Extrapulmonary tarin fuka: Sanadin, Alamun kuma Jiyya

Extrapulmonary tarin fuka - ajalin da wanda duk rukuni na hada cututtuka da shafi daban-daban Gabar tsarin daga fata da ƙashi, da kuma kawo karshen juyayi tsarin da Lymph nodes. Wadannan cututtuka su ne m da farko saboda ana bincikar lafiya latti, riga a mataki na ci gaba da rikitarwa.

Hakika, mutane da yawa suna sha'awar ƙarin bayani game da wadannan cututtuka. Shin extrapulmonary da tarin fuka ne m? Duk wani sashin jiki tsarin zai iya shafar da kamuwa da cuta? Abin da cututtuka suna tare da malaise? Amsoshin wadannan tambayoyi zai zama da amfani ga mutane da yawa masu karatu.

Extrapulmonary tarin fuka raunuka da kuma su haddasawa

Extrapulmonary tarin fuka - wani cutar hade tare da shigar azzakari cikin farji na jikin mutum mycobacteria. Sun iya shafar daban-daban Gabar tsarin, ciki har da kwarangwal, hanjinsu, ciki, fata, da idanu, kodan da sauransu. D. cewar ilimin kididdiga karatu, extrapulmonary siffofin, kamar yadda mai mulkin, suna sakandare cututtuka da kuma ci gaba a kan bango na rayayye gudãna na huhu da tarin fuka. Duk da haka, lokaci-lokaci marasa lafiya bincikar lafiya na musamman extrapulmonary raunuka.

Idan muka magana game da kamuwa da cuta daga cikin jikin mutum, shi ne game da 90% a matsayin causative wakili abubuwa Mycobacterium tarin fuka (tubercle bacillus). Da yawa kasa kusantar wajen samar da tarin fuka a bango gabatarwar da kuma aiki haifuwa Mycobacterium bovis - kwayoyin, ta hanyar, kuma iya shafar wakilan shanu. A wurare masu zafi kasashen, wani na kowa iri na pathogen - M.africanum.

An ce da shi ne musamman resistant kwayoyin. A ruwa, suna iya riƙe da ikon ikon rayu har zuwa watanni biyar. A cikin ruwan zãfi mycobacteria tsira 5-45 minti. A daya hannun, da tarin fuka germs ne musamman kula ultraviolet radiation.

Za ka iya samun extrapulmonary tarin fuka?

Hakika, extrapulmonary da tarin fuka, kazalika da na huhu nau'i na cutar da ake daukar kwayar cutar daga rashin lafiya mutum zuwa da lafiya. A causative wakili da aka saki a cikin yanayi tare da gamsai a lokacin tari, sneezing, da sauransu. D. Saboda haka, a cikin babban hatsarin kungiyar ne mutanen da suka rayu da hul] a hankali tare da majinyatan tarin fuka.

Amma abubuwa ba haka ba ne mai sauki. Mutane da yawa, har ma bayan fiye da daya da shekaru goma na rayuwa a karkashin wannan rufin matsayin haƙuri ba a kamu. Haka kuma, kamuwa da cuta ba ya nufin cuta. An yi imani da cewa kusan wata uku na mutanen duniya - dako Koch bacillus. Duk da haka, ba dukan su ba suna da gaske fama da tarin fuka.

kamuwa da cuta dako ne ba m da zai iya rayuwa ba tare da kasancewa sane da gaban kamuwa da cuta. Duk da haka, akwai hadarin bunkasa cutar. Rayar da mycobacteria auku kan bango da wani karfi karu a rigakafi, saboda haka, hadarin abubuwan sun hada da tsawo rashin lafiya, na kullum mai kumburi cututtuka da cewa kawai deplete jiki, kazalika da m danniya, jiki da danniya, hormonal cuta, tamowa, a takaice, duk abin da za su iya shafar aiki na rigakafi tsarin.

