Chifuwa cha ziwalo zoberekera: zizindikiro, matenda, matenda

Tizilombo toyambitsa matenda ndi matenda achiwiri, zomwe zimapweteka ndi mycobacteria. Matendawa amapangidwa motsutsana ndi chiyambi cha matenda akuluakulu, omwe amakhudza mapapo kapena m'matumbo. Matenda oterewa amagwera kumaliseche ndi maimfajeni, kukhudzana kapena njira zamakono.

Chiwerengero cha matenda

Malinga ndi zikhalidwe zachipatala ndi morphological, chifuwa chachikulu cha ziwalo zoberekera chimagawidwa mu mawonekedwe otsatirawa:

• Zovuta. Matendawa amakhala ndi njira zovuta komanso zovuta.
• Zosatha. Chizindikiro mu mawonekedwe awa ndi ofatsa.
• Subacute. Pali kusintha kwakukulu koopsa komanso koopsa kwambiri.
• Zomalizidwa. Pano palikumangiriza kwa foci.

Kuonjezera apo, chifuwa chachikulu, chokhudza mazira, chingakhale chogwira ntchito, chikutha ndipo sichitha. Pachiyambi choyamba, matendawa amakhala kwa zaka ziwiri, ndipo m'chiwirichi chimachitika mkati mwa 2-4. Tizilombo toyambitsa matenda ndi njira yomwe imatsalira pambuyo pa mankhwala. Pamene maphunziro a matendawa ali ovuta kwambiri, ndiye kuti kuwonjezeka. Ndipo ngati zizindikiro za chifuwa chachikulu cha chiberekero zimawonekera kokha pambuyo pa zaka zambiri, ndiye kuti ndizofunika kubwereranso.

Matenda enawa amagawidwa malingana ndi malo omwe ali ndi matenda: endometrium, salpingoophoritis ndi salpingitis. Mabakiteriya a chifuwachi amagawidwa mu MBT (+) ndi MBT (-).

Zifukwa za chitukuko cha matenda

Kutenga ndi matenda otere kungathe kuchitika pa msinkhu uliwonse. Ngati munthu ali ndi chitetezo champhamvu, ndiye kuti mycobacteria sidzadziwonetseratu nthawi yomweyo, zomwe zimapangitsa kuti munthu adziwe kuti ndi zovuta.

Nthawi yowonjezereka nthawi zina imakhala zaka zambiri ngakhale zaka zambiri, koma poyamba, zizindikiro za matenda zimayamba kuonekera. Mwachitsanzo, ngati chitetezo cha thupi chikuipiraipira, chifukwa cha matenda aakulu a chikhalidwe chosiyana, ziwalo za thupi, pamene zatopa, chifukwa cha kupsinjika, kutentha kwa nthawi yaitali, kupaleshoni.

Pamene chifuwa chachikulu chimakhudza mapapo, mycobacteria imayamba kufalikira kumimba. Ngati palibe zizindikiro zikuwonekera msinkhu, matendawa adzapangika mosavuta. Ngakhale kuti kukhalapo kwa zizindikiro sikutanthauza kuti chifuwa chachikulu cha chiberekero chidzaonekera.

Tizilombo toyambitsa matenda: zizindikiro

Zizindikiro zikuluzikulu za matendawa zikhoza kuchitika paunyamata nthawi ya kutha msinkhu. Zimakhudza makamaka omwe akuyimira kugonana kofooka kuyambira zaka 20 mpaka 40. Chifuwa cha TB pambuyo pa nthawiyi ndi chosowa kwambiri.

Matenda opatsiranawa amatha kupitirira popanda zizindikiro zosiyana kapena zosiyana ndizosiyana. Kawirikawiri, chizindikiro chachikulu cha chifuwa chachikulu chimene chimakhudza ziwalo zogonana ndi akazi ndizosatheka kuti mwanayo avomere, chifukwa cha matenda a endocrine kapena matenda a mazira omwe amapezeka m'mimba mwa amayi.

Zizindikiro zina za chifuwa chachikulu cha chiberekero

Kuonjezera apo, matendawa akhoza kutsatidwa ndi zizindikiro monga kusowa kwa kudya, amenorrhea, kuchepa mopanda malire, kupweteka kwa m'mimba, kutuluka usiku, kupweteka kwambiri m'mimba, zomwe nthawi zambiri zimasokonezeka ndi ectopic pregnancy ndi appendicitis. Kuonjezera apo, mu chifuwa chachikulu cha chiberekero, amai nthawi zambiri amakhudzidwa ndi zokhumudwitsa m'mimba ndi m'mimba.

