Genitourinary tarin fuka: cututtuka, ganewar asali, hanyoyi na kamuwa da cuta

Cututtuka na urinary tsarin ne fairly na kowa. Suna iya shafar kodan, urinary fili, mafitsara. Daga cikin dukkan cututtuka ne don samar da la'akari da genitourinary da tarin fuka. Game da wannan cuta, kana bukatar ka sani kowane mutum, saboda wani rashin lafiya ba daya ne rigakafi.

Read more game da tarin fuka, da kuma kifar da urinary tsarin

Watakila ba irin wannan mutum, wanda bai ji game da tarin fuka. Yana da wani na kowa cuta a cikin abin da kwayoyin cuta da ake kira bacillus, shafi huhu. Duk da haka, ba kawai a cikin wadannan gabobin iya rayuwa kwayoyin kira. Wadanda gwani da aka sani extrapulmonary siffofin da cutar. Farko daga cikin wadannan ne genitourinary da tarin fuka.

Ta yaya ne wannan cuta? A urinary tsarin Koch bacillus fada hematogenous hanya. A wannan hasashe, za mu iya cewa da farko mutum kamu da tarin fuka daga cikin saba haƙuri, sakewa a cikin yanayi na pathogens. Daga baya Koch bacillus iya shigar da urinary tsarin da jini rafi. Saboda haka, hanya kamuwa da cuta - na farko Airborne sa'an nan hematogenous.

Da tarin fuka da urogenital tsarin a maza da mata ya fara tare da koda lalacewa. Daga cikin wadannan, da cututtuka tsari ne rarraba da na koda tubules, jini a koda kafafuwa. Sa'an nan rinjayar da ureters, urinary mafitsara. Foci da tarin fuka faruwa a duka kodan, amma, a yi, ci gaba pathological aiwatar a kawai daya daga cikin biyu daga ciki gabobin.

Kamar yadda cutar tasowa? Koch ta bacillus lokacin da buga a cikin kodan shafar bawo da medulla. A cikin jiki akwai bumps. Su hankali ulcerate, akwai cheesy lalace. A sakamakon haka, cavities suna kafa. Around su ne masu tasowa kumburi tafiyar matakai, akwai bumps. Duk wannan zai iya kai ga cikakken halakar da kodan ta samar da pyonephrosis.

Tare da kara bunkasuwar genitourinary da tarin fuka tsakanin mata da maza rinjayar fibrotic da adipose kwantena ciki sashin jiki. A bumps da sores bayyana a koda kafafuwa, ureter. Wall saboda shi thicken, ya sami infiltrated, edematous. Ulcers zarubtsovyvayutsya baya kafa tsarin hana wani outflow na fitsari.

A rashin isasshen magani domin kamuwa da cuta wuce daga kodan zuwa mafitsara. A pathological aiwatar farawa na farko a cikin yankin inda da ureters zubar. A ciki sashin jiki mucosa faruwa tubercles. Suna hõre kara rarrabuwa. A kuma wurin aka kafa ulcers, scars. Daga bisani cikin mafitsara wãyi wrinkled saboda gaskiyar cewa ciki bango na shafa Gabar maye gurbin sclerotic nama.

Da tarin fuka na genitourinary tsarin: a takaice dai rarrabuwa na cututtuka

Kwararru a yi amfani da wani rarrabuwa cewa bambanta a dama, saukarwa da cutar:

• Domin mataki na farko da cutar halin infiltrative tarin fuka koda, t. E. Non-hallakaswa.
• A karo na biyu mataki na farko wulakanci ne a lura, watau. E. Single rami bayyana kananan. A diamita, su ne kasa da 1 santimita.
• A cikin uku mataki a can yana da iyaka, halakarwa. A daya daga cikin segments da kodan bayyana manyan kogon dutse ko polikavernozny da tarin fuka.
• A karo na hudu mataki ne halin da a total ko subtotal halaka.

The asibiti hoto da cutar

Genitourinary tarin fuka iya bayyana kanta a cikin hanyoyi daban-daban. Ba abin mamaki da wannan rashin lafiya a cikin likita adabi kamar yadda daya daga cikin na kowa "mystifies" daga cikin cututtuka na mafitsara, koda da kuma urinary fili. A cikin manifestations na da tarin fuka ne sau da yawa rikitarwa shafi shiga. Wannan na iya zama pyelonephritis, na kullum na koda gazawar.

A bayyanar cututtuka na koda da tarin fuka ya kasu kashi 2 kungiyoyin:

• kowa bayyanar cututtuka da cewa faruwa a lokacin da ka canza janar yanayin rashin lafiya mutum.
• gida da ãyõyinMu, subdivided a nuna a kan kayadadden (waɗanda suka ji m) da kuma haƙiƙa (gano da masana a cikin binciken).

