Caseous pneumonia: Symptoms, lapaʻau, 'inikua mōʻaukala, lapaʻau papa, Hawaii photo, palena pauʻike,

Ma ka manawa, i ke kālā no ke kaiāulu kanaka, ua hooweliweli mau maʻi'ōkuʻu e olelo hooweliweli aku, e hele i ka pandemic. Ua maʻi e like me HIV, hepatitis B a me C a me ka papa tuberculosis. A pakeneka kiʻekiʻe o ka make a me nā polokalamu hopena mai i haʻalele i ke kanaka i kekahi manawa, e kaua aku i ka maʻi, a ina ua noonoo ia kaʻike, hilinaʻi nui ma luna o ka hoʻomanawanui iki mai ia lakou iho, i ko lakou mea i hilinai ai i loko o ke kauka, a manao ia e hana, a laila mākou i e waiho iaʻo Iosepa, heʻawaʻawa loa kiʻi.

ka wehewehena

Caseous pneumonia mea heʻano o ke akemāmā tuberculosis. Ua lŘlŘ oi malignant ma mua o mau pneumonia, kena ae la coccal flora. A wehewehe aku ma ka predominance o necrotic keʻano o ka hanaʻana i loko o ka akemāmā e lilo ka bata kahi o ka maʻamau akemāmā parenchyma. Over manawa, ka mea, e hoolilo i ka lysis, a ma kā lākou wahi e nui cavities. A laila, ka mea, i kekahi me ka makaʻu no, hoemi i ka mama o na maʻiʻaʻai, a, me, ka nui o ka o oxygen lako a me ka hoʻonui, e hookuke ka periphery hui, parenchyma. Kēia kaʻina hana no hoi i ka hopena maikaʻi ma luna o kinoea e loaa hou mai, a hiki aku i ka Holomua o exogenous hypoxia.

Mea Maluna

Ke kaumaha ma muli o ka wahi o ka pōʻino, ua make'aʻaʻa, caseous pneumonia ua maheleia i ekolu subtypes:

1. Lobar. Kuokoa palapala, ka poʻe e kaʻana like 'ana a pau loa. E like me ka buke o ka pōʻino, ua make'aʻaʻa necrosis, a me ka ua, ua ma lalo i ka nui, e hoomanawanui i ka i lanakila kaumaha intoxication symptom. E like me ka hopena, ua hee ka malamalama a me ka hana caverns.
2. Lobular kinona, a lobulit. Kēia complication o kekahi tuberculosis. Akä naÿe i ka mea mua kekahi, e komo ai kekahi mau lobes, ma o na la loa kaʻapu kōheoheo meaʻai'aʻaʻa ka palaho.
3. Acinar. Ua Ua ike like me ka complication o miliary (e wehe ai i) tuberculosis. I loko nō o ka mea i ka acinus - ka mea, o ka lihi iki o ke akemāmā, ka maʻi ua hoolilo paʻakikī loa, mahope mai o ka loli ana i wahi e IeAUPIIe, IAa IO ole kaʻawale, akā, i ka pau kino o ka parenchyma.

epidemiology

I kaulana ma luna, ke TB ua huikau ma na ano o ka maʻi like caseous pneumonia. I ka moolelo o ka maʻi oi ma mua o hoʻokahi haneri makahiki, a iloko o ia manawa kanaka a pau i hiki ke hele mai me ka daimonio. Antibiotics mea e lawe nā mea maʻi e lilo pili 'hope he umi a he iwakalua makahiki, no ka mea, o ka pathogen, e i manawa e hoʻomōhala ia'ku a hiki i keia Nine Inch waiū.

I ka maʻi e hoʻomōhala ana i hoʻomaka koke, ka mua symptoms hōʻike 'ano koke ma hope maʻiʻaʻai. Toxins hua mai la ma ka koʻohune i he kūlana maikaʻiʻole i ka'ōnaehana paleʻea'ōnaehana, hoʻonāwaliwali i ia. I ka papa kuhikuhiE contingent, malalo iho o ke caseous pneumonia i socially keakea kanaka. A i pono no o ka nele o ke kumu o kou niho, no kou kino a me ka noho, akā, i aie i ka holo pono o ka lapaau ana o ka nń ku pathology.

Ka hooulu ana o ka maʻi

Aie i ka kokololio mahele a me ka ulu ana o M. tuberculosis i loko o nā maʻiʻaʻai mea inhibited nui a me ka kūloko e hoʻonele. Nā microorganisms paka nā'ūhū i meaʻawahia i ka ke kelepona hele'ōnaehana paleʻea'ōnaehana, triggering apoptosis (hanaʻia aeea make). Ke'ī mai, ma hope o ka hoʻomāhuahua ana o ka pilikia nui o ka koʻohune hoʻomaka malfunction pale maomeka o ke kanaka kino. A nui mea hiki wale mai o ka Agena o ka mea na nā loko a me ka lāʻau kaʻawahia alakai i hoemiia ake hana, adrenal gland, degeneration o cardiac Muscle, a me ka ua'emi nenoaia lesion.

Tuamotu, ma ke kāʻei kua o ka haʻahaʻa e hoʻonele, malama necrotic keʻano o ka hanaʻana i loko o ka akemāmā parenchyma, mau foci o ka li nui me ka bata o loko. Ua, ka mea, hoike mai i ko lakou mau nā'ūhū o ke kino, a ma kā lākou wahi ikea ka lua (cavities).

symptoms

Ka lapaʻau papa o caseous pneumonia hiki i kekahi mau nā mea e hiki wale mai.

