Isifo sofuba esiswini: iimpawu kunye nonyango

Kanye kunye nezifo zomhlaza, ukusasazeka kwehlabathi olufana nesifo sofuba sisasazeka. Yibangelwa intonga kaKoch, ewela kumntu ogulayo ukuya kwindawo enempilo, ngokudluliselwa kwe-air-drop. Isifo sofuba esiswini, iimpawu esicinga ngazo kwinqaku lethu, ngokuqhelekileyo zenza njengesifo sesibini kwizigulane ezigxile kwiimiphunga okanye kwezinye izitho.

Isifo sofuba esiswini: inkcazo

I-pathology egama lingumhlala-siphelo ongapheliyo wokusasazeka, ukukhula emzimbeni ngokudluliselwa kwe-mycobacteria ukusuka kumaphaphu ukuya kwiimpawu zokutya okanye ngokungena ngokuthe ngqo nge-saliva kunye nokutya okusulelekileyo. Isifo sesifo sofuba sibonakala ngokubonakala kwimizimba emathunjini amancinci okanye amancinci, kunye nokutshintshela kwiigunyuli zesilonda, ukubunjwa kwemigodi emikhulu, kunye nokukhathazeka ngokugqithisileyo.

Isifo esinjalo sisona siqhelo. Ibonakala kubantu abangaba ngu-40 kwiiwaka ezili-100 zabantu bonke. Isifo sofuba sivame ukufunyanwa emva kokufa. Ngexesha lobomi besigulane lifanelekile njenge- colonial ulcerative colitis.

Ziziphi izibangela zesifo sofuba samathumbu?

Isifo sofuba esiswini sisondelelene nokubakho kwezizathu ezithile:

1. Usulelo lwe-digestive system nge-mycobacteria intonga kaKoch.
2. Ukunciphisa amandla omzimba omzimba.

Ukongeza, isifo sofuba esiswini singakhula njengendlela yokusabela kwiinkqubo ezilandelayo:

1. Ubuninzi bama-abscesses, obunxulumene ngokusondeleyo kummandla we-mucosa wamathumbu kunye nokuzikhusela kwakhe.
2. Ukusetyenziswa kakubi kwemveliso yexuba kunye notywala.
3. Izifo zentsholongwane kaGawulayo.
4. Ubukho be-diabetes mellitus.
5. Ubukho obungunaphakade kwiimeko ezixinzelelekileyo.
6. Sebenza kwiindawo ezinobungozi kwimpilo.

Kubalulekile ukuqwalasela enye ingqinamba yesi sifo. Ukuba ufuna ukwazi ukuba isifo sofuba esiswini sisifo okanye asiyi, impendulo iya kuba yinto engabonakaliyo: ewe.

Ziziphi iimpawu zesifo?

Ukuze ufumane ukuba zeziphi iimpawu zesifo sofuba esiswini, izibonakaliso zokuqala ukuba lesi sifo sidluliselwa njani, abaninzi baya kumasayithi angathandabuzekiyo kwaye, ngokuqinisekileyo, bafumana khona ulwazi olungengqiniswanga. Okwangoku, nangona uhlobo oluqhelekileyo lwesifo, oogqirha basasahlula oku kubonakaliswa kwezi zilandelayo:

1. Ubuhlungu. Ngokuqhelekileyo ngokuqhelekileyo zenzeka nge-palpation okanye ngokukhawuleza. Ngamanye amaxesha unomntu osisigxina, kunye nokusika okuphakathi kwendawo yesisu.
2. Isifo sohudo, ukuqhawulwa. Usihlalo uphethiweyo, ngoko uhlawulekayo kwaye rhoqo, kwaye ubonakaliswe ukungakwazi ukubuyela.
3. I-gag reflex, i- nausea. Unokuthi ungabikho kwiiyure ezingama-24 uze uhambe nesigulane ukusuka kwiintsuku ezi-1 ukuya kwezi-3.
4. Xa kukhangela isisu esiswini, iimpawu zivame ukuziva. Kanye kunye nokufumanisa iigununu, isigulane siva buhlungu.
5. Flatulence.
6. Ukukhathazeka kwe- caecum.
7. Ukubonakala kwindwangu yegazi. Ingakhululwa ngokukhulu kunye ncinane. Unobumba obomdaka.

