Akpa ume tuberculoma

Clinical ụkwara nta, nke integrates iche iche si malite caseous encapsulated ụdị agwa uru nke ukwuu karịa otu sentimita n'obosara -tuberkuloma akpa ume. Ọ nwere ogologo oligosymptomatic maka. Tuberculoma emee adịkarịghị (6% nke ikpe).

Na ọrịa a na akpa ume kpebisiri caseation nnukwu ọnya, nke ọtụtụ mgbe na-sporadik, mgbe ụfọdụ, e nwere ọtụtụ iche-iche. Tuberculoma ìhè nwere a dị iche iche si malite. Ha na-guzobere si Baịbụl hiwere isi n'ebe infiltrative na-akwadebe forms of TB. Mmepe nke nnukwu onuala nwere ike ịga na ụzọ abụọ. Na nke mbụ nke ha obliterated drainage bronchus jupụtara cheesy pụta. Na nke a na-akpọ ha "psevdotuberkulomy". Ha ogologo torpid N'ezie, a mkpa Capsule nke connective anụ ahụ gburugburu foci nke necrosis ma ọ bụ infiltration. Dabere na ụdị, tuberculoma nwere ike nri ma ọ bụ na-ezighị ezi. Dị ka ihe owuwu dị iche naanị, infiltratopnevmonicheskie, conglomerate, layered cheesy akụziri.

Tuberkulomah ìhè a edo Ọdịdị na nke ndị e kwuru n'elu owuwu mata onyinyo alveolar ụdị, na gburugburu fibrous anụ ahụ Capsule. Layered ụdị e ji a concentric ndokwa nke pụta, nke alternates na n'ígwé nke fibrous anụ ahụ. Nke a na-egosi na-efegharị efegharị-dị ka mmepe nke tuberculous usoro, nke na-esonyere oge exacerbation na-agwọ ọrịa. Conglomerate tuberculoma nwere na ya Ọdịdị a ole na ole aghụghọ na caseous ọdịnaya, nke na-n'otu otu Capsule. A Capsule a kpụworo nwere ihe abụọ n'ígwé: ihe dị n'ime, nke dịrị caseous òkè na esịnede a kpọmkwem granulation na epithelioid mkpụrụ ndụ na ibu, na ihe-elu, nke e dere ihe fibrous oyi akwa. Na a iche iche ụdị ekenyela tuberculoma nke a kpụrụ mgbe ejuputa uji eze, nke ruru ka mmechi nke agwụ bronchus akpọkọtara caseous uka. Nkwenye dị otú ahụ guzobere bụ omume site histological ụzọ.

Tuberkulomah akpa ume n'oge progression nwere ike tisaa, ịlọ ịghọ a uji eze, nke nwere a mpekere onwa udi. Ọ pụkwara ịmalite caseous oyi baa, akwadebe na fibro-cavernous ụkwara nta. Clinical ihe ịrịba ama na oge a: igbu egbu mgbaàmà, ụkwara, sputum, hemoptysis. Na mma ọnọdụ, a nlaghachi azụ nke guzobere.

The results nke histological nnyocha na-ekpebi olu nke ụdi n'ịwa ahụ. tuberculoma ọgwụgwọ a rụrụ TB oru. Ọ na-eji a ọkọlọtọ na-anara ọgwụ Usoro. Ọ na-enye maka nhọpụta nke anọ mgbochi TB ọgwụ ọjọọ, nke nwe bụ isi nọmba (ethambutol, pyrazinamide, rifampicin, isoniazid). Na n'ihu tupu nke ọgwụ na-ahọpụta n'ime ọnwa 6 rifampicin na isoniazid ma ọ bụ ethambutol na isoniazid. Na nhọrọ nke ọgwụ ọjọọ a ga-atụle ihe niile n'akụkụ Jeremaya mere n'ihi na ha nwere ike ime ka a dị ịrịba ama na-arịa ọrịa.

Mgbochi mkpali ọgwụ na-adịghị ngwa ngbaghara n'ihu adọ kwukwara ọrịa ndị ahụrụ akpa ume tuberculoma. Ọgwụgwọ na nke a bụ tuberkulinoterapii, oru lidazy, BCG ogwu, physiotherapeutic ụzọ (induktometrii ma ọ bụ ultrasound). Na ọzọ n'oké ikpe, ịwa ahụ aka, nke na-agụnye a lobectomy resection ma ọ bụ akpa ume nke. Na-adọ ọgwụgwọ nke nhọpụta nke a mma prognosis, mgbe ọbọ zuru adakarị mgbake.