Extrapulmonary kohi: Take, Tohu me te rongoā

kohi Extrapulmonary - te wā e ai te rōpū katoa o mate ngā e pa ana ngā pūnaha whēkau i te kiri me te wheua, me te whakamutu pūnaha me te waitinana kōpuku io. He kino matua no te mea kei te pāngia ratou mutunga rawa, kua ki te wā o te whanaketanga o pōauautanga enei mate.

O te akoranga, e hiahia i roto i ētahi atu pārongo e pā ana ki enei mate maha iwi. Ko ma'i pee te mahi kohi extrapulmonary? Ka taea e tetahi te pūnaha okana pā te mate? He aha tohumate e haere tahi i te ahuatanga? Pahonoraa ki enei pātai e kia whai hua ki te maha kaipānui.

pāpaka kohi Extrapulmonary me ratou take

kohi Extrapulmonary - te mate TB e pā ana ki te kătahi o te mycobacteria tinana tangata. Ka taea e ratou pā pūnaha okana rerekē, tae atu ki te kōhiwi, paru, puku, kiri, kanohi, whatukuhu, me te pera i runga i. D. E ai ki rangahau tauanga, puka extrapulmonary, rite ki te tikanga, he mate tuarua, me te whakawhanake i runga i te whakamārama o kaha e rerengia mate kohi pūkahukahu. Heoi, pāngia wā tūroro pāpaka anake extrapulmonary.

Ki te kōrero tatou e pā ana ki te mate o te tinana tangata, ko reira e pā ana ki 90% rite te kaihoko pūtake mahi kohi Mycobacterium (tubercle Bacillus). He nui iti pea ki te whakawhanake i TB i roto i te whakataki papamuri me tārua hohe Mycobacterium bovis - te huakita, i te ara, ka taea e hoki pā te māngai o kararehe. I roto i te whenua pārūrū, he matatu noa o te tukumate - M.africanum.

Kei te mea te reira e ko te reira microorganisms tino ātete. I roto i te wai, e taea ki te pupuri i te kaha ki te kaha ki te ora ki runga ki te rima marama ratou. I roto i te kohua mycobacteria wai ora 5-45 meneti. I te tahi atu te ringa, e tino rauangi ki te radiation hihi katinga nga iroriki TB.

Ka taea e koe te tiki kohi extrapulmonary?

O te akoranga, tuku kohi extrapulmonary, me te te ahua pūkahukahu o te mate i te tangata e mate ana ki te hauora. Kei te tukua te kaihoko fakatupu ngāue ki te taiao tahi me hūpē i roto i te maremare, te tihe, me pera i runga i. D. reira, i roto i te rōpū nui-mōrea he iwi e noho ana, me te taunekeneke tata ki tūroro TB.

Ko nga mea e kore e pera ohie. He tokomaha te iwi, ara i muri i neke atu i te kotahi tekau tau o ora i raro i te taua tuanui rite te manawanui e kore e pangia. Ano, e kore e te mate te tikanga mate. Kei te whakapono te reira e tata te toru o te taupori o te ao - kawe Koch Bacillus. Heoi, e mate tino kore katoa o ratou i te mate kohi.

e kore e ma'i pee kawe mate, a taea ora i waho te mōhio o te aroaro o te mate. Otiia, i reira ko te mōrea o te whakawhanake i te mate. Whakahohenga o mycobacteria puta ki te whakamārama o te hekenga kaha i roto i te wātea i te mate, na reira, ki ngā āhuatanga mōrearea ngā mate roa, ma'i mate inflammatory e te whaiwhaiā i noa te tinana, me te ahotea auau, te ahotea tinana, disorders hormonal, pohokore, i poto, nga mea katoa e taea e pā i te mahi o te ārai pūnaha.

