Tiibhii nhengo dzokubereka nadzo, zviratidzo, nechirwere, kurapwa

Yokubereka tiibhii ndiyo chirwere yechipiri, kukura zvinomutsa mycobacteria. Akaumba zvokurwara pamusoro pakanyorwa chinonyanya chirwere inokanganisa mumapapu kana muura. chirwere ichi zvikanzwika sikarudzi lymphogenous, kuonana kana hematogenous nzira.

kupatsanura chirwere

Maererano kurapwa uye morphological maitiro tibhii kuti sikarudzi rakakamurwa zvinotevera siyana:

• Cheesy. The chirwere anobuda unopinza uye inorema kwendangariro.
• Chisingaperi. Zviratidzo chimiro ichi zvakaneta akaratidza.
• Subacute. Pane kurasikirwa uye exudative-proliferative kuchinja.
• Ndapedza izvi. Encapsulation kunoitika foci.

Uyezve, tiibhii kuti hwacho kuti sikarudzi, unogona kuva vanoshingaira, vakaneta, uye dzaserera. Muchiitiko chokutanga, chirwere nokuda 2 years, apo wechipiri hwapedyo mukati 2-4. Akaneta tiibhii - Maitikiro acho vasara pashure kurapwa. Kana nzira yacho chirwere kwemakore mana zvinonyanya kuoma, zvino, zvakaitika kusembura. Uye kana zviratidzo yokubereka tiibhii yakabuda chete pashure pemakore akawanda, tiri kutaura pamusoro wava kusvutazve.

Chimwe chirwere hwakadaro Classified maererano utachiona nzvimbo: endometrium, oophoritis uye salpingitis. Mabhakitiriya Miti iyi tibhii uyewo akakamurwa MBT (+) uye Office (-).

The zvinokonzera chirwere kukura

Chirwere nechirwere ichi kunogona kuitika chero zera. Kana munhu ane simba rokuzvidzivirira, kuti mycobacteria anozviratidza pakarepo, zvichiita kuti zviome kuziva.

The Isimba rakadini rinogona kubudiswa nguva dzimwe nguva inogara kwemakore kana kunyange emakore, asi ari huye triggering zvinokonzera chirwere zviratidzo anotanga kuoneka. Somuenzaniso, kana ari kuparara runodzivirira mashandiro anoita muviri, nokuda zvirwere zvakakomba pakati yakasiyana hunhu, zvirwere nhengo dzomukati, kuneta, nokuda kushushikana, mazhinji chikosoro, kuvhiya.

Kana tiibhii kunokanganisa mumapapu, mycobacteria vari kutanga kupararira kune sikarudzi. Kana ari mumatanho mangwanani hapana zviratidzo kuonekwa, chirwere chichagadzirirwa nokukurumidza. Kunyange zvazvo zviratidzo havasi nechokwadi kuti yokubereka tiibhii kuratidza pacharo.

Tiibhii nhengo dzokubereka nadzo, zviratidzo

The chikuru zviratidzo chirwere ichi munogona kuyaruka pakuyaruka. Kutambura vainyanya naka pabonde kubva pamakore 20 kusvika 40 okuberekwa. Yokubereka tiibhii pashure iyi vari apo neapo.

chirwere ichi anokwanisa iyerere pasina zviratidzo pachena siyana kusiyana kwavakaita. Kazhinji, chikuru chinoratidza TB, kurova nhengo dzokubereka nadzo dziri vakadzi, ndiyo chisingabviri yokubereka mwana, nokuda kwemakemikari anobudiswa zvinetso, kana hweHIV kubva fallopian sepombi uye kusangana nekutsi kwemukadzi mucosa divi.

Other zviratidzo pasikarudzi tiibhii

Zvose, chirwere chinogona pamwe zviratidzo zvakadai neanorexia, amenorrhea, uremu chikonzero, vascular sclerosis, usiku sweats, chenjera abdominal marwadzo, iyo kazhinji kuvhiringidzwa ectopic nepamuviri uye appendicitis. Uyewo yokubereka tiibhii vakadzi kazhinji kunokanganisa zvisingafadzi nezvekufadza panzvimbo dzapasi mudumbu, uye fivha shoma-mugiredhi.

