Kohi o te piro: Take, tohu, Te tātaritanga me te rongoā

Mai nga wa onamata, kua e fa'ahinga kua whawhai ki te kohi intestinal. Ko te mate nui, me te mōrearea, e ki te mahue kore maimoatia taea arahi ki te mate tenei. kia mohio nga tangata katoa ki ta te tohu o tenei mate. Na, he aha te mea kohi o te whēkau? He aha tohumate e āhuatanga hoki ia?

Ko te ngako o te mate kohi intestinal

Kohi - he mate mohiotia nei ki te iwi katoa. mahino tenei tohunga wā mate hopuhopu ma'i. whakaaro tokomaha iwi e whai pānga te mate te anake ki kino ki te pūnaha romahā. I roto i te meka e kore ko reira. He momo o te mate extrapulmonary. Ko tētahi o ratou - kohi intestinal. He he he mate i huaina e tika ana ki mycobacteria. Ko tētahi o nga puna o te mate he tūroro e kore e nei mau i te ture o te akuaku whaiaro.

Taua iwi taratahi kohi Mycobacterium (MBT) ka whakapoke i te tau i te iwi torutoru. Ki te puna o te mate, me te ngā kararehe. Ko te tino ātete ki te mana o ngā āhuatanga taiao Mycobacterium kohi. A, no te kitea ki ngā microorganisms taea riro hanganga ultra-pai tātari matūriki nui ranei branched. I roto i ngā āhuatanga pai, te ILO whiwhi te āhua angamaheni.

Puka kohi intestinal

Kua wehea te mate taitara ki tuatahi, me te tuarua. tuku kohi te rite te whēkau, i te mea he aha i reira? hoatu te whakahoki ki tēnei pātai te. Na, puta kohi tuatahi mō te maha o ngā take:

• Nā ki te whakamahi o te waiu o kau tuberculous unboiled.
• A, no te whakahörapatanga hematogenous o Mycobacterium kohi i te arotahi tuatahi i roto i te pukapuka, taikiri.
• Nā ki te whakamahi o te kai i rīhi e kua huaketo ki Mycobacterium kohi, oko ranei, puritia nei e te tangata e whai i te mate.

He ahua tuarua o te mate puta i roto i tūroro tangata ki kino pūkahukahu tika ki te ingestion o sputum me huware. Mycobacterium kohi i roto i tenei tikanga tae i te whēkau, me te whakapoke tona taiepa (pā te nuinga te ileum). Nā tēnei, i roto i fistulas me ulcerations. Dangerous ki te mate kohi intestinal e karapoti ana? легочной формы. whakaatu tatauranga e te mate, ko te nuinga o te wā he tukanga tuarua puta i roto i te ahunga whakamua o te puka pūkahukahu. He nui atu uaua intestinal mate kohi ko te tuatahi, te whakawhanake tika ki te mate alimentary.

tohu

I roto i te kohi o te whēkau i kōrero iwi i nga tohu hihira e whai ake nei:

1. Ko te tohu o te haurangi. Nā ki te mate ngaro te hiahia te, tīmata reira ki te whakaiti taimaha tinana. amuamu Tūroro o sweats po, kirika. kia Women paheke ngaro.
2. tohu intestinal. I te timatanga o te mate i reira he kōroke i roto i te tahi mau iwi. ka e aru te reira, pera me te tikanga, wā roa-a haamae korere. Tūroro kōrero hoki amuamu tohunga o te mamae i roto i te puku.
3. Ko te wāteatanga o te mātauranga. I palpation o te puku kia puku maloboleznennaya nga korero.

A, no te puta kino lesion intestinal ulcerative tohu o ritenga peritoneal. Tūroro ki kirika. Ko nga feces e kitea toto kitea ona wāhanga (erythrocytes, leucocytes) ranei e tohunga i roto i te rangahau mā te whakamahi i te karu. Hoki tukanga kino ulcerative taea te āhuatanga e pōauautanga. Pinepine i reira toto, te tutukitanga intestinal, takahi o te tapatahi o tona taiepa.

