Fibro-cavernous TB: zizindikiro ndi mankhwala. Kupewa ndi nsonga

Fibrocavernous m'mapapo mwanga TB - matenda owononga, chizindikiro umene ndi kukhalapo mu akutali m'mapapo patsekeke. Mu mankhwala, umatchedwa "M'mimbamo". Mavuto ndi sitepe mu kupitirira TB m'mapapo mwanga. Nthawi zambiri, chotero chipatala kudwala ndi achotsa khalidwe.

Features matendawa

Childs, fibrous-cavernous TB anati odwala wamkulu. Mu ubwana, zizindikiro TB chachikulu n'zochepa kwambiri.

Cavernous kudwala amachita monga zotsatira za infiltrative TB, koma zimachitika kuti akufotokozera mwiniwakeyo kapena patchy, mtundu wa kudwala.

mawonekedwe Fibrocavernous wapezeka mu 5% milandu TB.

Cavernous TB ngati mwala pakupita chitukuko cha fibro-cavernous kudwala

Mbali khalidwe la pathomorphological cavernous TB ndi pamaso pa M'mimbamo limodzi, palibe kutupa ndi kusintha fibrotic mu bronchi ndi zombo lymph ndi minofu ozungulira. Matendawa si zaka zoposa 2.

caverns machiritso amapezeka ndi mapangidwe:

• rumen;
• tuberculoma;
• cholinga umodzi TB;
• sanitized patsekeke.

Popeza mankhwala oyenera mawonekedwe cavernous mukhoza kupita mu fibrocavernous TB, fibrosis amene ali chibadidwe mpanda wa M'mimbamo ndi ozungulira m'mapapo parenchyma. Anatinso foci angapo a kuipitsidwa.

symptomatology matendawa

Childs, fibrous-cavernous TB isanafalikire mu mapapo amodzi. Kukula kwa matendawa amapezeka pa miyezi 3-4 mankhwala osamveka mitundu ina ya TB. Kuwonekera kwa matenda makamaka owala mu gawo kuwonongeka.

Zizindikiro zazikulu za matenda tinganene kuti:

• asthenia;
• kusafuna kudya;
• ofooka chifuwa;
• kutsokomola magazi;
• magazi;
• crackles mu kugwa M'mimbamo lapansi.

Pambuyo mapangidwe zizindikiro M'mimbamo kukhala zikusowa, noticeable nzolungama ndi nonspecific. Wodwala angadandaule kufooka ambiri, kutopa nthawi zonse, kuwonda, ndi pamaso pa moto wochepa kalasi.

Pa chitukuko cha TB zobisika zingasonyeze magazi mu mapapo kuti akufotokozera popanda chifukwa.

Anamnesis odwala osautsika ndi fibro-cavernous TB zikutanthauza mosinthasintha Inde. Mosinthanasinthana pakati nyengo pachimake ndi chikhululukiro akhale nthawi yaitali kapena, Tikawonetsetsa gawo pachimake akhoza kuoneka zambiri.

Fibro-cavitary TB ali ndi zizindikiro zosiyanasiyana matenda. Ndi chifukwa ndi ndondomeko pathological, komanso mavuto mtumiki.

Pali mitundu iwiri ya matenda: yochepa kapena kokhazikika, kumene atamwa mankhwala amphamvu olimba amapezeka ndi wodwala ku chikhululukiro, dipolo zaka zingapo.

Mu pachimake nthawi kuwuka kutentha ndi chitukuko cha kutupa padziko M'mimbamo lapansi. Kutentha angafikire kofunikira kwambiri, ngati matenda waukulu kugwirizana matenda khalidwe sekondale.

Kugonjetsedwa bronchi limodzi ndi zopweteka chifuwa mawu, mmene sputum, mamina ndi mafinya munali anapambulwa movutikira.

A wodwala akudwala fibro-cavernous TB kwambiri kuonda. Iye akuti khungu youma, amene mosavuta makwinya. Minofu ya mtima ongoyendayenda manja. Chandamale cha ndondomeko pathological amakhala lamba phewa, kumbuyo ndi dera pakati pa nthiti.

Odwala sachedwa kuledzera pafupipafupi. Mu exacerbations matenda kupuma akufotokozera insufficiency 1 ndi madigiri 2. Kenako akhoza kudzakhala kuwonjezera mphamvu chiwindi. Zingaoneke kutupa.

Ndi kupitirira kwa matenda chinali kugonjetsedwa kwa m'phuno ndi intestine, imbaenda chifooke chitetezo cha m'thupi. Pamene kahesii, amyloid nephrosis ndi congestive kulephera mtima, m'mapapo mwanga matenda madokotala ananena zawo akumane.

