Tuberculosis o intrathoracic lymph aka wahi, lapaʻau 'ana, ano o ka maʻi

Tuberculosis o intrathoracic lymph aka wahi - heʻano o ka maʻi, i mea nō i hoʻolaha hoakaka. Kekahi manaʻo i ka mea hiki ke haawi ia i kekahi kuokoa maʻi, ae manaoio ia ia e e waiho i loko o ka iniiaiie tuberculosis luna '. Kēia maʻi, e e kūkākūkā i ka pauku. E noonoo i au mamuli nā kumu o ka maʻi, kona ano, ki ina hana like o kaʻike, a me ka lapaʻau ki ina hana like, e like me ka hiki complications a kāohi ana.

He aha ka mea?

Tuberculosis o intrathoracic lymph aka wahi (VGLU) - he maʻi wehewehe aku ma ka hoʻoʻino keʻano o ka hanaʻana hoomaka aka wahi aia i loko o ke akemāmā aʻa. I pathology Mycobacterium tuberculosis. Ke causative konohiki hiki ke pū i hiki e iho mailoko holoholona.

VGLU Tuberculosis pinepine e loli ai i na keiki, nā pōkiʻi a me'ōpiopio nā mākua i ka makahiki 25. Mahalo i ka nuipa a vaccination'ōkuʻuʻaneʻane i na hihia o ka maʻiʻaʻai mea pohihihi a me ka hoʻomaka wale ma lalo e hoʻonele. Kēia pathology Ua wehewehe aku ma ka maʻi papa me ka lōʻihi like 'ole o ka hana o ka degenerative kaʻina. 70% o nā complications o ka maʻi ana i na keiki ma lalo o na makahiki ekolu.

maʻiʻaʻai hana

All ano o ka tuberculosis o intrathoracic lymph aka wahi i loko o kānaka, kena ae la ma ka bacterium Mycobacterium tuberculosis.

Maʻiʻaʻai ia lŘlŘ ma ka kēiaʻaoʻao:

• Aie i ka hoʻohana 'ana iʻai loko mai holoholona hoomanawanui (e laʻa me, bipi ka waiu).
• Ma droplets mai ka iho mailoko o kanaka a me ka holoholona.
• Ma maʻamau o mea, aʻai ua hoʻohaumiaʻia me ka koʻohune.
• Ma eha ma ka ili.
• Ua hiki ke pū i hiki mai ka makuwahine i ke keiki i loko o hāpai keiki (ma ke keiki) a me ka lactation (waiu).

Ua ua i ka loa paha mailoko o ma ka naehana'āpana. A kanaka me TB, mau puʻu a kamailio exhales i loko o ka lewa phlegm i naʻenemi microorganisms. nō ka mea hiki ke ana i ka loihi o ka mau mika, a noho i loko o ka lewa no ka luna o ka hora. Ka mea, laila ihola ia i luna o ka papahele, a hui pū me ka lepo, a ua mālama i kā lākou viability i eono mahina.

I maoli he ka pahiki o ka maʻiʻaʻai?

Kino ola kanaka hanu i hoomaluia e ku e TB maʻiʻaʻai, akā, pūnuku puhi a me ka bronchopulmonary maʻi ke emi e hoʻonele. I ka 95% o ka hihia i ka mua hui 'ana me ka tuberculosis bacterium maʻiʻaʻai ia lŘlŘ.

Makaʻu e hoomahuahua i ka manawa o ka maʻiʻaʻai.

• Lawa ponoʻole a'ōpaha kino.
• Hooloihi ae i hui 'ia me ka iho mailoko o tuberculosis.
• Ilihune hale ana.
• Ke alo aku o ka maʻi ka maʻi.
• Nui kino a me ka noʻonoʻo 'stress.

