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Treatment of helminthiasis

For the treatment of helminthiasis used different types of drugs. They can be broad-spectrum (fatal for most types of worms) and selective actions (detrimental to some species of worms). Not so long ago for the treatment of parasitic infestations was only used folk remedies such as: garlic, pumpkin seeds, male fern extract, etc., However with the creation of modern anthelmintic drugs, these folk remedies have faded into the background. Because anti-parasitic drugs not only more effective but more safe, if used rationally.

Assign anthelmintic drugs needs only the doctor based on the results of laboratory tests. It is only in Russia infest about 70 different types of worms that can exist in the human body.

Pinworms, ascarids and Giardia are the three types of parasites that are often found in humans. Of course, in increased risk for infection are children and adults helminthiasis are registered often. Parasitologists to combat infestations use about 10 different drugs, the most popular of which are: Pyrantel, Dekaris, Nematol, Vermoxum and Worm.

Absolute contraindications for antihelminthic treatment are: acute intestinal infections, viral diseases, infectious and somatic nature. Also, do not treat of worms women who are breastfeeding and women who bears a child. In some cases, therapy is possible. The only drug used for these purposes is Piperazine.

There are three major groups of helminths: nematodes, cestodes and trematodes. Representatives of each of these groups are sensitive only to a specific drug. Therefore, the choice of drug is based on the form of the helminth. Of course, should take into account the patient's age, presence of comorbidities, General condition of the patient, etc.

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Treatment of helminthiasis species of nematodes

Representatives of nematodes are helminths: pinworm, roundworm, Trichinella, whipworm and Toxocara. More often found pinworms and ascarids.

For the treatment of roundworms is possible to use drugs such as:

  • Mebendazole (Vermin, Vermeer, Vermoxum, Thermax, Mebex, Vero Mebendazole).
  • Albendazole (Worm, Nematol, Selmodel-VM).
  • Pyrantel pamoat (Nemocid, Helmintox, Combantrin, Pyrantel).
  • Levamisole (Decaris),
  • Pervine the embonate (Pyrvinium, Vanquin, Percon).
  • Piperazine.
  • Carbendazim (Medmin).

If nematodes are parasites outside of the intestine, the patient can be prescribed drugs such as Ivermectin (Baymak, "Ivomec", Ivermectin) or Diethylcarbamazine (Ditrazin citrate).

Note that the majority of anthelmintic drugs is not able to destroy the eggs of parasites, and harmful only the adult worms. Therefore, it often occurs samsarajade. In this regard, doctors recommend a second course of treatment, 14 days after primary medication.

To strengthen the effect of taking antihelminthic drugs in some cases, it may cleansing enema, which is put in the evening (if the drug was taken in the morning).

To rid the body of tape and flat worms it is necessary to consult a doctor, as the drugs to treat them are highly toxic. Therefore, these drugs are prescribed only in hospital, and the dose is prescribed individually. It is unacceptable to take such drugs themselves.


Treatment of helminthiasis species of cestodes

Class cestodes includes worms such as: beef tapeworm, pork tapeworm, broad tapeworm, dwarf tapeworm, etc. All of them cause various diseases, which pose a serious threat to health, among these helminth infections: taeniasis, beef tapeworm infection, echinococcosis, alveococcosis, tenures, gimenolepidoz, Parganas and other.

In order to rid the body of tapeworms prescribe such drugs as:

  • For the treatment of tapeworms: Niclosamide (Fenasal).
  • For the treatment ofbovine tapeworm, broad tapeworm, dwarf tapeworm, giardiasis. Malaria and cutaneous leishmaniasis: Mepacrine (quinacrine).
  • For treatment of mixed helminth infections, including hydatid disease, cysticercosis of the brain, various nematodes, giardiasis: Albendazole (Nematol). Nematol including can be used for the treatment of cestodosis of extraintestinal localization.


