Isifo sofuba emathunjini: Izimpawu kanye Ukwelashwa

Kanye umdlavuza emhlabeni wonke nezifo ezithé chithi saka njengesifo sofuba. Ibizwa ngokuthi Koch Wand ewa umuntu ogulayo endaweni enempilo, ngokudluliswa droplet. Isifo sofuba emathunjini, izimpawu zazo sizoxoxa ngani kulesi sihloko, ngokuvamile uba isifo yesibili in iziguli izilonda ebalulekile emaphashini, noma ezinye izitho.

Isifo sofuba emathunjini: yencazelo

zokugula aqanjwe - a ezingamahlalakhona ezithathelwanayo isifo esiphelweni nemvelo, ezikhulayo emzimbeni by yokudlulisela mycobacteria ovela emaphashini ukuze ngokweqile, izitho zokugaya, noma ukuthintana ngqo nge ngamathe kanye nemikhiqizo kungangcoli. Isifo sofuba libhekene ukubukeka izimila kule ikholoni noma emathunjini amancane, kanye ushintsho yabo esidalwa yizilonda emathunjini sibe Izigaxana kumiswa izimbotshana ezinkulu, nesisa ukuze palpation ebusweni.

isifo Okufanayo - umcimbi ezingavamile. It kubonakala cishe 40 abantu abayi-100,000 sabantu bebonke. TB itholakala ngokuvamile ngemva kokufa. Phakathi nokuphila isiguli libhekwa njengoba izilonda emathunjini.

Ziyini izimbangela sofuba emathunjini?

Isifo sofuba emathunjini zihlobene nokuba khona izinto ezithile:

1. Ukutheleleka ngokweqile, izitho zokugaya mycobacteria Koch imbewu eletha.
2. Encishisiwe amabutho mzimba zomzimba.

Ngaphezu kwalokho, isifo sofuba emathunjini ingaqala njengempendulo izinqubo ezilandelayo sokugembula:

1. khona Abstsessnyh imihlola ukuthi zihlobene isimo mucosa emathunjini bese yandise amasosha ayo omzimba.
2. Ukuhlukunyezwa nogwayi notshwala.
3. nesifo se-HIV-ukutheleleka.
4. Ukuba khona ngesifo sikashukela.
5. khona njalo esimweni esicindezelayo.
6. Sebenza ezindaweni eziyingozi empilweni.

Kufanele kucatshangelwe enye ehilelekile yalesi sifo. Uma ufisa ukuthola sofuba emathunjini iyathelelwana noma cha, impendulo yalowo mbuzo icacile: yebo.

Ziyini izimpawu?

Ukuze uthole ukuthi yini isifo sofuba izimpawu emathunjini, izimpawu zokuqala kanjani idluliselwa isifo, abaningi abaphendukela izingosi ezingabazekayo futhi, ngendlela enengqondo, azikho Imininingwane baqinisekisa. Nokho, naphezu kwezingozi jikelele isifo asymptomatic, odokotela namanje ukuhlukanisa izinto ezilandelayo ezibonisa wathi zokugula:

1. Ubuhlungu. Isikhathi esining impela zenzeka ngesikhathi palpation noma kwenzeke ngokuphazima kweso. Ngezinye izikhathi, basuke babe imvelo unomphela, indawo ngeminjunju Lesisemkhatsini abukhali ngaphesheya endaweni pheshana emathunjini.
2. Uhudo, ukuqunjelwa. Chair engazinzile, uketshezi futhi njalo ke libhekene ukungakwazi ukuba alulame.
3. reflex Gag, isicanucanu. Kungenzeka emini futhi ahambisane isiguli kusuka 1 kuya ku-3 izinsuku.
4. Palpation we komgodi ongaphakathi kwamathumbu ngokuvamile palpated uphawu. Ngaphezu ukuthola nesineke Izigaxana uyazwelana nathi ebuhlungwini.
5. Ukubhodla.
6. Soreness cecum.
7. Ukubukeka igazi e uquqaba fecal. Kungaba adedelwe eziningi ezincane nezinkulu. It has a luhlaza ensundu.

Ngokuvamile, izimpawu ezinjalo zingase zivele njengoba unyaka owodwa emva ukuqala sofuba isifo, futhi iminyaka engu-15 kamuva. Konke kuncike endleleni efanele ekuphileni, impilo jikelele isiguli kanye ukungabikho izimila.

sofuba emathunjini: kanjani ukuthuthukisa

Ithumbu kuthintwa Koch unamathele, ngokuvamile kakhulu khona sofuba osuvele ukhona. Akukona zinendima yini umzimba lalibukeka original: emaphashini, izindlala zamanzi, emgogodleni noma izitho urinary. Adjudged tubercle imbewu eletha emathunjini ngemithambo yegazi noma lymph noma ngokusebenzisa ezingazange sesimeni ukwelashwa ukushisa imikhiqizo ubisi, etholakele izinkomo itheleleke nge sofuba.

