Inyumoniya Caseous: Izimpawu, ukwelashwa, umlando wezempilo, Yiqiniso yomtholampilo, isithombe, ukuxilongwa umehluko

Okwamanje, i-emphakathini wanamuhla usongela kubhubhane eziningana okusongela ukuya bhubhane. izifo It ezifana ne-HIV, i-hepatitis B no-C kanye Yebo sofuba. Inani eliphakeme nokufa nemiphumela ukukhubaza ungashiyi umuntu ithuba lokulwa nezifo, futhi uma sicabangela ukuthi uphethwe incike iziguli ngokwabo, ukholo lwabo udokotela futhi ufuna aphathwe ke kufanele uwubeke ngobumnene, isithombe edabukisayo.

definition

inyumoniya Caseous kuwuhlobo wamaphaphu nesifo sofuba. Kwenzeka abulalayo ezingaphezu kuka-pneumonia evamile okubangelwa flora coccal. Futhi elinesimo predominance izinqubo necrotic e iphaphu ukwakha izaqheqhe esikhundleni wamaphaphu parenchyma evamile. Ngokuhamba kwesikhathi, bona babhekana lysis, futhi esikhundleni sabo kukhona izimbotshana ezinkulu. Ngemva kwalokho, zingase zibe njalo noma isibanda, ukunciphisa ngisahlose kwamaphaphu futhi, ngokufanelekile,, umoyampilo enikeziwe futhi lanwetshwa, baphokophelele parenchyma azungeze isitho. Le nqubo futhi kunomthelela omubi negesi lokushintshisana futhi kuholela ukuqhubeka hypoxia exogenous.

ngezigaba

Kuye indawo izicubu, inyumoniya caseous sehlukaniswe subtypes ezintathu:

1. Lobar. ifomu Independent, esiqukethe zonke share ngokugcwele. Njengoba ivolumu ezilimele izicubu necrosis, futhi sezibekwe ngaphansi esikhulu, iziguli owandile esindayo ukudakwa uphawu. Ngenxa yalokho, ukukhanya Incibilikile futhi kwakhiwa emigedeni.
2. umumo Lobular, noma lobulit. Lokhu inkinga ye sofuba ekhona. Ngokuphambene kulowo eyedlule, sihilela iyizingxenye eziningana, okubangela ezinzima ubuthi ukudla izicubu kwamazinyo.
3. Acinar. Lubonakala njengoba izinkinga zokwenza miliary (okubi) sofuba. Naphezu kweqiniso lokuthi acinus - kuba ingxenye owesincane wamaphaphu, isifo idluliswe kunzima kakhulu, njengoba ezindaweni ezithintekile kuvame aziqabukeli, kodwa wonke umzimba parenchyma.

lwezifo

Njengoba kuphawulwe ngenhla, i-TB nzima uhlobo enjalo isifo njengoba inyumoniya caseous. Umlando isifo iminyaka abantu abangaphezu kwezinkulungwane eziyikhulu, futhi phakathi naleso sikhathi abantu abakwazanga beveza ikhambi. Imithi elwa namagciwane ukuthi ithatha iziguli iziyise manje baba asihlobene ngemva kweminyaka eyishumi noma amabili, ngoba lwegciwane kuyodingeka isikhathi ukuthuthukisa ukumelana le ukuchayeka kumakhemikhali.

Lesi sifo eba ngokushesha, izimpawu zokuqala avele angabacwasi ngokushesha emva kokutheleleka. Ubuthi obukhishwa ama-bacterium ukuthi zibulale amasosha omzimba, buthaka ke. I akuxhomekile main, kuncike inyumoniya caseous abantu emphakathini labo ababencishwe amathuba ngaphambilini. Futhi hhayi nje ngenxa nokuntuleka kwenhlanzeko eziyisisekelo, ukudla okunomsoco nezimo zokuphila ezingezinhle, kodwa futhi ngenxa yokwehluleka ukwelapha zokugula ecashile.