Rarrabuwa da kuma nau'i na cutar

Akwai da dama rarrabuwa tsarin na wadannan pathologies. Alal misali, ya fi na kowa ne da wadannan siffofin extrapulmonary tarin fuka:

• gida - daya cibiyar located in daya ya shafa sashin jiki (ko kashi lõkacin da ta je, misali, da kashin baya).
• kowa - a wanda kuma wannan sashen ne da dama foci.
• mahara raunuka - magana game da shi a yayin da tarin fuka rinjayar da dama gabobin da wannan tsarin;
• ganewar asali "sochetannyj tarin fuka" aka sanya a cikin al'amarin, idan akwai wata asarar gawarwaki da dama daban-daban na tsarin (haka, da hade da "na huhu / extrapulmonary tarin fuka" shi ne zai yiwu).

A lokacin ganewar asali, da kuma kula da mataki na cuta aiki:

• aiki nau'i na cutar (m, relapsing, kashe sake).
• m extrapulmonary tarin fuka (haƙuri takamaiman canje-canje a cikin gabobin kiyaye halayyar ga tarin fuka, kasancewar kananan foci na abscesses ko scarring, amma dakin gwaje-gwaje gwaje-gwaje nuna babu wani karin canje-canje).

Ga ganewar asali na tsari yana da muhimmanci, kuma kasancewar rikitarwa. Su za a iya raba (msl, secondary immunodeficiency, mai guba da kuma rashin lafiyan da waxannan cututtukan gabobin, amyloidosis, tsari pathologies dabi'u) da kuma gida (kai tsaye hade da abin ya shafa sashin jiki ko tsarin).

Da tarin fuka da ƙasusuwa da kuma gidajen abinci

Extrapulmonary da tarin fuka da ƙasusuwa da kuma gidajen abinci - a gwada kowa kullum cutar da cewa yana tare da raunuka a sassa daban daban na musculoskeletal tsarin. Kan bango na aiki na pathogenic microorganisms, da samuwar takamaiman granulomas, kazalika da ci gaba da lalata kashi nama, wanda halitta entails ba kawai daga ilimin Halittar Jiki amma kuma aikin canje-canje a cikin kwarangwal.

Bisa kididdigar da, yawancin marasa lafiya tare da wannan ganewar asali - tsofaffi. Kimanin 60% na lokuta da cutar rinjayar da kashin baya, abu don tawaya. Drives, spondylitis da coxitis - wannan shi ne ya fi kowa keta, wanda yana tare da extrapulmonary da tarin fuka. Alamun wuya faruwa a farkon matakai da cutar.

Wani lokaci, marasa lafiya ruwaito zafi a cikin shafa ɓangare na musculoskeletal tsarin. Idan cutar tasowa amosanin gabbai da irin, zai iya zama ya lura da rashin jin daɗi, busa a cikin kananan gidajen abinci, iyaka motsi. Idan ya zo ga kashin baya rauni, da girma granuloma sau da yawa compresses da jijiya Tushen, wanda aka tare da wani iri-iri na neurological cuta.

A ãyõyinMu su hada karɓa mai canji na hali. Tsokoki fara rasa su sautin, saboda abin da wani mutum ne da wuya ta motsa.

Abin baƙin ciki, mutane je likita a baya, saukarwa, a lokacin da ta riga ba rikitarwa irin extrapulmonary da tarin fuka, kamar yadda abscesses, resistant kwarangwal musakai, fistulas. Ganewar asali da cutar za a iya hade da wasu wahala, saboda na asibiti hoto ne sosai Heart. A mafi yawan lokuta, ko da bayan daidai ciyar magani kashi nakasar kasance.

Lalacewar da juyayi tsarin

Extrapulmonary da tarin fuka da meninges an dauki mafi tsanani nau'i na cutar. Rashin lafiya tasowa cikin sauri, kuma a cikin rashi na magani kaiwa zuwa komowar lalacewar da juyayi tsarin, da kuma lokaci-lokaci mutuwa. Duk da haka, to date, lokuta da cutar, an rubuta infrequently.

A lokacin, da aka fi kamu kama extrapulmonary tarin fuka a yara. Akan rage cutar hade tare da m yaduwa dauke BCG lamba a jarirai. Wannan ka'idar yana goyan bayan da cewa zuwa ranar, tuberculous meningitis faruwa tsakanin yara ba tare da alurar riga kafi.

