Isifo sofuba kwezitho zobulili: izimpawu, uphethwe, ukuphathwa

sofuba zangasese iyisifo yesibili, ukuthuthukiswa okuchukuluza mycobacteria. Kwakheka zokugula ku isizinda ukutheleleka okuyisisekelo esithinta amaphaphu noma amathumbu. Lesi sifo uthola isibunu lymphogenous, oxhumana naye noma umzila hematogenous.

Ukwahlukaniswa ukutheleleka

Ngokwe-izici emitholampilo morphological sofuba of umthondo luhlukaniswe amafomu alandelayo:

• Cheesy. Lesi sifo, uqhubeka nenqubo izinqubo abukhali futhi ezisindayo.
• Okungalapheki. Izimpawu kuleli fomu wavuma wazwakalisa.
• Subacute. Kukhona abalulekile ukulahlekelwa futhi exudative-proliferative izinguquko.
• Iphele inqubo. Encapsulation kwenzeka foci.

Ngaphezu kwalokho, isifo sofuba ukuthi ithelela umthondo, kungaba asebenzayo, ngasebenzi, futhi uthulisa phansi. Esimweni sokuqala, lesi sifo singumbulali iminyaka engu-2, kanti eyesibili eba ngaphakathi 2-4. sofuba Akusebenzi - inqubo eyayisele ngemva kokwelashwa. Lapho inkambo isifo iminyaka emine kuba nzima ngokwengeziwe, khona-ke, kwenzeka okubi kakhulu. Futhi uma izibonakaliso sofuba zangasese sekukhona kuphela ngemva kweminyaka eminingi, sikhuluma nale nkinga futhi.

Esinye isifo esinjalo ihlukaniswa ngokweminyaka endaweni onegciwane: endometrium, oophoritis futhi salpingitis. Ama-bacterium kwalesi silwane sofuba futhi ihlukaniswe yaba MBT (+) kanye ne-Ofisi (-).

Izimbangela ukuthuthukiswa isifo

Ukutheleleka nalesi sifo zingaphinde zivele noma ubudala. Uma umuntu inohlelo sihlale siphilile, le mycobacteria azibonakali ngokushesha, okwenza kube nzima ukuhlonza.

ngezinye izikhathi Isikhathi esicashile ihlala iminyaka engu-noma ngisho emashumini eminyaka, kodwa uma kwenzeka izinto nokucupha izimpawu isifo ziqala ukuvela. Ngokwesibonelo, uma Ukuwohloka imisebenzi okuvikela umzimba, ngenxa ngamagciwane okunzima yinto ehlukile, izifo yezitho zangaphakathi, ukukhathala, ngenxa ukucindezeleka, imikhuhlane zeluliwe, ukuhlinzwa.

Lapho isifo sofuba sithinta emaphashini, mycobacteria sebeqala lasakazekela isibunu. Uma kusaqalwa avele khona izimpawu, lesi sifo ngeke zimiswe masinyane. Nakuba izimpawu musa njalo ukuqinisekisa ukuthi isifo sofuba zangasese ukukhombisa uqobo.

Isifo sofuba kwezitho zobulili: izimpawu

Izimpawu main kwalesi sifo kungavuka intsha esikhulakhulile phakathi nokuthomba. Ukuhlupheka-ke ikakhulukazi wobulili bubuhle abaneminyaka engu-20 kuya kwengu-40 ubudala. sofuba zangasese ngemva kwalesi sikhathi ezingajwayelekile kakhulu.

Lokhu ukutheleleka uyakwazi flow ngaphandle izimpawu ezisobala ziyahlukahluka ngokwehlukahlukana kwabo. Kaningi, isici esiyinhloko-TB, ukushaya umthondo kwabesifazane, kuba engenakwenzeka lokukhulelwa ingane, ngenxa endocrine neziyaluyalu, noma isifo amashubhu fallopian futhi sowesifazane sangasese mucosa ohlangothini.

Ezinye izimpawu sofuba zangasese

Yonke enye into, isifo singalapheki kuhambisane nezimpawu njengesifo sokuzincisha, amenorrhea, kwesisindo ngaphandle kwesizathu, ukuqina kwamathishu semithambo, ukujuluka ebusuku, acute ubuhlungu besisu, okuyinto evame kudidaniswe ukhulela ethunjini futhi appendicitis. Futhi e zangasese sofuba abesifazane ngokuvamile ukuphazamisa emizweni ezingemnandi esiswini aphansi, futhi ongaphakeme-ebangeni imfiva.