Zimayambitsa matenda

Chiwonongeko akhoza zidzayambike pa mtundu uliwonse matenda a TB. chitukuko Provocateur kumachititsa superinfection. Ndi tizilombo toyambitsa matenda pazikhalanso mycobacteria. Palimodzi pali 74 mayina. Iwo a mtundu Mycobacterium. Komabe, TB anthu amayamba salembedwa anasankha mtundu, ikutchedwa Mycobacterium TB.

Zinanso ziti pa chitukuko cha matenda ndi:

• kulera mlingo wa zina;
• kusintha reactivity;
• matenda a ziwalo;
• zizolowezi zoipa.

Gawo lalikulu la matenda

Iwo anaganiza kuonetsetsa gawo lotsatira la fibrous-cavernous TB:

• Kusalola. Iwo kumapereka lingaliro la kukhalapo kwa kutukusira kwambiri.
• Chibvundi. The kutupa moto aumbike ndi M'mimbamo wodzala mwapadera necrotic minofu - caseous misa. zili youma amakhala madzi, ndipo pang'onopang'ono kuguluka pambuyo kukhetsa bronchus. Mu malo ake amakhalabe dzenje. Kenako, akuyamba kudzaza mpweya, ndi pa kuphwanya ngalande mu bronchi ndi - madzi.
• Mapangidwe cavities. Education aumbike ndi resorption kutupa perifocal ndi fibrosis. Mpanda wa anomaly muli zigawo zitatu. The M'kati lili misa caseous (polygenic wosanjikiza). M'katikati mwa granulation chipolopolo, alimbane ndi maselo lalikulu zaminyewa. Popeza akunja M'mimbamo gawo aphimbidwa ndi kapisozi minofu connective.
• Seeding. Mu ndondomekoyi, M'mimbamo kukula ukuwonjezeka, ndi kuzungulira kusalola perifocal amapezeka kapena seeding. ndondomeko amatenda chitukuko cha zotupa atsopano yotupa pa cavernous TB. Choncho akufotokozera mtundu fibrocavernous matendawa.

zosokonezeka kawirikawiri

Pali mavuto zotsatirazi fibro-cavernous TB:

• Hemoptysis.
• Magazi mu phapo.
• Pamaso pa percussion. Iwo yafotokozedwera kufupikitsa phokoso m'madera a thickening pleural ndi fibrosis.
• Kumvetsera ofooka kupuma m'madera a thickening wa pleura lapansi. Anapezanso crackles ndi bronchial kupuma. wheezing amenewa kuwululidwa pamaso pa cavities lalikulu-kakulidwe. Pa dongosolo yaing'ono phokoso osiyana Polankhula.

njira matenda

Kodi matenda fibro-cavernous TB? Mbiri ya matenda pa nthawi ya matenda, monga ulamuliro, kale lili zokhudza matenda yapita m'mnyewa wamtima TB.

Tikumbukenso kuti zizindikiro auscultatory ndi mfundo zazing'ono. Ndiponso, kupenda ntchito X-ray limasonyeza pamaso pa mthunzi wozungulira woboola pakati ndi malo zotumphukira mu mawonekedwe a chowulungika kapena bwalo. Pambuyo deta akamagwira X-ray mapindidwe akuwala amafuna masiyanidwe matenda ndi kudwala monga abscess m'mapapo, khansa zotumphukira, bullous ndiko kumayambitsa pneumothorax, echinococcosis kapena encysted pleurisy.

Kuthandiza matenda ndi zasayansi njira ndi endoscopic njira.

kusanthula Sputum limasonyeza mkulu mlingo wa MTB. mayesero Laboratory anaulula mkulu mlingo wa kudzipatula oyambitsa. Nthawi zina ndondomeko amakhala kwambiri. Komanso staghorn kuzindikiridwa ulusi zotanuka.

Popeza sputum wasonyeza atagwira bronchoscopy. Timatha kuzindikira foci kutupa mu mapapo ndi bronchial timachubu, zomwe kuteteza kutsekedwa wa M'mimbamo lapansi.

magazi. Odwala pamaso fibrocavernous TB amalembedwa lymphopenia ndipo inapita ESR chizindikiro kwa 30-40 mamilimita / h.

Pamene pali ponso matenda yachiwiri ya leukocytes msinkhu chizindikiro 19 000-20 000, komanso kukula mlingo wa neutrophils.

Pali mkulu zili zomanga thupi mu mkodzo.

mfundo mankhwala

Iwo kumatha fibro-cavernous TB? Chithandizo ikuchitika mu chipatala mu dispensaries TB.

mankhwala chiwembu zachokera ntchito munthawi yomweyo mankhwala atatu kapena anayi ukuperekedwa chitukuko cha kudwala. Monga ulamuliro, ntchito "INH", "wa ethambutol", "Rifampicin" ndi "Streptomycin". Mankhwala akhoza kutumikiridwa m'nsinga kapena mwachindunji kuti patsekeke m'kamwa.

