Since 1981 Health School

  Chapter 455 The longest nematode in the world

  Customs vary from place to place.

  For example, in some tribes, young women can "find boyfriends" without being condemned, because this way they have a greater chance of conceiving the next generation, and of course the spread of AIDS is also wider.

   Another example is that some women will put a plate on their lower lip. The bigger the plate and the bigger the lips, the more beautiful the woman will be.

  This is actually a deformed aesthetic concept, just like the rings on the necks of old Burmese people.

  For another example, many women in African tribes don’t shy away from exposing their bodies. No matter how young or old, they don’t wear clothes. But the only thing is that you can't let people touch your hair, thinking that this is "Xin harassment", and your father, brother or husband will beat you to death.

   Specific to the tribal group where Nguema is located, one of their strange customs is to pay special attention to the "valley road".

   I even feel that the "valley road" is far heavier than the "shady road".

  For example, the **** is broken and worn out, which does not affect normal life, so it is not a big deal for familiar and unfamiliar men to come and go.

  But if the valley road is broken, it means that you can’t poop, and you will die.

  The diet of primitive people is quite unbalanced, especially Africans. You said that wild meat and boar meat can be eaten, and they even eat soil, but they lack vegetables because they don’t know how to grow them.

  Long-term lack of green leafy vegetables and fruits will lead to dry stool and constipation. Europeans and Americans in the Middle Ages could buy "rhubarb", but how could Africans have money to trade?

  In the tribe where Nguema is located, many people die every year because they cannot defecate.

  Some wild animals, such as jackals, like to attack the **** of their prey, and the **** falls out, causing the prey to lose their ability to resist due to severe pain. These African black uncles are all seeing it.

  There is another one. There are many wild animals in Africa, such as rhino horns, elephant horns, wild fangs, etc., which are very dangerous. When you go hunting, if you are hit by these animals on the valley road, you will die when you go back.

  So I don’t know when, an ancient African tribe spread a custom.

  I believe that the valley road is the most important part of the human body. It must not be damaged in any way, and it must not be touched easily by others, otherwise life will be lost.

   Nguema couldn't imagine that his unmarried daughter's "gu road" would be stabbed twice by such a long pipe. It would be scary to think about whether it would come out of her mouth.

  So the African chief chattered for a long time. In a word, he opposed colonoscopy.

   This made Chen Qi feel numb.

  After all, the training before going abroad is to ask the team members to respect the local customs and customs. The principle is that the treatment that the patient disagrees with should not be insisted on.

   You can’t do it if you don’t insist. You don’t know how to operate for any disease? Moreover, intestinal obstruction does not necessarily require surgery, maybe conservative treatment is also possible? Why bother to take this knife.

  The problem is that the premise of all this is to do a good job of examination, and the doctor has a good idea, so that the most correct treatment plan can be formulated.

  Chen Qi kindly persuaded him for a long time, but Nguema just refused to listen and insisted on the customs of his own tribe.

  Chen Qi had no choice but to turn around and say to the little **** the hospital bed:

   "Luciana, what to do, your father doesn't allow us to do the examination, which means that there is no way to operate on you, what do you think?"

  Luciana is already in pain, and now I want to stop the pain as soon as possible, whether you want to stab it or stab it, it doesn't matter.

   Tears flowed out in a blink of an eye, rubbed his hands together, and cried out in a common local begging gesture:

   "Dad, I don't want to die. Please listen to the doctor. Besides, people from other countries can have this colonoscopy. There is no reason why Africans can't do it."

   Chen Qi nodded after hearing this, thinking that if a country wants to develop, it really needs to vigorously develop education, because young people are open-minded, easier to accept new things, and better able to lead the country to progress.

  On the contrary, an old-fashioned person like Nguema, conservative in thinking and particularly stubborn, can easily become a stumbling block to the rolling torrent of history.

   Sure enough, the little padded jacket's plea was different, and Nguema finally had to stomp his feet and agree.

  Chen Qi couldn't say a word. After the nurse made preoperative preparations, he quickly stabbed the "gastroenteroscope" into the valley, racing against time to save time for rescue, and ignored Director Hu who was looking at him with murderous eyes.

  The examination started, the diagnosis room was quiet, and everyone's eyes were focused on the TV screen.