Kugonjetsedwa kwa mycobacteria ya dongosolo la genitourinary

Mtundu uwu wa chifuwa chachikulu umafunika kupeza chithandizo ndi mankhwala. Matendawa amayamba ndi zilonda zam'mimba za ziwalo. Choyamba, impso zimavutika ndipo pambuyo pake zimakhala zovuta kapena chikhodzodzo.

Chifuwa cha chiberekero ndi ziwalo zoberekera zimapangidwa, monga lamulo, pa nthawi yoyamba ya chithokomiro, musanafike chitukuko cha chitetezo cha mthupi muunyamata ndi ubwana. Ndi malungo oterewa, nthawi zambiri mumakhala ophwanya, akhoza kuthamanga mofulumira komanso kutsogolo. Nthawi zina, mkodzo umatulutsidwa m'magawo ang'onoang'ono.

Pamene mycobacteria imakhudza ziwalo za urinary system, pali hematuria, kupwetekedwa komanso kupweteka kwambiri m'dera la lumbar, kawirikawiri kukhumba kwa chimbudzi chifukwa cha kuchepa kwa urea. Komabe matendawa amatha kuyambitsa zochitika za pyuria pomwe pagawo amawonekera kapena ma leococyte amapangidwa.

Chifuwa cha ziwalo zoberekera amuna

Matendawa samakhudza achinyamata omwe sanafike msinkhu. Ambiri amamuna amakhudzidwa ndi matendawa pakati pa zaka 21 ndi 50, panthawi ya chiwerewere chowonjezeka.

Pali chifuwa chachikulu cha ziwalo zoberekera zamwamuna nthawi zambiri monga mawonekedwe a fistulous, focal, miliary, omwe amawonongeka kwambiri. Odwala omwe ali ndi matenda oterewa akudandaula za kuoneka kwa chilonda pamutu wa mbolo, kukhalapo kwa fistula crotch kapena scrotum, khungu lofiira, kuchepa kwa ejaculate, pus kapena magazi mu umuna, kusabereka. Kuwonjezera pa zonse zomwe zimatulutsa ziwalo zoberekera, zimakhala zopweteka kwambiri komanso zimachepa.

Anthu ambiri omwe ali ndi matendawa amamva kupweteka kosautsa kumene kumapezeka penaineum, m'chiuno, phokoso. Pamene mycobacteria ya prostate gland kapena masinic vesicles imakhudzidwa, kudzimbidwa ndi kumverera kwachisoni mu rectum nthawi zambiri zimachitika.

Mafomu a matendawa

Chiwerewere cha TB pachigwirizano cholimba chimagawidwa kukhala mawonekedwe akulu awiri:

• Gawo lomveka limakhudza anthu 30 peresenti. Odziwika ndi kutupa kwadzidzidzi kwa epididymis, kupweteka koopsa, reddening khungu la scrotum, kutentha kwa thupi, kusadwala, kuzizira.
• Matendawa amapezeka mwa anthu 70%. Matendawa ali ndi fomu iyi ndi lethargic ndipo imakhala yochepetsedwa ndi kutentha kwabwino. Pali ululu wa khalidwe lokoka, pali reddening ya scrotum. Mazira a mazira ndi owopsa komanso owopsa, omwe nthawi zambiri amavuta ndi fistula kapena kugulitsidwa khungu la scrotum.

Kachilombo ka matendawa muzogonana zofooka

Chifuwa cha ziwalo zoberekera za amayi, monga lamulo, chimadziwika ndi kuwonetsedwa kosaoneka ndi zizindikiro zosiyanasiyana. Nthawi zina chizindikiro chokha cha matendawa ndicho kulephera kutenga pakati. Kupanda mphamvu kumachitika chifukwa cha matenda a endocrine, kuwonongeka kwa mazira kapena endometrium.

Odwala ambiri amakhala ndi kuphwanya kwa msambo: mapiri oyambirira ndi apakati, amodzi mwezi uliwonse, oligomenorrhea. Palinso kulephera komweku mu thupi lachikazi chifukwa cha kuledzeretsa koopsa, zilonda za m'mimba mwa chiberekero mkati mwa chiberekero ndi parenchyma ya ovary.

Chifuwa chachikulu cha ziwalo zoberekera mwa amayi makamaka chimakhala chachilendo. Ndi mawonekedwe awa, njira yotulutsira madzi otupa kuchokera m'magazi kukhala minofu. Kutentha nthawi zambiri kumatuluka kuti zikhale zowerengeka. Pali kupweteka komanso kumvetsa kupweteka pansi pamimba pamimba, monga mapangidwe amtundu wa pelvis, matenda a atherosclerosis a ziwalo zoberekera mkati ndi minofu ya hypoxia.