I hookuu i ka iho mailoko o kekahi o kēia mau 'ikamu, a hiki i kekahi mau kikowaena' inikua mōʻaukala. Tuberculosis o intrathoracic lymph aka wahi no ia mea, e loli ai i kanaka me ka hewaʻano i hana eha iaʻi mai ka maʻi luhi, e like me ka pono i na keiki, mai keakea mauʻohana. Maʻiʻaʻai mea kokoke hiki ole ke malama, a hiki i ka ia ola kino koke hoʻomaka e lilo maoli e hoʻonele. Where au i ka hoʻomanawanui i ka lā hoʻokahi lawe i kekahi mau kanaka, akā, hopu kino hoʻokahi wale nō a e ole e makaukau e hoomalu ia lakou iho. At kamepiula nā keiki a me nā mākua i i ole ua vaccinated, e like me nā mea maʻi me HIV a me kanaka me ka nawaliwali'ōnaehana paleʻea nenoai.

ano o ka maʻi

Aia nō i ke kēia mauʻano o ka tuberculosis o intrathoracic lymph aka wahi:

• ʻeho.
• Infiltrative.
• Small.

ʻeho mea he ano o ke kaumaha bronhoadenita. Ua pinepine ia lŘlŘ i ka bipi keiki me ka mahuahua ikaika ma ka lymph aka wahi (lākou anawaena hiki a hiki i ka 5 knm) a me ka papakaukau tubinfitsirovanii. Pinepine i welded ka loli ana o eiiiiiaiou, e hana i hookahi conglomerate.

Infiltrative palapala kumu no ka hōʻemi iki ulu i loko o ka lymph aka wahi, pela perinodulyarnoe li nui predominates.

pōkole palapala

Small ano o ka tuberculosis o intrathoracic lymph aka wahi mea ole, e huai ae, a me ka mea e loli ai ka hapanui keiki. Lateʻike, a unrecognizable hiki aku ai i ka scarring o ka mediastinum, i loli ai ka maʻamau functioning o ka capillary pulmonary koko pele. I pathology ke alakai i ka muli o ka nui kaumaha a me ka weliweli ke ano o ke tuberculosis.

E lawe mai i ka pololeiʻike, a me ke kuhikuhi i ka maʻi, he mea pono e lawe i loko, no ka mea a pau eiiieaena o radiological a me ka endoscopic ikepili, oe i pono e pana aku au i kekahi tomography o ka mediastinum.

diagnose pilikia uuku ano

ʻO loko o kaʻeleu pae o ka poe liilii, tuberculosis o intrathoracic lymph aka wahi 1-2 Ua wehewehe aku ma lesions o ka lymph aka wahi me ka uuku mahuahua o (1.5 knm). Mau hoailona hiki ke ike ma ka m-Ray.

Lapaʻau symptoms i loa nawaliwali. Hooku iho la ia i hookuu wale haʻahaʻa-papa kuni, a me ka intoxication maʻi pale. I adolescence, i ka papa kuhikuhiE hoopii mea dystonia. Nolaila, ua pinepine hoouna nā mea maʻi e e hookolokolo aku la ia ia e kauka o nā profiles. Ma keia uuku palapala o ka tuberculosis ka mea, no ka mea maʻi hiki i'ē aʻe na nā loko.

symptoms

Tuberculosis o intrathoracic lymph aka wahi i na kēia symptoms:

• Kino mehana i 39 degere.
• I ka po, aohe mea i maopopo sweating, i ua ole, kena ae la ia e ka wela.
• Ua hoʻemi ikaika loa ka makemake.
• Cough hoʻomaka e like me ka mea i hōʻike i ka whooping cough.
• Hanahana loa pallor o ka ili i ai i ka bluish hue.

Eia naʻe, i kēia mau symptoms i ke maʻi-ho'ākāka 'ia, a laila, he pololeiʻike, ma luna ia e e paʻakikī loa. Akā, nā hiʻona hiki ke hōʻike 'ia ma ka nana kaʻina hana:

• Ke kākoʻo. ʻike ākea venous ulana pukapuka, Hoʻonui i ka pono nunui i loko o ka mua a me ka lua o ka intercostal ka lewa. Ma waena o vanes liʻiliʻi moku ana i loko o ka luna'āpana.
• Palpation. Ka hanana o ka eha ma ka puʻe ma ka spinous keʻano o ka hanaʻana o ka thoracic vertebrae (mai ka 3rd e 7th).

Mea nui i loko o kaʻike, o ka tuberculosis o ka X-Ray ninaninau. Ua ua lawe mai pela ma kīloi paʻewa a me ka antero-posterior nā wānana waiwai, 'ole. K. A malu mai lymph aka wahi hiki ke huna mediastinal nā loko, a cardiac Muscle. Ua mea i nui, e hoʻomaka scan NineManga.com o ka tracheobronchial laau. Akā, oi e pili ana i ka'ōlelo aʻe.

lapaʻau '

He loa paʻakikī eʻike mai nā like pathologies tuberculosis o intrathoracic lymph aka wahi. Palena pauʻike, Ua pono like ma lalo o kekahi i kekahi maʻi.

