Tuberculous pleurisy: Kind, 'ehaʻeha ka a me ka ohe.

He nui na maʻi i na kanaka naehana'ōnaehana hiki ke aloha ia. Kekahi o ia mai i oweliweli nui o ka hoʻoweliweli 'ana i ola, akā, aia no kekahi poe i complications kaumaha, a me ka emi i loko o ka nui o ke ola o ka hoʻomanawanui. Kekahi o kēia mau mea i ka tuberculous pleurisy, a me ka mea a mākou halawai i loko o mākou i kēia lā i ka 'atikala. E noonoo i na kumu no kona kūpono 'ana, i nāʻano likeʻole, a me ka paipai lapaau.

He aha ka mea i haawi mai ai maʻi

Ma keia maʻi ua wehewehe aku ma ka huʻi, maʻi paha recurrent pleural li nui. maʻi pinepine hoike mai ai ia ia iho, ma hope o aoao tuberculosis meaola.

Tuberculous pleurisy ana e loli ai serous membranes mea nāna i hana i ka pleural lua, a hoouhi i ka ia maʻiʻaʻai. Keia ano maʻi oia mea e maona ai, i ke kaua ana i ka mea i hele aku ai ma luna o no millennia, akā, i kēia lā relapses nō pālua.

Ka pilikia o kēia maʻi o ia ka mea hiki o palahalaha hoʻomaka koke i waena o kānaka, mahuahua ka make kōmi. Au i kekahi meaʻano pinepine ai ka maʻi i loko o ia lŘlŘ kamaliʻi. Pleurisy o tuberculous etiology mea fraught me ka laha ana o ka koʻohune ma ke kino, i hele aku ai i ka hoʻohuikau 'ana i nā mea a pau hui, nenoai, no laila, i ka koke ia ua diagnosed, i ka nui ka hoʻokō i ka maʻi i ka iapaau ana.

maomeka o ka maʻi ulu

Kēia pathology he mau aoao o ka? Acaeoey:

1. Exudative pleuritis tuberculous etiology? Acaeoey? Ina pleura lakou aloha iaʻawahia waiwai causative Agena a me decomposition nā huahana o ka'aʻaʻa. Pleural lua, ma keia hihia he he uuku nui o koʻohune. Ka pathogenesis Hiki ke ike pono ia laua i ka pā lonoaʻili, piʻi pū pinepine ae la oia meaola i ka pathogenic microbe, i ka ulu 'ana o ia hoʻi ololi ma ka ma mua pele tuberculosis maʻiʻaʻai. Ma hope o ke komo o ka koʻohune i loko o ka pleura hoʻomaka he kokololio hoʻomāhuahua o ka loli.
2. Ka lua o ka uluʻano papa hana - he li nui o ka pleura me ke kahua o ka tubercles, e hoʻomōhala ana i ka wā koʻohune komo i ka hū o ka pulakaumaka i loko o ke akemāmā a thoracic lymph aka wahi.

E like me ka pathogen ke komo i loko o ka pleural lua

Aia nō kekahi mau aoao a ma i ka tubercle bacillus hiki ai ke loaa i loko o ka pleural lua:

1. Pin. Ma keia hihia, ingress originates mai foci i loko o nā maʻiʻaʻai manaʻo ma lalo o ka iwi.
2. Lymphogenous ala komo ai palahalaha ae ma ka ipu lymphatic.
3. Hematogenous hohola - ka amo ma ka ipu koko.

ʻano papa hana o ka? Acaeoey o ka maʻi, he li nui i loko o ka pleural a lahilahi, hoʻomāhuahua o leukocytes a me ka anal o ka wai i loko o ka pleural lua.

Exudate tuberculous pleurisy hiki e ana o kekahi mau 'ano:

• Fibrous.
• Serous.
• Koko.
• Purulent.

Inā Inc mea i kona mana, a laila, e ho'ōla serous effusion ka noonoo ana, a me ka fibrous connective'aʻaʻa hele io lākou lā i nā kumu ma ka ili o ka pleura a me ka palapala me ka makaʻu no uhi.

