Kohi Genitourinary: tohumate, te tātaritanga, ara o te mate

E tika noa Diseases o te pūnaha mimi. Ka taea e ratou pā i te whatukuhu, mimi, tōngāmimi. O nga mate katoa, ko te ki te whakarato me te whakaaro kohi genitourinary. Mō tenei mate, e hiahia ana koe ki te mohio tangata katoa, no te mea o te mate kahore he tetahi he ārai.

Ētahi atu kōrero mō mate kohi, ka turaki i te pūnaha mimi

e kore pea te tangata taua, e kore nei e rongo e pā ana ki te mate kohi. Ko te mate noa i roto i nei te huakita i huaina Bacillus, pā te pūkahukahu. Heoi, e kore anake i roto i enei whekau taea ora microorganisms huaina. Te hunga e mohio ana momo extrapulmonary mohiotia o te mate. Tuatahi i roto i enei ko te mate kohi genitourinary.

Kia pehea te ko tenei mate? Ko te pūnaha mimi Koch Bacillus hinga ara hematogenous. I tenei kaupapa, ka taea e tatou e faaoti e te tangata tuatahi huaketo ki kohi i te manawanui mua, te tuku ki te taiao o tukumate. I muri kia tomo Koch Bacillus te pūnaha mimi ki te awa toto. Ko te kupu, ko te ara o te mate - tuatahi mahino, me te ka hematogenous.

haamata kohi o te pūnaha urogenital i roto i nga tangata, me nga wahine ki te kino tākihi. O enei, tohaina te tukanga hopuhopu e te tubules tākihi, oko toto i roto i te papatoiake tākihi. Na ka pā te ureters, tōngāmimi mimi. Aronga o te mate kohi puta i roto i nga whatukuhu e rua, engari, i roto i te mahi, te ahunga whakamua tukanga pathological i roto i te kotahi anake o te rua o whekau.

Ka rite ki te mate whakawhanake? Bacillus o Koch ka patua i roto i nga whatukuhu pānga te uho me medulla. I roto i te tinana i reira he fepulopulasi. Ratou āta ulcerate, i reira pirau cheesy. Ka rite ki te hua, e hanga e kōwhao. Huri noa Kei te whanake ratou tukanga inflammatory, i reira he fepulopulasi. tenei katoa e taea e arahi ki te oti te whakangaromanga o nga whatukuhu ki te hanga i pyonephrosis.

Ki te whanaketanga atu o te mate kohi genitourinary i roto i nga wahine, me te tangata pānga fibrotic me adipose capsule okana ā-. Ko te fepulopulasi me mariao puta i runga i te papatoiake tākihi, awa mimi. Wall no o takaete reira, riro infiltrated, edematous. Tuwhenua zarubtsovyvayutsya muri i hanga hanganga ārai i te matamua o te mimi.

I roto i te ngaro o tika maimoatanga mo te mate haere i te whatukuhu ki te tōngāmimi. tīmata tuatahi te tukanga pathological i roto i te rohe i reira nga tikanga i nga ureters. I roto i te mucosa okana ā-puta tubercles. E i raro ratou ki mimiti atu. I roto i to ratou wahi e hanga e tuwhenua, i pokapoka. I muri tau ana mingimingi te tōngāmimi tika ki te meka i whakakapi te taiepa ā o te okana pānga kiko sclerotic.

Kohi o te pūnaha genitourinary: he whakarōpū poto o mate

Mataotao i roto i te mahi te tono i te whakarōpū e titore i te maha ngā wāhanga o te mate:

• Hoki te wāhanga tuatahi o te mate āhuatanga e mate kohi infiltrative tākihi, t. E. Non-haamou.
• I roto i te taahiraa tuarua kitea te tuukinotanga tuatahi te, ie. Puta iti E. kōhao Takitahi. I roto i te diameter, he iti iho i te 1 henemita ratou.
• I te toru o te wā i reira he iti whakangaromanga. I roto i tetahi o nga wāhanga o te whatukuhu puta mārua nui kohi polikavernozny ranei.
• Hoki te wha o nga atamira āhuatanga e te whakangaromanga katoa tapekeroto ranei.

