Tiibhii ziso: zvingangove zvinokonzera, zviratidzo, dziviriro uye kurapwa

Pasinei nokufambira mberi kwemazuva ano, tiibhii pagore anokambira upenyu vanhu vanenge mamiriyoni 3 panyika. chirwere ichi chinogona kukanganisa mapapu kwete chete hwevanhu asi nevazhinji ake dzimwe nhengo uye hurongwa. Tiibhii ziso rinoreva zvirwere zviri kunetsa kuziva uye kurapa zvachose. Kunyanya ngozi ndiyo kukura chirwere ichi muna vana, sezvo pasina zvakakwana uye nenguva kurapwa kunogona kuita kuti yomumuzongoza, sepsis uye zvimwe matambudziko akakura.

The zvinokonzera chirwere

Kana munhu zvirwere uri kushanda anowanzoita, mukova muMutumbi mycobacteria havasi zvinokonzera tibhii hazvo. Tichibatsirwa runodzivirira ehondo mutorwa tupukanana inogona vakundwa masero kushandiswa kuti kudzivirira kupararira chirwere. Asi ane simba rokuzvidzivirira, vakawanda pathogenic utachiona uye kuvapo kukanganiswa zvisina kunanga zvinhu rinofanira tibhii meso achiri kutanga dzakakwirira kwazvo.

Zvinoita kuti kukura chirwere:

• kudzikama kudya uye vhitamini kushaikwa;
• murombo pokugara uye kushanda ezvinhu;
• kushaya kuvapo kwevanhu munyika itsva mhepo uye zuva;
• psycho-mupfungwa Makakatanwa uye kunetseka mupfungwa;
• kushaya hope uye zororo;
• tsika dzakaipa;
• Kuvapo mumuviri echirwere kuzvimba foci;
• chakakomba chirwere of zvirwere.

kupatsanura

ziso zvirwere tibhii angava kunosiyana kwokuomerwa zvichienderana chimiro chirwere. It zvinoenderana marapirwo uye fungidziro chirwere chacho. Kune 4 dzakasiyana chirwere:

• tiibhii mucosa;
• abnormalities ziso tsandanyama, eyelashes, lacrimal midziyo, conjunctiva kana kukotsira;
• yechipiri Kumwe kuchinja kunotanga mumaziso tiibhii musimboti tsinga kana bapu;
• rwarisa uye sema maronda ziso midziyo.

Pazvinhu maviri okutanga tiri kutaura pamusoro chikuru utachiona mycobacteria uye kubereka yavo zvakananga kunyika munyama ziso. Mhando iyi abnormalities vari ishoma pane chimiro chirwere chokuita chisimbwa kana chinangwa tibhii mune dzimwe nhengo. Muzviitiko izvi, ocular zviratidzo zvinogona dzimwe nguva kungosiyiwa nokuda raidudzwa huru zviratidzo. Asi unogona kuva hwakazara kurasikirwa dzengerere ramangwana, saka zvakakosha kuziva uye kutanga kurapwa.

Zviratidzo zvikuru tiibhii ziso uye adnexa

Vamwe zvirwere nokuda kushaya dzakananga zviratidzo zvakaoma kuziva yekare kare yemagwaro. Rimwe zvirwere izvi - Meso tibhii, zviratidzo zvacho zvakafanana ocular zvirwere zvakawanda. Vanogona akasiyana zvichienderana localization chirwere.

In chikuru noutachiona netiibhii yaro kukura mune maonero nhengo murwere rokutanga vakachengeta zviratidzo zvatinosiita conjunctivitis: akatsvuka, tsinga, kuzvimba namafungiro, mvura maziso. Asi panguva imwecheteyo node zvisimbiso vari akaumba mukati ziso, izvo kuwedzera kukura pamwe nguva uye pasina kurapwa kunogona kutungamirira kuukama pute.

