Fibro-cavernous kohi: tohumate me te maimoatanga. Ārai me tohutohu

mate kohi Fibrocavernous pūkahukahu - he mate kino, te tapao o e ko te reira i te aroaro i roto i te kōhao pūkahukahu taratahi. I roto i te rongoā, e kiia ana ko "kōhao". Mamae Ko te taahiraa i roto i te ahunga whakamua o te mate kohi pūkahukahu. E mea pinepine, murua te taua whare hauora māuiuitanga te huru.

Āhuatanga o te mate

Tikanga, kite mate kohi kaiota-cavernous i roto i tūroro pakeke. I roto i te tamarikitanga, he tino onge tohu TB tuatahi.

mahi māuiuitanga cavernous rite te putanga o te mate kohi infiltrative, engari tupu te reira whakawhanake tohatohaina e te pātītī ranei, te momo o te māuiuitanga.

puka Fibrocavernous kitea i roto i te 5% o ngā take o te mate kohi.

kohi cavernous rite te kohatu takahi ki te whanaketanga o te māuiuitanga fibro-cavernous

He āhuatanga āhuatanga o te mate kohi cavernous pathomorphological ko te aroaro o te kōhao kotahi, kahore mumura me huringa fibrotic i roto i te bronchi, oko waitinana me te kikokiko e karapoti ana. e kore te mea neke atu i te 2 tau te mate.

puta nga poka whakaora ki te hanganga o:

• rumen;
• tuberculoma;
• arotahi kotahi o te mate kohi;
• kōhao sanitized.

I roto i te ngaro o te therapy tika e taea puka cavernous haere i roto i te mate kohi fibrocavernous, kakakīrehe i te mea tei roto te taiepa o te kōhao me te parenchyma pūkahukahu a tawhio noa. kitea ano e aronga maha o te contamination.

tohutanga o te mate

Tikanga, paetata kohi kaiota-cavernous te i roto i te kotahi tana pukapuka. Ko te whanaketanga o te mate puta i 3-4 marama o therapy whai hua o tetahi momo o te mate kohi. He tino kanapa i roto i te wāhanga te pirau faaiteraa o te mate.

Ka taea te whakaaro te tohu matua o te mate:

• asthenia;
• mate o te hiahia;
• mare ngoikore;
• maremare ake toto;
• toto;
• crackles i te parariraa o te kōhao.

I muri i te hanganga o nga tohu kōhao hei kau, Just kite, me te nonspecific. kia amuamu te manawanui o te ngoikore whānui, rohirohi tamau, mate taimaha, me te aroaro o te wera kōeke iti.

I runga i te whanaketanga o te TB moe kia tohu toto i roto i te pūkahukahu e whanake hoki kahore take.

Anamnesis o tūroro whakawhiua ki te kohi fibro-cavernous fakahu'unga akoranga heke te. kia wā i waenganui i te wā whakapeka me te murunga roa nui ranei, hei kōrero, ka taea e puta i te wāhanga whakapeka tino pinepine.

He ngā tohu haumanu kohi Fibro-cavitary. Kei te meinga te reira e te tukanga pathological, me te te pōauautanga kaimahi.

E rua ngā momo o te mate: he iti ranei ngā pūmau, i reira i raro i puta i te mana o te hahau stabilization me ko te manawanui i roto i murunga, haere tonu hoki te maha o nga tau.

I roto i te wā whakapeka te pāmahana ara me te whanaketanga o te mumura huri noa te kōhao. Ka taea e pāmahana tae taumata teitei, ki te e pā ana te mate matua mate pūāhua tuarua.

Hinganga bronchi tahi e whango mare mauiui, sputum, hūpē me te pirau i ētahi wehea ai ki te uaua.

He manawanui mate ana i te mate kohi fibro-cavernous, ngaro tino taimaha. ta ia kiri maroke, e ngāwari kita. E whai wāhi ana te uaua o te manawanui ki atrophy. Ko te ūnga o te tukanga pathological riro whitiki pokohiwi, te hoki me te rohe i waenganui i nga rara.

E pängia ana ki te haurangi auau tūroro. I roto i te exacerbations o mate romahā whakawhanake iti hoki 1 me 2 nekehanga. I muri e taea te tohua hua i roto i te rōrahi ate. Kia puta tetere.

Ki te ahunga whakamua o te mate tohua te hinga o te paeoro me te whēkau, i arata'i ki te vaivai o te pūnaha ārai mate. A, no te kahesii, amyloid nephrosis me te kore ngakau congestive, pūkahukahu waitohunga mate kino.

