Fibro-cavernous qaaxada: astaamaha iyo daweynta. Ka Hortagga iyo talooyin

qaaxada Fibrocavernous pulmonary - cudur burbur, astaanta ah taas oo ay joogaan ee saabka sambabada go'doon. In daawada, waxaa loo yaqaannaa "dalool". Dhibaatada waa tallaabo loo qaaday dhinaca horumarka ah ee qaaxada sambabada. Inta badan, rugta caafimaadka sida cudurada la tirtirayaa qof.

Features cudurka

Sida caadiga ah, qaaxada buunshada ku-cavernous arkay bukaanada qaangaarka ah. In carruurnimada, astaamaha aasaasiga ah ee Qaaxada waa dhif iyo naadir.

cudurada Cavernous u dhaqmo sida natiijada qaaxada infiltrative, laakiin ay dhacdo in horumarisa faafiyay ama aan tooska ahayn, nooca cudurada.

foomka Fibrocavernous ogaado in 5% ee kiisaska cudurka qaaxada.

qaaxada Cavernous sida dhagaxa tallaabsashada si loo horumarinta cudurada fibro-cavernous

Muuqaalka caan ku qaaxada cavernous pathomorphological waa joogitaanka dalool hal, caabuq lahayn iyo isbedel fibrotic in hawomareenno, iyo alaabtiisii oo dheecaanka iyo cadka ku wareegsan. Cudurku ma aha wax ka badan 2 sano.

godod bogsiinta kaaga formation of:

• rumen,
• tuberculoma;
• diiradda hal qaaxada;
• saabka fayodhowri.

Maqnaanshaha therapy habboon foomka cavernous in qaaxada fibrocavernous tegi karo, cystic taas oo soo jireenka ah ee darbiyada saabka iyo parenchyma ee sambabada ku wareegsan. Sidoo kale arkay iyo Axdigu kala duwan ee faddarayn.

symptomatology cudurka

Sida caadiga ah, qaaxada buunshada ku-cavernous waxaa ku kooban in ka mid ah sanbabka. Horumarinta cudurka dhacdaa 3-4 bilood therapy oo xumaada noocyada kale ee cudurka qaaxada. Eebbe cudurka ayaa si gaar ah dhalaalaya wajiga suuska.

Calaamadaha ugu weyn ee cudurka la oran karo waa:

• asthenia;
• rabitaanka cuntada oo luma;
• qufac daciif ah;
• qufac dhiig;
• dhiigbaxa;
• crackles in burburkii saabka.

Ka dib markii formation of calaamadaha saabka noqon yar, Just dareemi iyo nonspecific. Bukaanka ayaa laga yaabaa in caban of tabar guud, daal joogto ah, miisaanka oo yaraada, iyo joogitaanka kulaylka fasalka hooseeyo.

On horumarinta TB qarsoon ayaa tilmaamaya laga yaabaa in dhiig ee sanbabada ayaa waxaa in uu yeesho sabab la'aan.

Anamnesis bukaanka dhibtay qaaxada fibro-cavernous tilmaamaysaa Dabcan isbedbeddel. Dura u dhexeeya muddo ba'an iyo dembidhaafka waxaa laga yaabaa in muddo ku filan ama, taas bedelkeeda, wajiga ba'an u muuqan karaan kuwo inta badan.

qaaxada Fibro-cavitary leeyahay calaamado clinical kala duwan. Waxaa sabab u ah geeddi-socodka bahal ah, iyo sidoo kale dhibaatooyinka midiidinka.

Waxaa jira laba nooc ee cudurka: kooban ama mid xasilloon, halkaas oo sarkhaansan yihiin xasilinta chemotherapy dhacdaa iyo bukaanka waa in dembidhaaf, joogto ah dhowr sano.

