The Ministry of public health of the country that it is a big problem, Tai sahen. Disease control Department, isarn roundworm infection that leaves the liver in most countries and is an important as cholangiocarcinoma from eating fresh water fish. Two thousand people die each year than Thailand or on average per day, 80 people per day. With the soft leaves of Pathology Thailand people across the country are expected to have a roundworm infection leaves the liver for about 6 million people, which is a risk factor for a disease of cholangiocarcinoma average people died each year of approximately 28000 80 people per day this past year 2554 public health agencies in the area has accelerated, and all involved aware of the problems of pathology of liver and cholangiocarcinoma leaves both national and international level by modifying behaviour, public relations people turn to eat cooked fish. And from the examination by ultrasound of the gallbladder is to trace a disease condition, the tube worms. Introduction to led to a more than 15 percent of cholangiocarcinoma and found the patients suspect a cholangiocarcinoma 6 of 962 people were detected with ultrasound, which is considered a very high cancer incidence. Caused by eating fresh water fish, there kinds of fur types the raw with the pathology in soft or cooked fish is not cooked like a coin. The fermentation of pickled fish fish is by a young pathology will travel into the liver through the bile duct outside the liver, hole open. Area of the small intestine in a time not exceeding 24 hours. For obvious symptoms are divided into 2 groups, group 1 is a large group that has yellow eyes and yellow symptom. Found 60-70% of patients may not have a fever, but liver and ascites. The second group is a group that does not have a history of pain and symptoms, yellow belly, but with a tight as a month or a year. There is a lump in the liver or liver, growth may have a gallbladder inflammation.
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