General tsananguro yechirwere
Ichi chirwere chinotapukira, chinotsamwiswa neKoch tsvimbo kana tsvimbo yetibhii. Tuberculosis bacteria inoshingirira kune zvekunze zvinhu. Vanogona kurarama kwenguva yakareba muvhu, munzvimbo dzakanyorova, panzvimbo dzine utachiona, uye vanotova nemishonga yekuuraya utachiona (semuenzaniso, matanda etuberculin anoramba ari pamapeji emabhuku kweinenge mwedzi mina).
Nzira dzekupinda kweiyo mycobacteria uye izvo zvinokonzeresa tibhii
Kunyanya kupfuura zvese, vanhu vane hutachiona husina kusimba hutachiona tibhii. Kazhinji kazhinji, hutachiona hunowanikwa nemadonhwe emhepo, panguva iyo murwere paanokosora, achihotsira, achitaura, achiimba, achiseka. Kana munhu ane hutano achitaurirana nemunhu anorwara, pane njodzi huru yekubatira TB. Mushure mezvose, munhu asingatore mweya anotora mweya uye panguva imwechete anokwevera mumatanda aKoch. Zvakare, tibhii inogona kubatwa kuburikidza nekubatana zvakananga: panguva yekutsvoda, kuburikidza nekushandisa kwezvinhu izvo murwere akamboshandisa.
Izvo zvakakosha kuti uzive kuti mycobacteria yechirwere ichi haigone kukura kunze kwechipenyu, asi vanochengetedza kugona kwavo kwenguva refu. Iwe unogona zvakare kurwara kuburikidza nekudya chikafu kubva kumhuka dzine tibhii (kuburikidza nemukaka, nyama).
Kazhinji kazhinji, vanhu vanotambura nechirwere cherurindi vane husimbe hwekudzivirira muviri kuzvirwere zvakasiyana siyana, zvine hutachiona hwemuviri. Vanhu vasina kudya zvinovaka muviri, vanogara munzvimbo dzakashata, vanonwa doro zvisina mwero, uye vanoshandisa zvinodhaka vari panjodzi.
Tuberculosis inogona kukonzerwa nekushandisa mishonga yemahormone, senge kushandiswa kwecorticosteroids, iyo inoshandiswa kurapa bronchial asthma uye zvimwe zvirwere.
Mafomu etibhii
Tiibhii inofanira kukamurwa kuva maviri mafomu makuru: pulmonary uye extrapulmonary tibhii… Zviri zvemhando mbiri idzi idzo dzinofanirwa kuratidzwa nezvechirwere.
Tiibhii inogona kuva vharika uye kuvhura fomu… Pamberi pefomu rakavhurika, bacillus yaKoch inovharirwa nechimhondi chemurwere, icho chinogona kuzivikanwa zviri nyore panguva yekuwongorora kwese Murwere ane fomu iyi yetibhi ane njodzi kune vamwe. Kana iri fomu yakavharwa, zvinonetsa kuiziva. Inogona chete kuwanikwa panguva yekudyara, kana kamuti kachimera ipapo.
Pulmonary tuberculosis zviratidzo
Pulmonary tuberculosis ndiyo yakajairika rudzi rwechirwere ichi. Iyo inogona kuve yakasiyaniswa pane dzinoverengeka nzvimbo.
Ngatitangei nezviratidzo zvikuru… Muvanhu vakuru varwere, pane kuwedzera kuneta, kushomeka kwekuita, kugara uchirwara uye kushaya simba mangwanani. Muvana, pulmonary tuberculosis inogona kuratidza sekusarara zvakanaka, kushomeka kwekuda kudya, kudzika pfungwa, uye kunetsekana pakupedza kosi yezvidzidzo
Kana zviri zvekuonekwa kwevarwere, ivo vatete, vanokurumidza kurasikirwa uremu, vakachenuruka, maficha echiso akarodzwa.
Chiratidzo chinotevera tembiricha… Tembiricha yemuviri inokwira zvishoma, inosvika pa37,5 kana 38 degrees Celsius. Iyo tembiricha inosvetuka manheru kana husiku, nepo munhu wacho akatonhora kwazvo, pane kuwedzera kudikitira. Uyu ndiwo musiyano mukuru pakati peTB uye bronchitis, mabayo, hutachiona hwakanyanya. Nezvirwere izvi zvakanyorwa, tembiricha inokwira zvakanyanya kusvika padanho repamusoro uye inogona kudonha nekukurumidza. Tiine tibhii, tembiricha inochengetwa kwenguva yakareba.
Kuva nechikosoro - kugara uye chikuru chiratidzo chemapapu chetibhii. Munguva yekutanga yechirwere, kukosora kwakaoma uye kunoramba kuripo, kuchinyanya kuvhiringidza varwere husiku kana mangwanani. Sezvo chirwere chinofambira mberi, kukosora kunova kunyorova, kuchiperekedzwa nehuwandu hwakawanda hwekuputika. Munguva yemapapu yetibhii, kukosora hakumire. Sezvingatarisirwa, nezvimwe zvinokanganisa maitiro pane zvakare kukosora, asi hazvina kureba sekunge nechirwere chetibhii.
Kukosora ropa… Ichi ndicho chiratidzo chakakoshesesa chemapapu etibhii. Ropa mu sputum rinoonekwa mushure mekukosora kwakanyanya kukwana. Nemhando yepamusoro yetibhii, kubuda kwemapapu kunogona kutanga kana, sekutaura kwavo, ropa rinogona kupfuura nehuro. Mamiriro akadaro ane njodzi zvakanyanya kuhupenyu hwomurwere, saka, zvinoda kukumbira nekukurumidza kuvashandi vekurapa.
