Fibro-cavernous tarin fuka: cututtuka da kuma magani. Yin rigakafi da tukwici

Fibrocavernous na huhu da tarin fuka - mai hallakaswa cuta, da hallmark na wanda shi ne kasancewar a cikin ruwan dare huhu kogo. A magani, shi ne ake kira "rami". Cũta ne a mataki a cikin ci gaban na huhu da tarin fuka. Sau da yawa, wannan a Pathology asibitin da aka share harafin.

Features da cutar

Yawanci, fibrous-cavernous tarin fuka lura a adult marasa lafiya. A cikin shimfiɗar jariri, primary tarin fuka cututtuka su ne sosai rare.

Cavernous Pathology abubuwa a matsayin sakamako na infiltrative da tarin fuka, amma da ta faru da cewa tasowa watsa ko Prakiraan, da irin Pathology.

Fibrocavernous form gano a cikin 5% na lokuta da tarin fuka.

Cavernous tarin fuka a matsayin fatar dutse ga ci gaban fibro-cavernous Pathology

A halayyar alama na pathomorphological cavernous da tarin fuka ne da kasancewar wani guda rami, babu kumburi da kuma fibrotic canje-canje a cikin bronchi, Lymph tasoshin da kewaye nama. Da cutar ba fiye da shekaru 2.

caverns waraka faruwa a tare da samuwar:

• rumen.
• tuberculoma.
• guda mayar da hankali da tarin fuka.
• sanitized kogo.

A rashin dace far cavernous form iya tafi a fibrocavernous da tarin fuka, fibrosis wanda shi ne muhimmi a cikin ganuwar da rami da kewaye huhu parenchyma. Har ila yau, ya lura da mahara foci na samu.

symptomatology da cutar

Yawanci, fibrous-cavernous da tarin fuka da aka sarrafa a daya huhu. A ci gaba da cuta auku a 3-4 watanni na m far daga wani nau'in tarin fuka. Bayyananen da cutar ne musamman mai haske a cikin lalata lokaci.

Babban bayyanar cututtuka da cutar za a iya gani,

• asthenia.
• asarar ci.
• rauni tari.
• coughing sama da jini;
• zub da jini;
• crackles a auka daga cikin kogo.

Bayan samuwar rami cututtuka zama wanda bai isa ba, Just m da nonspecific. A haƙuri iya koka janar wani rauni, m gajiya, nauyi asara, da kuma gaban low sa zafi.

A kan ci gaban latent tarin fuka iya nuna zub da jini a cikin huhu da cewa tasowa ba dalili.

Anamnesis da marasa lafiya jarrabesu da fibro-cavernous tarin fuka yakan haifar da fluctuating hanya. Jinkiri tsakanin m da kuma gafarar lokaci na iya zama dogon isa ko, conversely, da m zamani iya bayyana quite sau da yawa.

Fibro-cavitary da tarin fuka yana da daban-daban na asibiti bayyanar cututtuka. An sa ta a pathological tsari, kazalika da bawa rikitarwa.

Akwai biyu iri da cutar: wata iyaka ko mun gwada da barga, inda a ƙarƙashin rinjayar jiyyar cutar sankara karfafawa auku, kuma da mãsu haƙuri ne a gafarta musu, gudana shekaru da dama.

A cikin m lokaci da zazzabi Yunƙurin da kuma ci gaban kumburi a kusa da rami. Yanayin zafi na iya kai high matakan, idan wani babban cuta hade kamuwa sakandare hali.

Kaye bronchi tare da m tari wanda muryarsa ta duƙushe, a cikinsa sputum, gamsai ne da ruɓaɓɓen jini mai kunshe da raba tare da wata wahala ba.

A haƙuri wahala daga fibro-cavernous da tarin fuka, da cika fuska rasa nauyi. Ya ce bushe fata, wanda sauƙi wrinkles. Tsokoki na haƙuri da ake gittar da atrophy. A manufa na pathological aiwatar zama kafada bel, da mayar da yankin tsakanin hakarkarinsa.

Marasa lafiya suna yiwuwa ga m maye. A exacerbations na numfashi cutar tasowa insufficiency 1 da 2 digiri. Daga bisani za a iya alama karuwa a hanta girma. Iya bayyana kumbura.

Tare da ci gaban da cutar alama da shan kashi na maƙogwaro da hanji, wadda take kaiwa zuwa wani weakening na rigakafi da tsarin. Lokacin da kahesii, amyloid nephrosis da congestive zuciya rashin cin nasara, na huhu cuta hangen nesa ya fi karfinsu.

