Nā hiʻohiʻona o ka papa ʻaina a me ka mālama ʻana i nā maʻi pākī a me ka maʻi maʻi

ʻO ka pilikia o ka hui pūʻana o nā maʻi e like me ka maʻi pākuʻi a me ka maʻi diabetes i kahi kiʻekiʻe nui o ka manaʻo ma ka pā o ka maʻi TB.

ʻO ka meaʻoiaʻiʻo nā maʻi maʻi maʻi maʻi e loaʻa a maʻi i ka maʻi maʻamau i nā manawa he 10 ma mua o ka loaʻa ʻole o ka moʻolelo o kēia maʻi. Eia nō naʻe, ʻoi aku ka nui o kēia mau maʻi i ka papa o ka ʻē aʻe a ʻoi aku ka paʻakikī o ka mālama ʻana, aia i kekahi mau mea e alakaʻi ai i ka make o ka mea maʻi.

ʻO ka maʻi pākī a me ka maʻi maʻi lā: ka wehewehe o ka maʻi

ʻO ka maʻi tuberculosis kahi maʻi i hoʻoiho ʻia e mycobacteria, ka inoa maʻamau o ka Bacillus Koch.

Hoʻokomo pinepine ʻia ʻo Bacteria i ka māmā, akā hiki ke hoʻolaha i nā ʻōnaehana ʻē aʻe a me nā kino āpau. Hoʻopilikia ka maʻi maʻi e nā airletse droplets a, ʻoi pinepine loa, he asymptomatic (puka hamama puka ma 1 mai 10 o nā hihia).

ʻO Ko Ka wili

ʻO ka Diabetes mellitus kahi maʻi e maʻi maʻamau. Hoʻokumu ka maʻi i loko o nā kānaka ma muli o ka hapa ʻole a me ka lawa ʻole o ka insulin pancreatic pancreatic, ka hana o ka hāʻawi ʻana i ke kino i ka glucose.

Me ka nele o ka insulin, e nānā ʻia ana ka hyperglycemia, i nā huaʻōlelo ʻē aʻe, e hoʻonui ka nui o ke kōʻai koko, e weliweli loa no nā iwi āpau a me nā ʻōnaehana o ke kino o ke kanaka. Aia he ʻelua mau maʻi o ka maʻi - 1 a me 2, ʻokoʻa nā ʻokoʻa i ka palena o ka weliweli i ke olakino a me nā kumu no ko lāua hanana.

ʻO ka hui pū ʻana o nā maʻi o ka maʻi a me nā maʻi pākuʻi e loaʻa i nā mea maʻi me nā ʻōiwi like ʻole. Ma muli o kēia, hiki ke ʻokoʻa nā ʻekolu o ka hanana i:

1. Hoʻololi ʻia nā maʻi i ka manawa like a i ʻole ka ʻokoʻa o 1-2 mau mahina;
2. e kūʻē ana i ke ʻano o ka mea maʻi mellitus o ka mea maʻi, maʻi pākia;
3. Loaʻa i nā mea maʻi tuberculosis nā maʻi maʻi 1 a i ʻole type 2, e komo pū me ka maʻi diabetes asymptomatic a me ka pane o ka glucose i hoʻopuka ʻia.

ʻO ka maʻi i ala mua ʻia e hoʻopiʻi nui ʻia e ka maka ʻana o kahi maʻi maʻi hou a ʻoi aku ka paʻakikī i kahi kanaka. No laila, ʻo ka maʻi pāpaʻi e hiki ke hala ma hope o ka hoʻomaka ʻana o ka maʻi mellitus e hōʻike ʻia e ka nui o ka pōʻino o ka pūpū a me kahi papa holomua nui.

Fibrous cavernous a nui infiltrative puka o ka maʻi i ka mea nui. ʻO ka maʻi mellitus maʻi, kahi o ka mea maʻi ma mua o ke maʻi maʻi, ka hōʻailona i nā hihia pinepine o ka coma a me ka hoʻomohala ʻana i ka angiopathy maʻi maʻi.

Nā hōʻailona a me nā hiʻohiʻona o ka papa

ʻO tuberculosis e hele mai ana i ka poʻe maʻi me ka maʻi mellitus no ka pinepine loa o ka asymptomatic, no laila, ʻike ʻia kekahi o kāna mau hōʻailona he hōʻailona o ka maʻi decompensated.

ʻO nā hōʻailona o ke maʻi pākīpē i nā maʻi maʻi hiki:

• ua hōʻemi i ka momona;
• ka ulu palupalu;
• waiho kaumaha;
• nā manawa pinepine;
• makewai, huʻu maloʻo;
• kahi hoʻonui i kekahi mau hōʻailona o ka maʻi maʻi.