Ko te take o te mate

Ka taea te rongo whakangaromanga i tetahi ahua haumanu o te mate kohi. Ka taea e te whanaketanga provocateur hei superinfection. Na roto i te tukumate kia ngā mycobacteria. Mea rawa i reira e 74 ingoa. no ratou ki te puninga Mycobacterium. Heoi, kohi i roto i te tangata rongo tīpakohia herenga momo, Nō kohi Mycobacterium.

Predisposing āhuatanga mo te whanaketanga o te mate e:

• te whakatairanga i te taumata o te sensitization;
• huri i roto i te te tauhohenga;
• mate o whekau;
• peu kino.

Ko te wāhanga matua o te mate

whakaritea e te reira ki te tohatoha i te wā i muri o te mate kohi kaiota-cavernous:

• Kookuhutanga. presupposes te reira i te oraraa o te arotahi mumura.
• Pirau. i hanga te takuahi o mumura te he kōhao ki tonu nei i te te ahua motuhake o te kiko necrotic - papatipu caseous. riro wai ihirangi maroke, a āta taka atu i muri i riringi ngōrahi. I roto i tona wahi e noho tuwhera. I muri iho, tīmata reira ki te whakaki ki te hau, a i takahi o pana i roto i te bronchi - wai.
• Ko te hanganga o kōwhao. i hanga Mātauranga i te resorption o mumura perifocal me kakakīrehe. Kei roto i te taiepa o te Pākatokato e toru papa. Kei roto i te paparanga roto te papatipu caseous (paparanga polygenic). Kei roto i te waenganui o te anga granulation, kapi katoa ki te pūtau nui epithelial. Mai hipoki te wahi kōhao waho e te capsule o kiko tūhonohono.
• Matomato. I roto i tenei tukanga, te piki te rahi kōhao, me huri noa kookuhutanga perifocal puta matomato ranei. Ko te tukanga, ka uru te whanaketanga o pāpaka inflammatory hou i kohi cavernous. Ko te kupu whanake ahua fibrocavernous o te mate.

pōauautanga auau

He nga pōauautanga e whai ake nei o te mate kohi fibro-cavernous:

• Hemoptysis.
• Toto i roto i te pukapuka.
• Ko te aroaro o te percussion. Kei te whakahuatia te reira i roto i te shortening o te tangi i roto i te wāhanga o te thickening pleural me kakakīrehe.
• Whakarongo respiration ngoikore i roto i ngā wāhanga o te thickening o te kiripūkahu. kitea hoki crackles me manawa arahau. whakakitea taua wheezing te aroaro o kōwhao nui-rahi. Neke atu i te ngā iti i rerekē oro te amuamu o.

tikanga o te tātaritanga

Kia pehea te pāngia te kohi fibro-cavernous? , Rite ki te tikanga, kei kē te hītori o te mate i te wa o te tātaritanga te mōhiohio e pā ana ki mua mate kohi myocardial.

Me kï reira e te tohu auscultatory he iti mōhiohio. whakamātautau anō te whakamahi i X-ray heheu te aroaro o te atarangi mowhiti-āhua ki wāhi piringa i roto i te puka o te porotītaha porowhita ranei. I muri i te raraunga i whiwhi i te X-ray ttara titau tātaritanga pārōnaki ki taua māuiuitanga rite pūkahukahu whēwhē, mate pukupuku piringa, emphysema bullous, pneumothorax, echinococcosis ranei kiripūkahu encysted.

Tautoko tikanga Tātaritanga me te taiwhanga he tikanga endoscopic.

heheu tātari sputum te taumata tiketike o MTB. whakakitea whakamātautau Laboratory te taumata tiketike o te noho taratahi bacilli. I te tahi taime riro kaha te tukanga. Hoki staghorn tāutuhia muka rapa.

I roto i te ngaro o te sputum whakaaturia pupuri bronchoscopy. āhei te reira ki a koe te tautuhi i te aronga o te mumura i roto i nga pūkahukahu me korere arahau, e ārai te katinga o te kōhao.

whakamātautau toto. Tūroro ki te aroaro kohi fibrocavernous tohua lymphopenia ka whakatere ESR tawhā ki te 30-40 mm / h.

A, no te reira he he hua o te mate tuarua o leukocytes ki te taumata tohu 19 000-20 000, me te whakanui ake i te taumata o neutrophils.

