Tuberculosis pleurisy: mhando, zvinokonzera uye kurapa

Kune zvirwere zvakawanda zvinogona kukanganisa kufema womunhu hurongwa. Vamwe vavo havana iine zvakawanda kutyisidzira utano, asi kune vaya vane zvakakomba yematambudziko uye vasanyanye mararamire murwere. Chimwe chaizvozvi ndiyo tuberculous pleurisy, naye takasangana munguva yedu nhasi nyaya. Chimbofunga zvikonzero zvayo kubudirira, akasiyana-siyana uye kurapa.

Chii anopiwa chirwere

In chirwere ichi kunoratidzwa kusachengeteka kukuru, chirwere kana idzokororo pleural kuzvimba. chirwere kazhinji hworatidza pacharo pashure nezvirwere tiibhii muviri.

Kazhinji Tuberculous pleurisy kunokanganisa serous membranes kuti vanoumba pleural mhango uye kufukidza mumapapu. chirwere ichi chakakomba zvakakwana, pakurwisa zvave zvichiitika kwezviuru zvemakore, asi nhasi zvazvo vachiri kuitika.

Zvakaipira chirwere ichi ndechokuti zvinogona kuparadzira nokukurumidza muvanhu, kuwedzera mwero wokufa kwevanhu. Ndakacherechedza kuti kazhinji hosha kunoitika muuduku. Pleurisy ose tuberculous etiology hwakazara pakuparadzirwa kwemabhakitiriya rose muviri, iyo inotungamirira nokuvhiringidzirwa zvose nenhengo dzawo, saka nokukurumidza maperembudzi chirwere, kuti tibudirire kurapwa.

zvigadziriswe zvirwere kukura

zvokurwara ichi ane nzira mbiri budiriro:

1. Exudative pleuritis tuberculous etiology hwapedyo kana pleura sei zvine chepfu causative mumiririri uye manyowa zvibereko tishu. Pleural mhango iyi nyaya ine shoma mabhakitiriya. The pathogenesis zvinogona kucherechedzwa kuti utetsa kunowedzera muviri kakawanda kuti pathogenic microbe, kukura zvinokonzerwa yapfuura chokubuda tiibhii hweHIV. Tapinda utachiona vari pleura anotanga akurumidze kuunganidza Urume.
2. Chechipiri pakukura mashandiro - ane kuzvimba pleura nokuumbwa tubercles, nezvechinhu kana utachiona achipinda vakawanda pfungwa iri zvemapapu kana thoracal node nodes.

Sezvo nayo utachiona vanogona kupinda munzvimbo pleural mhango

Pane nzira dzakawanda idzo tubercle bacillus anogona kupinda pleural mhango:

1. Pin. Muchiitiko chino, ingress zvinobva foci mumapapu dzinongoda pasi goko.
2. Lymphogenous nzira kunosanganisira rakapararira nhengo dzinobudisa midziyo.
3. Hematogenous kupararira - ndiyo chokufambisa kuburikidza nhumbi ropa.

Mashandiro okukura chirwere ndiye kuzvimba ari pleural machira, kuunganidza leukocytes uye kupinda emura kupinda pleural mhango.

Exudate tuberculous pleurisy anogona kuva akasiyana hunhu:

• Fibrous.
• Serous.
• Ropa.
• Purulent.

Kana kurapa haisi kunyatsobudirira, ipapo pakupedzisira serous effusion inotsidza mumwoyo, uye fibrous connective zvinyama inopinda okunze pamusoro pemvura pleura uye chimiro vanga kuifukidza.

Zvinokonzera tuberculous pleurisy

Pulmonary tuberculous pleuritis zvinoreva pathological zvirwere kuti kuva pahwaro chirwere kana pulmonary insufficiency. The etiology pamusoro pleurisy riri pakubhadhara akawanda, uye mumwe nomumwe ane yayo zvikonzero kukura.

The zvinokonzera chirwere vari:

• Zvirwere zvinokonzerwa nemabhakitiriya, akadai staphylococci, giremu negative microflora.
• Nemavhairasi uye tupukanana mumuviri, kunyanya kana kuruboshwe kurapa.
• Tiibhii chirwere chiri runonyanya dziri zvimiti.
• Fungal Zvirwere: candidiasis, blastomycosis.
• Njovhera, fivha uye brucellosis kungakonzera kukura chirwere.