No laila, pehea e hoʻomakaʻike,?

Ke anu u mua mea, e huai ae i ke alo o Mycobacterium tuberculosis i loko o ke kino. TB germs hiki wale ke loaʻa i loko o ka holoi wai o ka'ōpū. Loa pinepine e loaʻa ka mea, i loko o ka holoi wai o na bronchi, sputum.

Next i mea OAXA radiological ninaninau. Ua hiki ke hoʻohana 'ole wale e ike ai i ko ke kanaka ua iho mailoko o, akā, no hoi i maopopo pehea lā ka lōʻihi o ia i ua iho mailoko o. I maikai kiʻi 'ana i kūpono e leie aku mākou, e kālailai i ka' ole o ka lymph aka wahi e kōkua i nā kumu seriously 'aʻa aku i kaʻike,.

An nui PalekanaEND_LINK iaoia o ka Mantoux hoao. Me ka maikaʻi hopena, ka mea, ua i kapaʻia ka "huli." Ma keia hihia, ke naoh o ka iho mailoko e hana i ka pahu kui o ka mea kēia - ka ka pahu kui paena mahuahua e oi aku mamua o 5 mm o. "Virage" ua diagnosed i loko o ka kēia hihia.

• Papule (hoailona iho la i ka lewa) i oi aku ia mamua 0.5 knm.
• Ua lilo ia i mea 'ē aʻe like i mua hualoaʻa.
• Aku i ka kūmau ma ka 17 mm o me ka hoʻokumu 'ana o ka mua vaccination.
• Ma hope o 3 makahiki o kona nui, ua oi aku ia mamua 12 mm o.

Eia naʻe,ʻaʻole manawa maikaʻi Mantoux olelo e pili ana i ka maʻiʻaʻai. Aia ka he manawa kūpono i ke kumu no ia i naoh i e allergic paha mua hoolilo maʻi. Ua mea no hoi e mau i ka hopena maikaʻi ho'āʻo Hōʻike i ka wa e kaawale aku o ka maʻiʻaʻai. Wahahee hopena maikaʻi hualoaʻa hiki ke kena ae la ma ka immunodeficiency a ma ka mea e, mai ka nui o ka maʻiʻaʻai i ole i hala 10 pule.

Naʻe, i ka "hoʻohei" Ua lawa kumu e hoʻomau hou ikea ai.

Nō hoʻi, ke hana i kekahi koko hoao me hapa o PalekanaEND_LINK kaʻina hana. A hiki i ka nui o MTB maʻiʻaʻai o leukocytes, lymphocytes, neutrophils, eosinophils e e iki mahuahua.

Palena pauʻike, o ka tuberculosis o intrathoracic lymph aka wahi

A hiki pinepine i kaʻike, o ka tuberculosis VGLU e e differentiated mai nā pathologies tuberculosis. E hana i kēia, i ke kahuna lapaau e pono nana i ka mōʻaukala, e hōʻike i ka likelihood o ka hui 'ana me bacillary nā mea maʻi, kālailai i ka tuberculin hoao, nānā i nā mea a pau mai mua hoolilo i hiki e pili i ka maʻiʻaʻai.

Ma waho i hiki ia e hookahuli ai i kekahi VGLU tuberculosis Tuberculosis hoomaopopo, he mea e paha e maopopo ia mai ka maʻi intrathoracic lymph aka wahi.

Ua mea i hiki ke hookahuli ai pathology me ka metastasis i kupu mai, mai ke pio ana o akemāmā Ka maʻi 'aʻai, a lymphosarcoma. Eia naʻe, e like me ka manawa kūponoʻia wale nō ma mua hoʻomanawanui iki mai.

therapies

Tuberculosis o intrathoracic lymph aka wahi i loko o nā keiki a me nā mākua i wahi kokoke like, no laila, ua hoakaka Inc me ka palena haʻahaʻa oko ao.

