Fibro-cavernous tuberculosis: symptoms a me ka lapaau. Kāohiʻana a me ka manaʻo kōkua

Fibrocavernous pulmonary tuberculosis - he luku maʻi, i keʻano o ka i mea, o ke alo o ka noho kaʻawale akemāmā lua. Ma lapaau, ka mea, ua kapaia "lua". Popilikia mea i koe i loko o ka Holomua o pulmonary tuberculosis. Pinepine, e like me ka pathology? Aaieou ua holoiia külana.

Hiʻona o ka maʻi

Nō kāu, fibrous-cavernous tuberculosis malama i kanaka makua nā mea maʻi. I ka wa, iniiaiie TB symptoms i loa pohihihi keia.

Cavernous pathology hana me ka hope o infiltrative tuberculosis, akā, e hana ia e hoʻomōhala ana i hoʻolaha 'ole Patchy, ke' ano o ka pathology.

Fibrocavernous palapala ia akulla 'i loko o 5% o ka hihia o ka tuberculosis.

Cavernous tuberculosis like me ka pohaku i ke kūpono 'ana o ke fibro-cavernous pathology hehi

A ano hiʻona o pathomorphological cavernous tuberculosis o ke alo aku o ka hookahi lua,ʻaʻohe li nui, a fibrotic loli ma ka bronchi, ipu lymph a me ka puni'aʻaʻa. Ka maʻi mea i oi aku mamua o 2 makahiki.

caverns ho'ōla ia lŘlŘ me ke kahua o ka:

• rumen;
• tuberculoma;
• hookahi pulakaumaka o tuberculosis;
• sanitized lua.

I ka wa e kaawale aku o ka pono Inc cavernous palapala hiki ke hele i loko o fibrocavernous tuberculosis, fibrosis i ka hoʻomaopop 'ana i loko o nā paia o ka lua, a me ka puni akemāmā parenchyma. I malama mau foci o ka mea hoʻohaumia.

symptomatology o ka maʻi

Nō kāu, fibrous-cavernous tuberculosis ua IIeEeAIEUIeXAIIUE i loko o kekahi akemāmā. Ka hooulu ana o ka maʻi ia lŘlŘ ma 3-4 mahina o ineffective Inc o kekahi? Ueo o tuberculosis. Hoike ana mai o ka maʻi i pololei ai huali ma ka palaho pae.

I ka papa kuhikuhiE symptoms o ka maʻi hiki ke noonoo.

• asthenia;
• kahe o ka ikaika loa ka makemake;
• nawaliwali cough;
• puʻu i ke koko;
• kahe ana ke koko;
• crackles ma ka'opi o ka lua.

Ma hope o ka ho okumu ana o ka lua symptoms e hiki ole no ia, Just kekahi 'a me ka nonspecific. Ke hoomanawanui i ohumu i mau nawaliwali, ikaika luhi, kaumaha poho, a me ke alo o ka haʻahaʻa papa wela.

Ma ka hooulu ana o latent TB i hōʻike kahe ana ke koko ma na maʻiʻaʻai e hoʻomōhala ana i no ole kumu.

Anamnesis o nā mea maʻi hoopilikia me ka fibro-cavernous tuberculosis hoʻohuʻu fluctuating papa. ʻanuʻu ma waena o huʻi a me ke kala ana i manawa i e lōʻihi lawa paha, conversely, ka huʻi pae ke hōʻikeʻano pinepine.

Fibro-cavitary tuberculosis mea likeʻole lapaʻau symptoms. Ua Ua kauoha ae la ia e ka pathological kaʻina hana, e like me ke kahu complications.

Aia nō nāʻano likeʻole o ka maʻi: he kaupalena paha kŘpa a ka pilina paʻa, ma lalo o ka aoao o ka chemotherapy noaaeeecaoee ia lŘlŘ a me ka hoʻomanawanui i loko o ke kala, ka hoʻomauʻana no kekahi mau makahiki.

Ma ka huʻi wā o ka mahana ala a me ka ulu ana o li nui a puni ka lua. Mahana ke hiki kiʻekiʻe pae, ina he kumu nui maʻi hou pili maʻiʻaʻai haumāna külana.