Ko te pikitia haumanu o te mate

kia whakaatu kohi Genitourinary iho i roto i ngā huarahi rerekē. No miharo tenei mate i roto i te tuhinga hauora rite tetahi o te tino noa "mystifies" i roto i te mate o te tōngāmimi, tākihi me te mimi. I runga i nga faaiteraa o te mate kohi he maha pōauautanga e pā piri. kia pyelonephritis, ma'i täkihi tenei.

Kua wehea nga tohu o te mate kohi tākihi ki 2 rōpū:

• tohu noa e puta ina huri koe i te huru whānui o te tangata mate;
• tohu rohe, roherohea i tahuri i runga i tuakiri (te hunga e ite mate) me whāinga (kitea e ngā tohunga i roto i te rangahau).

tohu noa o kohi o te pūnaha mimi

A, no te te mate i roto i 20-30% o te iwi nui haere te pāmahana tinana. Ko te tikanga pae reira i 37-38 nekehanga. I roto i te tahi mau tūroro ki atu mate, pōauautanga kitea pāmahana rite ki te 38-39 nekehanga, Chills puta.

takawhita āhua kite (pēhanga toto tiketike) i roto i te 5-18% o te iwi e mate ana. I mua, i whakapono tohunga e tenei tohu ko te putanga o kouna pyelonephritis. Na kua whakamatauria reira e takawhita - ko te tohu e kia tohu tākihi kohi. Me kï reira e te pā o tenei tohumate tei runga i te āhua o te mate. Hei tauira:

• pānga kohi parenchymal tākihi takawhita e pā ana ki 1.1% o te iwi e mate ana;
• kohi papilla tākihi - 3.2%;
• tuberculous polikavernoznom pyonephrosis me te mate kohi - 18.3%.

tohu tuakiri Local

E mea pinepine te ui iwi, "tohu, ki te reira ko te mate kohi genitourinary, aha?" Ofa e taea puta - he reira urination fakamamahi, me te auau. Tohunga i roto i te 50-60-doma o te rau tau whakamutunga whakakitea tenei huru i roto i te iwi katoa. Na ka anga i te haafifi i ki te hekenga i roto i te auau o ngā tohu. I roto i te-doma 60-70,% 48 anake o te iwi amuamu e pā ana ki te takahi o te urination me i 80 tau -% 43 anake o tūroro. I roto i nga tau tata nei, ko te iti noa te tohumate. faataa taua heke e te auau o pāpaka o te membrane mucous o te tōngāmimi.

Tino maha i reira e tohu - te mamae i roto i te rohe lumbar puta ka ki te whakawhanake i tīmata kohi genitourinary. tohu ēnei tohumate i pā ana ki te hawhe o tūroro tangata. Ko te nuinga o-iu kotahi nga mamae. Mō sensations kino paetata i runga i ngā taha e rua, e whakaatu% 15-20 anake o te iwi mate.

Na roto tona āhua, he koi, rite ki te colic tākihi te mamae. whakatika reira e tika ana ki te takahi o te mahi puha e tika ana ki te blockage o te clots awa mimi toto, purulent puru, pupuhi o te membrane mucous. colic tākihi - he tohumate kitea e te kore anake i roto i te kohi o te pūnaha mimi. Ko i rawe ki ia, me ētahi atu mate. Ko tētahi o ratou - urolithiasis. Hoki te tātaritanga tika whakamana te whakamātautau urological.

taunakitanga whāinga Local

Ko te āhuatanga i runga ake-whakahuatia, e he kohi o te pūnaha genitourinary - he tuakiri nga tohu. Ko te tohu whāinga ngā pyuria. tohu ana tēnei wāhanga i te nui haere te maha o leukocytes i mimi. Leucocyturia - te tohu tuatahi o te mate. I roto i tenei take, e kore te mea te reira whakahauanga. Ki te i roto i te akoranga o te tātaritanga o te mimi ma pūtau toto kahore e kitea, e kore te mea whakaaro tohu o te kore o te mate.