Whakarōpū me te ahua o te mate

He maha ngā pūnaha whakarōpū mō ēnei pathologies. Hei tauira, ko te noa tino nga momo e whai ake nei o te mate kohi extrapulmonary:

• rohe - kotahi pokapū kei roto i te kotahi okana pāngia (wāhanga ranei ka tae mai te reira ki, hei tauira, te tuaiwi);
• noa - i roto i te kotahi me te okana ano e rave rahi aronga;
• pāpaka maha - korero e pā ana ki a ia i roto i te kaupapa e pā kohi e rave rahi whēkau o te pūnaha taua;
• tātaritanga "sochetannyj kohi" whakanohoia te i roto i te take, ki te reira ko te mate o te maha tinana o ngā pūnaha rerekē (te kupu, he taea te huinga o "pūkahukahu / kohi extrapulmonary").

I te wa o te tātaritanga, me te whakarongo ki te tohu o te mahi mate:

• ahua kaha o te mate (ahu whakamua, paipa, atu ano);
• hohekore kohi extrapulmonary (manawanui huringa motuhake i roto i whēkau tiaki āhuatanga mō te kohi, aroaro o aronga iti o abscesses scarring ranei, engari whakaatu whakamātautau taiwhanga kahore atu huringa).

He nui, me te aroaro o pōauautanga hoki te tātaritanga o te tukanga. Ka taea te ngā ratou (hei tauira, ārai Tuarua, whekau mate paitini, me te mate pāwera, amyloidosis, nahanaha pathologies uara) me rohe (hāngai e pā ana ki te okana pāngia pūnaha ranei).

Kohi o wheua, me hononga

kohi Extrapulmonary o wheua, me hononga - he mate ma'i ngā noa tahi e te e pāpaka i roto i ngā wāhanga rerekē o te pūnaha musculoskeletal. Ki te whakamārama o te mahi o microorganisms pathogenic, te hanganga o granulomas motuhake, me te te whakangaromanga ahu whakamua o te wheua kikokiko, e fakanatula tura'ii te kore anake huringa mahi kikokiko, engari ano hoki i roto i te kōhiwi.

E ai ki ngā tatauranga, te nuinga o te tūroro ki tenei tātaritanga - te kaumātua. Tata 60% o ngā take pānga te mate te tuarā, ārahi ki hauātanga. Puku, spondylitis me coxitis - ko te maumaui tino noa, haere tahi nei i mate kohi extrapulmonary tenei. Tohu whakauaua puta i roto i te tīmatanga o te mate.

I te tahi taime, korerotia tūroro mamae i roto i te wahi i pangia o te pūnaha musculoskeletal. Ki te whakawhanake i te mate momo rumati, taea e te reira hūhi kōrero mōna, pupuhi i roto i hononga iti, iti kaupapa. A, no te haere mai te reira ki te lesion filosilivá, maha kokopi te granuloma tipu nga pakiaka io, haere tahi nei i te momo o disorders neurological.

kia ngā te tohu i te huringa āta o te tūranga. timata nga uaua ki te ngaro ratou reo, no te mea o te mea te tangata he uaua ki te neke.

Kia aroha mai, te iwi haere ki te tākuta i roto i te wāhanga i muri mai, ka he kua reira pōauautanga hakari taua kohi extrapulmonary, rite abscesses, ātete deformities kōhiwi, fistulas. Tātaritanga o te mate e taea te pā ana ki etahi uaua, no te mea he tino te peroo te pikitia haumanu. I roto i te nuinga o te wā, tae noa i muri tika pau noho deformities maimoatanga wheua.

Tūkino ki te pūnaha io

whakaaro kohi Extrapulmonary o nga meninges ko te puka tino nui o te mate. whakawhanake tere mate me te i roto i te ngaro o te maimoatanga arata'i ki kino tina heke ki te pūnaha io, a wā mate. Heoi, ki te rā, kua oti te tuhituhi take o te mate pinepine.

