Tuberculosis o ka naʻau liʻiliʻi: 'ehaʻeha ka, Symptoms,ʻike, a me ka iapaau ana

Mai ka wā kahiko, na kanaka i ua kaua ana me ka intestinal tuberculosis. Kēia mea he nui a me ka weliweli mai, a inā haʻalele untreated ke alakai i ka make. Ua noa e ike i na hoailona o keia maʻi. No laila, i mea tuberculosis o ka naʻau liʻiliʻi? He aha symptoms mau ano no ia ia?

Ke ae pā o intestinal tuberculosis

Tuberculosis - he maʻi i ua ike i nā kanaka. Kēia manawa poe akamai i ike maʻi infectious maʻi. He nui nā poʻe manaʻo i ka maʻi ua pili me ka poho i ka ÷ naehana hanu kahua wale. I mea mea mea ole. Aia nāʻano likeʻole o ka extrapulmonary maʻi. Kekahi o ia mau mea - intestinal tuberculosis. Aia He He maʻi i kapaʻia ma muli o ka mycobacteria. Kekahi o na kumu o ka maʻiʻaʻai e hoʻomanawanui iki mai ka poe e ole malama i ka rula o ka pilikino kou niho.

Na kanaka kaʻawale Mycobacterium tuberculosis (MBT) a iho mailoko o ka makahiki he mau kanaka. I ke kumu o ka maʻiʻaʻai a me nā holoholona. Mycobacterium tuberculosis ka loa hoʻopale ai i ka aoao o ke? Aneie aʻe. I ka paku ole ia i kekahi mau microorganisms hiki liloʻoi loa-ke olonā i huna Kānana a nunui manamana ai nā hale. Ma 'ano kūpono, ka ILO kuai i ka typical shape.

'Ano apau loa intestinal tuberculosis

Ka inoa maʻi e māheleʻia i loko o iniiaiie a me nā haumāna. Tuberculosis Ua pū i hiki e like me ka na naau oʻu, i mea aha malaila? Ke pane i keia ninau pono i haawiia mai. No laila, iniiaiie tuberculosis ia lŘlŘ no kekahi mau kumu:

• Aie i ka hoʻohana 'ana i unboiled ka waiū o tuberculous bipi.
• Ka wā hematogenous kūkākūkā o ka Mycobacterium tuberculosis mai ka iniiaiie pulakaumaka i loko o ka akemāmā, lymph aka wahi.
• Aie i ka hoʻohana 'ana i ka ai, mai kona mau kīʻaha i i iho mailoko me ka Mycobacterium tuberculosis, a me ka moku, i ua waiwai ia e na kanaka, ka poe i ka maʻi.

A haumāna ano o ka maʻi i loko o ia lŘlŘ kanaka hoʻomanawanui iki mai me ka akemāmā pohō ma muli o ia i ka 'ai, inu o sputum a me kou tuha. Mycobacterium tuberculosis ma keia ano hiki i ka naʻau liʻiliʻi, a mailoko o kona pa (ʻano nui pili i ka ileum). Kēia hualoaʻa ma fistulas a me ulcerations. Mea weliweli a ina o ka puni intestinal tuberculosis? легочной формы. 'Ikepili helu hōʻike i ka maʻi mea IeAUPIIe, IAa IO he haumāna kaʻina hana' ia i ka holomua o ka pulmonary palapala. Nui hou kākaʻikahi intestinal tuberculosis o ka iniiaiie, hoʻomōhala ma muli o ke alimentary maʻiʻaʻai.

symptoms

Ma tuberculosis o ka naʻau liʻiliʻi kanaka i ua'ōleloʻia ma ka hana kupua kēia hoailona:

1. Nā symptoms o intoxication. Aie i ka maʻi i ka ikaika loa ka makemake ka mea i nalowale, e hoʻomaka e emi kino ke kaumaha. E hoomanawanui i ohumu o ka po, kaheʻana, kuni. Women paha hoi ma kahi ee menstruation.
2. Intestinal symptoms. I ka hoʻomaka o ka maʻi he mea constipation i loko o kekahi kanaka. Ua ae e hahai aku, e like me ka rula, lōʻihi-makahiki, a debilitating diarrhea. E hoomanawanui i kukakuka hoʻomalu i ohumu i kaʻeha ma ka abdomen.
3. Ka loaʻao ka hoʻonaʻauao '. Ma palpation o ka abdomen i e palpable maloboleznennayaʻeho.