Ngokubanzi, iimpawu ezinjalo zingabonakala njengonyaka emva kokuqala kwesifo ngesifo sofuba, nangemva kweminyaka eyi-15. Yonke into incike kwiindlela ezichanekileyo zobomi, impilo jikelele yesigulane kunye nokungabikho kwezidumbu.

Isifo sofuba esiswini: indlela ekhula ngayo

Umathumbu uphethwe yintonga kaKoch, ngokuqhelekileyo kunye nobukho besifo sofuba esele sikhona. Akunandaba naliphi iqumrhu elibonakalayo ekuqaleni: kwimiphunga, i-lymph nodes, umgudu okanye kwiindawo zokucoca. Intonga kaKoch ingena emathunjini ngokusebenzisa ukuhamba kwegazi okanye i-lymph, okanye ngokusetyenziswa kweemveliso zobisi ezingaphelelwanga kwiinkomo ezithathelweyo ngesifo sofuba.

Isifo sesifo sofuba sikhetha enye yeentlobo ezimbini zamanzi:

1. Iliac, esezantsi kweengxenyana ezincinci. Kulo, isifo sifana nesimo sesilonda, kunye nokunyuka kwe-granules kwifom ye-hypertrophic kunye nokunciphisa umlenze wamathumbu.
2. Iimfama, zifumaneka ngaphantsi kwendawo apho intlungu encinci iya kuba ngamafutha. Isigaba sokuqala sesifo sesifo sofuba esiswini sisiswini se-lymph system yeendonga zamathumbu emathunjini kunye nokubonakala kwezilonda ezikulo lonke ububanzi. Okulandelayo, ukuvuvukala kwenzeka kwii-lymph nodes kunye nokwakhiwa kwee-tubercle pellets kwindawo yengqumbo yangaphandle yesilonda. Konke oku kukhokelela ekuphuhliseni i-peritonitis kunye nokubunjwa kweemveliso.

Ukongeza kwimiqondiso engentla, ebonisa isifo sofuba esiswini, iimpawu zi nokuba:

• Ukubuthathaka komzimba;
• Ukunyuka okuthe ngqo kwimobushushu;
• Ukulahleka kwesisindo;
• Ukuphelelwa kwesidlo.

Ngokuqhelekileyo isigulane sibhekene nesifo sohudo, esingayeki ukusetyenziswa kwezidakamizwa ezichasayo nezichasayo. Ngexesha le sifo, iimpawu zesifo sofuba esiswini kubantu abadala ziguqulwa zibe yintlupheko yesigaba kunye nokuxolelwa.

Ngokuqhelekileyo, izigulane zivezwa intlungu kwintonga. Xa utshintshe isikhundla somzimba okanye ufumane ukunyameka komzimba, intlungu iya kwanda.

Ukuba isifo sofuba esiswini, iimpawu esicinga ngazo kwinqaku, asikwazi ukuphathwa ngexesha elifanelekileyo, ukuphumelela kwesilonda esiswini esiswini kwisisu esiswini kunye nokubonakala kwe-peritonitis kwelinye okanye kwiindawo ezininzi.

Ufunyanwe njani isifo sofuba sesifo sofuba?

Ekubeni isifo sofuba esiswini sanyamalala phantsi kwezinye iindidi zezifo, ukuhlaziywa kwegazi, umchamo kunye nemfesi, kunye nokufundwa kwesigxathu, asikwazi ukusebenza ngokufanelekileyo. Bayakwazi ukunikela umfanekiso wesifo kuphela, kodwa kungekhona isigaba kunye nendlela yokwenza unyango.

