Genitourinary tuberculosis: symptoms,ʻike, aoao o ka maʻiʻaʻai

Maʻi o ka urinary'ōnaehana i 'ano, he pono ole. Ka mea, ke aloha ia i nā puʻupaʻa, urinary'āpana, bladder. O na mai a pau o ka i a me ka noonoo genitourinary tuberculosis. About i kēia maʻi, e pono e ike na kanaka, no ka mea, o ka maʻi i kekahi mea'ōnaehana paleʻea.

E heluhelu hou e pili ana i tuberculosis, a hoohiolo i ka urinary'ōnaehana

Paha,ʻaʻole ia he kanaka, ka mea i ole lohe no tuberculosis. He He na maʻi i loko i ka koʻohune kapa bacillus, aloha ia na ia maʻiʻaʻai. Eia naʻe,ʻaʻole wale nō i loko o kēia mau nā loko ke ola microorganisms kapa. A o ka poe akamai ike extrapulmonary ano o ka maʻi. Mua i waena o kēia mau mea i ka genitourinary tuberculosis.

Pehea i kēia maʻi? haule i ka urinary'ōnaehana Koch bacillus hematogenous ala hele. Ma keia kumu, ua hiki ke manao nei makou, o ka mua kanaka mailoko o me tuberculosis, mai ka mau hoomanawanui, ka hoʻokuʻu 'i loko o ka papa o ka pathogens. Hope Koch bacillus i komo i ka urinary'ōnaehana a hiki i ke koko kahawai. Pela, ke ala hele o ka maʻiʻaʻai - mua airborne, a laila hematogenous.

Tuberculosis o ka urogenital'ōnaehana i loko o nā kānaka a me nā wāhine i hoʻomaka me hakuʻala ka pōʻino. O kēia mau mea, no ka infectious kaʻina ua māheleʻia kaʻaʻa puʻuwai tubules, na moku ke koko i loko o kaʻaʻa puʻuwai pelvis. A laila, e loli ai ka ureters, urinary bladder. Foci o tuberculosis ana i loko o nā puʻupaʻa, akā, i loko o nä hana kilokilo, i holopono nō pathological kaʻina i wale kekahi o ka paʻa o na nā loko.

E like me ka maʻi e hoʻomōhala ana i? Koch ka bacillus ka wā ku i loko o nā puʻupaʻa lakou aloha ia i ka cortex a me ka medulla. Ma ke kino he mea bumps. Ka mea, i nā ulcerate, malaila cheesy ka palaho. E like me ka hopena, cavities i hana. A puni ia mea, hoʻoʻino keʻano o ka hanaʻana ulu, he mau bumps. A pau keia e alakai i ka piha loa ana o na puʻupaʻa, e lilo pyonephrosis.

Me ka hou 'ana i ka genitourinary tuberculosis iwaena o na wahine a me na kanaka e loli ai fibrotic a me ka adipose mea hōʻikeʻikeʻuʻuku na hui,. Nā bumps a me na mai heheʻikeʻia ma luna o kaʻaʻa puʻuwai pelvis, ureter. Wall no ka mea, no ka mea, ai hanaʻia naʻe, lilo infiltrated, edematous. Ulcers zarubtsovyvayutsya a laila i hanaʻia nā hale a hikiʻole i ka outflow o ka mimi.

I ka wa e kaawale aku o ka pono lapaau i ka maʻiʻaʻai hele mai nā puʻupaʻa a hiki i ka bladder. Ke pathological kaʻina kānāwai mua i loko o ka'āina, kahi a na ureters hoolilo. Ma ka mea maloko hui, mucosa ana tubercles. Ka mea, i ke kanaka me ka hou disintegration. Ma kā lākou wahi e hana ulcers, scars. A laila ka bladder lilo wrinkled aie i ka mea i na kipi paia o ka iʻa hui, auou caiaiai sclerotic'aʻaʻa.

Tuberculosis o ka genitourinary'ōnaehana: he manawa pōkole Mea Maluna o ka maʻi

Hoʻomalu i ka mea pili i ka Mea Maluna e distinguishes ma kekahi mau kuʻina o ka maʻi.

• No ka mea ke kahua mua o ka maʻi ua wehewehe aku ma infiltrative tuberculosis hakuʻala, 'ole. E. ole-luku.
• Ma ka lua o ka mua i ka loiloi mua hoʻololi iho ua malama, oa. E. Single lua ikea uuku. I anawaena, ua emi mai o 1 kenimika no ka mea,.
• Ma ke kolu o ke kahua, he mea i kaupalena 'ia ka make. Ma kekahi o na Hoʻohana o nā puʻupaʻa ikeia nui cavern a polikavernozny tuberculosis.
• No ka mea ha o ke kahua ua wehewehe aku ma ka huina a subtotal ka make.