Tiibhii adnexa ziso (yakadai namafungiro kana kubvaruka ducts) hariwanikwi. Saka nomusi ganda uye mucous Kamudzira kuitika rirwadze anorovera, izvo necrose zvinyama uye pute pamwe nguva. Izvi zvingaita kuti inversion pakati okumusoro mafungiro ameso, uye anokonzerawo scarring ganda kuchinja.

Tiibhii ziso: zviratidzo, zviratidzo ane sema hunhu zvirwere uye yechipiri lesion wokutanga

In noutachiona uye sema zviratidzo tibhii nehasha vakaratidza, uye havana shoma kana kwete incubation nguva. The chirwere kwacho zvinowanzosanganisira maziso maviri, kunyange zvazvo zvingaratidza kuva raidudzwa chero rumwe. Nguva yose rikwanise nguva kwemazuva akawanda kusvika 2 months. Nokuti chimiro ichi chirwere kunoratidzwa vakadaro zviratidzo tibhii meso:

• mvura-mvura meso;
• mucositis;
• kuvaviwa uye pamoto;
• photophobia;
• soreness.

Kana mamiriro zviratidzo muziso yakakonzerwa chikuru uropi kana musana tibhii, avanotarisira kuva kwokunwa zvavo chetsinga zviratidzo. Varwere ava kazhinji kunokanganisa musana mugove choroid, apo pane muhomwe kuzvimba (granulomas) pamwe lymphoid tishu. Akaora kunoratidzwa ungaderedza kuona acuity uye dzisavhiringidza wezvakaonekwa. The chirwere anogona kuva acutely kana mberi zvishoma nezvishoma.

How kuziva chirwere?

Chirwere ziso tiibhii kuoma ne kushaya chaizvo zviratidzo, nekuti zviratidzo ayo akafanana zvimwe zvirwere ziso. Kusakwanisa kutora nzwisa zvinyama nekuda kuongorora kuvapo mycobacteria kunoitawo zviratidzo. Kana pane kugunun'una, chichiratidza mukana tibhii murwere nachiremba, zviri zvinodiwa zvakaitika nhevedzano bvunzo:

• tsanangudzo ziso uye ziso minda;
• nokuyerwa intraocular kumanikidzwa;
• Kuongorora of fundus ;
• US meso ;
• retinal angiography;
• mharidzo tuberculin;
• chirwere Mabatirwo Anti-TB zvinodhaka.

Mukuwedzera, murwere anofanirwa kuita maekisirei pechipfuva mhango uye kuri pamusoro mediastinum, nokuti ikoko sema ziso tibhii vanowanzotambura rirwadze maronda. Kuti tinzwisise zvinonyatsorehwa mamiriro muviri murwere sokuora ropa uye weti miedzo inogona kupiwa.

Nzira chirwere

Tiibhii ziso rinogona kuitika nokuda kupararira chirwere neropa kana zvakananga nevanhu pomutumwa kubva kwokunze kwezvakatipoteredza. Hematogenous hutachiwana nzira zvinogoneka pamberi mumuviri chinangwa chirwere ichi. Options nokuti kuwana mycobacteria kubva zvakatipoteredza kuti utano munhu zvinotevera:

• kuenda neherikoputa nzira (kutaura, vangakosora kana mazhinji pokugara muimba imwe sezvo murwere);
• kuonana-mhuri nzira (kushandisa yakasviba zvemumba);
• fecal-zvokuudzwa mashandiro (utachiona uchikurukura zvokudya kana mvura).

Mycobacteria anogona kuponesa makore pathogenic basa murima huruva dzoga, saka inhalation dzedenga muvanhu vane simba zvirwere iri mukana wokutapukirwa. Dzimwe maperembudzi chinopfuudzwa Via ropa wakaremara kuvimbika ganda kana kutwasuka (amai mwana). Asi vazhinji nokupfuuridzirwa inobatanidzwa nokuvapo mycobacteria mudenga.