Komanso ntchito tuberkulinoterapiya, kupuma kokoka mankhwala thupi, mankhwala laser, ultrasound ndi inductothermy.

kunyamula Morning

Kodi wina likuchotsedwa fibro-cavernous m'mapapo mwanga TB? Chithandizo ikukhudza kukhazikitsa mankhwala amphamvu. Njira ali zotchulidwa pa maziko munthu malinga ndi zizindikiro za tilinazo mankhwala.

Nthawi zambiri, ngati kukana mankhwala zofunika ndi TB ikuchitika malinga ndi wachinayi Morning boma. Mankhwalawa zimaphatikizapo kugwiritsa ophatikizana a mankhwala monga "kanamycin", "Prothionamide", "Cycloserine", "Pasi" ndi "fluoroquinolones". Kutalika kwa mankhwala amphamvu ndi osachepera miyezi 15-18.

Odwala pamaso fibrocavernous TB asonyeza akugwira mankhwala pathogenetic zomwe cholinga chake ndicho kukonza ntchito mkhutu osiyana chamoyo. Metabolizing wothandizila ntchito, komanso kukonzekera kubwezeretsedwa kwa chitetezo cha m'thupi, ndi wothandizila m'thupi.

Ndi njira yabwino mankhwala pambuyo pa miyezi isanu ndi umodzi mphamvu positive. Chizindikiro kuchepetsa Kugawilidwa kwanthaka wa oyambitsa, komanso kuchepa ndipo M'mimbamo kutsekedwa.

ntchito alowererepo

Kuchiritsa cavities fibrotic nthawi zonse ikuchitika pang'onopang'ono. Ngati nthawi pamwamba sizingatheke kukwaniritsa zotsatira zabwino, ndi fibro-cavernous m'mapapo mwanga TB chikutha ndi opaleshoni. Pankhaniyi zikusonyeza unilateral m'mapapo resection. Akuyendera duplex ntchito ndi ndondomeko. Lilinso ndi digiri yapamwamba ya dzuwa ndi limakupatsani kupulumutsa luso wodwalayo ntchito. The moyo wa munthu wodwala lengthened kwambiri. Kudzipatula mycobacteria mabasi.

mtundu wina wa opaleshoni opaleshoni kugwa mankhwala, kusonyeza za imposition wa pneumothorax yokumba.

Pambuyo mankhwala mu m'chipatala chofunika zatsiku kuvomerezedwa, outpatient mankhwala , kenako kuonerera kuchipatala.

madokotala ananena zawo

Ambiri fibro-cavernous TB amenable mankhwala. M'mimbamo miyeso ang'onoang'ono anatseka ndipo amamuyambitsa timabala. Education ndi pamaso pa makoma okhwima pa nthawi refilled ndi okhutira caseous kuti amakwiya psevdotuberkulemy.

Kudzikundikira mafinya, pamaso pa aspergillosis, patsogolo TB n'zochepa.

zodzitetezera

Fibrocavernous TB limabweretsa gulu la matenda oyamba ndi zinthu chowawa chikhalidwe. Nthawi zambiri muzu wa kuwonongeka kwa miyezo ya moyo mokomera anthu.

Malinga ndi kafukufuku, anthu odwala 3 zina zambiri kuposa akazi. The kudwala zofunika chili pa zaka 20 mpaka 39.

Pofuna kupewa akulangizidwa kusunga Malamulo awa:

• kuchititsa miyezo yoyenera njira;
• Chiphaso oyambirira a anthu anakhudzidwa ndi matenda;
• Kusankha boma ndalama zogulira mankhwala osokoneza bongo;
• kukhazikitsa kuona kuyambirira mankhwala pamene kugwiritsa ntchito mu gawo ziweto;
• kuwonjezera malo kwa malawi cha odwala amene anapezeka ndi TB;
• kukhazikitsa yake ya katemera wa ana m'mwezi woyamba pambuyo pa kubadwa.

Pomaliza

Fibro-cavernous m'mapapo mwanga TB (mavuto loopsa kwa ukupeza) ndi matenda aakulu. Monga ulamuliro, iwo Anautsa cavernous TB. Matendawa akhoza yodziwika monga zotupa ndi unilateral kapena amgwirizano.

Poyamba kudwala ovuta kuchiza, tsopano mankhwala ali osiyanasiyana modalities osiyana achire kuti adzaonetsetsa chikhululukiro khola kwa zaka zambiri. mankhwala panthawi yake angapulumutse luso wodwalayo ntchito.