Chii chinonzi Pleural Tuberculosis, Inopfuudzwa sei uye Maitiro Ekurapa

Zvemukati

• Zviratidzo zvikuru
• Kupararira kunoitika sei
• Maitiro ekusimbisa kuongororwa
• Kurapwa kunoitwa sei
• Pleural tuberculosis inorapika here?

Pleural tibhii hutachiona hweiyo pleura, inova iyo yakatetepa firimu inoisa mapapu, nebacillus ye Koch, zvichikonzera zviratidzo zvakadai sekurwadziwa pachipfuva, kukosora, kufema nekufema.

Iyi ndeimwe yemhando dzakajairika dzekuwedzera-pulmonary tibhii, kureva kuti, inoratidza kunze kwemapapu, senge pfupa, huro, ganglia kana itsvo, iri mamiriro akajairika muvanhu vane hutachiona husina simba, sevanhu vane AIDS, kenza kana kushandisa corticosteroids, semuenzaniso. Dzidza zvakawanda nezve zvazviri uye nzira yekuziva yakawedzera-pulmonary tibhii.

Kurapa pleural tuberculosis, iyo pulmonologist, kana iyoologist, inowanzo kuratidza chirongwa chekurapa, kweinenge mwedzi mitanhatu, ine 4 maantibayoti madhiragi, ayo ari Rifampicin, Isoniazid, Pyrazinamide uye Ethambutol.

Zviratidzo zvikuru

Zviratidzo zve pleural tuberculosis ndezvi:

• Chikosoro chakaoma;
• Kurwadziwa pachifuva, uko kunomuka panguva yekufema;
• Kupindwa nechando;
• Kuwedzera kudikitira usiku;
• Kunetseka kufema;
• Kuonda pasina chikonzero chiri pachena;
• Malaise;
• Kupererwa nechido.

Kazhinji, chiratidzo chekutanga chinoratidzwa chikosoro, icho chinoperekedzwa nekurwadziwa kudiki mubhokisi. Mushure memaawa mashoma, zvimwe zviratidzo zvinozogadzikana zvowedzera, kusvikira munhu atadza kufema uye nekunzwa kufema.

Pese panofungidzirwa dambudziko remapapu, zvakakosha kuti uende kuchipatara kana kubvunza chiremba wemapapu kuti atange kurapwa nekukurumidza uye kudzivirira kusagadzikana kunogona kuitika.

Kupararira kunoitika sei

Pleural tuberculosis haina kutapuriranwa, seye bacillus ye Koch haipo muzvivande zvemapapu uye haifambidzwe zviri nyore kuburikidza nekuhotsira kana kukosora. Nekudaro, chero munhu anowana rudzi urwu rwechibhii anoda kusvibiswa nevanhu vane pulmonary tuberculosis, avo, kana vachikosora, vanoparadzira huwandu hwakawanda hwehutachiona munzvimbo.

Zvino, zvidiki zvinosvika pakununura mushure mekupararira kuburikidza neropa kana zvakananga kubva pazvironda zvakaumbwa mumapapu. Vamwe vanhu vanogona zvakare kukura pleural tuberculosis sechinetso chepulmonary tuberculosis, semuenzaniso.

Maitiro ekusimbisa kuongororwa

Kugadzira kuongororwa kwechirwere chetuberculosis, pamusoro pekuongorora zviratidzo zvemunhu uye nhoroondo, chiremba anogona zvakare kuraira bvunzo, senge:

• Kuongororwa kwemvura inoyerera, yekuonekwa kwemakemikari aripo muhutachiona, senge lysozyme uye ADA;
• X-ray pachifuva;
• Kuongorora sputum kweTuberculosis bacillus research (BAAR);
• Mantoux bvunzo, inozivikanwawo setuberculin ganda bvunzo kana PPD. Nzwisisa kuti zvinoitwa sei uye pazvinoratidzwa;
• Bronchoscopy.

Bhokisi reX-ray rinogona kuratidza maronda muiyo pleura, senge kuomesa kana kuverenga, kana zvakare kunyunyuta kwekunyepedzera, inozivikanwawo semvura mumapapu, iyo inowanzo bata chete mapapu. Zvirinani kuti unzwisise kuti chii uye zvimwe zvinokonzeresa kunyunyuta.

Kurapwa kunoitwa sei

Pleural tuberculosis inogona kurapwa nekukurumidza mune zvimwe zviitiko, kunyangwe pasina kurapwa, zvisinei, kurapwa kunowanzoitwa pamwe nekubatanidzwa kwemaantibioti mana anonzi Rifampicin, Isoniazid, Pyrazinamide uye Ethambutol.

Iyo fivhiri inogona kunyangarika mukati memavhiki maviri, asi inogona kuenderera kwevhiki nhanhatu kana sere, uye kubviswa kwekunyepedzera kunonyangarika mukati memavhiki matanhatu, asi inogona kupfuurira kwemwedzi mitatu kana mina.

Kazhinji, murwere anoratidza kuvandudzika kwakanyanya mumazuva gumi nemashanu ekurapwa, asi zvakakosha kutora mishonga yakatemwa nachiremba kunyangwe pasina zviratidzo, sezvo bacillus inotora nguva yakareba kuti ibviswe zvachose kubva mumuviri. Tsvaga rumwe ruzivo nezvenzira dzokurapa chirwere chetibhii.

Pleural tuberculosis inorapika here?

Pleural tuberculosis ine mukana we100% wekurapa. Nekudaro, kana kurapwa kusingaitwe nemazvo, panogona kuve nezvinetso sekukura kwechirwere cherurindi mune mamwe matunhu emuviri.