Tohu o te TB ngā pūnaha urogenital eritrotsiturii. I roto i te rongoā, e pā ana tenei wā ki te taumata teitei o ngā pūtau toto whero i roto i te mimi. I roto i nga tau tata nei, whakakitea tenei huru te tino maha - āhua 70-75% o te iwi e mate ana. Ko te pā o te pūtau toto whero e pā ana ki te whanaketanga o te tukanga kino i roto i te tākihi.

tohumate wawe whāinga o te mate kohi - proteinuria (pūmua rapunga i roto i te tātari mimi). Kei te pāngia te reira i roto i 85-95% o te iwi e mate ana. I runga i te takanga o te proteinuria i te torutoru whakaaro:

1. Ētahi tohunga whakapono e kore te mea e pā ana ki te kohi o te pūnaha mimi. puna o te pūmua, i roto i to ratou tirohanga, ko nga pūtau toto whero.
2. Ētahi atu kairangahau tautohe e protoinuriya meinga e huringa degenerative i roto i nga tubules me te glomeruli o nga whatukuhu.

Katoa tau, ite i atu me te ake rata tetahi atu tohu o te mate kohi. Ko reira e pā ana ki bacteriuria nonspecific. Ka taea te tāutuhia e te mate i ngā wāhanga katoa o te mate. More maha atu i te kore whakaatu i te reira i te puka cavernous. Tukumate He rerekē nonspecific mate mimi. Tāutuhia ko Escherichia coli, ko Staphylococcus, ko streptococcus, me nga patu pirau puru-matomato. Ehara i nohinohi Ko te otaota whakauru.

Ko te tohu tino pono o te mate - te tāututanga o Koch patu i roto i te mimi. Heoi, e kore e whakahaere tonu tohunga ki te kitea te kaihoko pūtake matua o te mate. Ahakoa hou tikanga o whakamātautau bacteriological kore e te āwhina. Ko te take i tangohia te tahi mau iwi paturopi whakaritea e te tākuta i te ma'i ngā inu enei taero ranei, kau 'i roto i te whaiaro medicate-. Ka rite ki te hua, ngaro Mycobacterium kohi ratou kaha ki te whakaputa uri, ka tupu. I muri i te whakatō, ratou, o te akoranga, mo tenei take e taea te kore e kitea. He uaua ki te tāutu i te tukumate i roto i te tinana o te tangata e mate ana.

Rawa kohi o te pūnaha mimi i roto i ngā tamariki, me te kaumātua

pā ana tēnei mate pakeke te nuinga. I roto i te tamariki, nui iti pāngia i roto i te mate kohi genitourinary. tohumate auau, me te tīmatanga o ara ake i a ratou - he polyuria tenei, arā, he hua i roto i te rōrahi mimi ... He atu tohu, engari e maha ratou e pā ana ki ētahi atu mate. Ko tētahi atu āhuatanga nui o TB i roto i ngā tamariki he e kore he kino kōtiro puka atu noa o te mate, me nga tamariki - haamou.

Kohi o te pūnaha mimi pānga maha iwi pakeke. Ko te tika ki te hekenga i roto i te korero ārai, te putanga o ngā ma'i tenei. I tohu o TB e pa tautoko me mate urological. Ko ētahi o ēnei: .. takawhita, mate o te wahi gastrointestinal, mate kohatu tākihi, pyelonephritis nonspecific, etc. Mo o tenei, kohi o te pūnaha mimi kore e kitea tonu. E masked e tohu o te mate i runga i ona tohu.

