Kakā Caseous: tohu, maimoatanga, hītori hauora, akoranga haumanu, photo, tātaritanga anō

I te kau, kei te whakawehi te hapori hou e rave rahi urutā e whakawehi ki te haere ki te urutā. mate te reira i pērā i HIV, kakā B me C, me o te mate kohi akoranga. He ōrau nui o mate, me te whakihauā nunu'a kore e waiho te tangata he wāhi ki te whawhai i te mate, a ki te whakaaro tatou e tei te tātaritanga i runga i nga tūroro ratou, o ratou whakaaro i roto i te tākuta, me te hiahia ki te kia tukinotia, na to tatou ki te hoatu i te reira oangé, he pikitia kino.

whakamāramatanga

kakā Caseous Ko te ahua o te pūkahukahu kohi. puta te reira i nui atu mārere atu meinga kakā mua tipu coccal. Na āhuatanga e te predominance o tukanga necrotic i roto i te pūkahukahu ki te hanga i pata hei utu o te parenchyma pūkahukahu noa. Neke atu i te wa, e te pehi e ratou ki lysis, a i roto i to ratou wahi, he kōwhao nui. I muri, kia ratou rānei nawe, te whakaiti i te otinga o nga pūkahukahu me, i runga i, te nui o te hāora tukua, ka whakawhānui, e aki ana i te parenchyma taha okana. Tenei tukanga hoki kua he pānga tōraro i runga i te utu hau, me te arata'i ki te ahunga whakamua o te hypoxia exogenous.

whakarōpū

Tei runga i te rohe o te kiko papaka, e tahuri iho kakā caseous ki toru momoroto:

1. Lobar. puka Independent, kapo wahi katoa tino. Ka rite ki te rōrahi o te necrosis kiko papaka, a kua waiho i raro ki nui, tūroro vai tohumate haurangi taimaha. Ka rite ki te hua, rewa marama te ka hanga e nga poka.
2. āhua Lobular, ranei lobulit. Tenei pōauautanga o te mate kohi ngā. I roto i te rerekē ki te tetahi o mua, tā reira e rave rahi matamata, meinga nui pirau kai kiko paihana.
3. Acinar. Kei te kite te reira i rite te pōauautanga o miliary (wewete) kohi. Ahakoa te meka e te acinus - ko reira te wahi iti rawa o te pūkahukahu, whakawhitia te mate te tino uaua, mai te wāhi pānga kore e te nuinga o taratahi, ko te tinana katoa o te parenchyma.

mātai tahumaero

Ka rite ki tuhia i runga ake, faingataa te TB e taua ahua o te mate rite kakā caseous. neke atu i te kotahi rau tau, me i roto i taua wa iwi kihai i ahei ki te haere mai ki te rongoa ake te hītori o te mate. Paturopi e tango tūroro hei kotiti inaianei kotahi tekau e rua tekau ranei nga tau i muri i, no te mea ka whai i te tukumate wā ki te whakawhanake i ātete ki tenei puaretanga matū.

whakawhanake tere te mate, puta tika hohoro te tohu tuatahi i muri i te mate. Tāoke whakaputaina e te huakita e pēhia ngā te pūnaha ārai mate, ngoikore reira. Ko te ope matua, i raro ki te kakā caseous he iwi hapori rawakore. A e kore e tika i te mea o te kore o te akuaku taketake, kai tōtika me te ora tikanga rawakore, engari ano hoki e tika ana ki te kore o te maimoatanga o te māuiuitanga whāriki.

Ko te whanaketanga o te mate

Nā ki te wehenga tere, me te tupu o M. kohi i roto i te pūkahukahu he wātea i te mate whānui me te rohe leva. Ko te microorganisms hua whākōkī e e paitini ki te pūnaha ārai mate pūtau, triggering apoptosis (mate pūtau programmed). Ko te kupu, i muri i te haaputuputuraa o te papatipu tino o huakita tīmata tikanga o te tinana tangata arā korero. He pā nui o māngai i roto i nga whekau, me te tarukino tāoke mata ki te mahi iti ate, repe adrenal, tupu o uaua cardiac me te lesion pūnaha io.

Rohe, i runga i te whakamārama o te wātea i te mate iti, kite tukanga necrotic i roto i te parenchyma pūkahukahu, aronga maha o te mumura ki pata roto. Āta, tareka ratou ratou ake whākōkī o te tinana, a i roto i to ratou wahi puta he kōhao (kōwhao).

tohu

Ka taea e whai i te akoranga haumanu o te kakā caseous he torutoru wheako:

1. Pneumonic, e te mea rite ki te kakā matarohia - .. High pāmahana (ki runga, ki te wha tekau nga nekehanga), Chills, mare, uma mamae, dyspnea.
2. Rewharewha - ari catarrhal (ihu mātihetihe, kanohi waiwai, paeoro edema) mua roa i runga i te haurangi. He he he iti kirika, kia waiho he mare.
3. Sepsis - he pāmahana tiketike rawa (e wha tekau ki te wha tekau ma tahi tohu), haurangi, migraine, mare tuimotu.

