Focal TB

Mogwirizana TB ya m'mapapo yodziwika ndi kusintha isanafalikire mu zimakhala ndi zina zoletsa kugonja. M'mawu ena, magwero matenda zili aliyense gawo limodzi kawirikawiri akhoza anafalikira dera lonse.

Mogwirizana TB ndi yofala kwambiri matenda.

Koyamba chitukuko cha zolemba zake, pafupifupi maperesenti makumi asanu milandu onse a matenda.

Akatswiri m'kagulu fibrosis ndi wofatsa focal TB.

Yoyamba amakhala ndi gawo la amamuyambitsa timabala minofu, wachiwiri - kusalola sitepe.

Fibrous focal TB aumbike, nthawi zambiri chifukwa cha chosakwanira compaction resorption kapena zofewa-hematogenous mwiniwakeyo mtundu kapena matenda infiltrative. Nthawi zina, wakhala kugwirizana ndi ndondomeko ya cicatrization wa cavities.

Wofatsa focal TB amatanthauza siteji koyamba za infiltrative zochepa Inde matendawa.

Izi mitundu ya matenda amasiyana pathogenesis. Mbali awo wamba bwanji malo okha. kusintha minofu ndi kuperekedwa mu mawonekedwe a foci umodzi. awiri awo ndi zambiri osapitirira centimeter a. Foci zili kaŵirikaŵiri m'minda chapamwamba m'mapapo. Nthawi zambiri, mawonekedwe a matenda ndi unilateral. Komabe, mu kuchita, zinaonetsa ndi zotupa amgwirizano.

Zofewa lobular mawonekedwe losiyana zizindikiro zochepa kwambiri chifukwa cha poyizoni ndi poizoni kuposa siteji infiltrative. Komanso, mu yoyamba, matenda ngati si anayamba azingokhala, si limodzi ndi phokoso aliyense extraneous ku chifuwa. X-ray awulule mkati mapapo matumba chimodzi kapena zingapo za kukula ang'onoang'ono. Mu nkhani ya zotsatira zabwino za chotupa pang'onopang'ono zofewa amamuyambitsa timabala kapena kupasuka. Yogwira matenda kupitilira zingachititse kuti chitukuko cha mitundu cavernous kapena infiltrative.

siteji Fibrotic zambiri amapezeka bwino. Komabe, akudwala anaona otsika kalasi malungo, emaciation ndi zina mumtima zizindikiro za poyizoni poizoni. Chinthu chapadera chokhudza anthu akuvutika mawonekedwe fibrous, ndi "afote" pamwamba pa mapapo, potero kuoneka bwino supraclavicular ndi subclavian fossa. Pa anayendera amadziwitsidwa crackles kuti wapatsidwa kwambiri zovuta kupuma.

Chimodzi mwa zotsatira za focal TB ndi perifocal pleurisy. Mu chikhalidwe ichi, pali phokoso ku mikangano ya pleura lapansi.

Sputum ndi wheezing chifukwa mapangidwe ndi mapindikidwe wa bronchi ndi bronhoekstazami. kuyan'anila awa anatsimikizira pa wozengereza kuphunzira mwapadera. zizindikiro zambiri limodzi ndi mawonekedwe fibrous. Komanso, mawonetseredwe ake amakhala hemoptysis.

Ndi chitukuko motsutsa likhale subfebrile fibronodular mtundu, maonekedwe a wheezing ndi phlegm, odwala anatchula gulu lachitatu dispensary lapansi. Akadzauzidwa matenda kupuma zingachititse chilema odwala. Zonse exacerbation la matenda amatenda mankhwala kutero. Ngati palibe yogwira zizindikiro za chifuwa chachikulu, mtima ndi maganizo kudzachiritsidwa matenda. Iye ayenera kukayezetsa kusintha umoyo zonse, komanso kutsatira miyezo ndi mode kupewa matenda.

TB imatengedwa kuti ndi matenda zovuta ndi zoopsa kwambiri. Komabe, mankhwala. A zotsatira zabwino zitha amayenda ngati zizindikiro akhala anawona m'nthawi yake. Tikumbukenso kuti makolo ayenera kulipira mwapadera thanzi ana, kuti panthawi yake kudziwa zizindikiro za TB ana.

Mawonetseredwe yaikulu ya matenda mwana monga kufooka, irritability, kusowa kunenepa. Izi zikhoza kuwonjezera kutentha ndi kuonjezera lymph mfundo.