Have the habit to eat sashimi, do ultrasound scan

Rich treasures of sashimi, while refreshing fresh, sweet, white fish, perhaps hiding countless the liver fluke eggs, once these eggs into the body, its adult parasites in the human development of bile duct, and continuously from the reproduction of the metabolism and excretion of toxic substances that damage the liver.

Guangdong provincial Center for disease control and prevention experts advise, Guangdong Pearl River basin of freshwater fish were Clonorchis infection, so don't have luck, you should stop eating all the sashimi made of freshwater fish.

32.6%! fishermen businessmen the highest rates of infection

Clonorchiasis is currently popular most serious foodborne parasitic diseases, Ministry of health in May 2005 announced our human parasite prevalence survey, China's about liver fluke infections 1200 million, an increase of more than 15 years ago.

Including Guangdong, Guangxi, Jilin 3 provinces (regions) has increased by 182% respectively, 164% and 90%. The investigation also showed that the population of infection rates along with eating "sashimi" opportunity for elevated increases.

Cantonese as a hobby to eat sashimi, its proportion of infected liver fluke is quite high.

Guangdong provincial Center for disease prevention and control of parasitic diseases Research Institute has on the province's nine counties (cities) carry out random checks 13876, clonorchiasis average prevalence of 16.42%, adult males. The survey also found that the fishermen and traders is most severe infection, the infection rate was as high as 32.6%!

Guangdong provincial Center for disease control and prevention of endemic diseases the party Yue Yi pointed out that the Freshwater Pearl River basin widespread infection of the liver fluke.

Therefore, on fire, roasted, steamed fish with hot or, if the temperature is not enough, the lack of time or have thick fish, these reasons are likely not to kill all metacercariae. And in fish liver fluke metacercariae even by chopping boards, kitchen knives, pots, bowls, dishes, cross-infection, and then enter the population so that people infected liver fluke.

Clonorchiasis easy misdiagnosis

Liver fluke parasitism in the person of the adult population of bile duct, the life expectancy of up to 20-30 years or more, due to the continuous development of propagation of the worm, and discharge large amounts of metabolites and secrete toxic substances that damage human liver.

Infections are recurrent fatigue, poor appetite, urine yellow, fever, and accompanied by the upper abdominal pain, liver area does not apply, the dull, etc.

Because Hepatobiliary disease involves not only the system, there are systemic symptoms and signs, easily lead to misdiagnosis, missed.

The eighth's Hospital, Guangzhou, a branch of the liver disease in their reception of the 102 cases conducted in patients with liver fluke, found that many of these patients have been misdiagnosed as hepatitis, infectious diseases, biliary obstruction, misdiagnosis rates are 50%, 13.73%, 11.76%, total misdiagnosed 83.3%.

"Liver fluke infections earlier no obvious symptoms, after several years later, most patients with hepatic impairment occurs.

"Liver disease a Bureau officer, Chunlan also stated that the different stages of the" clonorchiasis have varying degrees of hepatic fibrosis exists, some patients after insecticide treatment, liver fibrosis have improved, but some have no change, the need for treatment of fibrosis. ”

Anti "bug" to eliminate the traces of the freshwater shrimp

Liver fluke larval development required two intermediate host, the first intermediate host is bellamya purificata (sheath marsh snails, long Horn culvert Lo, etc.); the second intermediate hosts a variety of freshwater shrimp.

Which is often the big liver fluke infections in the highest host.

In clonorchiasis area, following dietary habits are the easiest to egg's invasion of the body — —

① raw or no cooking: the most extraordinary remarks triangle area residents eld "sashimi" or "health club" rolled fillets; Chaoshan people like drunken shrimp sterilizing effect (pickled with vinegar or wine); Korean residents accustomed with raw fish zuojiu; and Zhejiang area residents eld live shrimp and fish.

② improper handling of raw food: when handling food, raw and cooked without distinction as to metacercarial by chopping boards, chopper, chopsticks, food contamination, thereby enabling human infection.

People eat into live liver fluke metacercariae, one month later, metacercariae will development as adults and parasites in the human hepatic duct.

Therefore, in order to prevent clonorchiasis, should take the initiative to change the habits of fish eaten raw. Experimental proof, in the thickness approximately 1 mm of the fish slice, metacercariae 90 ℃ hot waters, solid change into 1 seconds to death, 75 ℃ died within 3 seconds.

Tips：

Have to eat sashimi habits do ultrasound scan

If you previously had to eat sashimi habits of people, it is recommended that you do check liver function and liver ultrasound scan.

For patients with liver fluke, the need for antimicrobial treatment and insecticide treatment.

At present, the drug of choice for treatment of liver fluke is praziquantel, insecticide treatment, liver function in 3-4 days back to normal.

Severe infections and associated with malnutrition or symptoms of liver cirrhosis, should strengthen nutrition, protect the liver, and then consider special treatment.

There is a total blockage of cholecystitis and cholangitis, acute surgical complications, you may need surgery.

(Edit: sleep practice min)