Miliary tuberculosis: ano,ʻike, symptoms, lapaʻau

Miliary tuberculosis - ia mea he ana nui i ua pinepine pioloke me ka typhoid kuni. Maʻi i loli ai likeʻole nenoai o na nā loko, mai ke ake, a pau ka malamalama. Kēia palapala o TB ua diagnosed i loko o ka uuku o ke kanaka.

Description o ka maʻi

Miliary tuberculosis - he huʻi ano o ka maʻi, wehewehe aku ma keʻano o nā lesions i loko o kekahi mau nā loko. Līkaia huʻi a me ka maʻi kahua o ka pele pathologies. I ka la mahope ua noʻonoʻo i ka noho pilikia loa. Ka huʻi palapala ana ia lŘlŘ ma luna o ke kāʻei kua o ka maʻiʻaʻai me ka pathogens koko. E like me ka maʻi progresses, e komo a pau a hiki i ka nui loa o nā loko, infecting ia. E kū'ē i ke kāʻei kua o ka nui maʻiʻaʻai o ka loloʻili lahilahi ua seriously iʻa.

I ka papa kuhikuhiE causative Agena o ka maʻi i manaoia i Mycobacterium tuberculosis, i ka hopena i hoʻonāwaliwali i ke kino i ka pale aku ia lakou e komo iloko i loko o ke kino i loko o nui mea. A laila, ua haawi ka mea, me ke kahe o ke koko.

E like me ka poe akamai, i na kanaka ekolu me ka tuberculosis, he mea hoʻokahi wale nō wahine me ka likeʻike. Ka hapanui pinepine diagnosed i loko o ka pathology o ka ikaika keka, makahiki HEN, mai 20 a hiki i 40 kahiko makahiki.

Miliary tuberculosis ua manaoia socially mediated maʻi, me kona prevalence i waena o ka heluna opredeleyaetsya ola ana. Maʻi pilikia mea ku pono i kaʻeleu Polenekia lua i pele, i ka haule ana ma ka aneiai pōmaikaʻi, mahuahua ka helu ana o socially maladjusted kanaka.

Nā kumu o ka maʻi

TB germs i manaoia i koʻohune o ka genus Mycobacterium. oi aku 70 laha 'o ia nā mea a pau ma laila. Ka mea, e hui i ka wai, lepo, ea, holoholona. No ka poʻe i ho i ka ua pilikia wale i kekahi mau? Ueony, a epekema conventionally hui i loko o ka luna 'M. tuberculosis. Hoi o ka makana o pathogenic koʻohune ia lŘlŘ i loko o kekahi o ekolu aoao: mai ka iniiaiie kumu o ka maʻiʻaʻai ana o ka wa kahiko tuberculosis foci 'ole i ka hopena o keʻoki lāʻau lapaʻau ana ma ke kino, ua loli maʻi.

Ka māhuahua pilikia o ka ulu i ka maʻi nā keiki i i ole ua vaccinated i loko o ka 'eleu kūpono, kanaka me ka immunodeficiency a lawe lōʻihi-manawa lapaʻauʻia, e uhi i ka excessive hana o ke kino i ka pale aku ia lakou.

He aha ka mea, o ka hoailona kōkua hoomaopopo miliary tuberculosis?

Symptoms o keia maʻi mea i kekahi, e hilinai ma ka IIeEeAIEUAA o ka lesion. Common na hoailona i mea IeAUPIIe, IAa IO ohumu ana o nā mea maʻi nā nā kēia:

• Nawaliwali ma ke kino.
• Mai kuni.
• An hoomahuahua i ana wela.
• Hai intoxication.
• Weight me keia poho.
• Ha pilikia.
• Cyanosis o ka ili.
• Excessive sweating i ka po.
• Maloo cough.

I ka maʻi ke hana i ka huʻi, maʻi a huʻi. Kēlā me kēia no ia i kona mau 'ano.

Ka maʻi palapala ia lŘlŘ i ka nalu. Kēia 'o ia hoʻi i ka huʻi pae i UAIAaIN e remissions. E hoomanawanui i imi 'inikua kōkua me ka hoopii o ka kīnā, ulia kaumaha poho, luhi. Ma kekahi mau hihia, he mea hemoptysis.

