This is an automatically translated article.
The article is professionally consulted by Dr. Nguyen Dinh Hung - Diagnostic Imaging - Department of Diagnostic Imaging - Vinmec Hai Phong International General Hospital.
Helminth infection is a common disease in the world. If there is no timely treatment, it will make the disease progress to appendicitis, peritonitis, hypoproteinemia,... Ultrasound is considered a The most effective imaging method to detect helminths in the early stages of the disease.
1. Some basic information about parasitic worms in the human body
1.1 Roundworm Large worms parasitize in the small intestine, adult males can be 17cm long and females can be up to 25cm. Patients can become infected with roundworms by ingesting worm eggs in soil contaminated with human faeces. The disease is not spread directly from person to person. Children are the most susceptible to roundworms.
1.2 Hookworms/Beakworms Hookworms and beakworms are two types of worms that are parasitic in humans and are similar in biological, epidemiological, diagnostic and treatment characteristics. The disease is transmitted through the skin or mucous membranes such as between the fingers and toes, ... and then through the veins running to the heart and lungs. Or the disease can be transmitted through ingestion of water or food containing larvae.
1.3 Hairworms Most patients infected with hairworms have no specific symptoms, some cases have symptoms similar to dysentery such as: pain in the colon, bowel movements many times a day, stools can be mixed with mucus and blood. ,... Hairworms are present in human feces, people infected with hairworms are caused by eating food containing eggs of hairworms that have developed to the larval stage.
1.4 Pinworms Pinworms are milky white in color, with a slightly bulging head and notched shell. For children infected with pinworms, it can be seen with the naked eye at the edge of the anus, when children defecate, solid stools may be present. found at the edge of the stool. Pinworms are mainly transmitted through eating, when children scratch their anus with their hands and then need food, or it can also be caused by thumb sucking habits in young children.
1.5 Lymphatic filariasis Lymphatic filariasis usually occurs in hot and humid climates. The disease develops through 2 hosts, humans and mosquitoes. The disease has an incubation period of 6 months to 1 year and almost no obvious symptoms. All people are susceptible to lymphatic filariasis, and the sole cause of transmission is mosquito bites.
1.6 Worm Worms Worm larvae parasitize inside the muscle tissue, covered by a membrane to form a cocoon, depending on the host, the cocoon membrane will have different characteristics. The main cause of infection is eating raw foods such as pig blood soup, underprocessed pork,...
1.7 Strongyloidiasis Usually young worms grow in the small intestine, often appearing in countries with gas. warm climate, a few in temperate regions. The main source of strongyloidiasis is the human body, some are in animals such as monkeys, dogs, apes, ... The disease is also transmitted through the skin or mucous membranes, there are cases of transmission upstream. That is, strongyloidiasis larvae left in the anus develop into esophageal larvae and re-infect humans.
2. Health effects of helminths
● Worms will absorb the nutrients of the food you put in your body, the more the worms grow, the more nutrients are lost, this negatively affects your health. Not only that, some types of worms also feed on blood, causing severe anemia.
● The waste products secreted by worms can be metabolized and toxic to the human body, causing feelings like nausea, loss of appetite, insomnia,...
● Hookworms and hairworms also cause some mechanical damage such as intestinal ulcers, roundworms causing intestinal obstruction, bile duct obstruction.
● In addition, helminth infections can cause allergies, severe conditions can lead to edema.
3. Importance of ultrasound in worm diagnosis
Some imaging methods commonly used in diagnostic tests for worms are ultrasound, X-ray, and CT scan. However, ultrasound is often used commonly when patients have helminth infections in the early stages. X-ray and CT scan are often indicated when the disease has progressed to a severe stage, the cost of implementation is quite high. Ultrasound diagnosis of helminths is considered a safe, highly accurate method and is mainly used in diseases such as liver flukes, dog flukes, amoebic hepatitis, bile duct worms. Not only that, the cost of performing the ultrasound method to diagnose worms is quite cheap, it can be done during general health examinations. In addition, small and early lesions without clinical manifestations can be screened and detected by general abdominal ultrasound (especially in the liver). Besides, supporting ultrasound in treatment and monitoring after treatment is also a safe choice, low cost and high application value. Especially when the Vinmec hospital system is equipped with the latest generation ultrasound machines of famous brands with high image quality, full of features to support the doctor's request when examining the patient. At that time, the team of ultrasound doctors had good skills and experience, were trained and worked to meet international standards. Patients are scheduled to be examined by the hour, which should minimize overlap and patient stasis, thus avoiding the omission of small, discreet lesions when visiting.
As recommended by the World Health Organization (WHO) and the Ministry of Health of Vietnam, each person should go for a worm check every 6 months - 1 year, especially children. At this time, diagnostic ultrasound for helminths is most commonly used for examination. If the disease shows signs of worsening, more advanced measures such as ELISA serum immunoassay are used.
Periodic health check-ups help to detect diseases early, so that there are treatment plans for optimal results. Currently, Vinmec International General Hospital has general health checkup packages suitable for each age, gender and individual needs of customers with a reasonable price policy, including:
Health checkup package diamond general health check-up package Vip special health check-up package Comprehensive general health check-up package Standard general health check-up package Patient's examination results will be returned to your home. After receiving the results of the general health examination, if you detect diseases that require intensive examination and treatment, you can use services from other specialties at the Hospital with quality treatment and services. outstanding customer service.
Doctor Nguyen Dinh Hung has over 10 years of experience in the field of diagnostic imaging (Ultrasound, CT, MRI). Trained and practiced on hepatobiliary interventional radiology at Bach Mai Hospital (Intervention under ultrasound guidance, DSA, CT...) and deployed at the Diagnostic Imaging Department of Viet Tiep Hospital Hai Phong. Currently, he is a doctor at the Diagnostic Imaging Department of Vinmec Hai Phong International General Hospital.
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