Treatment of helminths species trematodes

Representatives of the class of trematodes helminths are such as: cat Fluke, Fluke Chinese liver Fluke, Lancet Fluke, liver Fluke, lung Fluke, etc. These parasites cause diseases such as opisthorchiasis, fascioliasis, clonorchiasis, paragonimoz, dicrocoeliosis, schistosomiasis, metros, abriremos, gastrodermis, carcharias, etc.

To excrete helminth-Trematoda, the patient is prescribed the following medications:

  • Bithionol and Hloksila prescribed for parasitic worms outside of the intestine.
  • For treatment of intestinal flukes designate Perchloroethylene.
  • For the treatment of most helminthes, including flukes, possible use of drugs of wide spectrum of action: Praziquantel (Biltricid).

Whether or prevention of helminthiasis drugs?

If the child was identified enterobiasis, anthelmintic treatment must go through all the family members. And children of preschool age are very susceptible to pinworm infection and the analysis of this parasitic infestation is very often false negative. Therefore, if your child has signs and symptoms of pinworms, parents often wonder if the use of anthelmintic drugs as a prophylactic measure.

Experts in this matter has still not come to a consensus. Some Parasitologists suggest that prevention of helminthiasis does not make sense, because people can take the medicine today and tomorrow to get infected again. Doctors warn that all drugs to eliminate the parasites from the body is highly toxic and a real lack of infestation can cause harm. Therefore, the only recommendation given by experts is a personal hygiene with careful hand washing before eating, after using the toilet and any public places.

The opposite point of view is radically different. Doctorsrecommend that parents carry out prevention of helminthiasis in children 1 every six months. Most often for this purpose prescribe the drug Pyrantel. They explain this necessity by the fact that the cohesion in children's groups is very high and hygienic skills have formed a bad. Therefore, in preschool age and primary school age is constantly going on rainwise helminths.

When the analysis on enterobiasis indicates that the pinworms in the child's body missing, but he continues to complain of intense itching in the anus, then follows this analysis to be repeated. Very well, if the scraping will be done in the morning when the child was experiencing discomfort. Repeat the scraping to three times: after one day and after another 14 days. In this case, you can be confident in the validity of the result.

Mandatory prophylactic administration of anthelmintic drugs to all family members, if at least one of them was discovered pinworms.

Possible prophylactic use of antiparasitic drugs in the following situations:

  • In the house there are animals (cats, dogs, etc.).
  • People are very often in contact with the soil. This is especially true for rural residents and for small children who often play in the sandbox.
  • The children in the orphanage.
  • Frequent trips to exotic countries.
  • The fascination with such tasks as: hunting, volleyball, fishing, soccer, etc.

Treatment of helminthiasis in pregnant women

The prevalence of helminths among the population leads to their possible presence in the body of a pregnant woman. However, even if helminthiasis is diagnosed, receiving any anthelmintic drugs is strictly prohibited in the first trimester of pregnancy. Medicines of this group are very toxic and able to cause more harm to the woman's body and fruit than the parasites themselves.

In the future the treatment of helminthiasis in pregnant women using the drug Piperazine. However, the prerequisite medical consultation.

  • When prescribed enterobiasis 1,5-2 g of the drug for 5 days. Then you need to take a break of 7 days and repeat the course of treatment. All you can go from 1 to 3 courses.
  • In ascariasis the woman is prescribed 1,5-2 g of the drug 2 times a day. An hour before a meal or after a meal. Coursetreatment is 2 days.

In addition, if you strictly observe the rules of hygiene, it is possible to self-recovery from pinworms in 2-3 weeks. But it is important not to allow re-invasion.

To do this, follow these recommendations:

  • After visiting the toilet, hands should be washed with soap;
  • Hands should be washed after each change of underwear;
  • Fruits and vegetables that eats the woman must be efficiently washed and scalded with boiling water;
  • After each contact with animals and before eating and you must wash your hands with soap and water.

