Da tarin fuka na hanji: Sanadin, Alamun, bincike da kuma magance

Tun zamanin da, 'yan adam da aka yaƙi da hanji da tarin fuka. Wannan ne mai tsanani da kuma kawo hadari cuta, wadda idan ya bar untreated iya kai ga mutuwa. Kowa ya san abin da alamun wannan cuta. Saboda haka, abin da yake da tarin fuka na hanji? Abin da cututtuka su ne halayyar ga shi?

Jigon na hanji da tarin fuka

Da tarin fuka - wata cuta wanda aka sani ga dukan mutane. Wannan lokaci masana fahimta na kullum cutar. Mutane da yawa zaton cewa cutar da ake dangantawa kawai tare da lalacewar da numfashi tsarin. A gaskiya shi ne ba. Akwai irin extrapulmonary cuta. Daya daga cikinsu - hanji da tarin fuka. Akwai wata cuta da ake kira saboda mycobacteria. Daya daga cikin kafofin kamuwa da cuta ne marasa lafiya da suke ba da tsayar da dokoki na sirri kiwon lafiya.

Irin wadannan mutane ya zama ruwan dare Mycobacterium tarin fuka (MBT) da kuma harba da shekara 'yan mutane. Don tushen kamuwa da cuta da kuma hada shanu. Mycobacterium da tarin fuka ne sosai resistant zuwa rinjayar muhalli dalilai. Lokacin da fallasa su daban-daban kwayoyin iya zama matsananci-lafiya barbashi tace ko giant branched Tsarin. A sharadi gwargwado, ILO saya da hankula siffar.

Siffofin hanji da tarin fuka

The title cuta kasu kashi Firamare. Da tarin fuka yana daukar kwayar cutar a matsayin hanji, wanda shi ne dalilin da ya sa a can? Amsar wannan tambaya ne da aka ba. Saboda haka, na farko da tarin fuka ya auku ga dalilai da dama:

• Saboda da amfani da unboiled madara na tuberculous shanu.
• Lokacin da hematogenous yaduwar Mycobacterium tarin fuka daga farko mayar da hankali a cikin huhu, Lymph nodes.
• Saboda da yin amfani da abinci daga jita-jita cewa an kamu da Mycobacterium da tarin fuka, ko jirgin ruwa, wanda mallakar mutane da suke da cutar.

A sakandare nau'i na cutar yakan faru a cikin mutum marasa lafiya da huhu lalacewa saboda da ingestion na sputum da kuma yau. Mycobacterium da tarin fuka a cikin wannan hanya isa hanji da kuma harba bangon (yafi shafar ileum). Wannan results a fistulas da ulcerations. Mai hadari idan kewaye hanji da tarin fuka? легочной формы. Statistics nuna cewa cutar ne yawanci a sakandare aiwatar da ke faruwa a lokacin da suke ci gaba da na huhu form. Fiye da wuya hanji da tarin fuka shi ne na farko, ci gaba saboda alimentary kamuwa da cuta.

cututtuka

A da tarin fuka na hanji mutane sun yi sharhi a wadannan m ãyõyi:

1. A bayyanar cututtuka na maye. Saboda rashin lafiya da ci aka rasa, sai ta fara rage jiki nauyi. Marasa lafiya koka rika zufa da dare, da zazzaɓi. Mata na iya zama ba ya nan haila.
2. Hanji cututtuka. A farkon cutar akwai maƙarƙashiya a wasu mutane. Shi za a bi, a matsayin mai mulkin, tsawon lokaci da kuma debilitating zawo. Marasa lafiya tuntubar kwararru kuma koka da zafi a ciki.
3. Samuwar ilimi. A palpation na ciki yana iya zama palpable maloboleznennaya ƙari.