Yintoni enye efunekayo ukuqinisekisa ukuxilongwa "kwesifo sofuba esiswini"? Iimpawu, iimpawu zokuqala kunye nohlalutyo lweklinikhi alaneleyo oku, kwaye iingcali ziphakamisa iimviwo ezilandelayo:

1. Ukuthatha i-radiography. Ikuvumela ukuba ufumane utshintsho kwindonga yamathumbu, kunye nokungafi ngokupheleleyo komsebenzi walo ixesha elithile. Ukongezelela, i-radiography yamathumbu ehlukeneyo ivumela ukuba ifumane idatha kwindawo kunye nohlobo lokusuleleka kwamathumbu. Ngoko ke, xa isilonda siphula emithanjeni encinci, kwaye ngokufa kweeseli zamathumbu kuqubuzela ukunyuka. Kwiyiphi na le meko, imingcele engalinganiyo, i-deformation, kunye ne-compaction kunye nokugqiba i-intestine yenziwe kwiziko lesilonda. Ukuze kwenziwe ukuxilongwa ngokucacileyo, oogqirha benza iimvavanyo ezongezelelweyo ezifana ne-CT, ukuhlolwa kwe-ultrasound yesigxina esiswini.
2. Ukufundwa kweendonga zesisu ngendlela ye-endoscopy. Ukuba iprojekithi igxinyiwe, izigulane zihlolisisa iindonga zamathumbu ukuze zichonge izilwanyana ezinobulunga. Ukongezelela, iprojekithi ekhethekileyo isebenzisa isampula se-biopsy, esilandelwa yiphononongo kwinkalo ye-histology kunye ne-microbiology.

Ngaloo ndlela, kuthethwa ukuba ugqirha obunzima kumgqirha xa kukho ukusola kwi-TB yesisu. Iimpawu zokuxilongwa, ezenziwa ngoncedo lwe-X-ray kunye ne-endoscope, ikuvumela ukuba ufumene isigulane ngexesha lokuqala lophuhliso.

Ziziphi iintlobo zesifo sofuba esiswini?

Kukho iintlobo ezininzi zesi sifo. Ngamnye kubo kuxhomekeke kwingingqi yokuhlaliswa kweentlungu kunye nokubonakaliswa kwezilonda:

1. Ulcerative. Kuye kubonakaliswe inani elikhulu leenkomfa kummandla wamathumbu.
2. Hypertrophic ulcerative. Kukho ubuqhamo bezilonda ngokufa ngokukhawuleza kwezicubu zesisu namathumbu.
3. Hypertrophic. Gcwalisa iishubhu zomzimba.
4. Stenosing. Indawo eyona ndawo yendawo yokuhlala kuyo iindonga zeenqwelo ze-lymph.

Ukongezelela oku, ezinye iifom ezimbini ze-TB ziyahluka:

1. I-Adhesive.
2. Exudative.

Nangona umehluko kwimbonakaliso nakwiindawo zendawo, unyango luhlala lufana kuzo zonke iimeko.

Iingxaki ezinokuthi zibangelwa isifo sofuba esiswini

Ukuba isifo sofuba samathumbu emathunjini asitholakali ngexesha (iimpawu, unyango esilucinga ngalo), ngoko isigulane sinokukwazi ukufumana ezi zilandelayo:

1. Ukuvalwa kwindawo yamathumbu. Ukukhutshwa kwamathumbu kubunjwa yimveliso yerhwebo yomsebenzi obalulekileyo kunye nokuphumelela okulandelayo kwisigxina esiswini.
2. Ukugqithisa kwesibane somathumbu ngokuphula umthetho. Eyona nto ibonakaliswe yimpembelelo engafanelekanga yenkunkuma.
3. Ukukhutshwa kwegazi emanzini. Ingaba khona ngexesha lokuchasana.
4. Ukuphulukana nokuqulunqwa kwesilonda. Ehamba kunye nentlungu ebuhlungu okanye ebukhali.
5. Peritonitis.
6. Ukuphazamiseka komsebenzi kumathambo emathumbu emathumbu.

