Caseous ciwon huhu: Bayyanar cututtuka, magani, likita tarihi, na asibiti Hakika, photo, bambanci ganewar asali

A lokacin, da zamani al'umma barazanar da dama annoba da ke barazana don zuwa cutar AIDS. Yana cututtuka kamar HIV, hepatitis B, kuma C, kuma ba shakka da tarin fuka. A high yawan mutuwar da kashe sakamakon ba a bar mutum damar domin yaki da cutar, kuma idan muka yi la'akari da cewa ganon cutar da dogara a kan marasa lafiya su kansu, dogaron su a cikin likita, kuma yana son da za a bi, sa'an nan dole mu yi sa shi mai laushi, wani m hoto.

definition

Caseous ciwon huhu ne wani nau'i na huhu da tarin fuka. Yana faruwa a mafi m fiye da saba ciwon huhu ya sa coccal Flora. Kuma halin da predominance na necrotic matakai a cikin huhu ta samar da soya maimakon wata al'ada huhu parenchyma. A kan lokaci, suna hõre lysis, kuma a cikin wuri ne manyan cavities. Sa'an nan, suka may ko dai tabo, rage lightness na huhu da kuma, daidai da, da adadin oxygen kawota da kuma fa] a], turawa periphery Gabar parenchyma. Wannan tsari shi ma yana da mummunan tasiri a kan gas musayar da take kaiwa zuwa da ci gaban na exogenous hypoxia.

rarrabuwa

Dangane da yankin na lalace nama, caseous ciwon huhu ne zuwa kashi uku subtypes:

1. Lobar. Independent form, na kama duk rabo cikakken. Kamar yadda girma na lalace nama necrosis, da kuma an hõre manyan, marasa lafiya ne Marinjãyi nauyi maye alama. A sakamakon haka, haske ya narke da kuma kafa caverns.
2. Lobular siffar, ko lobulit. Wannan wahala daga data kasance da tarin fuka. Ya bambanta da na baya daya, shi ya shafi dama lobes, haddasa tsanani guba abinci nama lalace.
3. Acinar. An gani a matsayin mai wahala na miliary (sako-sako da) da tarin fuka. Duk da cewa da acinus - shi ne mafi karami rabo daga huhu, da cutar da aka canjawa wuri da wuya matuƙa, tun da abin ya shafa yankunan yawanci ba ware, amma dukan jiki na parenchyma.

epidemiology

Kamar yadda muka gani a sama, da tarin fuka da wahala da irin wannan irin cuta kamar yadda caseous ciwon huhu. A tarihin da cutar fiye da shekara ɗari daya, da kuma a lokacin wannan lokacin mutane ba su iya fito da wani magani. Maganin rigakafi cewa suna shan marasa lafiya yanzu zama m bayan goma ko ashirin da shekaru, saboda pathogen za lokaci ya ginu jure wannan sinadaran daukan hotuna.

Haka kuma cutar tasowa cikin sauri, da farko bayyanar cututtuka bayyana fairly da sauri bayan kamuwa da cuta. Gubobi samar da kwayoyin da cewa adversely shafi na rigakafi da tsarin, yanã raunanar da shi. Babban contingent, batun caseous ciwon huhu ne harkar disadvantaged mutane. Kuma ba kawai saboda rashin asali kiwon lafiya, matalauta abinci mai gina jiki da kuma rai yanayi, amma kuma saboda da gazawar da magani daga tamkar Pathology.

A ci gaba da cuta

Saboda da m division da kuma ci gaban da M. tarin fuka a cikin huhu ne hana janar da kuma gida rigakafi. A microorganisms nuna enzymes masu guba ga salula rigakafi da tsarin, triggering apoptosis (kaddara cell mutuwa). Saboda haka, bayan da jari na wani m taro na kwayoyin fara matsalar aiki na samfur tsaro sunadaran da jikin mutum. A gagarumin faru na wakili a cikin kayan ciki da miyagun ƙwayoyi yawan guba gubar zuwa rage hanta aiki, adrenal gland shine yake, degeneration na cardiac tsoka da kuma juyayi tsarin rauni.

Gida, a kan bango na low rigakafi, ya lura necrotic matakai a cikin huhu parenchyma, mahara foci na kumburi da soya ciki. A hankali, su narke a nasu enzymes daga cikin jiki, da kuma a wuri na bayyana a rami (cavities).

cututtuka

The asibiti hanya na caseous ciwon huhu iya samun 'yan tatsuniyoyinsu:

1. Pneumonic, cewa shi ne kama da classic ciwon huhu - .. High zafin jiki (har zuwa arba'in digiri), jin sanyi, tari, ciwon kirji, dyspnea.
2. Mura - catarrhal mamaki (runny hanci, na ruwa idanu, maƙogwaro edema) fi yawa a kan buguwa. Akwai wani kadan zazzabi, zai iya zama wani tari.
3. Sepsis - wani sosai high zafin jiki (arba'in zuwa arba'in da daya mataki), maye, migraine, tari offline.

