Abstract:
The advent of the portable
ultrasound machine facilitated
epidemiological studies on the
pathological impact of both intestinal
and urinary Schistosomiasis.
Ultrasound had. been utilized as one
of the investigation methods for
revealing the longstanding chronic
infections and evaluation of mass
chemotherapy programs. however
III
this has been done mostly with
Schistosoma mansion, with few
studies concentrating on
haematobium and this has left a
deficit in the understanding of the
pathogenesis of such urinary
parasite. The demonstration of
Schistosoma signs on the kidneys,
ureters and the urinary bladder by
ultrasound examination is valuable
and useful.
In this investigation, ultrasound has
been employed to investigate two
endemic areas with urinary
Schistosomiasis, for establishing a
systemic way of investigation of the
U.T. in such patients. In the study. 83
samples were selected from Kiryiab
agricultural Scheme (Khartoum
State) and 80 from the AL- Rahad
area (Kordofan State). And 50
samples as a control group.
Urine samples were collected from
all individual for microscopic
examination utilizing sedimentation
technique. Routine UT. ultrasound
technique was used to scan the
urinary bladder, ureters, and the
IV
kidneys using necessary patient’s
preparation. These organs showed
acute, intermediate and severe
chronic changes, which could be
used to evaluate the severity of the
disease, the needed necessary
management, effectiveness of the
treatment used and the need for
further follow up.
The obtained data were subjected to
relevant statistical techniques and a
specially designed scoring system
was adopted. These two ways
revealed very useful findings about
the effects of the disease on the
lower and upper parts of the U.T.
Such findings might be used for
further investigation on the surveyed
patients as well as on longitudinal
surveys in the community for
monitoring the appearance,
disappearance and reappearance of
ultrasound signs of infection and the
monitory of more complications like
severe impairment of the U.T.
function or development of bladder
cancer.
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used with laboratory investigations
,such as microscopic urine
immunological and histopathological
examinations, as well as tumor
marker tests. The investigation
recapitulated that the ultrasound is a
-powerful, cheap, non-invasive, non
costive, less time consuming and
rather a pleasant tool to
demonstrate the structural morbidity
.(acute or chronic) caused by S
.haematobium