Effective treatment of helminthiasis

The drug, indications for use

Contraindications

Side effects

How to take

Dekaris with the active ingredient Levamisole

(enterobiasis, ascariasis, hookworm, strongyloidiasis, necatoroz, trihozefalez, toxoplasmosis, Trichostrongylus).

  • Age younger than 3 years;
  • Agranulocytosis.

Tablets 150 mg is not administered to children.

With caution take the drug for kidney and liver failure.

Diarrhoeal disorders (diarrhea, abdominal pain, nausea, vomiting), headache, increased body temperature, allergies, uterine bleeding, disturbances of work of kidneys.

From 3 to 6 years: 1 or half tablet (25-50 mg).

From 6 to 10 years, 1.5 or 1 tablet (50-75 mg).

From 10 to 14 years: 2 or 1.5 tablets (75-100 mg).

Adults 150 mg after a meal, before bedtime.

The drug is taken once. After 14 days, repeat the course.

Pyrantel and Helmintox with the active ingredient Pyrantel.

(enterobiasis, ascariasis, necatoroz, hookworm, trichocephalus).

Hypersensitivity to the drug.

Be wary appointed at the age of 6 months, during breastfeeding and during pregnancy. Requires medical supervision the blood picture in the background liver failure.

Diarrhea, nausea, vomiting, headaches, appetite loss, allergic reactions (skin rash,urticaria), insomnia or drowsiness, disturbances of consciousness, increased body temperature, hallucinations.

From 6 months. up to 2 years - 125 mg.

From 2 to 6 years - 250 mg.

From 6 to 12 years - 500 mg.

For adults - 750 mg-1G.

The drug is taken as a single dose after a meal Average calculation of the dose of 10 mg/kg.

Vermin and Vermoxum with the active ingredient Mebendazole.

(mixed nematodes, ascariasis, enterobiasis, strongyloidiasis, trichinosis, taeniasis, alveococcosis, gnathostomes, trihozefalez, alveococcosis, capillaries)

  • The nurturing of the child.
  • Lactation.
  • The age of 2 years.
  • Crohn's Disease.
  • Liver failure.
  • Ulcerative colitis.
  • Individual intolerance of the drug components.

Abdominal pain, nausea, allergic reactions, headache, change in liver function tests, anemia, eosinophilia, reversible alopecia, hematuria.

  1. Treatment of enterobiasis: children 2-10 years 25-50 mg, 100 mg. adults are Shown a single dose.

  2. The treatment of hookworm, trichuriasis, teniasis, ascariasis and mixed helminth infections: 100 mg morning and evening for 3 days.

  3. Treatment of trichuriasis: 200-400 mg in the first 3 days. 400-500 mg 4 to day 10. Taking medication 3 times a day for the entire course.

  4. Treatment of hydatid disease: 500 mg 2 times a day the first 3 days. 500 mg 3 times a day - 3 to day 6. In the future, 25-30 mg/kg/day. The duration of treatment is determined by a doctor.

Nematol, Albendazole Worm, Andasol with active ingredient Albendazole.

(all nematodes, strongyloidiasis, echinococcosis, giardiasis, toxocariasis, Polynesia worms, taeniasis, cysticercosis of the brain).

  • Pregnancy.
  • Lactation.
  • The age of 2 years.
  • Diseases of the retina.

With caution the drug is prescribed for a violation of the functions of hematopoiesis, liver disease.

Disorders of the liver, abdominal pain, symptoms of dyspepsia, neurological disorders (dizziness, headaches, meningeal symptoms), increased blood pressure, kidney failure, changes in blood counts.

  1. The nematodes: 400 mg once adult patients. 20 ml of a suspension once for children over 2years.

  2. Echinococcosis, cysticercosis of the brain.

    • Weight over 60 kg - 400 mg/2 times a day.

    • Weight less than 60 kg - 15 mg/kg/day, 2 times a day.

    • Treatment of cysticercosis lasts 8-10 days.

    • Treatment of echinococcosis the 28 days. Repeat 3 times with an interval of 14 days.

