Chirwere Hansen vake. Maperembudzi (Hansen nehosha): Zviratidzo, Treatment

Munyika mune zvirwere zvakawanda kuti zviri nani kwete kutarisana. Zvisinei, ziva vavo vachiri vanofanira kukwanisa kuzvidzivirira kubva chirwere. Rakanga uye ndiye chirwere ari Hansen wacho.

Chii?

Pakutanga, unofanira kunzwisisa chii dambudziko. Maperembudzi - chii chirwere ichi? Ihosha ane chirwere hunhu, kunonzi chaiwo mycobacteria. It dzinoratidzwa kosi kwenguva refu, uye maronda ganda, tsinga, nhengo dzomukati, zvetsandanyama nemapfupa maitiro uye mucous membranes. Kuchitaura kuti maperembudzi rave richizivikanwa kubvira munguva dzekare. Her ainetseka uye aitya, sezvo akanga panguva iyoyo chisingarapiki uye rinotyisa kwazvo zvirwere. Zvisinei, nyanzvi dzemazuva ano dzinoti zvinokwanisika kuti utachiona chete kwenguva refu kuonana.

Kupararira

Ndingadai zvachose kuudza apo maperembudzi kwakajairika. The chirwere dzinowanzotsigi- vemunyika pamusoro kondinendi African uye muna Asia. Asi inowanikwawo Latin America uye Oceania. Asi Vatsigiri hwevanhu vanorwara vari India, China, Indonesia, Myanmar, Madagascar, Brazil, Nepal uye Nigeria. Kana isu kutaura nhamba, musi yakanyorwa varwere vanenge zviuru 180 pamwe kuongorora chirwere ichi. Vazhinji vavo, vanenge 80% vanogara kuIndia. Kana isu nezvazvo Russia, nhasi mundima dzine inenge 600 vanhu vane chirwere ichi (kunyanya Central Asia).

Nzira chirwere yemaperembudzi

chirwere Hansen kwakaita sei, uye kana kuti chirwere kubva munhu anorwara - izvi zvinofanira atiudze zvakawanda. Maperembudzi - shamwari urombo, nenhamo, uye nzvimbo dzisina utsanana. Zvisinei, mhosva parinowanika anogona uye majini vakatsunga zvimwe zvirwere dzevanhu gadziriro. Zvinofanira kutaura kuti anenge 95% chavagari panyika haisi nyore kuti chirwere. Uye kunyange pashure kwenguva refu nevanhu murwere, vanhu ava havagoni kuwana. Nzira kwemashoko chirwere hadzisati ainyatsonzwisisa. Zvisinei, maererano vanachiremba, vari sezvinotevera:

1. Kuenda neherikoputa nzira. E. Healthy vanhu vanogona kuva utachiona kana munhu ane HIV kukosora, ndokuotsira kana kunyange anotaura.
2. Contact pamwe yakasviba ivhu. Zvinofungidzirwa kuti maperembudzi - chirwere kumaruwa pane dzomumaguta venguva.
3. Transmitted Disease kuwana umhutu.
4. Unogonawo kuva utachiona uye mune nyora yokumusoro kana chipatara kana vaishandisa zvokushandisa tsvina.

mapoka njodzi

We funga zvimwe zvirwere zvakadai maperembudzi. Imhandoi chirwere sezvo kunoitika - kunonzwisisika. Zvino tinofanira kutaura ngozi, kureva vanhu vaya kazhinji kuti utachiona nayo ..:

1. Ava ndivo vanhu kana kurarama kana kumishoni mu anogona nengozi munzvimbo (kunyanya dzimwe nzvimbo munyika dzakadai India, Egypt, Nepal, China).
2. Vanhu vari mune rechitanhatu chromosome (q25 panzvimbo) ane majini mutation. Kuti zvinokanganisawo susceptibility kuti chirwere ichi.
3. Risk anogona tsunga semhuka maberekero, uyo anogona kutakura chirwere. It armadillos kana chimupanze.

Panowanikwa chirwere

Kufanana zvose chakakomba zvirwere, maperembudzi kunokonzerwa mycobacteria inokosha. Vanopinda muviri ane utano hwakanaka, vari rakachengetedzwa pamusoro yomukati zvomukati uye dzinotanga kushingaira kuwanda. Somugumisiro, pane granulomas, chaiyo tubercles, izvo zvinosikwa kubva mumasero zvirwere. Vari akaumba paganda, nhengo, mapfupa, pamusoro tsinga anotenderera. Zvinofanira kurangarirwa kuti zviratidzo chirwere achizosiyana zvichienderana ayo mhando.

