B. inggris

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The tapeworm that grew in the gut of a patient here was so long that it was at least one and a half times his height.When fully stretched out, it measured all of 2.8m.

In order for it to be captured in an image taken by the Singapore General Hospital's (SGH) Department of Microbiology, the worm had to be folded 18 times to fit into the picture.

Despite its length, the patient showed no signs at all that a parasite was growing in his body.

"The patient was somewhat appalled when the worm was passed out via the rectum," said infectious diseases expert Hsu Li Yang.

He shared this 2016 case with The Sunday Times when asked for local examples of people being infected with parasites like worms after eating uncooked or undercooked seafood.

The Washington Post reported earlier this month that a 30-year-old man who ate raw fish almost every day found a 1.6m-long tapeworm hanging from his rear end.He had stomach cramps and bloody diarrhoea after eating salmon sashimi.The tapeworm,which kept on coming out from his anus, was pulled out of his body alive and moving.

Professor Hsu said the 2.8m-long worm seen in Singapore was clearly a tapeworm as no other human parasite can grow to such a length.

"The question is what tapeworm, which will also help answer how the patient had acquired the worm."

An adult tapeworm has a head, neck and chain of segments called proglottids.During an intestinal infection, the tapeworm head sticks to the intestinal wall, and the proglottids grow and produce eggs.

People get tapeworms mostly by eating undercooked pork, beef or fish.From the egg obtained from a segment of the 2.8m-long tapeworm excreted out, the SGH's Department of Microbiology said the egg most closely resembled those of fish tapeworms.

Most fish tapeworms are acquired by the consumption of raw or undercooked freshwater fish, as well as fish that spend a considerable amount of their life in fresh water, such as salmon.

Prof Hsu suspects infestation with fish tapeworms has increased over the years in Singapore, similar to the situation in other developed countries where raw fish consumption has been on the rise.But he said this cannot be confirmed as no data is recorded and people who are infectedmay not have any symptoms.

According to the Agri-Food and Veterinary Authority (AVA), 84,027 tonnes of fish were consumed in 2016.

However, parasitic infections – which are treated with medications – happen rarely.While many people with tapeworm infection do not have symptoms, others may experience nausea, weakness, diarrhoea and abdominal pain. Prof Hsu is aware of only two fish tapeworm cases last year.

Other common parasites found in seafood include roundworms and flukes, a kind of flatworm.

Over at the National University Hospital (NUH), the longest worm seen so far was a 1m-long pork tapeworm five years ago.

NUH sees about two to three worm cases a year, said Dr Jolene Oon, a consultant at its division of infectious diseases.However, these cases may include other worms like hookworms that are acquired from poor sanitation practices overseas and not from eating raw food.
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    Inggris - Indonesia

    Inggris :
    The tapeworm that grew in the gut of a patient here was so long that it was at least one and a half times his height.When fully stretched out, it measured all of 2.8m.

    In order for it to be captured in an image taken by the Singapore General Hospital's (SGH) Department of Microbiology, the worm had to be folded 18 times to fit into the picture.

    Despite its length, the patient showed no signs at all that a parasite was growing in his body.

    "The patient was somewhat appalled when the worm was passed out via the rectum," said infectious diseases expert Hsu Li Yang.

    He shared this 2016 case with The Sunday Times when asked for local examples of people being infected with parasites like worms after eating uncooked or undercooked seafood.

    The Washington Post reported earlier this month that a 30-year-old man who ate raw fish almost every day found a 1.6m-long tapeworm hanging from his rear end.He had stomach cramps and bloody diarrhoea after eating salmon sashimi.The tapeworm,which kept on coming out from his anus, was pulled out of his body alive and moving.

    Professor Hsu said the 2.8m-long worm seen in Singapore was clearly a tapeworm as no other human parasite can grow to such a length.

    "The question is what tapeworm, which will also help answer how the patient had acquired the worm."