Tātarihia te TB

Ka taea te tukua te tātaritanga o "kohi intestinal" e tohunga i muri i itoito e tika. Kei roto te reira i:

• tuberculin;
• X-hihi;
• colonoscopy;
• pārana werowero;
• laparoscopy me te unuhanga.

tikanga Tino kōrero he tomography rorohiko me te laparoscopy. I roto i te tono o enei tikanga o tohunga tātaritanga maha e kitea i roto i te tūroro calcified taikiri mesenteric, tubercles. Kōrero me te X-ray whakamātautau. Ngā mihi ki a ia, te whakakite i tohunga tohu o kohi o te whēkau (hei tauira, konu pupuri i roto i te cecum i te whakaoranga o te tahi atu tari).

whakamātautau Kvantiferonovy - he tikanga taiwhanga hou e taea ai e koe te tautuhi i te mate. Te uhi i te tātaritanga o te mate kohi e whakaaro reira rite te pai. Na, ko te ngako o te whakamātautau, ko te ki te ako toto o te manawanui. tukua ia i te puku kau i roto i te ata i te rua, ka whakanohoia i roto i te kete motuhake arā, o toru korere. I muri kohinga toto e whakahaere tohunga rangahau. Ka taea e whakamātautau Kvantiferonovy hoatu pai, kino, me te rangirua nei:

1. He hua pai tohu mate ki te Tari.
2. whiwhi te hua kino te iwi hauora. Heoi, kia tuhia te reira e, no te kore i te mea e tika ana ki te whakahaere tikanga i roto i mate ki te Mycobacterium kohi. Ka taea e te hua e te kino teka. Tenei tupu i roto i nga wā wawe o mate, mo āhua ārai.
3. Ko hua tirengi taea ki te āhuatanga takitahi o te mate, me te rite i roto i te ofatiraa o ngā whakaritenga preanalytical. Mō ētahi atu pārongo, whakatau kaiwhakaako i runga i te taiepa o te toto hou ranei te whakarite o rangahau atu.

tātaritanga pārōnaki

kia aua huanga e kua tāutuhia e te tohunga i roto i te rangahau o te iwi ki te kohi whakapae o te whēkau kia āhuatanga e ētahi atu mate inflammatory. ka karanga nui i roto i te ma'i noa te colitis ulcerative, mate a Crohn, koripi amoebic, pukupuku intestinal. Hei hoatu i te tātaritanga tika titau tātaritanga pārōnaki :

1. Hei whakarite kia kore koripi amoebic , me pukupuku, kia kia whakamana whakamātautau histological.
2. Ka taea te kitea mihi ki endoscopic granulomas sarkoidopodobnye unuhanga, arā, o lymphocytes e te hunga i roto i te pokapū o ngā pūtau nui pērā i Pirogov-Langhans. He āhuatanga mō te mate kohi intestinal me te mate o Crohn enei hanganga. Ki te wehewehe i te mate i ia atu kēne mō necrosis kāinga caseous. puta ratou anake ki granulomas i roto i te mate kohi intestinal.

maimoatanga o te mate

A, no te pāngia ki haamata "kohi intestinal" maimoatanga i roto i ngā hōhipera motuhake. Tona whāinga - paturuhia whakaora o aronga o te mate, whakakorenga o tohu. Ko te maimoatanga o te mate kohi ko te tino roa. puta Whakaora i roto i te tau i runga i toharite. I roto i ētahi wā, e te reira te wa nui atu ki te whakaora.

