Chikosoro mu tibhii: zvinhu uye zviratidzo

Kukosora refu vhiki refu kupfuura rimwe, uye pamwe fivha. Zvichida izvi ndizvo zviratidzo TB? No vanofanira kuzeza. Pashure pezvose, harigoni kungova Ari.

Chii tiibhii?

Tiibhii - chirwere anokonzerwa mycobacteria, izvo anoparadzirwa munyama, nomuti ropa uye oxygen. Nokuda kwechikonzero ichi, vazhinji vose kunokanganisa mumapapu. Chokwadi, chirwere unogona kuva nedzimwe nhengo. Treatment ndiko kubudirira, asi zvinoda nzira mwedzi mitanhatu kusvikira pagore, uye dzimwe nguva anogona kunonoka uye kwemakore (zvose zvinoenderana worudzii chikosoro mu pulmonary tiibhii). Kare, chirwere ichi ndicho. Asi pamwe kwaita asingaurayiwi chikosoro, tiibhii zvava zvishoma kakawanda. Pari, chirwere kuri kuwedzera, sezvo chidzoke dzakasiyana okuva tibhii kwakaita kuti kusimba nemishonga. Pane chirwere nenzira dzakadai akazaruka uye Akanyatsovharwa. Chimiro utachiona, inova muviri zvirwere yekutanga woutsinye, hazvina kuipa chero kutyisidzira vanhu vakavapoteredza. Zvisinei, chimiro ichi vanogona kubuda pachena, kana munhu asingadi kuita kurapwa. In wechipiri chimiro, murwere anokwanisa yekutapurira vamwe. Vakawanda muchimiro chirwere - kufema mhepo iri chinofema utachiona.

Ndiani pangozi ndibate TB?

Mukuru ngozi vari vanhu:

• pamwe simba kutapata (vana vane HIV-utachiona);
• vanhu vane pedyo nevanhu munhu ane HIV (kurarama imwe kamuri);
• vaya vanotarisira varwere netiibhii (navanachiremba nevakoti);
• vanhu vari muropa nechikakananda (kunyanya avo vanosvuta vanopfuura remidzanga yefodya pazuva);
• avo vanogara mumigwagwa;
• vanhu vanonwa doro uye zvinodhaka marwadzo;
• vanhu vane uremu ndiyo 10% shoma pane dzose;
• vaya vanoshandisa mishonga kuti kuora mwoyo;
• vanhu vari mutirongo.

The zvinokonzera chikosoro mu tibhii

The muviri anokwanisa kurwisa chero utachiona kuti kupinda mariri. Zvisinei, chero kushushikana kana kunetesa Muviri anopa kukundikana uye pave zvakanaka mamiriro ezvinhu kukura chirwere.

Nzira inonyanya zvinowanzovapo kupinda mukati muviri kuti tibhii bacillus - kuenda neherikoputa. Asi utachiona hakuitiki pakarepo - Utachiona anosangana kurwisa ari kufema hurongwa. Development tsvimbo kunoitika apo rokumusoro yemweya kuzvimba uye Árbol sepombi.

Vakawanda zvinokonzera chirwere: evanhu chinetso, kuonana munhu ane HIV, hakuvaki mararamiro, kushushikana, murombo muviri uye murombo kutapata. Asi chikuru chikonzero anganzi simba munzanga chawo uye nekusagona zvakazara kurapa.

Zviratidzo chikosoro mu tibhii

Chinhu chokutanga kuteerera muviri wako uye kuteerera chero kuchinja, kwete kuti kurasikirwa kutanga pavaipfuura chirwere. Izvi zvinokosha zvikuru nokuti chirwere rokutanga varege unooneka uye chirwere pashure X-ray ine mumapapu.

Zvinotevera Zviratidzo tiri zviratidzo chirwere rokutanga:

• Kuramba dzungu;
• nokusakendenga uye lethargy;
• kunetswa kurara mapatani;
• rinorema vangadikitira;
• simba muviri pallor;
• inopenya chitarisiko tsuka meso;
• nokukurumidza uremu;
• kushaya havi;
• tembiricha Muviri 37 ⁰ C.

In akazotevera nzendo chirwere pachena pacharo zvakajeka:

• Tiibhii chinhu zvikuru chikosoro - zvose yakaoma uye phlegm;
• tachycardia, umo kwakakomba kupfupika mweya;
• rales siyana umbirimi;
• nefivha yakasimba;
• gleam pameso ake uye ganda rakachenuruka;
• dystonia;
• nokukurumidza uremu kusvika makirogiramu gumi kana kupfuura;
• Chimiro ropa panguva expectoration;
• panowanikwa marwadzo pachipfuva.

tiibhii rwakazara

Kune matanho matatu pulmonary tiibhii:

1. Chirwere. It rinowanikwa chete ari mugove apo utachiona anopinda. Kazhinji utachiona anonzwa zvakanaka, asi dzimwe nguva pangava kutanga zviratidzo chirwere.
2. Isimba rakadini rinogona kubudiswa noutachiona. Kunopiwa kuti masoja vanhu hurongwa simba chaizvo, utachiona vakapararira nokukurumidza yose muviri. Saka, zvinoumba muhomwe tibhii utachiona vari dzakasiyana zvomukati.
3. Kuchiita chirwere. Kuunganidza mycobacteria hwacho mumapapu, ivo principales uchikurukura utachiona izvi kuti vanhu utachiona.