Ka lapaʻau kiʻi o ka maʻi

Genitourinary tuberculosis e hoike mai ai ia ia iho ma naʻano likeʻole. He mea känalua 'keia maʻi i loko o ka' inikua moʻokalaleo me kekahi o ka loa e like me ka "mystifies" ma waena o nā maʻi o ka bladder, hakuʻala a me urinary'āpana. Ma na hoikeana o ka tuberculosis mea pinepine complications ka hoohuoi ana hui. Kēia paha e pyelonephritis, maʻiʻaʻa puʻuwai ole.

Nā symptoms o kaʻaʻa puʻuwai tuberculosis e māheleʻia i loko o 2 pūʻulu:

• , he pono ole symptoms ka wā e hoʻololi i ka nui ana o ka maʻi kanaka e ana;
• i nā hana mana, subdivided ma ka huli ma pilikino (ka poe e manao mai) a Pahuhopu ( 'akomi i ma akamai i loko o ka anamanaʻo).

Common symptoms o tuberculosis o ka urinary'ōnaehana

A hiki i ka maʻi i loko o 20-30% o kanaka mahuahua kino ana wela. Nui ka mea, papa koa, mai 37-38 degere. Ma kekahi nā mea maʻi i nā maʻi, complications nānāʻana aku i ke ana wela like ia 38-39 degere, ole ikeia.

Kahi o ike hypertension (kiʻekiʻe ke koko,) i loko o 5-18% o ka maʻi kanaka. Mua, poe akamai i manaoio i keia symptom mea heʻilihune o acceding pyelonephritis. Ano ka mea, ua hooiaio ia hypertension - mea he hōʻailona ia e hōʻike hakuʻala tuberculosis. It E e hoʻomaopopo i ka mea hiki wale mai o keia symptom hilinaʻi nui ma luna o ke ano o ka maʻi. No kekahi laʻana:

• tuberculosisʻaʻa puʻuwai parenchymal hypertension e loli ai ma kahi o 1.1% o ka maʻi kanaka;
• tuberculosisʻaʻa puʻuwai papilla - 3.2%;
• tuberculous pyonephrosis polikavernoznom a me ka tuberculosis - 18,3%.

Local pilikino symptoms

Pinepine kanaka noi, "symptoms, ina he mea kekahi genitourinary tuberculosis, aha?" Manawa ua i hiki hana - ia mea eha a me ka pinepine urination. Akamai ma ka 50-60-ies o ka hope kenekulia hoikeia mai i kēia moʻolelo ka i loko o nā kanaka. Alaila, hoomaka iho la i ka welelau o i ka emi ma ka alapine (frequency) o symptoms. Ma ka 60-70-ies, wale 48% o nā kanaka ohumu e pili ana i ka 'aʻe' ana o urination, a ma ka 80 makahiki - wale 43% o nā mea maʻi. Ma nā makahiki, he symptom Ua emi, he pono ole. Oia emi ua wehewehe ma ke alapine (frequency) o lesions o ka mucousʻili lahilahi o ka bladder.

Muli o kona kulana pinepine eia na hoailona - he eha i loko o ka lumbar māhele 'āina i kupu mai ka wā Ka hoʻomaka' ana e hoʻomōhala genitourinary tuberculosis. Mau symptoms kuhikuhi ma kahi o ka hapalua o ke kanaka hoʻomanawanui iki mai. Na eha i IeAUPIIe, IAa IO hoʻokahi-kapakahi. About kaʻawaʻawa loa ka waiʻona ma ke IIeEeAIEUIeXAIIUE ma na aoao elua, hai wale 15-20% o ka maʻi kanaka.

Ma kona ano, o ka eha He huʻi, like i kaʻaʻa puʻuwai colic. Ua kupu ana ma muli o ia i ka 'aʻe ana i ka excretory hana ma muli o ka blockage o na clots ureter koko, purulent Cork, haanou ana o ka mucousʻili lahilahi. ʻaʻa puʻuwai colic - he symptom i ua malama ole wale i loko o tuberculosis o ka urinary nenoaiu. He mea auaneʻiʻoukou, a me nā maʻi. Kekahi o ia mau mea - urolithiasis. No ka pololeiʻike, ua hana urological ninaninau.