Āhuatanga o te nāianei o mate i roto i te tangata, me nga wahine

Mai i te papa, tei reira ki runga ki te mate kohi genitourinary pehea whakakitea. I roto i nga wahine, ngā tohu mamae iti kino. I roto i nga tangata, he ratou kaha. hoki e nui ratou pea atu ki te whakawhanake i kohi, whekau taihemahema. whakaatu tatauranga e tenei haereraa i roto i nga wahine puta anake i roto i te 7% o ngā take, i nga tangata - 31%.

Whakaaro mate kohi genitourinary i roto i nga tangata, i te tohu o tenei mate, ko reira ia tapao e te tuatahi o Koch Bacillus patua te repeure (repeure). I roto i te tukanga pathological whai wāhi, me te ka atu wahi o te hanganga pūnaha whakaputa uri: roma tātea, raho, pōkai raho. I roto i te wā onge, te ure pāngia. puta te reira i pā mate whewhe taikiri piringa. Taua tohu kitea i runga i te ure, e rapu tātaritanga pārōnaki ki te mate pukupuku.

kohi Genitourinary: tātaritanga

A, no te te tātaritanga o ngā tūāhua haumanu e whakamahia tuatahi. e kore ratou e tukua ki te tika te whakatau i te tangata he mate kohi e kore ranei. Heoi, kitea tohunga tohu hihira o whakawhetai ki a ratou. tikanga rangahau Haumanu ngā he rangahau o te tangata e mate ana, e mau ana i roto i te tirohanga, palpation o nga wahi fakamamahi.

He wāhi nui i roto i te tātaritanga o ngā tikanga taiwhanga tākaro:

1. Tūroro tika he whakamātautau toto. kihai ia i whakakitea i tetahi āhuatanga motuhake tūturu i roto i te kohi o te pūnaha mimi, engari ka taea e whakaatu leukocytosis me te whakapiki ake i roto i te auau parataiao ngeniwhero. Tenei ka tohu i te aroaro o te mumura i roto i te tinana.
2. Whakaritea e te mimi. Ko te tikanga matua o te tātaritanga o te mate kohi taiwhanga tenei. I roto i te mimi i roto i te mate i kitea Koch Bacillus, atu mate (ki te tetahi, te whanaketanga o pōauautanga ranei). kia whakaatu assays proteinuria, pyuria, eritrotsiturii.

tohu Tohunga i te faufaa o te whakamahi i ngā tikanga katoa ka taea o te tūhuratanga, ratou ngā me te whakamahi maha.

Ko te rārangi o tikanga tātaritanga ngā tuberculin. takoto Ko tōna ngako i roto i te whakahaere subcutaneous o te reo thickened motuhake. E kīia ana tuberculin. Tuberculin to matou tohu me contraindications. Na roto i te tohu ngā: he māharahara o kohi o te pūnaha genitourinary, kawea te aromatawai pānga i roto i te taha o te maimoatanga motuhake, mahi mana tukanga. Contraindications mahi idiosyncrasy.

A, no te ai te whakamahi i te tātaritanga o te mate kohi tikanga endoscopic o tūhuratanga:

1. Ko tētahi o ratou - te cystoscopy. I roto i tenei tikanga, he endoscope, i te mea he pū tōngāmimi ki te māramatanga me te pūnaha optical, kua whakaurua i roto i te taiawa mimi ki te tōngāmimi. tohu Nonspecific o mate kohi protrudes hyperemia E ruia ana rahi ranei whakaaro he mucosa okana ā-. tohu motuhake cystoscopy fana'oi to - tubercles, tohu, tuwhenua i hanga i runga i te wahi.
2. I roto i ētahi wā, i te mea e taea ki te hanga i te tātaritanga tika, me te reira e te tahi mau feaa, puritia endovezikalnaya unuhanga. A, no te kawea reira i te rauemi taiepa mo te rangahau. Ka taea e te hua whakaū i te aroaro o te mate kohi me te tōngāmimi mate pukupuku. Ki te hua kino e kore e tutakina kohi.

