Kiripūkahu Tuberculous: Types, Take me Maimoatanga

He maha mate e taea pā i te pūnaha romahā o te tangata. Etahi o ratou e kore e tū te nui o te riri ki te hauora, engari i reira ko te hunga e whai pōauautanga nui me te hekenga i roto i te taumata o te ora o te manawanui. Ko tētahi o enei ko te kiripūkahu tuberculous, ki nei tutaki matou i roto i te tuhinga o to tatou i teie mahana. Whakaaroa nga take mo tona whanaketanga, nga momo me te maimoatanga tūtohutia.

He aha hoatu te mate

I roto i tenei mate āhuatanga e te mumura pleural whakapeka, ma'i recurrent ranei. maha faaite mate ano i muri i kirimana kohi rauropi.

te tikanga ka pā kiripūkahu Tuberculous kiriuhi serous e hanga te kōhao pleural me hipokina te pūkahukahu. Ko te nui tenei mate nui, kua te whawhai ki reira kua haere i runga i mo te manomano tau, engari puta tonu relapses tenei ra.

Ko te ati o tenei mate ko e taea horapa tere i roto i te tangata, te whakanui ake i te auau te tahuti nei. ite ahau e tino maha puta te mate i roto i te kōhungahunga. Ko mahi wehe ki te horapa o te huakita, puta noa i te tinana, e tika ana ki te rangirua o ngā pūnaha whēkau katoa kiripūkahu o etiology tuberculous, na te wawe pāngia te mate te, te atu whai hua te maimoatanga.

tikanga o te whanaketanga mate

E rua ara o te whanaketanga tenei māuiuitanga:

1. Exudative pleuritis whakawhanake etiology tuberculous ki te pā kiripūkahu matū paitini kaihoko pūtake me ngā hua whāwehe o kiko. Kei kōhao Pleural i roto i tenei take i te nui iti o huakita. Ka taea te kï te pathogenesis e faarahi toutou te tūtohutanga rauropi ki te microbe pathogenic, awe te tupu e te mate kohi rere mua. I muri tomo i te huakita i roto i te kiripūkahu haamata te haaputuputuraa tere o te wai.
2. Ko te tikanga whanaketanga tuarua - he nawe o te kiripūkahu ki te hanganga o tubercles, whakawhanake ina tomo huakita te papatipu o te arotahi i roto i te pukapuka taikiri rei ranei.

Ka rite ki taea te tukumate tomo ki te kōhao pleural

He maha ngā huarahi i roto i nei te Bacillus tubercle e taea te tiki ki te kōhao pleural:

1. Pin. I roto i tenei take, Taketake tomo i aronga i roto i te pūkahukahu tikanga i raro i te anga.
2. Ko tā te horahia ara Lymphogenous roto i te oko lymphatic.
3. horapa Hematogenous - he waka i roto i te oko toto.

Tikanga o te whanaketanga o te mate, ko te mumura i roto i te pepa pleural, haaputuraa o leukocytes me te kătahi o wai ki te kōhao pleural.

Ka taea e Exudate kiripūkahu tuberculous kia o te natura rerekē:

• Kaiota.
• Serous.
• Toto.
• Purulent.

Ki te kore te mea whai hua therapy, ka veteki effusion iku serous, a ka haere mai kaiota kiko tūhonohono nga mea timatanga i te mata o te kiripūkahu me te puka nawe whakakikorua.

Ko te take o te kiripūkahu tuberculous

E pā ana pūkahukahu pleuritis tuberculous ki disorders pathological e whakawhanake i runga i te pūtake o te mate iti hoki pūkahukahu ranei. Ko te etiology o kiripūkahu o te maha ngā momo, me he ia ona take ake mō te whanaketanga.

Ko te take o te mate e:

• Mate meinga e te huakita, pērā i staphylococci, microflora karamu-kino.
• Huaketo me pirinoa i roto i te tinana, ina koa, ki te mahue therapy.
• Ko te nuinga kohi mate i roto i te puka o rakau.
• mate fungal: candidiasis, blastomycosis.
• Pakewakewa, taipō me brucellosis taea whakapataritari i te whanaketanga o te mate.

Ka taea hoki te karanga take kore-hopuhopu:

• Ki te reira te mea he puku mārere i roto i te pūkahukahu, repe mammary, ovaries.
• infarction pūkahukahu.
• Pancreatitis, kanisā.