In muddo ah ba'an u kaca heerkulka iyo horumarinta barar agagaarka saabka. Heerkulka gaari karaan heerarka sare, haddii cudur weyn ee cudurka la xidhiidha dabeecadda sare.

hawomareenno Guuldaradii Ulasocto xabeeb qufac daran, kuna waari dhexdeeda xaako, xab iyo malax ku jirto soocay ku adag tahay.

Qof bukaan ah oo qaba qaaxada fibro-cavernous, u xuub lumiyaan miisaan badan. Waxa uu sheegay in maqaarka qalalan, taasoo si fudud u qabsatay. Muruqyada bukaanka loo bandhigi atrophy. bartilmaameed u ah geeddi-socodka bahal noqdo suunka garbaha, dhabarka iyo gobolka u dhexeeya feeraha ah.

Bukaan-socodka waa u nugul sarkhaan soo noqnoqda. In exacerbations cudurka neefsashada yeesho la'aan 1 iyo 2 digrii. Ka dibna waxa lagu calaamadeeyay kartaa korodhka mugga beerka. muuqan kara oo barara.

Iyadoo horumarka cudurka calaamadeeyay guuldaradii ka mid ah dhuun iyo xiidmaha, taas oo horseedaysa in ay daciifaan ka mid ah habka difaaca jirka. Marka kahesii, nephrosis amyloid iyo gabsiiya wadnaha, saadaasha cudurka sambabada allifey.

Sababaha cudurka

Burburinta waxa keeni kartaa nooc kasta oo caafimaad ee cudurka qaaxada. horumarinta Provocateur noqon kara superinfection. By wareer ah waa in ka mid ah dee-. Dhammaantiis waxaa jira 74 magacyada. Waxay ka tirsan tahay panulirus ku Mycobacterium tuberculosis. Si kastaba ha ahaatee, qaaxada ee aadanuhu kiciyay keeneysa la soo xulay nooca, loogu magac daray Mycobacterium tuberculosis.

Usareeyaa ee horumarka ah ee uu cudurku waa:

• korinta heerka wacyi;
• bedesho ee falcelin;
• cudurrada xubnaha gudaha,
• caadooyinka xun.

Wejiga ugu weyn ee cudurka

Waxaa go'aansanay in loo qoondeeyo wajiga labaad ee cudurka qaaxada buunshada ku-cavernous:

• Dhexgalka. Waxaa presupposes jiritaanka diiradda astaantii.
• Bololka. girgire bararka ayaa waxaa la aasaasay dalool a kaas oo la buuxiyey foom gaar ah oo unug necrotic - mass caseous. content qallalan noqdo dareere ah, oo si tartiib ah u dhaco ka dib markii dheecaan ka sambabbada. In meeshiisii weli godan. Intaas ka dib, ay bilowdo inay ka buuxin hawada, iyo xad gudub ku ah dheecaan in bronkie - dareere ah.
• formation of godadka. Waxbarashada waxaa la aasaasay la resorption barar perifocal iyo fibrosis. derbigii la yaab ku jira saddex lakab. Lakabka hoose waxaa ku jira tiro ka caseous (lakabka polygenic). Waxay ku taallaa dhexe ee qolof granulation, iyo jiidh leh unugyada waaweyn. Tan iyo qaybtii saabka dibadda daboolo kaabsal of unugyo.
• Seeding. In habkan, ka saabka size kordhay, iyo hareeraha dhexgalka perifocal dhacdaa ama seeding. geedi socodka horumarinta lesions bararka cusub ee qaaxada cavernous. Sayidka yeesho qaab fibrocavernous cudurka.

dhibaatooyin soo noqnoqda

Waxaa jira dhibaatooyinka soo socda ee qaaxada fibro-cavernous:

• Hemoptysis.
• Dhiig sambabada.
• Joogitaanka durbaanada. Waxaa lagu muujiyay in yaraynta ka mid ah dhawaaqa ee meelaha ku adag pleural iyo fibrosis.
• Dhageysiga Neefta daciif ah meelaha of dhagid pleura ah. Sidoo kale laga helay crackles iyo neefsashada bronki. xiiqlayn noocan oo kale ah ayaa shaaca ka qaaday jiritaanka godadka waaweyn oo cabbirkooda. In ka badan qaababka yaryar ee codadka Adoo kala duwan.

hababka ogaanshaha

Sidee lagu gartaa cudurka qaaxada fibro-cavernous? Taariikhda cudurka waqtiga cudurka, sida caadiga ah, mar hore waxaa ku qoran warar ku saabsan cudurka qaaxada myocardial hore.

