antigen in the feces by Elisa method looking for IgG antibodies, IGM helps to diagnose the disease. But in patients with severe symptoms may show nonspecific signs such as prolonging transportation time, changes in bowel movement, thick mucosa, barete break.

Giardia infection (infection of the small intestine caused by giardia)'s disease treatments

All patients with symptoms need to be treated. At the same time, it is necessary to consider treating patients without symptoms, because these people can transmit the disease to others. For cases of asymptomatic infections, they can wait a few weeks before the beginning of treatment, to see the disease can go away on their own without treatment.

The recommended drugs are: Tinidazol, Metronidazol, Quinacrin, or Furazolidon.

After treatment, it is necessary to reducing stool, two or more samples, a week apart. These drugs sometimes have uncomfortable side effects.

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