Lokacin da hallakaswa ulcerative hanji rauni auku bayyanar cututtuka na peritoneal hangula. Marasa lafiya da zazzabi. Tumbi ne bayyane jini ko da aka gyara (erythrocytes, leucocytes) an same ta masana a cikin bincike ta amfani da hange. Domin ulcerative hallakaswa tsari za a iya halin da rikitarwa. Sau da yawa akwai zubar da jini, hanji toshewa, take hakkin da mutunci da bango.

diagnosing tarin fuka

A ganewar asali da "hanji da tarin fuka" za a iya tsĩrar da masana bayan saboda himma. Yana hada da:

• tuberculin.
• X-haskoki.
• colonoscopy.
• barium enema.
• laparoscopy da biopsy.

Quite m hanyoyin su ne kwamfuta tomography da laparoscopy. A cikin aikace-aikace na wadannan hanyoyi na ganewar asali masana sukan samu a marasa lafiya calcified mesenteric Lymph nodes, tubercles. M da X-ray jarrabawa. Godiya ga shi, masana bayyanãwa ãyõyin tarin fuka na hanji (misali, barium riƙewa a cecum a cikin kwata 'yanci na sauran sassan).

Kvantiferonovy gwajin - wani zamani awon Hanyar cewa ba ka damar gano da kamuwa da cuta. Rufe da ganewar asali da tarin fuka ya yi la'akari da shi a matsayin da kyau. Saboda haka, jigon da gwajin ne a nazarin haƙuri da jini. Ta takalman komai a ciki da safe daga jijiyar da kuma sanya shi a cikin wani na musamman kit kunshi uku shambura. Bayan jini tarin masana suna gudanar da bincike. Kvantiferonovy gwajin zai iya ba tabbatacce, korau kuma equivocal:

1. A sakamakon tabbatacce ya nuna kamuwa da cuta da Office.
2. A korau sakamakon da aka samu lafiya mutane. Duk da haka, ya kamata a lura da cewa a lokacin da ba lallai ba ne ya yi mulkin fitar kamuwa da cuta da Mycobacterium da tarin fuka. A sakamakon na iya zama wani ƙarya korau. Wannan ya faru a farkon lokaci na kamuwa da cuta, domin immunodeficiency jihohi.
3. M sakamakon mai yiwuwa ne tare da mutum halaye na rigakafi, kazalika a take hakkin preanalytical bukatun. Don ƙarin bayani, likitoci yanke shawara a kan shinge na sabon jini ko da nada ƙarin safiyo.

bambanci ganewar asali

Wadanda halayen da aka danganta da masana a wani binciken da na mutane da ake zargin da tarin fuka na hanji iya halin da sauran kumburi cututtuka. Yawa a cikin na kowa rashin lafiya aka kira ulcerative colitis, Crohn ta cuta, amoebic dysentery, hanji siffofin maruran. Don sa a daidai ganewar asali na bukatar bambanci ganewar asali :

1. Don tabbatar da cewa babu amoebic dysentery , kuma marurai, histological jarrabawa ya kamata a yi.
2. Godiya ga endoscopic biopsy sarkoidopodobnye granulomas za a iya samu, kunsha na lymphocytes da suke a tsakiyar manyan Kwayoyin kamar Pirogov-Langhans. Wadannan Tsarin ne halayyar ga hanji da tarin fuka da kuma Crohn ta cuta. Don bambanta da cutar daga juna Can ga gidajen caseous necrosis. Da suka faru ne kawai tare da granulomas a hanji da tarin fuka.

magani na cutar

Lokacin da bincikar lafiya tare da "hanji da tarin fuka" magani fara a cikin na musamman asibitoci. Ya burin - ci warkar da foci na kamuwa da cuta, kawar da cututtuka. A lura da tarin fuka ne quite dogon. Farfadowa da na'ura na faruwa a cikin shekara a kan talakawan. A wasu lokuta, yana daukan yawa fiye da lokacin da za a warkar.

