Sambabada tuberculoma

qaaxada Clinical, taas oo midaynaysa caseous asal ahaan kala duwan ka tarjumayay qiimaha foomka qof oo ka badan hal centimitir ee sanbabada -tuberkuloma dhexroor. Waxay leedahay oligosymptomatic dheer. Tuberculoma dhif dhacdaa (6% ee kiisaska).

In cudurkan ee caseation ku lesions weyn sambabada goostay, oo kiisaska intooda badan ay yihiin goosgoos, mararka qaarkood waxaa jira noocyo kala duwan. Tuberculoma iftiinka ayaa asal ahaan ka duwan. Waxaa loo soo sameeyey foomamka infiltrative faafiyay focal of TB. Horumarinta ee bohol ku tegi kartaa laba siyaabood. At ugu horeysay oo ka mid ah tirray sambabbada dheecaan waxaa ka buuxsamay tacsida cheesy. Xaaladdan oo kale waxaa loo yaqaannaa "psevdotuberkulomy". Waxay muddo dheer moodid Dabcan, kaabsal khafiif ah unugyo ku wareegsan iyo Axdigu ee galleeyda ama dhexgalka. Iyadoo ku xiran qaab, tuberculoma laga yaabaa sax ama qalad. Sida laga soo xigtay qaabka la kala saaro keli ah, infiltratopnevmonicheskie, conglomerate, waxbarashada cheesy oo israac raacsan.

Tuberkulomah iftiin leedahay qaab labis taas oo dhismeedka qorani aqoonsaday nooca alveolar hooska, oo waxay hareereeyeen by kaabsolka unugyada buunshada ku. foomka Geedka Dhalxiga ah waxa lagu gartaa heshiis-gashan ee tacsida ah, taas oo Gagadiyaa la layers of unugyada buunshada ku. Tani waxay muujinaysaa horumarka la ruxruxo-sida ee geedi socodka tuberculous, kaas oo la Ulasocto waqtiyada sii daridda iyo bogsiinta. tuberculoma Conglomerate leedahay in ay qaab-dhismeedka a tabaha yar ka kooban caseous, taas oo ay mideysan yihiin hal kaabsal. kaabsal A of formation this waxay leedahay laba layers: gudaha ah, taas oo adjoins qaybtii caseous oo ka kooban granulation gaar ah la unugyada epithelioid iyo Rafaa, oo dibadda ah, taas oo ka kooban lakabka buunshada ku. In tuberculoma qoondeeyey nooc oo kala duwan, kaas oo la aasaasay markii buuxinta saabka, kuna waari dhexdeeda ay sabab u tahay xidhitaanka ee sambabbada ku dheecaan ka uruursado mass caseous. Xaqiijinta formation sida waa suurto gal by hababka histological.

sambabada Tuberkulomah inta lagu guda jiro horumarka muuq laga yaabaa, wuu dhalaali oo u beddesho galay saabka ah, taas oo uu leeyahay qaab bilaha ah. Waxa kale oo laga yaabaa in pneumonia caseous, faafiyay iyo qaaxada fibro-cavernous. calaamadaha Clinical in muddo this: calaamadaha sarkhaan, qufac, candhuufta, hemoptysis. In xaaladaha wanaagsan, dhaca ah ee dhismaha.

Natiijada imtixaanka histological go'aamiso mugga qalliinka ku xiga. daaweynta tuberculoma waa la fuliyay in hay'adaha TB. Waxa uu isticmaalaa mudada a chemotherapy caadiga ah. Waxay bixisaa ballanta oo ka mid ah afar daawooyinka anti-TB, kuwaas oo ka tirsan tirada aasaasiga ah (ethambutol, Pyrazinamide, rifampicin, isoniazid). Inta lagu jiro marxaladda sii therapy waxaa lagu magacaabay 6 bilood rifampicin iyo isoniazid ama ethambutol iyo isoniazid gudahood. In doorashada ee daroogada waa in la tixgeliyaa oo dhan reactions dhinaca maxaa yeelay, waxay keeni kartaa inay ka sii darto weyn.

therapy anti-bararka wajiga sii dembidhaafka gaabis ah ayaa sidoo kale qoray in bukaan ayaa helay sambabada tuberculoma. Daaweynta kiiskan waa tuberkulinoterapii, lidazy ballan, tallaalka BCG, hababka duugduugis (induktometrii ama ultrasound). Xaaladaha sii daran, qalliin, oo ay ku jiraan resection lobectomy ama qeybta sambabada. Daaweynta waqtigii ballanta ee saadaal wanaagsan, halka gaaro complete soo kabashada caafimaad oo.