Unogonawo kudanawo non-rwarisa zvinokonzera:

• Kana pane akaipa nebundu mumapapu, mammary omumuviri, ovaries.
• Pulmonary infarction.
• Pfungwa nomuviri zvemwana asati, neleukemia.

Doctors with ari oga boka vasingazivikanwi zvinokonzera kuti kungamutsawo tuberculous pleurisy:

• Injury.
• Makuvaro, akadai vapfurwa.
• Surgery.

Zvichienderana mhaka chirwere vanotanga kuratidza pachavo uye zviratidzo, asi kutanga zvakafanira kufunga zvakasiyana siyana chirwere, ivo vanoratidza pachavo zvakasiyana.

Kupatsanura uye mhando zvokurwara

Kana tikaongorora zvinoitwa pathogenesis kwechirwere chacho, zviri yoga pleurisy tiibhii mhando zvinotevera:

1. Sema.
2. Tiibhii kuti pleura.
3. Perifocal.

The-siyana chirwere wokutanga kungazviratidza necheseri simba nehanya yacho muviri. The peculiarity kwaiita pleurisy ndiyo pamberi marwadzo uye kukurumidza kuunganidza Urume. Asi Ivan Kuchin rinomutsa akadai nokukurumidza.

Kana kufambiswa vakawanda zviduku nzvimbo dzichiri tiibhii pleura. Kazhinji ichi Chirwere kunoratidzwa zvikuru caseous-necrotic mhinduro. Tuberculous pleurisy kwakadai ichaongororwa kuti zvikuru sembura.

Perfokalny mhando hwapedyo kana kuzvimba anopararira kubva mumapapu kusvika pleura. Exudate anogona -wedzera duku kana vazhinji mabhakitiriya zvinowanikwa mariri vasiri nguva dzose, asi zvinotora refu uye kakawanda idzokororo mhando iyi.

Pamusoro kupatsanura chirwere hakuchinji uye pleural sezvamunoita. Zvichienderana kusunungurwa ichi:

• Fibrinous kana chakaoma.
• Tuberculous pleural effusion.
• Purulent.

Wokutanga abnormality kunoitika, sezvo mutemo, mune dzimwe nzvimbo pleura, apo vari rakachengetedzwa tambo pakati fibrin. Nokufamba kwenguva, mukuru pleura anorasikirwa kumeso kwayo. mhando iyi zvirwere zvikuru nyore nemishonga kana ayo kutanga nguva.

Pleural effusion pakatarisana fibrotic kuratidzwa mupfungwa. Pakarepo anotanga vanoshingaira secrete Urume uye -wedzera mune pleural mhango. Pane nguva apo zvose rinotanga rakaoma mhando, iyo blends vari pamwe exudative.

Purulent kuumba yakagozha hunhu. Pleura kunoitika pamusana pokukundwa yakarova MBT dose kana kuvhuna subpleural kukoshesa.

Kana pleurisy pamusoro tuberculous etiology, zvinonzi zvichiri rakakamurwa marudzi akawanda:

• Chirwere. Anovandudza pashure kuonana staph, pneumococcal, TB bacilli mumapapu.
• Noninfectious tiibhii pleurisy hwapedyo tikafunga kenza yemapapu, rheumatism nezvimwe pathologies.
• Idiopathic pleurisy hwapedyo kuti kujeka zvikonzero.

Disease munogona zvakasiyana, saka yakanyanya yoga chimiro, subacute uye refu. Mumwe ane pachake zviratidzo zvayo.

kuratidzwa chirwere

Nokuti mumwe mhando pleurisy kunoratidzwa zviratidzo zvayo. Dry tubercular pleurisy zviratidzo ndeinotevera:

• Kuenda limfatogennoe kupararira chirwere.
• Pane kurwadziwa muchipfuva. Kana iwe fema nayo yakakura uye kungakonzera sneezing, vangakosora.
• Inosimudzira muviri tembiricha.
• Yose zvayo pane chinetso muitiro kuva chirwere.
• Kudhaka kunoitika.
• Ungaderedza kudya.
• Neb uremu.

Zviratidzo zvokutanga regai zvigoneke rokuongorora chirwere kamwe, saka kurwadziwa kusvikira kuongororwa zvakarurama zvakaoma. With kukura chirwere kurwadziwa hunosimba, pane kunyange nyaya kurasikirwa chavanoziva.