A Sanadin cutar

Halakar za a iya jawo a wani asibiti nau'i na da tarin fuka. Provocateur ci gaban zai iya aiki a matsayin superinfection. By pathogens kamata hada mycobacteria. Gaba daya akwai 74 sunayen. Sun kasance a cikin HALITTAR Mycobacterium. Duk da haka, da tarin fuka a cikin mutane jawo yanaye zabi type, mai lakabin Mycobacterium da tarin fuka.

Predisposing dalilai domin ci gaba da cutar ne:

• kiwon matakin wayar da;
• canza a cikin reactivity.
• cututtuka na ciki gabobin.
• miyagun halaye.

Babban lokaci da cutar

Yana yanke shawarar ware na gaba lokaci na fibrous-cavernous tarin fuka:

• Infiltration. Yana presupposes da wanzuwar wani kumburi mayar da hankali.
• Lalace. Da kumburi hearth an kafa wani kogo wanda aka cika da mai na musamman nau'i na necrotic nama - caseous taro. Dry ciki zama ruwa, kuma a hankali fada kashe bayan draining bronchus. A wurin da ya rage m. Bayan nan, sai ta fara cika da iska, da kuma a take hakkin magudanun ruwa a cikin bronchi - ruwa.
• Da samuwar cavities. Ilimi ne kafa tare da resorption na perifocal kumburi da kuma fibrosis. A bango na anomaly ƙunshi uku yadudduka. A ciki Layer yana dauke da caseous taro (polygenic Layer). Located a tsakiyar granulation harsashi, liyi tare da manyan epithelial Kwayoyin. Tun da m rami rabo rufe da shi a kwantena na connective nama.
• Seeding. A wannan tsari, da rami size ƙaruwa, da kuma kewaye da perifocal infiltration auku ko seeding. A tsari ya shafi ci gaban da sabo mai kumburi raunuka a cavernous da tarin fuka. Kamar wancan tasowa fibrocavernous nau'i na cutar.

m rikitarwa

Akwai da wadannan matsalolin na fibro-cavernous tarin fuka:

• Hemoptysis.
• Zub da jini a cikin huhu.
• A gaban feat. Irfan. An bayyana a wani rage na sauti a cikin yankunan pleural thickening da fibrosis.
• Sauraro rauni numfasawa a yankunan da thickening na pleura. Har ila yau samu crackles da Bronchial numfashi. Irin wannan wheezing saukar gaban manyan-sized cavities. Fiye da kananan tsarin at daban-daban voicing sautuna.

hanyoyin da ganewar asali

Yadda ake bincikar lafiya fibro-cavernous tarin fuka? A tarihin da cutar a lokacin da ganewar asali, kamar yadda mai mulkin, riga yana dauke da bayani game da baya tsokar da tarin fuka kamuwa da cuta.

Ya kamata a lura da cewa auscultatory alamun akwai kadan bayanai. Bugu da ari, jarrabawa ta amfani da X-ray ya bayyana gaban zobe-dimbin yawa inuwa tare da gefe wuri a cikin nau'i na wani m ko da'irar. Bayan da data samu ta hanyar X-ray diffraction bukatar bambanci ganewar asali da irin wannan Pathology kamar huhu ƙurji, gefe da ciwon daji, bullous emphysema, pneumothorax, echinococcosis ko encysted pleurisy.

Tallafa bincike da kuma awon hanyoyin su ne endoscopic dabaru.

Sputum bincike ya nuna wani babban matakin MTB. Laboratory gwaje-gwaje saukar da wani babban matakin da kadaici bacilli. Wani lokacin aiwatar zama m. Har ila yau staghorn gano roba zaruruwa.

A cikin rashi na sputum nuna rike da bronchoscopy. Yana ba ka damar gano foci na kumburi a cikin huhu da Bronchial shambura, wanda hana ƙulli daga cikin kogo.

Jini gwajin. Marasa lafiya da gaban fibrocavernous tarin fuka alama lymphopenia da kuma kara ESR siga zuwa 30-40 mm / h.

Lokacin da akwai wata karuwa da sakandare kamuwa da cuta daga leukocytes ga matakin nuna alama 19 000-20 000, kazalika da kara matakin neutrophils.