Common bayyanar cututtuka na tarin fuka da urinary tsarin

Lokacin da cuta a cikin 20-30% na mutane ya karu yanayin jiki. Kullum da shi jeri daga 37-38 digiri. A wasu marasa lafiya da ƙarin cututtuka, da rikitarwa lura da zazzabi daidai 38-39 digiri, jin sanyi bayyana.

Aƙalla gani hauhawar jini (hawan jini) a 5-18% na rashin lafiya mutane. A baya can, masana yi imani da cewa wannan alama ne da wani sakamako na acceding pyelonephritis. Yanzu an tabbatar da cewa hauhawar jini - wata alama ce, mai yiwuwa nuna koda da tarin fuka. Ya kamata a lura da cewa abin da ya faru da wannan alama dogara a kan yanayin cutar. Ga misali:

• da tarin fuka koda parenchymal hauhawar jini rinjayar game da 1.1% na rashin lafiya mutane.
• da tarin fuka koda papilla - 3.2%.
• tuberculous pyonephrosis polikavernoznom da kuma tarin fuka - 18.3%.

Local kayadadden cututtuka

Sau da yawa mutane tambaye, "bayyanar cututtuka, idan akwai wani genitourinary da tarin fuka, abin?" Feeling cewa zai iya faruwa - shi ne m, kuma m urination. Masana a 50-60-ies karni na karshe saukar da wannan hali a dukan mutane. Sai wani hali zuwa wani karu a mita na bayyanar cututtuka. A 60-70-ies, kawai 48% na mutanen da ta koka game da take hakkin urination kuma a shekaru 80 - kawai 43% na marasa lafiya. A cikin 'yan shekaru, wani alama ne ƙasa da na kowa. Irin wannan karu da aka bayyana ta da mita daga raunuka da mucous membrane na mafitsara.

Popular sau da yawa akwai ãyõyi - mai zafi a cikin lumbar yankin tasowa a lokacin da ya fara ci gaba genitourinary da tarin fuka. Wadannan cututtuka nuna a game da rabin mutum marasa lafiya. A sha raɗaɗin yawanci daya mai gefe. Game da m majiyai sarrafa a garesu, bayyana ne kawai 15-20% na rashin lafiya mutane.

By da yanayi, da zafi ne m, kama koda colic. Yana taso saboda wani take hakkin da excretory aiki saboda blockage na ureter jini clots, surkin jini toshe kwalaba, kumburi da mucous membrane. Koda colic - wani alama cewa an kiyaye ba kawai a cikin tarin fuka da urinary tsarin. Shi ne peculiar, da kuma sauran cututtuka. Daya daga cikinsu - urolithiasis. Ga wani cikakken ganewar asali aka yi urological jarrabawa.

Local haƙiƙa shaida

A muka ambata a sama siffofin, wanda yana da tarin fuka na genitourinary tsarin - bayyanar cututtuka su ne na ra'ayin wani. A haƙiƙa Manuniya hada pyuria. Wannan kalma tana nufin da ƙara yawan leukocytes a fitsari. Leucocyturia - farkon alamar cuta. A wannan yanayin, shi ne ba m. Idan a cikin shakka daga cikin bincike na fitsari farin jini Kwayoyin suna ba gano, shi ba a dauke hujja daga cikin rashin cutar.

Alamun cutar tarin fuka hada eritrotsiturii urogenital tsarin. A magani, wannan kalma na nufin wani dagagge matakin na ja da maikacin jini a cikin fitsari. A cikin 'yan shekaru, wannan hali da aka yi wahayi quite sau da yawa - kamar 70-75% na rashin lafiya mutane. A abin da ya faru na ja jini cell hade da ci gaban da hallakaswa tsari a cikin koda.

Farkon haƙiƙa alama da tarin fuka - proteinuria (furotin ganewa a fitsari analysis). An kamu a 85-95% na rashin lafiya mutane. A kan abin da ya faru na proteinuria da 'yan ra'ayin:

1. Wasu masana sun yi imanin cewa shi ba a hade tare da tarin fuka da urinary tsarin. tushen furotin, a cikin ra'ayi, su ne ja jini Kwayoyin.
2. Sauran masu bincike jayayya da cewa protoinuriya lalacewa ta hanyar degenerative canje-canje a cikin tubules da glomeruli da kodan.

A kowace shekara, mafi kuma mafi likitoci gano wata ãyã ta dabam da tarin fuka. Shi ne game da nonspecific bacteriuria. Kamuwa da cuta za a iya gano a duk matakai na cutar. More sau da yawa fiye da ba shi nuna a cavernous siffofin. Pathogens nonspecific urinary kamuwa da cuta ne daban-daban. Gano da kuma Escherichia coli, kuma staphylococcus, kuma Streptococcus, da sandunansu blue-kore ruɓaɓɓen jini. Ba nadiri ne a gauraye Flora.

