kst - dai cuong ky sinh trung

7/23/2019 KST - Dai Cuong Ky Sinh Trung

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1

I CNG

K SINH HC


2/72

2

K sinh trng y hc truyn thng nghin cu !"nh #$c ch%nh& 'n ()* + sinh Giun s,n + sinh

-ng #.t ch/n +h01

2i 34ch HI567I8S !)9 gi: t;ng& ? KS> c' h-i


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3

KiEn thc c' (Ln # + sinh trng hc #) #i n@9

I CNG


4/72

4

NTI 8UNG GIVW >XYNH

Phn i cng:

Gii thch cc mi lin h gia cc sinh !t

"#c i$m c%a &'( ) ch* g+, -nh c%a &'(

". /hng c%a /0 ch%

"#c i$m -nh &'(

)hn n -nh &'(

Ph+n li &'(


5/72

NTI 8UNG GIVW >XYNH

Phn 2: &0 sinh t5ng g+, -nh 6 ng7i 8 -nh

9 chng g+, a;

)c chng n8, -a g t cc #c i$m c -n c%a -nh h?c

@nh sinh 9 &'( ". /hng c%a /0 ch% 8 9Ach t$ h?c

@i$B hin l+m s8ngC chn nC 8 /i$m st

-nh;


6/72

D

NTI 8UNG GIVW >XYNH

Phn 3: Ei nFm h?c

Ei nFm i cng

Ei nFm g+, -nh


7/72

Z[C >I\U Z]N HC KS>

>r:ng (4 ch* sinh #in nh^ng +iEn thc c' (Ln

# nh^ng + sinh trng _u:n trng 5i=t

N:9 nh`9&

GiLi th%ch ABc c,c +Et _uL chan A*,n


8/72

H

Z[C >I\U Z]N HC KS>S:u +hi hc? sinh #in 1hLi A2t ABc c,c 9c

tiu s:u&KIdN >HeC

>rfnh ()y t%nh 1h (iEn c: s$ nhi9 KS>

>rfnh ()y 9i _u:n h= gi^:&

NgBFi KS> ZJi trBFng -ng #.t

>rfnh ()y Ac Ai9 c: KS> O #i n@9& hfnhth? chu trfnh 1h,t trin? 34ch t? t%nh ch@t

g/y (=nh


9/72

I

Z[C >I\U Z]N HC KS>

Kk NlNG

Nh.n (iEt 9-t s KS> #) #i n@9 1h (iEn 5N

GiLi th%ch ABc ngh": c: c,c mN chan A*,nKS> O #i n@9

5N 8[NG KIdN >HeC 5oW >HpC >d 5oW CVC

Z]N HC KHVC


10/72

1J

I CNG 5q K SINH >XNG


11/72

11

'inh !t 9A 9Kng

'ng tnLtng c th$ c%a mMt sinh !t /hc

$:

(Nm thOc n(Nm ni t n

'Q /0 sinh cR th$:lin tSc TUnh i$nV

/h>ng lin tSc Ttm th7iV

K sinh trng


12/72

12

C,c hi=n tBng + sinh

C-ng sinh H-i sinh

H*2i sinh

K sinh K sinh trng

Kh,i ni=9 c' (Ln


13/72

13

'Q )Mng sinh TsymbiosisV: sng cng nh:uv&

WMi sinh TcommensalismX Y Z JV :

Escherichia coli; Entamoeba coli

(ng sinh Tmutualism; Y Z YV: cn mi Z n

-8

&0 sinh Tparasitism; + & -V: giBn [a ng7i

C,c hi=n tBng + sinh


14/72

14

'E sng tng thin nhin h#c 6 ng7i

'\ 9Sng cc chFt hB c -A ]h+n h%, h#c chFt

-^ c%a c th$

_gi hi sinh TexosaprophytismV:AspergillusC giBn ln

_Mi hi sinh TEndosaprophytismV:Candida s]];

S$ h*2i sinh ws:1r*1hytis9x


15/72

1

C,c !*2i + sinh trng

1; &'( -`t -BMc

_gi &'(:

