Tiibhii of ura: Zvinokonzera, Zviratidzo, kuongorora chirwere neMarapirwo

Kubvira kare, vanhu yave kurwisa intestinal tibhii. Iyi haisi uye ngozi chirwere, kana akasiya untreated kunogona kutungamirira kurufu. Munhu wose anofanira kuziva chii zviratidzo chirwere ichi. Saka, chii chiri tibhii of ura? Ndezvipi zviratidzo zviri hunhu naye?

Musimboti intestinal tiibhii

Tiibhii - chirwere rinozikamwa vanhu vose. Izvi nyanzvi izwi kunzwisisa chirwere zvirwere zvinotapukira. Vanhu vakawanda vanofunga kuti hosha inobatanidzwa chete kuchikuvadza kufema hurongwa. Chokwadi hachisi. Kune akasiyana extrapulmonary chirwere. Mumwe wavo - intestinal tibhii. Pane chirwere inonzi nokuda mycobacteria. Mumwe kunobva chirwere vari varwere vasingabvumi kuchengeta mitemo utsanana.

Kwakadaro vanhu yoga Mycobacterium tibhii (MBT) uye kukanganisa gore vanhu vashoma. Kunobva neutachiona uye zvinosanganisira mombe. Mycobacterium tiibhii riri kuramba chaizvo kutungamirirwa zvakatipoteredza zvinhu. Kana vachibatwa tusingaoneki siyana zvinogona kuva Ultra-naka PARTICIPLE Sefa kana hofori mapazi zvivako. Kana mamiriro ezvinhu akanaka, kuti ILO wana hwokufananidzira chimiro.

Forms intestinal tiibhii

The rokuremekedza chirwere vari rakakamurwa nesekondari. Tiibhii iri chinopfuudzwa sezvo bowel, ndokusaka ikoko? Mhinduro yomubvunzo uyu wakapiwa. Saka, chikuru tibhii kunoitika nokuda kwezvikonzero zvinoverengeka:

• Nokuda kushandisa unboiled mukaka tuberculous mhou.
• Kana hematogenous kufambiswa Mycobacterium tiibhii kubva chinangwa iri zvemapapu, node nodes.
• Nokuda kushandiswa kwezvokudya kubva ndiro dziri utachiwana Mycobacterium tibhii, kana nhumbi, izvo vaiva nevanhu vane chirwere.

A chimiro yechipiri chirwere kunoitika Varwere dzevanhu kukuvara yemapapu nokuda ingestion pakati sputum uye mate. Mycobacterium tiibhii saizvozvo kusvika ura uye kombera rusvingo rwaro (kunyanya kukanganisa ileum). Izvi zvinoguma fistulas uye ulcerations. Ngozi kana dzakapoteredza intestinal tiibhii? легочной формы. Nhamba dzinoratidza kuti chirwere kazhinji yechipiri kwacho kuitika panguva mberi pulmonary chimiro. Zvikuru kashoma intestinal tiibhii ndiyo huru, kuva nemhaka alimentary chirwere.

zviratidzo

In tibhii of ura vanhu akataura panguva inotevera kufungira zviratidzo:

1. Zviratidzo kudhaka. Nokuda chirwere havi akarasika, anotanga kutapudzwa muviri uremu. Varwere chokunyunyuta pamusoro usiku sweats, fivhiri. Vakadzi vanogona kunge ndisipo kumwedzi.
2. Intestinal zviratidzo. Pakutanga chirwere pane kupatirwa vamwe vanhu. Zvichaitwa akatevera, somunhu mutemo, refu uye ratova manyoka. Varwere bvunza unyanzvi uyewo kugunun'una kurwadziwa mudumbu.
3. Kuwanikwa dzidzo. On palpation pakati mudumbu kungava palpable maloboleznennaya bundu.