  3. Giardiasis: 10-15 mg/kg once a day. The course of treatment is 7 days.

  4. Toxocariasis:

    • To 14 years - 10mg/kg 2 times a day.

    • To 60 kg - 200 mg 2 times a day.

    • More than 60 kg - 400 mg 2 times a day.

    • The course of treatment is 7-14 days.


Helminthiasis treatment of folk remedies

Charges of medicinal plants have long helped people to rid the body of worms:

Collection 1. Equally mix centaury, tansy and caraway. Per Cup of boiling water put 14 grams of a mixture and leave for one hour. Four times a day to drink a tablespoon of infusion.

Collection 2. Equally connect wormwood herb and centaury ordinary and a tablespoon of the mixture brew in 250 ml of water. On a slow fire, the medicine is boiled for 20 minutes, then tsedyat, cool and drink one glass twice a day (morning fasting and before bedtime). The course of treatment is 8 days.

Collection 3. Dried inflorescence tansy, blueberry fruits and elecampane root is ground into powder and mixed evenly. The broth is made by adding a tablespoon of the collection to 250 ml of boiling water. In the day you need to drink 5 tablespoons, squeezed the cure pure boiled water.

Collection 4. You will need peppermint leaves, wormwood herb, the roots of Valerian, flowers of tansy and buckthorn bark. 20 g of these components is mixed with seeds of wild carrots (30 g) and pour a couple of tablespoons of the collection Cup boiling water. Should insist for 15 minutes and drink as tea, pre-strain, twice a day, morning and evening. The course of treatment – 3 days. This collection helps to get rid of the tapeworm.

5. One tablespoon of collecting chamomile flowers, tansy, wormwood, and herbs sea wormwood, connected in the same amounts, in the brewed Cup of boiling water, wait until cooling and tsedyat through cheesecloth. Twice a day you need to drink a glass of medication for three days. The medicine helps to remove ascarids.

Collection 6. Mix one part of flowers of tansy, chamomile and yellow gentian root with two parts of wormwood and three parts of buckthorn brittle. Youyou will need 1 tablespoon of mixture and Cup of boiling water. In a thermos, drug left overnight, then tsedyat and drink morning and evening. The course of treatment – 3 days. The infusion will help get rid of pinworms and ascarids.

Other folk remedies for helminthiasis:

Method 1. Folk medicine as an effective means to combat helminths and offers a variety of infusions and decoctions. For example, the healing effect have walnuts. They take green and ground kernels to get 4 tablespoons of raw materials. Nuts pour 1 Cup of boiling water and add a bit of salt (a quarter teaspoon). Within half an hour the infusion is prepared, and then you draw it through cheesecloth and drink one day. After every meal is recommended to drink laxatives. Infusion of walnuts can bring tapeworm and round worms.

Method 2. Therapeutic effect and has the infusion of tansy, an herb which is poured boiling water in the ratio of 3 tablespoons to 250 ml within one hour of medication insist, and then drink three times a day one tablespoon.

Method 3. Similarly, brew and wormwood: a teaspoon of dry grass pour half a liter of boiling water, then wait until the infusion has cooled, tail and drink two tablespoons three times a day before meals (within 20 minutes). Pinworms and ascarids leave.

Method 4. Decoctions can be prepared from pomegranate peel. The crust on a pomegranate ground and boiled in 250 ml of water, and then drink in three and a half hours. Three hours after taking the medicine need to drink a laxative. Also heal bot, you can use the bark of the ash or decoction of buckthorn: a tablespoon of raw material is boiled in 250 ml of boiling water, then leave for two to three hours to infuse, pre-wrapped with a towel and cover with a lid. In the day to do 4 admission one tablespoon.

Method 5. Folk healers recommend to brew and sorrel: per liter of boiling water a kilogram of fresh leaves of sorrel and evaporated in a water bath for two hours. Then tsedyat broth, mixed with sugar (50 g) and boil until the volume reaches 250 ml. Medicine drink before eating a few mouthfuls.