The kukundwa pamusoro mycobacteria of genitourinary hurongwa

mhando iyi TB zvinoda nenguva chirwere uye kurapwa. Chirwere kunotanga Bugorkova nhego kukuvara. Wokutanga kutambura itsvo uye chete pashure kuti ureter kana dundira.

Tiibhii Urinary uye pasikarudzi kuumbwa, kazhinji zviri chikuru lesion nguva isati kukura zvirwere vechiduku uye nevana. With chirwere ichi kazhinji kutyora weti, rinogona speeded uye kuti pamwe unopinza kurwadziwa. Mune zvimwe zviitiko, weti ukasunungurwa migove diki.

Kana mycobacteria kukanganisa nhengo nezvezvimwe zvinetso zvedundira, pane hematuria, marwadzo, vachirwadziwa uye patainzwa hunhu vari lumbar nharaunda, kakawanda chido kuchimbuzi nokuda vasanyanye mochevika chinzvimbo. Kunyange zvakadaro, chirwere vanokwanisa vanotsamwisa pyuria panguva iyo kuoneka pus iri weti kana ikabereka leukocytes.

Tiibhii pakati nhengo dzokubereka nadzo nevanhu

zvokurwara Izvi kazhinji zvinokanganisa majaya vasina asvika kuyaruka. Ainyanya kukanganiswa chirwere ichi mu varume vane makore 21 kusvika 50 makore, munguva kuwedzera kuita zvepabonde.

Tiibhii akawana munhurume nhengo dzokubereka nadzo rinowanzova muchimiro sinus, muzinda, miliary, muzinda-dzinoparadza siyana. Varwere nechirwere chakadaro chitarisiko chokunyunyuta nemaronda pamusoro yemukomana, kuvapo kana fistula crotch scrotal ganda akatsvuka, ungaderedza Vhoriyamu ejaculate, pus kana ropa iri urume, kushaya mbereko. Pamusoro kuti vane mumatenhere sikarudzi, kunorwadza zvepabonde, uye kuderera mune potency.

Vanhu vazhinji vane chirwere ichi vanonzwa patainzwa marwadzo, izvo dziri muna perineum, tikarega shure, scrotum. Kukurirwa kwakaita mycobacteria kweprostate kana seminal vesicles kazhinji simuka kupatirwa uye kunzwa waziya ari mugaranhoko.

marudzi chirwere

Yokubereka tiibhii mu akasimba pabonde dzinoiswa kupinda huru mbiri siyana:

• Chenjera Danho inobata vanenge 30% yevanhu. Dzinoratidzwa pakarepo pakuvonekwa kuzvimba manda ovary, irwadziwe kwazvo, Hwakatsvuka ari paganda scrotum, fivha, zvakawanda zvive, chills.
• Chirwere Danho kunoitika muna 70% yevanhu. Hosha iri muchimiro ichi uye stale zvishoma nezvishoma kwomuzvarirwo kana yakaderera fivhiri kugiredhi. Kune marwadzo kudhonza hunhu, pane munyoro akatsvuka pakati scrotum. Epididymis nemumakomo uye gobvu, kazhinji kuoma nokuda fistula kana soldered kuti scrotal ganda.

The kunotoda weboka zvirwere zvepabonde kurukutika

Tiibhii vanhukadzi sikarudzi, kazhinji kumbopfeka kuratidzwa siyana uye dzakasiyana-siyana zviratidzo. Dzimwe nguva chete chiratidzo pakati zvokurwara ndiyo nekusagona pamuviri. Kushaya mbereko hwapedyo nokuda kwemakemikari anobudiswa zvinetso, maronda ari fallopian sepombi kana endometrium.

Varwere vakawanda tatarisana kumwedzi dysfunction: nesekondari amenorrhea, mugari kumwedzi, oligomenorrhea. mhosva iyi kumbowanikwa hadzi muviri somugumisiro tibhii kudhaka, maronda ari kusangana nekutsi kwemukadzi mucosa divi mukati dumbu uye ovarian parenchyma.

Tiibhii nhengo dzokubereka nadzo dzevakadzi kazhinji ane chirwere kosi. In chimiro ichi anogumbura pezvakaitwa zvakazadza goho rimwe Urume kubva ropa munyama. The tembiricha kazhinji rinobuda kuti subfebrile. Kune vachirwadziwa kurwadziwa uye kudhonza pasi abdominal mhango, sezvo nokuumbwa adhesions vari chiuno, atherosclerosis zvemukati nhengo dzokubereka nadzo uye tishu hypoxia.