TB

Kusiyanisa siyana chirwere. It zvinoenderana chimiro mishonga uye sei chirwere chacho ngozi.

The chimiro chokutanga - infiltrative. Zviri nokuti pane kuzvimba ari munhu zvemapapu. Somugumisiro, zvemapapu rinenge anova rakafanana koteji chizi. Mune zvimwe zviitiko, chimiro ichi asymptomatic uye kunoratidzwa chete X-ray. It zvinowanzoitika kukosora ropa, asi utano vakawanda hakuna kuipa. Kazhinji maperembudzi kuvhiringidzwa nemabayo, bronchitis uye besa.

The chimiro chechipiri anonzi diseminirovanoy. Zvino anokonzerwa ndechokuti kwemabhakitiriya rakapararira kuburikidza muropa uye nhengo dzinobudisa hurongwa. Zviratidzo zviri pachena uye mumwe munhu akasiyana.

The chimiro wechitatu - cavernous, izvozvo kunoratidzwa panowanikwa in wakanaka zvemapapu tishu. chimiro ichi haisi chaizvo kududzwa. Kurapwa, panyama kurapa uye gadziriro immunnostimuliruyuschih.

The chimiro wechina anonzi fibrous. Kana zvinokanganisawo principales uye kuoneka emphysema, bronchiectasis, uye pulmonary fibrosis.

The wechishanu chimiro inonzi zvatichiri uye yechipiri. Kwakaitwa sezvo chiedza rimwe, kana vaviri. Muvanhu, pane vangakosora mu tibhii uye fivha, uye zvimwe zviratidzo.

Dzimwe nguva tibhii pasina vangakosora?

Chete pakutanga chirwere anogona kuva pasina vangakosora. Panguva iyi, murwere anogona kunzwa kudhaka kwacho vari muviri wake. Asi chikosoro anooneka pamwe nguva.

In namahwindo chimiro chikosoro mu tibhii hakuitiki.

Kana munhu achirwara netiibhii nhengo dzakadai mapfupa, mapfundo, ganda, maziso, pfungwa, itsvo, ura nhengo dzakavandika, kuti chikosoro harimuki.

Chii chikosoro mu tibhii?

Chikosoro kunoitika kana chirwere kunoita. Ndiye: yakaoma (kana Anonziwo non-zvibereko) uye nyoro (zvibereko).

Kana ukaona munhu wakaoma chikosoro:

• tiibhii ari kutanga kwekupwanyiwa;
• paiva vomanikidza Árbol muti node nodes, izvo zvakawedzera;
• ane tibhii of principales;
• pamunhu yaizoshanda panguva panowanikwa chisingaperi bronchitis.

Zvinogonekawo nokuda ingress kuti mvura (pus kana mamwe) pamwe pleura kupinda principales.

Chikosoro chorurindi ane zvinotevera zvinokonzera:

• kukurumidza kukura chirwere;
• chimiro chirwere iyo inosvitsa kuparadzwa bapu;
• kutsigira chirwere nonspecific bronchitis.

Vangakosora mune chirwere ichi kunoitika homogeneous gobvu ndiro Hauoneki uye odorless. Kana TB chiri kufanana nedzimwe hosha kufema, kuti madzihwa munyoro, purulent, unopinza hachifadzi zvakanaka.

Other zviratidzo TB

Chikosoro mu tibhii kunoratidzwa ne expectoration ropa, riri zvakakurumbira dzimwe mhando pulmonary tibhii. Pakutanga, murwere kukosora zvatinosiita matsvuku, gare gare ruchapinda muruoko clumps. Tembiricha pane izvi zvikasaitika. Zvisinei, kana ropa anopinda mumapapu, muna 90% nyaya pane kuzvimba kuti kunoitika chete nefivha.

Ropa mumapapu dzinoratidzwa nechitarisiko inobwinya ropa mutsvuku, bhuku iri Rine mamiririta anopfuura 50 pazuva (zvichireva kuti anoenda kuburikidza kufema hurongwa). Kana ropa expectoration dzinounzwa kwete Rine mamiririta anopfuura 50 pazuva. Ropa mumapapu vari ngozi nemhaka Hemorrhagic nehana kunogona kuitika.