A da tarin fuka na hanji shi ne zama dole don kammala magani. Its main bangaren - mai jiyyar cutar sankara. Physicians zaba takamaiman formulations kayyade su hade kashi. A farkon m jiyyar cutar sankara. Yana damuarn da multiplication na mycobacteria, rage adadin su. Game da magani regimens kamata a lura da cewa kowace rana za a iya amfani da:

• "INH" da "Rifampicin".
• "INH" da "Ethambutol".

A farko hade da kwayoyi da aka nada na tsawon 9 zuwa 12 watanni, da kuma na biyu - a 18. Irin wannan dogon lokacin da magani wajibi ne saboda gaskiyar cewa mycobacteria radiyo sannu a hankali, da kuma iya dogon kasance m.

Idan saukar hanji da tarin fuka ganowa, shi zai ba dole ba ne a sanya ra'ayin mazan jiya magani. Shi ne ba ko da yaushe zai iya ba da da sa ran sakamakon. Wani lokaci likitoci rubũta tiyata. Yana nuna ci gaban da rikitarwa. Alal misali, aiki iya sanya tare da babban adadin ruwa a cikin kogon ciki. Surgery bukatar inji hanji mai shãmakacẽwa. Ta haddasawa iya zama ya kasance bayan warkar scars da adhesions tsakanin hanji madaukai.

The matsaloli hade da magani

Babban matsalar da lura da hanji da tarin fuka ne rashin horo na rashin lafiya mutane. Mutane da yawa marasa lafiya kada ku bi shawarwarin da masana da kuma soke liyafar tuberculostatic kwayoyi. Saboda da wanda bai kai ba an daina jiyyar cutar sankara intensifies da tsari. Wata matsala ita ce bayan shan sayen magani kwayoyi iya bayyana illa. Tsanani sakamakon da guba effects da kwayoyi su ne:

1. Hepatitis - wani mai kumburi cuta daga cikin hanta.
2. Thrombocytopenia - a yanayin da yake muhimmi raguwa a yawan platelets.
3. Neuritis - wani mai kumburi cuta na jijiyoyi.
4. Koda gazawar - a pathological yanayin halin da tashin hankali na koda aiki.

Side effects ba bayyana ma sau da yawa. Da suke fuskanta 3-5% na mutanen da samun "Rifampicin" da "INH", da kuma 1-2% da marasa lafiya bi "isoniazid" da "ethambutol". Lokacin da illa dabam magani shirin.

hanji da tarin fuka sakamakon

A hangen nesa da cutar dogara kan yadda sauri kwararru don gane asali da cutar da kuma sanya far. A ci-gaba lokuta, da kuma hallakaswa raunuka na bakin ciki hanji forecast ne unfavorable saboda da komawa da na hanji toshewa da kuma malabsorption na gina jiki. Kadan pessimistic forecast ba a raunuka na ciwon.

cutar rigakafin

Domin ya hana hanji da tarin fuka m far. Domin sanin ko yana bukatar wani takamaiman mutum, gudanar da wani na farko sanarwa na tuberculin gwajin. Idan sakamakon ne tabbatacce, m magani da aka nada. Shi ne chemoprophylaxis "isoniazid" a cikin 1 shekara. M tabbatarwa ne da za'ayi ba kawai da mai kyau tuberculin fata gwajin don kauce wa irin wannan cututtuka kamar tarin fuka da hanji. A dalilan ta nada iya zama kamar haka:

• Man sau da yawa a lamba tare da mutane da suka yi da wani aiki tarin fuka.
• A haƙuri daukan corticosteroids da immunosuppressive jamiái.
• Man shan wahala immunodeficiencies na daban-daban asalin.

A ƙarshe, ya kamata a lura da cewa bayyanar m bayyanar cututtuka na hali na hanji da tarin fuka, ya kamata nan da nan zuwa wani asibitin da likita. Idan gwani da ake zargi mai suna cuta, da mãsu haƙuri za a aika zuwa wani musamman tarin fuka wurare.