Ka rite ki ngā tikanga rangahau pŭpŭ tauturu whakamahia Radiography mania, me te tomography. Ki enei tikanga o ngaio tūhuratanga ka ako e pā ana ki ngā tawhā whatukuhu, āhua ngako perinephric, te whakakite i calcifications me pokapū ossification o te okana pūnaha mimi, taikiri, wāhi retroperitoneal. Hāngai i te angiography tākihi kohi. Ki te whakaturia te reira huringa kino i roto i nga whatukuhu, tākihi hoahoanga iaia o te haapiiraa, te whakatau i te kaha ki te mahi tiaki i te pokanga me te rōrahi kiko tākihi ki te kia resected.

I te tahi taime whakaritea e te scan ultrasound. Tenei tikanga kore-urutomo o te tūhuratanga. Ultrasound ki te arotake i te pūnaha pyelocaliceal, te kitenga wawe o kohatu tākihi, huringa sclerotic, calcifications whitiki, kōwhao, cysts. I te wa taua Ehostruktura pāpaka taea ki te hanga i te tātaritanga tika. Aromatawai i te hua o te ultrasound anake e taea whakaaro te aroaro o te mate kohi.

regimens Treatment mate

Maimoatanga o te mate kohi o te pūnaha genitourinary te tautapatia i runga i te atamira:

• I roto i te wāhanga tuatahi o te rongoā ka whakamahia. E whakaritea tūroro drugs tuberculostatic i roto i ngā ki macrolides me fluoroquinolones, immunomodulators, whākōkī proteolytic. Ko te kōwhiringa o raau taero e kaiwhakaako, tango ki pūkete te tūtohutanga o te rapunga o M. kohi, me te pānga o te therapy tono.
• I atamira III mate maimoatanga raau ngā ki tohu pokanga. Ka taea te whakaritea te kavernotomiya nephrectomy manawanui te kanohi ranei (tuwhera o te kōhao).
• I te wā whakamutunga o te mate, ko te rongoā kawea me nephrectomy (tango o te tākihi pāngia).

Ko tino maha Nephrectomy roto take TB pūnaha mimi. Ko te tika ki te tohutoro mutunga ki mohio tiaki hauora maimoatanga paerewa whakakeke tenei. I muri i nephrectomy, ka taea pōauautanga postoperative, engari he ratou tino onge. Ko ētahi o ēnei kanokanototo, ngako subcutaneous whēwhē, pirau, me te wā roa-te whakaora fistulas, hernias.

Kohi o te pūnaha urogenital i roto i nga tangata, ara kikokiko, uaua atu ki te hamani. Ko ia kino Nireaha ki te therapy momo. Hoki maimoatanga e whakaritea e te tauwhāiti taero anti-TB i roto i te inenga taua rite i roto i te kohi o te pūnaha mimi. I tua atu, ka whakaaturia te mate te immobilization mā scrotal piri pātata tikakatanga blockades novocaine tono aho tātea (i roto i te taha ki te streptomycin). tukinotia kohi o te pūnaha urogenital toa te hoki nga marama 2 ranei 3. Ki te kore e pai nga hua, ka te kawea reira i roto i resection o te pōkai raho epididymectomy ranei. A, no te kawea te katoa hinga o te raho i te mahi ki te tango i reira. Ki te pānga TB te repe repeure me vesicles huero, ka whakahau maimoatanga momo.

I roto i te mutunga, ko reira ia tapao e whakawhanake kohi genitourinary i roto i pā ana ki 10-15 tau i muri i te tīmatanga o pūkahukahu ranei osteoarticular kohi. tūtohu, no te te tohu ki te rapu āwhina i roto i te toi me te kore ki te whakaroa i te haerenga, no te mea e tika ana ki te ahunga whakamua o te mate i roto i te heke mai kia rapua e te tango o nga whatukuhu. I roto i te tīmatanga o te hua taua taea te ārai.