Giardia are the simplest parasites that disrupt the full functioning of the internal organs of a person, thereby worsening its general condition. As a rule, infection occurs as a result of the penetration of spores of lamblia (cysts) into the body through the oral cavity. As a result, the patient begins to excrete a large number of cysts along with the feces. In turn, these spores, after excretion, also remain viable outside the human body. Although this disease (giardiasis) belongs to the category of "forgotten" (its foci are manifested mainly in third world countries, where the level of hygiene is extremely low), it is quite simple and easy to get infected with it. The infection can be transmitted by vegetables / fruits, the fruits of which are inseminated by parasites. Another way of infection can be swimming in an open reservoir with an unfavorable epidemiological situation, or the elementary use of dirty water for drinking. Among other things, animal carriers can also infect humans.

IMPORTANT! Giardiasis is often easily confused with other gastrointestinal diseases. The patient may be trying to treat for a long time for disorders in the natural bacterial flora, various allergies and dermatitis, at a time when Giardia cysts continue to disrupt the functionality of the body, poisoning it with their toxins. Therefore, it is important to correctly and promptly determine the symptoms of this disease and undergo high-quality drug treatment.

Treatment with medicines - the main stages

For an adult with acute form Treatment of such a disease consists of a small number of steps - the patient is placed in a hospital under the constant supervision of a specialist doctor. In the process of observation, the patient takes the prescribed drugs under the strict supervision of a doctor. A special control scheme is needed because the acute form has the character of a protozoal infection, to eliminate which strong drugs are used with many contraindications and which contain highly active and toxic substances. After the parasites are removed, it will be necessary to restore body functions.For this, restorative therapy is used using more gentle medications, however, this process can take several months.

When chronic form giardiasis, the first step is to prepare the patient for taking antiparasitic drugs. This is caused by an urgent need, since there is a likelihood of an allergic-toxic reaction to drugs or an exacerbation of the disease itself. In this regard, the chronic form is cured in three stages:

  1. Preparatory - at this stage it is necessary to strengthen the functions of the digestive system by reducing the number of parasites in the patient's body by taking enetrosorbents. In case there are long-term constipation, laxative medications are prescribed;
  2. Direct treatment - it is aimed at eliminating pathogenic microorganisms. Usually this stage takes place in two courses of taking medications (with a break of a week), after which the parasites must be removed from the human body;
  3. Restorative - at this stage, the body's protective functions increase, the state of the digestive tract normalizes, the natural balance necessary for the intestinal microflora is restored.

It is worth noting that if the digestive organs work flawlessly, then the preparatory stage can be skipped and immediately proceed to drug treatment. Doctors specializing in gastroenterology or infectious disease are involved in diagnostics and treatment.

Dieting during the preparation phase

This stage can last from 21 to 28 days - here everything will depend on the level of poisoning by toxins of parasites of the organism itself and the severity of pathologies of the digestive system.

In both adults and children, the healing process begins with strict adherence to dietary guidelines. The patient needs to reduce the amount of food consumed, which contains a lot of carbohydrates, and the consumption of protein foods, on the contrary, increase. This is due to the fact that the lamblia parasites feed on carbohydrates. You should also stop taking milk sugar (lactose) and dairy products containing it. But through the intake of protein-containing food, you can significantly slow down the development of lamblia cysts in the patient's body. Among other things, nutritionists advise diversifying the patient's table with berries and juices, coupled with fermented milk products. Thus, an acidic environment will be created in the intestines that can suppress the reproduction of parasites. The meal itself should take place in the order of receiving small portions, but 5 - 7 times for 24 hours. With this regime, the outflow of bile will be accelerated, and this will negatively affect the parasitic microorganisms.

In addition, the diet needs to be replenished with dietary fiber if possible - for this, the patient must absorb at least 30 grams of bran per day. These food components are hardly digested, however, they are a nutrient medium and a source of strength for the intestinal microflora. According to the medical standards used in the Russian Federation, a patient with giardiasis is shown diet No. 5, which is prescribed to patients with diseases of the hepatobiliary system.

Foods recommended for a person with identified lamblia:

  • Greens, various fruits / vegetables;
  • Bread made from coarse flour;
  • Sour cream, yogurt and kefir, as well as other fermented milk products with a low percentage of fat content;
  • Various cereals on the water (oatmeal, buckwheat and rice);
  • Low-fat varieties of fish / meat;
  • Sweet candy and honey with marmalade.

If you follow diet number 5, you should refuse the following food:

  • Fatty fish / meat;
  • Rich meat broths;
  • Lard and lard, butter and margarine;
  • Various legumes and dishes based on them;
  • Eggs;
  • Smoked products;
  • Sweets and ice cream, cakes and pastries;
  • Carbonated waters;
  • Mushrooms (in any form).

IMPORTANT! To achieve the full effect of the treatment, this diet must be followed for some time after recovery.