    Indonesia :
    Cacing pita yang tumbuh di usus pasien di sini sangat lama sehingga setidaknya satu setengah kali tinggi badannya. Ketika sepenuhnya terentang, ia mengukur semua 2.8m. Agar bisa ditangkap dalam gambar yang diambil oleh Departemen Mikrobiologi Rumah Sakit Umum Singapura (SGH), worm tersebut harus dilipat 18 kali agar sesuai dengan gambar tersebut. Meskipun panjangnya, pasien tidak menunjukkan tanda-tanda bahwa parasit tumbuh di tubuhnya. "Pasien agak ngeri saat cacing itu pingsan melalui rektum," kata ahli penyakit menular Hsu Li Yang. Dia berbagi kasus 2016 ini dengan The Sunday Times saat meminta contoh lokal orang terinfeksi parasit seperti cacing setelah makan makanan laut mentah atau kurang matang. The Washington Post melaporkan awal bulan ini bahwa seorang pria berusia 30 tahun yang makan ikan mentah hampir setiap hari menemukan cacing pita sepanjang 1,6 m yang tergantung di bagian belakangnya. Dia mengalami kram perut dan diare berdarah setelah makan sashimi salmon. Cacing pita, yang terus keluar dari anusnya, ditarik keluar dari tubuhnya hidup dan bergerak. Profesor Hsu mengatakan bahwa worm berukuran 2.8m yang terlihat di Singapura jelas merupakan cacing pita karena tidak ada parasit manusia lainnya yang bisa tumbuh sedemikian lama. "Pertanyaannya adalah cacing pita, yang juga akan membantu menjawab bagaimana pasien mendapatkan cacing tersebut." Sebuah cacing pita dewasa memiliki kepala, leher dan rantai segmen yang disebut proglottids. Selama infeksi usus, kepala cacing pita menempel pada dinding usus, dan proglottida tumbuh dan menghasilkan telur. Orang-orang mendapatkan cacing pita sebagian besar dengan memakan daging babi, daging sapi atau ikan yang belum matang. Dari telur yang diperoleh dari segmen cacing pita sepanjang 2.8m yang dikeluarkan, Departemen Mikrobiologi SGH mengatakan bahwa telur tersebut sangat mirip dengan cacing pita ikan. Sebagian besar cacing pita ikan diakuisisi oleh konsumsi ikan air tawar mentah atau kurang matang, serta ikan yang menghabiskan sebagian besar hidup mereka di air tawar, seperti salmon. Prof Hsu mencurigai infestasi cacing pita ikan telah meningkat selama bertahun-tahun di Singapura, serupa dengan situasi di negara maju lainnya di mana konsumsi ikan mentah terus meningkat. Namun dia mengatakan hal ini tidak dapat dikonfirmasi karena tidak ada data yang dicatat dan orang-orang yang terinfeksi tidak ada gejala Menurut Agri-Food and Veterinary Authority (AVA), 84.027 ton ikan dikonsumsi pada tahun 2016. Namun, infeksi parasit - yang diobati dengan obat - jarang terjadi. Sementara banyak orang dengan infeksi cacing pita tidak memiliki gejala, orang lain mungkin mengalami mual, lemah, diare dan sakit perut. Prof Hsu hanya mengetahui dua kasus cacing pita ikan tahun lalu. Parasit umum lain yang ditemukan dalam makanan laut termasuk cacing gelang dan cacing, sejenis cacing pipih. Di National University Hospital (NUH), cacing terpanjang yang terlihat sejauh ini adalah cacing pita babi sepanjang 1m lima tahun yang lalu. NUH melihat sekitar dua sampai tiga kasus cacing per tahun, kata Dr Jolene Oon, seorang konsultan mengenai pembagian penyakit menularnya. Namun, kasus ini mungkin termasuk cacing lain seperti cacing tambang yang diperoleh dari praktik sanitasi yang buruk di luar negeri dan bukan karena memakan makanan mentah. Tolong buatkn 5w + 1h

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