Nā kumu o ka tuberculous pleurisy

Pulmonary tuberculous pleuritis pili i ka pathological kāna hana e hoʻomōhala ana ma ke kumu o ka maʻiʻaʻai a pulmonary insufficiency. Ke etiology o ka pleurisy mea o kekahi mau ano, a me kela mea keia mea i kona kumu iho no ka ulu ana.

Nā kumu o ka maʻiʻaʻai nō:

• Nā mea palahēhē kena ae la ia e koʻohune, e like me staphylococci, gram-io microflora.
• Nā mea hoʻomaʻi a parasites i loko o ke kino, o ka oi aku ina hema Inc.
• Tuberculosis maʻiʻaʻai ka puleʻAmelika, ma ke ano o ka laau.
• Fungal nā mea palahēhē: candidiasis, blastomycosis.
• Syphilis, typhoid a me ka brucellosis hiki hoʻonāukiuki i ka hooulu ana o ka maʻi.

Hiki no hoi i kapa aku ai 'ole-infectious mea, lalau mai:

• Inā loaʻa oia he malignantʻeho ma ka maʻiʻaʻai, mammary glands, ovaries.
• Pulmonary infarction.
• Pancreatitis, leukemia.

Kauka kaʻawale ma ka pūʻulu kaawale o ka hihipeʻa o kumu i hiki kāhea tuberculous pleurisy:

• Eha.
• Nā palapū, e like me gunshot.
• ʻoki kino.

Ke kaumaha ma muli o ka aoao o ka maʻi hoʻomaka e hoike mai ai ia lakou iho, a symptoms, akā mua ia ka pono, e noonoo i keʻano o ka maʻi, ka mea i hoike mai ai ia lakou iho okoa.

Mea Maluna a me ka ano o ka pathology

Inā i nā hiʻona o ka pathogenesis o ka maʻi, ua noonoo, ia mea kaʻawale pleurisy tuberculosis na kēia mau 'ano:

1. Allergic.
2. Tuberculosis o pleura.
3. Perifocal.

Ka muaʻano o ka maʻi ke hoike mai ai ia ia iho i loko o ke kāʻei kua o ka pā lonoaʻili ikaika o ka meaola. Ke peculiarity o kēia 'ano o ka pleurisy o ke alo o kaʻeha a me ka kokololio hoʻomāhuahua o ka loli. Akā, i ka inverseʻano e like me kokololio.

I ka hihia o ke kūkākūkā o ka nui loa o ka poe liilii, a me ka nui-oaio? O aayoaeuiinoe tuberculosis pleura. Pinepine i kēiaʻano o ka maʻi ua wehewehe aku ma ka nui caseous-necrotic pane. Tuberculous pleurisy o kēia 'ano ua manaoia e ia i ke ano hoomainoino.

Perfokalny ano keia ano e hoʻomōhala ana i ka wā li nui, e halii mai, mai ka ia maʻiʻaʻai a hiki i ka pleura. i loaʻa Exudate i loaa i loko o ka poe uuku a nui helu o koʻohune i loko o ia mea e mau, akā, lawe i kēiaʻano o ka lōʻihi-makahiki, a pinepine recurrent.

Ma ka Mea Maluna o ka maʻi e loli ai oi a me ka pleural haku mele 'ana. Ke kaumaha ma muli o kēia kala:

• Fibrinous a maloo.
• Tuberculous pleural effusion.
• Purulent.

Ke abnormality mua i, e like me ka rula, i loko o kekahi mau mea o ka pleura, kahi a lakou i waihoia kaula makalii o ka fibrin. Over manawa, i ka pleura haalele i kona smoothness. Kēiaʻano o ka maʻi he hiki wawe ka treatable ina kona hoʻomaka 'manawa.

Pleural effusion mea ku pono ana i fibrotic hoakaka ana'ku o ka manao. Kokoke koke helu kuhi puke i ka 'Imi pee loli, a loaa i loko o ka pleural lua. Aia nā manawa a ia ia i hoomaka me ke 'ano maloo, i Blend i loko me ka exudative.

