Inyumoniya Caseous: Iimpawu, unyango, imbali yezonyango, ikhondo lwezonyango, photo, uphethwe umahluko

Okwangoku, uluntu lwale mihla usongela nezifo ezininzi ezisongela ukuya nobhubhane. izifo It njenge-HIV, ihepatitis B no-C baze ke isifo sephepha. Ipesenti ephezulu ukusweleka kunye neziphumo ikhubaze musa ushiye umntu ithuba ukulwa esi sifo, kwaye xa sicinga ukuba uxilongo kuxhomekeke izigulane ngokwabo, ukuzithemba kwabo ugqirha kwaye ufuna ukuphathwa, ngoko ke kufuneka ukuba uwubeke ngokuzolileyo, umfanekiso elibi.

definition

inyumoniya Caseous luhlobo lung isifo sephepha. Oku kwenzeka olubulalayo ngaphezu semiphunga kunesiqhelo yabangela flora coccal. Lubonakala ubukho iinkqubo necrotic kwi kwemiphunga zenze curd endaweni parenchyma semiphunga eqhelekileyo. Ekuhambeni kwexesha, baye phantsi lysis, kwaye endaweni zabo ukuqanda ezinkulu. Kamva ke, noba siva, ukunciphisa yesandi imiphunga kunye, ngokufanelekileyo, isixa oksijini enikeziwe zandiswa, alityhala parenchyma kwimiphetho omzimba. Le nkqubo kwakhona iba nefuthe elibi kutshintshiselwano gas kwaye ikhokelela ukuqhubela phambili hypoxia angaphandle.

ngezigaba

Kuxhomekeka kwindawo yokuvelisa amalungu, inyumoniya caseous wahlulwe iintlobo zeHPV zingonobangela ezintathu:

1. Lobar. ifomu Independent, ithumba sonke isabelo ngokupheleleyo. Njengokuba umthamo alimele esiqwini necrosis, kwaye phantsi ezinkulu, izigulane loyise enzima ukunxila uphawu. Ngenxa yoko, ukukhanya inyibilikiswa kwaye kwasekwa ezimfanteni.
2. imilo Lobular, okanye lobulit. Le kama of an tuberculosis ekhoyo. Mu kuya kwa nshita ezidlulileyo, luquka isithinzi eziliqela, ebangela kakhulu ukubola ityhefu inyama ukutya.
3. Acinar. Olu suku lubonwa kwingxaki of miliary (loose) tuberculosis. Ngaphandle kwento yokuba acinus - kuba inxenye zincinane kwemiphunga, esi sifo idluliswa nzima kakhulu, ekubeni kwimimandla echaphazelekayo bakholisa zodwa, kodwa umzimba yonke parenchyma.

lwezifo

Njengoko sele kutshiwo ngentla apha, i-TB nzima uhlobo ezifana nesifo pneumonia caseous. Imbali sifo kwiminyaka engaphezu kwekhulu, kwaye ngelo xesha abantu abazange bakwazi ukuza ne unyango. Antibiotics ezibalulekileyo izigulane ngoku zaphelelwa emva kweminyaka elishumi okanye amabini, kuba pathogen ziya kuba nexesha ukumelana nayo imichiza.

Isifo iphuhlisa ngokukhawuleza, iimpawu yokuqala ukuvela ngokukhawuleza emva kokosuleleka. Ityhefu eziveliswa ziibhaktheriya echaphazela kakubi amajoni omzimba, isenza buthathaka kuyo. Le anokuvela engundoqo, ngokuxhomekeke inyumoniya caseous abantu behlelelekile ekuhlaleni. Kwaye nje ngenxa yokunqongophala nococeko olusisiseko, iimeko ukudla nokuphila amahlwempu, kodwa ngenxa yokusilela yonyango ngezifo ngxabano.

Uphuhliso sifo

Ngenxa iyantlukwano ngokukhawuleza nokukhula M. sephepha emiphungeni yi okukwazi jikelele kunye bendawo ukuncokola. Kwala magciwane ukuvelisa enzayim zibe yityhefu inkqubo zeselula omzimba, apoptosis kuvusa (ukufa kweeseli). Ngoko ke, emva kokuba ukuqokelela uninzi lwezinto iintsholongwane iqala iindlela ukungasebenzi ukuziphendulela emzimbeni womntu. A izehlo ebalulekileyo arhente kwi izibilini zinetyhefu neziyobisi kukhokelela umsebenzi yancitshiswa isibindi, nobubovu adrenal, esenza zihlunu ezesifuba inkqubo sisilonda esidumbileyoesingaphakathi luvo.

Apha ekhaya, kwisiqalo sifo ephantsi, waphawula iinkqubo necrotic kwi parenchyma lung, nakujoliso olutsha ezininzi ukudumba kunye curd ngaphakathi. Ngokuthe ngcembe, bona ukunyibilika enzayim zabo umzimba, kwaye endaweni yazo wabonakala umngxuma (ukuqanda).

iimpawu

Ikhondo kwezonyango yinyumoniya caseous banokuba meko ezimbalwa:

1. Inyumoniya, oko kufana inyumoniya zakudala - .. lobushushu High (ukuya degrees amane), kuthibaza, khohlo, iintlungu esifubeni, dyspnea.
2. Umkhuhlane - izenzakalo catarrhal (impumlo esihambisayo, amehlo alilayo, kwingqula nokudumba) ngabona phezu ukunxila. Kukho ngumkhuhlane kancinane, inokuba khohlo.
3. Nokudumba - lobushushu eliphezulu kakhulu (ezingamashumi amane ukuya kumashumi amane ananye degree), ukunxila, migraine, ukhohlokhohlo kweintanethi.

