{"id":1728,"date":"2019-02-18T07:35:58","date_gmt":"2019-02-18T07:35:58","guid":{"rendered":"https:\/\/nzjz.wpengine.com\/2019\/02\/18\/sto-trebate-znati-o-maloj-djecjoj-glisti-enterobius-vermicularis\/"},"modified":"2021-05-19T06:47:31","modified_gmt":"2021-05-19T06:47:31","slug":"sto-trebate-znati-o-maloj-djecjoj-glisti-enterobius-vermicularis","status":"publish","type":"post","link":"https:\/\/nzjz-split.hr\/en\/sto-trebate-znati-o-maloj-djecjoj-glisti-enterobius-vermicularis\/","title":{"rendered":"\u0160to trebate znati o maloj dje\u010djoj glisti (Enterobius vermicularis)"},"content":{"rendered":"

Mala dje\u010dja glista je iznimno ra\u0161irena, \u010dak i u razvijenim zemljama, a jedini prirodni doma\u0107in je \u010dovjek. Glavni uzrok primarne infekcije su naj\u010de\u0161\u0107e nehigijenski uvjeti<\/strong>, kada dolazi do kontakta s jajima male dje\u010dje gliste. Jaja se mogu nalaziti u hrani, vodi, odje\u0107i, posteljini, rublju ili op\u0107enito u prirodi, gdje im pogoduju topli i vla\u017eni uvjeti.<\/p>\n

<\/p>\n

Na\u010din prijenosa je<\/strong> naj\u010de\u0161\u0107e feko-oralni<\/strong>, a to zna\u010di da se one\u010di\u0161\u0107enim rukama zagadi hrana ili se jaja direktno unesu u usta<\/strong>.<\/p>\n

Velikoj ra\u0161irenosti male dje\u010dje gliste pogoduje i mogu\u0107nost autoinfekcije u pojedinaca<\/strong> koji su ve\u0107 zara\u017eeni. U tih pojedinaca, mu\u017ejak i \u017eenka \u017eive u cekumu (slijepo crijevo, po\u010detni dio debelog crijeva), gdje dolazi do oplodnje, a potom \u017eenka izlazi u analno podru\u010dje gdje odla\u017ee veliku koli\u010dinu jaja. Jaja se potom rukama ponovno mogu prenijeti na hranu ili u usta, \u010dime je mogu\u0107e jako dugo odr\u017eavati infekciju.<\/p>\n

SIMPTOMI<\/strong><\/span><\/p>\n

Simptomi infekcije nisu te\u0161ki i ozbiljni po zdravlje<\/strong>, ali ipak mogu biti jako neugodni i zna\u010dajno pogor\u0161avati kvalitetu \u017eivota<\/strong>.<\/p>\n

U ekstremnim slu\u010dajevima mogu nastati i\u00a0 komplikacije osobito kada dolazi do prodora u peritonealnu \u0161upljinu, slijepo crijevo ili \u017eenski spolni te mokra\u0107ni sustav (zbog kratke mokra\u0107ne cijevi i blizine anusa, gdje se nalaze jaja).<\/p>\n

Glavni simptom radi kojega se pacijenti obrate lije\u010dniku je svrbe\u017e analne regije<\/strong>, a budu\u0107i da \u017eenke male dje\u010dje gliste no\u0107u odla\u017eu jaja, svrbe\u017e je \u010de\u0161\u0107i no\u0107u, a time je i direktno povezan s nesanicom, umorom i slabijim raspolo\u017eenjem. U odre\u0111enom broju slu\u010dajeva, infekcija mo\u017ee biti i bez simptoma.<\/p>\n

Ostali simptomi su:
\u2022\u00a0\u00a0 \u00a0osjet neugode u analnom podru\u010dju,
\u2022\u00a0\u00a0 \u00a0iritacija ko\u017ee u analnom podru\u010dju,
\u2022\u00a0\u00a0 \u00a0bol u abdomenu,
\u2022\u00a0\u00a0 \u00a0vidljive gliste u stolici te na sluznici vagine ili anusa,
\u2022\u00a0\u00a0 \u00a0iritacija ko\u017ee i svrbe\u017e vrlo \u010desto uzrokuju nesanicu, umor i pote\u0161ko\u0107e u koncentraciji,
\u2022\u00a0\u00a0 \u00a0pove\u0107ana opasnost od bakterijske infekcije zbog \u010de\u0161anja,
\u2022\u00a0\u00a0 \u00a0prodor glista u vaginu i mokra\u0107ni mjehur \u017eena zbog kra\u0107e mokra\u0107ne cijevi i blizine\u00a0 anusa.<\/p>\n