Ukunqotshwa kwe-mycobacteria kohlelo genitourinary

Lolu hlobo TB kudinga uphethwe ngesikhathi esifanele kanye nokwelashwa. Izifo iqala Bugorkova umonakalo isitho. Okokuqala ukuzwela izinso futhi kuphela ngemva kokuba ukuthi ureter noma esinyeni.

Isifo sofuba urinary futhi zangasese kwakhiwa, ngokuvamile esiyinhloko isikhathi lesion phambi ukuthuthukiswa wamasosha omzimba abantu abasha nezingane. Nalesi sifo ngokuvamile kungukuphula ukuchama, kungashiwo speeded futhi kuhambisane izinhlungu abukhali. Kwezinye izimo, umchamo ikhishwe izingxenyana ezincane.

Lapho mycobacteria kuthinte izinhlaka uhlelo urinary, kukhona hematuria, ubuhlungu, ezidabukile futhi uhlamvu zibuthuntu endaweni lumbar, nesifiso sokufuna njalo yokugezela ngenxa ukwehla umthamo mochevika. Noma kunjalo, lesi sifo uyakwazi avuse pyuria lapho ebonakalayo ubomvu emchamweni noma leukocyte kukhiqizwa.

Isifo sofuba ka izitho zangasese ezingabantu

Lokhu zokugula kuyaqabukela kuthinta Amajaha azifinyelelanga nokuthomba. Ikakhulu abangenwa yilo isifo Abesilisa abaneminyaka engu-21 kuya ku-50, esikhathini okwandayo izenzo zocansi.

Isifo sofuba ezitholakala izitho besilisa zokuzala ngokuvamile ngesimo itheku, ebalulekile, miliary, amafomu ebalulekile ngendlela elimazayo. Iziguli unesifo ukubukeka efanayo ukukhononda izilonda ekhanda wenduku, ubukhona fistula ukuxhuma isikhumba scrotal ububomvu, kwehle ivolumu ejaculate, ubomvu noma igazi isidoda, ukungazali. On top of ukuthi banayo ukuvuvukala ezithweni zangasese, orgasm ubuhlungu, bese wehlise ngo potency.

Abantu abaningi nale uphethwe ubuhlungu zomile, okuyinto zitholakala perineum, wehlise back, scrotum. Lapho kunqotshwa mycobacteria we wendlala noma vesicles kwesidoda ngokuvamile kuphakama ukuqunjelwa kanye umuzwa wobukhulu ku ingemuva.

izinhlobo isifo

sofuba zangasese kwabobulili namandla zihlukaniswa amafomu ezimbili eziyinhloko:

• isigaba olunamandla kuthinta cishe 30% wabantu. Libhekene ngokuzumayo kokuvela ukuvuvukala neseleko esibelethweni, sebuhlungwini obunzima, reddening kwesikhumba we scrotum, imfiva, ukucobeka, Ukugodola.
• isigaba Okungalapheki kwenzeka ngo-70% wabantu. Lesi sifo kuleli fomu futhi indala kancane nge evamile noma ongaphakeme grade imfiva. Kukhona indawo ngeminjunju edonsa uhlamvu, kukhona ububomvu kancane the scrotum. Epididymis inamagquma futhi obukhulu, ngokuvamile nzima fistula noma soldered isikhumba scrotal.

Inkambo zokwelapha lesi sifo kwabobulili buthaka

Isifo sofuba of umthondo zesifazane, ngokuvamile ezigugile ukubonakaliswa ezahlukene futhi ezihlukahlukene izimpawu. Ngezinye izikhathi izimpawu kuphela zokugula kuyinto ukungakwazi ukuthini ukukhulelwa. Okungavundile eba ngenxa endocrine neziyaluyalu, izilonda amashubhu fallopian noma endometrium.

Iziguli eziningi zibhekene nezinkinga zabantu besifazane: amenorrhea zamabanga aphansi naphezulu, esikhathini okungajwayelekile, oligomenorrhea. Lokhu iphutha kwenzeka emzimbeni owesifazane ngenxa sofuba ukudakwa, izilonda lwesitho sangasese sowesifazane mucosa ohlangothini ngaphakathi kwesibeletho futhi parenchyma wesibeletho.

Isifo sofuba kwezitho zobulili zabesifazane ngokuvamile has a Yiqiniso ezingamahlalakhona. Kuleli fomu izinqubo ukuvuvukala linqobe ekhishwa uketshezi negazi kwezicubu. Amazinga ngokuvamile antante subfebrile. Kukhona ezidabukile ubuhlungu futhi edonsa phansi komgodi ongaphakathi kwamathumbu, njengoba kumiswa ukuvuvukala e ukhalo, isifo sokuqina kwemithambo yegazi izitho zangaphakathi zokuzala nezicubu hypoxia.