Purulent hana i ka Ka Uluwehi O Ke külana. Pleura ia lŘlŘ like me ka hopena o ke pio ku MBT mahele lāʻau a wāwahi i subpleural pulakaumaka.

Inā pleurisy o tuberculous etiology, ka mea, ua nō puunaueia i loko o kekahi mau ano:

• Maʻiʻaʻai. E hoʻomōhala ai ma hope o hui 'ana me staph, pneumococcal, TB bacilli i loko o ka ia maʻiʻaʻai.
• Noninfectious tuberculosis pleurisy e hoʻomōhala ana i ku e mai i ke kāʻei kua o ka akemāmā Ka maʻi 'aʻai, rumatika a me nā pathologies.
• Idiopathic pleurisy e hoʻomōhala ai no unclear kumu.

Maʻi ke hana okoa, no laila, loa kaʻawale palapala, subacute a me ka maʻi. Kēlā i kona mau symptoms.

hoike ana o ka maʻi

No kēlā me kēiaʻano o ka pleurisy ua wehewehe aku ma kona symptoms. Maloo tubercular pleurisy symptoms e like penei:

• Ua Ua hele limfatogennoe laha o ka maʻiʻaʻai.
• Aia ka eha i loko o ka pahu. A hiki aku oe Inhale ia listen a me ka mea e hoʻowahāwahā mai kiheʻana, me ka puʻu.
• Mahuahua kino ana wela.
• Nohona ma laila mea he nawaliwali ma ke kaʻina hana o ka ulu i ka maʻi.
• Intoxication ia lŘlŘ.
• Ua hoʻemi ikaika loa ka makemake.
• Hoemiia ke kaupaona.

Ka mua hoailona mai e ka mea hiki e diagnose i ka maʻi ma koke aku, no laila, me ka eha a ka pololeiʻike, pilikia. Me ka hooulu ana o ka maʻi o ka eha i ikaika, ma laila nō i na hihia o ka poho o ka ike paka i.

Symptomatology maloo pleurisy ka loa like neuralgia, no laila ia mea nui ia e ka palena pauʻike, i ka manawa. Inā he mea he maloo pleurisy, ke hoʻomanawanui UOAN e moe ma ka kekahiʻaoʻao, akā, me ka ehaʻoi loa wale.

Inā e lohe i ke kauka, mai kaʻikeaʻana o ka eha, alaila, e hoolohe i ka leo, mai ka kū'ē mai o ka pleura. E diagnose i kēia 'ano o ka pleurisy pinepine ma ke koko ho'āʻo ma ke aloha.

Exudative ano o na kēia mau symptoms:

• Pokole o ka hanu.
• Nawaliwali, a me ka malaise.
• Mahuahua kino mahana i 38-39 degere.
• Cough.
• Dryness i loko o ka waha.
• Pain i loko o ka pahu ma ka IIeEeAIEUAA o ka pathogen.

Muli o kona kulana pinepine, ua effusion He huʻi papa, akā, he mau manawa ka wā keiki a adolescents maʻi mea asymptomatic, a ua 'akomi i ma hope o ka ninaninau ana o ke keena naehana'āpana wale.

ka hoʻomāhuahua ma hope o ka loli ma ka pleural lua o na symptoms hiki ke hoemi, e noho wale nō i loko o kaʻaoʻao o ka umekaumaha. I ka nui o ka loli hiki a hiki i elua nā lika. Ma keia hihia, he headache, pōniuniu, keiki ke hoʻololi i ka waihoʻoluʻu o ka ili, ka mea, lilo lethargic, haikea a pinepine moe ma kekahiʻaoʻao.

Symptomatology purulent pleurisy i ole hiki ke hoʻololi i ka nawaliwali olelo o ka hoomanawanui, akā, he mea kekahi eha i loko o konaʻaoʻao, pokole o ka hanu, a me ka nawaliwali kuni. ke ano ua pinepine exacerbated i ka wahi i ka hoʻomanawanui hiki ole kiʻi mai o kona wahi moe.