Hoʻoulu ka maʻi tuberculosis i ke kuhi o ka hoʻōla o ka haʻalū, a, no laila, e hoʻonui i ka nui o ka insulin.

Ma ke ʻano o ka maʻi maʻamau o ka maʻi i hui pū ʻia e hoʻonui i ka hōʻeha o ka hoʻopiʻi o ka maʻi maʻi, ʻoi aku ka nui o ka maʻi diabetes arteritis (hoʻopōʻino i nā moku o nā lalo haʻahaʻa), retinopathy, osteoarthropathy a me nephropathy. Me ka maʻi maʻamau, ua hoʻomaopopo ʻia ka hepatomegaly, kahi mea e hoʻopiha nui nei i ka mālama ʻana me nā maʻi anti-TB.

ʻO ka paʻakikī o nā hōʻailona e paʻakikī i ka hōʻailona o ka pilikia. I kēia mea, ʻike pinepine ʻia ka maʻi tuberkulosis i mua o ka maʻi o ka maʻi pomaonia a me nā hōʻailona ʻike ʻole o ka hoʻōla maʻi tuberculous, a i ka wā o ka hōʻike fluorographic a me ka hoʻokolohua radiological.

Hōʻoia ʻia ka ʻaoʻao o ka maʻi e ka lōʻihi o ka normalization o ka metabolism, hoʻolohi hoʻolōʻihi i nā mea ʻeha i hoʻopili ʻia, he lōʻihi lōʻihi o ka hōʻike ʻana o ka hoʻōla tuberculous.

ʻO ke kumu o ka holomua o ka maʻi ʻo ia ke ʻike lēʻa ʻole ʻia, a, ma muli ke ʻano, ke mālama nei i hoʻomaka.

ʻO ka hiki mai a me ka hōʻike hou ʻana o ka maʻi tuberkulosis i ka maʻi maʻi i kahi mehameha i loko o ka pale ʻana, ke kūpaʻa ʻana o ka enzyme a me nā maʻi hoʻokūkū.

Naʻi hoʻolika

ʻO ka huli pinepine ʻana o ka maʻi pākīkī ua hilinaʻi i ka pinepine o ka hoʻokipa fluorographic o nā poʻe maʻi me ka maʻi maʻi i ka mōʻaukala. Pono nā ʻano maʻi e nānā i kēlā me kēia makahiki. Inā i loaʻa iā lākou nā lono fic a cicatricial o ka māmā, pono ke hoʻokūkū ʻia e ka hoʻokolokolo X-ray o ka māmā.

ʻO nā ʻano hoʻokolohua hou o kēia mau lā:

• nā diagnostics bacteriological, me ka mikroscopy o ka sputum a me kāna moʻomeheu;
• noiʻi ʻana o nā lālā aspirates bronchoalveolar, e ʻae ana e ʻike i ka mycobacteria.

Inā ʻaʻole lawa kēia mau ala, ʻike ʻia nā ʻike hohonu hou e hōʻoia i ka maʻi maʻi - diagnostic bronchoscopy, cytology a me histology.

Ma ke 40% o nā maʻi maʻi hou, e hana ʻia ka maʻi e like me nā hopena o kahi hōʻike X-ray a me ka mālama lōʻihi ʻana i ka manawa o ka maʻi ma ke kaʻina mālama. ʻO nā haʻawina Bacteriological, cytological a me histological i kēia mau hihia ke kāohi pono ʻole.

ʻO ke ala ʻoi loa ka huki ʻana no ka ʻike ʻana i ka maʻi mākī i ka maʻi maʻi ma kahi ʻano maʻi immunological e hiki ai iā ʻoe ke ʻike i ka anti-TB a i ʻole nā ​​antigens i loko o ke koko.

Hoʻohui ʻia nā ʻano like like (me ka hoʻohana ʻana i ka hoʻohui me ka immunosorbent assay) i kēia manawa.

ʻO ka pono e hoʻomohala i nā hana diagnostic i hoʻomaikaʻi ʻia ma muli o ka like me nā hōʻailona o ka maʻi pākī a me nā maʻi ʻē aʻe.

Nā lāʻau lapaʻau

ʻO ka loaʻa ʻana o kahi paʻakikī paʻakikī o nā ala e koi ai i ka mālama multifaceted mai ke kauka a me ka hui pono ʻana o nā meahana therapeutic.

Ma ka maʻi paleha a i ʻole ka hōʻeha ʻeha, pono ia e hoʻoponopono i ka metabolism (nā huaora, lipids, nā protein).

