TB matumbo: Zizindikiro ndi Chithandizo

Pamodzi ndi khansa lonse miliri monga chifuwa chachikulu. Njirayi imatchedwa Koch Wand zakugwa munthu wodwala wathanzi, ndi droplet kutengerapo. TB ya intestine, ndi zizindikiro zomwe tikambirana chiyani m'nkhani ino, nthawi zambiri amachita monga matenda sekondale odwala ndi zotupa chofunika kwambiri m'mapapo kapena ziwalo zina.

TB ya intestine pa: tanthauzo

Dzina lake kudwala - aakulu nthenda kafalitsidwe chikhalidwe, kukula mu thupi mwa popereka mycobacteria kwa mapapo ndi ziwalo m'mimba, kaya ndi mwachindunji kukhudzana kudzera malovu ndi mankhwala zakhudzana. TB amakhala ndi maonekedwe a zotupa mu m'matumbo kapena za intestine ang'ono, ndi kusintha awo anam'peza tinatake tozungulira mapangidwe cavities lalikulu, ndi wachifundo kwa palpation pamwamba.

Similar matenda - chochitika osowa. Izo kumaonekera pafupifupi 40 pa anthu 100,000 alionse ambiri. TB chimapezeka nthawi zambiri akamwalira. Pa moyo wa wodwalayo zimagawidwa monga anam'peza matenda a m'matumbo.

ndi zimayambitsa TB matumbo chiyani?

TB ya intestine ndi yogwirizana kwambiri pamaso pa zinthu zina:

1. Infection ziwalo m'mimba mycobacteria Koch Bacillus.
2. Kuchepetsedwa mphamvu m'thupi la thupi.

Komanso, matumbo TB akhoza kukhala monga kuyankha zotsatirazi njira pathological:

1. Abstsessnyh pamaso pa zochitika zomwe zikugwirizana kwambiri ndi mkhalidwe wa mucosa matumbo ndi chitetezo chokwanira ake.
2. Nkhanza za fodya ndi mowa.
3. HIV kachilomboka matenda.
4. Kupezeka kwa shuga.
5. Zonse kukhalapo mu mkhalidwe wovuta.
6. Ntchito malo omwe ali oopsa thanzi.

Kuyenera n'komwe ndi nuance wina wa matenda. Ngati mukufuna kupeza TB matumbo Amapatsirana kapena ayi, yankho ndi yomveka: inde.

ndi zizindikiro ndi chiyani?

Kupeza zimene ali TB zizindikiro matumbo, zizindikiro loyamba la mmene imafalikira matenda, ambiri ndi kutembenukira kwa malo okayikitsa ndipo, ndithu mwanzeru palibe mfundo zimenezi zinatsimizikidwa kale. Koma ngakhale matenda ambiri asymptomatic, madokotala akadali kusiyanitsa maonekedwe zotsatirazi anati kudwala:

1. Ululu. Nthawi zambiri zidzachitika pa palpation kapena mwadzidzidzi. Nthawi zina naonso ali ndi chibadidwe okhazikika, ndi zowawa wapakatikati lakuthwa kudutsa m'dera la kapepala kakuti m'mimba.
2. M'mimba, kudzimbidwa. Mpando wosakhazikika, madzi pafupipafupi, ndiye yodziwika ndi kulephera kuti achire.
3. Gag reflex, nseru. Angagwe masana ndi limodzi wodwalayo masiku 1 mpaka 3.
4. Palpation wa zonse m'mimba zambiri palpated chisindikizo. Kuwonjezera kudziwika mtima tinatake tozungulira amamva ululu.
5. Flatulence.
6. Soreness cecum.
7. Maonekedwe a magazi misa fecal. Iwo akhoza kumasulidwa zedi ang'ono ndi lalikulu. Iwo ali hue bulauni.

Ambiri, zizindikiro amenewa angaoneke ngati chaka chimodzi pambuyo isanayambike chifuwa chachikulu matenda, ndi zaka 15 pambuyo pake. Izi zidalira pa yolondola ya moyo, umoyo wa wodwalayo ndi pakalibe zotupa.

Matumbo TB: bwanji kukhala

The intestine zimakhudzira Koch n'kudziphatika, nthawi zambiri pamaso pa chifuwa kale. Zilibe amagwira nawo ntchito zomwe thupi zinaoneka choyambirira: mu mapapo, lymph mfundo, msana kapena ziwalo mkodzo. Adjudged tubercle Bacillus mu intestine kudzera m'magazi kapena lymph kapena ndi ntchito osati zagonjetsedwa kwa kutentha mankhwala mankhwala mkaka, analandira kuchokera ng'ombe ndi kachilombo TB.