I ka luku ulcerative intestinal lesion ia lŘlŘ symptoms o peritoneal ae hookaawale. Nā mea maʻi i kuni. Nā feces mea, ua loaʻa i nanaia koko a me kona eiiiiiaiou (erythrocytes, leucocytes) ma akamai i loko o ka noiʻi ka hoʻohana 'ana i ka microscope. No ka ulcerative luku kaʻina hiki ke wehewehe aku ma complications. Pinepine malaila kahe ana ke koko, intestinal iaʻi, kue no ka pono o kona pa.

diagnosing TB

I kaʻike, o "intestinal tuberculosis" hiki ke haawiia mai ia e akamai ma hope o ka ikaika. It nā:

• tuberculin;
• X-kukuna;
• colonoscopy;
• barium enema;
• laparoscopy a me ka biopsy.

Muli o kona kulana informative ki ina hana like i kamepiula tomography a me ka laparoscopy. Ma ka noi o kēia mau ki ina hana like o kaʻike, mākaukau i pinepine i loaʻa i loko o nā mea maʻi calcified mesenteric lymph aka wahi, tubercles. Informative a me ka X-Ray ninaninau. Mahalo iā ia, poe akamai i hoike mai na hoailona o ka tuberculosis o ka naʻau liʻiliʻi (no ka laʻana, barium ka mālama i loko o ka cecum i loko o ka liberation o nā Oihana).

Kvantiferonovy ho'āʻo - he laekahi keʻena hoʻokolohua iaoia e leie aku oe e kuhikuhi i ka maʻiʻaʻai. E uhi ana i ka ʻike, o ka tuberculosis e noʻonoʻo ia i pono. No laila, i ka i loko o ka hoao ana mea e noiʻi i ke hoʻomanawanui i ka koko. Ua eiaaioa? I nele'ōpū i ka kakahiaka mai kekahi aa koko, a kau ma ka kūikawā kini puʻe wale iloko olaila o ekolu paipu. Ma hope o ke koko ohi kilo kaua nō e mālama nei noiʻi. Kvantiferonovy hōʻike hiki haawi 'oluʻolu, io a me ka equivocal:

1. A maikaʻi hopena Hōʻike maʻiʻaʻai me ka Office.
2. A hopena maikaʻi hopena ua loaa ola kanaka. Naʻe, ka mea e e kaulana i ka wa ia mea,ʻaʻole e pono ke hoomalu mai maʻiʻaʻai me ka Mycobacterium tuberculosis. Ka hopena hiki e he wahahee io. Kēia ka hana i loko o ka kakahiaka manawa o ka maʻiʻaʻai, no ka immunodeficiency Hawaii.
3. Kanalua hopena mea hiki i na ano kanaka o hoʻonele, e like me ma ka 'aʻe' ana i preanalytical koi. No ka 'ike hou aku, kauka hooholo ma ka pa o ka hou koko a me ka hookohu ana i mau ana.

palena pauʻike,

O ka kailaʻae e i hōʻike 'ia e akamai i loko o ke ana o ke kanaka me ka manao tuberculosis o ka naʻau liʻiliʻi i ke wehewehe aku ma ka hoʻoʻino maʻi' ē aʻe. Nui i loko o na maʻi ua kapaia ulcerative colitis, Crohn ka maʻi, amoebic ka hī koko, intestinal hikoko. E kau i ka pololeiʻike pono palena pauʻike, :

1. E hōʻoia i ole amoebic ka hī koko , a me ka hikoko, histological ninaninau E hanaʻia nō ia.
2. Mahalo i ka endoscopic biopsy sarkoidopodobnye granulomas hiki ke loaʻa, oia hoi o ka lymphocytes i mea ma ka waena konu o ka nui aeee e like me Pirogov-Langhans. Mau hale a mau ano no intestinal tuberculosis a me Crohn ka maʻi. E hoomaopopo i ka maʻi, mai kēlā me kēia 'ē aʻe hiki no home caseous necrosis. Ka mea, i hoʻomaka ai wale me granulomas ma intestinal tuberculosis.

lapaau ana i ka maʻi

I ka diagnosed me "intestinal tuberculosis" lapaʻau hoʻomaka ma ka hana kūikawā Ho 'Oponopono. Kona pahuhopu - malama aku hoola ana o ka foci o ka maʻiʻaʻai, hoʻopau o symptoms. Ka iapaau ana o ka tuberculosis Ua lōʻihi. Loaa ia lŘlŘ i loko o ka makahiki ma luna o kaʻawelike. Ma kekahi mau hihia, e lawe nui aku manawa, e hoola ia.

