Tom qab tus neeg tau zoo los ntawm tuberculosis, kab mob pathogenic tsis tag nrho tawm hauv lub cev. Ib qho me me ntawm lawv hla mus rau hauv ib lub xeev latent ("tsaug zog") thiab tswj los ntawm lub cev. Qhov no muab kev tiv thaiv tshwj xeeb, tab sis tsis tshua muaj tshwm sim, theem qe tub ntsws tuaj yeem tshwm sim. Nyob rau hauv xws li ib qho teeb meem nws yog ib qho tseem ceeb kom pib chemotherapy nyob rau lub sij hawm, tsuas yog nrog nws cov kev pab koj muaj peev xwm ua tiav ib tug zoo tshwm sim.
Qhov mob qe ntshav qab zib li cas?
Cov lus piav qhia tau tuaj yeem tshwm sim rau 2 yam:
- Endogenous reactivation yog txheej txheem ntawm activating ib qho tseem ceeb ntawm cov kab mob ntsws tub ntsev yav tas los nyob rau hauv lub cev.
- Exogenous superinfection - qhov nkag mus ntawm ntau tus kab mob pathogens tawm sab nraud.
Cov tsos mob thiab lwm yam kab mob ntsig txog qe tub qawj
Qhov pib ntawm tus kab mob nyob rau hauv nqe lus nug tshwm sim imperceptibly rau tus neeg mob, tab sis lub cev puas kev puas tsuaj loj dua ib lub sij hawm ntawm ob peb lub lis piam.
Yam ntxwv cwj pwm uas tshwm sim nrog kev txhim kho ntawm pulmonary tuberculosis:
- tshav kub;
- lub caij nyoog hnoos;
- hemoptysis;
- tsis muaj qab los noj mov;
- poob phaus.
Nyob rau hauv daim ntawv extrapulmonary ntawm pathology, soj ntsuam tshwm sim muaj ntau ntau thiab sib raug rau qhov lesion ntawm cov khoom hauv qhov txheej txheem inflammatory tshwm sim.
Cov teeb meem ntawm kev mob ntsws tub ntxhais ntsig yog tsim nyog ceeb toom:
- meningitis;
- pericarditis;
- fistulas;
- purulent pleurisy;
- abscesses;
- peritonitis;
- deformation ntawm pob qij txha thiab pob txha;
- kev sib tw;
- los ntshav;
- amyloidosis;
- pneumothorax ;
- pulmonary plawv tsis ua hauj lwm;
- kev sib cavernous;
- mos cov nqaij mos;
- tuag.
Kev kho mob ntawm tuberculosis secondary
Conservative chemotherapy therapy yog noj tshuaj xws li:
- Pyrazinamide;
- Rifampicin ;
- Isoniazid;
- Sib koom nrog.
Kev siv tshuaj thiab sib xyaw ua ke ntawm kev siv tshuaj yog xaiv ib tus zuj zus ntawm qhov kev txais tos ntawm tus kws phais neeg tom qab kuaj xyuas cov kev ntsuam xyuas. Nyob rau qee zaum, piv txwv li, nrog kev mob ntshav hauv siab, kev kho mob hauv plab, kev phais kev phom sij.