Habitat TB amasankha imodzi mwa mitundu iwiri ya zilonda:

1. Iliac, anaikidwa m'munsi intestine yaing'ono. Ndi matenda akufotokozera mwa mapangidwe pitting, komanso kuchuluka kwa granules mu mawonekedwe a hypertrophic ndi kuchepetsa lumen wa intestine lapansi.
2. Akhungu, ili basi pansipa pamalo a intestine ang'onoang'ono amakhala wandiweyani. Kuyambira matumbo TB sitepe ndi chotupa limfosistemy intestine makoma ndi zilonda mawonetseredwe anaikidwa mozungulira awiri a. Komanso unakhazikitsidwa pa mfundo chofuna lymph ndi mapangidwe granules tuberculous chilonda chipolopolo lakunja. Zonsezi kumabweretsa chitukuko cha peritonitis ndi mapangidwe mankhwala.

Kuwonjezera zinthu tatchulazi, amene amakhala ndi zizindikiro za TB matumbo kungakhale amenewa:

• ambiri kufooka;
• nyamuka lakuthwa kutentha;
• kuwonda;
• kusafuna kudya.

Odwala nthawi zambiri adzazunzidwa ndi kutsegula m'mimba ndi magazi kuti sasiya pamene mukumwa odana ndi yotupa ndi m'mimba mankhwala. Ndi ndime ya zizindikiro matenda matumbo TB akuluakulu akusinthika mu gawo la exacerbation ndi chikhululukiro.

Nthawi zambiri, odwala taonera ululu m'michombo lapansi. Ngati inu kusintha udindo wa thupi kapena zinthu zolimbitsa thupi ululu umachuluka.

Ngati chifuwa chachikulu cha intestine, ndi zizindikiro zimene ife m'nkhani ino si ankachitira mwamsanga kuti akhoza kupanga chilonda yojambula kwa intestine mu zonse m'mimba mkubwela kwa peritonitis mu malo chimodzi kapena zingapo nthawi imodzi.

Kodi matenda TB m'mapapo mwanga?

Popeza TB ya intestine kaŵirikaŵiri zobisika pansi mitundu ina ya matenda, kenako magazi mayeso, mkodzo ndi ndowe, komanso kuphunzira M'mimbamo chapamimba sachita ogwira. Iwo amatha kupereka chabe chithunzithunzi cha matenda, koma osati mbali yake ndi njira ya chithandizo.

Kodi chinanso chofunika kuti atsimikizire matenda a "TB ya intestine ndi"? Zizindikiro Zizindikiro zoyambirira za kufufuza matenda lokwanira Mwaichi, ndipo akatswiri kupereka mayeso zotsatirazi:

1. Radiography. Timatha inu kudziwa kusintha khoma m'matumbo, ndiponso kusapezeka kwa ntchito yake kwa muyezo winawake wa nthawi. Komanso, X-ray za m'mimba ndi kusiyana amapereka deta pa malo ndi mtundu wa matenda m'matumbo. Choncho, pamene chilonda anapanga M'mimbamo ang'ono, ndi pa maselo Kuuma matumbo anapanga chimauma adzalowerera. Mu aliyense wa milandu, ndi chotupa anapanga m'mbali osasamba, mapindikidwe, komanso zisindikizo ndi wathunthu kusalala intestine. Kuti definitively oterewa, madokotala anachita mayesero zina monga CT, ultrasound kuphunzira ziwalo m'mimba.
2. Kuphunzira kwa m'mimba khoma endoscopy. Ingestion kafukufuku kafukufuku ikuchitika odwala ndi matumbo khoma kudziwa chilonda formations. Komanso, ntchito kafukufuku wapadera udayesedwa biopsy minofu zitsanzo zosankhidwazi, kenako kafukufuku m'munda wa histology ndi tizilombo tosaoneka ndi maso.

Motero, njira yaikulu dokotala chofunika, ngati wapezeka amaganiziridwa TB ya intestine pa. Zizindikiro Matendawa ikuchitika ntchito X-ray ndi endoscope, kulola kudziwa mtima pa siteji mokwanira oyambirira chitukuko.

Kodi mitundu TB matumbo?

Pali mitundu ingapo ya matenda tatchulazi. Aliyense wa iwo zimadalira dera la kutanthauzira ululu ndi zizindikiro za zilonda:

1. Anam'peza. Yodziwika ndi ambiri formations m'dera matumbo.
2. Anam'peza hypertrophic. Ndi pamaso pa zilonda, ndi Kuuma pang'onopang'ono kutaya kwa m'mimba ndipo zimakhala matumbo.
3. Hypertrophic. Complete imfa ya minofu ya zonse m'mimba.
4. Constrictive. The kutanthauzira m'dera chachikulu - pa makoma ziwiya lymph.

