Ukusasazwa - ukusabalalisa okanye ukusasazeka. Ngoko ke, ukusabalaliswa kwesifo sofuba kuyafunyanwa kwimeko apho i-pathogen yokusuleleka kwintsholongwane idlulile ngaphaya kweyona nto iphambili. Hambisa kwizidalwa ezibangelwa zizifo kwi-circulatory or lymphatic system. Izitshixo zeKoch - ziyi-epathogens eziphambili zesifo sesifo sofuba-zingasasazeka ngaphakathi kwilungu elinye, okanye zisasazeka kuwo wonke umzimba.
Ngaba isifo sofuba se-pulmonary sisasazeka okanye cha?
Ekubeni le nkonzo engabonakaliyo ayichithekanga naphi na, i-TB iyasasazeka. Abantu abadala bahlupheka kwesi sifo kaninzi kunabantwana. Ukuba isifo sifumaneka kumntwana, oku kubonisa ukuxhaphaka ngokukhawuleza kokusuleleka kwimeko yesigulane esincinane.
Ukuhlakulela isifo sofuba sesifo sofuba, le miqathango iyafuneka:
- Isigulane sisifo sesifo sofuba, okanye emzimbeni wakhe kukho utshintsho oluthile emva kokugula kwangoku.
- Umzimba womzimba wesigulane awukwazi ukubonelela ngokwaneleyo.
- I-Mycobacterium ikhula emzimbeni.
Iziganeko ezichonga ukuphuhliswa kwesifo sesifo sofuba esiswini okanye sesifo se-lymphogenous:
- ukungabikho kokugonya kwe-BCG egazini;
- indlala;
- ukukhulelwa komzimba okanye ukufumana i-immunodeficiency;
- ukusulelwa rhoqo;
- izifo zehomoni;
- Ukusetyenziswa kwexesha elide le-immunosuppressants.
Iimpawu eziphambili zesifo sofuba zi:
- buthathaka;
- ekhanda rhoqo;
- izifo zentlungu;
- ukujuluka okukhulu;
- ukwanda okweqile kwindleko ye-38-39 ° C;
- i-delirium;
- tachycardia;
- emqaleni .
Unyango lwe-tuberculosis ye-pulmonary
Ukulwa nesifo sofuba esisasazeka emzimbeni kufanele senziwe esibhedlele. Iskimu sonyango ifana nomdabu: amachiza amaninzi e-antibacteria anqunywe ngexesha elifanayo kwisigulane:
- Etambutol;
- Isiniyadi;
- Pyrazinamide;
- Rifampicin .
Kwiifom ezinzima, i-immunomodulators kunye ne-corticosteroids imiselwe ukuba:
- Prednisolone;
- Leukinferon;
- T-activin.
Isifo sofuba esingasigxina kwisigaba sokungena singaphathwa ngePneumoperitoneum. Ukuba usulelo luye lwahlakulela ukukhuselwa kumachiza kwaye imeko yesigulane ayifuni ukubuyela kwinto eqhelekileyo, ukungenelela kwongcango nokutshatyalaliswa kwenxalenye yelungu elichaphazelekayo kuyadingeka.