Ib qho ntawm ntau hom kab mob ntawm cov kab mob TB yog infiltrative tuberculosis, uas yog thaj tsam ntawm kev tua ntawm lub alveoli thiab bronchi ncav cuag los ntawm 2-3 cm mus rau tag nrho lobe, tab sis necrosis tsis muaj ib tug focal cim. Hom kab mob TB no muaj lwm yam ntxwv.
Cov tsos mob ntawm infiltrative pulmonary tuberculosis
Cov kabmob noj qab haus huv tiv thaiv cov kab mob ntawm cov kab mob TB, cov kab mob hauv lub nruab nrog cev tiv thaiv kab mob los ntawm lawv muaj kev tiv thaiv los ntawm cov hnoos qeev tshwj xeeb uas nyob hauv cov kab mob hauv lub ntsws thiab tiv thaiv kab mob. Qhov tshuaj no ceases yuav ua rau cov mob khaub thuas, mob, los yog tshuaj puas tsuaj rau mucous membrane thiab bronchi.
Tus kab mob lub taub hau nrog rau mycobacteria tuberculosis yog tsis muaj qhov muag pom. Ib zaug hauv tib neeg lub cev, lawv ntaus lub zog ntawm lub zog. Feem ntau dislocated nyob rau hauv lub alveoli ntawm lub ntsws thiab bronchi vim high humidity. Qhov no yog qhov chaw zoo rau lawv lub neej. Txij lub sij hawm, qhov tsub zuj zus ntawm cov kab mob hlob tuaj thiab peb muaj peev xwm saib tau qhov infiltrative site ob peb centimeters loj.
Heev feem ntau infiltrative pulmonary tuberculosis ntawm qhov pib ntawm tus kab mob yog asymptomatic. Tsawg zaus, tus kab mob pib, zoo li SARS:
- qhov kub nce mus rau 37-37.5 degrees;
- muaj hnoos nrog hnoos me me;
- muaj kev tsis muaj zog nyob rau hauv cov nqaij ntshiv;
- tus neeg mob sai sai ua nkees.
Tag nrho cov paib no kis sai sai thiab tsuas yog txoj kev txhawm rau kuaj xyuas tus kab mob yog xoo hluav taws xob kuaj thiab fluorography. Qee lub sij hawm nws tuaj yeem pom cov kab mob ntsws tub qog ntawm kev kuaj thaum lub sij hawm hais lus thiab mloog, tab sis qhov no nws yog ib qho yooj yim uas cuam tshuam nrog kev mob ntsws (pneumonia). Kab mob ntsws mob kis tau yog kis yooj yim, nws yuav txiav txim tau tom qab hnoos qeev tsom ntawm BK (Koch bacillus).
Kev kho mob ntawm infiltrative pulmonary tuberculosis
Kev kho mob ntawm infiltrative tuberculosis, nyob ntawm seb ntawm tus kab mob ntawm cov kab mob, muaj xws li ntawm 4 lub hlis mus rau ob peb lub xyoos. Feem ntau ntawm lub sijhawm no tus neeg mob yuav siv sijhawm nyob hauv tsev khomob ntawm tuberculosis dispensary, nruj xyuas cov cai ntawm kev nyiam huv thiab kev noj haus. Muaj ntau cov tshuaj siv txhaj tshuaj, qee qhov siv tau rau hauv daim ntawv ntawm cov ntsiav tshuaj, tab sis txhua qhov teeb meem, kev soj ntsuam txhua tus kws kho mob thiab kev tswj yog tsim nyog.
Tsis ntev los no, chemotherapy tau ua pov thawj nws tus kheej zoo, tab sis nws tsuas ua tau rau tus mob xwb. Thaum mob ntsws los ntawm kev mob ntsws, qhov txheej txheem no tsis siv. Cov teeb meem, xws li kis tau tus kab mob ntsws nrog kev ploj zuj zus, yog qhov txaus ntshai, vim cov nqaij mos necrosis tuaj yeem ua rau qaug zog ntawm lub cev thiab tuag taus. Pneumothorax feem ntau tsim nyog. Tias yog vim li cas tus neeg mob tsis pom zoo kom tawm mus ntawm thaj chaw ntawm lub tsev kho mob. Lwm qhov tseem ceeb yog qhov kev txo qis ntawm tus kab mob ntsws tub qog nyob rau hauv daim ntawv qhib ntawm lwm tus neeg.
Ochagovo-infiltrative tuberculosis yog cov ua los ntawm qhov muaj ntau qhov mob thiab yog ib qho ntawm cov teeb meem ntawm tus kab mob.
Tom qab tso tawm hauv tsev kho mob, tus neeg mob tau txais cov tshuaj tshwj xeeb uas tsim los tiv thaiv kev rov mob plab.
Thiab kom tsis txhob muaj qhov tsis zoo ntawm tus kab mob, tsis txhob hnov qab ua cov tshuaj fluorography raws sijhawm .