Symptoms o pleurisy subspecies

Ua loaa ia maoa i loaʻa i kekahi subtypes o pleurisy, a i hoikeia mai ana ia lakou iho ma naʻano likeʻole.

Perifocal eiaao scant symptoms:

• Mehanaʻeha i loko o ka pahu.
• A uuku nawaliwali.
• Oiai e hoolohe ana i ka meaʻuʻuku halulu i loko o kona umauma.

Kēia subspecies o pleurisy hoi hooloihi ae i, a hele pinepine mai relapses, ina aole hoi i hoʻomāhuahua o loli, i ka hōʻailona, e ano hou'ōlelo ai:

• Mahuahua kino ana wela.
• Ikaika sweating.
• E hoʻomōhala ana i tachycardia.

Allergic pleurisy ikeia like penei:

• Piʻi ka mehana a hiki i ke kanakolu-eiwa degere.
• Tachycardia.
• Rapid hoʻomāhuahua o ka loli.
• Pokole o ka hanu.
• Ke oolea o ka inhalation a me ka eha ma konaʻaoʻao.

hiki koke kēia mau symptoms hou a nalo like pono.

Inā ulu tuberculosis o ka pleura, i ke ano o ia:

• Ka wela ke ku i kanaha degere.
• Excessive sweating.
• Pain ma konaʻaoʻao.
• Maloo cough.
• Hoʻokāʻoi dyspnea.

Inā ia mea he maʻi palapala, ia mea typical no tuberculous pleurisy:

• I ka manao o ka nele o ka lewa.
• Ma ka'ā'ī pehu aa koko, a me ka lymph aka wahi.
• Cyanosis o na lehelehe.

Ka wā pono e holo ai i ka haukapila i ka hoailona o ka hoʻomanawanui. He mea pono e hōʻoia i ka poe me kēia mau symptoms i i noho ma ke kua o ka huila, ia mea maikaʻi, e kapa aku "ambulance" ināʻoe ke ole e lawe mai oe ia oe iho a hiki i ka haukapila.

ʻike,

Inā he mea tuberculous pleurisyʻike, Ua pilikia. Kauka e hana i kaʻike, mea e ike ana i ka maʻi ke hoike mai ai ia ia iho i loko o kekahi 'ano apau loa, akā, no hoi, e hoʻomaka nā haʻawina i wale nui. Ma ke kumu o nā mea a pau i nā ikepili mea hiki ke diagnosed. ʻike, nā:

1. hoʻomanawanui ana ma luna o ke kumuhana o ka hoopii.
2. ʻohi 'ike e pili ana i ka pena hoike ana mai o ka maʻi.
3. Lawe ana mai tuberculin ho'āʻo ma.
4. Radiographic ninaninau hoikeia mai loli ma ka akemāmā'aʻaʻa.
5. A koko ho'āʻo hōʻike i ka haku mele 'ana o nā leukocytes, o ka oi aku nō i nā loli i loko o ke koko i loko o ka palapala o ka purulent pleuritis.
6. Urinalysis huai ae i ke alo o ke kumuʻiʻo. Inā loaʻa, i kaʻike, ua maopopo.
7. Bronchoscopy hiki huai ae tuberculosis bronchial scarring.
8. Hoʻokolokolo exudate. Inā tuberculous pleurisy, alaila, he mea kekahi hapa o ka kumuʻiʻo, a ua hoemiia monakō koko.
9. High holo 'awelika o ka lāʻau lapaʻau kino titers i loko o nā reactions o IHA, IFA e hōʻike i ke alo o ka tuberculosis maʻiʻaʻai.
10. Ma tomography hoʻoholo etiology pleurisy.

Wale ma hope o ka mea, ua hoopaaiaʻike, o "tuberculous pleurisy", lapaʻau ua hoakaka ma ka palapala hōʻoia no kauka.

maʻi Inc

E Makuakane me keia maʻi, ia mea nui manawa e ike ia, a hoʻomaka lapaau. He nui na hana mana: tuberculous pleurisy lele paha,ʻaʻole?