He ihirangi tiketike o te pūmua i roto i te mimi.

te mau parau tumu therapy

faaore te reira i te fibro-cavernous kohi? Treatment kawea i roto i roto i te hōhipera i roto i dispensaries TB.

hāngai ana kaupapa therapy te i runga i te whakamahi tukutahi o toru ranei wha taero whakahaua ki te whanaketanga o te māuiuitanga. Ka rite ki te tikanga, te whakamahi i te "Inh", "ethambutol", "Rifampicin" me "streptomycin". kia whakahaerea e pâmuhia tika ranei kia Drugs ki te kōhao-waha.

whakamahia hoki tuberkulinoterapiya, kupukupu mahi, therapy tinana, taiaho therapy, ultrasound me inductothermy.

e mau ana te hahau

Kia pehea te atu whakakorea te kohi pūkahukahu fibro-cavernous? Treatment tā te whakatinanatanga o te hahau. E whakaritea ngā tukanga i runga i te pūtake takitahi i roto i runga i te tohu o te tūtohutanga ki raau taero.

Ko te tikanga, ki te kawea ātete ki te therapy taketake ki mate kohi i roto i roto i te runga ki te tikanga te hahau tuawha. Ko te maimoatanga whai wāhi te whakamahi ngā o taero pērā i "kanamycin", "Prothionamide", "Cycloserine", "pas" me "fluoroquinolones". Ko e kore iti iho i te 15-18 marama te roanga o te hahau.

Tūroro ki te TB fibrocavernous aroaro whakaaturia e pupuri ana therapy pathogenetic hāngai nei i fakatonutonu te rauropi rerekē mahi waimaero. Metabolizing kaihoko whakamahia, me te taka mo te faaho'iraa mai o te pūnaha ārai mate, me āpiha hormonal.

Ki te akoranga pai o te maimoatanga i muri e pā ana ki te ono marama te akiaki pai. tohua te reira i whakaiti i roto i te tohatoha o bacilli, me te heke, me te katinga kōhao.

wawaotanga operative

Te whakaora kōwhao fibrotic te tonu kawea i roto i te tino āta. Ki te kore te mea taea i roto i te wā i runga ake ki te whakatutuki i ngā hua pai, nekehia te mate kohi pūkahukahu fibro-cavernous e pokanga. I roto i tenei take whakaatu te resection pūkahukahu unilateral. Whakatinana i roto i te mahi Matarua me te tukanga. Kei reira hoki te tohu tiketike o te pai, me te taea ki a koe te whakaora āheinga o te manawanui ki te mahi. Ko te whanganga ora o te tangata e mate ana nui roa. Wehe o mycobacteria mutu.

Ko tētahi atu momo o te pokanga ko te therapy tiango hāparapara, kï te whakapanga o pneumothorax horihori.

I muri maimoatanga i roto i te noho hōhipera e hiahiatia te sanatoriums whakahauanga, tūroro maimoatanga , aru i te kitea i roto i te whare hauora.

waitohunga

Ko te nuinga o te mate kohi fibro-cavernous Nireaha ki te therapy. Kōhao o āhuatanga iti e kati me scarring. Mātauranga ki te aroaro o taiepa mārō i runga i te wā refilled ki te ihirangi caseous e whakaoho psevdotuberkulemy.

Haaputuputuraa o pirau, te aroaro o aspergillosis, he onge te ahunga whakamua o te mate kohi.

āraihia

no kohi Fibrocavernous ki te kāwai o mate meinga e āhuatanga pāpori kino. E mea pinepine te take pakiaka o te ino o paerewa ora i roto i manakohia o te taupori.

E ai ki ngā tatauranga, he mate 3 ngā wā atu pinepine atu i te wahine te tangata. whakaritea te māuiuitanga taketake te i te tau o te 20 ki te 39 tau.

I roto i te tikanga ki te ārai tohutohu ki mau i nga ture e whai ake nei:

• whakahaere āraihia tika;
• tāutu wawe o te iwi pāngia e te mate;
• moni kāwanatanga kōwhiringa mō taero;
• whakatinanatanga o te whakamātautau hauora tuatahi ka tono mo te mahi i roto i te rängai kararehe;
• ake i roto i te rohe mo te noho o te tūroro i pāngia ki te mate kohi;
• whakatinanatanga wā o te werohanga ki ngā pēpi i roto i te marama tuatahi i muri i whanau.

mutunga

mate kohi pūkahukahu Fibro-cavernous (pōauautanga tū te riri ki te āhua o te hauora) ko te mate ma'i. Ka rite ki te tikanga, kua whakapataritari reira kohi cavernous. Ka taea te huru no te mate rite te pāpaka unilateral më ranei.

I mua māuiuitanga uaua ki te hamani, ko reira inaianei te rongoā kua he whānui o rerekē modalities whakaora e ka whakarite murunga kainga tau maha ngā. Ka taea e te maimoatanga wā te whakaora āheinga o te manawanui ki te mahi.