Short-lokaci ciwon kai, kadan zazzabi, wani rauni da malaise - don haka extrapulmonary da tarin fuka ta fara. Alamun bayyana matsayin ci gaban meningitis. Ciwon kai bayyana more akai-akai da kuma zama mafi m. Jiki zafin jiki yakan zuwa 39-40 digiri. Karuwan excitability, tasowa ƙwarai zuwa ga haske. A halayyar alama ne zargin anorexia da m nauyi asara. Idan untreated, da mutuwar wani haƙuri zo zuwa ga 3-5 mako, wanda ake dangantawa da inna na numfashi ko vasomotor cibiyar na kwakwalwa.

ciki da tarin fuka

Shi ne ya kamata a lura da cewa na ciki raunuka ne rare da asusu domin kawai 2-3% na duk lokuta na extrapulmonary da tarin fuka. Yawanci, da farko pathological tsari ya shafi cikin Lymph nodes kuma mesenteric zabryushinnoogo sarari kuma kawai sai tubercular raunuka mika wa kogon gabobin.

An ce, wani lokacin da cuta na iya ci gaba da esophagus. A irin haka akwai wani sauka a hankali esophageal ulceration ganuwar tube, da taper har da cikakken stenosis. Game da wannan tsarin da ake lura a raunuka na ciki - a cikin pyloric yankin da kuma a cikin mafi girma curvature ta samar da kananan, amma mahara unpainful ulcers.

hanji lalacewar iya wuce a kan masana'anta na appendix. Wani lokacin da tarin fuka da aka yi fama, da kuma kananan hanji a marasa lafiya. Abin baƙin ciki, da ganewa na extrapulmonary da tarin fuka a cikin wannan yanayin ne mai wuya tsari. Bayyanar cututtuka da cutar ba su ma sai ya furta, da kuma na asibiti hoto sau da yawa kama da kullum enteritis, appendicitis da kuma sauran cututtuka na narkewa kamar tsarin.

M siffofin da tarin fuka tana nufin mesadenitis. Tare da irin wannan cuta rinjayar da lymphatic tasoshin na peritoneum, amma aiwatar fitowa to hankali mahaifa da ovaries. Fibrosing kumburi da haihuwa tsarin zama hanyar rashin haihuwa a mata.

Tarin fuka fata raunuka

Koch ta bacillus ne sau da yawa sarrafa da fata da kuma subcutaneous kyallen takarda, haddasa wani iri-iri cututtuka.

• Tuberculous chancre - shi ne compacted samuwar ciki wanda ke faruwa surkin jini tafiyar matakai. Yawanci, irin Tsarin aka kafa a cikin Lymph kumburi. Ulcers sau da yawa ake bude, da barin wani fitsari.
• Lupus - wata cuta da cewa halin da bayyanar takamaiman rash a kan fata. Eruptions ne m kullin, wanda a hankali ya ci tare, don samar da wata m, lebur infiltrate. Its harsashi ne sau da yawa an rufe shi da ulcers ko fistulas.
• Kollikvativny lupus - rashin lafiya, wanda aka halin da samuwar kananan m fata kumburi diameters na 1-3 cm Wannan m kumburi, wanda saukar mahara fistulas ..
• Warty nau'i na da tarin fuka da fata tare da bayyanar da fata na like, wanda aka dimbin yawa kamar papilloma. Duk da haka, akwai bambance-bambance. A musamman, da samuwar kusa da baki akwai wani mai kumburi da fata a cikin wannan yanki ya zama cyanotic ya dafa. Wannan ne mafi yawan kamu nau'i na da cuta a cikin marasa lafiya tare da bude nau'i na huhu da tarin fuka, saboda fata a lokacin tari kullum samun phlegm. A hadarin kungiyar hada da likitoci aiki tare da majinyatan tarin fuka su, kazalika da dabbobi.
• Miliary da tarin fuka ne tare da bayyanar kananan papular rash ruwan hoda. Sau da yawa suna sarrafa a kusa da orifices, ko da yake mai yiwuwa ne sun watsu sauran fata yankunan. Kamar yadda cutar progresses kafa papules kananan miki a cibiyar, to, wanda aka rufe da ɓawon burodi. Untreated ulcerations zones zama foci na necrosis.

