Amoebic dysentery knowledge

Amoebic dysentery Sani dysentery by Entamoeba histolytica caused by intestinal infection, proximal to the colon and cecum as the main lesion. Severity disparity, with typical symptoms of dysentery-based, easy to relapse, become chronic. This disease belong to Chinese medicine, "diarrhea, abdominal pain," such as the scope of the disease. [Clinical] Amoebic dysentery as a typical example of the slow onset, generally without fever, were intermittent diarrhea, abdominal distension attack from time to time, mild to moderate abdominal cramps, stool several times a day to more than 10 times. Medium amount of stool. More manure quality, Xing Xiu, bloody mucus-like it was kind of jam. But only scattered or water samples will be, the stench, sometimes with blood or mucus, feces intermittent periods normal. Repeatedly protracted course of disease may have anemia, fatigue, abdominal discomfort, change in bowel habits, and so on. [Diagnosis] 1. Rather the law of clinical symptoms and attacks. 2. There are signs of appendicitis, or parts of the colon with mild tenderness, hepatomegaly with occasional tenderness. Long-term patients with chronic medical palpable with tenderness and thickening of the colon. 3, inspection tests: fecal or organization can be found protozoan disease diagnosis. Serological examination: The amoeba-invasive disease when antibodies can be measured. Sigmoid colon examination: See sizes ranging from scattered ulcers, ulcers biopsy and smear some of the edge can be seen trophozoites. Barium enema amoeba in the tumor site are filling defect, or a narrow congestion. To this disease as the main symptoms of chronic diarrhea and dysentery should be, invasive bacterial infection, schistosomiasis, pouch disease, trichinosis, will slow non-specific identification, such as ulcerative colitis, a non-major symptoms of dysentery Should pay attention to the performance and intestinal tuberculosis, colon pain, Crohn's disease, and other identification. [Treatment] 1. Western medicine treatment (1) general treatment: the acute stage in patients with bed rest should be, intestinal isolation, given the condition of patients or less liquid residue diet. A large number of diarrhea were correct water, electrolyte disturbance and, if necessary, intravenous rehydration, shock occurs when a blood transfusion in a timely manner, Wells added vasoactive drugs. (2) of the original disease treatment: tetracycline o. 58 /, 4 times a day, on the 10th for a course of treatment. Baron-0.5g / times, 4 times a day, 5-10 for a course of treatment. Chloroquine-per-0.6g, even the clothes will be changed to 2 per day 0.3g, 2 ~ 3 weeks 1 course of treatment. Ante-per-500mg, 3 times a day, on the 10th for a course of treatment, often combined with metronidazole. Metronidazole 0.4-0.8g / time, 3 times daily ,5-1O days for a course of treatment. Clonazepam imidazole O. 5-1. Og /, 2 times a day, 5-10 for a course of treatment. 2. Chinese medicine treatment (1) heat block: abdominal pain, diarrhea, blood diarrhea, mucus. Chenganhongse jam-like, the stench of corruption, burning anus, urine short red, yellow greasy moss, a few slip pulse. Governing Law: desiccant heat, the gas promoting blood circulation. Recipe: 12 grams peony, Angelica 10 grams, 10 grams Radix, 10 g nut, 10 grams forsythia, 10 grams Coptis, Rhubarb 8 g, 3 g cinnamon, licorice Health 6 g, 5 g Brucea. (2) Yi Du Yun-intestinal: diarrhea fresh blood or blood purple, severe abdominal pain, fever or a strong thirst, headaches and irritability, purple-red tongue red, yellow dry moss, a few slip pulse. Governing Law: The heat and cooling blood, Huazhuo antidote. Recipe: Pulsatilla 10 grams, 10 grams Coptis, Phellodendron 10 grams, 10 grams Qin skin, Brucea 5 grams, 10 grams baicalin, honeysuckle 12 grams, 10 grams Sanguisorba, Cortex Moutan 10, 3 g Dragon's blood. Chinese medicine: God Dan rhinoceros. (3) heat flourishing drug: blood stool, unpleasant odor, abdominal pain, baby-caking, according to resist pain, high fever chills, moss mamillata yellow greasy, slippery pulse or a few strings. Governing Law: heat detoxification, drainage promoting blood circulation. Recipe: 10 grams of honeysuckle, Paeonia 10 grams, 10 grams Angelica, 10 grams Coptis, baicalin 10 grams, 10 grams Radix, gardenia 10 grams of licorice 6 grams, 10 grams off fleas, grass Patrinia 12 grams , 10 g Yiyiren. Chinese medicines: Dan Zixue. (4) Cold diarrhea: Jiulibuyu, dysentery under the thin, white with cold, rancid mucus, or can not help but slip, or abdominal pain, eat less Nadai, Shenpi, fatigue, short tongue moss thin white veins Shen Fine. Governing Law: spleen and kidney warming, to close Shibuya-off. Recipe: 6 grams of ginseng, Atractylodes 10 grams, 6 grams to blame, Pericarpium Papaveris 6 g, 3 g cinnamon, angelica 10 grams, 10 grams from Shao, Radix 10 grams, 10 grams of nutmeg, 6 g Baojiang, licorice Health 6 grams, 10 grams megranate skin, 10 grams Divine Comedy. Chinese medicines: four pills of God. [Be nursed back to health and prevention] For patients suffering from this disease should be isolated, clothing and supplies to its strict disinfection. Great efforts to the eradication of flies and cockroach Dragonfly, faeces and to strengthen the management of water resources so as to avoid the transmission of this disease and epidemic.