Tiibhii intestinal: Zviratidzo neMarapirwo

Pamwe kenza pose zvirwere zvakadai tibhii. Inonzi Koch Wand kudonha kubva munhu anorwara kuti utano, nokuda droplet chinja. Tiibhii of ura, zviratidzo izvo tichakurukura munyaya ino, kazhinji anoita somunhu chirwere yechipiri muna varwere zvatichiri maronda mumapapu kana dzimwe nhengo.

Tiibhii of ura: tsanangudzo

Ainzi zvokurwara - chirwere zvirwere kupararira hunhu, muchikura muviri kuparadzira mycobacteria kubva mumapapu kusvika zvomudumbu zvomukati, zvichida zvakananga kuonana Via mate uye utachiona zvigadzirwa. Tiibhii kunoratidzwa chitarisiko anomera munzvimbo muura kana vaduku ura, avo yezwi maronda nodules inotungamirwa guru in, uye nounyoro kuti palpation pemvura.

Similar chirwere - chiitiko isingawanzowanikwi. Kunoratidza pacharo mune zvinenge 40 vanhu por 100,000 kubva vakawanda vanogara. TB rinowanikwa kakawanda pashure porufu. Mumakore upenyu murwere semhosva maronda colitis.

Ndezvipi zvinokonzera intestinal tiibhii?

Tiibhii of ura chokuita pamberi zvimwe zvinhu:

1. HweHIV of zvomudumbu zvomukati mycobacteria Koch bacillus.
2. Kwakaderedza zvirwere ehondo muviri.

Uyezve, intestinal tibhii angatanga sezvo mhinduro inotevera pathological pezvakaitwa:

1. Abstsessnyh kuvapo mananara kuti zvine chokuita nemamiriro ezvinhu intestinal mucosa wayo kutapata.
2. Abuse fodya uye doro.
3. HIV-chirwere chirwere.
4. Kuvapo chirwere cheshuga mellitus.
5. Constant kuvapo muna zvinhu zvinoshungurudza.
6. Kushanda munzvimbo dziri ngozi kuutano.

Zvinofanira kucherechedzwa imwe nuance chirwere ichi. Kana uchida kuziva intestinal tiibhii iri chinotapuriranwa kana kwete, kuti mhinduro yakajeka: hongu.

Ndezvipi zviratidzo?

Kuti uzive kuti une tiibhii intestinal zviratidzo, zviratidzo sei zvitange chirwere rokutanga, vazhinji vari kutendeukira kukodzera nzvimbo uye, zvikuru zvine musoro, hapana mashoko nekusimbiswa. Asi, pasinei mukuru asymptomatic chirwere, vanachiremba vachiri kusiyanisa zvinotevera zvinoratidza akati zvokurwara:

1. Pain. Kakawanda zvaitika panguva palpation kana pakarepo. Dzimwe vane zvachose hunhu, pamwe zvenguva unopinza kurwadziwa mhiri nzvimbo nemudumbu.
2. Manyoka, kupatira. Chair isina, nemvura uye kakawanda, ipapo dzinoratidzwa nekusagona apore.
3. Gag dzepanguva, svoto. Dai kuitika masikati uye kuenda murwere kubva 1 kusvika 3 days.
4. Palpation of abdominal mhango kazhinji palpated chisimbiso. Kuwedzera kuziva miedzo nodules murwere anonzwa kurwadziwa.
5. Flatulence.
6. Soreness cecum.
7. Chimiro ropa fecal vakawanda. Rinogona kusunungurwa diki uye yakawanda. It ane mashava Hue.

Kazhinji, zviratidzo zvakadai kuonekwe somunhu gore pashure pakatanga chirwere tibhii, uye makore 15 gare gare. Zvose zvinoenderana yakarurama mararamiro, utano hwakanaka murwere uye kusavapo anomera.

Intestinal tiibhii: sei kukudziridza

The ura zvinovhiringidzika Koch kunamatira, kazhinji pamberi hunotovapo tibhii. Hazviiti nezvaanoita chii mumuviri yakaonekwa yepakutanga: mumapapu, node nodes, kuti musana kana Urinary nhengo. Adjudged tubercle bacillus kupinda ura kuburikidza muropa kana node kana nokushandisa vasina pasi kuti kupisa Mabatirwo mukaka zvigadzirwa, akagamuchira kubva mhou noutachiona tibhii.