Make bronchi pu ia e ola cough paa ka leo, kahi sputum, mucus a me ka pus hoopii kaawale me ka pilikia.

A hoomanawanui e loaa ana mai ka fibro-cavernous tuberculosis, dramatically mi kino. He wahi maloo ili, a hoopuni wrinkles. ʻO nāʻiʻo o ka hoʻomanawanui i paku ole ia i atrophy. I ka pale o ka pathological kaʻina lilo poohiwi kāʻei, ke kua a me ka māhele 'āina ma waena o na iwi aoao.

Nā mea maʻi i prone i ka pinepine intoxication. Ma exacerbations o naehana maʻi e hoʻomōhala ana i insufficiency 1 a me 2 degere. A laila hiki ke hoailono aku mahuahua ma ka ake buke. E hele mai pehu.

Me ka Holomua o ka maʻi ia i ke pio ana o ka larynx a me ka naʻau liʻiliʻi, e hiki aku ai i ka mea hoʻonāwaliwali maoli nō o ka'ōnaehana paleʻea nenoaiu. I ka kahesii, amyloid nephrosis a me congestive naau e hemahema, pulmonary maʻi prognosis noho lakou malaila.

Nā kumu o ka maʻi

Luku hiki ke triggered ma kekahi lapaʻau 'ano o ka tuberculosis. Provocateur? Acaeoey hiki ke hana me superinfection. Ma pathogens e hoʻohui i mycobacteria. Loa, he 74 inoa. Ka mea, e pili ana i ka genus Mycobacterium. Eia naʻe, i loko o tuberculosis kānaka triggered conditionally wae 'ano, Pani' ōlelo ' Mycobacterium tuberculosis.

Predisposing kumumea no ka hooulu ana i ka maʻi i:

• e hoohaunaele ana i ka nui o ka sensitization;
• hoʻololi i ka reactivity;
• maʻi o na nā loko;
• hewaʻano.

I ka papa kuhikuhiE pae o ka maʻi

Ua hoʻoholo ihola e līkaia no ka mea e hiki mai pae o fibrous-cavernous tuberculosis:

• Infiltration. Ua presupposes ke ola ana o ka li nui pulakaumaka.
• Ka palaho. Ka li nui ipu ahi ua hana i ka lua a ua hoopihaia me ka kūikawā ano o necrotic'aʻaʻa - caseous nuipa a. Maloo maʻiʻo i wai, a me ke kiʻekiʻe e haule iho la ma hope o ninini bronchus. Ma kona wahi noho kāwaha. Mahope, e hoʻomaka e hoʻopiha me ka lewa, a ma ka 'aʻe' ana o nōkahea i loko o nā bronchi - wai.
• I ka ho okumu ana o cavities. Education ua hanaʻia me ka resorption o perifocal li nui a me ka fibrosis. I ka pa o ka anomaly be ekolu papa. I ka pahale loko, ahu iho iloko ona i kakauia na caseous nuipa a (polygenic, ahu iho). Aia ma ka waenakonu o ka granulation iwi, hoalaala ia me ka nui epithelial keena. No ka mea, ua uhiʻia i ka mea hōʻikeʻikeʻuʻuku o connective'aʻaʻa ka mawaho lua hapa.
• Seeding. Ma kēia kaʻina hana, o ka lua nui, piʻi pū, a me ka puni perifocal infiltration ia lŘlŘ ole seeding. Ke kaʻina komo ai i ka hooulu ana o ka hou hoʻoʻino lesions ma cavernous tuberculosis. Penei e hoʻomōhala ana i fibrocavernous ano o ka maʻi.

pinepine complications

Aia nō i ke kēia complications o fibro-cavernous tuberculosis:

• Hemoptysis.
• Kahe ana ke koko i loko o ka akemāmā.
• Ke alo aku o ka percussion. Ua Ua hoike ia ma ka hua'ōleloʻo o ka leo i loko o ka wahi o ka pleural ai hanaʻia naʻe, a fibrosis.
• Hoʻolohe nawaliwali ka hanu i loko o mau mea o ka hanaʻia naʻe o ka pleura. I loaʻa crackles a me bronchial hanu. Oia maʻi o hoike i ke alo o ka nui-pepa paia cavities. Over me ka ho okumu liʻiliʻi i kekahi leo'ā'ā, leo.

ki ina hana like o kaʻike,

Pehea ua diagnosed fibro-cavernous tuberculosis? I ka moolelo o ka maʻi ma ka manawa o kaʻike,, e like me ka rula, ua loaʻa ka 'ike e pili ana i mua myocardial tuberculosis maʻiʻaʻai.