'ng 6 9a Lang thin nhin Tci ghbC nFm 9aV

'ng -n ng8i nhng tB,.n -nh T=BiC -? chdtV

_Mi &'(: sng 6 cc c eBan s+B TgiBn sn 6 ng

tiB hRaC PlasmodiumLmBCf


16/72

1D

2; &'( lc ch%

GiBn mRc chR: G+, -nh FB t5ng 9i Mng 6 9ang7iB t5ng g+, -nh nMi tng TgiBn [a chR mV;

3; &'( lc ch:

&'( i lc sang c eBan /hc hn c eBan chng

th7ng sng TgiBn [aAscaris lumbricoidesL ng

m!tV



17/72

1

4; &'( c hMi: tj nMi hi sinh

g+, -nhth 9S: Candida albicans

; &'( ngkB nhin: tj ngi hi sinh

g+, -nhth 9S: Aspergillus s];



18/72

1H

C IzZ C{7 KS>

W_W (W

"n -8: cBC -B 9ScC eB lC > Anh hNnh

Tami]V

"a -8&)W (Wop)

_hq: n -8C i nFm

rnL Ft ln

'_W 'u_

E> tnh: c`t >iC n, ch


19/72

1I

C IzZ HYNH >Hz C{7 KS>


20/72

2J

C IzZ HYNH >Hz C{7 KS>

Fasciola hepatica

Ascaris lumbricoides


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21

C IzZ C{7 KS>

Giardia =Bi vn:Aedes

Ei nFm


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22

>|NH C HI}U K SINH

c hi=u # + ch 6 KS> !2c chH~1 TAscaris lumbricoidesV

r-ng TToxoplasma gondiiV

c hi=u # n'i + sinh 6 KS> !2c ch

H~1&Ascaris lumbricoides Enterobius

!ermicularis

X-ng& Toxoplasma gondii Giardia


23/72

23

CHU >XYNH HV> >XIzN C{7 KS>

ZZ

mZ NHKC

SINH SN

mZ NH KC

ZI


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24

C IzZ 6 CHU >XYNH HV> >XIzN C{7KS>

(ha, wi . hNnh 9ng 8 m>i t7ng sng c%a&'(

Zui >>

>rng 6 nB0c

utrng6nB0c

Nh-ng


25/72

2

C IzZ 6 CHU >XYNH HV> >XIzN C{7KS>

)n 1 h#c nhi.B /0 ch% tng )(P(

&) Unh ixnT&)EEVy &0 ch% chnh:

&'( sng 6 G" cn t6ng th8nh h#c ''W(

&0 ch% tBng gianT&)(GV:/hi &'( sng 6 G" FB t5ng


26/72

2D

C>> cPn KC C> tr$c tiE1& ngBFi !) KC 3uy

nh@t

C>> c: KS>

)hB tNnh ]ht ti$n c%a

(Ong

B t5ng G"

1

B t5ng G"

2

Bt5ngG" 3

Y d


27/72

2

CHU >XYNH >XpC >Id

TAscaris lumbricoides Enterobius !ermicularis E"

histolytica#

NgBFi (=nh NgBFi !)nh

ZJi trBFng

wx C> tr$c tiE1 ngjn& trng r*i? :9i1? giun +i9wx C> tr$c tiE1 3)i& giun A:? giun 9c? giun tc? giun

!B'n


28/72

2H

C>> cPn KC& KC55? KC>G C> gi,n

tiE1 wToenia solium/T. saginatax

C>> c: KS>

S,n 3Li h* >>NgBFi KC55

t s,n? trng

m/9 nh.1 h*

N:ng s,n wg2* h*xH* KC>G


29/72

2I

CN K CH{ >XWNG C>> w KC55? KC>Gx

C> gi,n tiE1

S,n !, nh g:n >>NgBFi KC55

>rng 6 nB0c6 cu trng !Jng

G I

u trng AuJi

N:ng trng6 c,C, KC>G II


30/72

3J

)Wz ({_W G|_ (}P

KC55KS> G trBng

th)nh

KC>GKS> G @u trng

KC>G IKC>G II

HN ZT> S K CH{


31/72

31

HN ZT> S K CH{

&0 ch% Unh ixn: &'( sng 6 G" t6ng th8nh h#c

''W(

&0 ch% tBng gian: &'( sng 6 G" FB t5ng

'n 9i h~ -: -Lh~ l8 &)(G'n l nhq 6 gan: c l8 &)(G 1X ) l8 &)(G 2

(Bng gian tB,.n -nh:

(G(@ sinh h?c: mBi tB,.n -nh st dtC giBn chU(G(@ c h?c: B


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32

dU > I\N U7N dN UV >XYNH NHIZ

"o_G r _W=

"7ng tiB hRa: tOngC -8 nangf

Ba 9a: FB t5ng giBn mRcCgiBn lnCf

(G(@C ht eBa 7ng h> hF]C gia h]C nhaBthaiC tB,.n mB

_Gz_ _W=: "FtC _cC (hQc ]hm

(h_g7i

(Q nhixm


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33

=_G(OngC FB t5ng

TncC ]h+nC&)(GV

BFng D/9nh.1

B t5ng eBa 9a th~*t c`n c%a c>nt5ng

'Q +mnh!]FB t5ng B,n eBa

9a

N'i KS> A4nh cB

_Mi tng: ganC ]hwiC)_'

W tiB hRa: 9i Mngha, /h>ng 9i Mng

a 8

h -chhB,*t

=!t)c mch mBTeBanh ti m!t 8BMtV


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34

I\N U7N GI7 KS> KC

KS> KC


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3

(|) W ) &'( " Ep &)

(c t thOc n

G+, thi*B mB: giBn mRcC Plasmodium

$iphyllobothrium latum

(i*t chFt Mc: h~ml,sinC histil,sinr8m gim . /hng c%a &)

)hB,n ch6 mm -nh /hc 8 c th$ &) TFB

t5ng giBnV

G+, 9A Ong: h~n sB,xnC m. ai TgiBn [aC i nFmV

G+, t`c nghn c h?c: FB t5ng Echinococcus

>h: Ai tE ()* c: 9J


36/72

3D

>h:y Ai tE ()* c: 9J&

(* -8 ]hN t TeB 9KnghypertrophyV:

h


37/72

3

G/y c,c (iEn Ai huyEt hc

Gia tng -ch cB tan tnh th~ -i$B g/y t;ng >

GiBn sn: giBn [aC giBn mRcC giBn `nC sn 9ih~ -C sn lC sn mngC giBn ch;

)>n t5ng:

Gii B


39/72

3I

PWu_ _G ) &) " Ep &'(

+h,ng t$ nhin winn:t i99unityx&+, l8 c

ch* . /hng /h>ng cn ti*] c tc i !t l

+m nh!]

Zin 34ch 9jc 1hLi w:c_uir3 i99unityx&+, l8c ch* . /hng mang tnh chFt chB,n -it i !t

l +m nh!] Tnhng !t chFt /h>ng ]hi c%a /0 ch%

y nns~l mat~ialVC cn th7i gian $ ]ht ti$nC ,a nhanh 8 mnh m hn tng ] Ong ln thO 2;

'Q . /hng tQ nhin /h>ng chB,n -it:


40/72

4J

'Q . /hng tQ nhin/h>ng chB,n -it:

&'( 7ng BMtL&'( ngkB nhin

Ach aci9 c%a 9 98, Ach BMt

B t5ng giBn /hi i ngang eBa 9a )hFt ti*t c%a 9a Phn Ong im c%a 9a

m> c%a 9a(hi*B chFt #c hiB cn ch sQ ]ht ti$nC g+,]hn Ong imC &'( ]ht ti$n /d 98i 6 G"FB t5ng TToxocaraV


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41

Z-t s ch@t tr*ng s^: 9~

w!ys*y9? Ig7? (2ch cPu? intrrr*nx

@ tb s sinh tnh c sQ nhixm mMt s n -8

g+, -nh 7ng BMt nh Giardia lambliaC Entamoeba

histolytica"


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42

s$ th$c ()*

Bch cu n nhn-i bch bo

T bo lympho

Bch cu a nhn w(2ch cPu h2tx&@ch cB tBng tnh TDJJV

@ch cB a aci9 chi*m /hng 2

@ch cB a /i.m chi*m /hng JC


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43

'Q . /hng chB,n -it: =ixn 9Ach m`c]hi

(nh chFt - /dm: ti.n mixn nhixm

(ng 5ng nMi 9AchC sQ nhixm /d 98i nhi.B nmx 98ng ti nhixm saB /hi i.B tA

Gi] chn n &'( T]hn Ong /hng ngB,n/hng th$V

'Q ]ht ti$n = m`c ]hi


44/72

44

(@ l,m]h@

(@ t%, ng(@ l,m]h(

&hng th$ (nh Mc (@ Po imPo L&)