Preparations used at the preparatory stage

Before starting the main stage of the fight against the disease, the following enetrosorbents should be taken:

  • "Smecta" - the drug is made on the basis of natural ingredients and contains aluminum and magnesium salts. It knits and removes excess hydrochloric and bile acids, as well as toxins and gases from the gastrointestinal tract. This remedy protects healthy cells of the gastrointestinal mucosa and counteracts cytotoxins, preventing possible complications. By itself, the tool does not eliminate parasites, but cleans the body of the toxins they produce, significantly reducing their number. The drug has no special contraindications - it is allowed for admission to newborn babies, and pregnant and lactating women;
Smecta
  • "Enterosgel" - this drug can be compared with a "reasonable sponge", because the size of the molecules of active substances are equal to the size of the molecules of toxins. The medicine cleans the body of heavy metals, allergens, alcoholic substances and other foreign substances, as if "absorbing" them. It normalizes the digestive system, contributing to its regeneration, as well as local strengthening of the immune system. The medicine is safe and has no side effects. But still, it cannot be used in conjunction with other medications, because it reduces the effectiveness of the latter. Some variations of Enterosgel contain sugar, and in this configuration it is not recommended for infants, nursing mothers and pregnant women.
Enterosgel

If at the preparatory stage the patient has problems with stool, then he needs to use drugs with the presence of lactulose in its composition. It can be "Duphalac" or "Normase" - they are completely harmless and not dangerous for newborns, pregnant women or lactating.

If a patient has problems with the outflow of bile, it is necessary to immediately undergo a diagnosis (ultrasound) from a gastroenterologist in order to identify the causes of the pathology.

Duphalac

Treatment of lamblia in conditions of impaired gastrointestinal functions

In this case, the following rules must be observed:

  • If pain occurs under the ribs on the right, you need to take vegetable fats in a volume of at least 80 milligrams every 24 hours. Along with this, prokinetics (for example, "Domperidone)" should be included in the list of medications taken, in order to establish an antiemetic effect (dosage: 5-10 milligrams half an hour before meals). Further, you can use cholecystokinetics, which eliminate biliary stasis. For these purposes, a solution of magnesium sulfate, or xylitol, or sorbitol in a dosage of 2-3 tablespoons 2-3 times a day is perfect.
  • If problems arise with the functionality of the sphincter, which regulates the passage of digestive juices and bile into the jejunum, it is required to limit the intake of vegetable fats to 40 milligrams per day. At the same time, the consumption of choleretic drugs is prohibited. The accompanying pain will help relieve: "Trimedat", "Gimekron", "Duspatilin" and "No-Shpa" and other antispasmodics.
No-Shpa

In addition, the patient may be shown enzyme drugs - "Pancreatin", "Festal", "Creon", together with hepatoprotectors "Gepabene", "LIV-52", "Legalon" and "Carsil". The first group is assigned according to the results of the analysis of feces, and the second - when chronic lesions of giardiasis of the liver are detected.

Destruction of parasites with giardiasis

IMPORTANT! It is always worth remembering that if giardiasis is found in a child, then with a probability of 99%, the rest of the family living with him will also be infected with it!

For the treatment of giardiasis, the following medications are shown:

  • Nitroimidazole group - "Ornidazole" and "Tinidazole". Not so long ago, Metronidazole was removed from this group due to the development of resistance to its effects in modern parasites;
  • Nitrofuran group - Nifurtel and Macmiror. Furazolidone was excluded from this group, because it provokes a lot of side effects in both children and adults, moreover, the parasites have developed immunity to it;
  • Benzimedazole group - "Albendazole".

For your information:

In addition to the main drugs, you can use Enterol. This medicine is a probiotic made on the basis of Bouvardia Saccharomyces, and is perfect for complex treatment. In addition, it enhances the effect of antiparasitic drugs.

"Ornidazole" can have different names - "Dazolic", "Tiberal", "Ornisnid". It can be produced both in powders for injection and in tablet form. Especially for women, the form of vaginal suppositories is provided.

An approximate treatment regimen with "Ornidazole"

The tablets are taken once a day. The dosage will depend on the patient's weight - up to 35 kilograms - 0.04 grams per kilogram, over 35 kilograms - 3 tablets before bedtime. If desired, the tablet can be crushed for easy drinking. The effectiveness of the treatment is 90%.

An approximate scheme of treatment with "Tinidazole"

Adults take 4 tablets once every 24 hours, and children are prescribed 50 milligrams for each kilogram of weight. The effectiveness is 77%, therefore, if positive results are not achieved within the prescribed period, the course of treatment must be repeated.

The rather high percentages of recovery from lamblia are explained by the following properties of the aforementioned drugs:

  • Their active components are quickly excreted from the body through the work of the kidneys, so they practically do not give side effects;
  • Medicines are directly aimed at eliminating bacteria and parasites, which are responsible for the occurrence of intestinal infections;
  • They are quite effective against Helicobacter pylori, successfully resist Candida fungi, which often inhabit the intestinal cavity with giardiasis.

IMPORTANT! It should always be remembered that self-treatment, even with highly effective drugs, does not always lead to positive results, even if you follow the dosage indicated in the instructions for use of the drug. Treatment and its process are prescribed and controlled only by a specialist doctor !!!