A mafi yawan abin dogara alama da cutar - ganewa na Koch sandunansu a cikin fitsari. Duk da haka, masana ba ko da yaushe sarrafa sami babban causative wakili na cutar. Ko da zamani hanyoyin da bacteriological gwaje-gwaje ba taimake. Gaskiyar cewa wasu mutane sha maganin rigakafi wajabta ta likita daga data kasance ailments ko sha wadannan kwayoyi, nishadantarwa a kai-medicate. A sakamakon haka, Mycobacterium tarin fuka rasa su ikon haifa da kuma girma. Bayan dasa, su, ba shakka, domin wannan dalilin ba za a iya gano. Yana da wuya a gane pathogen a jikin marasa lafiya da mutum.

Musamman da tarin fuka da urinary tsarin a yara da tsofaffi

Wannan cuta rinjayar manya mafi yawa. A yara, da yawa kasa kamu a genitourinary da tarin fuka. M da kuma farkon alama tasowa daga gare su - da wannan ne polyuria, watau wani karuwa a fitsari girma ... Akwai sauran ãyõyinMu, sai suka sukan hade da sauran cututtuka. Wani muhimmin alama ce ta tarin fuka a yara ne cewa 'yan mata fiye da na kowa nau'i na cutar ba hallakaswa, da kuma yara maza - hallakaswa.

Da tarin fuka da urinary tsarin rinjayar da yawa mazan mutane. Wannan shi ne saboda wani karu a cikin rigakafi tsaro, da zargin daban-daban ailments. A bayyanar cututtuka na tarin fuka da shafi goyon bayan da urological cututtuka. Wadannan sun hada da: .. hauhawar jini, cututtuka na gastrointestinal fili, koda duwatsu cuta, nonspecific pyelonephritis, da dai sauransu Saboda wannan, da tarin fuka da urinary tsarin ba ko da yaushe gano. Its bayyanar cututtuka suna masked da cututtuka na sama cututtuka.

Features na wani halin yanzu na cuta a cikin maza da mata

Daga bene ya dogara kan yadda bayyananna genitourinary da tarin fuka. A mata, cututtuka sun hada da ƙasa da ciwo mai tsanani. A maza, su ne suka fi karfi. Su ma suna da yawa mafi kusantar wajen samar da tarin fuka, al'aura gabobin. Statistics nuna cewa wannan ci gaban, a mata na faruwa ne kawai a 7% na lokuta, yayin da maza - 31%.

Ganin genitourinary da tarin fuka a maza, da bayyanar cututtuka da wannan cuta, shi ne ya kamata a lura da cewa na farko da Koch bacillus buga prostate (prostate). A pathological aiwatar da hannu, sa'an nan kuma sauran sassa na haihuwa tsarin tsarin: seminal vesicle, testis, epididymis. A rare lokuta, da shafa azzakari. Yana bayyana miki cutar rinjayar gefe Lymph nodes. Irin wannan ãyõyi lura a cikin azzakari, bukatar bambanci ganewar asali da ciwon daji.

Genitourinary tarin fuka: ganewar asali

Lokacin da ganewar asali da na asibiti da dabaru ake amfani da farko. Ba su damar zuwa dogara ƙayyade wani mutum yana da tarin fuka ko ba. Duk da haka, masana gane m ãyõyin godiya zuwa gare su. Clinical bincike hanyoyin hada da wani binciken da na rashin lafiya mutum, dauke da fitar dubawa, palpation na m wurare.

An muhimmiyar rawa a cikin ganewar asali play awon hanyoyin:

1. Marasa lafiya wuce wani jini gwajin. Ya bai bayyana wani takamaiman siffofin muhimmi a cikin tarin fuka da urinary tsarin, amma za a iya nuna leukocytosis da kuma kara a erythrocyte sedimentation kudi. Wannan zai nuna gaban kumburi a jikinsa.
2. Nada da fitsari. Wannan shi ne babban Hanyar ganewar asali da tarin fuka dakin gwaje-gwaje. A cikin fitsari a cuta samu Koch bacillus, sauran cututtuka (idan wani, ko ci gaban da rikitarwa). Kima iya nuna proteinuria, pyuria, eritrotsiturii.

Masana sun nuna muhimmancin yin amfani da duk yiwu hanyoyin gudanar da bincike, su haduwa da mahara amfani.

Jerin bincike dabaru hada tuberculin. Its ainihi ta'allaka ne da subcutaneous gwamnati na musamman thickened matsakaici. An kira tuberculin. Tuberculin mu da alamomi da kuma contraindications. By alamomi sun hada da: a tuhuma da tarin fuka na genitourinary tsarin, da tasiri kima za'ayi da wani takamaiman magani, tsari iko aiki. Contraindications abubuwa idiosyncrasy.

