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Esquistossomose Mapas Mentais – Parasitologia

Mapa Mental sobre Esquistossomose (Barriga d’água)

Transcrição do Mapa Mental sobre ESQUISTOSSOMOSE – BARRIGA D’ÁGUA

É UMA DOENÇA PARASITÁRIA, RELACIONADA AO SANEAMENTO PRECÁRIO, CAUSADA PELO PLATELMINTO TREMATODA SCHISTOSOMA MANSONI.
OS PARASITAS PODEM SER ENCONTRADOS EM ÁREAS TROPICAIS, COMO ÁFRICA E BRASIL.

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PROPAGA-SE POR ÁGUA OU ALIMENTO CONTAMINADO POR VERMES OU OVOS.
COMUM CASOS POR ANO: MAIS DE 150 MIL (BRASIL)
A FÊMEA (VERME) MEDE CERCA DE 1,5 CM DE COMPRIMENTO E O MACHO CERCA DE 1 CM.
CURÁVEL COM MEDICAMENTOS ORAIS
POPULARMENTE CONHECIDA COMO XISTOSE, BARRIGA D’ÁGUA OU MAL DO CARAMUJO
ALOJAM-SE NORMALMENTE EM PEQUENAS VEIAS DO INTESTINO. ALGUNS OVOS FLUEM DE LÁ PELA CORRENTE SANGUÍNEA ATÉ O FÍGADO.
OS SINTOMAS INCLUEM:

DORES MUSCULARES

IRRITAÇÃO NA PELE

COCEIRA

FEBRE

CALAFRIOS

TOSSE

DOR DE CABEÇA

DOR DE BARRIGA

DORES NAS ARTICULAÇÕES

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Mapa Mental sobre Esquistossomose – Ciclo, Manifestações e Tratamento

Transcrição do Mapa Mental sobre Esquistossomose – Schistosoma mansoni

Manifestações
Forma discreta:
Assintomática ou sintomatologia inesp. sem hepatomegalia, eliminam ovos feces
Alterações intestinais
Diarreia mucossanguinolenta por alguns dias. Pode progredir p/ algo mais dramático e constipação.

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Forma hepatoesplênica:
Alta carga parasitária e reinfecções. Jovens com hipertensão portal ou Edem. Comp. ou descomp.
Ter-se-d espanhol: espleno-hepato-megalia, permit a contagem e mulino diagnostic da hipertensão portal.

Forma aguda toxêmica:
A partir dos 30 dias, dermatite cercariana, febre, cefaleia, anorexia, náuseas, tosse não produtiva, diarreia e fenômenos alérgicos.

Fase pré postural:
Quando a cercária penetra no pelo (resp. inflamatória) “com fachada erupção cuticular forme” (edema)
Dermatite cercariana: coceira do nadador

Forma crônica:
A deposição dos ovos ocorre na fase crônica. Isso não há dano ao hepatócito em si.

Exames específicos

Patogênese:
Hipertrofia na rede arterial hepática. Neoangiogênese. Fibrose depende da vasodilatação e processo inflamatório.
Os ovos se degladiam e deflagram uma reação inflamatória granulomatosa obstrutiva dentro dos vasos.
Hipertensão portal

Não há insuficiência hepática

São liberadas pelo caramujo

Após 6-12 dias da infecção, viram vermes imaturos, passam pelo pulmão e migram p/ fígado.

Nas primeiras 24 horas produzem secreção de enzimas proteolíticas (penetração nos vasos)

As cercárias perdem a cauda durante a penetração e transformam-se em esquistossômulos.

Penetram no pé e pernas, local de contato com a água. (10h-16h)

Migração para o sangue portal do fígado e amadurecem na forma adulta.

Circulação colateral superficial:
Veia cava, veia ázigos, veia esôfago, varizes gastroesofágicas, veia renal, veia mesentérica superior.

Doença de ocorrência tropical

Os miracídios penetram nos tecidos do caramujo

Ciclo heteroxênico

Ovos eclodem e liberam miracídio

Nas fezes

Pares de vermes migram para: vênulas mesentéricas do intestino/reto (depositam ovos que circulam para o fígado e caem nas fezes)

Exames:
Hemograma + EAS
Enzimas hep + usg
Ecodopplercardiograma

Tratamento
Praziquantel
Oxamniquine

Indicado pois pode haver involução das alterações hepáticas e da hipertensão portal
Escleroterapia ou ligadura elástica endoscópica das varizes esofágicas + medidas clínicas

Cirúrgico:
Derivação porto-cava ou esplenectomia para alívio da hipertensão
Esplenectomia com desconexão ázigo-portal

Diagnóstico:
(Fase aguda) Esplenomegalia febril: febre tifoide, brucelose, tuberculose miliar, forma aguda toxêmica de chagas e infecções mononucleose-símile

Profilaxia:
Redes de saneamento básico
Fornecimento de água potável
Tratamento de dejetos
Combate a hospedeiros intermediários (uso de drogas molucidas ou introdução de espécies predadoras)
Programas de educação sanitária
Dest: a mudança de hábitos/higiene.

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