Chifuwa chachikulu cha ziwalo zoberekera ndi kusintha kwakukulu ndi zoopsa zinawonetsedwa ndi zizindikiro za kumwa mowa:

• Kutaya thupi;
• Chiwindi;
• Kufooka nthawi zonse ndi kutopa;
• Kusakhala ndi chilakolako chodya.

Ndipo atsikana omwe ali ndi chifuwa chachikulu cha matenda opatsirana pogonana akhoza kusokonezeka ndi zizindikiro za "mimba yovuta", chifukwa peritoneum ikukhudzidwa. Nthawi zina matendawa amachititsa opaleshoni chifukwa chokayikira ectopic pregnancy, appendicitis kapena rupture of ovary tissues.

Kuzindikira matenda

Chifuwa chachikulu cha ziwalo zoberekera nthawi zambiri chimapezeka panthawi ya kukayezetsa kwa amayi. Pa nthawi yomweyi, amai amayang'ana zifukwa zina. M'mapulogalamuwa pali kusintha kumene kumawonekera pamene njira yotupa yotentha imayamba mwa iwo. Ngati katswiri ali ndi kukayikira za matendawa, amatumiza odwala kupita kuchipatala cha TB.

Mu bungwe la zachipatala, mkazi amatha kuchita zinthu zambiri zofufuza. Chinthu choyamba chomwe angatengeko khungu lapadera kuti azindikire kutupa kwa chifuwa chachikulu mu thupi. Kuti azindikire matendawa, nthendayi yotuluka m'magazi amtunduwu imatha. Kudziwa matenda a chifuwa cha mycobacteria akugwiritsabe ntchito pulogalamu ya PCR.

Kuzindikira kwa chifuwa chachikulu cha umuna kumaphatikizanso kukhazikitsidwa kwa hysterosalpingography. Njirayi imakulolani kuti muone kuphwanya kwa chikhalidwe chimodzi kapena zonse ziwiri za chigololo, mawonekedwe a mkati, chiberekero, kulumikiza.

Pamene tizilombo toyambitsa matenda timapezeka mu thupi lachikazi kunja kwa ziwalo zogonana, mapapu a radius amapangidwa. Ngakhale amayiwo adzayenera kuchitapo kanthu laparoscopy, chifukwa njirayi imakulolani kuti mufufuze ziwalo za mkati ndikuwululira pamwamba pa kutupa kwake. Kuphatikiza apo, zimathandizira kuwona kukanika kwa ndondomeko yothandizira pamtanda.

Kodi mungapewe bwanji chitukuko cha TB?

Pofuna kupewa matendawa, ndikofunika kuyamba kuchita msinkhu. Kwa mwana wochokera m'mwezi woyamba wa moyo m'pofunika kuchita katemera wa chifuwa chachikulu. Inoculation mobwerezabwereza ya BCG ikuchitika pa 7, 12 ndi 17 zaka. Kupewa kumatanthauzanso kupititsa patsogolo chitetezo cha mthupi komanso kulimbitsa thupi.

Njira zochiritsira

Kuchiza kwa chifuwa chachikulu cha ziwalo zoberekera kumaphatikizapo pokhapokha ku malo ovomerezeka odwala, odwala matenda opatsirana pogonana kapena oletsa chifuwa chachikulu. Pofuna kuchiza matendawa, mankhwala a chemotherapeutic amagwiritsidwa ntchito, monga lamulo, amagwiritsa ntchito mankhwala osachepera awiri a bakiteriki. Izi zimaganiziranso kupirira kwawo ndi kuleza mtima kwawo.

Mankhwala ochizira chifuwa cha TB

Chifukwa cha zimenezi, madokotala amati: metazide, streptomycin, rifamp-picin, isoniazid, ethambutol, kanamycin ndi mankhwala ena. Mu miyezi 12-18, biomycin kapena kanamycin imagwiritsidwa ntchito pamodzi ndi ftyvazid kapena tubazid. Chotsatira chabwino ndicho kuphatikiza ndi ethambutol irifampicin ndi isoniazid kwa miyezi 15.

Kuwonjezera pa mankhwala ophera antibacterial, odwala amalangizidwa kuti azigwiritsa ntchito antioxidants ndi mavitamini. Zamakono zamakono zam'thupi zimachepetsa kwambiri kufunikira kwa opaleshoni kwa amayi. Komanso, pakakhala vuto la chiberekero cha chifuwa chachikulu, mapulasitiki a mapepala sakuvomerezeka.

Kumbukirani kuti kuchiza matenda amenewa ndi nthawi yochuluka komanso yochuluka yomwe imafuna kuleza mtima kwa wodwalayo.