Huʻi miliary tuberculosis ana ia lŘlŘ ka loa palapala, a me kona symptoms oko ma ka IIeEeAIEUAA o ka li nui. Ma kekahi nā mea maʻi, kauka Ōlelo Aʻo kaheaia pulmonary insufficiency e ku e ia i ke kāʻei kua o ke ala ana wela a me ka intoxication maʻi pale. Light i hookuu e loli ai i ka ili honua holoʻokoʻa. Inā na rashes i malama wale i loko o ka subclavian wahi, ua e kamailio e pili ana i ka ai-kapaia kaupalena miliary tuberculosis. Kēiaʻano o ka maʻi mea asymptomatic, kekahi manawa haka pono haʻahaʻa-papa kuni, a me ka cough maloo.

Ka huʻi ano o ka maʻi i ole ia i kapaia o tuberculous sepsis. Ua Ua kapa hoʻohanohano ma ka kokololioʻikena. Literally loko 2-3 pule ma hope o ke ano o ka iniiaiie symptoms o hiki ka make. Kēia maʻi ua wehewehe aku e kiʻekiʻe kuni, a me ka dyspepsia. He nui nā mea maʻi ohumu o loa headaches. Kēia symptom Ua wehewehe kaumaha vascular lesions, a ma pathological aʻee komo nei meninges.

'Ano apau loa miliary tuberculosis

Ke kaumaha ma muli o ka prevalence o symptoms o ka maʻi e māheleʻia i loko o ka kēia pepa.

• Pulmonary. E kū'ē i ke kāʻei kua o mau intoxication, eia na hoailona o naehana pilikia.
• Typhoid. Pele ana i loko o nā mea a pau maloko hui, nenoai. Kēia palapala no ka maʻi ua wehewehe aku ma ke kuni, a me ka nānā aku ana i na hoailona o ka intoxication, no laila, ka mea, ua pinepine pioloke me ka typhoid.
• Meningeal. Wehewehe aku ma ke alo o ka infectious foci i loko o ka meninges.

ʻike,

Ma ka hihia o wanton lilo o ke kau paona ana, sweating i ka po, e manao ana o ka nawaliwali a me ka poho o ka ikaika loa ka makemake ka mea, ua pono, e nīnau aku i ka pili akamai, o TB hoʻomalu a me infectious maʻi.

ʻike, o miliary tuberculosis ka loaʻa o ke kēia mau kaʻina hana:

• A piha koko helu.
• Lumbar puncture.
• HI lolo a me ka umauma.
• Ultrasound o na nā loko nenoai.
• Pahu X-Ray.
• Echocardiography.

Ma muli o ka hoao ana i nā hualoaʻa i ke kauka ke hoopaa a ke Säkona i kaʻike, o "miliary tuberculosis". Nā symptoms mea i emi iho i ke ano o ke kanaka, mai paipai i ka 100% loaʻa nui o ka maʻi. Wale vocal lapaʻau 'ke kōkua e hookupaa nui ae i ka definitiveʻike.

He aha lapaʻau Ua koi 'ia?

Iapaau ana o keia maʻi pono ai i ka puu o ka hana a me ka manawa. ʻaneʻane i ka makahiki o ka hoʻomanawanui ua puʻe wale akula kēlā, e lawe mau lapaʻauʻia. Nō kāu hoakaka "Streptomycin", "Isoniazid", "Rifampicin", "Moxifloxacin". Oia kekahiʻano o ka laau lapaau, kauka wehewehe i loaʻa ka hopena ma luna o ka papa o ka iapaau ana o kela a me keia Agena pākahi a ma ka hoʻopiha ka mea, ke lanakila i ka maʻi.

Miliary tuberculosis o na maʻiʻaʻai no hoi e hoʻolako nāʻano o OAXA pākōlea ke kaʻina hana (hanu kino, physical Inc, e loaa ana immunostimulatory ai '). Ke hoomanawanui Pono e hoopili aku i ka pololei pololei o ka hana a me ka poe i koe i, i ka pololei ma hope nā koi o kou kauka. pono e uku ia mau noonoo i kaʻai. Ka mea, e na¯ haleʻuwī waiū huahana.

Inā ola ka hoomanawanui a me na keiki uuku, IeAUPIIe, IAa IO waiho aku i? Aiaiiuie haukapila no 3-4 pule.