Habitat tiibhii anosarudza mumwe nezvemarudzi maviri nemaronda:

1. Iliac, akaisa mukati rezasi ura diki. It chirwere hwapedyo kuburikidza paumbwe pitting, uyewo kuwanda pamusoro granules muchimiro hypertrophic uye kuderedza lumen yacho ura.
2. Bofu, iri chete pazasi panzvimbo apo ura duku anova gobvu. Kutanga intestinal tiibhii danho iri lesion limfosistemy ura madziro pamwe pakuoneka nemaronda akaisa kumativi dhayamita. Uyezve kuumbwa pamusoro zvomoto node nodes uye inotungamirwa granules tuberculous urikanwi kuruvazhe nevamwe. izvi zvose zvinotungamirira kutanga peritonitis uye inotungamirwa yeimwe.

Kuwedzera zvinhu pamusoro apa, iyo inozivikanwa nokuva zviratidzo intestinal tiibhii kunogona kuva vakadaro:

• mukuru simba;
• rakapinza kuwedzera kupisa;
• uremu;
• kurasikirwa kudya.

Varwere kazhinji vanonetseka manyoka pamwe ropa kuti haagumiri kana kutora Anti-anogumbura uye antidiarrheal mishonga. Nokufamba bowel chirwere zviratidzo tibhii nedzevakuru tinoshandurirwa chehupenyu exacerbation nekangamwiro.

Kazhinji, varwere akacherechedza kurwadziwa guvhu. Kana kushandura nzvimbo mumuviri kana kuwana muviri marwadzo inowedzerawo.

Kana tibhii of ura, zviratidzo izvo chatichakurukura munyaya ino haisi nokukurumidza kurapwa, zvinogona iumbe urikanwi budiriro kubva ura kupinda abdominal mhango pamwe veMubatanidzwa peritonitis imwe kana kupfuura nzvimbo pakarepo.

Sei chirwere pulmonary tiibhii?

Sezvo tibhii of ura zvinowanzooneka yakavanzwa pasi dzimwe mhando zvirwere, zvino ropa bvunzo, weti uye mutsvina yadzo, uyewo kudzidza gastric mhango havasi zvakakwana inobudirira. Vanokwanisa kupa chete wemauto mufananidzo chirwere, asi kwete dariro racho uye nzira inobudirira mishonga.

Chiizve chinodiwa kuzosimbisa chirwere che "tiibhii pamusoro ura"? Zviratidzo zviratidzo kunotoda kurapwa Analyses okutanga mishoma kuti chinangwa ichi, uye nyanzvi kupa zvinotevera bvunzo:

1. Radiography. Kunoitawo kuti kuona shanduko iri dumbu parusvingo, uye kusavapo basa rake kuti imwe nguva. Uyezve, X-ray of ura ne kusiyana inopa mashoko pamusoro nzvimbo uye mhando dumbu hweHIV. Saka, kana imwe urikanwi kuumbwa mhango diki, uye panguva intestinal masero withering kuumbwa lumpy nda. In chipi Muzviitiko izvi, kuti lesion aumba kwemashifiti micheto, deformation, uyewo zvisimbiso kwakakwana kumeso ura. To chaicho rokuongorora, vanachiremba akaita zvimwe miedzo akadai CT, Ultrasound kudzidza abdominal nhengo.
2. Kudzidza mudumbu rusvingo endoscopy. Ingestion vachiongorora kudzidza kuitwa varwere intestinal madziro kuziva urikanwi idzodzo. Uyezve, kushandisa chaiyo vachiongorora zviri akaita biopsy zvinyama zvakabudiswa, zvichiteverwa tsvakurudzo mumunda histology uye zvidukuduku.

Saka, kwakakomba nzira chiremba kunodiwa, kana kuona vakafunga tiibhii yacho ura. Zviratidzo chirwere akaita kushandisa maekisirei uye endoscope, vachibvumira kuziva murwere ari zvakakwana mangwanani Danho okukura.

Ndezvipi intestinal tiibhii?

Kune mhando dzakawanda yekunwa zvirwere. Mumwe nomumwe wavo kunoenderana kumiganhu localization kurwadziwa uye zviratidzo nemaronda:

1. Maronda. Dzinoratidzwa yokuwanda idzodzo dziri intestinal munharaunda.
2. Maronda hypertrophic. Ko kuvapo nemaronda, ane zvishoma nezvishoma unooma mudumbu uye intestinal munyama.
3. Hypertrophic. Complete rufu zvinyama pamusoro abdominal mhango.
4. Constrictive. Huru localization nzvimbo - pamusoro pamasvingo node midziyo.

Kuwedzera kusunungurwa ichi zvimiro zviviri TB:

1. Namira.
2. Exudative.

Pasinei musiyano iri kuratidzwa uye localization, kurapwa kuri kuitwa nyaya dzose zvakafanana.