A chikosoro uye dyspnea mu chorurindi panguva nedzinovengwa, izvi nokuda kwakaderedza nzvimbo zvemapapu rinenge principales patency uye basa kuipa kuti kuuropi kuti anokonzera kufema.

Zvinoita sokuti kudzvinya marwadzo kuti hunosimba kuchangotanga kufamba.

It kunoitika lymphadenopathy.

Chikosoro muvana

Chikosoro mu tibhii muvana ane zvinotevera zviri:

• simba akaoma;
• kunyanya usiku uye mangwanani mberi uye anopfuurira mwedzi vanopfuura mumwe;
• Sezvo chirwere mberi zvinova nyorova pamwe purulent uye ropa guru;
• kukosora achiperekedzwa muutera, kufunga, ungaderedza unongotaura.

Kana vakasarudzwa zvakanaka mishonga nokupera.

Vabereki vanofanira kukwanisa kusiyanisa chikosoro mu pulmonary tiibhii kubva chakasimba kufema kutapukirwa noutachiona kuvana, sezvo anewo chikosoro, asi ane pachake zvachiri:

• Kunenge pakatanga chirwere;
• It anoenda kuburikidza vaviri mashanu mazuva;
• simba, kureva pfupi nguva inopfuura kubva pakaoma kunyorovesa;
• hwokuratidza nefivha uye zvose catarrhal zviratidzo;
• Unotsigira kudhakwa, uye nokugamuchira zvinodhaka antiviral.

Zvikuru nevakawanda nzira nokuda nechirwere kuti tibhii

Inonyanya kufarirwa nzira nechirwere zvinosanganisira X-ray nzira, Mantoux bvunzo, uye Diaskintest kvantiferonovy bvunzo.

X-ray nzira dziri akakamurwa:

• Maekisirei - raying. Iri dhuri nzira, umo nyanzvi anoongorora muviri chidzitiro panguva kana rinovheneka mudziyo.
• Radiography. Zviri rakanyatsorurama uye anoteerera mashoko chero anokuvadza kwacho mumapapu.
• Tomography. Rinoshandiswa kutaridzwa hunhu chirwere. Kuri ine vakawanda mifananidzo.
• Chest X-ray. Nzira iyi yakakurumbira nokuti rinoshandiswa kuti kudzivirira tibhii, inofanira iongororwe kamwe pagore.

Mantoux bvunzo ndechokuti rinokosha chishandiso chiri rakapinzwa muviri - tuberculin. Mazuva matatu gare gare, nyanzvi Anoongorora kwaiita muviri. Tiite chirwere ichi ose gore vana, sezvo makore uye pasi navasere. Kunakisa mutengo, nyore uye mukana kuedza vakawanda vanhu.

On mberi kuita dzingave dzawirwa zvinhu zvizhinji, ipapo pakuongororwa vachava savazvo:

• apo mwana akatambura zvimwe zvirwere, nezvimwe zvinhu, combed kuti jekiseni nzvimbo;
• kutyora unyanzvi, varombo kunaka Pfungwa;
• zvenhema kuita rinowanikwa pamberi tupukanana mumuviri kuti akafanana tibhii utachiona.

Diaskintest kushandiswa kuti asava zvenhema zvakanaka Mantoux bvunzo. Kakawanda rinoshandiswa mune zviitiko apo vabereki vari kurwisa nejasi. Zvisinei, rinopa migumisiro venhema kana hosha iri mangwanani danho.

Kvantiferonovy bvunzo ndiyo nzira inonyanya ano nechirwere nokuti anoona zvose rinoita uye Isimba rakadini rinogona kubudiswa chimiro chirwere. Kunakisa Nzira ichi ndechokuti rinoitwa murabhoritari, hapana simba nechitarisiko zvinhu. Zvinoitawo anobvisa nhema maitiro uye rinoshandiswa zvisinei chirwere wemwana.

Kukosora kurapwa tibhii

Kana kurapa chikosoro (TB), zvakakosha kuyeuka kuti mishonga zvose vanobviswa panguva chaiyo, zvachose kunze zvichipfuura mabiko. Kana chimiro haakudzwi, kungava nzira chikosoro, riri nemishonga zvinodhaka. Kuparadza tubercle bacillus zvinogoneka chete apo kushanda shanu kana matanhatu zvinodhaka.

Asi kuti aporese vanorwara, havafaniri kuvimba nezvinodhaka. The ARV kuitwa pachiimbwa panyama kurapa uye zvinodhaka kutarisira, izvo kusimbisa kutapata. Haufaniri kukanganwa kufema kurovedza uye kudya zvinovaka muviri.

Kana maperembudzi atanga, ipapo kuvhiya inokurudzirwa. Sezvo zvimwe zvinogoneka rufu. Kana marapirwo rinoitwa nemazvo, kuti chikosoro haazombotaurwi pashure tibhii.