Ma tuberculosis o ka naʻau liʻiliʻi mea pono e hoʻokō 'ia i ka iapaau ana. Kona papa kuhikuhiE ke keʻena - he chemotherapy. Lapaau i koho kekahi mea haʻilula keimikala hoʻoholo ko lakou hui pu mahele lāʻau. I ka hoʻomaka o ka mālama nui chemotherapy. Ua inhibits ka multiplication o mycobacteria, ho'ēmi i kā lākou helu. Me ka pili ana i ka lapaau regimens e e kaulana ia i kela la i hiki ke hoʻohana:

• "INH" a me ka "Rifampicin";
• "INH" a me ka "Ethambutol".

Ka mua me ka hui pu ana o ai 'ua hoonohoia no ka wā o ka 9 a hiki i 12 mahina, a me ka lua o ka - ma 18. Na ka lōʻihi-makahiki lapaʻau mea pono no i ka mea i mycobacteria proliferate lohi, a hiki loa noho AEeOEXAaI.

Inā hōʻike intestinal tuberculosis lapaʻau 'ana, ka mea eʻaʻole pono e hāʻawi i ka makeʻe kulana lapaau. He hiki ke haawi aku i ka manao hopena,ʻaʻole e mau ana. I kekahi manawa kauka i hoakaka iaʻoki kino. Ua hōʻike i ka ulu ana o complications. No ka laʻana, i ka lanakila o ka hana me ka nui nui o ka loli ma ka abdominal lua. ʻoki kino pono me mechanical intestinal iaʻi. Kona kumu paha ia e noho ma hope o ka hoola ana i scars a me adhesions ma waena o ka naʻau i nā puka lou.

Nā pilikia pili me ka iapaau ana

I ka papa kuhikuhiE pilikia me ka iapaau ana o intestinal tuberculosis o ka nele o ka hahau ana o maʻi kanaka. He nui nā mea maʻi e i hahai i nā koi o ka poe akamai i, a kū ana? Eaia tuberculostatic ai '. Aie i ka premature discontinuation o chemotherapy intensifies ke kaʻina. pilikia kekahi mea ia ma hope o ka lawe kuhikuhi ai 'e ikeaʻaoʻao ole. Nui ka hopena o kaʻawahia ole o ka ai 'i:

1. Hepatitis - he hoʻoʻino mai o ke akepaʻa.
2. Thrombocytopenia - he ano i ka hoʻomaopop 'ana i ka ho'ēmiʻana i loko o ka helu ana o platelets.
3. Neuritis - he hoʻoʻino mai o nā aʻalolo.
4. ʻaʻa puʻuwai 'ole - he pathological ana wehewehe aku ma ka hana maʻamau o ka hakuʻala kuleana pili i.

ʻaoʻao 'ole mai i hōʻike he pinepine. Ka mea, he maka 3-5% o kanaka e loaa ana "Rifampicin" a me ka "INH", a me 1-2% o nā mea maʻi malamaia lakou nei, "isoniazid" a me ka "ethambutol". I kaʻaoʻao waiwai loli aʻe lapaau polokalamu.

intestinal tuberculosis hopena

Ke prognosis o ka maʻi hilinaʻi nui ma pehea koke hoʻomalu e diagnose i ka maʻi, a ia Inc. I nui kou hihia, a me ka luku lesions o ka lahilahi liʻiliʻi kēla mea noho lakou malaila no a hiki i ka recurrence o intestinal iaʻi a me ka malabsorption o ka mahuaola. Emi pessimistic kēla i haawiia ma lesions o ka AeXIeAaOIePEAaI.

maʻi Kāohi

I mea e pale aku intestinal tuberculosis kāohi Inc. I mea e ike ai i ko ka mea nele i kekahi kanaka, e lawe mai i ka ka mua hoakaka o tuberculin hōʻike. Inā i ka hopena, ua 'oluʻolu, kāohi kanaka ua hoonohoia. He chemoprophylaxis "isoniazid" i loko o 1 makahiki. Kāohi malama ua lawe mai,ʻaʻole wale nō me ka maikaʻi tuberculin ili ho'āʻo e pale aku i na maʻi like tuberculosis o ka naʻau liʻiliʻi. Na kumu no kona hookohu ia i e like penei:

• Man pinepine ma ka hui 'ana me kanaka, ka poe i kaʻeleu TB.
• Ke hoʻomanawanui i corticosteroids a me immunosuppressive konohiki.
• Man poino immunodeficiencies o like kêia kanaka.

Ma ka hopena, ka mea e e hoʻomaopopo i keʻano o ka hana kupua symptoms typical o intestinal tuberculosis, e ike koke e hele i ka? Aaieou i ke kauka. Inā ka hoʻomalu hāʻupu kapa maʻi, e e hoouna aku ai i ka hana kūikawā TB iauaeoia i ka hoʻomanawanui.