ʻoki lāʻau lapaʻau lapaʻau

He nui nā mea maʻi i kēia maʻi i hoakaka iaʻoki kino, i komo ai resection o ke akemāmā. Resection ua paipaiʻia ka wā me ka makaʻu no nā hale bronchi, nā mea maʻi me ka hemoptysis.

Paha ka hoʻohana a nā ano o ka lapaau, a me ka hui ano. Ma pakahi aku la ia ia mea hihia pele waiho aku ana o ka akemāmā a me ke kino holoʻokoʻa, i ke kau ana o kaʻimi hoʻopunipuni pneumothorax, e like me nōkahea o ka lua.

Outlook

O ka holo ana, no ka iapaau ana o miliary tuberculosis me ka chemotherapy mea nui i koe i loko o ke kaua ana i ka maʻi. Mamua o ka mea, hoomaka e 'Imi hoʻohana antituberculosis Agena, make i loko o nā mea maʻi i kēiaʻike, he aneane 100%. 'Āwīwī a me ke akamai lapaʻau i keia la i ka mea e hiki ke ho'ēmi i kēia holo' awelika i 10%. I ka mua o kaʻike, a me ka kūpono lapaʻau hoʻomaka ', i ka maikaʻi o ka manawa o ka maikaʻi prognosis. Ka hapa nui o na make i loko o keia maʻi e kākau i loko o ka mua mau pule o ka loaa ia nā mea maʻi i loko o ka 'inikua wahi uku paha. Hoʻomalu ke kaila he kaumaha 'ikepili helu ka hopena hookahi o ka Inc.

Ke likelihood o ka recurrence mea wale nō 4%. Inā ka hoʻomanawanui ma hope ke kauka i ka'ōlelo aʻo a pau ikaika, a lawe hoakaka ai ', no ka hiki ole o ka hou-maʻiʻaʻai i ka'ākeʻakeʻa hoemiia.

complications o ka maʻi

I ka wa e kaawale aku o ka 'eleu lapaau i hoʻomōhala i ka hahai complications: ke kahua o ka mau cavities i loko o nā maʻiʻaʻai, bronchogenic kūkākūkā, caseous pneumonia.

kāohi ana

Miliary tuberculosis ua ana diagnosed i loko o kekahi pōʻai papa (ka mea maka me ka haʻahaʻa makahiki, a no laila, hana. D.). Men e maʻi kekahi mau manawa hou pinepine, a oi intensively ma mua o nā wāhine. At kamepiula mau kanaka ma waena o nā makahiki o ka 20, a i ka ma kahi o 39 makahiki.

Kāohiʻana o kēia maʻi kuhikuhi komo ai i ka piha hoʻopau o ka'ō'ō ihe me kanaka, ka poe i symptoms o akemāmā maʻi. He like nui e hōʻoia i ka pololei a me ka naauao no kou kino e ka hōʻoi 'e hoʻonele. Kauka paipai aku i ka lōpū a.

Miliary tuberculosis hiki ke hooki ia e hoemi i ka hopena o nā kumumea i negatively aloha ia i ka e hoʻonele. Mau nā pinepine waiū i anu, nele o ka hoʻokō ', ka hoʻokēʻaiʻana, e hana ana i loko o adverse ana.

Ma ka State e halihaliia oia iwaho Anati-laha ana i loko o ke keakea wahi. A, i ka Bedroom e e hoʻohana 'ia no ka iapaau ana o nā mea maʻi a me kaʻike,. Inā i ka māhele 'āina he mea kekahi kamepiula kiʻekiʻe o ka maʻi o tuberculosis, ka wā ana i ka' oihana kanaka e undergo i ka 'inikua ninaninau.

ka hopena

Ma keia 'atikala, ua ana no i kūpono ai ka maʻi, e like me miliary tuberculosis. Photo o nā mea maʻi i kēiaʻike, hiki ke loaʻa ma ka hana kūikawā 'inikua pili puke. I ka maʻi ua diagnosed emi pinepine i keia la, a ua kākau emi na hihia o ka make. Kauka e kauoha aku i ka 'eleu ka loaʻaʻana o ka maʻi, e kń i ka likelihood o complications, a loaʻa ka make.