  The colonoscope was only a few centimeters in, and everyone moved closer to the picture tube, and then each of them made a questioning sound of "Huh".

  Yi Zewen asked strangely: "Dean Chen, what is this? Why is there a thick white thread in this patient's intestine?"

  Chen Qi also found it strange. At first he suspected it was a parasite, and felt that even the scene he saw should be densely packed with small bugs, just like the roundworm intestinal obstruction he did in the Hengluli Commune back then.

   Fish out a basin of roundworms, and ask you if you feel sick.

   As a result, the African patient did not see roundworms or other worms in his intestines, just a white "thick thread" that could not be seen at a glance, which made Chen Qi doubt whether his previous diagnosis was correct?

  Following the colonoscope to go to the colon little by little, Director Hu suddenly reminded:

   "Dean Chen, wait, look here, there is a second thick white line here, this is wrong."

   Before Chen Qi could answer, Chen Li who was next to him started screaming:

   "No, no, this rope can move, it can move, you see, it is twisting slowly."

  The gastroscope was moving forward all the time, so no one noticed this situation. Now that the camera is still, if you look carefully, you can see that the thick white line is actually slowly moving.

  Chen Qi and Director Hu glanced at each other, and said in unison: "This is a parasite."

   But what kind of parasite grows into a long thread?

   After all, Chen Qi is not a professional. Maybe his wife Lan Lijuan knows that, after all, parasites are also an epidemiology, but he is not in front of him.

   "Xiao Yi, hurry up, go to the book and find out what parasites are very long? The color is still white."

"how long?"

   "At least more than 1 meter."

   "Hiss~~~"

  Many doctors in the consultation room gasped, only Nguema was a little puzzled, what are these doctors hissing?

  The patient, Luciana, was already in a cold sweat due to the colonoscopy plus abdominal pain, and did not pay attention to the sudden situation here.

  Yi Zewen hurried to find Parasitology, then quickly browsed the catalog, and finally clicked on "tapeworm".

  The book says: Taenia is a huge intestinal parasite. The body length of ordinary adults can reach several meters. Adults parasitize vertebrates, and larvae mainly parasitize invertebrates or use vertebrates as intermediate hosts.

  Appearance of tapeworms, adult body dorsally and ventrally flat, symmetrical, mostly segmented, long like a belt, without mouth and digestive tract, lack of body cavity, except for a few, all hermaphrodites, often self-fertilization.

  People eat tapeworm-laden pork, beef, or fish that has not been cooked properly, and tapeworms can enter humans. Once the tapeworm enters the intestine, it embeds its head into the intestinal wall. Then absorb nutrients on the intestinal wall and grow long enough.

   This kind of parasite is terrible. Adults can generally grow to one or two meters, and 4 meters to 5 meters are also very common.

  In a museum of parasites in Japan, the tapeworms on display are 8.8 meters long.

  In the world record, the longest tapeworm can reach 22 meters, which can scare people to death. I don’t know why this kind of worm can grow so long.

  At first glance, the long worms in Luciana's stomach look a bit like tapeworms.

  Chen Qi feels relieved now, his diagnosis is correct, but the bugs are not the roundworms he imagined.

  The colonoscope continued to push in, and finally, the obstruction was found at the bend of the transverse colon and descending colon, which is anatomically called the "left flexure of the colon".

   At this time, everyone staring at the screen felt chills, and Chen Li and Yang Xiuxiu felt that all the muscles and skin of her body were coming.

  I saw countless long worms on the screen, just like knotted wool balls, tightly blocking the intestines.

  Especially after the camera is fixed, these long insects slowly start to squirm collectively. That scene is as desperate as the creaking sound made by fingernails sliding across the glass.

  Director Hu slapped his thigh excitedly:

   "Ah, here, it's blocked, darling, so many parasites, did this little girl grow up eating worms?"

  As soon as the words fell, everyone looked at the black girl lying on the side of the hospital bed again, with sympathy in their eyes.

  Chen Qi pouted:

"You don't know, but I have been to their village. They eat raw meat, drink raw water, live in thatched huts, and sleep on hard mud. It is no wonder that such conditions are free from parasitic diseases, so It is said that the life expectancy of people in this place is short, and they don’t pay attention to hygiene at all.”