He he infectious mai, a ina i ka sputum ÷ pathogens pathology, e like me ke ahonui o ka pilikia i ka 'ē aʻe. Inc e halihaliia oia iwaho wale i loko o ka tuberculosis? Aaieou.

Inc E kuhikuhi paipai cessation'aʻaʻa luku kaʻina. E hana i kēia, i hoʻokohu 'ia:

• "Rifampicin".
• "Pyrazinamide".
• "Ethambutol".

Ka lōʻihi like 'ole o ka Inc o ka lāʻau mea ma ka liʻiliʻi loa ewalu malama, ina no hoi diagnosed pulmonary tuberculosis, hiki ke waiho loihi ana i ka wā i nā makahiki.

manaʻo akamai i i e mana i loko o ke kaua ana i ka maʻi pathogens corticosteroids, e like me "Prednisolone".

E hiki wawe ka lawe kona maʻamau kinona, ia mea e pono ke lawe mai pumping i ka loli, e pale aku i ke kahua o ka papa.

Lapaʻau o tuberculous pleurisy lawe ua hoi mai me ka hoʻohana 'ana o immunostimulants, ia ai' me "Levamisole", "Taktivin".

Inā lōʻihi-manawa 'inikua Inc, aole ia e haawi aku i kona hualoaʻa, e mea pono ia e akoakoa ai i kaʻoki kino.

Ma lapaʻau Pono e hoʻokō me ka moe koena a me kaʻai e e noonoo. Oe makemake e kali i ka pono o ka paakai a me ka palemo iho ai, inu emi loli, e hoomahuahua i ka hoʻohana 'ana o nā huahana me ka maʻiʻo nui o ke kumuʻiʻo a me nā wikamina.

maʻi Kāohi

I ka hou 'ana i hoi mai tuberculous pleurisy, lapaʻau ua i koi, ia mea nui, e hooko me ka kāohi ana. TB oia he nohona maʻi i mea pololei akula nā i ka mea e like ai o ke ola ana o ka heluna kanaka. Epidemiological pilikia no ka tuberculosis kena mea hōʻemi o ka kaiapili-yeiiiie? Aneeie oneiaeyie, emi i mau hae e ola ana o ka heluna kanaka, i ka ha awina o ka poʻe Polenekia keʻano o ka hanaʻana.

I mea e pale aku i hiki e waiho aku i ke kēia mau lula.

1. Hoʻomaka regular kāohi a me ka Anati-laha ana.
2. E like me ka hikiwawe e loaa e diagnose i ka maʻi i loko o nā mea maʻi, a me ka hoʻolako 'ai' ana i Inc.
3. Mai poina e lawe mai 'inikua examinations no ka hana ma ka wahi i noho lakou malaila no ka tuberculosis holoholona.
4. Ka moku'āina E līkaia kaawale ola mau no ka noho ana, nā mea maʻi me kaʻeleu tuberculosis oi loa aku hoi ina e noho i loko o hemo nā ole liʻiliʻi lākou poʻe'ōhua.
5. Muli o vaccination o nā pēpē.
6. E paa ana ia makahiki umauma X-na kukuna o ka ia maʻiʻaʻai.
7. Ma ka hoailona mua o ka maʻi ua koi 'ia e kipa i ka kauka.

Hoʻokō 'ana i kēia mau noonoo ole kāohi ana, e emi i ka mea hiki wale mai o ka maʻi, a kōkua kuhikuhi ia ma ka kakahiaka kahua o ka? Acaeoey, ka wā lapaʻau ka loa ka pono.

Kēlā me kēia kanaka iā ia iho kuhikuhi kuleana no lākou ola. Ia mea,ʻaʻole e pono i ka hoailona mua o ka malaise e iho, pela kakou ae na konohiki o "ka foothold i loko o kā lākou mau mea e pono ai", a me ka maʻi hoʻomaka e holomua. Wale i ka palapala hōʻoia no kauka e i pololeiʻike, a me ka hoakaka i ka hoʻokō lapaau.