&hng ngB,n&'(

(@ tNnh 9in &hngngB,n

(ha, wi &_

)h~ 9FB &_

Oc ch* =

&hRa &(

(ha, wi

=

)hng li]hn Ongim

(nh./hng 6&'(

'Q ]ht ti$n = m`c ]hi8 ]hng cch &'( tht /hqi ] Ong =

}


45/72

4

"#c i$m c%a -nh &'(

Phw -i*n th~ 5ng

)R tnh ^ hMi

)R th7i hn

@i$B hin +m thm


46/72

4D

ixn -i*n c%a -nh &'(

)F] tnh m^n tnh &'( -A 9it mixn 9Ach

thB c-i*n mFt

"#c i$m 9Ach t$ h?c c%a -nh &'(

)R th$ th8nh 9AchC 9Ach 9ixn a tj tj 8 /d

> } } > 5WNG 8W KS> G


47/72

4

> } } > 5WNG 8W KS> GX7

&'( ( l-nhLnm ( l t\ngLnm

GiBn %a 1 t 2J;JJJ

GiBn mRc IJJ tiB DJ;JJJ 'n mng DJJ tiB DJ;JJJ GiBn tRc JJ tiB

mi] 4JJ tiB 3J;JJJ Gia9ia 2JJ tiB

'n 9i J tiB J;JJJ GiBn ln J tiB


48/72

4H

HTI CHeNG

Win tng imWin tng nhixm McWin tng ha twnWin tng 9A Ong

)W_ "|_ @_W &'(

)hn n l+m s8ng)hn n &'(dt nghim tQc ti*]dt nghim gin ti*] y mixn 9Ach chn n

PWo_G PW|P )W_ "|_ ({) (}P


49/72

4I

PWo_G PW|P )W_ "|_ ({) (}P

dt nghim tQc ti*] tNm &'( tng ]h+n /hi:

(iB ch, ha, t -Rn

"aB -SngCaB 5ng thng AC n hiC -BnC n>n

_gOa h!B m>n

( l -ch cB tan tnh tng ca

PWo_G PW|P )W_ "|_ ({) (}P


50/72

J

PWo_G PW|P )W_ "|_ ({) (}P

_ ]h+n tNm cc &'( saB:"n -8: ami]C t5ng i 7ng BMt

GiBn

'n

"i i -nh nh+n 'G= cn tNm:

Cryptosporidiums]C *icrosporidiaC giBn

ln;


51/72

1

( _GW= =|z

(Nm /0 sinh t5ng tng mB:

"n -8: Plasmodium spC Trypanosoma sp;

B t5ng giBn ch Trugia malayi ,uchereria

bancrotiV

)ch _:

'i ti tQc ti*]

'aB /hi nhBMm: TnhBMm gi?t mB 9,C ]h*t mB

mqngV


52/72

2

)|) ( _GW= &W|)

NB0c tiu&Trichomonas !aginalisC FB t5ng giBn chCtOng " haematobium#nFm m~n .Candida spV

)9&

(Ong sn l ]hwiCAspergillus Cryptococcusneoormans

84ch t, tr)ng&

(Ong 8 FB t5ng giBn lnC tOng giBn mRcC

| }


53/72

3

( _GW= G|_ (}P y =_ )W )W_"|_

)>ng thOc mB T_ Anh hng V:

(ng -ch cB tan tnh: TgiBn snC FB t5ng 9i

MngV

(ng -ch cB a nh+n Tst dtX ami] 6 ganV

Gim -ch cB a nh+n T '{ mn tnhV

(ng -ch cB n nh+n T-nh (]lasmaV

' )


54/72

4

& (Wz( '_W W) PW_ (

)hkn n

=i lin h gia cc &'(

Pht ti$n accin mi

PW_G E ({ @_W &'(


55/72

PW_G E ({ @_W &'(

Ph K )(P( c%a &'(:"i.B tA ng7i -nh

"i.B tA h#c 9it &)(G

)`t Ot 7ng l+, nhixm

_+ng ca th$ tng -nh nh+n

Gi 9Sc 0 thOc sinh tng cMng


56/72

D

&= '|( &'(

Eu t D h-i?thFi tiEt?