Possible matambudziko anoitika intestinal tiibhii

Kana musingadi kuziva nguva tibhii of ura (zviratidzo, kurapwa yatinofunga funga), murwere anogona kuona marudzi anotevera yematambudziko:

1. Intestinal mhingaidzo mumadhipatimendi. Kuvakwa bowel tsvina mhingaidzo upenyu, anoteverwa budiriro iri abdominal mhango.
2. The aienda pamusoro intestinal lumen kuti kutyora ndima. Dzinoratidzwa murombo permeability tsvina.
3. Chokubuda ropa iri dumbu. Zvingava varipo panguva defecation.
4. Budiriro urikanwi idzodzo. Achiperekedzwa ane yakagomara kana marwadzo.
5. Peritonitis.
6. Kuvhiringidza of dumbu zvomudumbu turakiti.

Mabatirwo tibhii nemishonga

Kana murwere ane intestinal tibhii, chirwere zviratidzo akazviratidza mangwanani zvakakwana, iye ushandiswe zvinodhaka pavanoparidza nomufambiro mishonga nokurapwa. Kana vachangobva kana Detective kuvapo namira idzodzo dziri nhete, yakananga kana muura - kuvhiyiwa. All kuchirapa zvazviri rinoitwa zvakasimba mune dispensary ezvinhu ane unyanzvi mhando.

Doctor anotevera mishonga vanotumirwa:

• "Streptomycin yakawanikwa".
• "Ftivazid".
• "Tubazid".
• "Para-aminosalicylic asidhi".
• "INH".
• "Rifampicin".
• Pas.
• "Tibon".

Pasina zvinodiwa mugumisiro vanachiremba mukwanisi kurapwa anotevera mishonga:

• "Cycloserine".
• "Ethambutol".
• "Ethionamide".

Practice zvinoratidza kuti kurapwa iyi inoshanda zvikuru uye akarongeka.

Kubudirira zvokudya pakurapa intestinal tiibhii

Sezvo sezvo inoshanda zvinodhaka pamusoro tibhii nemishonga inoshandiswa, zviri zvikuru kuramba kudya kunogona kubatsira kuderedza marwadzo avo kushandiswa. Vanofanira kutora nyore digestible uye mukuru-mafuta chikafu. Zvokudya zvakakodzera zvinofanira kusanganisira:

1. Meatless soups.
2. Cutlets kubva yehuku, veal.
3. Fish ndiro.
4. Cheese ndiro.
5. Mazai uye ndiro kwavari.
6. Ruomba.
7. Mukaka uye mukaka zvigadzirwa.
8. A-siyana ezviyo.
9. Freshly kusvinwa facial.

Kana izvi zvaisambobvumirwa kushandisa zvinotevera zvigadzirwa:

1. The nyama yenguruve, shiri uye makwai.
2. Vaiputa ndiro.
3. Various bhinzi.
4. Zvokudya zvomumagaba.

Kana zvataidya kuona nezvinetso cheya muchimiro manyoka vari kunze:

1. Bhekari zvigadzirwa.
2. Not pasi chafariz kubudiswa michero nemiriwo.
3. A vazhinji nyama zvigadzirwa.

Zvinonzi zvachose hakubvumidzwi kuzvinzwira vaitire tiibhii of ura! Zviratidzo, kurapwa, mifananidzo chirwere ichi chinogona kuwanika munyaya ino, asi kana kuona pane zvakafanana zviratidzo chirwere hwobva kubvunza nyanzvi.

matanho

Kudzivirira Kugadzirwa chirwere varwere vari zano narwo rokumanikidzirwa kubaya uye X-ray kuzviongorora. BCG kubaya rinoitwa kwete chete kune vaya vaimbova uchikurukura vanorwara kwenguva refu, asi kuti vanhu vasina kuwana makore 20.

Rimwezve kuchengeteka chiyero ndiwo mushonga "Isoniazid" uyewo kufashaira mukaka zvigadzirwa, kufefetedza pamusoro kwakavakirwa uye sangano nyoro okuchenesa.

mhedziso

Kuti tidzivise dzakazara tiibhii chirwere anofanira kunyatsoongorora kuti utano hwavo, uyewo kushanyira chiremba ari nenguva nenzira chero kuratidzwa kurwadziwa kwokuomerwa munzvimbo mudumbu. Zvakakosha chaizvo sezvo pfungwa padivi zviratidzo intestinal tiibhii zvinogona kushandiswa kuzochera. Fungidziro mune iyi kupfuura zvakanaka.