Habitat sofuba ukhetha omunye ezimbili zama-izilonda:

1. Iliac, ibekwe aphansi emathunjini amancane. isifo Kutfutfukisa ngokusebenzisa kumiswa pitting, kanye senzo elimbudumbudu ngesimo hypertrophic futhi ukuvala inesikhala emathunjini.
2. Abayizimpumputhe, elise ngezansi nje indawo lapho emathunjini amancane eba obukhulu. Ukuqala emathunjini sofuba isinyathelo kuyinto lesion limfosistemy amathumbu izindonga kanye nezilonda ukubonakaliswa ibekwe emhlabeni ubukhulu. Ngaphezu kwalokho kwakheka kwi avuvukele lymph node kanye kumiswa elimbudumbudu isilonda tuberculous e udonga lwangaphandle. Konke lokhu kuholela ukuthuthukiswa peritonitis kanye kumiswa compounds.

Ngaphezu izici engenhla, esibonakala by izimpawu sofuba emathunjini kungaba ezifana:

• ubuthakathaka jikelele;
• ukwanda elibukhali lokushisa;
• kwesisindo;
• ukungakuthandi ukudla.

Iziguli ngokuvamile bahlushwa kakhulu uhudo kanye ukopha engakunqamuli lapho ukuthatha imithi ethile eqeda ukuvuvukala futhi antidiarrheal. Nge ukudlula izimpawu isifo wamathumbu isifo sofuba e abadala siguqulelwa esigabeni exacerbation kanye ukuthethelelwa.

Kaningi, iziguli waphawula ubuhlungu inkaba. Uma ushintsha isikhundla umzimba noma nokuvivinya umzimba ubuhlungu iyakhula.

Uma isifo sofuba emathunjini, izimpawu zazo esizoyicabangela kulesi sihloko ingelashwa ngokushesha, kungase ukwakha intuthuko isilonda emathunjini phakathi komgodi ongaphakathi kwamathumbu nge obhekwe peritonitis ezindaweni eyodwa noma ngaphezulu ngesikhathi esisodwa.

is Sitholakala kanjani isifo sofuba yamaphaphu?

Njengoba isifo sofuba emathunjini ngokuvamile zazifihlwa ngaphansi nezinye izinhlobo izifo, ke kwegazi, umchamo kanye endleni, kanye ekutadisheni ingaphakathi esiswini abanaso ngempumelelo. Bayakwazi ukunikeza kuphela umbono wesithombe sisonke lesi sifo, kodwa hhayi isigaba saso futhi indlela ephumelelayo yokwelapha.

Yini enye edingekayo ukuze uqinisekise sitholakele "sofuba emathunjini '? Izimpawu Izimpawu zokuqala cwaningo emitholampilo akwenele le njongo, futhi bamahhotela bakunikeza ukuhlolwa ezilandelayo:

1. X ray. It ikuvumela ukuthola ushintsho odongeni esiswini, futhi ukungabi khona emsebenzini wakhe isikhathi esithile. Ngaphezu kwalokho, zama-X ray emathunjini nge Ngokuphambene inikeza idatha indawo kanye nohlobo esiswini ukutheleleka. Ngakho, lapho isilonda kwakheka umgodi encane, futhi ngezinye amaseli esiqedayo emathunjini kwakhiwa INGENA ISINYENYELA lumpy. Ngo iyiphi yalezi zimo, lesion kwakhiwa imiphetho okungajwayelekile, ukusonteka, kanye nezimvu zamanzi kanye ephelele olubushelelezi emathunjini. Ukuze ngokuqondile ukuxilonga, odokotela ukuhlolwa ezengeziwe ezifana CT, ultrasound cwaningo kwezitho besisu.
2. Ucwaningo we Endoscopy esiswini udonga. Zokungenisa Uphenyo ucwaningo olwenziwe iziguli ezine odongeni emathunjini ukuthola zokwakheka isilonda. Ngaphezu kwalokho, besebenzisa i-probe okukhethekileko kwenziwa lo biopsy izicubu izibonelo zalokho, kulandele ucwaningo emkhakheni Histology wezinto ezincane eziphilayo.

Ngakho, kalula udokotela liyadingeka, uma bekubona sofuba esolwa emathunjini. Izimpawu Sifo eyenziwa usebenzisa X-ray kanye endoscope, ukuvumela ukukhomba nesineke esikhathini ngokwanele iqale isencane.

Yiziphi izinhlobo sofuba emathunjini?

Kunezinhlobo eziningana sezifo eshiwo ngenhla. Ngamunye wabo incike esifundeni kwasendaweni zobuhlungu izimpawu izilonda:

1. Esidalwa yizilonda emathunjini sibe. Libhekene inqwaba zokwakheka endaweni emathunjini.
2. hypertrophic esidalwa yizilonda emathunjini sibe. Ingabe ukuba khona izilonda, nge esiqedayo kancane kancane kude isisu nezicubu emathunjini.
3. Hypertrophic. Qedela ukufa kwezicubu we komgodi ongaphakathi kwamathumbu.
4. Constrictive. The main kwasendaweni endaweni - ezindongeni-lymph.