Doctors tawhiti i roto i te rōpū motuhake o te take e mōhiotia e taea tīmata kiripūkahu tuberculous:

• Whara.
• Injuries, pērā i te pū a.
• Surgery.

Tei runga i te take o te mate timata ki te faaite mai ratou me tohu, engari tuatahi te mea e tika ana ki te whakaaro i te momo o te mate, faaite mai hoki ratou ratou rerekē.

Whakarōpū me ngā momo o te māuiuitanga

Ki te whakaaro tatou ki nga āhuatanga o te pathogenesis o te mate, ko reira taratahi kohi kiripūkahu te momo e whai ake nei:

1. Pāwera.
2. Kohi o kiripūkahu.
3. Perifocal.

Ko te momo tuatahi o te mate e taea faaite mai ano i roto i te papamuri o te tūtohutanga kaha o te rauropi. Ko te taa o tenei momo o te kiripūkahu ko te aroaro o te mamae me te haaputuputuraa tere o te wai. Ko te akiaki kōaro pēnei i tere.

I roto i te take o te whakahörapatanga o te maha nui o pokapū iti, me te nui o te whakawhanake kiripūkahu kohi. E mea pinepine te āhuatanga tenei momo o te mate e whānui whakautu caseous-necrotic. whakaaro kiripūkahu Tuberculous o tenei momo te ki hei te whakahōhā tino.

whakawhanake ahua Perfokalny ina horahia mumura i te pūkahukahu ki te kiripūkahu. E kitea Exudate kia kohikohi i roto i te tau iti nui ranei o te huakita i roto i kore e reira tonu, engari e tenei ahua o te wā-roa, me te maha recurrent.

I runga i te whakarōpū o te mate pānga ake me pleural hanganga. Tei runga i tenei tuku:

• Fibrinous ranei maroke.
• Tuberculous effusion pleural.
• Purulent.

puta te pīari tuatahi, rite ki te tikanga, i roto i ētahi o ngā wāhanga o te kiripūkahu, te wahi e takoto ratou whenu o pūtōtepe. Neke atu i te wa, ngaro te kiripūkahu tona whakapati. Tenei ahua o te mate rawa ngāwari treatable ki te tona wa tīmatanga.

effusion Pleural he ritenga faaiteraa fibrotic o te ngakau. tīmata Tata tonu ki te kaha o te huna hoki inu, me te kohikohi i roto i te kōhao pleural. He wā ka reira katoa tīmata ki te momo maroke, i nunumi i ki exudative.

Purulent hanga he pūāhua mātanga. puta kiripūkahu rite ki te hua o te mate patua MBT horopeta whatiia arotahi subpleural ranei.

Ki te kiripūkahu o etiology tuberculous, kua wehea tonu reira ki te maha ngā momo:

• Mate. Whanake i muri i whakapā ki staph, pneumococcal, TB bacilli i te pūkahukahu.
• whakawhanake kiripūkahu kohi Noninfectious ki te papamuri o pukupuku pūkahukahu, rūmātiki me ētahi atu pathologies.
• whakawhanake kiripūkahu Idiopathic mō take mārama.

Ka taea e te mate puta rerekē, kia nui taratahi puka, subacute me te mau tonu. Ia he ona ake tohu.

faaiteraa o te mate

Hoki ia momo o kiripūkahu āhuatanga e ona tohu. Maroke tubercular tohu kiripūkahu e whai ake nei:

• Kei te haere te reira i horapa limfatogennoe o mate.
• He he mamae i roto i te pouaka. A, no te hī koe rahi roa'tu, i te reira, a ka taea e whakapataritari reira matihe, maremare.
• pāmahana tinana nui ake.
• Whānui reira he he ngoikore i roto i te tukanga o te whakawhanake i te mate.
• puta haurangi.
• Heke hiahia.
• taimaha iti.

E kore e te tohu tuatahi hanga reira taea ki te tātari i te mate i kotahi, na te mamae noa te tātaritanga tika uaua. Ki te whanaketanga o te mate riro te mamae kaha, i reira he take noa o te mate o te mahara.

Tohutanga kiripūkahu maroke ko te tino rite roro, na he mea nui ki te hanga i te tātaritanga pārōnaki i roto i te wā. Ki te reira te mea he kiripūkahu maroke, tamata te manawanui ki te takoto i runga i te tahi atu taha, ko te mamae rahi anake.