I roto i te kohi o te whēkau he tika ki te whakaoti i te maimoatanga. Ko tōna wāhanga matua - he hahau. Physicians tīpakohia formulations motuhake whakatau ratou horopeta pahekotanga. I te timatanga o te kimó kaha. inhibits te reira i te whakareatanga o mycobacteria, te whakaiti ratou tau. Ki te Me kï whakaaro ki regimens maimoatanga e taea te whakamahi i nga ra:

• "Inh" me "Rifampicin";
• "Inh" me "Ethambutol".

whakaritea te huinga tuatahi o te raau taero e mo te wā o 9 ki te 12 marama, me te tuarua - i 18. Ko te tika te maimoatanga taua wā roa-e tika ana ki te meka e āta proliferate mycobacteria, a kia roa noho tautauā.

Ki te whakakitea mai tātaritanga kohi intestinal, ka kore tika e whakaritea ana e ia ki te maimoatanga momo. Ehara i te mea tonu e taea ki te hoatu i te hua e tūmanakohia ana. I te tahi taime whakahau kaiwhakaako pokanga. E whakaatu ana te reira i te whanaketanga o pōauautanga. Hei tauira, kia whakaritea te mahi ki te nui nui o te wai i roto i te kōhao puku. titau Iihi tukuna ai intestinal aunoa. kia Ko tōna take ki te noho i muri i te whakaora tohu me adhesions i waenganui i nga koropiko whēkau.

Ko te raruraru e pā ana ki te maimoatanga

Ko te raruraru matua ki te maimoatanga o te mate kohi intestinal ko te kore o te ako o te iwi mate. e kore e maha tūroro whai nga tūtohutanga o tohunga, me te aruaru fariiraa taero tuberculostatic. Nā ki te korenga atu taimi halá, o te hahau intensifies te tukanga. Ko tētahi atu raruraru, ko te e muri i tango taero whakahaunga kia puta pānga taha. nunu'a mamafa o nga pānga paitini o raau taero e:

1. Kakā - he mate inflammatory o te ate.
2. Thrombocytopenia - he huru i he whakaiti tūturu i roto i te maha o platelets.
3. Neuritis - he mate inflammatory o raru.
4. täkihi - he tu'unga pathological āhuatanga e ngangau o tākihi mahi.

e kore puta pinepine rawa pānga te taha. fehangahangai ratou 3-5% o te iwi te whiwhi "Rifampicin" me "Inh", me 1-2% o tūroro peratia "isoniazid" me "ethambutol". A, no te pānga taha rerekē hōtaka maimoatanga.

mau hopearaa kohi intestinal

Ko te waitohunga o te mate, tei runga i te āhua o tere tohunga ki te tātari i te mate, me te therapy whakaritea. I roto i te wā matatau, me pāpaka haamou o te matapae whēkau angiangi he kino e tika ana ki te hohokitanga o tukuna ai intestinal me malabsorption o ngā matūkai. Iti matapae fakatu'atamaki hoatu i roto i pāpaka o te kopirua.

ārai mate

I roto i te tikanga ki te ārai i te mate kohi intestinal therapy ārai. I roto i te tikanga ki te whakatau mehemea me te reira he tangata motuhake, kawe i te tauākī tuatahi o te whakamātautau tuberculin. Ki te he pai te hua, i whakaritea maimoatanga ārai te. Ko te chemoprophylaxis "isoniazid" i roto i te 1 tau. kawea tiaki ārai te i roto i kore anake ki te pai whakamātautau kiri tuberculin ki te karo taua mate rite kohi o te whēkau. kia waiho te take mo tana whakarite e whai ake:

• Te tangata maha i roto i te whakapā ki te takitahi e whai he TB hohe.
• Ko te manawanui e corticosteroids me āpiha immunosuppressive.
• Te tangata te mamae immunodeficiencies o ngā takenga mai.

Roto i te whakamutunga, kia tuhia te reira e te ahua o tohu hihira angamaheni o te mate kohi intestinal, kia haere tonu ki te whare hauora ki te rata. Ki te huaina nga suspects mātanga mate, ka kia tonoa te manawanui ki te whakaurunga TB motuhake.