Waa in la ogaadaa in calaamadaha auscultatory yihiin macluumaad yar. baaritaan dheeraad ah iyadoo la isticmaalayo X-ray ayaa muujinaya joogitaanka giraan-qaabeeya hooska leh meel durugsan oo ah qaab gadood ah ama goobaabin. xogta laga heli by diffraction X-ray Ka dib wuxuu u baahan yahay ogaanshaha kala duwan leh cudurada sida malax sambabada, kansarka durugsan, emphysema bullous, pneumothorax, echinococcosis ama pleurisy encysted.

Taageeridda habab Baarista iyo shaybaarka waa farsamooyinka endoscopic.

Falanqaynta xaako muujinayaa heer sare ah MTB. imtixaanada Laboratory shaaca ka qaaday heer sare ah bacilli go'doomin. Mararka qaar geedi socodka noqdo daran. Sidoo kale staghorn aqoonsaday fiiloyin laastikada.

Maqnaanshaha xaako muujiyay haysta Bronchoscopy. Waxay kuu ogolaanaysaa inaad si ay u aqoonsadaan Axdigu ee caabuq ee sambabada iyo tuubooyinka bronki, kaas oo looga hortago in xiritaanka ee saabka.

baaritaanka dhiigga. Bukaanka qaba cudurka qaaxada joogitaanka fibrocavernous ku calaamadsan lymphopenia iyo degdegsiimada dhimaya ESR in 30-40 mm / h.

Marka uu jiro korodh ah caabuq of leukocytes in tilmaame heerka 19 000-20 000 ah, iyo sidoo kale sii kordhaya heerka of neutrophils.

Waxaa content sare ee borotiin laga helo kaadida.

mabaadi'da therapy

Waxa ay meesha fibro-cavernous ee cudurka qaaxada? Daaweynta waxaa lagu fuliyaa in isbitaal ku yaala farmashiyayaasha TB.

nidaamka daaweynta ku salaysan yahay isticmaalka isku mar ah saddex ama afar daroogada lagu jiheeyo horumarinta cudurada. Sida caadiga ah, isticmaal "INH", "ethambutol", "Rifampicin" iyo "streptomycin". Daawooyinka waxaa laga yaabaa in intravenously ama si toos ah ay maamusho galay saabka afka.

Sidoo kale loo isticmaalaa tuberkulinoterapiya, neefsashada layliyo, daaweynta jirka, daaweynta laser, ultrasound iyo inductothermy.

chemotherapy Qaadashada

Sidee kale oo la tirtiro qaaxada sambabada fibro-cavernous? Daaweynta ku lug leedahay hirgelinta chemotherapy. Nidaamka waxaa loo qoray shakhsiga ku saleysan iyadoo la raacayo tilmaamayaasha of dareen in ay daroogada.

Guud ahaan, haddii ay iska caabin ah daaweynta aasaasiga ah cudurka qaaxada waxaa lagu fuliyaa iyadoo la raacayo nidaam chemotherapy afaraad. Daaweyntu waxay ku lug leedahay isticmaalka wadajirka ah ee daroogada sida "kanamycin", "Prothionamide", "Cycloserine", "PAS" iyo "fluoroquinolones". Muddada chemotherapy waa aan ka yarayn 15-18 bilood.