I te wa, te tino noa pāngia kohi extrapulmonary rite i roto i ngā tamariki. Tuhinga o mate e pā ana ki tini nui e mau ana werohanga BCG i roto i nga kohungahunga. tautoko ana tēnei ariā e te meka e ki te rā, te kiriuhi ua tuberculous tupu i roto i ngā tamariki, kahore werohanga.

pāhoahoa wā-poto, iti kirika, ngoikore, me te ahuatanga - na mate kohi extrapulmonary tīmata. puta Tohu rite te whanaketanga o te kiriuhi ua. puta ānini atu pinepine, ka riro atu kaha. e whakatika pāmahana Body ki 39-40 nekehanga. excitability nui haere, whakawhanake tūtohutanga ki te marama. He āhuatanga āhuatanga ko te putanga o te anorexia me mate taimaha tere. Ki te kore maimoatia, te mate o te manawanui mai ki te wiki 3-5, e pā nei te ki pāpāngia o te romahā ranei pokapū vasomotor o te roro.

kohi puku

E tano ia tapao e he onge nga pāpaka puku, me te pūkete hoki% 2-3 anake o te wā katoa o te mate kohi extrapulmonary. Tikanga, te tukanga pathological tuatahi tā te taikiri me wāhi zabryushinnoogo mesenteric me anake ka whakawhānui pāpaka tubercular ki te whekau puku.

Kei te mea te reira e te tahi mau taime kia ahu whakamua te mate ki te pū kai. I roto i te wā pērā i reira ko te māmālie taiepa ulceration esophageal o te ngongo, te taper noa te stenosis tonu. kitea Mō te tauira taua i roto i pāpaka o te kopu - i roto i te rohe pyloric me i te curvature nui ki te hanga i tuwhenua iti, engari maha unpainful.

kino intestinal taea haere i runga i te papanga o te tāpiritanga. I te tahi taime te pāngia kohi, me te whēkau iti i roto i tūroro. Kia aroha mai, te tāututanga o te mate kohi extrapulmonary i roto i tenei take ko te tukanga uaua. e kore e korerotia rawa Tohu o te mate, me te pikitia haumanu maha rite enteritis ma'i, whēkau me ētahi atu mate o te pūnaha kūnatu.

momo mōrearea o te mate kohi pā mesadenitis. Ki te mate taua pānga nga oko lymphatic o te peritoneum, engari puta te tukanga ki te āta kōpū me ovaries. riro Fibrosing mumura o te pūnaha whakaputa uri te take o te pākoko i roto i nga wahine.

pāpaka TB kiri

Bacillus o Koch te maha paetata ki te kiri, me te kopa subcutaneous, meinga he momo o mate.

• chancre Tuberculous - he hanganga pēpēhia roto e puta tukanga purulent. Tikanga, Kei te hanga e taua hanganga i roto i te kōpuku waitinana. Tuwhenua maha e whakatuwheratia, mahue he fistula.
• Lupus - he mate āhuatanga e te e te ahua o te hunga ponana motuhake i runga i te kiri. Hūnga he knots mātotoru, e āta hanumi tahi ki te hanga i te pūrerehu, urutomo flat. Kei te maha hipoki Ko tōna anga ki mariao fistulas ranei.
• Kollikvativny lupus - raruraru, āhuatanga nei i te te hanganga o diameters iti pona kiri mātotoru o 1-3 cm tenei puku mamae kore, i whakakitea fistulas maha ..
• puka Warty o kohi o te kiri tahi e te ahua o te kiri o kekeno, āhua nei kei te rite papilloma. Otiia, i reira he rerekētanga. I roto i ngā, i te hanganga a tawhio noa te awhi i reira he riro he inflammatory me te kiri i roto i tenei rohe hue cyanotic. Kei te tino tenei pāngia puka o te mate i roto i ngā tūroro ki te ahua tuwhera o te mate kohi pūkahukahu, no te mea te kiri i roto i te maremare tonu whiwhi maremare. Ko te rōpū mōrearea ngā rata mahi ki tūroro TB, me te veterinarians.
• tahi kohi Miliary e te ahua o te māwhero ponana papular iti. E mea pinepine e paetata ratou a tawhio noa te orifices, ahakoa he reira taea horahia e ratou ki te tahi atu wāhi kiri. Ka rite ki te mate kauneke papules i hanga whewhe iti i roto i te pokapū, ka te nei hipoki ki te kirinuku. ulcerations kāore rohe hei aronga o necrosis.