Ko da kuwa da irin cutaneous tarin fuka halin da kasãla kan ba tare da gagarumin kumburi ko soreness. Lokaci na gafarta musu maye gurbin exacerbations, wanda yawanci dama a kan bazara da kaka.

urogenital da tarin fuka

Idan ya zo ga wannan cuta a matsayin extrapulmonary da tarin fuka, kamar 37% na lokuta da kamuwa da cuta rinjayar da gabobin da excretory tsarin. Bisa kididdigar da, maza, da kuma kamuwa da cuta shimfidawa da haihuwa tsarin, yayin da a tsakanin mata irin haka ne da yawa rarer.

Mafi sau da yawa fama da koda cuta. The asibiti hoto ne sosai mai hazo. Da farko bayyanar cututtuka da kuma bai bayyana. Tare da ci gaba da cuta na iya bayyana da dan kadan, aching zafi a cikin ƙananan baya. Sau da yawa na gane asali na koda da tarin fuka hatsari, lokacin da cikakken fitsari gwajin, ganowa Mycoplasma a samfurori.

Idan haƙuri ba ya da zama dole kiwon lafiya, akwai hadarin fibrosis da hydronephrosis.

A lokuta inda da kamuwa da cuta shimfidawa da gabobin da haihuwa tsarin a maza da farko rinjayar da prostate gland shine yake. Ci gaba da bunkasa da rikitarwa kamar kamuwa da cuta daga cikin golaye, da vas deferens da spermatic igiyar.

Da tarin fuka da Lymph nodes

Mafi na kowa nau'i ne extracellular da tarin fuka, wanda rinjayar da na gefe Lymph nodes. Bisa kididdigar da, shi asusun crouches kusa da 50% na dukkan siffofin cuta extracellular jinsunan. Bugu da ƙari, kamar yadda mai mulkin, shi ne a hade tare da lalacewar da huhu da kuma sauran gabobin daga cikin kirji.

A zamani magani, lokuta na gida tuberculous lymphadenitis rubuta fiye sau da yawa. Kamuwa rinjayar daya kawai rukuni na Lymph nodes, kuma mafi kusantar su sha mahaifa da submandibular. Kadan fiye, da kamuwa da cuta ke shiga cikin inguinal da axillary Lymph nodes. Bugu da kari, zai yiwu kowa yana da nau'i na cutar a wadda ta shafi uku mafi kungiyoyin na Lymph nodes lokaci guda.

Ãyõyin extrapulmonary da tarin fuka a cikin wannan yanayin ne ba ma furta. A matakin farko na wani karuwa a Lymph nodes. Su na roba, taushi da touch, m da farko m. Canza su size yana da kõme ba yi da colds ko cututtuka na sama na numfashi fili.

A halayyar alama ne tuberculous lymphadenitis nau'i ne da hannu a cutar aiwatar da kewaye taushi tsokoki, kazalika da cutar - da kuma kewaye Lymph nodes. Kamar wancan kafa fairly manyan kumburi. A nan gaba, a cikin cibiyar da ƙari bayyana softening shafin. A wannan mataki a kan ya shafa fata ne thinner malã'iku, wani lokacin zama ja, ko bluish tint.

Idan untreated, akwai wani katsewa na kyallen takarda, sakamakon wani fitsari ta hanyar abin da yake fita daga cikin abinda ke ciki cheesy daidaito. Fabric rufe sores, zub da jini ne yiwu. A fitsari iya coalesce, da kuma a kan bãyan tẽkun m scars suna kafa. Abin baƙin ciki, nama waraka ba šauki tsawon - a komawa, a cikin abin da fitsari, aka buɗe sake.

A wasu lokuta, hakan na pathological aiwatar rinjayar sauran kungiyoyin na Lymph nodes. Wadannan m effects na Sanadin extrapulmonary da tarin fuka. Ganewar asali ne da za'ayi a cikin wannan hali ta hanyar biopsy tare da m awon gwajin samfurori samu.