Tiibhii nhengo dzokubereka nadzo pamwe exudative uye caseous kuchinja akaratidza zviratidzo kudhaka:

• kurasikirwa uremu;
• nenguva dzirikure fivhiri;
• Kugara simba uye nekuneta;
• kushaya chido kudya.

Uye vasikana vane nhengo dzokubereka tiibhii zvinogona nokuvhiringidza zviratidzo "rikwanise dumbu", nekuti kwacho kunosanganisira peritoneum. Dzimwe nguva izvi ezvinhu kunokonzera kuvhiya kushanda pamusana nokufungirana ane ectopic pamuviri, appendicitis kana atsamwira pamusoro ovarian tishu.

zvokurwara Diagnostics

Tiibhii nhengo dzokubereka nadzo dziri zhinji chinowanika rokuongorora pamusoro gayinakorojisiti. Panguva iyoyowo vakadzi kutendeukira zvimwe zvikonzero. Zvinoshandiswa kuchinja kuti munguva kukura kwavo tubercular kuzvimba. Kana pasi pakuongorora achishandisa nyanzvi pane fungidziro chirwere, anotumira varwere kuti TB kuchipatara.

sangano iri mukadzi yezvokurapa inopfuura yakazara zvakawanda chirwere matanho. Chokutanga iye Zvaizoda rinokosha ganda bvunzo kuziva basa TB mumuviri chokutsva. Kuitira kuona chirwere, ndiko swab kubva dzokubereka turakiti. Nokuti kuziva miedzo Mycobacterium tiibhii ichiri kushandisa PCR kuongorora chirwere.

Chirwere kuti tibhii sikarudzi kunosanganisirawo achiita hysterosalpingography. nzira iyi anoita unoona kutyorwa patency mumwe kana vaviri fallopian sepombi, dzomunyika contours ari dumbu, constriction musono.

Pamusoro kuonekwa pakati foci ose ari tubercle bacillus ari munhukadzi muviri sikarudzi kuita maekisirei pakati mumapapu. Kunyange vakadzi vachafanira rakagara laparoscopy nekuti nzira iyi kunoita kuti kuongorora zvomukati uye kuziva pamusoro pemvura tubercular kuzvimba. Kunze kushandisa zvibvire kuongorora kwokuomerwa adhesions ari pelvic mhango.

How kudzivirira kukura pasikarudzi tiibhii?

Kudzivisa panowanikwa chirwere ichi, zvinokosha kutanga kubva vachiri zera deystovovat. Baby mwedzi upenyu chokutanga, zvinokosha kuti mushonga pamusoro tibhii. Akadzokorora inoculation pamusoro BCG rinoitwa pa7, 12 uye 17 makore. Kudzivirira kunorevawo boosting masoja emuviri uye kusimbisa muviri.

kuchirapa matanho

Mabatirwo tibhii yokubereka cheka rinoitwa chete ari kushandiswa pachipatara pacho, chipatara kana TB kiriniki. Nokuti kurapa chirwere ichi anoshandiswa mishonga chemotherapeutic vanowanzopedzisira chokubatanidza zvinodhaka zviviri bactericidal chiito. Izvi inorangarira kushanda kwavo uye tolerability murwere.

Mishonga nokuti nokurapa pasikarudzi tiibhii

Zvinangwa zvakadaro, vanachiremba akarayira: metazid, streptomycin, the reef-pitsin, isoniazid, ethambutol, kanamycin uye zvimwe zvinodhaka. Munguva 12-18 mwedzi wokutanga biomitsin kana kanamycin ikashandiswa pamwe kana ftivazid tubazid. A akanaka mugumisiro anopa wemishonga ethambutol irifampitsina pamwe isoniazid kwemwedzi 15.

Kuwedzera antibacterial zvinodhaka, varwere vanokurudzirwa kushandisa antioxidants uye mavhitaminzi. Modern mishonga yekudyidzana akaderedza kudiwa pakuvhiya vakadzi. The zvakawanda kuti haisi anokurudzirwa kana matambudziko pamuviri tubercular Genesisi pombi epurasitiki.

Yeuka kuti kurapa zvokurwara ichi - a rakaoma uye dzakareba chichiitwa, iyo kunoda kushivirira kubva murwere.