Kana kuparadza maronda intestinal lesion kunoitika zviratidzo peritoneal bundu. Varwere nefivha. The mutsvina yadzo vari kuoneka ropa kana yenhengo dzayo (erythrocytes, leucocytes) inowanikwa nenyanzvi ari tsvakurudzo achishandisa maikorosikopu. For maronda anoparadza muitiro unogona dzinoratidzwa matambudziko. Kazhinji pane ropa, intestinal mhingaidzo, kutyora kuvimbika rusvingo rwaro.

diagnosing TB

The chirwere kuti "intestinal tiibhii" anogona kudzikinurwa nenyanzvi pashure wakakodzera kushingaira. Zvinosanganisira:

• tuberculin;
• Maekisirei;
• colonoscopy;
• barium enema;
• laparoscopy uye biopsy.

Quite zvakwo dzinoshandiswa kombiyuta tomography uye laparoscopy. In kushandiswa nzira idzi nechirwere nyanzvi dzinowanzoratidzwa kuwanikwa varwere calcified mesenteric node nodes, tubercles. Inodzidzisa uye X-ray kuzviongorora. Pamusana kwaari, nyanzvi zvinoratidza zviratidzo tibhii zviri ura (somuenzaniso, barium chengetedzo ari cecum mune kusunungurwa mamwe madhipatimendi).

Kvantiferonovy bvunzo - munhu ano rabhoritari nzira unokubvumira kuziva chirwere. Kufukidza chirwere ose tibhii vanofanira kufunga izvozvo pamwe. Saka, musimboti bvunzo ndeyokudzidza ropa murwere. Iye imba usina chawadya mangwanani kubva tsinga uye akaisa ari Kit chaiyo rinoumbwa sepombi matatu. Pashure ropa muunganidzwa nyanzvi dziri kuitisa tsvakurudzo. Kvantiferonovy Muedzo kupa zvakanaka, kunaka uye equivocal:

1. A akanaka mugumisiro chinoratidza hweHIV pamwe Office.
2. A kunaka mugumisiro inotengwa vanhu hwakanaka. Zvisinei, zvinofanira kucherechedzwa kuti kana hazvina zvakakodzera kutonga kubva chirwere pamwe Mycobacterium tibhii. Izvi zvinogona kuva venhema ruviri. Izvi zvinoitika pakutanga nguva chirwere, nokuti immunodeficiency inoti.
3. Zeza mugumisiro zvinogoneka nomunhu wacho unhu kutapata, uyewo kutyora preanalytical zvinodiwa. Kuti uwane mamwe mashoko, vanachiremba vanosarudza pamusoro fence ropa idzva kana kugadzwa dzimwe ongororo.

differential kuongorora chirwere

unhu avo kuti vanozivikanwa nyanzvi pokuongorora vanhu vane vanofungidzirwa tiibhii pamusoro ura anogona dzinoratidzwa zvimwe zvirwere anogumbura. Zvizhinji zvakafanana chirwere inonzi maronda colitis, chirwere Crohn vake, amoebic nemanyoka, intestinal anomera. Kuisa zvakarurama chirwere kunoda differential kuongorora chirwere :

1. Kuti vave nechokwadi kuti hapana amoebic manyoka , uye namamota, histological zvatichaongorora kuitwa.
2. Nemhaka endoscopic biopsy sarkoidopodobnye granulomas anogona kuwanikwa, iine lymphocytes zviri pakati masero akakura akadai Pirogov-Langhans. zvivako ava mamirire kuti intestinal tibhii uye Crohn chirwere. Kusiyanisa chirwere kubva mumwe zvinogona misha caseous necrosis. Zvaitika chete granulomas mu intestinal tibhii.

pakurapa chirwere

Kana nechirwere "intestinal tiibhii" kurapwa kunotanga unyanzvi muzvipatara. chinangwa chake - wakatsigira nekupodzwa foci chirwere, kubviswa zviratidzo. The Mabatirwo tibhii ndiyo rebei. Recovery kunoitika mukati gore paavhareji. Mune zvimwe zviitiko, zvinotora nguva yakawanda rokuporesa.

