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Introduction to trematoda. Assistanted Prof. Sheng. MORPHOLOGY. 1. SHAPE : Leaf-shape 、 tong-shape , Oral sucker 、 ventral sucker. 2. Digestive system : Compose with mouth 、 pharynx 、 esophagus 、 cecum. 3. Reproductive system :. Strong , most of them are hermaphrodite.
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Introduction to trematoda Assistanted Prof. Sheng
MORPHOLOGY 1. SHAPE: Leaf-shape、tong-shape, Oral sucker、ventral sucker 2. Digestive system: Compose with mouth、 pharynx、esophagus 、cecum
3. Reproductive system: Strong , most of them are hermaphrodite ovary、ootype、Uterine tube Seminal receptacle、Laurer’s canal、Egg’model、Me’glands 、 Vitelline glands and uterus.
: testes 、efferent ductule、deferential duct 、seminal vesicle 、prostate 、penis 、packet of penis.
Life cycle complication: a. adult parasite in human being and mammal,worm parasite in aquatic animal (example:snail)
b. Growing process include: egg sporocyst cercaria miracidium redia metacercaria Young worm adult
do you know what disease you will suffer from by eating raw fish and shrimb
morphology 1. adult • Shape: • Sucker: • Cecum: • Hermaphrodite:
operculum Shoulder peak miracidium Verrucous thing 2. egg • Shape : • Size: • Colour: • Egg shell: • Content:
Life cycle Egg pass into water in feces Egg adult Egg are swallow by snail and hatch by it All these stages grow in snail miracidium sporocyst redia cercaria Cercaria leave snail and eated by fresh-water fish Man is infected by Eating uncooked fish metacercaria adult Young worm
Pathogenesis and clinical maniefstation The pathogenesis It cause the sell of duct fall off and cause the sell have hyperplasia and inflammation Adult’s mechanical destruction Secretion and excretion’s toxicity The duct wall become thick The duct Become narrow The tissue fibre The worm blockage Duct blockage Bile retention Duct expand They cause liver sell Atrophy, necrosis and cirrhosis cirrhosis
The diseases Blockage icterus Cholangitis and hepatitis Cholelithiasis cirrhosis Liver duct cancer Actute hemorrhagic necrosis of pancreas
Blockage icterus Adult in the duct
Clinical manifestation • Most of them have no obvious symptom • Some feel tiredness ,hepatic enlargement, right upper quadrant mild pain ,abdominal pain ,anorexia, dizziness. • When it become serious the patient has ascites , unconscious and will die later.
Diagnosis Dialogue about case histories: a.Whether come from epedemiologic area b.Whether have the habit of eating raw fresh water fish or shrimp
1.laboratory diagnosis : Detect eggs – make sure diagnosis a. Stool examination • Direct amear method • Nature sedimentation’method • Formalin –ether method b. The duodenum secretion examination
2. Immunologic examination • IH test • IHA • ELISA 3. Ultrasonic wave examination
epidemiology • Local epidemic • Infective rate :1%~30%,some are 80% • Epidemic area: • Japan、Korea 、Vinan 、Thailand
Epidemic factor: • Infective resource: patient and carrier , • reservoir host • Spread way:egg pass into water in feces intermediate host exit ,people have the habit of eating raw fish or raw shrimb • Susceptible people : all people
treatment 1.hygiene education • Do not eat raw fish or raw shrimb • Not let cat eat raw fish or raw shrimb too 2.treat the patient and carrier 3. Not let the feces pass into the fresh-water
? Now do you still dare to eat the raw fish or raw shrimb !