Miliary tiibhii: siyana, chirwere, zviratidzo, kurapwa

Miliary tiibhii - icho chirwere chakakomba inowanzotaurwa kuvhiringidzwa sefivha. Chirwere kunokanganisa siyana mugadziriro zvomukati kubva chiropa uye nekuguma chiedza. chimiro ichi TB iri akanzi duku nhamba yevanhu.

Description of chirwere

Miliary tiibhii - kusachengeteka kukuru chimiro chirwere, dzinoratidzwa chimiro maronda akawanda nhengo. Govera chenjera uye chisingaperi Danho kuyerera pathologies. Yokupedzisira ichaongororwa kupfuura ngozi. The chenjera chimiro Kazhinji kunoitika pamusoro yaitwa chirwere pamwe utachiona ropa chokubuda. Sezvo chirwere mberi, ivo pinda zvose kuti vakawanda zvomukati, yekutapurira pavo. Tikafunga zvikuru noutachiona uropi Kamudzira iri kukanganiswa.

The chikuru causative nomumiririri chirwere inokurukurwa kune Mycobacterium tibhii, izvo kuguma vachinetesa muviri dzokuzvidzivirira dawo kupinda muviri akawanda. Zvadaro, izvo anoparadzirwa aibuda ropa.

Maererano nenyanzvi, panguva varume vatatu neTB, pane chimwe chete mukadzi ane zvakafanana kuongorora chirwere. Most kazhinji chirwere muna zvokurwara iri simba pabonde, zera kubvira pamakore 20 kusvika 40 okuberekwa.

Miliary tiibhii anonzi mumagariro yairevererwa chirwere, sezvo kuwanda kwayo pakati yevagari opredeleyaetsya nderemagariro. Epidemic dambudziko imhaka vanoshingaira vaitamira Rwako, kuwa muna mikana zvoupfumi, kuwedzera uwandu maladjusted mumagariro vanhu.

Zvinokonzera chirwere

TB utachiona vanoonekwa kuti mabhakitiriya ari genus Mycobacterium. anopfuura 70 marudzi ose imomo. Ivo nevakawanda mvura, ivhu, mhepo, mhuka. Nokuti vanhu vanomiririra imwe ngozi rudzi mashomanana, iyo masayendisiti conventionally aibatanidza ari kunzwisisa M. tibhii. Kupiwa pathogenic utachiona rinowanikwa mune imwe zvitatu: kubva chikuru tsime chirwere kare tiibhii foci kana somugumisiro zvomusejari remapazi pamusoro muviri, nechekare sei chirwere.

The mikana yokuita chirwere zvinosanganisira vana kuti vasina nhomba nenzira yakakodzera nenzira, vanhu vane immunodeficiency kana kutora nguva yakareba mishonga kudzvinyirira kunyanyisa basa muviri dzokuzvidzivirira.

Ndezvipi zviratidzo kubatsira kusiyanisa miliary tiibhii?

Zviratidzo chirwere ichi havasi zvakananga, havana kuvimba localization ari lesion. Common zviratidzo kuti kazhinji vanotsutsumwa wevarwere zvinosanganisira zvinotevera:

• Kuneta mumuviri.
• Fivhiri.
• Kuwedzera tembiricha.
• Iziviswe kudhaka.
• Uremu.
• Kufema matambudziko.
• Cyanosis ganda.
• Kunwisa vangadikitira usiku.
• Dry chikosoro.

The chirwere munogona chakasimba, chirwere kana chakasimba. Mumwe nomumwe wavo ane pachake zvachiri.

The chirwere chimiro rinowanikwa mune mafungu. Izvi zvinoreva kuti rikwanise kutotanga inotsiviwa remissions. Varwere kurapwa pamwe zvichemo yokuremara, kungoerekana uremu, kurukutika. Mune zvimwe zviitiko, pane hemoptysis.

Chenjera miliary tiibhii kazhinji unowanikwa zvikuru chimiro, uye zviratidzo zvayo zvinosiyana zvichienderana localization kuti chokutsva. Mune vamwe varwere, vanachiremba Ona akaratidza pulmonary insufficiency tikafunga inosimuka tembiricha kudhaka syndrome. Light Kazhinji inokanganisa pepasi. Kana rashes zvinochengetwa chete subclavian dzoga, tiri kutaura pamusoro dzinonzi shoma miliary tibhii. Izvi Chirwere asymptomatic, dzimwe nguva yakatarwa nefivha yakaderera wegiredhi uye chakaoma chikosoro.

The chenjera chimiro chirwere zvimwe kunzi tuberculous sepsis. Zvinonzi kusiyaniswa akurumidze kuitika. Mavhiki sezvariri mukati 2-3 mushure pakuonekwa chikuru zviratidzo zvichibvira rufu. chirwere ichi kunoratidzwa nefivha uye dyspepsia. Varwere vakawanda vanotsutsumwa chakakomba nomusoro. chiratidzo ichi zvinotsanangurwa chakakomba vascular maronda uye pathological muitiro chokuita meninges.

Forms miliary tiibhii

Zvichienderana kuwanda zviratidzo chirwere vari akakamurwa inotevera siyana:

• Pulmonary. Tikafunga vakawanda kudhaka, pane zviratidzo kufema nenhamo.
• Fivha. Kwemakomo kuitika mune zvose womukati nenhengo dzawo. Ichi chimiro chirwere kunoratidzwa nefivha uye chitarisiko zviratidzo kudhaka, saka chinowanzoonekwa kuvhiringidzwa fivha.
• Meningeal. Dzinoratidzwa pamberi zvinotapuriranwa foci ari meninges.

kuongorora chirwere

Kana yokudeura nokurasikirwa uremu, vangadikitira usiku, kunzwa kushaya simba uye nokurasikirwa havi Zvinokurudzirwa kunoona Profile nyanzvi, kureva TB nyanzvi kana zvirwere zvinotapuriranwa.

