蟲蟲大作戰

第2起病戰: Worm infection

2011/07/31 00:07

你好像中招了.

大概1個月前,發現你有抓屁股.後來屁股沒在抓,趴著睡然後好像做伸展手腳式.(那時,有跟OT老師研究過,以為是行為問題.)周三你發燒,你退燒後,你這樣的動作更明顯更頻密,有夾屁股的感覺.打了幾通電話給你的外婆、婆婆查問,...最終還是去Dr.Lim那兒報到.醫生說,小孩子兩歲後都會給他服用蛔蟲藥,因為小孩子最容易被感染蛔蟲,況且,你常光腳在草地上走.好啦!還是要吃藥.

回家後媽媽又google it.因為看不到有蛔蟲在屁股,只是疑似有白白的東西(Google it解答:pinworm infection夜晚容易發癢因為蟲蟲在屁股周圍爬行下蛋,pinworm只有1.44mm肉眼應該很難看到,而且生命力強,繁殖力強…,幼兒在發燒後體內蛔蟲會亂劗,所以幼兒會很難受,睡不好.)看到這裡,只能喊救命.

source: http://www.emedicinehealth.com/pinworms/article_em.htm

Pinworm (Enterobius vermicularis) infections are extremely common. Occurring world wide, it is estimated that there are more than 40 million cases in the United States each year, making it the most common worm infection in America. Although any individual may develop a case of pinworms, the infection occurs most frequently in school children between 5 to 10 years of age. Pinworm infections occur in all socioeconomic groups; however, human-to-human spread is favored by close, crowded living conditions. Spread among family members is common. Animals do not harbor pinworms - humans are the only natural host for this parasite. 

The most common symptom of pinworms is an itchy rectal area. Symptoms are worse at night when the female worms are most active and crawl out of the anus to deposit their eggs. Although pinworm infections can be annoying, they rarely cause serious health problems and are usually not dangerous. Therapy with routine prescription medications provides an effective cure in almost all cases.

The very simple life cycle of E. vermicularis ensures a high human prevalence. Tiny eggs deposited around the anus by a female worm spread the infection. Each female worm can produce more than 10,000 eggs during her lifespan. When someone with pinworms scratches their perianal area, eggs may lodge under their fingernails and be spread to anything he or she touches. Infested dust, clothing, bedding, or toys can also spread eggs. When someone else accidentally ingests these eggs, they also become infected.

Over the next several weeks, newly ingested eggs hatch and mature into adult worms. The new worms migrate to the junction between the small and large intestine. Following further maturation, the newly "pregnant" worm migrates from this region to the rectum. From here she will make the trip to the anal area (commonly at night) and deposit her eggs. The life cycle has now come full circle. Adult females live for approximately three months in their human host. Their eggs may die within one to two days in a warm and dry environment; however cool and humid conditions will allow their survival for up to two weeks.

• The most common symptom of pinworms is itching around the anus. It is worse at night when the female worm deposits her eggs on the person infected. This can lead to difficulty getting a good night's sleep. This intense itching is felt to be due to an inflammatory response to the adult worm and her eggs in the perianal tissue. If severe scratching occurs, the skin may break down and allow development of a secondary bacterial infection.

• Pinworms can rarely migrate into the vagina or urinary tract causing irritation in these regions. Intense itching is again the prominent complaint. This location of infection is less common than the perianal region, and the infection usually goes away on its own. Case reports of E. vermicularis migration into the internal female reproductive tract have been reported. These infections are very rare.

• Pinworms do not cause abdominal pain, bloody bowel movements, fevers, or poor appetite. If the person has any of these signs or symptoms, they may have a more serious condition and should call a doctor or visit the hospital's emergency department. Adult pinworms have been found in inflamed appendices removed at operation; however, whether the pinworm infection was the cause of appendicitis is controversial.

If you suspect that you or your child might have pinworms, you should make an appointment to see your doctor.

To help the doctor make the diagnosis, look for these signs:

• Pinworms are big enough to be seen with the naked eye. They are yellow-white and look like a fine piece of thread. They are usually less than one-half inch long.

• Pinworms are most active at night. The best time to see them on the anus is a few hours after bedtime. Parents sometimes try to sneak up on the worms by throwing back the child's bedcovers and shining a flashlight on a bare bottom in hopes of catching the culprits in action.

• Pinworms can also sometimes be seen on the outside of a child's stool.  

媽媽還要熬多久

2011/08/02 16:44

最近,一波好多折…

媽媽喉嚨痛後輕微發燒,結果你被感染.你發燒時,媽媽退燒了卻得重感冒,你退燒後疑似有蛔蟲.給你吃了蛔蟲藥後,隔天媽媽就開始殺蟲大作戰,衣服被單床單玩具都燙洗,沒法燙洗的都丟洗衣機加殺菌洗衣粉.也擦拭你常翻看的書本等等.

今天已經是媽媽殺蟲行動的第4天了,還有些被單毛公仔還沒有燙洗...累啊!!!