1h*ng tc A4:1hB'ng?

+inh tE t*)n cPu

8Bc ! hc

H: sinh hc h*c !/9 s)ng

|


57/72

_W PW|P &'(

8:nh 1h,1 _uc tE&(n ging

Ti*t haV

(n l8i

T/h>ng i*t

haV

(n tc gi Ynm

(n ging 8 l8i ]hi in nghingh#c gch9i

E 9S: Paragonimus /estermani &~-~tC1HH

"$ -i$B 9ixn l8i ]hSC 95ng 3 ch ra tinh HN WI KS>


58/72

H

HN WI KS>

ZJ tL

Nghin cu 78N 1r*tin

NJi sinh th,i #) 1h/n ( A4: !

HN WI KS> CH|NH


59/72

I

HN WI KS> CH|NH NGIKS> >HUTC GII TNG 5>

"n -8 TProto0oairesV(5ng ch+n gi T1hi0opodesV: ami] 7ng

BMt

(5ng i TFlagellesV(5ng l>ng TCilies#

(5ng -8 t\ Tporo0oairesV

"a -8 T*eta0oairesV

GiBn sn T2elminthesV

)h+n /h] TArthropodesV

T


60/72

DJ

KS> >HUTC GII NZ

_Fm ( TPhycomycetesV: *ucor 1hi0opus

_Fm "m TasidiomycetesV: nFm n cC

nFm Mc

_Fm (i TAscomycetesV:Aspergillus

Penicillium

accharomyces

_Fm -Ft t8n TFungi 3mperectiV


61/72

D1

)W_ "|_ ( _GW= G|_ (}P

)hn n:

&'( nn cha b tOng T'n l ganC 'n mngV;@nh m^n tnh&'( 6 nMi tng s+B: @B snC g h~;B t5ng 9i chB,$n;=!t M &'( thF];

"i.B tA:(h~ 9i lng &( tng hB,*t thanh;

Ach t$ h?c;

)W_ "|_ ( _GW= G|_ (}P


62/72

D2

)W_ "|_ ( _GW= G|_ (}P

4h5ng nguy6n 4T_B>i cF, in !itro%

Plasmodium Toxoplasmai nFm

_B>i cF, tn th:sn mngC giBn `n;

&hng ngB,n hB hNnh:

&'( ngB,n nC tiB -n c`t ngang;

&hng ngB,n h8 tan;

( _GW= G|_ (}P =_ )W )W_ "|_


63/72

D3

( _GW= G|_ (}P y =_ )W )W_ "|_

)c _ hB,*t thanh th7ng 95ng:

Phn Ong ngng /*t h


64/72

D4

Phn Ong ngng /*t h


65/72

D

_hng -M th\ nghim ]ht hin /hng th$:

mi] nMi tng

'n mngC 'n l ganC @B sn

Echinococcus granulosus

Ei nFm:Aspergillus Candida;

Phn Ong ngng /*t h


66/72

DD

Phn !ng mi"n #$ch i%n #i

&immunoelect'opho'esis(


67/72

D

Ph7n 8ng mi9n d:ch hunh


68/72

DH

Phn Ong mixn 9Ach hBnh eBang tQcti*]


69/72

DI

Phn Ong mixn 9Ach hBnh eBang ginti*]


70/72

J

> th? nghi@m tm Bh5ng th%

"n -8:'t dtC ami] nMi tngCToxoplasma;

Ei nFmCandida;

> th? nghi@m tm Bh5ng nguy6n

"n -8:'t dtC Toxoplasma Giardia

lamblia"

Phn Ong mixn 9Ach m~n r'


71/72

1

Phn Ong mixn 9Ach m~n r'Tn,m rin/~9 mmBn '-~nt ssa,V

|P 9Sng ]hn Ong mixn 9Ach m~n


72/72

|P 9Sng ]hn Ong mixn 9Ach m~nr'

@M th\ nghim tNm /hng th$:tNm g h~

@M th\ nghim tNm /hng ngB,n:Giardia lamblia

Trichomonas

Cryptococcus

Aspergillus

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