Local Pahuhopu hoike

Ka luna-i oleloia hiʻona, a i tuberculosis o ka genitourinary'ōnaehana - na symptoms i pilikino. Ka Pahuhopu nā hoailona nā pyuria. Kēia manawa Kû ka māhuahua helu o leukocytes ma ka mimi. Leucocyturia - ka mua hoailona o ka maʻi. Ma keia hihia, ia mea,ʻaʻole OAXA. Inā i loko o ka papa o ka Ikepili o ka mimi keʻokeʻo koko aeee ka mea,ʻaʻole ia akulla, ka mea, ua i manaoia hooiaio o ka nele o ka maʻi.

Symptoms o TB nā eritrotsiturii urogenital kahua. Ma lapaau, i kēia makahiki pili i ka ke kiekie kiʻekiʻe o kaʻulaʻula koko aeee i loko o ka mimi. Ma nā makahiki, keia ano ua hoikeia mai loa pinepine - ka hola 70-75% o ka maʻi kanaka. me ka hooulu ana o ka luku kaʻina hana i loko o ka hakuʻala ka mea hiki wale mai o kaʻulaʻula koko aeea hou pili.

I kakahiaka nui Pahuhopu symptom o tuberculosis - proteinuria (kumuʻiʻo ka loaʻaʻana ma ka mimi Ka Ikepili). Ua Ua diagnosed i loko o 85-95% o ka maʻi kanaka. Ma ka hanana o proteinuria i kekahi mau manao:

1. Kekahi poe akamai i manaʻo i ka mea, ua ole pili me ka tuberculosis o ka urinary nenoaiu. kumu o ke kumuʻiʻo, ma ko lakou manao, i ka ula koko keena.
2. Other noiʻi hoʻopaʻapaʻa ia protoinuriya, kena ae la ia e degenerative loli ma ka tubules, a me ka glomeruli o nā puʻupaʻa.

Kela a me keia makahiki, oi a oi kauka wehe aʻe i kekahi hoailona o ka tuberculosis. Ua mea e pili ana nonspecific bacteriuria. Ka maʻiʻaʻai hiki ke hōʻike 'ia ma nā mea a pau o ke kahua o ka maʻi. More ma mua,ʻaʻole loa ia e hōʻike i ka cavernous pepa. Pathogens nonspecific urinary maʻiʻaʻai meaʻokoʻa. Hōʻike a me Escherichia coli, a me Staphylococcus, a me Streptococcus, a me ka laau uliuli-uliuli pus. Not uncommon mea he hui flora.

Ka loa ike loea symptom o ka maʻi - i ka 'ike o Koch na newa i loko o ka mimi. Eia naʻe, mākaukau mai i mau kahu ai i ka imi i ka papa kuhikuhiE causative Agena o ka maʻi. O kēia ano o bacteriological ho'āʻo mai i kōkua. Ka mea i kekahi kanaka lawe antibiotics i hoakaka ia ma kekahi kauka, mai ka na maʻi puʻuwai a me ka inu mau ai ', ka hana' ana ma ka hoʻoponopono-lapaʻau. E like me ka hopena, Mycobacterium tuberculosis lilo aku i ko lakou hiki i ka paʻi a me ka ulu. Ma hope o kanu, ka mea, o ka papa, no keia mea hiki ole ke 'akomi i. He paʻakikī e kuhikuhi i ka pathogen i loko o ke kino o ka poe mai kanaka.

Oi tuberculosis o ka urinary'ōnaehana i loko o nā keiki a me nā kūpuna

Kēia maʻi e loli ai makua ka hapanui. I keiki, ka emi diagnosed ma genitourinary tuberculosis. Pinepine, a kakahiaka nui symptom i kupu mai, mai ia - keia mea polyuria, oa ka hoomahuahua i ka mimi buke ... Aia i nā hana mana, akā, ka mea, ua pinepine pili i nā maʻi. ʻO kekahi mea nui hiʻona o TB i ka poe keiki o ua kaikamahine hou e like me ka ano o ka maʻi mea i luku, a me na keiki - luku.

Tuberculosis o ka urinary'ōnaehana e loli ai na mea he nui mua kanaka. O ke kumu ho i ka emi ma ka'ōnaehana paleʻea iho, ka muli o nā maʻi puʻuwai. Ma symptoms o TB ka hoohuoi ana me ke kākoʻo a me ka urological maʻi. Mau nā: .. Hypertension, maʻi o ka gastrointestinal'āpana, hakuʻala pohaku maʻi, nonspecific pyelonephritis, etc. No ka mea, o keia, tuberculosis o ka urinary'ōnaehana ua e mau loa ana me 'akomi i. Kona symptoms i masked ma symptoms o ka maʻi ma luna.