1. Pneumonic, i mea like me ka Classic pneumonia - .. High wela (mai i hookahi kanaha degere), ole, cough, umaumaʻeha, dyspnea.
2. Maʻi palū - catarrhalʻike manaʻo (runny ihu, lua mau maka, larynx edema) predominate ma intoxication. Aia He He hōʻemi iki mai kuni, e ia he cough.
3. Sepsis - He kiʻekiʻe loa ka mahana (kanaha i hookahi kanaha-kekahiʻano), intoxication, migraine, cough kahi waiho.

Initially,ʻaʻohe nui symptoms ka mea,ʻaʻole hoʻi i mālama. Oluolu maloo cough, ala i loko o ke ana wela i ka po, poho o kona'ōpū. a i ka maloo cough e hele i loko o ka wai ka mea hiki mau loa ana lakou e maona ai, a ma laila nō ia i ka h ÷ he omaomao iki sputum. Ma keia wahi, i ka wela kulu paa, a me ka ÷ naehana hanu 'ole, ma ka mea ku ole, ua ulu ana. A kauka i hāʻupu aʻe i ka hoʻomanawanui caseous pneumonia. Symptoms i ole-kekahi, akā, i loko o ka huipūʻana me ka Ikepili a me ka mōʻaukala o ke ola ana o kaʻike, i kālaʻe.

lapaʻau '

Ma waho aʻeo ia kaʻohiʻohi 'inikua mōʻaukala a me ka' inikua mōʻaukala, ke kauka pono akahele nānā i ke kanaka no ka mea hiki ke palpate i ka lymph aka wahi, e hoolohe i kou hanu. Akā, ma ka mea e pololei eʻoiaʻiʻo i kona nā mea mahuʻi mea pololei, i ke kauka ahonui craps ma Keʻena ho'āʻo ma:

1. X-na kukuna o ka pahu. Phthisiologists loaʻa ano hiʻona i mea hoʻomaopop 'ana i loko o ka maʻi i pneumonia caseous. Photo malamalama kiʻi aka ma luna, ka mea e leie aku oe e ike mau foci heheʻe kino'aʻaʻa.
2. Mantoux a Diaskintest. Simple a kŘpa koke ala, e huai ae i ke alo o Anati-TB e hoʻonele. Akā,ʻo ia, aole ia e haawi i ka haneri pakeneka kumu o ka maʻi, a hiki e nā wahahee maikaʻi a me ka hoopunipuni io.
3. Sputum microscopy. Ke hoomanawanui Ua noi e ohi i sputum i ekolu lā i loko o ka sterile kiaha. A laila, e pili ana i ke keʻena hoʻokolohua kahi waiho i loko o ka kūikawā meakino Lowenstein-Jensen, ec i ka ai iiiaanoaa o ka mahuaola koi 'ia no ka ulu mea koʻohune. A pololei ka pule ma hope ka mea, eʻikeʻia e, distinguishes kanaka tubercle bacillus paha ole.
4. Mai poina e hoopaa i ka hae no ka lapaʻauʻike, e ho'āʻo ai: piha koko helu, urinalysis, koko biochemistry, koko kōpaʻa, calories no yaytseglist.

palena pauʻike,

Ke kauka mua ia e hōʻoia i ka hoʻomanawanui maoli cheesy pneumonia. Palena pauʻike, i loko o keia hihia kōkua i ka pale aku i na mai i mea clinically mea i like loa me ka poe noonoo e mākou pathology. A i loko o ka lalani mua i maʻamau lobar paha pleuropneumonia. Na wale likeʻole ma waena o ia e ia i loko o ke 'ano o ka necrotic nā paʻi hua, a ma ka exciter. Ke koena o na mea kiko'î a 'ohi' ia.

Ka lua o ka mea mahuʻi paha ia he pulmonary infarction. Akā, ia mea lawa e hana i angiogram, e alii ai maluna o mai ia i ka ha. Eia hou, i ka hoʻomanawanui e hele kino aku i ka mōʻaukala o paha poino, a atherosclerosis, a me ka hoike o ka lewa i loko o ke koko, a / a oily pāʻoihana.

Ke kolu o ka maʻi, a e hoohalikeia auanei o ka gangrene. Ma ka hooulu ana o keia pathology i ka mai kuni, loa intoxication, akā, ma laila nō e cough a me ka phlegm.

lapaʻau

Once diagnosed "caseous pneumonia", lapaʻau ua hoʻokumu pū koke. Ke kanaka hoololiia i ka kūikawā TB haukapila, ma laila ka manawa, e like me ka moe koena kūpono a me kaʻai.

Mua, ke kauka komo i loko o ke kokua o ka huʻi ana, ina paha ia meaʻawahia hawewe a naehana hanu ole. No keia hoʻomanawanui hana infusion sorbents a me diuretics, hoʻomaka plasmapheresis. Alaila, hele mai i ka huli ana o ka hana iapaau ana ka wā e hele mai ana i loko o hana antibiotics antihypoxants, anticoagulants, hormones, interferon. I Kekahi Mau Inc o ka hoʻohana 'ana o ke ano o antibacterial ai' 'ia ua hōʻike hewa no ka Mycobacterium tuberculosis.

Outlook

Caseous pneumonia kokoke paʻakikī i ka hana, nolaila, no ke ola a me ka ola 'ole a pau, aolie ia e irreversible. Paha ia i ka huina o ka make ana o ke akemāmā, a inevitably hiki aku ai i naehana hanu ole.

Olelo i haawiia mai ai i kanaka me ka TB kauka diagnosed Koch maile e hoemi ana i ka mea i oe e ole e holo aku au i ka maʻi. He mea pono e hoʻomaka lapaau ma ka manawa, a hele aku ma ka mea pono, akā, ma muli o kaʻilihune socialization o nā mea maʻi, e like me kā lākou mau rula ola, caseous pneumonia mea he pinepine complication o tuberculosis. Kēia maʻi laha, a kauka apuepue Makuakane i keia la.