Lokacin da ganewar asali da tarin fuka iya amfani da endoscopic hanyoyin gudanar da bincike:

1. Daya daga cikinsu - a cystoscopy. A wannan hanya, an endoscope, wanda shi ne mai catheter tare da wani haske, kuma Tantancewar tsarin, an saka ta cikin mafitsara zuwa cikin mafitsara. Nonspecific ãyõyin tarin fuka protrudes yaxuwa ko mai da hankali hyperemia dauke da wani ciki sashin jiki mucosa. Specific cututtuka elicited cystoscopy - tubercles, scars, ulcers kafa a kan tabo.
2. A wasu lokuta, a lokacin da ba shi yiwuwa a yi wani cikakken bincike da kuma akwai wasu shakku, aka gudanar endovezikalnaya biopsy. Lokacin da shi za'ayi da shinge abu don gudanar da bincike. A sakamakon zai iya tabbatar da kasancewar da tarin fuka da kuma mafitsara ciwon daji. Tare da wani mummunan sakamako ba ware tarin fuka.

Kamar yadda karin bincike hanyoyin amfani da bayyana radiography da tomography. Tare da wadannan hanyoyi na gudanar da bincike kwararru za su koyi game da koda sigogi, jihar perinephric kitse, bayyanãwa calcifications da ossification cibiyoyin na urinary tsarin gabobin, Lymph nodes, retroperitoneal sarari. M a da tarin fuka koda angiography. Tare da shi saita hallakaswa canje-canje a cikin kodan, koda jijiyoyin bugun gini gine na karatu, tabbatas da ikon yi kare tiyata da kuma koda nama girma da za a resected.

Wani lokacin sanya ta wani duban dan tayi scan. Wannan ba masu cin zali Hanyar bincike. Duban kimanta pyelocaliceal tsarin, farkon ganewa na koda duwatsu, sclerotic canje-canje, calcifications Aljihuna, cavities, cysts. A lokaci guda Ehostruktura raunuka ba zai yiwu ba a yi wani cikakken ganewar asali. Kimantawa da sakamakon duban dan tayi iya kawai bayar da shawarar gaban da tarin fuka.

Jiyya regimens cuta

Jiyya da tarin fuka na genitourinary tsarin da ake sa dangane da mataki:

• A matakin farko na aiyuka magani. Marasa lafiya suna sanya tuberculostatic kwayoyi a hade tare da macrolides da fluoroquinolones, immunomodulators, proteolytic enzymes. A zabi na kwayoyi da likitoci, shan la'akari da muhimmancin ganewa na M. tarin fuka da kuma tasiri na amfani da far.
• A mataki III cuta miyagun ƙwayoyi jiyya a hade tare sunã rãyar da tiyata. A haƙuri ko m nephrectomy kavernotomiya za a iya sanya (bude da rami).
• A karshe mataki da cuta ne za'ayi magani da kuma nephrectomy (kau na shafa koda).

Nephrectomy tsakanin tarin fuka lokuta urinary tsarin ne fairly sau da yawa. Wannan shi ne saboda wani m tunani da gwani kula da lafiya, uncontrolled misali magani. Bayan nephrectomy, postoperative rikitarwa ne zai yiwu, amma su ne musamman rare. Wadannan sun hada da hematoma, ƙurji subcutaneous mai, ruɓaɓɓen jini, da kuma tsawon lokaci yana warkar fistulas, hernias.

Da tarin fuka da urogenital tsarin a maza, wato al'aurar, mafi wuya mu bi. Ya ke muni amenable ga ra'ayin mazan jiya far. Ga magani aka nada ta musamman anti-magungunan a cikin wannan sashi kamar yadda a da tarin fuka da urinary tsarin. Bugu da kari, lokacin da cutar da ake nuna immobilization via scrotal tam m heats aikace-aikace novocaine blockades spermatic igiyar (a tare da streptomycin). Da tarin fuka da namiji urogenital tsarin da aka bi domin 2 ko 3 months. Idan sakamakon ba m, to, shi ne da za'ayi resection na epididymis ko epididymectomy. Lokacin da jimlar kashi na testis da za'ayi wani aiki cire shi. Idan tarin fuka rinjayar da prostate gland shine yake da seminal vesicles, sa'an nan rubũta ra'ayin mazan jiya magani.

A ƙarshe, shi ne ya kamata a lura da cewa genitourinary da tarin fuka tasowa a game 10-15 shekaru bayan farko na huhu ko osteoarticular da tarin fuka. Lokacin da cututtuka bada shawarar ga neman taimako a cikin art da kuma ba da jinkiri ba ziyarar, saboda saboda ci gaban da cutar a nan gaba na iya bukatar kau da kodan. A farkon matakai na irin wannan sakamako za a iya hana.