Ukunyangwa kwesifo sofuba

Ukuba isigulane esinesifo sofuba sesisu sesifo sesifo sesifo sesifo sesifo sesifo sofuba sinempawu ze-pathology kwangethuba, ngoko unikwe imishanguzo kunye neenkqubo ze-chemotherapy. Kwimeko yokufumanisa ngokukhawuleza okanye ubukho bemigaqo yokubambelela kwi-intestine. Zonke unyango zonyango lwenziwa ngokuthe ngqo kwiimeko zemibandela yoluntu olukhethekileyo.

Ugqirha uchaza la mayeza:

• "Streptomycin."
• "Ftivazide."
• "Tubazid."
• "I-Para-Aminosalicylic acid".
• "Isoniazid."
• Rifampicin.
• PASK.
• "Tibon".

Xa kungabikho kweziphumo ezifunwayo, oogqirha bancedisa unyango ngamachiza alandelayo:

• "Cycloserine."
• "Etambutol".
• "Ethionamide".

Njengoko uqeqesho lubonisa, olo hlobo unyango lunempumelelo kwaye lunempumelelo.

Ukusebenza kwezidlo kunyango lwe-tuberculosis yamathumbu

Ekubeni i-antibiotics isetyenziswe njengeziyobisi ezichanekileyo ngokubhekisele kwisifo sofuba, kubaluleke kakhulu ukuhambelana nokutya okuncedisa ukunciphisa imiphumo emibi ekusebenziseni kwabo. Kubalulekile ukuthatha ukutya okulula kunye nokutya okuphezulu. Ukutya okufanelekileyo kufuneka kufake:

1. Iipoti zeposi.
2. Iinqununu ezivela kwintlaka yenkukhu, i-veal.
3. Izitya zeentlanzi.
4. Cottage shiese.
5. Amaqanda nezitya ezivela kubo.
6. Butter.
7. Imveliso yobisi kunye nobisi obumuncu.
8. Iindidi zee porridges.
9. Ijezi ezitsha ngokutsha.

Kule meko, akuvunyelwe ukusetyenziswa kwezi zinto zilandelayo:

1. Inyama yeehagu, iigesi kunye neenkunzi zeegusha.
2. Izitya zokutshaya.
3. Iimbotyi ezahlukeneyo.
4. Ukutya okusemathinini.

Xa kukho iingxaki zesitulo ngendlela yokudwelisa ekudleni nazo zifakiwe:

1. Imveliso yeebhaka.
2. Imifuno kunye neziqhamo ezingapheliyo.
3. Inani elikhulu lemveliso yenyama.

Kuvinjelwe ngokungqongqo ukunyanga ngesifo sofuba esiswini! Iimpawu, unyango, iifoto zale pathologi onokuyifumana kwinqaku lethu, kodwa ukuba ufumana iimpawu ezifanayo zesifo, kufuneka uqhagamshelane nangoko ngumbutho.

Amanyathelo okukhusela

Ukukhusela ukuphuhliswa kwesi sifo, izigulane zicetyiswa ukuba zifumane ugonywa olufunekayo kunye ne-fluorography. Ukugonywa kwe-BCG kuyenziwa kuphela ngabantu abaye baqhagamshelana nezigulana ixesha elide, kodwa nakwabo abangazange bafikelele kwiminyaka eyi-20.

Inyathelo eyongezelelweyo yokhuseleko kukuthatha i-Isoniazid, kunye nokubilisa kwemveliso yobisi, ukungena kwendawo kunye nokulungiswa kokucoca kwamanzi.

Isiphelo

Ukukhusela ngokupheleleyo isifo sofuba, umntu kufuneka aphathe ngokucophelela impilo yakhe aze a tyelele ugqirha xa kukho imbonakalo yentlungu nayiphi na idilesi kwindawo yesisu. Kubaluleke kakhulu ukunyamekela iimpawu ezihamba nesifo sofuba esiswini njengangoko kunokwenzeka. Ukugxekwa kwesi sifo kulo mzekelo kukuhle kakhulu.