Hiʻona o ka papa o ka maʻi i loko o na kanaka a me na wahine

Mai ka papahele mea hilinaʻi nui ma luna o ka maopopo genitourinary tuberculosis. Ma nā wāhine, symptoms nā emi loa ka eha. I na kanaka, ua ikaika ka mea. Ka mea, i ua ikaika nui ae paha, e hoʻoikaika i tuberculosis, wahine nā loko. 'Ikepili helu hōʻike i kēia Holomua i loko o na wahine ia lŘlŘ wale i ka 7% o ka hoopii, oiai na kanaka - 31%.

E manao genitourinary tuberculosis i loko o nā kānaka, nā symptoms o keia maʻi, e pono ke kūʻai 'ana i kumumanaʻo i ka mua o Koch bacillus ku i ka prostate (prostate). Ma ka pathological kaʻina āpau i komo i, a laila, nā māhele o ka reproductive'ōnaehana 'ole: seminal vesicle, testis, epididymis. Ma pohihihi keia hihia, i ka loli penis. Eia kahi mea akaka ulcer maʻi e loli aiʻike ākea lymph aka wahi. Na hoailona malama ma ka penis, noi aku palena pauʻike, me ka maʻi 'aʻai.

Genitourinary tuberculosis:ʻike,

A hiki i kaʻike, o ka lapaʻau 'ana i kūpono i hoʻohana mua. Ka mea, e ole ae i ka reliably hooholo i kekahi kanaka i tuberculosis paha ole. Eia naʻe, poe akamai i huai ae hana kupua hoailona o ke aloha ia ia. Lapaʻau noiʻi ki ina hana like pū kekahi ana o ka maʻi kanaka, e hali ana mai nana, palpation o ke ola wahi.

An nui kūlana i loko o kaʻike, o ka hula keʻena hoʻokolohua ki ina hana:

1. Hoʻomanawanui iki mai kekahi, he koko hōʻike. He i i hōʻike mai i kekahi manaʻo hiʻona hoʻomaopop 'ana i loko o tuberculosis o ka urinary oihana, akā, hiki hōʻike leukocytosis, a mahuahua ma ka erythrocyte sedimentation kōmi. Kēia e hōʻike i ke alo o ka li nui i loko o ke kino.
2. I hoonoho ia ma ka mimi. 'O kēia ka papa kuhikuhi hana o kaʻike, o ka tuberculosis keʻena hoʻokolohua. Ma ka mimi i ka maʻi loaʻa Koch bacillus, 'ē nā mea palahēhē (ina i kekahi, a me ka hooulu ana o complications). Assays e hōʻike proteinuria, pyuria, eritrotsiturii.

Poe akamai i kuhikuhi mai i ka nui o ka hoʻohana hiki a pau kāu kiʻina hana o ka hoʻokolokolo 'ana, ka lakou mau pu a me ka mau ana.

Ka papa inoa o ka lapaʻau 'ana i kūpono nā tuberculin. Kona o Mānoa, ke moe i loko o ka subcutaneous hooponopono ana o ka hanaʻia naʻe meakino. Ua kapa tuberculin. Tuberculin mākou i nāʻikepili a me contraindications. By nāʻikepili nā: he hoʻohuoiʻia no tuberculosis o ka genitourinary'ōnaehana, i ka hopena auhau lawe mai ma ka kekahi lapaʻau, kaʻina hoʻoholo hope. Contraindications hana idiosyncrasy.

A hiki i kaʻike, o ka tuberculosis i hoʻohana endoscopic ano o ka hoʻokolokolo 'ana:

1. Kekahi o ia mau mea - he cystoscopy. Ma keia hana, he endoscope, i mea he catheter me ka hoʻomālamalama a me ka'ōnohi nenoai, ua hookomoia ma ka urethra i loko o ka bladder. Nonspecific na hoailona o ka tuberculosis protrudes eiei? A mea nui hyperemia noʻonoʻo pono i na hui, mucosa. I Kekahi Mau symptoms elicited cystoscopy - tubercles, scars, ulcers i hanaʻia ma luna o ka wahi.
2. Ma kekahi mau hihia, i ka wa e mea hiki ole ia e ka pololeiʻike, a ma laila nō kekahi i na mea pohihihi, e paa ana ia endovezikalnaya biopsy. I ka wa e lawe mai i ka pa nā no ka noiʻi. Ka hopena ke hoʻokūpaʻa i ke alo o ka tuberculosis a me ka bladder Ka maʻi 'aʻai. Me ka hopena maikaʻi result 'aʻole e hookaawale ia tuberculosis.