Symptomatology yakaoma pleurisy ndiyo neuralgia rakafanana chaizvo, saka zvakakosha kuti differential chirwere munguva. Kana paine munhu wakaoma pleurisy, murwere anoedza nhema mhiri, asi marwadzo chete kwakawedzera.

Kana chiremba vachanzwa kubva pakaita marwadzo, ipapo iwe kutinhira kubva kukweshera yacho pleura. Rokuongorora uku kwakadai pleurisy kazhinji ropa miedzo ndapererwa.

Exudative chimiro zvinotevera zviratidzo:

• Kupfupika mweya.
• Kuneta uye zvakawanda zvive.
• Inosimudzira muviri tembiricha kuti 38-39 inegumi.
• Chikosoro.
• Kuoma iri mumuromo.
• Chest marwadzo kubva nayo utachiona localization.

Kazhinji, effusion wakadaro rikwanise Ichokwadi asi pane nguva apo vana kana kuyaruka chirwere asymptomatic uye ari kuona chete pashure pokuongororwa rokumusoro kufema turakiti.

Pashure kuunganidza mvura iri pleural mhango pakati zviratidzo zvingaderedzwa, pane anoshuwisa padivi rake chete. Huwandu Urume inogona kusvika marita maviri. Muchiitiko chino, nomusoro, dzungu, vana vanogona kushandura ruvara ganda, vanova lethargic, akacheneruka uye kakawanda nhema rimwe divi.

Symptomatology purulent pleurisy ane simba okuti murwere haigoni kuchinjwa, asi pane kurwadziwa murutivi rwake, kupfupika mweya, simba uye fivha. mamiriro zvinowanzooneka yakawedzera zvokuti murwere haagoni kumuka.

Zviratidzo pleurisy subspecies

Takaona kuti pane subtypes pamusoro pleurisy, izvo anozviratidza nenzira dzakasiyana.

Perifocal ane zvishoma zviratidzo:

• Munyoro kurwadziwa muchipfuva.
• A utera duku.
• Nepo kuteerera ruzha duku muchipfuva.

Izvi subspecies pamusoro pleurisy kuripo uye kakawanda zvazvo, kana pane kuunganidza fluid zviratidzo uchitova zvikuru raidudzwa:

• Inosimudzira muviri tembiricha.
• vangadikitira Strong.
• Anovandudza tachycardia.

Sema pleurisy anooneka sezvinotevera:

• Tembiricha inokwira kuna madhigirii-matatu navapfumbamwe.
• Tachycardia.
• Rapid kuunganidza Urume.
• Kupfupika mweya.
• The kwokuomerwa ari inhalation uye marwadzo padivi rake.

Zviratidzo izvi zvinogona kukurumidza kuonekwa uye kunyangarika uyewo.

Kana dzakabudirira tiibhii pamusoro pleura, iro hunhu kwaari:

• The tembiricha inogona kumuka mana inegumi.
• Kunwisa vangadikitira.
• Kurwadziwa divi rake.
• Dry chikosoro.
• Enhanced dyspnea.

Kana chiri chirwere chimiro, zviri kwese kuti tuberculous pleurisy:

• Kunzwa kushaya mhepo.
• Pamutsipa zvimba mutsinga, uye node nodes.
• Cyanosis kwemiromo.

Kana zviratidzo murwere inofanira kuchipatara. Zvakakodzera nechokwadi kuti vanhu vane zviratidzo izvi hazvina kugara seri vhiri, zviri nani kuti "amburenzi" kana iwe usingagoni kuunza pachako kuchipatara.

kuongorora chirwere

Kana paine tuberculous pleurisy chirwere chakaoma. Doctor kuti chirwere haisi chete kukosha kuziva kuti chirwere kungazviratidza dzakasiyana siyana, asiwo kuitisa zvidzidzo zvakasiyana-siyana. Pahwaro vose Data inogona chirwere. Kuongorora chirwere zvinosanganisira:

1. Murwere kuongorora nyaya kugunun'una.
2. Kuunganidza ruzivo pamusoro mufananidzo zvinoratidza chirwere.
3. Tichiita tuberculin nemiedzo.
4. Radiographic ongororo yakaratidza zvachinja zvemapapu tishu.
5. A bvunzo ropa pachena Zvinoumba leukocytes, kunyanya raidudzwa kuchinja muropa muchimiro purulent pleuritis.
6. Urinalysis anoona kuvapo mapuroteni. Kana dziripo, chirwere chiri pachena.
7. Bronchoscopy anogona kuzviona tiibhii Árbol scarring.
8. Kuongororwa exudate. Kana tuberculous pleurisy, zvino pane chikamu puroteni, uye shuga ipfupi.
9. High dziine antibody titers mune zvaiitwa IHA, IFA achaita dzinoratidza pamberi tibhii hweHIV.
10. Kuburikidza tomography tsunga etiology pleurisy.