No ka hana ʻana i kēia, e lawe i nā lāʻau lapaʻau antidiabetic, e hōʻeuʻeu i ka manawa e pono ai ka insulin a e hahai i ka ʻai. Pono e hoʻokaʻawale ʻia nā lāʻau antidiabetic e pili ana i ka hui, e pili ana i ke ʻano kū hoʻokahi o ke kino, ka nui o ka maʻi o ka maʻi maʻi, nā ʻano a me nā ʻano o ka maʻi pāpaʻi.

I ka manawa like, lawe ʻia ka lāʻau anti-tuberkulosis. Pono nā poʻe maʻi e lawe i ka hoʻomaka mua o ka chemotherapy i loko o kahi haukapila, ʻoiai ʻo ka mea pinepine ka hopena i ka hopena o nā lāʻau lapaʻau. Pono e mālama ʻia i nā maʻi antibacterial e lōʻihi a hoʻomau (mai ka makahiki 1 a keu aʻe paha), hui pū ʻia nā lāʻau lapaʻau a koho ʻia kēlā me kēia maʻi pākahi.Hoʻopili i nā chemotherapy, hoʻohui i ka hana me nā lāʻau o ka hopena pathogenetic - immunostimulants a me nā antioxidants.

Hiki i nā maʻi ke maʻi maʻalahi i nā kauka ke hoʻohana i nā corticosteroids. Eia nō naʻe, i ka manawa like, pono e nānā ʻia ke kō o ke koko e ka piʻi manawa pono ma ka manawa o ka nui o nā lāʻau antidiabetic me kona waiwai nui.

Inā hoʻomaʻamaʻa liʻiliʻi ke kaʻina ʻana o ka maʻi tuberculosis, a laila hiki ke hoʻohana ʻia nā ʻano lāʻau like ʻole e hoʻohui i ka maʻi anti-tuberculosis. Hoʻokomo ʻia ia mau hoʻomaʻamaʻa ʻana i ka ultrasound, induction a me ka laser therapy. Hoʻonui lākou i ke kaila o ke koko a me ka lymph circulate i loko o ke kua, ke kōkua i ke komo ʻana i nā lāʻau kūlohelohe a hoʻōla i ka hoʻoponopono regeneration.

Kāohi

ʻO ka emiʻana o ka uluʻana o ka maʻi pākīkī i nā mea maʻi me ka maʻi diabetes ma muli o ka kūleʻa o ka mālama ʻana i ka maʻi maʻi a me kahi hoʻonohonoho o ka pale anti-TB.

Hoʻokumu ʻia ka pale ʻana i ka maʻi pākī ma ka maʻi maʻi ma ka chemoprophylaxis. Eia nō naʻe, hiki i kēia ke mālama ʻana i ka maʻi kūlohelohe i nā hopena ʻino loa i nā mea maʻi, ka palena o kona hoʻohana. Hoʻomaopopo ʻia nā Chemoprophylaxis i kahi hui o nā kānaka me ka hopena kiʻekiʻe loa o ka maʻi maʻi.

Hoʻokomo ka hui pilikia:

• nā mea maʻi me nā loli post-tuberculous i loko o nā kino hanu;
• nā mea maʻi me nā hopena paʻakikī i ka tuberculin;
• nā maʻi e holo ana;
• nā maʻi ma hope o ke kākō maʻi maʻi;
• nā mea maʻi ma nā kūlana koʻikoʻi.

Hoʻonui nui ʻia ka nui o ka ʻā o ka maʻi tuberkulosis i ka maʻi mellitus no ka mālama pono ʻana i kona nānā.

Nā wikiō pili

He aha nā kumu no ka hoʻohui ʻana o ke ʻano maʻi a me ka maʻi pākīkē, e nā hōʻailona he hiki i ka pilikia ke ʻike ʻia, a ʻo ka mea nui loa, he aha ka hoʻomaʻamaʻa loa ʻana i ka maʻi nui. Nā pane i loko o ke wikiō:

I kekahi mau makahiki i hala iho nei, ua hana hiki ʻole ke ola no ka poʻe maʻi me ka maʻi ʻelua, ua make ka hapanui o kēia mau maʻi. I kēia manawa me nā lāʻau lapaʻau hou a me nā hana loiloi hou loa, hoʻonui ke kauka i nā ola o nā kaukani mau tausani. Eia nō naʻe, he mea ia e hoʻomaopopo pono ai i kekahi o ka mālama ʻana, ʻoiai me ka hoʻohana ʻana i nā hua hou o ka lāʻau lapaʻau, pono e mālama ʻia e nā loea loea e hoʻomaʻamaʻa ʻia i ka hopena i hiki i kēlā me kēia mea maʻi.