I te tīmatanga, e kore e kitea e kore tohu manukanuka. Easy mare maroke, ara i roto i te pāmahana i te po, mate o hiahia. Ratou e taea e muri roa nui noa e kore e haere i te mare maroke i roto i te mākū, me reira ka waiho he sputum puwhero Kaore. I tenei wāhi, makaka kua te pāmahana, me te kore romahā, i runga i te anga ke, kei te tipu haere. kia whakapae te tākuta e caseous te manawanui kakā. Tohu e kore motuhake-, engari i roto i te taha ki te tātari me te hītori o te ora o te tātaritanga riro mārama.

tātaringa

I tua atu ki te kohikohi hītori hauora me te hītori hauora, me āta titiro te tākuta te tangata ka taea hoki reira ki palpate te taikiri, whakarongo ki to koutou manawa. Otiia i roto i te tikanga ki te tika kia tino e he tika ana whakapae, nga craps tākuta manawanui i runga i ngā whakamātautau taiwhanga:

1. X-hihi o te pouaka. kitea Phthisiologists āhuatanga āhuatanga e he tūturu i roto i taua mate rite kakā caseous. image marama Whakaahua whakaratohia i runga, ka taea te reira ki a koutou kite maha kiko aronga rewa tinana.
2. Mantoux Diaskintest ranei. ara Simple a ngā tere ki te kitea te aroaro o anti-TB wātea i te mate. Otiia e kore e hoatu e ia he taurangi rau ōrau o te mate, a taea e rua kino pai, me te teka teka.
3. Microscopy sputum. ui te manawanui e ki te kohikohi sputum mō te toru ra i roto i te oko horomata. Na ka pā te reira ki te taiwhanga i reira whakanohoia i roto i te reo motuhake Lowenstein-Jensen, kei roto i te plurality o ngā matūkai e hiahiatia ana mō te tipu kitakita. A ka tika te wiki i muri kia mohiotia ai, titore tangata tubercle Bacillus kore ranei.
4. Kia tino ki te pupuri i te paerewa mō whakamātautau haumanu tātaritanga: tatau toto oti, urinalysis, mataora toto, te huka toto, Calories ia yaytseglist.

tātaritanga pārōnaki

Ko te tākuta tuatahi ki te kia e te manawanui kakā tino cheesy. tātaritanga pārōnaki i roto i tenei take āwhina ki te ārai mate e te hunga hauora tino rite ki te hunga whakaaro e tatou māuiuitanga. A i roto i te rarangi tuatahi riro lobar noa pleuropneumonia ranei. Ko te rerekētanga anake i waenganui ia ratou ka waiho i roto i te āhua o papatipu necrotic me i te exciter. Ko te toenga o nga huihuinga tawhā.

pea te whakaaro tuarua he infarction pūkahukahu. Ko he reira nui ki te mahi i te angiogram ki te whakahaere tikanga i roto i te horopaki taua. I tua atu, me tapae te manawanui he hītori o ranei whara, ranei atherosclerosis, ranei te whakataki o te rangi ki te bloodstream me / ranei rongoā hinuhinu.

Te mate tuatoru, e kia whakaritea ko te kikohangatia. I roto i te whanaketanga o tenei māuiuitanga i te kirika, haurangi nui, engari i reira ka kia mare me te maremare.

maimoatanga

Kia pāngia "kakā caseous", tīmataria maimoatanga te tonu. Ko te tangata whakawhiti ki te hōhipera TB motuhake, te wahi i reira he whai wāhitanga ki te ū ki te moenga era e tika ana, me te kai.

Tuatahi, whai wāhi te tākuta i te tanga o te huru whakapeka, ahakoa he reira ru paitini kore romahā ranei. Hoki tenei manawanui mahi sorbents whaowhia me Diuretics, whakahaere plasmapheresis. Na ka haere mai te tahuri o te maimoatanga hohe ina haere mai ki paturopi mahi antihypoxants, anticoagulants, taiki, interferon. therapy motuhake ko te whakamahi o kaupapa o taero antibacterial hangaia mō Mycobacterium kohi.

outlook

kakā Caseous rawa uaua ki te hamani, reira, e pea ki te kia tina heke mo nga pānga ora me te hauora. Pea ara te katoa whakangaromanga o te pūkahukahu, e arata'i ki te kore romahā.

Tohutohu hoatu ki te iwi ki te tākuta TB pāngia Koch rakau e heke ki te meka e kore e rere koutou i te mate. He mea tika ki te timata maimoatanga i runga i te wā, me te haere i roto i taua mea tino, engari e tika ana ki te whakawhanaunga rawakore o tūroro, me te ratou tikanga ora, kakā caseous ko te pōauautanga auau o te mate kohi. Tenei urutā, e ngā tākuta whakauaua akakoromaki i tenei ra.