Kuyini sofuba infiltrative?

sofuba Infiltrative libhekisela amafomu yesibili sofuba kwenzeka ikakhulukazi abadala. Ngesinyenyela eba ngenxa ukuvuvukala, esemgwaqweni emhlabeni foci fresh. Ngokuvamile esigabeni ukuthuthukiswa izilonda fresh emaphashini uhlala engabonakali, futhi lesi sifo sitholakale umuntu kudala njengoba esiteji kokuziphatha kwakhiwa.

Ngokuvamile infiltrative isifo sofuba yamaphaphu kuthinta lobules eziningana ingxenye subsegment noma sonke Lobe. Nonspecific isithombe basemtholampilo lesi sifo, futhi ukukhomba isifo kungaba izimpawu isidina.

Njengenjwayelo, ikhombisa umlando lesi sifo, isifo sofuba infiltrative usungaqala oyingozi noma subacute futhi uvame ukuzikhumbuza umtholampilo umkhuhlane noma i-pneumonia. I lokushisa lomzimba lunyuka ngokushesha izinombolo okusezingeni eliphezulu - 38-39S. Isiguli azizwa ubuthakathaka jikelele, ngezinye izikhathi ubuhlungu esifubeni, isifuba esomile bese wamanziswa ngamazolo isikhwehlela, kwesinye isikhathi esincane igazi.

Uma isifo sofuba infiltrative iqala babazi, ngokuvamile okwatholakala umkhuhlane noma i-pneumonia. Kufanele kukhunjulwe ukuthi Evikini elilodwa noma amabili ngisho ngaphandle kokwelashwa noma ukwelashwa okungafanele phakathi isimo jikelele isiguli kungenzeka ingasebenza ngcono, okuyinto kuhambisana ukwehla kwezinga lokushisa. Lokhu kungenxa yokuthi i-nokwahlukana kwenzeka ngesinyenyela nge expectoration caseosa. Ngenxa yalokho, lokhu kunciphisa ukumuncwa ezinobuthi kanye ukudakwa. Isiguli nodokotela nesivunguvungu, kuyilapho sofuba infiltrative iqhubeka. Ngemva kwesikhashana, zonke izimpawu zivuselelwa.

Uma isifo sofuba infiltrative eba kancane kancane, okuyinto okubonakale cishe u-40% amacala, iziguli esekhala ukukhathala, ukungakuthandi ukudla, ubuthakathaka jikelele, ukujuluka, lezivakashi ongaphakeme-ebangeni imfiva, ukukhwehlela okuncane. Ngokuvamile, lezi iziguli musa unake lezi zimpawu ezihlobene nokusebenzelana ukukhathala nokubhema.

Emlandweni sifo kwezinye iziguli kunobufakazi ukuxhumana iziguli ezine-TB noma ukubonakala kwaso izinguquko ebalulekile emaphashini, noma idluliselwe ku zokugcina sofuba eqondile.

Uma kubhekwa umuntu uhlupheka infiltrative isifo sofuba yamaphaphu, ngokuvamile ningabonisi angahlangani ethize. Kuphela kwezinye izimo kakhulu aphansi umzimba mass index, nokusilela muva okuncane of hambo zokuphefumula elilodwa nengxenye kwesifuba. Palpation kwenza kube lula ukubona ukuthi lo mkhuhlane imisipha ye kwebhande ehlombe kusukela ukunqotshwa, ushintsho izwi liqhaqhazela ka kokuziphatha endaweni. Guqula bebheke eshaywayo umsindo sokubulala kungabonwa kuphela uma lingene ububanzi 4 cm, ngesikhathi ezingekho ngaphezu 4 cm ukujula ebusweni elingaphandle thorax. Auscultation umoya phezu indawo ukuvuvukala ethize kungenzeka eqinile ne umoya elongate ngezinye izikhathi kahle ngenxa kuphula umthetho we isimiso bronchial. Ngo ukubola kokuziphatha uthephwe olumanzi amancane naphakathi ogobhozayo rale.

Ngokuhamba ukuphathwa ngempumelelo sofuba infiltrative mhlawumbe resorption wako. Ezimweni ezinjalo kusukela umkhuba wami kungaholela Ochwepheshe abaningi TB. Kodwa, njengoba cishe njalo emlandweni wezokwelapha i-TB, isifo sofuba infiltrative kuholela ekwakhekeni in situ ethize ukuvuvukala foci densified, kuyilapho ucishe ezinzima izinguquko fibrotic. Ngezinye izikhathi kokuziphatha perifocal resorbed nokunjengoshizi isikhungo focus encapsulated. Kuye ngobukhulu enjalo caseation encapsulated noma ichashazi ezimise kwemizi tuberculoma. Uma kokuziphatha akuyona matasa ngokugcwele kanye ezicutshini ikhula endaweni yayo kwakhiwa ensimini induratum. Ngenxa ukuncipha we lingene nokulingana bangase bafinyelele isifo sokusha Lobe wamaphaphu. Lapho ayizwakali ukwelashwa ingaphakathi kwamazinyo ingaluqedi, kwakhiwa fibrotic nodonga lwawo. Kulokhu, isifo sofuba infiltrative kuba yinkimbinkimbi zesifo - cavernous noma fibrocavernous.