It E e hoʻomaopopo i ka auscultatory hoailona i iki ike. E möakäka hou ninaninau hoʻohana X-Ray hōʻike i ke alo o ke apo-hoʻokino malu me kaʻike ākea wahi i loko o ke kino o ka'ololaha a hoa kanaka. Ma hope o kaʻikepili loaa mai ma ka X-Ray diffraction pono palena pauʻike, a me ka pathology me akemāmā abscess, ʻike ākea Ka maʻi 'aʻai, bullous emphysema, pneumothorax, echinococcosis a encysted pleurisy.

Kākoʻo PalekanaEND_LINK a me keʻena hoʻokolohua epekema i endoscopic 'ana i kūpono.

Sputum Ka Ikepili hōʻike he kiʻekiʻe kiʻekiʻe o MTB. Keʻena hoʻokolohua ho'āʻo ma loko o ka pepeiao i ka kiʻekiʻe kiʻekiʻe o ka hoʻokaʻawale bacilli. I kekahi manawa, i ke kaʻina hana i, pili. No hoi staghorn hōʻike 'laholio olona.

I ka wa e kaawale aku o ka sputum hōʻike paʻa ana bronchoscopy. Ua apono 'oe e kuhikuhi i ka foci o ka li nui i loko o ka maʻiʻaʻai a me bronchial paipu, a pale aku i ka panina o ka lua.

Koko hōʻike. Nā mea maʻi i ke alo fibrocavernous tuberculosis ia lymphopenia a hōʻeleu i ESR aiao i 30-40 mm o / h.

I ka loaʻa o ka ulu o ka haumāna maʻiʻaʻai o leukocytes i kaʻilikai anakahi 19 000-20 000, e like me hoʻoulu i ka nui o neutrophils.

Aia kiʻekiʻe maʻiʻo o kumuʻiʻo i loko o ka mimi.

Inc nā loina

Ua eliminates ka fibro-cavernous tuberculosis? Lapaʻau ua lawe mai i loko o ka haukapila i loko o TB dispensaries.

Inc noaia ua ma muli o ka mea i ka wā hoʻokahi pono o ekolu eha paha ai 'kuhikuhi aku i ka ulu ana o ka pathology. E like me ka rula, e hoʻohana i ka "INH", "ethambutol", "Rifampicin" a me ka "Streptomycin". Ai 'i ke lawelawe intravenously ole' ana i loko o ku una ha o ka lua.

I hoʻohana tuberkulinoterapiya, ha kino, physical Inc, kukuna Inc, ultrasound a me ka inductothermy.

e hali ana i chemotherapy

Pehea'ē aʻe ua eliminated fibro-cavernous pulmonary tuberculosis? Lapaau komo ai i ka manaʻo o ka chemotherapy. Kaʻina hana i koi 'ia ma luna o kekahi kanaka' aelike i kulike ai me na nā hoailona o ka pā lonoaʻili i ka ai '.

Nui, ina e kū'ē'ē mai i ka walaʻauʻana Inc ku tuberculosis ua lawe mai i kulike ai me ka ha o ka chemotherapy? Eia. Ke lapaau komo ai i ka hui hoʻohana ana ai 'e like me "kanamycin", "Prothionamide", "Cycloserine", "Pas" a me ka "fluoroquinolones". Ka lōʻihi like 'ole o ka chemotherapy mea ole emi o 15-18 mahina.

