Caseous chibayo: Zizindikiro, chithandizo, mbiri zachipatala, Inde matenda, chithunzi, matenda masiyanidwe

Pa nthawi, ndi anthu masiku ano akuopseza miliri zingapo zimene zingasokoneze kupita ku mliri wa. matenda monga HIV, matenda a chiwindi B ndi C ndi kumene TB. A amaposa amafa ndi zotsatira disabling musatisiye munthu mwayi amamenyana ndi matenda m'thupi, ndipo ngati timaona kuti matenda zimadalira odwala okha, chikhulupiriro chawo mu dokotala ndipo amafuna kuti asagwidwe, ndiye tili ndi kuziyika izo modekha, chithunzi zosasangalatsa.

tanthauzo

Caseous chibayo ndi maonekedwe a m'mapapo TB. Kumachitika kwambiri zilonda kuposa masiku chibayo anachititsa zomera coccal. Ndipo yodziwika ndi predominance njira necrotic mu phapo kupanga curd m'malo yachibadwa m'mapapo parenchyma. M'kupita kwa nthawi, iwo zagonjetsedwa kwa lysis, ndipo mu malo awo ndi cavities lalikulu. Zitatero, iwo zingachititse kuti chilonda, kuchepetsa lightness ya m'mapapo ndi moyenera, kuchuluka kwa mpweya aziwapatsa bwereza, kukankhira periphery limba parenchyma. Zimenezi alinso kungasokoneze kuwombola mpweya ndipo kumayambitsa kupitirira wa hypoxia exogenous.

Gawo

Malinga ndi dera minofu zowonongeka, caseous chibayo lagawidwa subtypes zitatu:

1. Lobar. mawonekedwe Ngokwanira, analanda gawo lonse kwathunthu. Monga buku la minofu necrosis zowonongeka, ndipo zagonjetsedwa kwa lalikulu, odwala chimapambana katundu kuledzera chizindikiro. Chifukwa cha zimenezi, kuwala isungunuke anapanga caverns.
2. Lobular mawonekedwe, kapena lobulit. Izi Vuto la TB alipo. Mosiyana ndi munthu yapita, pali lobes angapo, kuchititsa aakulu poizoni chakudya minofu kuwonongeka.
3. Acinar. Kuoneka ngati vuto la miliary (lotayirira) TB. Ngakhale kuti acinus - ndi gawo laling'ono la phapo, nthendayo anasamutsa povuta, kuyambira m'madera okhudzidwa zambiri zosonyeza, koma thupi lonse la parenchyma lapansi.

EPIDEMIOLOGY

Monga taonera, TB ndi zovuta ndi mtundu ngati matenda monga chibayo caseous. Mbiri ya matenda oposa zaka zana limodzi, ndipo pa nthawi anthu sanathe kuti abwere ndi kuchiritsidwa. Maantibayotiki kuti akutenga odwala tsopano sikuthandiza patapita zaka khumi kapena makumi awiri, chifukwa tizilomboto ndi nthawi kukhala kukana kuti kukhudzana ichi mankhwala.

Matendawa akufotokozera mofulumira, zizindikiro adzawonekera mwachilungamo mwamsanga matenda. Poizoni opangidwa ndi mabakiteriya kuti kusokoneza chitetezo cha m'thupi, zofooketsa izo. The chimadalira chachikulu, nkhani chibayo caseous anthu chikhalidwe ovutika. Osati chifukwa cha kusowa kwa ukhondo zofunika, osauka zakudya ndiponso kukhala malo abwino, komanso chifukwa cha kulephera kwa mankhwalawa ndi kudwala chimapangitsa.

Chitukuko cha matenda

Chifukwa gulu mofulumira ndi kukula kwa M. TB mu mapapo imathetsa ambiri ndi makonsolo chitetezo chokwanira. The tizilombo kubala michere amene angaononge dongosolo ma m'thupi, kudzipheralo aputosisi (ma selo imfa). Choncho, kudzikundikira misa yovuta mabakiteriya akuyamba njira wonongeka chitetezo cha m'thupi la munthu. A zochitika zofunika kwambiri za wothandizila mu ziwalo mkati ndi mankhwala kawopsedwe patsogolo kwa yafupika chiwindi ntchito, adrenal England, alibe minofu mtima ndi mantha dongosolo chotupa.

Kwanuko, pa maziko a chitetezo chokwanira otsika anati njira necrotic mu m'mapapo parenchyma, angapo foci kutupa ndi curd mkati. Pang'onopang'ono, iwo kupasuka michere zawo za thupi, ndi mu malo awo anaonekera ndi M'mimbamo (cavities).

zizindikiro

Njira matenda a chibayo caseous mungakhale ndi zitsanzo zingapo:

1. Chibayo, kuti akufanana ndi chibayo tingachipeze powerenga - .. High kutentha (mpaka madigiri makumi), kuzizira, chifuwa, kupweteka m'chifuwa, dyspnea.
2. Chimfine - zochitika catarrhal (chimfine mphuno, maso madzi, m'phuno edema) amachuluka pa kuledzera. Pali thupi pang'ono, mwina chifuwa.
3. Sepsis - kutentha kwambiri (makumi ku makumi wina digiri), kuledzera, migraine, chifuwa olumikizidwa ku makina.