Treatment of giardiasis in children

The process of treating a childhood disease is not much different from adult procedures: you will have to go through the same stages (preparatory, basic, strengthening), except that the dosage of drugs will be much less. The most popular medicines for the destruction of lamblia in children are "Ornidazole" and "Tinidazole". The first can be given even to infants, and the second - starting from the age of 12. Additionally, you can use "Albendazole" - it perfectly helps with worms and it is allowed to give it to children from 2 years old.

IMPORTANT! Parents should remember that five days after the start of the use of antiparasitic drugs, a small patient may feel bad. This is due to the fact that dead parasites will release a large amount of toxins inside the body at death, which will enter the bloodstream. The malaise can be relieved by taking anti-allergenic, diuretic and laxative drugs.

The positive effect of treatment in children usually begins to appear on the 9-10th day after the start of therapy. The signs are:

  • The disappearance of the skin rash;
  • Cessation of cough;
  • Respiration normalization;
  • Reduction of lymph nodes.

However, upon completion of the course, it is worth doing tests for the presence of lamblia in the child's body and making sure that they are completely destroyed.

Rating of the best giardia tablets for 2020

For adults

3rd place: "Tiberal"

This drug has not only antimicrobial, but also antiparasitic effect. Effectively stops giardiasis, by affecting the DNA of the simplest organisms, destroys their genetic program, which means the death of the parasite. Consumed in blocks for one to two days. The active substance is ornidazole.

NameIndex
Manufacturer countryTurkey
Release formTableted
Active substanceOrnidazole
Price, rubles720
Tiberal
Benefits:
  • The tablets do not need to be crushed;
  • 3-time reception after a meal;
  • The dosage is easily calculated based on the patient's weight / age.
Disadvantages:
  • Long course of treatment.

2nd place: "Macmiror"

The drug is very popular, judging by the frequency of its administration. It practically has no side effects (not to be confused with contraindications!), Does not have a negative effect on the liver, and successfully fights giardiasis. It can be used in combination with other drugs.

NameIndex
Manufacturer countryItaly
Release formCapsules, cream
Active substanceNifuratel and nystatin
Price, rubles750
McMiror
Benefits:
  • Versatile (also combats salmonella and shigellosis);
  • Has almost no side effects;
  • Popular.
Disadvantages:
  • Contraindicated in pregnant women.

1st place: "Tinidazole"

These tablets are used in case of revealing complications caused by giardiasis (for example, disorders of the urinary system). They are used for adults and older children. Active substances do an excellent job with various microorganisms and various helminths.

NameIndex
Manufacturer countryRussia
Release formTableted
Active substanceCrospovidone and magnesium stearate
Price, rubles70
Tinidazole
Benefits:
  • Multifunctionality;
  • Has excellent pharmacokinetic properties;
  • The composition contains several active substances at once;
  • Affordable price.
Disadvantages:
  • Contraindicated in children under 12 years of age.

For kids

3rd place: "Pirantel"

Even a single dose of this drug will destroy most of the lamblia in the body. The composition contains laxative components, so the simultaneous use of laxatives is not required. Available in the form of suspensions and tablets. Perfectly absorbed by the child's body.

NameIndex
Manufacturer countryRussia
Release formTablet and suspension
Active substancePirantela pamoat
Price, rubles33
Pirantel
Benefits:
  • The variability of the release form;
  • Combined direction of action;
  • Low price.
Disadvantages:
  • Decreased appetite;
  • In children under 3 years of age, it can cause a gag reflex.

2nd place: "Vermox"

The drug perfectly defeats not only lamblia, but also other helminths. Pharmacokinetics consists in the violation of metabolic processes in parasites, the gradual suppression of their vital functions, which ultimately leads to their death. The composition includes a special insulin ingredient, which allows the drug to be used by children with hereditary diabetes mellitus.

NameIndex
Manufacturer countryRomania
Release formTableted
Active substanceMebendazole
Price, rubles90
Vermox
Benefits:
  • Budgetary price;
  • Extended functionality;
  • The increased completeness.
Disadvantages:
  • Minor side effects such as slight dizziness and nausea.

1st place: "Nemozol"

The best and most effective remedy for giardiasis today. It can be used practically without restrictions by both children and adults. It successfully fights against adult lamblia and cysts. It has a wide range of applications: from mixed helminthic invasions to liver echinococcosis.

NameIndex
Manufacturer countryIndia
Release formTablet and suspension
Active substanceAlbendozole
Price, rubles200
Nemozole
Benefits:
  • Affordable price;
  • Versatility and efficiency;
  • The presence of many excipients in the composition.
Disadvantages:
  • Almost none (very few side effects).

Conclusion

The destruction of lamblia is a long and difficult process (at least a month). Always, before starting the main course, you should prepare the patient's body by going through the preparatory stage. At the same time, self-medication should be excluded as a 100% negative method, and all medications used, their dosage and frequency of use should be prescribed by a specialist doctor. At the end of the medication course, it is necessary to consolidate the result with the help of restorative therapy. Completion of treatment should be a negative test for the presence of lamblia in the body.We should also recall that all the drugs listed in this article are prescription drugs and are sold in pharmacies only with a prescription from the attending physician.

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