Zvinoitwa chirwere muuduku

Sezvo mwana zvirwere asingadi kushanda kutoshanda akura, chero zvirwere zvakakomba nengozi kwaari. Tiibhii ziso muvana kazhinji ndiyo sema zvakasikwa, kana uchapupu wechipiri vanoshingaira pulmonary kwacho. Pacharo, chikuru kuratidza chirwere ichi chete rikaitika nhengo pavo apo neapo.

Kupiwa propensity nokuda zvavo pamusoro pathologic muitiro, kurapa tibhii vanofanira nguva dzose kusanganisira inpatient kurapwa kusvikira kunaya zvakakwana. Panguva iyoyowo kukwanisa panoda ukama munyama kuvana riri kumusoro, saka mwana anogara mukana vabudirire kurapwa pasina kumwe kuitazve uye matambudziko.

kuvhiya kurapwa

Zvinobudirira kurapa kunofanira kusanganisira antibacterial makemikari zvakafanana nechiito, kunyange kana zviri zvimwe-pulmonary chimiro chirwere, hunobata vamwe nenyere. Somuenzaniso, tiibhii ziso, riri kazhinji zviratidzo zviri kusimbiswa munzvimbo ino vanofanira kubatwa tichibatsirwa revatema redunhu.

Kana kuvhiya zvokurwara mune zvimwe zviitiko zvimwe nechimbichimbi kuvhiyiwa kuti tirambe munhu chiratidzo. Muchiitiko chino, chinofanira kuitwa kufanana asingaurayiwi kurapa. Asi kana pasina chimbi kuitira kudzivisa matambudziko, zviri nani kuita pashure zvizere kuvakwa nzira yokurapwa.

Tiibhii ziso: kurapwa pasina kuvhiyiwa

Nzwisisika kurapwa zvirwere hunosanganisira kushandiswa kwemishonga inorwisa mabhakitiriya, mishonga, uye zvirwere modulators. Mukuwedzera, yakatarwa vamiririri nokuda symptomatic kuzorodzwa murwere zvichienderana kunotoda mufananidzo. All mishonga Anti-TB pamusoro kwokuomerwa nezvezvakaitwa unogona kukamurwa 3 makirasi:

• simba yomuchipatara ( "INH" "Rifampicin");
• zvinodhaka avhareji simba ( "Kanamycin" "streptomycin yakawanikwa" "Prothionamide");
• Medicaments vane mwero kuchirapa mugumisiro ( "p-aminosalicylic acid," "Thioacetazone").

kwadzinoita kwavo chourongwa uye chipimo chemushonga vanofanira kusarudza phthisiatrician, akapa zvechadenga pathologic kwacho nomumwe nyaya imwe neimwe. In chakakomba hemorrhages ari the retina asati kushandisa zvinodhaka izvi zvakafanira kuti kurapa iyo normalizes vascular ziso. Vasati kudzikamisa murwere iye dzakaratidza inpatient kurapwa.

dziviriro

Kudzivirira tiibhii ziso riri nyore pane kurapa nayo. For dzakananga dziviriro zviripo pamwe BCG mushonga, izvo anodzivirira muviri kubva kwose chirwere ichi achinyengera. Zvinokurudzirwa kuzozivisa vana azvarwa kuti kusika basa kutapata.

For nonspecific kudzivirira tibhii kunokosha kuchengeta mitemo zvinotevera:

• kutungamirira utano hwakanaka;
• kodzera kudya;
• nguva dzose aite okuchenesa nyoro mukamuri uye nokungwarira uchapusika guruva;
• kutakura zvakakwana nguva panze;
• jimunasitikisi kana nyore mutambo utano kuvandudza;
• nguva yokuzorora uye hope;
• kamwe pagore vanosangana bhokisi x-mwaranzi (kutanga pa nemakore 15).

Kana chinoshamisa zviratidzo unofanira pasina kunonoka kuti chiremba, sezvo iri nyaya tibhii rinogona kubatsira kuchengetedza utano, zvakajairika chiratidzo uye hunogutsa.