Ukuthuthukiswa lesi sifo

Ngenxa division okusheshayo kanye nokukhula M. sofuba emaphashini kuyinto OAmaKristu amasosha omzimba jikelele kanye lendawo. Izilokazane ezincane zikhiqiza enzyme ukuthi zinobuthi solwazi izivikeli mzimba, nokucupha apoptosis (yokufa kwamangqamuzana engokwemvelo). Ngakho, ngemva ekuqongeleleni mass esibucayi-bacterium iqala izindlela ukungasebenzi ukuzivikela komzimba womuntu. A kwesifo abalulekile ejenti e izibilini izidakamizwa ubuthi asihole encishisiwe isibindi umsebenzi, indlala adrenal, ukonakala kwemisipha zenhliziyo kwemizwa uhlelo lesion.

Kuleli, ku isizinda ukungatheleleki ongaphakeme, waphawula izinqubo necrotic ku parenchyma wamaphaphu, foci amaningi ukuvuvukala ne izaqheqhe ngaphakathi. Ngokuhamba kwesikhathi, bagcina chaza enzyme yabo yomzimba, futhi esikhundleni labo lalibonakala umgodi (izimbotshana).

izimpawu

Inkambo zokwelapha i-pneumonia caseous ungaba zimo ezimbalwa:

1. Nenyumoniya, ukuthi kufana inyumoniya zakudala - .. lokushisa High (kufika ku-degree amane), Ukugodola, ukukhwehlela, ubuhlungu besifuba, dyspnea.
2. Flu - imihlola catarrhal (amakhala yisisu, amehlo zamanzi, amalaka edema) yibona phezu ukudakwa. Kukhona imfiva okuncane, kungaba ukukhwehlela.
3. Sepsis - lokushisa eliphezulu kakhulu (amane kuya amane nanye degree), ukudakwa, migraine, ukukhwehlela ku-intanethi.

Ekuqaleni, asinazo izimpawu ukukhathazeka kungukuthi uyalandelwa. Easy isifuba esomile yenyuka lokushisa ebusuku, ukungakuthandi ukudla. Abakwazi isikhathi eside ngokwanele kuze kube isifuba esomile ngeke uhambe ezimanzi, futhi kuyoba khona isikhwehlela viscous ogqamile. Kuleli qophelo, izinga lokushisa lehla kakade, futhi nokuvaleka kwemigudu yokuphefumula, ngokuphambene nalokho, liyakhula. Udokotela angase anikeze usola ukuthi isiguli caseous nenyumoniya. Izimpawu yilezi non-ethize, kodwa ngokuhlanganyela ukuhlaziywa nomlando wokuphila kwesifo azocaca.

ukuhlola

Ngaphezu lokuqoqa nomlando wokwelatjhwa yakhe nemlandvo wetekwelashwa kwakhe, lo dokotela kumele ahlole umuntu ngokucophelela ngoba kungenzeka ukuba palpate-lymph, ulalele umoya wakho. Kodwa ukuze ngokunembile ukuqinisekisa ukuthi ezizathwini yakhe ziyiqiniso, le Craps udokotela isiguli lab ukuhlolwa:

1. X-ray yesifuba. Phthisiologists wathola izici isici okuyizinto esivela izifo ezifana nenyumoniya caseous. Photo ukukhanya nesithombe elinikezwe ngenhla, kukuvumela ukubona amaningi izicubu foci ukuncibilika umzimba.
2. Mantoux noma Diaskintest. ngendlela elula futhi kuqhathaniswa okusheshayo okusiza ukuba kubonakale khona elwa ne-TB amasosha omzimba. Kodwa lokhu akusho ukuthi unike isiqinisekiso ngamaphesenti ayikhulu lesi sifo, futhi kungaba kokubili ezimbi omuhle neyamanga zamanga.
3. microscopy isikhwehlela. Isiguli uyabuzwa ukuqoqa isikhwehlela izinsuku ezintathu embizeni oyinyumba. Khona-ke libhekisela endaweni yokucwaninga lapho ibekwe endaweni naphakathi ekhethekile Lowenstein-Jensen, ehlanganisa sebuningini kwezakhi adingekayo ukukhula virus. Futhi kamuva nje ngesonto ke empeleni iyokwaziwa, ihlukanisa indoda tubercle imbewu eletha noma cha.
4. Qiniseka ukuthi uyaliphakamisa indinganiso ukuxilongwa emitholampilo ukuhlolwa: ephelele kakhulu segazi, urinalysis, igazi biochemistry, ushukela egazini, ama-calories yaytseglist ngayinye.