DIJAGNOSTIKA<\/strong><\/span><\/p>\n

Za dokazivanje male dje\u010dje gliste koristi se perianalni otisak. Ujutro, prije pranja, zalijepi se ljepljiva traka (selotejp) na anus i malo podru\u010dje oko njega te se odmah nakon toga vrpca skine i nalijepi na predmetno stakalce i po\u0161alje u mikrobiolo\u0161ki laboratorij. Uputnicu za pretragu daje izabrani lije\u010dnik.<\/p>\n

LIJE\u010cENJE<\/strong><\/span><\/p>\n

Pri sumnji na infekciju potrebno se javiti izabranom lije\u010dniku. Lijekovi kao \u0161to su mebendazol i albendazol se koriste u lije\u010denju male dje\u010dje gliste. Zbog brzog i u\u010destalog na\u010dina prijenosa, lije\u010dnici preporu\u010duju lije\u010denje svih koji su u \u010destom doticaju sa zara\u017eenim (razred, obitelj, vrti\u0107). S obzirom na opasnost od reinfekcije, potrebno je u odre\u0111enim slu\u010dajevima i ponoviti lije\u010denje. Odr\u017eavanje osobne higijene na visokoj razini zna\u010dajno sprje\u010dava \u0161irenje i razvoj bolesti.<\/p>\n

KAKO SPRIJE\u010cITI \u0160IRENJE MALE DJE\u010cJE GLISTE?<\/strong><\/span><\/p>\n

Suzbijanje enterobioze je prili\u010dno slo\u017eeno. Vrlo je va\u017ena edukacija ljudi o osobnoj higijeni pa se preporu\u010da:
\u2022\u00a0\u00a0 \u00a0obvezno pranje ruku sapunom i toplom vodom<\/strong> prije jela i rada s namirnicama, poslije kori\u0161tenja toaleta i mijenjanja pelena.
\u2022\u00a0\u00a0 \u00a0skra\u0107enje noktiju te izbjegavanje gri\u017eenja noktiju<\/strong>.
\u2022\u00a0\u00a0 \u00a0izbjegavanje\u00a0 \u010de\u0161anja podru\u010dja oko anusa<\/strong>.
\u2022\u00a0\u00a0 \u00a0redovito \u010di\u0161\u0107enje prostorija u kojima se boravi<\/strong>.
\u2022\u00a0\u00a0 \u00a0prokuhavanje donjeg rublja i posteljine<\/strong>.<\/p>\n

UKOLIKO IMA VI\u0160E INFICIRANIH U JEDNOJ GRUPI ILI U OBITELJI, TREBA ISTODOBNO PROVESTI LIJE\u010cENJE SVIH \u010cLANOVA, DJECE I ODRASLIH, BEZ OBZIRA NA SIMPTOME ILI NALAZE PRETRAGE.<\/strong><\/span><\/p>\n

\u017divotni ciklus dje\u010dje gliste traje pribli\u017eno 6 tjedana,<\/strong>
stoga je va\u017eno barem toliko dugo provoditi poja\u010dane higijenske mjere.<\/strong><\/p>\n

Pripremila: dr. med. Andrea Vrdoljak, spec. \u0161kolske medicine<\/strong><\/p>","protected":false},"excerpt":{"rendered":"

Mala dje\u010dja glista je iznimno ra\u0161irena, \u010dak i u razvijenim zemljama, a jedini prirodni doma\u0107in je \u010dovjek. Glavni uzrok primarne infekcije su naj\u010de\u0161\u0107e nehigijenski uvjeti, kada dolazi do kontakta s jajima male dje\u010dje gliste. Jaja se mogu nalaziti u hrani, vodi, odje\u0107i, posteljini, rublju ili op\u0107enito u prirodi, gdje im pogoduju topli i vla\u017eni uvjeti.<\/p>","protected":false},"author":1,"featured_media":4250,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[33],"tags":[],"class_list":["post-1728","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-skolska-objave"],"yoast_head":"\nNZJZ SD\u017d - \u0160to trebate znati o maloj dje\u010djoj glisti (Enterobius vermicularis)<\/title>\n<meta name=\"description\" content=\"Slu\u017ebene internet stranice Nastavnog Zavoda za javno zdravstvo Splitsko-dalmatinske \u017eupanije.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nzjz-split.hr\/en\/sto-trebate-znati-o-maloj-djecjoj-glisti-enterobius-vermicularis\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NZJZ SD\u017d - 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