Ahakoa o te puka o te mate kohi waihakihaki āhuatanga e puhoi ki runga, kahore mumura nui tetahi raru ranei. Wā o te murunga whakakapi exacerbations, e te nuinga o taka i runga i te puna me te ngahuru.

kohi urogenital

A, no te haere mai te reira ki tenei mate rite kohi extrapulmonary, āhua 37% o ngā take pānga te mate nga whekau o te pūnaha puha. E ai ki ngā tatauranga, tangata, a ka horahia te mate ki te pūnaha whakaputa uri, i roto i nga wahine e nui ono ngā take pēnei i.

mamae te nuinga maha i mate tākihi. Ko te tino makaro te pikitia haumanu. tohu Tuatahi a kihai i puta. Ki te whanaketanga o te mate kia puta paku, ka maru ai te mamae i roto i te hoki o raro. E mea pinepine e ahau tātari aituā kohi tākihi, i roto i te whakamātautau mimi oti, kimi mycoplasma i roto i ngā tauira.

Ki te kore e te manawanui i te tiaki e tika ana hauora, i reira ko te mōrea o te kakakīrehe me hydronephrosis.

I roto i te wā i reira horahia te mate ki nga whekau o te pūnaha whakaputa uri i roto i nga tangata matua pānga te repe repeure. Atu whakawhanake pōauautanga pērā i mate o nga kua unakatia, nga tātea vas me te aho tātea.

Kohi o taikiri

Ko te puka tino noa ko te mate kohi wahopūtau, e pā te taikiri piringa. E ai ki ngā tatauranga, pūkete reira e takoto ana a tawhio noa te 50% o ngā momo katoa o te mate momo wahopūtau. Ano, ka rite ki te tikanga, kua ngā reira ki kino ki te pūkahukahu, me te tahi atu whēkau o te pouaka.

I roto i te rongoā hou, atu pinepine tuhia take o lymphadenitis tuberculous rohe. Mate pānga kotahi anake rōpū o taikiri, me te pea te nuinga ki te mamae waha, me te submandibular. Iti nuitia, te ô i te mate nga taikiri inguinal me axillary. I tua atu, ka taea ahua whānui o te mate i roto i i pā ki ngā rōpū atu e toru o taikiri wā kotahi.

e kore e korerotia rawa Signs o te mate kohi extrapulmonary i roto i tenei take. I roto i te wāhanga tuatahi o te hua i roto i te taikiri. He rapa ratou, ngohengohe ki te pa, ngāwari, me te tīmatanga mamae kore. Hurihia ratou rahi kahore ki te mahi ki maremare mate o wahi romahā o runga ranei kua.

He āhuatanga āhuatanga he puka lymphadenitis tuberculous he whai wāhitanga i roto i te tukanga mate nga kopa e karapoti ana ngohengohe, me te te mate - ka karapoti taikiri. Ko te kupu i hanga te puku tika nui. I roto i te heke mai, i roto i te pokapū o te puku puta pae tamarûraa. I tenei wā i runga i te kiri pānga ko koki kikokore, i ētahi wā riro kauruku whero kikorangi ranei.

Ki te kore maimoatia, i reira te mea he whaturama o te kopa, hua i roto i te fistula roto e tae mai i roto i te tirotiro ōritetanga cheesy. Papanga hipoki ki te tuwhenua, toto e taea. kia coalesce te fistula, a ki runga ki tona mata pokapoka taratara e hanga e. Kia aroha mai, e kore e kiko whakaora muri roa - he hohokitanga, i roto i nei whakatuwheratia te fistula te ano.

I roto i ētahi wā, he whānui o te tukanga pathological pānga atu rōpū o taikiri. Ēnei pānga kino o take kohi extrapulmonary. kawea tātaritanga te atu i roto i tenei take i te unuhanga ki tauira taiwhanga muri whakamātautau whiwhi.

Me pēhea te ki te tātari kohi extrapulmonary?