Ki te mea ka rongo te tākuta i te ahua o te mamae, ka whakarongo koe i te haruru i te waku o te kiripūkahu. Hei tātari i tēnei momo o te kiripūkahu maha e whakamātautau toto kore.

ahua Exudative o nga tohu e whai ake nei:

• Hāhā o te manawa.
• Ngoikore, me te ahuatanga.
• Nui ake te pāmahana tinana ki 38-39 nekehanga.
• Mare.
• Maroke i roto i te mangai.
• mamae aaka i te localization tukumate.

Tino maha, taua effusion he akoranga whakapeka, engari i reira he wā ina he asymptomatic tamariki taiohi ranei te mate, me te te kitea i muri anake i te whakamātautau o te wahi romahā o runga.

I muri i te haaputuputuraa o inu i roto i te kōhao pleural o taea te heke nga tohu, ka takoto ko ia anake i roto i te taha o te mahara. Ko te nui o te wai e taea tae e rua rita. I roto i tenei take, he ānini, whanoke, tamariki e taea te huri i te tae o te kiri, hei ratou lethargic, ha ma, me te maha takoto i tetahi taha.

He tohutanga purulent kiripūkahu kore e taea te huri i te faaiteraa ngoikore o te manawanui, engari i reira he he mamae i roto i tona taha, hāhā o te manawa, ngoikore, me te kirika. Kei te maha ake ngaa te huru ki te wāhi e kore e taea te tiki i te manawanui i roto i o te moenga.

Tohu o momo kiripūkahu

Kua kitea e matou e te reira e ano momoroto o kiripūkahu, e faaite mai hoki ratou i roto i ngā huarahi rerekē.

He tohu iti Perifocal:

• mamae ngawari i roto i te pouaka.
• He ngoikore iti.
• I whakarongo ki te haruru iti i roto i tona uma.

Tenei momo o te kiripūkahu roa te me relapses auau, ki te reira ko te haaputuputuraa o te wai, ko kua nga tohu atu korerotia:

• pāmahana tinana nui ake.
• sweating kaha.
• Whakawhanake tachycardia.

puta kiripūkahu pāwera e whai ake:

• te putanga mai i te pāmahana ki te toru tekau-iwa nekehanga.
• Tachycardia.
• whakaeminga Rapid o te wai.
• Hāhā o te manawa.
• Ko te pakeke o te inhalation me te mamae i roto i tona taha.

hohoro taea ēnei tohumate puta me te ngaro rite te pai.

Ki te whakawhanakehia kohi o te kiripūkahu, te āhuatanga o ia:

• Te pāmahana e taea whakatika ki te wha tekau nga nekehanga.
• sweating nui.
• Mamae i roto i tona taha.
• mare maroke.
• dyspnea whakarei.

Ki te mea he ahua ma'i, he reira angamaheni mo kiripūkahu tuberculous:

• Ko te mana'o o te kore o te rangi.
• I runga i te kaki pupuhi uaua, me taikiri.
• Cyanosis o nga ngutu.

A, no te me kia tino rerenga nga tohu o te manawanui ki te hōhipera. He mea tika ki te whakarite kia kore tangata ki enei tohu i noho ki muri i te wira, he reira pai ki te karanga "waka tūroro" ki te kore koutou e taea e kawea koe ki te hōhipera.

tātaritanga

Ki te reira he tātaritanga kiripūkahu tuberculous he uaua. Doctor ki te hanga i te tātaritanga he kore noa nui ki te mohio me pehea te mate e taea whakaatu ano i roto i te puka rerekē, engari ano ki te whakahaere i ngā akoranga. I runga i te pūtake o te raraunga katoa e taea te pāngia reira. Tātaritanga ngā:

1. rangahau manawanui i runga i te tumu parau o amuamu.
2. Kohikohi mōhiohio e pā ana ki te mau faaiteraa peita o te mate.
3. A amo ana i roto i whakamātautau tuberculin.
4. whakakitea huringa i roto i te kiko pūkahukahu whakamātautau Radiographic.
5. heheu te whakamātautau toto te hanganga o leukocytes, rawa huringa korerotia i roto i te toto i roto i te puka o te purulent pleuritis.
6. Urinalysis kitea te aroaro o te pūmua. Ki te wātea, he kitea te tātaritanga.
7. Ka taea e Bronchoscopy kitea kohi scarring arahau.
8. exudate uiui. Ki te kiripūkahu tuberculous, ka i reira ko te wahi o te pūmua, me heke kūhuka te.
9. reiti High o titers antibody i te tauhohe o Ihe, ka tohu IFA te aroaro o te mate kohi mate.
10. Na roto i tomography whakaritea etiology kiripūkahu.