Kuwonjezera kumasulidwa ichi pali mitundu iwiri ya TB:

1. Zomatira.
2. Exudative.

Ngakhale kusiyana mu maonekedwe ndi kutanthauzira, mankhwala ikuchitika milandu onse chimodzimodzi.

zosokonezeka zotheka TB matumbo

Ngati mulibe kudziwa nthawi TB za m'mimba (zizindikiro, mankhwala amene tikambirana), wodwala akhoza kuona mitundu zotsatirazi matendawo:

1. Matumbo kutsekeka m'madipatimenti a. Anapanga matumbo kutsekeka kungotaya moyo, kenako yojambula mu zonse m'mimba.
2. The kuchepetsa wa lumen wa matumbo kwa kuphwanya ndimeyi. Yodziwika ndi permeability osauka zinyalala.
3. Kumaliseche kwa magazi m'matumbo. Mwina kupezeka pa defecation.
4. Yojambula chilonda formations. Limodzi ndi ululu kuzimiririka kapena lakuthwa.
5. Peritonitis.
6. Kusokonezeka kwa thirakiti m'mimba m'matumbo.

Chithandizo cha TB ndi mankhwala

Ngati wodwala ali m'mimba TB, zizindikiro matenda anaonekera mankhwala oyambirira zokwanira, iye Kwalamulidwa molumikizana ndi khalidwe la mankhwala mankhwala amphamvu. Ngati mochedwa kapena kupeza pamaso pa dongosolo zomatira mu woonda, molunjika kapena m'matumbo - opaleshoni. Zonse zotsatira achire ikuchitika mosamalitsa zinthu dispensary a mtundu apadera.

Doctor mankhwala zotsatirazi amapatsidwa:

• "Streptomycin".
• "Ftivazid".
• "Tubazid".
• "Ma para-aminosalicylic asidi".
• "INH".
• "Rifampicin".
• Pas.
• "Tibon".

Popeza kufunika madokotala chifukwa yothandizana mankhwala zotsatirazi mankhwala:

• "Cycloserine".
• "Ethambutol".
• "Ethionamide".

Khalani limasonyeza kuti njira imeneyi si bwino ndipo imayenera.

Mphamvu ya zakudya mankhwalawa TB matumbo

Popeza mankhwala monga polimbana mankhwala TB ntchito, n'kofunika kwambiri kuti asasiye zakudya zimene zingathandize kuchepetsa mavuto ku ntchito zawo. Kodi kutenga mosavuta zidyeke ndi mkulu-kalori chakudya. A kudya bwino pazikhalanso:

1. Meatless soups.
2. Cutlets ku nkhuku, nyama yamwana wang'ombe.
3. Nsomba mbale.
4. Tchizi mbale.
5. Mazira ndi mbale kwa iwo.
6. Batala.
7. Mkaka ndi mkaka mankhwala.
8. A zosiyanasiyana dzinthu.
9. Mwatsopano cholizira timadziti.

Pamene izi kutiletsa ntchito mankhwala zotsatirazi:

1. Nyama ya nkhumba, atsekwe ndi nkhosa.
2. Kusuta mbale.
3. Various nyemba.
4. Zamzitini zakudya.

Pa nkhani ya zakudya kudziwa mavuto ndi mpando mu mawonekedwe a m'mimba amagwiritsidwa lilibe:

1. Bakery mankhwala.
2. Osati pansi processing zipatso matenthedwe ndi masamba.
3. A ambiri mankhwala nyama.

Iwo koletsedwa kudzimvera azichitira TB ya intestine ndi! Zizindikiro, chithandizo, zithunzi za matenda angapezeke mu nkhani iyi, koma ngati wapezeka pa zizindikiro zofanana matenda ayenera yomweyo kukaonana ndi katswiri.

zodzitetezera

Pofuna kupewa chitukuko cha odwala matenda akulangizidwa chokuchititsani mokakamizidwa Katemera ndi x-ray bwino. BCG katemera ikuchitika osati okhawo amene anali kukumana nawo akudwala nthawi yaitali, komanso anthu amene alibe atapeza zaka 20 zakubadwa.

An chitetezo muyeso zina ndi mankhwala "Isoniazid" komanso mankhwala otentha mkaka, mpweya wabwino malo ndi gulu la kuyeretsa yonyowa.

Pomaliza

Kupewa matenda zonse kunachitika TB ayenera mosamala thanzi lawo, komanso kupita kwa dokotala m'njira yake ndi mawonetseredwe aliyense wa ululu kusalekerera m'dera la pamimba. Nkofunika kukhala tcheru kuti zizindikiro m'munsili TB matumbo angagwiritsidwe ntchito kudzatunga. Kulosera tsogolo la matenda mu nkhani iyi yabwino kwambiri.