Ka rite ki a koutou e taea te kite, i reira e maha tohu me pōauautanga, e arahi ki te whanaketanga o te mate kohi extrapulmonary. Ko tawhiti tātaritanga o enei ma'i, kāore, i raro ki etahi fifi, mai i te ite i te pikitia haumanu i roto i ia take. Ano, kei te pāngia te nuinga o tūroro kē i roto i ngā wāhanga matatau o te mate kohi.

Noatia, mo te rapunga o te mate, ko te mea e tika ana ki te whakahaere i te tahi rangahau. Tenei matua whakamātau Mantoux ki pota rerekē o tuberculin. E āwhina ana tēnei whakamātau whakatau ki te no te manawanui ki te rōpū mōrearea. I roto i te tua, he taahiraa nui i roto i te tātaritanga he Radiography me fluoroscopy rite te mate extrapulmonary te tikanga whakawhanake ki mate kohi pūkahukahu. Ka taea e Ahakoa iti, wäriu lesion pūkahukahu whakaū i te aroaro o te mate i roto i te manawanui i roto i te hunga tahi atu whekau ranei.

I roto i te heke mai, kua whakahaere akoranga atu, me te, i roto i ngā, ultrasound, te kōwarotanga autō, me te tomography rorohiko, unuhanga me te taiwhanga whakamātautau o te kopa mo te aroaro o Mycobacterium kohi.

Maimoatanga o te mate kohi extrapulmonary me ona peculiarities

O te akoranga, ko te tātaritanga kino tenei, engari no te mea i roto i te wahi tuatahi o nga ngākau nuitanga o tūroro i te aroaro o te ngā tukanga whakaora whai hua. Maimoatanga o te mate kohi extrapulmonary - he roa, me te matatini, me ona wāhanga matua hāngai ki te kaupapa o te therapy mō ngā momo pūkahukahu o te mate.

Kia aroha mai, therapy paturopi uaua mahi. Ko te meka e mycobacteria tere whakawhanake ātete ki tata momo katoa o paturopi, na e te tikanga enei taero whakamahia rite mau pŭpŭ tauturu.

Kei te whakaaro te reira ki te hei i te kimó whai hua tino. I teie mahana, i reira e rave rahi kaupapa o taua maimoatanga. Nuinga o ngā wā whakahaere i te reira i te therapy whā pera-ka karanga nei ngā te whakamahi o te rifampicin, streptomycin, isoniazid me pyrazinamide. E whakamahi ētahi haumanu tūmataiti kaupapa pyatikomponentuyu atu ahu whakamua, tāpiri ki te rārangi o te raau taero, te tahi mau raau taero o te whakatupuranga hou. Tika tauturu whiriwhiria huinga whakangaro tukumate o te mate kohi, engari, kāore, e kore e te maimoatanga mutu i reira.

No te mea pēhia pā hahau mo kohi te tinana, i reira e ngā hepatoprotectors, me te taero, tere te tukanga o te tango i tāoke i te tinana (tikanga ngā acetylcysteine, reosorbilakt). I roto i te tua i te wahi nui o te therapy, ko te whakahaere o immunostimulants, tae atu glutoksim, xymedon, galavit.

I te tahi taime, te talena maimoatanga ngā huaora o rōpū A i roto i te tikanga ki te ārai i te whanaketanga o neuropathies piringa. I roto i ētahi wā, he tika pokanga. I roto i ngā, whakaritea te mahi i roto i te take o te hanganga granuloma i te tuarā, i te mea he anake te ara ki te aukati i kino ki te pakiaka io me ua tenei.

Ahakoa i muri i nga mehua haumanu katoa he ture e kia ārahi i te manawanui. He wāhanga nui o te ora o te tinana, ko te āhua noho hauora me te kai tika. kia whakauru te kai matūkai, me te te matatini katoa o huaora me ngā ōpapa. He mea nui ki te whakahoki taimaha tinana noa. A mate kohi (pūkahukahu, me te extrapulmonary) here he maimoatanga hōhipera auau.