ukuxilongwa umehluko

Udokotela wokuqala ukuqinisekisa ukuthi isiguli nenyumoniya nokunjengoshizi ngempela. Imiphumela yaloku kuhlola okungenhla Ukwahlukaniswa kulokhu kusiza ukuvimbela izifo ukuthi kukhona isifo azifane nalezo kubhekwe yithi egunjini lokuhlolwa kwezifo. Futhi emgqeni wokuqala kuba lobar evamile noma pleuropneumonia. Umehluko kuphela phakathi kwawo izoba nohlobo uquqaba necrotic nasesikhathini exciter. Zonke ezinye nemingcele mibuthano.

Nokucabanga yesibili kungaba infarction yamaphaphu. Kodwa kwanele ukwenza i angiogram wokuthi yadalwa Esimeni esinjalo. Ngaphezu kwalokho, isiguli kumelwe lilethe umlando noma ukulimala, noma isifo sokuqina kwemithambo yegazi, noma ukwethulwa emoyeni emgudwini wegazi kanye / noma izixazululo oily.

Lesi sifo lwesithathu, okumele abe kuqhathaniswa iyona esibhibhayo. Ngo kakhulu ekuthuthukeni kwale zokugula iba nomkhuhlane, ukudakwa ezinzima, kodwa ngeke kube ukukhwehlela futhi phlegm.

ukwelashwa

Uma kutholakala ukuthi uphethwe yini "i-pneumonia caseous", impatho isiqalisile ngokushesha. Umuntu idluliselwe esibhedlela TB ekhethekile, lapho kukhona ithuba athobele ezifanele embhedeni ukuphumula nokudla.

Okokuqala, udokotela ehilelekile ngempumuzo isimo sibi, kungaba ukushaqeka enobuthi noma nokuvaleka kwemigudu yokuphefumula. Ngenxa yalesi nesineke ukwenza ukumnika sorbents futhi isisu, ukuqhuba plasmapheresis. Bese kufika ithuba lika-ukwelashwa esebenzayo lapho ngisanda kuba isenzo elwa namagciwane okufakwa ekudleni antihypoxants, anticoagulants, amahomoni, interferon. yokwelapha Specific ukusetshenziswa izikimu izidakamizwa elwa namagciwane elakhelwe sofuba Mycobacterium.

ukuba nombono ongafani ngeke

inyumoniya Caseous kunzima ngempela aphathe, Ngakho-ke, i-ukuphila nempilo imiphumela kungenteka babe engelapheki. Mhlawumbe ngisho ekubhujisweni ngokuphelele yamaphaphu, okuyinto nakanjani kuholela nokuvaleka kwemigudu yokuphefumula.

Iseluleko eyanikezwa abantu abaneminyaka odokotela TB kutholakala ukuthi uphethwe yini Koch Wand ziyancipha yokuthi akufanele ukusebenzisa lesi sifo. Kuyadingeka ukuze uqale ukwelashwa ngesikhathi futhi uhambe ngalo ngokuphelele, kodwa ngenxa komphakathi abampofu iziguli, kanye bahlezi, inyumoniya caseous kuyinto inkinga njalo isifo sofuba. Lolu bhadane, odokotela neze ukubhekana namuhla.