Akwai babban abun ciki na gina jiki a cikin fitsari.

far ka'idodin

Yana gusar da fibro-cavernous tarin fuka? Jiyya ne da za'ayi a wani asibiti a tarin fuka dispensaries.

far makirci dogara ne a kan lokaci daya amfani da uku ko hudu kwayoyi directed a kan ci gaban Pathology. Matsayin mai mulkin, yi amfani da "INH", "ethambutol", "Rifampicin" da "streptomycin". Kwayoyi iya gudanar intravenously ko kai tsaye a cikin baka rami.

Har ila yau, amfani tuberkulinoterapiya, numfashi bada, jiki far, Laser far, duban dan tayi da kuma inductothermy.

dauke da jiyyar cutar sankara

Ta yaya kuma aka shafe fibro-cavernous na huhu da tarin fuka? Jiyya ya shafi aiwatar da jiyyar cutar sankara. Hanyoyin da ake wajabta a kan wani mutum akai daidai da Manuniya na ji na ƙwarai to kwayoyi.

Kullum, idan jure asali far da tarin fuka ne da za'ayi a daidai da na hudu jiyyar cutar sankara tsarin mulki. A magani ya shafi hada yin amfani da kwayoyi kamar "kanamycin", "Prothionamide", "Cycloserine", "Efes" da "fluoroquinolones". A tsawon lokaci da jiyyar cutar sankara ne ba kasa da 15-18 watanni.

Marasa lafiya da gaban fibrocavernous tarin fuka nuna rike da pathogenetic far wanda aka nufin gyara illa ayyuka daban-daban kwayoyin. Metabolizing wakili amfani, kazalika da shirye-shirye domin maido da tsarin na rigakafi, da kuma hormonal jamiái.

Tare da wani m hanya na lura bayan watanni shida da kyau kuzarin kawo cikas. Yana alama raguwa a kasafi na bacilli, kazalika da rage da kuma rami ƙulli.

gudanar da sa baki

Warkar fibrotic cavities ne ko da yaushe za'ayi sosai a hankali. Idan a lokacin da sama lokaci ba zai yiwu a cimma sakamako mai kyau, da fibro-cavernous na huhu da tarin fuka an cire ta tiyata. A wannan yanayin na nuna unilateral huhu resection. Aiwatar a Duplex aiki da kuma tsari. Shi ma yana da wani babban mataki na dace da kuma ba ka damar ceton haƙuri da ikon aiki. A rayuwa span na rashin lafiya mutum ƙwarai tsawo. Kadaici da mycobacteria tsaya a nan ba.

Wani irin tiyata ne m auka far, bayar da shawara da danniyan na wucin gadi pneumothorax.

Bayan jiyya a wani asibiti Yawara ake bukata m sanatoriums, outpatient magani , ya bi ta hanyar kallo a asibitin.

hangen nesa

Mafiya yawa na fibro-cavernous tarin fuka amenable ga far. Rami na kananan girma ana rufe da scarring. Ilimi da gaban m ganuwar a kan lokaci refilled da caseous ciki cewa tsokani psevdotuberkulemy.

Jari na mugunya, gaban aspergillosis, da ci gaba da tarin fuka ne rare.

m matakan

Fibrocavernous tarin fuka nasa ne da category na cututtuka da m zamantakewa dalilai. Sau da yawa da tushen tabarbarewar rayuwar a cikin ni'imar da yawan jama'a.

Bisa kididdigar da, maza su ne marasa lafiya sau 3 more sau da yawa fiye da mata. Ainihin Pathology da ake gyarawa a cikin shekaru 20 zuwa shekaru 39.

Domin ya hana rika tsayar da wadannan sharudda:

• gudanar dace m matakan.
• farkon ganewa na mutane shafi rashin lafiya.
• selection jihar kudi ga kwayoyi.
• aiwatar da farko likita jarrabawa a lokacin da ake ji wa wani aiki a cikin dabbobi kansu.
• kara a yankin domin masauki da marasa lafiya da suke kamu da tarin fuka.
• dace aiwatar da alurar riga kafi ga jarirai a watan farko bayan haihuwa.

ƙarshe

Fibro-cavernous na huhu da tarin fuka (rikitarwa barazana ga jihar kiwon lafiya) ne a kullum cutar. Kamar yadda mai mulkin, shi ne tsokane cavernous da tarin fuka. A cutar za a iya halin a matsayin unilateral ko dangantakar raunuka.

A baya can Pathology da wuya mu bi, shi ne a yanzu da magani yana da fadi da kewayon daban-daban warkewa dabarun da za su tabbatar da barga gafarta musu tsawon shekaru da dama. Dace magani iya ajiye haƙuri da ikon aiki.