Poyamba, popanda zizindikiro nkhawa si anati. Easy youma chifuwa, adzawuka mu kutentha usiku, kusafuna kudya. Iwo ukhoza motalika kokwanira mpaka chifuwa youma sadzapita mu chonyowa ndipo padzakhala viscous Kamaoneka sputum. Pa nthawi imeneyi, kutentha akutsikira kale, ndi kupuma kulephera, m'malo mwake, ikukula. Dokotala akhoza kuganiza kuti wodwala caseous chibayo. Zizindikiro si pokha, koma molumikizana ndi kusanthula ndi mbiri ya moyo wa matenda zimaonekeratu.

diagnostics

Kuwonjezera kusonkhanitsa mbiri mankhwala komanso matenda, dokotala ayenera bwinobwino munthu kuti n'zotheka palpate ndi lymph mfundo, mverani mpweya wanu. Koma kuti molondola onetsetsani kuti mfundo wake zoona, dokotala mtima craps mayeso labu:

1. X-ray a chifuwa. Phthisiologists anapeza mbali khalidwe lomwe ndi chibadidwe matenda monga chibayo caseous. Photo kuwala chithunzi choperekedwa pamwambapa, timatha inu kuwona angapo foci limatsogolera thupi minofu.
2. Mantoux kapena Diaskintest. Zambiri ndiponso mofulumira njira kudziwa kukhalapo kwa odana ndi TB chitetezo chokwanira. Koma iye sapereka zana pa zana chitsimikizo cha matenda, ndipo ukhoza kukhala wabodza zabwino ndi wabodza negative.
3. Sputum wamamamayikirosikopu. Wodwala amafunsidwa kusonkhanitsa sputum kwa masiku atatu mtsuko wosabala. Kenako amanena kwa zasayansi kumene anaikidwa sing'anga wapadera Lowenstein-Jensen chikukhudza ndi kuchuluka kwa zakudya chofunika kukula bakiteriya. Ndipo basi patapita mlungu umodzi izo zidziwike, chimasiyanitsa munthu tubercle Bacillus kapena ayi.
4. Onetsetsani kusunga muyezo matenda matenda mayesero: wathunthu magazi okwanira, urinalysis, magazi sayansi, shuga, zopatsa mphamvu pa yaytseglist.

matenda masiyanidwe

The dokotala woyamba kuonetsetsa kuti wodwala kwenikweni wowumitsa chibayo. Masiyanidwe matenda Pankhaniyi zimathandiza kupewa matenda amene kukomoka zofanana kwambiri ndi zimene takambirana mwa ife kudwala. Ndipo mu mzere woyamba amakhala lobar labwinobwino kapena pleuropneumonia. Kusiyana komwe kulipo pakati pa iwo adzakhala mu chikhalidwe cha misa necrotic ndi exciter lapansi. Onse a magawo misonkhano.

The kopanda china angafunikire kukhala m'mapapo mwanga infarction. Koma ndi wokwanira kuchita ndi angiogram kuti akatsimikizire Tiyerekezenso amenewa. Komanso, wodwala ayenera kupereka mbiri ya kapena choipa, kapena atherosclerosis, kapena kumayambiriro mpweya m'magazi ndi / kapena njira wochuluka.

The matenda lachitatu, zimene ziyenera poyerekeza ndi chilonda. Mu chitukuko cha kudwala muli malungo, kuledzera kwambiri, koma padzakhala chifuwa ndi phlegm.

chithandizo

Kamodzi anapezeka "caseous chibayo", chithandizo amasankha nthawi yomweyo. Munthu kunditumiza ku chipatala wapadera TB, kumene mwayi kutsatira yoyenera bedi zina ndi zakudya.

Choyamba, dokotala nawo mpumulo wa chikhalidwe pachimake, kaya ndi poizoni mantha kapena kulephera kupuma. Pakuti mtima uyu akuchita sorbents kulowetsedwa ndi okodzetsa, kuchititsa plasmapheresis. Ndiye pakubwera kwa mankhwala yogwira pobwera ku ntchito mankhwala antihypoxants, anticoagulants, mahomoni, interferon. mankhwala mwachindunji kugwiritsa ntchito ziwembu za mankhwala antibacterial cholinga mwachindunji Mycobacterium TB.

kaonedwe

Caseous chibayo kovuta kuchiza choncho moyo ndi thanzi zotsatira akhoza sizingasinthe. Mwinanso wa chiwonongeko cha phapo, kumene kumakhala kumabweretsa kulephera kupuma.

Malangizo kwa anthu ndi madokotala TB matenda Koch Wand ndi kuchepetsedwa chakuti muyenera kuthamanga matenda. M'pofunika ayamba mankhwala pa nthawi ndi kudutsa kwathunthu, koma chifukwa socialization osauka odwala, komanso moyo wawo, caseous chibayo ndi vuto pafupipafupi TB. AIDS, limene madokotala nkomwe kupirira lero.