Ngaphezu kwalokhu kukhululwa kukhona izinhlobo ezimbili-TB:

1. Yesigcilikisha.
2. Exudative.

Naphezu umehluko ukubonakaliswa futhi kwasendaweni, ukwelashwa wenziwa kuzo zonke izimo okufanayo.

yezinkinga olungenzeka sofuba emathunjini

Uma ungenalo sisiqonde ngokucacile isikhathi isifo sofuba emathunjini (izimpawu, imithi okuyinto sicabanga), isiguli bangezwa lezi zinhlobo ezilandelayo yezinkinga:

1. isimiso emathunjini eminyangweni. Kwakheka wamathumbu isimiso imfucuza wokuphila, kulandele intuthuko kule komgodi ongaphakathi kwamathumbu.
2. I ukuvaleka mafutha anciphisa isikhala esingaphakathi emathunjini ukwephula le ndima. Libhekene permeability abampofu imfucuza.
3. Ukuchitha igazi esiswini. Kungase kube khona phakathi sokuzikhulula.
4. isilonda zokwakheka Breakthrough. Ephelezelwa ubuhlungu zibuthuntu noma abukhali.
5. Peritonitis.
6. Ukuphazamiseka esiswini ipheshana wokugaya ukudla.

Ukwelashwa nokuvikelwa sofuba yimithi

Uma isiguli ukuba sofuba emathunjini, izimpawu isifo uvele izidakamizwa kusenesikhathi, wagunyaza ngokuhlanganyela ukuziphatha ngamakhemikhali ukwelashwa. Endabeni ka ngasekupheleni noma uzingela khona zokwakheka ingcina e mncane, iqonde noma ikholoni - ukuhlinzwa. Zonke nomphumela oqabulayo Kwenziwa ngokuqinile ezimweni Dispensary kohlobo olukhethekile.

Doctor imithi elandelayo abelwa:

• "Streptomycin".
• "Ftivazid".
• "Tubazid".
• "Acid Para-aminosalicylic".
• "INH".
• "Rifampicin".
• PAS.
• "Tibon".

In the ukungabikho wayefisa yi odokotela nje anezele emithini yokwelapha elandelayo imithi:

• "Cycloserine".
• "Ethambutol".
• "Ethionamide".

Prakthiza libonisa ukuthi le ndlela yokwelapha siyasebenza ngempela nangokushesha.

Ukuphumelela Ukudla ekwelapheni isifo sofuba emathunjini

Njengoba zisetshenziswa izidakamizwa njengoba ngempumelelo yokulwa nesifo sofuba antibiotic, kubaluleke kakhulu ukuba unamathele ukudla ezingasiza ukunciphisa imiphumela emibi ekusebenziseni kwazo. Kufanele uthathe siyagwinyeka kalula futhi okunama-kilojoule amaningi ukudla. Ukudla ngokufanele lifanele lifake hlangana:

1. amasobho Meatless.
2. Cutlets kusukela yenkukhu, inyama yenkonyana.
3. izitsha Fish.
4. Ushizi izitsha.
5. Amaqanda futhi izitsha ezivela kubo.
6. Ibhotela.
7. Ubisi nobisi imikhiqizo.
8. A ezihlukahlukene okusanhlamvu.
9. Asanda isibambo ayo.

Uma lokhu akuvunyelwe nhlobo ukusebenzisa imikhiqizo ezilandelayo:

1. Yama kotshi, goose kanye nezimvu.
2. izitsha ngabhema.
3. Ubhontshisi abahlukahlukene.
4. ukudla okusemathinini.

Endabeni yokudla izinkinga ngesitulo ngesimo sohudo bakhishwa inyumbazana:

1. imikhiqizo Bakery.
2. Hhayi ngaphansi ezishisayo ukucutshungulwa izithelo nemifino.
3. Inani elikhulu imikhiqizo inyama.

It akuvunyelwe nakancane ukuba sofuba self-uswidi emathunjini! Izimpawu, ukwelashwa, izithombe yalesi sifo ingatholakala kulesi sihloko, kodwa uma sitholakale kuzimpawu efanayo lokugula kufanele ngokushesha uthintane onguchwepheshe.

izinyathelo

Ukuvimbela ukuthuthukiswa iziguli isifo belulekwa ukuba ibhekane lokugoma ayimpoqo kanye x-ray luhlolo. BCG lokugoma Kwenziwa hhayi kuphela ngalabo abase athintana ogulayo isikhathi eside, kodwa futhi ukuba abantu abangazange sebethole engu-20.

ukuphepha okungeziwe Isidakamizwa "Isoniazid" kanye abilayo imikhiqizo yobisi, ukupholisa izakhiwo kanye inhlangano yokuhlanza ezimanzi.

isiphetho

Ukuze ugweme isifo sofuba ukutheleleka agcwele kufanele kube ngokucophelela empilweni yabo, kanye nokuya kudokotela ngendlela esifike ngesikhathi nanoma yiziphi izenzo ubuhlungu kobukhulu endaweni esiswini. Kubalulekile kakhulu njengoba ukunakekela izimpawu ohambisana sofuba emathunjini ingasetshenziswa ukudweba. Izibikezelo kulokhu ukuzenza athandeke.