  Everyone nodded in unison, the medical staff are more or less a bit of a clean freak.

  Even Nguema nodded, because he couldn't understand what these Chinese doctors were talking about, so he felt that he was right to nod in agreement.

  Yi Zewen asked at this time: "Dean Chen, what shall we do next?"

"The only thing left is surgery. Let's take a look at the condition of the intestines. If the moths are not severe, just take out the parasites and sew them up. If the intestines are already in a mess, you can only cut off part of them and perform intestinal anastomosis. This operation is troublesome." gone."

   Nguema, the all-powerful chief in the village, suddenly became a little submissive in the Friendship Hospital.

   "Chen, Dr. Chen, how is my daughter's condition? Will she die?"

   Chen Qi made a knife cut on Luciana's stomach:

   "The intestines are blocked by worms. Here, we need to cut them open, take out the worms, and let the intestines pass through. Only in this way can we save her life."

   Nguema sat down on the ground in fright, and let the little aborigines in a certain place imagine cutting up people's stomachs.

   "Cut open the stomach, can you still live? Isn't that the same as killing a sheep? Woooooo~~~~"

  Chen Qi really wanted to laugh, so he could only patiently explain:

   "Don't worry, we will sew up the intestines and stomach, just like sewing clothes. After more than ten days, we will fully recover, and little Luciana will be alive and kicking again."

"real?"

   "Really, our Huaguo doctor is not a country guy, so we won't lie."

   Nguema was excited when he heard that his daughter was saved, so he went all out:

   "Okay, do you need a lot of money to cut open my daughter's belly? I don't have any money, but I have a lot of sheep. I'll go back and pull the sheep right away."

  African natives are quite straightforward, they don’t hesitate to make a decision, and they don’t have the habit of defaulting on medical bills at all, which is much better than some people.

  The family members agreed, the cause was found out, and it was an emergency operation, so everyone started to act immediately.

  When the parasites in a sterile basin were taken out, they were still alive, and they spread in the camp with a clatter.

  Huaguo doctors usually seldom entertain, so of course they wouldn’t miss this kind of gossip now, so they surrounded them in a clattering circle.

  There are quite a lot of parasite patients in Haidong Province, but the types of diseases are relatively few. The most common ones are schistosomiasis and ascariasis. Many doctors are seeing such long parasites for the first time.

   Mao Mingming from Wuzhou is an extroverted little girl. When others see this parasite, they lie down on one side in fright, but she doesn't.

   Not only did not hide, but still greeted people:

   "Come, come, don't run, where are you going to hide, go get a circle ruler, let's measure how long this parasite is, obedient."

  When a group of young doctors were still studying the "swine tapeworm", Piet happened to come to visit his village head friend.

  He saw a group of people surrounding the operating room. Africans are also very gossipy, so Piet also went up to see what was inside?

   I don’t know if I don’t look at it, but I was shocked when I saw it:

   "Fack, where did such a long guinea worm come from?"

  Mao Mingming doesn’t know English, so he is very upset when he hears a black man standing next to him exaggerated and excited:

   "What's the noise? Do you want to eat? I'll cook a dish for you later, and you can drink banana wine, which is just right."

  Hahaha~~~~~ A group of people around laughed.

  Pieter couldn't understand what the Huaguo girl was talking about, but excitedly pointed at one of the longest worms that everyone was measuring and shouted:

   "This is so long, so long, it's definitely a record-breaker, and it's the longest guinea worm I've ever seen."

   After the translator said this, a group of young doctors also looked at each other in dismay. Mao Mingming held a circle ruler and looked at Zaozi on the ground and shouted in surprise:

   "It's terrible, it's terrible, we accidentally discovered the world's largest, hurry up, measure how long it is."

   After a while, everyone cheered: "2 meters 6, 2 meters 6, Piet, how long is the longest guinea worm you know?"

   "1.2 meters, the longest is gone, Faker, take a picture quickly, this one can apply for the Guinness World Record."

  Chen Qi had already changed into the surgical gown and came out at this time, but he shook his head when he heard what Piet said:

   "NO, NO, NO, since the world record has been broken, we should make a project, and applying for a Guinness World Record will be useful."

  (end of this chapter)