Zviratidzo tuberculoid maperembudzi

Maperembudzi (chirwere) rakakamurwa marudzi anoverengeka. Wokutanga vavo - tuberculoid. Izvozvo iyi vanonzwa kurwara? Zvikurukuru kukanganisa ganda rinogona kukanganiswa tsinga. Zvomukati vari muchiitiko ichi kazhinji asingadi kukuvadzwa. Panguva chaipo pakutanga chirwere pamusoro womunhu muviri, pane imwe kana kupfuura foci nechirwere chacho. Izvi zvingava Dombo iri, mumwe papule kana gwapa (rakajeka, aine yakatsvukuruka tinge). Uyezve, kana kurapwa iri kunonoka, humboo nzvimbo chirwere vanotanga batanidza nemumwe, pova huru inotungamirwa pamwe maroon kumicheto. Mbabvu Human uye chiso chake kungava dzidzo shoma. Panyaya iyi, njodzi nzvimbo anova bindira, vanorasikirwa nehanya. Kana pane kukuvara tsinga, ganda pedyo nzvimbo inogona ainzwa zvomoto uye thickened tsinga hunde dzacho. Gare gare anogona kuvhiringidzwa gwenya basa ramaoko (rutsoka Yaunoti reshiri) uye kumisa (akarembera rutsoka chirwere). Panguva iyoyowo zvinogara ganda yaputswa, zvinovawo nyore kuti vanotambura uye kusimba. Kazhinji kuva vaingoerekana kudimurwa. Izvi kuparadzana kwatangwa kuti watofa murwere muviri mugove.

Zviratidzo lepromatous mhando

chirwere Hansen unogonawo kuva lepromatous mhando. Saka, anogona kuitika murwere? Kuchitaura kuti chirwere chakadai ndicho ngozi zvikuru, uye vadzore - wakakura zvikuru. Kazhinji, munhu anova akaremara, uye kazhinji varwere kufa. Kutanga chirwere kunoratidzwa chitarisiko kupenyerera makwapa paganda, chiri kunyanya vakasiyana nevaya ganda utano. Utetsa iri zvabatwa. Nokufamba kwenguva, muviri (kunyanya chiso) dzinotanga kuumbika anomera diki. With kukura chirwere kwevanhu anotarisa zvakanyanya kunaka. Pangave chiso Yaunoti weshumba. On idzodzo izvi dzichitaridzika nemaronda vavhiringidzwe, izvo exacerbates zvikuru ezvinhu omurwere. Zvimwe zviratidzo kuti kuitika pamwe kukura chirwere:

1. Men zvingaitikawo orchitis - kuzvimba jende.
2. Akanetseka kunzwa wake nemakumbo.
3. Zvingaite contractures eminwe, vanowanzoita kwakanga kwatangwa kudimurwa.
4. Unogona kugamuchira chirwere ziso inotungamirira upofu.
5. Kazhinji kunokanganisa muromo uye pahuro, zvichiita kuti kuchinja inzwi.
6. Kana granulomas vari yakaumbwa pamusoro zvomukati, ivo kudzivisa wavo wenguva oparesheni.

Paro zvinofanira akati kuti chirwere Hansen anogona kunge zviratidzo pamuganhu pakubhadhara vaviri chirwere.

chirwere chirwere

Chirwere uye chenjera zvinotapukira kazhinji vangazivikanwa avo kwokunze kuratidzwa. Izvozvo zvinongofanana nokushandura mazuva maperembudzi. Somuenzaniso, zvinoratidza kuti hosha iri, murwere anogona zvinotevera zviratidzi dzinokosha:

1. Maitiro makwapa paganda, iyo inotungamirira thickening yacho etsinga hunde dzacho.
2. Kuziva dzakananga mycobacteria. Panyaya iyi, kuvimbika granuloma huchavhuniwa, izvozvo achakutorerai tichibvisa uye hwerengedzo nemaikorosikopu.

mabatiro

Kuchitaura kuti aimbova maperembudzi kwainzi chirwere chisingarapiki, uye varwere zvakafanana zviratidzo vakanga kure nenzanga. Nhasi, ari dambudziko iri rinogona kubviswa zvachose. Zvisinei, tinofanira kuyeuka kuti kurapa zvirwere zvakakomba, kusanganisira akadai maperembudzi - yakareba chaizvo nguva yokuti chiitiko. Panyaya iyi, murwere muchipatara munyika dzinonzi maperembudzi nyuchi - nzvimbo chaiyo apo akanga vasiri chete zvakaipa, asi anorarama, pamwe kunyange kuwana imba. Muchiitiko chino, nhengo dzose dzemhuri murwere kunokotamira kuburikidza kushandiswa kuongorora kuti zvinobatsira kuziva zvinoita utachiona. Nzira kurapa chirwere:

1. Kushandisa mishonga inorwisa mabhakitiriya. Vanogona kubvisa chisingaperi zvirwere, kusanganisira maperembudzi. Nyorai zvinodhaka iyi uyewo nguva chourongwa rawo siyana zvichienderana Chirwere. Zvisinei, kurwara iri zvinowanzoshandiswa zvinodhaka dzinotevera mishonga: "dapsone", "Ofloxacin", "Rifampicin".
2. It achava fanira Anti-anogumbura kurapa. Muzviitiko zvakadaro, murwere ushandiswe kosi "asipurini" zvinodhaka, dzimwe nguva - "Prednisolone".

Kana mugore murwere hauna kuona mycobacteria, runowanzoitika maperembudzi, anogona kuenda outpatient kurapwa. Muchiitiko chino, iwe acharwa chete pamwe migumisiro chirwere chacho kwokunze kuratidzwa. Saka murume anova vakasununguka zvachose chirwere vamwe. Mune zvimwe zviitiko, varwere vanoda kwepfungwa kana psychotherapist.