Anake i muri i te whakapumautia reira tātaritanga o "kiripūkahu tuberculous", whakaritea maimoatanga e te rata tohu.

therapy mate

Hei akakoromaki i tenei mate, ko reira te wa nui ki te mohio ki reira, ka timata maimoatanga. E rave rahi miharo: kiripūkahu tuberculous ma'i kore ranei?

Ko te mate hopuhopu, a ki te kei te sputum tukumate māuiuitanga, he manawanui taua ko te ati ki ētahi atu. kia kawea therapy i anake i roto i te whare hauora mate kohi.

matua kia Therapy whakatairanga tukanga whakangaromanga paipa kiko. Ki te mahi i tenei, tautapa:

• "Rifampicin".
• "Pyrazinamide".
• "Ethambutol".

Ko te roanga o te therapy o te tarukino ko i te iti rawa waru marama, ki te pāngia hoki kohi pūkahukahu, kia atu ake ai te wā ki te rua tau.

Tohunga whakapono kia kia e whai hua i roto i te whawhai ki tukumate mate corticosteroids, pērā i "Prednisolone".

Ki te tango ngāwari ona āhua noa, he mea e tika ana ki te kawe i roto i te kutētē i te wai ki te ārai i te hanganga o papa.

Maimoatanga o te kiripūkahu tuberculous te hoki kawea atu ki te whakamahi o immunostimulants, pērā raau taero rite "Levamisole", "Taktivin".

Ki te kore e hoatu ona hua wā roa-therapy hauora, he mea e tika ana ki te huihui ki te pokanga.

kia wiriwhiria I roto i te maimoatanga me ū ki te moenga okiokinga me te kai. e hiahia ana koe ki te whakawhāiti i te whakamahi o te tote me te kai tote, inu iti inu, ki te whakapiki ake i te whakamahi o ngā hua ki te ihirangi nui o te pūmua, me te huaora.

ārai mate

Hei anō kihai hoki kiripūkahu tuberculous, e kore te maimoatanga hiahiatia, he mea nui ki te ū ki te mehua ārai. TB ko he mate pāpori e kua pā hāngai ki te kounga o te ora o te taupori. raruraru tahumaero mō te kohi meinga ino o te tikanga pāpori-ōhanga, heke i roto i ngā paerewa ora o te taupori, te mahi o ngā tukanga hekenga.

I roto i te tikanga ki te ārai i taea ki te tūtohu i te aratohu e whai ake nei:

1. Whakahaere auau āraihia me anti-urutā.
2. Wawe tonu ki te tātari i te mate i roto i te tūroro, me ki te whakarato i taero ki therapy.
3. Kia tino ki te kawe i roto i whakamātautau hauora mō te mahi i roto i ngā wāhi e he kino mō te kararehe kohi.
4. kia tohatoha i te āhua wāhi ora motuhake mō te ora, tūroro ki kohi kaha rawa, ki te ora ratou i roto i dormitories ranei mau utuafare iti.
5. werohanga mātua o hou.
6. Puritia tau pouaka X-hihi o te pūkahukahu.
7. I te tohu tuatahi o te mate e hiahiatia te ki te haere ki te tākuta.

Tautukunga ki enei āraihia ohie e whakaiti i te pā o te mate, me te āwhina ki te tautuhi i te reira i te wā wawe o te whanaketanga, ina he tino tōtika maimoatanga.

Ia tangata ia te kawenga mō rātou hauora. Ehara i te mea e tika ana i te tohu tuatahi o te ahuatanga ki te whaiaro, te kupu tukua tatou nga māngai o "te tunga i roto i to ratou tika", me tīmata te mate ki te ahu whakamua. Anake te tākuta tohu hanga he tātaritanga tika, me te whakahau i tētahi maimoatanga whai hua.