Like kākoʻo noiʻi epekema hoʻohana papu radiography a me ka tomography. Me kēia mau ki ina hana like o ka hoʻokolokolo 'ana' Oihana e aʻo e pili ana i hakuʻala kiko'î, noho perinephric momona, hoike mai calcifications a me ossification ioauoa o ka urinary'ōnaehana nā loko, lymph aka wahi, retroperitoneal ka lewa. Kū ana i ka tuberculosisʻaʻa puʻuwai angiography. Me ka mea i luku loli i loko o nā puʻupaʻa,ʻaʻa puʻuwai vascular kuhikuhipuʻuone o këia, i maopopo ai ka hiki e hana conservingʻoki kino a me ka hakuʻala'aʻaʻa ka leo e e resected.

I kekahi manawa, ia ia e ka ultrasound scan NineManga.com. Kēia 'ole-invasive iaoia o ka hoʻokolokolo' ana. Ultrasound e loiloi i pyelocaliceal'ōnaehana, i kakahiaka nui ka loaʻaʻana o ka hakuʻala pohaku, sclerotic loli, calcificationsʻekeʻeke, cavities, cysts. I ka Ia manawa Ehostruktura lesions ole e hana i ka pololeiʻike. Ke kālailaiʻana i nā hualoaʻa o ultrasound hiki wale paipai i ke alo o ke tuberculosis.

Iapaau ana regimens maʻi

Lapaʻau o tuberculosis o ka genitourinary'ōnaehana ua ia ke kaumaha ma muli o ka kahua.

• Ma nā kahua o ka hoʻonaʻauao loiloi mua o ka pili ka lapaʻauʻia. Nā mea maʻi i hāʻawi tuberculostatic ai 'ma ka hui pu ana, me ka macrolides a me fluoroquinolones, immunomodulators, proteolytic nā'ūhū. Ke koho ana o ka ai 'ma poe kumu, e lawe i ka mooolelo o ka pā lonoaʻili o ka loaʻaʻana mai o M. tuberculosis a me ka hopena o ka pili Inc.
• Ma ke kahua III maʻi lāʻau lapaʻau hui me ka minaminaʻoki kino. I ka hoʻomanawanui 'ole hapa nephrectomy kavernotomiya hiki ke hāʻawi (e komo ai o ka lua).
• Ma ka hope ke kahua o ka maʻi, ua lawe ka lapaʻauʻia a me ka nephrectomy (ana o ka loli hakuʻala).

Nephrectomy i waena o TB hihia urinary'ōnaehana mea ma mull pinepine. O ke kumu ho i ka hopena o olua i ka mākaukau mālama 'kipi maʻamau lapaau. Ma hope o nephrectomy, e hiki postoperative complications, akā, e mau loa pohihihi keia. O nā hematoma, abscess subcutaneous momona, pus, a me ka lōʻihi-makahiki ka hoola ana i fistulas, hernias.

Tuberculosis o ka urogenital'ōnaehana i loko o nā kānaka,ʻo ia wahine, oi pilikia i ka pono. He Aloha ino amenable i ka makeʻe kulana Inc. No ka iapaau ana e hoonoho ia e ka mea i ho'ākāka ' Anati-TB ai' i loko o ka ia laʻau heluna like ma ka tuberculosis o ka urinary nenoaiu. Eia hou, i ka wa a ka maʻi ua hōʻike immobilization Via scrotal paa i pili ho owela ka palapala noi novocaine blockades spermaticʻaha (i loko o ka huipūʻana me ka streptomycin). Tuberculosis o ke kane urogenital'ōnaehana ua malamaia lakou nei, no ka 2 a 3 mahina. Inā nā hualoaʻa i ole kupono, a laila ka mea, ua lawe mai resection o na epididymis a epididymectomy. A hiki aku i ka huina o pio o ka testis lawe mai i ka hana, e wehe ia. Inā TB e loli ai i ka prostate gland a me ka seminal vesicles, laila, i hoakaka ia makeʻe kulana lapaau.

Ma ka hopena, e pono ke kūʻai 'ana i kumumanaʻo i genitourinary tuberculosis e hoʻomōhala ana i loko o kahi o 10-15 makahiki ma hope o ka hoouka kaua ana o pulmonary a osteoarticular tuberculosis. I ka symptoms ua? Aeiiaiaoaony e imi i ke kōkua ma ka oe, aʻaʻole e hoʻokaʻulua i ka makaikai, no ka mea, ma muli o ka Holomua o ka maʻi i loko o ka wā e hiki mai i ka pono e wehe o nā puʻupaʻa. Ma nā kahua o ka hoʻonaʻauao kakahiaka nui o ka ia ka hoʻokūkū hiki ke Hāʻule maila lākou.