Isifo sofuba kwezitho zobulili nge exudative futhi caseous izinguquko wabonakaliswa izimpawu zokudakwa:

• ukuncipha;
• imfiva ngezikhathi;
• ubuthakathaka njalo nokukhathala;
• ukuntula isifiso ukudla.

Futhi amantombazane ngesifo sofuba zangasese kungaba wayephambanisa izimpawu of "esiswini oyingozi", ngoba kuhilela peritoneum. Kwesinye isikhathi lokhu isimo abangele operation kuhlinzwa ngenxa yokusola ukuthi i ethunjini sokukhulelwa, appendicitis noma ukudabuka ijwabu wesibeletho.

zokugula ukuhlola

Isifo sofuba kwezitho zobulili ezimweni eziningi butholakala ukuhlolwa udokotela wezifo zabesifazane. Ngesikhathi esifanayo abesifazane ujike nangenxa yezinye izizathu. Ezihlobene izinguquko ezenzeka phakathi ukuthuthukiswa wabo ukuvuvukala tubercular. Lapho ngaphansi luhlolo nguchwepheshe kukhona izinsolo lesi sifo, uthumela iziguli esibhedlela TB.

Lesi sikhungo owesifazane yezokwelapha sihamba uhla egcwele izinyathelo zokuxilonga. Into yokuqala wayezoba ukuthatha isikhumba ukuhlolwa okukhethekile ukuthola TB e yisishiso umzimba. Ukuze ukuthola lesi sifo, kuba swab kusukela ipheshana zangasese. Ngoba ukuthola isifo sofuba Mycobacterium namanje asesebenzisa PCR uphethwe.

Ukuxilongwa sofuba umthondo Kuhilela kokwenza hysterosalpingography. Le nqubo ikuvumela ukuthi ubone kuphula umthetho we patency oyedwa wenu noma nobabili fallopian amashubhu, wabuka sangaphakathi kwesibeletho, constriction umphetho.

Phezu ukuthola foci of imbewu eletha tubercle emzimbeni yabesifazane izitho zangasese ukwenza X-ray kwamaphaphu. Ngisho ladies kuyodingeka ibhekane laparoscopy ngoba le nqubo ivumela ukuhlola izibilini ukukhomba phezu ukuvuvukala tubercular. Ngaphandle usebenzisa kungenzeka ukuhlola kobukhulu ukuvuvukala kule ingaphakathi okhalo.

Indlela yokuvimbela ukuthuthukiswa isifo sofuba zangasese?

Ukuvimbela okuvela yalesi sifo, kubalulekile ukuba uqale kusukela ekuqaleni yobudala deystovovat. Baby ezinyangeni zokuqala zokuphila, kubalulekile lokwenza umuthi wokugoma ngokumelene sofuba. inoculation okuphindiwe BCG Kwenziwa at 7, 12 no-17 iminyaka. Prevention kusho futhi ngokusiza isimiso sokuzivikela ezifweni futhi uqinise umzimba.

izinyathelo zokwelapha

Ukwelashwa nokuvikelwa sofuba mkhuba wenziwa kuphela esibhedlela ezikhethekile, isibhedlela noma umtholampilo TB. Ukuze asetshenziswa yokwelapha lesi sifo izidakamizwa chemotherapeutic bavame ukuhlanganisa imithi okungenani ezimbili isinyathelo amagciwane. Lokhu ucabangela impumelelo yabo tolerability isiguli.

Imithi yokwelapha isifo sofuba zangasese

Ngezinhloso ezinjalo, odokotela linqume: metazid, i-streptomycin, izixhobo pitsin, i-isoniazid, ethambutol, kanamycin nezinye izidakamizwa. Esikhathini zokuqala ezingu 12-18 biomitsin noma kanamycin sisetshenziswa ndawonye noma tubazid ftivazid. A yi enhle inika inhlanganisela ethambutol irifampitsina ne-isoniazid izinyanga 15.

Ngaphezu izidakamizwa elwa namagciwane, iziguli bayakhuthazwa ukusebenzisa Antioxidants namavithamini. ngelashwa nangemithi Modern kakhulu yanciphisa isidingo sokuhlinzwa okuningi ukuhlinzwa kwabesifazane. Lapho ukuthi is hhayi Kunconywa uma izinkinga nge ebamba isisu genesis tubercular amapayipi epulasitiki.

Khumbula ukuthi ukwelapha lesi zokugula - kuwumsebenzi onzima futhi isikhathi eside, edinga isineke kusukela nesineke.