Parasites – helminths and lamblia

Parasitosis is a separate group of diseases that are caused by protozoa or helminths (worms). According to statistics, helminthiasis and lambliasis occur in 78-80% of preschool and school-age children. Parasitic worms and arthropods poison the body with the products of their vital activity, due to which damage to vital systems and organs is observed.

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Giardia and worms - differences and similarities

Many people mistakenly believe that lamblia is a type of helminth that parasitizes the gastrointestinal tract. Both microorganisms are parasitic and enter the body in the same ways. However, worms and lamblia are representatives of different classes that differ in structure and the degree of damage caused to the child's health:

  • Lamblia (giardia) are flagellated protozoa that parasitize the mucous membrane of the small intestine. Single-celled microorganisms can exist in two forms:
  1. Spore - the transformation of giardia into a cyst when unfavorable conditions arise. In this form, it maintains its activity in the external environment, and in the case of penetration into a living organism, it begins to develop
  2. Vegetative - active development of giardia inside the intestine, from which it receives all the nutrients necessary for growth and reproduction
    • Helminths (worms) are parasitic worms that can affect almost all types of tissue. There are over 400 varieties of worms, but they all belong to one of the following types:
      • Tapeworms - Echinococcus, broad tapeworm, pork tapeworm
      • Flukes - trematodes
      • Roundworms - Toxocara, pinworms, whipworm

Children become infected with parasites when they consume water or food contaminated with cysts and eggs. Dogs and cats are carriers of helminth eggs and lamblia cysts. The development of parasitosis is facilitated by mosquitoes, flies and other insects that carry eggs of roundworms, echinococcus, etc. on their proboscis.

Giardia and worms - differences and similarities
Clinical picture of giardiasis (giardiasis)

Parasitic infection is most often diagnosed in children aged 1 to 4 years. In approximately 30% of cases, parasitosis is asymptomatic and is detected during the diagnosis of another disease during laboratory tests. Typical symptoms of giardiasis in children include:

  • Loss of appetite
  • Flatulence
  • Dizziness
  • Poor sleep
  • Weight loss
  • Stool disorders
  • Irritability
  • Pain in the navel
  • Discomfort in the epigastrium
  • Enlarged liver
  • Dyskinesia of the biliary tract
  • Allergic dermatitis

In young children, giardiasis is more severe than in adults. Intoxication of the body with the waste products of giardia leads to changes in complexion, acne and dark circles under the eyes. Blood tests reveal an increased concentration of eosinophils in the plasma. Parasites are not always detected in feces, which is due to the peculiarities of their development cycle.

Clinical picture of helminthiasis

Symptoms of helminthiasis appear 2-4 weeks after the parasites enter the child's body. In about 1/3 of patients, signs of parasitosis are weakly expressed, but the toxic effect of their waste products does not stop. The main manifestations of helminthiasis in children include:

  • Fever
  • Exudative rashes
  • Facial swelling
  • Loose stools
  • Lymph nodes
  • Lymph nodes
  • Flatulence
  • Stomach cramps
  • Nervousness
  • Insomnia
  • Chronic fatigue

Note: immunodeficiencies, vitamin deficiencies and mineral deficiencies contribute to the development of complications associated with helminthiasis.

In massive invasions, vital organs are affected, as evidenced by the development of myocarditis, pleuropneumonia, meningoencephalitis, etc. The degree of eosinophilia in helminthiasis depends on the immune status of the patient and the intensity of infection.

General information

Treatment of giardiasis

Therapy for giardiasis does not begin with taking antiparasitic drugs, as this can lead to the development of serious toxic-allergic complications. In this regard, treatment is carried out in three stages:

  1. Compliance with a dietary program for 14 days helps eliminate toxicosis. To improve the enzymatic activity of the intestine and increase overall immunity, it is necessary to include cereals, porridge, dried fruits and vegetable oil in the diet. To reduce the concentration of toxins in the blood, children are prescribed enterosorbents, choleretic and antihistamine drugs
  2. Conducting intensive antiparasitic therapy helps eliminate active giardia and cysts. To destroy protozoa, the following are usually used: "Macmiror", "Trichopolum", "Ornidazole"
  3. To improve intestinal peristalsis, it is recommended to include fermented milk products, cereal porridges and baked apples in the menu. You can strengthen the child's immune system with the help of prebiotics, multivitamins and herbal adaptogens

In the acute course of giardiasis, a one-stage treatment regimen with antiparasitic drugs is prescribed. The most effective of them include: "Albendazole", "Tinidazole", "Mepacrine", "Furazolidone", etc.

Treatment of helminthiasis

The principles of deworming are determined by the type of parasites that caused the disease. The main goal of treatment and preventive measures is to reduce the number of helminthic invasions in the intestine and strengthen non-specific immunity. The following groups of drugs can be used to destroy worms:

  • Antinematode - "Vermox", "Mintezol"
  • Anticestoid - "Praziquantel", "Phenasan"
  • Antitematode - "Chloxil", "Azinox"

Many of the above drugs can cause side effects in the form of anemia, intestinal bleeding. To prevent deterioration of health during therapy, it is advisable to use "Neopagen", "Methyluracil", "Ursosan", "Colepitol".

Conclusion

Lamblia and helminths are representatives of different classes of parasitic microorganisms that penetrate the human body in the same ways. The clinical manifestations of helminthiasis and giardiasis are very different, which is due to the different principles of their development and localization of invasions. Antiparasitic therapy of diseases includes various drugs aimed at destroying certain types of pathogenic microorganisms.

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