اسم المؤلف:
مروة محمد نصري التميمي
اسم المشرف:
سلوى صبر محسن
المستخلص:
The diarrhea is Enteropathy characterized liquidity abnormal,because of the increases by the movement of colon in the general way, may be represent a good sign to the Enteropathy like the Entamoeba histolytica disease, viruses Enteropathogen and bacteria,The diarrhea and associated of droughts state remains the major problem to the job of medial health in the medial east especially in the age under 5 years old.This study design to study the reason of the diarrhea and diagnosis and the effect result of it in the children under 15 years old, theirs patient from (learn hospital of alemamenalkadoman) in the city of Baghdad from 25/4/2014 to 1/10/2014 period of time, the study represent 103 sample of Stool and blood from children between (>1 - 15)years wasSufferers from diarrhea state, this state diagnose with infection of parasite (E.histolytica, G.lamblia, and others), Rotaviruses and bacteria E.coli.It use the general stool examination direct (by eyes) and in direct (by microscope) to diagnose the antigen of rotaviruses in stool, Either the blood sample store in two tube one of it contain EDTA use to CBC, Pcv, Hb, w.b.c, ABO group measure, and the second one is empty from the EDTA use to ayanlsys serum to measure (CRP) and Interleukin in the patient diarrhea.From summation of 103 found that 50 (48.54%) infected by intestinal protozoa, 41 (39.80%) infected by Rotaviruses, 9 (8.73%) infected by mixed (Parasite + Rotavirus), 3 (2.91%) infected by bacteria E.coli.50 sample infected by intestinal protozoa (42 sample is infected with one Species of parasite and 8 sample of stool continue two type of the parasite), the highest ration of infection was E.histolytica 50%, G.lamblia 38.10%, Blastocystis hominis 7.14%, and the lowestBalantidium coli 4.76%, the study recode the highest ration of mixed infected (Parasite + Rotavirus) was between G.lamblia + Rotavirus 33.33%.In This study present we found highest deference between male and female in the infection of parasite and rotavirus, male record (62 - 60)% and female (38 - 40)% on series, mixed infected (parasite + Rotavirus) Reached to the female 55.56% and this is the highest ration infection from the male 44.44%, notice that there is high Significant difference in the ratio of infection between the Age groups of the groups studied at the probability of p<0.01, where recording rotavirus infection IIhigher ratio infection in the Age groups (1 - 5) year 66,67% and less ratio 11,11% where age groups less than year, but the parasite infection only was more age group infected liable (more than 5) year with ratio 56% and smallest ratio for age group (less than year) 18%. And in the result media use (L.E) to culture E.histolytica and discover from the study , this media don’t provide good environment to maintain the parasite and resolve it for a limited period without multiplication or increase in number is it, in the case of trophzoite stage culture it stay with out - increases in the number is for one day only and after bass 24 hour transfer to the cyst stage and remain bass 3 day only and despair in the fourth day, while in culture of cyst stage Found that Noway to transform to the trophzoite stage like it happen in the human body but stay in the case of cyst stage on states. With condition E.histolytica that the Stool samples continue blood and mucous only to contain a lot off mass from the trophzoite stage and this stage only can be increases causes increase in number.Noted that this culture never dedicated only to the cultivation E.histolytica but noted the trophzoite stage exist for parasite B.coli in this stage and when culture sample from Stool contain B.coli and remain this stage Governor of the trophozoite stage for a period of two days.Either for the blood type test has been shown by the study, the highest percentage recorded rotaviruses injury in people living with antigen type A 39.59%, 39% and 44.44% for parasitic and rotavirus infections and joint respectively.And gave a hemoglobin level of Hb and size precipitation of red blood cells PCV lowest level at co - infection (parasit + rotavirus), followed by rotaviral and parasitic infection compared with control group P <0.05. Showed parasitic infection and joint significant difference in the total number of white blood cells when the probability of P <0.05, either rotaviral infection did not give a significant difference with the control group.The results of the present study about differential count of white blood cells, showed no significant difference comparing with study groups, but showed significant difference within the three groups with control group that remain the value of the Moral difference p<0.05 When all of the (Neutrophil ،Basophile ،Eosenophil)However, it did not register significant difference when cells Lymphocyte.When statistical analysis when studying some immunological changes associated with injuries intestinal regarding the number of days that lasted the case of diarrhea, and by which they can determine if the injury was severe diarrhea or chronic, and that gave significant difference (1 - 2) day P <0.01 when (3 - 4) day and (more than 4) on the value of the differences P <0.05.log CRP level of rotavirus infections 31.70%, 0.52% for infections with parasite, 88.89% of the common injuries (parasitic + viral) gave at P <0.01 probability asignificant differences.The results of the study of some of the dynamics of cellular aggregates of the study and its relationship to the immune response. Observed statistically significant at the use of IL - 10 three of its study groups recorded a significant P <0.05 was higher at 1.22% viral infection compared to the control group. Parasitic infection and did not record any significant difference.And log IL - 17A highest percentage increase at the joint injury, and there is no significant difference between the incidence of parasitic and viral infection.For IL - 33 infection joint highest recorded percentage of injury followed by a parasitic infection and finally viral. and IL - 4 infection shared the highest rate, followed by injury viral recorded and finally parasitic and gave moral difference P <0.05 and finally INF - gama, which did not record any significant differences when comparing the groups study together but gave at P <0.01probability moral differences with group of control when compared recorded the highest common injury is also high.