Chirwere pamusoro miliary tiibhii rinosanganisira maitiro anotevera:

• A kwakakwana count ropa.
• Lumbar ponji.
• CT uropi uye muchipfuva.
• Ultrassom kuti nhengo dzomukati hurongwa.
• Chest X-ray.
• Echocardiography.

Inobva pakuongororwa chiremba anogona kusimbisa kana agodzivisa zvokuongorora kuti "miliary tiibhii". Zviratidzo izvo zvaizobatsira mamiriro munhu, regai kureva munhu 100% Kuwanikwa chirwere. paku Diagnostics chete anogona kubatsira kumisa munhu zvachose kuongorora chirwere.

Chii kurapwa kunodiwa?

Kurapa chirwere ichi kunoda kushanda nesimba uye nguva. Kwerinenge gore murwere anomanikidzwa kutora mazhinji mishonga. Yemanyorero ushandiswe "streptomycin yakawanikwa", "Isoniazid", "Rifampicin", "Moxifloxacin". akasiyana-siyana mishonga yakadaro, vanachiremba tsanangura kuti ane simba pamusoro yawapiwa mumwe mumiririri nomumwe uye ari uwandu hwezvinhu zvose zvabatanidzwa. vanogona kukunda chirwere.

Miliary tiibhii of mapapu anopawo vamwe mhando fanira kuchirapa kurapa (kurovedza kufema, panyama kurapa, kugamuchira zvinodhaka immunostimulatory). Murwere anofanira kuomerera zvakarurama kwadzinoita basa uye zororo, kuti mukanyatsochengeta kutevera mazano ose chiremba wako. Cherechedzai inofanira kubhadharwa kuti zvokudya. Zvinofanira Siyanisai dheri zvigadzirwa.

Kana murwere anogara nevana vaduku, kazhinji kutokurudzira muchipatara pfupi kwemavhiki 3-4.

kuvhiya kurapwa

Varwere vakawanda vane chirwere ichi varayire pokuvhiyiwa, unosanganisira resection yacho yemapapu. Resection inokurudzirwa kana vanga zvivako principales, varwere hemoptysis.

Zvichida kushandisa dzimwe nzira yokurapa, kusanganisira mutambi vasanganiswa. In kunyanya zvakakomba Muzviitiko kazhinji vanokurudzira nokubviswa zvemapapu kana muviri wose, kuti nokuiswa rakagadzirwa nevanhu pneumothorax, uyewo abudise yacho mhango.

mataridzikiro

Chokwadi, pakurapa miliary tiibhii pamwe mishonga iri danho rinokosha mukurwisa chirwere. Vasati vatanga vanoshingaira kushandisa antituberculosis mumiriri, kufa muna varwere chirwere ichi chakanga anenge 100%. Zvinoenderana Nenguva uye nomazvo kurapwa nhasi runoita kuderedza prices aya 10%. Kwokutanga nechirwere uye zvakakodzera kurapwa vakatanga, nani mikana yakanaka fungidziro. Vazhinji nzufu chirwere ichi yakanyorwa yokutanga shoma vhiki kuwana varwere vari kurapwa jeri. Vanachiremba vanoti inosuruvarisa Nhamba kunonoka kutanga mushonga.

Mukana wokuti dzokororo ndiyo 4 chete%. Kana murwere inotevera zvose mirayiridzo chiremba zvakasimba uye tora ushandiswe zvinodhaka, mikana kunenge chirwere vari zvinooneka ipfupi.

yematambudziko chirwere

Pasina nenguva kurapwa kunogona kuva zvinotevera matambudziko: paumbwe vakawanda in mumapapu, bronchogenic kufambiswa, caseous mabayo.

matanho

Miliary tiibhii kakawanda chirwere mune zvimwe zvemagariro akaturikidzana (chiso zvinhu pamwe mari shoma, uye saka vashandi. D.). Men vanorwara kakawanda kakawanda uye zvikuru kuzviita kupfuura vakadzi. Pangozi ndivo vanhu pakati pemakore 20 uye kusvikira anenge 39 makore.

Kudzivirira chirwere ichi achinyanya kunosanganisira wakakwana kubviswa pedyo nevanhu vane zviratidzo zvemapapu chirwere. Zvinokosha zvakaenzana rekuona akarurama uye pfungwa kunovaka kuwedzera kutapata. Doctors vanokurudzira usinganyanyi nokuomesa.

Miliary tiibhii zvinogona kudziviswa Akaroromesawo kwechirwere zvinoita kuti kukanganisa mashoko kutapata. Izvi zvinosanganisira kakawanda kuona chando, nokusarovedza muviri, nokutsanya, kushanda nematambudziko ezvinhu.

NeHurumende yaifanira Anti-dambudziko matanho vaitambura munharaunda. Uyezve, kuti bhajeti kudirwa pakurapa varwere pamwe nechirwere. Kana nharaunda pane mukuru ngozi chirwere tibhii, kana kushandisa basa vanhu vanofanira rakagara kuongorora zvokurapa.

mhedziso

Munyaya ino, takakurukura chii chinoumba chirwere, akadai miliary tibhii. Photo varwere nechirwere ichi kunogona kuwanikwa kushandiswa zvokurapa mabhuku. Maperembudzi chirwere zvishoma kazhinji nhasi, uye vari nyaya rufu akanyorwa zvishoma. Vanachiremba kuyambira kuti nenguva vasabatwa zvirwere kurerutsa mikana yematambudziko, izvo zvinosanganisira rufu.