Ekuqaleni, akukho mpawu ixhala nje ulandelwe. Easy ukhohlokhohlo owomileyo, ukunyuka kwamaqondo obushushu ebusuku, ukungabi namdla. Ukuba angahlala elide ngokwaneleyo de ukukhohlela owomileyo abayi kungena kwi zimanzi, kwaye kuya kubakho isikhohlela viscous zana. Kweli nqanaba, ubushushu buyehla sele, kwaye ukusilela zokuphefumla, phezu koko, uyakhula. Ugqirha Basenokukrokrela ukuba isigulane caseous inyumoniya. Iimpawu ezi non-ngqo, kodwa kunye nohlalutyo ngembali yobomi uxilongo kucaca.

ekuxilongweni

Ukongezelela ukuqokelela imbali yezonyango kunye imbali yezonyango, ugqirha kufuneka balujongisise ngenyameko umntu ukuba kube lula ukuba palpate iindawo nkovu, phulaphula umoya wakho. Kodwa ukuze ngokuchanileyo ukuqinisekisa ukuba le kokucingelwayo zakhe zichanekile, le craps ugqirha nomonde kwiimvavanyo lab:

1. -X-reyi yesifuba. Phthisiologists bafumana iimpawu uphawu leyo ezendeleyo izifo ezifana pneumonia caseous. umfanekiso Photo ukukhanya apha ngasentla, kukuvumela ukuba ubone ezininzi umcu womzimba yokunyibilikisa nakujoliso olutsha.
2. Mantoux okanye Diaskintest. ngendlela elula ekhawulezayo kakhulu ukubona ubukho sifo anti-TB. Kodwa engaphenduli isiqinisekiso ikhulu ekhulwini sifo, kwaye inga zombini ezimbi okungamanga nolobuxoki.
3. microscopy yesikhohlela. Isigulane ucelwa ukuba ukuqokelela isikhohlela iintsuku ezintathu asejagini wawuqalekisa. Emva koko libhekisela elebhu apho ibekwe khona eliphakathi ekhethekileyo Lowenstein-Jensen, equka ezininzi izondlo ezifunekayo ukuze ukukhula amagciwane. Kwaye emva kweveki nje kuya kwaziwa, iyayahlula i umntu tubercle lesifo okanye hayi.
4. Qiniseka ukubamba umgangatho iimvavanyo lwezonyango ukugula: ngokupheleleyo segazi, urinalysis, ngamachiza igazi, iswekile yegazi, calories yaytseglist nganye.

diagnosis umehluko

Ugqirha yokuqala ukuqinisekisa ukuba isigulana inyumoniya obufana ngokwenene. diagnosis mahluko kulo mzekelo inceda ukuthintela izifo ukuba ngokwezonyango efana kakhulu kwabo ingqalelo ngathi ngezifo. Kwaye kumqolo wokuqala uba lobar eqhelekileyo okanye pleuropneumonia. Umahluko kuphela phakathi kwabo kuya kuba yobume izihlwele necrotic kunye exciter. Ezinye parameters ndibano.

Ingqikelelo yesibini ibe iqhosha miphungeni. Kodwa kwanele ukwenza i angiogram yadalwa esinjalo. Ukongeza, isigulane kufuneka asondeze imbali okanye ukwenzakala, okanye yegazi, okanye ukuqaliswa umoya egazini kunye / okanye izisombululo ezinamafutha.

Isifo wesithathu, ekufuneka kuthelekiswa lo ukubola. Ekuphuhlisweni kwale ngezifo kuba nomkhuhlane, ukunxila kakhulu, kodwa kuya kuba ukhohlokhohlo kunye phlegm.

unyango

Xa kwafunyaniswa ukuba "inyumoniya caseous", unyango kuyaqalwa ngoko nangoko. Loo mntu kudluliselwa kwisibhedlele ekhethekileyo TB, apho kukho ithuba ukuthobela alale efanelekileyo kunye nokudla.

Okokuqala, lo gqirha ababandakanyekayo isiqabu kwemeko ludlule, nokuba yinto ukothuka ityhefu okanye ukusilela sokuphefumla. Ngokuba lo isigulane ukwenza sorbents iimela kunye womchamo, aqhube plasmapheresis. Kwandule ke ukubakho Ekuveleni unyango esebenzayo xa esiza isenzo antibiotics antihypoxants, anticoagulants, iihomoni, interferon. therapy ngqo kukusetyenziswa kwezikim iziyobisi antibacterial eyenzelwe ngokukodwa Mycobacterium tuberculosis.

Outlook

inyumoniya Caseous kakhulu nzima ukunyanga, ngoko, kuba neziphumo ubomi kunye nempilo kusenokwenzeka ukuba vuhlayiseki. Mhlawumbi nkqu kukutshatyalaliswa ngokupheleleyo kwemiphunga, nto leyo kuye kubangele ukuba ukusilela sokuphefumla.

Advice olinike abantu oogqirha TB ngoxilongo Goch wand bancipha yokuba ingadlali esi sifo. Kuyimfuneko ukuba ukuqala unyango ngexesha uhambe ngalo ngokupheleleyo, kodwa ngenxa ngokwasentlaweni iintsizana izigulane, kwakunye neemeko zabo zokuphila, inyumoniya caseous i ingxaki rhoqo sephepha. Lo bhubhani, apho oogqirha kunzima ukumelana namhlanje.