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Wednesday May 13, 2020 15:55 PM (GMT + 7)
The emergency patients were tired, exhausted, blue, unbalanced due to heavy blood loss, a rapid pulse, and low blood pressure.
On May 13, BV E said that doctors at the Department of Gastroenterology – Hospital E had a laparoscopy of the small intestine with twisted beaks and worms as they moved into the small intestine, causing massive bleeding in a male patient (36 years old, Dao ethnic people, in Bao Yen district, Lao Cai province).
According to medical records, this patient was transferred from a lower level hospital to E emergency hospital in a state of fatigue, exhaustion, blue skin, imbalance due to large blood loss, rapid pulse, low blood pressure …
Emergency patients in a state of fatigue, exhaustion, blue skin.
Although, the lower level physician also allows patients to perform a gastroscopy, but does not detect the damage caused by the patient’s blood loss. After 14 days of treatment, the condition worsened and drained the patient almost completely, so he turned to Hospital E to find the cause.
Immediately after receiving the patient, the doctor administered a blood transfusion, an enhancement of body fluids, and a multithreaded computed tomography scan to examine the blood vessels of the small intestine for abnormalities.
After the consultation, the gastroenterology doctor decided to control gastrointestinal bleeding due to the small intestine and indicated intestinal endoscopy to find the cause. Colonoscopy results show that there are many worms that attach to the intestinal lining to suck blood with many lesions on the intestinal lining, perforation of the small intestine, bleeding that causes severe anemia.
BV has collected worms and biopsied lesions for patients. Doctors were surprised, in one segment of the patient’s small intestine there were about 20 adult worms.
Hospital E sent samples to the Central Institute of Malaria by Parasites and Insects to identify the parasites and the results confirmed that it was a pinworm.
Master’s Degree Dr. Dang Trung Thanh, Deputy Head of E Hospital’s Department of Gastroenterology, who participated in an endoscopy to collect worms for patients, said that the danger level of this worm has sharp semicircular teeth. intestinal mucosa to suck blood.
Earthworms suck blood at about 0.03 – 0.05ml / day. While sucking blood, the worm secretes an anticoagulant so that the worm’s wound continues to bleed, even if the worm has moved the parasite elsewhere. Not only that, roundworms suck blood continuously even when blood is flooded from the anus, causing great blood loss in patients. In addition, inhibitors of hematopoietic organs that produce red blood cells are also secreted in the process of parasitic worms and blood suckers, which aggravates the situation of blood loss, perforation of the small intestine.
Master’s degree Dr. Dang Trung Thanh shared that the disease has no specific clinical symptoms, but mainly symptoms of anemia, making it difficult to detect and diagnose patients with helminths, which are easily mistaken for some anemia due to peptic ulcer, duodenum. ..
After the endoscopy department informed the Gastroenterology Department E of patients with anemia with gastrointestinal bleeding caused by the parasitic worm, the patient and his family were quite surprised, because here is the first time they have heard of this dangerous parasite .
To prevent helminth infections in general, especially worm mine infections in particular, MSc. Dr. Dang Trung Thanh recommends that it is necessary to guarantee hygiene, occupational safety, personal hygiene, such as washing hands before eating or preparing food, not eating raw vegetables without washing them thoroughly, eating and drinking boiled water … .
For patients, when there are manifestations of anemia, such as dizziness, black stools, it is necessary to immediately visit a large medical center for timely examination, advice, detection and treatment.
Source: http: //danviet.vn/nam-benh-nhan-bi-20-con-giun-mo-hut-mau-dam-thung-ruot-non-502020135155411454 ….
By treating helminths without medication, you can still use these fruits and seeds to remove them from the body …