In tibhii of ura zvinokosha kupedza kurapwa. Its chikamu chikuru - a mishonga. Vanachiremba vakasarudzwa chaizvo Formulations anosarudza dzavo mubatanidzwa dose. Pakutanga mashoko ndichibvunza mishonga. It kuchititadzisa ari chokuwanziridza pamusoro mycobacteria, zvinoderedza nhamba yavo. Panyaya kurapwa regimens zvinofanira kucherechedzwa kuti zuva nezuva anogona kushandiswa:

• "INH" uye "Rifampicin";
• "INH" uye "Ethambutol".

Tikafunga kwezvinodhaka wokutanga anogadzwa kwenguva 9 kusvika 12 mwedzi, uye wechipiri - pa 18. kurapwa akadaro refu zvinokosha nokuti kuti mycobacteria kuwanda zvishoma, uye anogona refu kuramba basa.

Kana akaratidza intestinal tiibhii Diagnostics, zvichava hazvo kupiwa kuchinja kurapwa. Harisi kukwanisa kupa kutarisirwa mugumisiro nguva dzose. Dzimwe nguva vanachiremba varayire kuvhiyiwa. It chinoratidza kukura yematambudziko. Somuenzaniso, kuvhiyiwa vangaendeswa pamwe yakawanda mvura iri abdominal mhango. Kuvhiya kunoda zvemaziso intestinal mhingaidzo. Its chinokonzera kungava kuramba pashure kuporesa mavanga uye adhesions pakati bowel zvishwe.

Matambudziko chokuita nokurapwa

The huru dambudziko pamwe pakurapa intestinal tiibhii ndiko kushaya kuranga vanhu vanorwara. Varwere vakawanda havana kutevera kunenge nenyanzvi uye kudimburira kugamuchirwa tuberculostatic zvinodhaka. Nokuda vakurumidze discontinuation kuti mishonga unokura muitiro. Chimwe chinetso ndechokuti pashure kutora mushonga zvinodhaka kuonekwe nemishonga. Migumisiro Serious pamusoro chepfu anokonzerwa zvinodhaka ndiwo:

1. Hepatitis - ane anogumbura chirwere chechiropa.
2. Thrombocytopenia - chirwere iyo tinoberekwa zvinoderedza kwenhamba maplatelet.
3. Neuritis - ane anogumbura chirwere tsinga.
4. Renal kukundikana - a pathological mamiriro hwokuratidza kuvhiringidza itsvo chaitika.

Marwadzo haamo kazhinji. Vanotarisana 3-5% yevanhu kugamuchira "Rifampicin" uye "INH", uye 1-2% wevarwere zvakaipa "isoniazid" uye "ethambutol". Kana divi migumisiro dzinosiyana chirongwa kurapwa.

intestinal tiibhii migumisiro

The fungidziro chirwere kunoenderana sei nokukurumidza vanachiremba rokuongorora chirwere uye basa kurapa. In yepamusoro nguva, uye maronda ari matete ura for dzinoparadza ndiyo vanoshorwa nokuda dzokororo ine intestinal mhingaidzo uye malabsorption nezvinovaka muviri. Zvishoma tariro kushurudzira kupiwa maronda ari muura.

dziviriro chirwere

Kuitira kudzivisa intestinal tiibhii chokudzivirira kurapa. Kuti aone kana inoda chaizvo munhu, vanoita munhu rokutanga mutsara tuberculin bvunzo. Kana mugumisiro iri zvakanaka, chokudzivirira kurapwa anogadzwa. Hazvina chemoprophylaxis "isoniazid" mukati 1 gore. Okudzivirira Nokuraramisa rinoitwa kwete chete uine tuberculin ganda bvunzo kudzivisa zvirwere zvakadai tibhii yacho ura. Zvikonzero wake kugadzwa angava sezvinotevera:

• Man kazhinji uchikurukura nevanhu vane basa TB.
• Murwere anotora corticosteroids uye immunosuppressive nevamiririri.
• Man anotambura immunodeficiencies-siyana mavambo.

Mukugumisa, zvinofanira kucherechedzwa kuti chitarisiko kunyumwa zviratidzo runowanzoitika intestinal tibhii, hwobva kuenda kukiriniki kuti chiremba. Kana nyanzvi yevaifungidzirwa ainzi chirwere, murwere achatumirwa kuti unyanzvi TB zvivako.