Da farko, babu tashin hankali cututtuka ba su kiyaye. Easy bushe tari, da tashi a zazzabi da dare, asarar ci. Sun iya wuce tsawon isa har a bushe tari ba zai tafi a rigar, kuma za a yi wani danko sosai greenish sputum. A wannan lokaci, da yawan zafin jiki saukad da riga, da kuma na numfashi rashin cin nasara, a maimakon haka, an girma. A likita yi zargin cewa wani haƙuri caseous ciwon huhu. Alamun ne ba musamman, amma a tare da tare da bincike da kuma tarihi na rayuwa daga cikin ganewar asali ya bayyana.

bincikowa da

Bugu da kari ya tattara likita tarihi da kuma likita tarihi, likita dole ne nazarin mutum ga ya yiwu a tausa Lymph nodes, listen to your numfashi. Amma domin a daidai tabbatar da cewa ya zaton su ne daidai, likita haƙuri craps a kan Lab gwaje-gwaje:

1. X-haskoki na kirji. Phthisiologists samu halayyar siffofin waxanda suke muhimmi a cikin wannan cututtuka kamar ciwon huhu caseous. Photo haske image bayar a sama, shi ba ka damar ganin mahara foci narkewa jiki nama.
2. Mantoux ko Diaskintest. Sauki da kuma gwada sauri hanyar gano gaban anti-tarin fuka rigakafi. Amma ya ba ya bayar da ɗari bisa dari lamuni na cuta, kuma na iya zama duka ƙarya tabbatacce, kuma ƙarya korau.
3. Sputum bincike da madubin likita. A haƙuri aka tambaye tattara sputum for kwanaki uku a wani bakararre gilashi. Sa'an nan shi yana nufin da dakin gwaje-gwaje inda sanya a cikin wani na musamman matsakaici Lowenstein-Jensen, hada da wani jam'i na gina jiki da ake bukata domin kwayan girma. Kuma kawai a mako daga baya za a sani, bambanta mutumin tubercle bacillus ko ba.
4. Tabbata rike da tuta ga asibiti ganewar asali gwaje-gwaje: gama jini count, urinalysis, jini Biochemistry, jini sugar, da adadin kuzari da yaytseglist.

bambanci ganewar asali

A farko likita don tabbatar da cewa haƙuri sosai cheesy ciwon huhu. Bambanci ganewar asali a cikin wannan harka taimaka wajen hana cututtuka da suke asibiti sosai kama da wadanda dauke da mu Pathology. Kuma a cikin farko jere zama al'ada lobar ko pleuropneumonia. Iyakar abin da bambanci tsakanin su za su kasance a cikin yanayi na necrotic talakawa da kuma a cikin exciter. Sauran sigogi taron.

Na biyu zato iya zama na huhu infarction. Amma shi ne isa zuwa ga aikata wani angiogram zuwa sarauta daga irin wannan labari. Bugu da kari, da mãsu haƙuri dole gabatar da wani tarihi na ko rauni, ko atherosclerosis, ko gabatarwar iska a cikin jini da kuma / ko m mafita.

The uku cuta, wadda ya kamata a idan aka kwatanta shi ne da gangrene. A ci gaban wannan Pathology da zazzabi, mai tsanani maye ba, amma za a tari da kuma phlegm.

magani

Da zarar kamu "caseous ciwon huhu", magani an qaddamar nan da nan. The mutum canjawa wuri zuwa na musamman tarin fuka asibiti, inda a can ne damar da za su bi da ya dace gado sauran kuma rage cin abinci.

Da farko, likita da hannu a cikin sauƙi da m yanayin, ko shi ne mai guba buga ko numfashi gazawar. Domin wannan haƙuri yi jiko sorbents da diuretics, gudanar plasmapheresis. Sa'an nan ya zo da nuna daga cikin aiki magani a lokacin zuwan cikin mataki maganin rigakafi antihypoxants, anticoagulants, hormones, interferon. Specific far ne da yin amfani da makircinsu na antibacterial kwayoyi tsara musamman domin Mycobacterium da tarin fuka.

Outlook

Caseous ciwon huhu quite wuya mu bi, saboda haka, ga rayuwa da kuma kiwon lafiya effects na iya zama babu ja. Yiwu ma jimlar halakar da huhu, wanda babu makawa take kaiwa zuwa numfashi gazawar.

Advice bai wa mutane da tarin fuka da likitoci suka kamu da Koch Wand an rage wa da cewa ya kamata ka ba gudu da cutar. Wajibi ne a fara jiyya a kan lokaci da kuma ta ratsa shi gaba daya, amma saboda matalauta socialization da marasa lafiya, kazalika da su rai yanayi, caseous ciwon huhu ne da wani m wahala da tarin fuka. Wannan annoba, wanda likitoci da wuya jimre a yau.