Yadda za a gane asali extrapulmonary tarin fuka?

Kamar yadda ka gani, akwai mutane da yawa cututtuka da kuma rikitarwa, wanda ta kai ga ci gaban da extrapulmonary da tarin fuka. Ganewar asali na wadannan ailments, da rashin alheri, batun wasu matsaloli, tun lokacin don gane da na asibiti hoto ne da nisa daga a kowane hali. Haka kuma, yawancin marasa lafiya suna kamu riga a ci-gaba matakai na tarin fuka.

Babu shakka, domin ganewa na cutar da shi wajibi ne don gudanar da wasu bincike. Wannan musamman Mantoux gwajin tare da daban-daban allurai tuberculin. Wannan gwajin ya taimaka ƙayyade idan haƙuri nasa ne a hadarin kungiyar. Bugu da kari, wani muhimmin mataki a cikin ganewar asali ne radiography da fluoroscopy kamar yadda extrapulmonary cuta yakan ci gaba da na huhu da tarin fuka. Har ma da kananan, saura na huhu rauni iya tabbatar da kasancewar kamuwa da cuta a cikin haƙuri a cikin wadanda ko wasu gabobin.

A nan gaba, ƙarin karatu ne gudanar da, musamman, duban dan tayi, Magnetic rawa da kwamfuta tomography, biopsy da dakin gwaje-gwaje jarrabawa daga kyallen takarda ga gaban Mycobacterium da tarin fuka.

Jiyya na extrapulmonary da tarin fuka da kuma ta peculiarities

Hakika, wannan shi ne wani hatsari ganewar asali, amma saboda da fari cikin bukatun da marasa lafiya da gaban wani tasiri warkewa hanyoyin. Jiyya na extrapulmonary tarin fuka - mai tsawo da kuma hadaddun, da manyan matakai zo daidai da makirci na far ga huhu siffofin da cutar.

Abin baƙin ciki, kwayoyin far da wuya aiki. Gaskiyar cewa mycobacteria hanzari ci gaba da juriya ga kusan duk irin maganin rigakafi, don haka wadannan kwayoyi yawanci amfani da sababbin shiga.

An dauke zama mafi inganci jiyyar cutar sankara. Yau, akwai da dama da makircinsu da irin wannan magani. Mafi sau da yawa shi gudanar da wani da ake kira hudu far wanda ya hada da amfani da rifampicin, streptomycin, isoniazid da pyrazinamide. Wasu masu zaman kansu asibitoci ana amfani da mafi m pyatikomponentuyu makirci, ƙara wa jerin kwayoyi, wasu kwayoyi na sabon ƙarni. Yadda ya kamata zaba hade taimaka halakar pathogens da tarin fuka, amma, da rashin alheri, da magani ba ya kawo karshen akwai.

Saboda jiyyar cutar sankara ga tarin fuka adversely rinjayar da jiki, akwai daban-daban hepatoprotectors, kazalika da kwayoyi, accelerating da aiwatar da cire gubobi daga jiki (tamkar hada da acetylcysteine, reosorbilakt). Bugu da kari, wani muhimmin ɓangare na far ne gwamnatin immunostimulants, ciki har da glutoksim, xymedon, galavit.

Wani lokaci, da magani regimen hada da bitamin na kungiyar A domin hana ci gaban gefe neuropathies. A wasu lokuta, tiyata zama dole. A musamman, da aiki an wajabta, a harka na granuloma samuwar a cikin kashin baya, kamar yadda wannan ne kawai hanyar da za a hana tsanani lalacewar da jijiya tushen da laka.

Ko bayan duk warkewa matakan ne dokokin da ya kamata su shiryar da mãsu haƙuri. An muhimmanci mataki na dawo da na jiki ne da lafiya salon da ya dace rage cin abinci. A rage cin abinci ya kamata hada da gina jiki, kazalika da dukan hadaddun na bitamin da kuma ma'adanai. Yana da muhimmanci a maido da jiki nauyi. Kuma da tarin fuka (na huhu da kuma extrapulmonary) dauri ne na yau da kullum sanatorium magani.