Daim tawv Tuberculosis

Tuberculosis yog kab mob thoob ntiaj teb tshwm sim los ntawm mycobacteria, Koch chopsticks. Qhov feem ntau paub yog tus kab mob ntawm cov kab mob ntawm cov kab mob, tab sis tuberculosis tuaj yeem ua rau pob txha thiab tawv nqaij.

Tuberculosis ntawm daim tawv nqaij tsim tawm thaum cov kab mob microbacteria nkag rau ntawm daim tawv nqaij. Muaj plaub hom microbacteria: tib neeg, bovine, avian thiab txias-blooded. Thaum tawv nqaij mob feem ntau pom tib neeg, qee zaum - ib hom kab mob ntawm cov kab mob qog.

Hom thiab cov tsos mob ntawm daim tawv nqaij mob ntsws

Qhov mob plab hnyuv muaj ntau hom, uas txawv hauv daim ntawv ntawm tus kab mob, qhov mob ntawm tus kab mob thiab txoj kev ntawm daim tawv nqaij mob ntsws zoo nkaus li. Tag nrho pawg neeg ntawm cov kab mob yog faib mus rau hauv lub cev (focal) thiab disseminated (kis) ntawm daim tawv nqaij moberculosis.

Cov ntaub ntawv focal ntawm tus kab mob muaj xws li:

1. Vulgar (vulgar) lupus yog hom kab mob ntau tshaj plaws ntawm tus kab mob. Feem ntau tshwm sim thaum muaj hnub nyoog ntxov, thiab cov pob ua pob ua rau lub ntsej muag. Nyob rau hauv loj heev zaum, nws cuam tshuam lub mucous daim nyias nyias ntawm lub qhov ncauj thiab qhov ntswg. Tuberculosis tubercles (lupomas) nyob hauv qab ntawm daim tawv nqaij thiab nyob rau theem thawj zaug muaj daim ntawv ntawm cov xim daj daj-paj yeeb uas muaj qhov tshwj xeeb tshaj tawm delineated. Nrog rau kev loj hlob ntawm tus kab mob, lub tubercles ua ntau noticeable, tab sis feem ntau nyob twj ywm ca thiab me ntsis protrude saum lub tawv nqaij.
2. Scrofuloderma (colliquative skin tuberculosis) yog ob hom kev hnyav tshaj plaws. Cov cim qhia ntawm daim ntawv no ntawm daim tawv nqaij mob plab yog pob ua pob ua rau hauv daim duab ntawm kev nqus-dag, malabile nodules 3-5 cm nyob rau hauv lub cheeb, daim tawv nqaij tshaj uas tau txais ib lub pob tawb tawv. Txij lub sij hawm, cov nodules yuav pib mob khaub thuas, rau ntawm qhov chaw uas, tom qab qhib, muaj qhov txhab. Scrofuloderm tau tsim ntau zaus thaum kis tau tus kab mob los ntawm cov qog ntshav ntawm lub cev, feem ntau ntawm lwm cov nqaij. Laus nyob rau hauv lub caj dab thiab, tej zaum, lub nqua.
3. Cov kab mob hlab ntsws plab - feem ntau tshwm sim thaum kis tau los ntawm lwm yam kab mob hauv lub cev thiab cov nqaij. Nws zoo nkaus li ua rau cov hlwv ntshav nrog ib qho tsis sib npaug nrog cov xim yellowish nodules. Laus nyob hauv daim tawv nqaij thiab cov ntaub so ntswg (qhov ncauj, qhov chaw mos plab).
4. Warty tuberculosis ntawm daim tawv nqaij - qhia nws tus kheej hauv daim ntawv ntawm cyanotic-liab infiltrates nrog tom qab warty kev loj hlob. Tus mob kis tau los ntawm lwm qhov chaw thiab feem ntau yog txuam nrog kev ua haujlwm (pawg neeg muaj kev pheej hmoo loj xws li cov kws kho tsiaj, cov neeg tua tsiaj, cov kab mob pathologists). Feem ntau tshwm sim ntawm cov ntiv tes thiab sab nraum qab tes.

Ntawm cov ntaub ntawv nthuav tawm:

1. Papulonecrotic daim tawv nqaij mob - feem ntau tshwm sim thaum muaj hnub nyoog yau. Nws tshwm nyob rau hauv daim ntawv ntawm cyanotic-liab ntsaws ruaj ruaj nrog necrotic scabs nyob rau hauv qhov chaw. Cov kabmob muaj nyob rau hauv cov kabmob, feem ntau - nyob rau ntawm pobtawb thiab cov tawv nqaij. Tom qab lub caij nplooj ntoos zeeg ntawm lub plhaub taum, nyob rau hauv nws qhov chaw nyob twj ywm yam ntxwv "stamped" scars.
2. Lichenoid tuberculosis ntawm daim tawv nqaij (nws kuj tseem khawb qhov scrofula) - nyob rau sab nraud tshwm sim zoo ib yam li cov tsos mob ntawm cov pob liab liab liab. Feem ntau feem ntau cuam tshuam rau ntawm daim tawv nqaij ntawm lub pob tw, tsawg dua - nqua thiab lub ntsej muag.

Kev kuaj ntawm daim tawv nqaij mob ntsws

Zoo li txhua yam kab mob ntawm tus kab mob no, tawv nqaij mob plab yog feem ntau kuaj pom tus kab mob tuberculin. Tsis tas li ntawd, lub hauv paus rau qhov kev kuaj no tuaj yeem ua pov thawj los ntawm ib qho anamnesis (yav dhau los kis tau los ntawm ib hom kab mob ntsws) thiab cov kev ntsuam xyuas tshwj xeeb.

Kev kho mob ntawm daim tawv nqaij mob ntsws

Rau kev kho mob ntawm tus kab mob, ua ke ntawm ob peb cov tshuaj feem ntau yog kws kho mob, uas yuav tsum tau noj rau 2-3 lub hlis. Tom qab ntawd ua ke nrog yog hloov thiaj li hais tias tsis muaj kev tsis haum rau cov tshuaj.

Qhov zoo tshaj plaws rau hnub tim yog Isoniazid thiab Rifampicin.

Cov tshuaj uas muaj qhov nruab nrab yog Streptomycin, Ethionamide, Florimycin, Kanamycin.

Txoj kev kho mob yuav kav ntev li 10-12 lub hlis nrog kev kho mob tom qab 5 xyoos. Kev siv tshuaj rau tus kab mob ntsig txog tuberculosis yog qhov tseeb.