Nā mea maʻi i ke alo fibrocavernous TB hōʻike paʻa ana pathogenetic Inc i ua nona ma? Ee i ka hoʻopōʻino mana okoa no meaola. Metabolizing hope paha hoʻohana 'ia, e like me ka pono i hoomakaukau ana no ka hoihoi hou ia ana o ka'ōnaehana paleʻea oihana, a me ka hormonal konohiki.

Me kekahi 'ano papa o ka hana maikaʻiʻole ma hope o ma kahi o eono mahina i ka maikaʻiʻano. Ua hoʻikeʻia ka ho'ēmiʻana i loko o auaaeaiea o bacilli, like hoʻi me emi ai, a me ka lua panina.

operative uao

Ka hoola fibrotic cavities ua mau lawe mai loa lohi. Inā i ka mea ma luna manawa mea i hiki ke hoʻokō 'oluʻolu hualoaʻa, ka fibro-cavernous pulmonary tuberculosis ua wehe eʻoki kino. Ma keia hihia hōʻike i ka unilateral akemāmā resection. Hoʻokō iʻelua papa hana a kaʻina. He kiʻekiʻe degere o ka hoʻokōʻana a me ka leie aku oe e hoola i ka hoʻomanawanui ka hana i ka hana. Ke ola kīkoʻo o ka maʻi kanaka nui hooloihiia. Hoʻokaʻawale o mycobacteria aɃe.

Kekahiʻano o kaʻoki kino o keʻoki lāʻau lapaʻau'opi Inc, A laila'ōlelo akula i ke kau o kaʻimi hoʻopunipuni pneumothorax.

Ma hope o lapaʻau i loko o ka haukapila noho ua koi 'ia OAXA sanatoriums, outpatient lapaʻau , i ukali ma ke kilo i loko o ka? Aaieou.

prognosis

Ke uie kekahi hapanui hewahewa o fibro-cavernous tuberculosis amenable i ka Inc. Lua o ka liʻiliʻi Ana i paa a me ka scarring. Education me ke alo o kaʻoʻoleʻa pā ma manawa refilled me caseous ka maʻiʻo i ka hoʻonāukiukiʻana psevdotuberkulemy.

Hoʻomāhuahua o ka pus, i ke alo o ka aspergillosis, ka holomua o ka tuberculosis mea pohihihi keia.

kāohi ana

Fibrocavernous tuberculosis no a hiki i ka waeʻano o ka mai, kena ae la ia e adverse kaiapili aʻe. Pinepine i ka mole kumu o ka mea hōʻemi o ke ola mau hae ma ka lokomaikai o ka heluna kanaka.

Wahi a ka 'ikepili helu, na kanaka e mai no 3 manawa hou pinepine ma mua o nā wāhine. Ke kumu o pathology ua paa i ka makahiki o ka 20 a hiki i 39 makahiki.

I mea e pale aku i ka manao e malama i ka keia mau rula:

• hoʻomaka kūpono kāohi ana;
• kakahiaka 'ike o ke kanaka loli ana ma ka maʻi;
• koho moku'āina dala no ka ai ';
• hoʻokō 'ana o ka' inikua ka mua ninaninau ia ana no ka 'oihana i loko o ka holoholona kaiaulu;
• mahuahua ma ka wahi no ka noho ana o nā mea maʻi i i diagnosed me ka tuberculosis;
• 'eleu manaʻo o ka vaccination i keiki i loko o ka malama mua ma hope o ka hānau.

ka hopena

Fibro-cavernous pulmonary tuberculosis (complications oweliweli i ka hoʻoweliweli 'ana i ka moku'āina o ke ola kino) mea he maʻi maʻi. E like me ka rula, ka mea, ua hoonaukiuki cavernous tuberculosis. Ka maʻi hiki ke wehewehe aku i kekahi unilateral aʻeluaʻaoʻao lesions.

Mua pathology paʻakikī i ka pono, ka mea o kēia manawa i ka lapaau i kekahi laulā huahelu o okoa pākōlea modalities mea e hōʻoia 'ia ai ka pilina paʻa ke kala no na makahiki. 'Eleu lapaau ke hoola i ka hoʻomanawanui ka hana i ka hana.