Chete pashure pacho kunosimbiswazve chirwere kuti "tuberculous pleurisy", marapirwo ari chairayirwa chiremba anokwanisa.

kurapa chirwere

Kutsungirira chirwere ichi, inguva inokosha vasingazvioni uye kutanga kurapwa. Vakawanda vanonetseka: tuberculous pleurisy chinotapuriranwa kana kwete?

It is zvirwere uye kana sputum rine utachiona zvokurwara, zvakadai murwere ane ngozi kune vamwe. Zvipatara yaifanira chete tiibhii kiriniki.

Zvipatara vanofanira kunyanya kukurudzira kumbomira rinenge kuparadza kwacho. Kuti aite izvi, kunan'anura:

• "Rifampicin".
• "Pyrazinamide".
• "Ethambutol".

Ya yokurapa zvinodhaka mwedzi kanenge masere, kana akaonekwa pulmonary tibhii, nguva inogona kuwedzerwa kusvika makore maviri.

Nyanzvi dzinodavira kuti kungashanda pakurwisa zvirwere utachiona corticosteroids, akadai "Prednisolone".

Kuti atore nyore zvarakanga chimiro, zvinokosha kuita kupomba kuti mvura kudzivirira paumbwe akaturikidzana.

Mabatirwo tuberculous pleurisy kunewo kuitwa nokushandiswa immunostimulants, mishonga yakadai se "Levamisole", "Taktivin".

Kana nguva refu wezvokurapa kurapa haapi zvibereko zvayo, zvakakodzera kushandisa kuvhiyiwa.

Panguva kurapwa vanofanira kuteerera mubhedha zororo uye kudya zvinofanira akazoongororazve. Zvakakodzera kutirambidza kushandisa munyu uye wakawanda zvokudya, nokumwa zvishoma fluid kuwedzera kudyiwa zvekudya akapfuma mapuroteni uye mavhitaminzi.

dziviriro chirwere

Kuzodzosera kudzokera tuberculous pleurisy, kurapwa usiri mutemo, zvakakosha zvinoenderana matanho. TB chinhu evanhu chirwere kuti chokuita mararamiro vemo zvakananga. Epidemiological dambudziko tibhii kwakakonzera kuparara socio-ezvoupfumi kuderera pakurarama mitemo vokuparidzira, basa vaitamira kwendangariro.

Kuitira kudzivisa zvinobvira kuti varumbidze zvinotevera:

1. Muperekedzei kugara chokudzivirira uye Anti-dambudziko matanho.
2. Nekukurumidza rokuongorora chirwere pavarwere uye kupa zvinodhaka mushonga.
3. Iva nechokwadi kuti tiite vezvokurapa bvunzo kuti basa munzvimbo dziri vanoshorwa tibhii mhuka.
4. Hurumende inofanira govera akaparadzana mhenyu nzvimbo kurarama, varwere kushingaira tiibhii kunyanya kana yavanogara dormitories kana mhuri diki.
5. Rokumanikidzirwa kubaya pamusoro vachangoberekwa.
6. Wakaitwa gore negore bhokisi maekisirei pakati mumapapu.
7. At chiratidzo chirwere rokutanga kunodiwa kuzoshanyira chiremba.

Zvaidiwa nyore matanho aya kuchaderedza kuitika chirwere uye kubatsira kuona nayo achiri padanho kukura, kana kurapwa zvinobudirira zvikuru.

Mumwe munhu pachake anonyanya kukonzera utano hwavo. Hazvina zvakafanira panguva chiratidzo chokutanga zvakawanda zvive kuzvida, saka isu kubvumira vaishandira "midzi kodzero dzavo", uye hosha anotanga mberi. chiremba anokwanisa chete kuita kuongororwa zvakarurama uye taurira zvinobudirira kurapwa.