Huhu tuberculoma

Clinical da tarin fuka, wanda integrates bambancin asalin caseous encapsulated form hali darajar mafi girma daga daya santimita a diamita -tuberkuloma huhu. Yana yana da dogon oligosymptomatic for. Tuberculoma auku wuya (6% na lokuta).

A wannan cuta a cikin huhu m caseation manyan raunuka, wanda a mafi yawan lokuta suna harben, wani lokacin akwai mahara siffofin. Tuberculoma haske yana da wani daban-daban asalin. Suna kafa daga mai da hankali infiltrative da kuma watsa siffofin tarin fuka. A ci gaba da kogon dutse iya tafi hanyoyi biyu. A farko daga gare su shãfe gani magudanun bronchus mai cike da cheesy talakawa. A wannan yanayin da ake kira "psevdotuberkulomy". Su sun dade da torpid Hakika, wani bakin ciki kwantena na connective nama a kusa da foci na necrosis ko infiltration. Dangane da tsari, tuberculoma iya zama daidai ne ko. Bisa ga tsarin rarrabe Kadaitaccen, infiltratopnevmonicheskie, conglomerate, hanyõyi cheesy ilimi.

Tuberkulomah haske yana da wani uniform tsarin a wadda ta gabatar Tsarin gano inuwa alveolar type, da kuma kewaye da fibrous nama kwantena. Lebur siffar halin da concentric tsari na talakawa, wanda jũyar da yadudduka na fibrous nama. Wannan ya nuna da kalaman-kamar cin gaban tuberculous tsari, wanda yana tare da lokaci na exacerbation da kuma waraka. Conglomerate tuberculoma yana a cikin tsarin 'yan dabaru da caseous abinda ke ciki, wanda suna da ha ta daya kwantena. A kwantena wannan samuwar yana da biyu yadudduka: ƙurewar, wanda adjoins da caseous rabo kuma kunsha na musamman granulation da epithelioid Kwayoyin da giant, da kuma wani m, wanda yana dauke da fibrous Layer. A raba irin kasaftawa tuberculoma wanda aka kafa a lokacin da ciko da rami, a cikinsa saboda rufe daga cikin draining bronchus tara caseous taro. Tabbatar da irin wannan samuwar ne zai yiwu ta histological hanyoyin.

Tuberkulomah huhu a lokacin ci gaban iya rarrabu, narke da kuma canza zuwa cikin wani rami, wanda yana da jinjirin wata siffar. Yana iya kuma ci gaba caseous ciwon huhu, watsa, kuma fibro-cavernous da tarin fuka. Clinical alamu a wannan lokaci: maye bayyanar cututtuka, tari, sputum, hemoptysis. A yanayi mai kyau, mai komawa da baya daga cikin samuwar.

A sakamakon histological jarrabawa kayyade girma daga cikin m tiyata. tuberculoma magani ne da za'ayi a cikin tarin fuka cibiyoyin. Yana yana amfani da wani misali jiyyar cutar sankara regimen. Yana bayar da ga ajalin da hudu anti-magungunan, wanda ya kasance a cikin na asali lamba (ethambutol, pyrazinamide, rifampicin, isoniazid). A ci gaba lokaci na far an nada a cikin watanni 6 na rifampicin da isoniazid ko ethambutol da isoniazid. A zabin da kwayoyi ya kamata a yi la'akari da duk gefen halayen saboda za su iya haifar da wani gagarumin deterioration.

Anti-mai kumburi far a jinkirin gafarar ci gaba lokaci ma wajabta wa marasa lafiya da suke yi gano huhu tuberculoma. Jiyya a cikin wannan yanayin ne tuberkulinoterapii, saduwa lidazy, BCG maganin, physiotherapeutic hanyoyin (induktometrii ko duban dan tayi). A mafi tsanani lokuta, m baki, wanda ya hada da wani lobectomy resection ko huhu kashi. Tare dace lura da nada wani m hangen nesa, yayin da cimma cikakken asibiti dawo.