Bukaanka qaba TB joogitaanka fibrocavernous muujiyay haysta therapy pathogenetic kaas oo loogu talagalay in lagu saxo hawlaha yaraada u shaqeeyo oo kala duwan. Metabolizing wakiilka loo isticmaalo, iyo sidoo kale diyaarinta dib u soo celinta nidaamka difaaca jirka, iyo wakiilada hormoon.

Iyada oo dabcan wanaagsan ee daaweynta ka dib markii in ku dhow lix bilood ah dhaqdhaqaaqa wanaagsan. Waxaa lagu calaamadeeyay hoos u qoondaynta of bacilli, iyo sidoo kale hoos u dhac iyo xiritaanka saabka.

faragelinta operative

Wanaajinta godadka fibrotic waxaa had iyo jeer lagu fuliyaa si tartiib ah. Haddii muddada kor ku xusan ma aha suurtagal ah si loo gaaro natiijo wanaagsan, qaaxada sambabada ah fibro-cavernous waa lagaa saarayaa by qaliin. Xaaladdan oo kale waxay muujinaysaa resection ee sambabada geesood. Fuliyey hawlgal dabaq iyo nidaamka. Waxa kale oo uu leeyahay Heer sare ah ee hufnaanta iyo wuxuu kuu ogolaanayaa inaad si loo badbaadiyo awoodda bukaanka in ay ka shaqeeyaan. dembeeyey cimriga qofka buka si weyn u dheeraado. Go'doon of dee- istaago.

nooc kale oo qalliinka waa therapy ah burburkii qalliinka, soo jeedinaya rogida of pneumothorax aan dabiici ahayn.

Ka dib markii daaweyn isbitaalka waxaa loo baahan yahay sanatoriums khasab ah, daaweynta bukaan-socodka , raaceen in ayadoo la eegayo in bukaan socod eegtada.

saadaal

Inta badan qaaxada fibro-cavernous kasteba si therapy. Saabka of cabbir yar xiran yihiin iyo nabarro. Waxbarashada la joogitaanka derbiyo adag muddo lagudaray la content caseous in dhirfinaya psevdotuberkulemy.

Raasamaal of malax, joogitaanka aspergillosis, horumarka qaaxada waa dhif iyo naadir.

tallaabooyinka ka hortagga

qaaxada Fibrocavernous iska leh category cudurada ay keento arrimo bulsho loo kasin. Inta badan sababta asalka u ah sii daraysa ee heerka nolosha ay guushu ku dadka u.

Sida laga soo xigtay tirakoob, nin jiran tahay 3 jeer inta badan haweenka. cudurradana aasaasiga ah waxaa go'an at da'da 20 ilaa 39 sano.

Si looga hortago lagula talinayaa in ay dhawraan xeerarka soo socda:

• qabtaan tallaabooyinka habboon ee ka hortagga;
• aqoonsiga hore ee dadka ay saameeyeen cudur;
• deeq xulashada daroogo;
• fulinta baaritaan caafimaad ku hordhac ah marka aad codsanaysid shaqo ee waaxda xoolaha;
• kordhiyo aagga guryaha dadka bukaanka ah oo lagu helay cudurka qaaxada;
• fulinta waqtiga tallaalka carruurta bishii kowaad dhalashada ka dib.

gunaanad

qaaxada sambabada Fibro-cavernous (dhibaatooyin ay khatar ku tahay gobolka ee caafimaadka) waa cudur joogto ah. Sida caadiga ah, waxaa ka xanaajiyey qaaxada cavernous. Cudurku wuxuu la garan karo sida a lesions geesood ama laba geesood ah.

Markii hore Pathology adag tahay in la daweeyo, ay hadda tahay dawada uu leeyahay tiro balaadhan oo ah qaabka daweynta kala duwan in ay xaqiijin doonaan in dembidhaafka deggan sanado badan. daaweynta waqtigii badbaadin karo awoodda bukaanka in ay ka shaqeeyaan.