Iapaau ana o kēia 'ano o ka tuberculosis lōʻihi lawa. Ma awelika, lapaʻau hiki ke lawe anywhere mai 10 mahina a hiki i ka makahiki, a me ka hapalua. Ma keia hihia, ka mua 2-3 malama, i ke ahonui e ia i loko o ka tuberculosis haukapila. Mua, ma ka mea,ʻaʻole e iho mailoko o 'ē aʻe. Ka lua, no ka mea, he nui ka hoʻokō lapaau.

A pau i kēia manawa i ka luna 'Inc, i nā ai' e ku e tuberculosis, gepatoprotektory, nā wikamina, a me immunomodulators.

¶ A i loko o ka mua mau pule ma holomua kuʻina o ka maʻi hiki ke lawe mai chemotherapy. Naʻe, ka mea, ua ana ia i kekahi mau kaʻina hana depuration. No ka laʻana, intravenous kukuna irradiation a plasmapheresis koko.

VGLU TB lapaʻau ua maheleia i mau kahua o ka hoʻonaʻauao. Iloko o ka mālama nui lapaʻau ua lawe mai mua, i ua pahuna i luku Office, loaa o ka poino akemāmā'aʻaʻa ma manawa a me ka Kāohiʻana o ka maʻi complications. Inc ku TB ka loaʻa o ka hoʻohui pū 'ia o kekahi mau ai' mea e hiki i ka luku aku i na ano o MBT. Ka lua o ke kahua mea,ʻaʻole like, pili. Eia ka papa kuhikuhiE mea - e pale aku i ka hou-ulu o ka pathology, hoʻolaulaha'aʻaʻa hoola ana, e pepehi i kekahi koe nā palapala mycobacteria, a hoʻoikaika i ka'ōnaehana paleʻea nenoaiu.

Iloko o ka iapaau ana holoʻokoʻa ua? Aeiiaiaoaony e hahai i ka kūikawāʻai, a e kōkua i ka emi i ka kaʻawahia o ke kino a me ka hoonui ia'ku i ka maʻiʻaʻai. Keʻai mau mai nā 'ai me ka kiʻekiʻe kumuʻiʻo PAaIEN (hua paha, ai, haleʻuwī waiū huahana), wahi bata a me ka oliva aila, ka meli, kiliala, hua a me nā lauʻai me ka puu o ka wikamina C.

ʻoki lāʻau lapaʻau 'uao

Tuberculosis o intrathoracic lymph aka wahi kākaʻikahi hiki aku ai i ka pono no kaʻoki kino, e like me ka maʻi holo loa malie, aneane asymptomatic.

I ka nui, he mau kumu nui noʻoki kino:

• Omaka ke kūkulu tuberculoma lymph aka wahi.
• I ka nele o kekahi maikaʻi hopena o ka iapaau ana, a i ee aku oi ma mua o eono mahina aku nei.

hiki complications

E helu i ka hiki complications o tuberculosis o intrathoracic lymph aka wahi:

• Ho okumu o ka hao-bronchial fistulas aie i kaumaha pio o ka bronchi.
• Manawa a hiki i ka piha 'aʻe o bronchial iaʻi, a ia lŘlŘ ka wā o ka bronchial paipu'uī ma ka papakaukau lymph aka wahi a blockage o ko lākou cheesy nā paʻi hua, ia mea pinepine ka'opi o ke kaʻana like' ana, atelectasis o ke akemāmā kū ma luna o ke keena puʻe paha blockage.
• Total ole mea nui atelectasis (spadenie hapa paha lobe o ke akemāmā).

kāohi ana

Tuberculosis o intrathoracic lymph aka wahi, i kaʻike, a i i kūkākūkā i ka au mamuli e mākou ma luna pili, e like me nā mea a pau i kālā o ka tuberculosis, a hiki i ka "nohona maʻi." Ia mea, kona helehelena hilinaʻi nui ma luna o nā kūlana ola, a me ka nui o ka pomaikai. I Rusia, i nā kumu o ke ahulau ino o keia maʻi ua manaoia e ia i ka pahikaua mea hōʻemi i ola mau hae, hoemi i ka mea e like ai o ka kaiapili-yeiiiie? Aneeie oneiaeyie, kokololio ka ulu ana i loko o ka helu ana o kanaka noho kulana, e like me ka resumption oʻeleu Polenekia keʻano o ka hanaʻana.