Zvichienderana nekuomarara uye nzvimbo yemaronda emapapu, pane aya: akakosha, akaparadzirwa, miliyari, infiltrative, cavernous, cirrhotic, fibro-cavernous tuberculosis, caseous pneumonia uye tuberculoma.
Extrapulmonary tuberculosis zviratidzo
Iyo tubercle bacillus inogona kukanganisa kwete chete mapapu, asi dzimwe nhengo dzese futi. Nemhando iyi yechokwadi, zvinonetsa kuona tibhii, nekuti mune iyi kesi kune akawanda anofambidzana nezviratidzo izvo zvinogona kuvhiringidzwa nezvimwe zvirwere zvemunhu nhengo.
Govera tibhii:
- majoini, mapfupa uye musana - nemhando iyi yetibhii, varwere vane kurwadziwa kwakanyanya muzvironda, kufamba kushoma, kuvapo kwezvirwere, kutsemuka chaiko;
- ubongo - akadaro tibhii inokura mukati memasvondo maviri, nepo ichinyanya kukura muvanhu vane hutachiona hwakadzika (muhutachiona hweHIV uye vane chirwere cheshuga). Muvhiki yekutanga, tembiricha yemurwere inokwira, kurara kunovhiringidzika, kazhinji kuputika kwehasha uye kutsamwa kunoitika. Muvhiki repiri, pane kurwadziwa nemusoro zvakanyanya, kurutsa. Iwo mamenji anogumbuka mukati mevhiki yekutanga. Kukuvara kwehuropi kunozviratidza muchimiro chekukakavara mutsinga dzemutsipa, kurwadziwa musana nemakumbo akatwasuka, uku uchimanikidza musoro kuchifuva, uchidzungudza musoro wakarara. Kuvhiringidzika kweiyo nervous system kunoonekwa.
- nhengo dzekugaya - nemhando iyi yetibhii, kuzvimbirwa kana kushushikana kunoitika, pane kurwadziwa kwakakomba mudumbu, kuzvimba, kunogona kuve nekuzvimba kwemukati uye kubuda kweropa netsvina;
- genitourinary system - tubercle bacillus inonyanya kukanganisa itsvo, nepo tembiricha yemurwere ichikwira, musana uchikuvadza, kuita weti kunoitika pamwe nekubuda kweropa. Iyo urethra, ureters, uye bladder zvinogona zvakare kukanganiswa. Mumamiriro ezvinhu akadaro, kuchengetedza weti kunoitika.
- ganda - nemhando iyi yetibhii, maburi uye zvisimbiso zvinoonekwa pasi peganda, izvo zvinopedzisira zvawedzera kukura uye kubvarura ganda, kuburitsa chena gobvu mvura.
Zvikafu zvinobatsira zvetibhii
Kuti unyatsobvisa mycobacteria, zvinofanirwa kutevedzera kurapa kwekudya, inoitirwa kuwedzera hutachiona, kuenzanisa uremu, kuda kudya, kurara, kugadzirisa patsva nyama dzakakuvadzwa uye kudzoreredza maitiro emagetsi uye kukanganisika kwemabasa eimwe kana imwe nhengo.
Nutrition inorayirwa zvichienderana nenzvimbo yekutapukirwa, metabolic maitiro, huremu hwemurwere, uye zvakare, zvichienderana nedanho, chimiro chetibhii.
Zvichienderana nehurongwa hwemurwere, iye anopihwa chikafu chine huwandu hwekoriori yekirogiramu yega yega yehuremu. Kune varwere vakarara zvakakwana, 35 kcal inofanirwa kudyiwa kirogiramu; kune varwere vanopedza anenge maawa matanhatu mubhedha uye vane mafupi mafambiro, 6 kcal inodiwa; yevarwere vanoshingaira (maawa matatu akarara masikati pamwe nekudzidziswa uyezve kutora chikamu muchiitiko chevashandi), chikafu chinofanirwa kuve ne40 kcal; asi kune vashandi kubva maawa matatu kusvika matanhatu pazuva nekuzorora kwemaawa maviri (panguva yekushanda maawa), 3 kcal pa45 kg yehuremu hwemuviri inenge yatodiwa. Izvi zvakawedzerwa zvemakoriyori zvinokonzerwa nekushandisa kwakanyanya kwesimba, iyo inorasika nekuda kwekugara uine feverish mamiriro.
Nekuda kwekuti pamwe nehutachiona kune kuwedzera kuputsika kweprotein, chikafu chinofanirwa kugadzirisa kushomeka kwayo. Munguva yechinyakare kosi yechirwere, kirogiramu imwe yehuremu hwemuviri inoda gramu imwe nehafu yemapuroteni, uye panguva yekuwedzera kwechirwere, protein yekushandisa inofanirwa kusvika kumagiramu maviri nehafu eprotein. Izvo zvinofanirwa kucherechedzwa kuti hafu yacho inofanira kunge iri yemhuka. Mapuroteni anonyanya kuzadzikiswa nekudya mukaka, kottage chizi, hove, nyama, mazai.
Kuvandudza metabolism yemamino acids tryptophan, arginine uye phenylalanine, zvakakosha kudya chikafu neaya maamino acids: feta cheese, yakaoma chizi, kottage chizi, nyama yenguruve uye nyama yechiropa, huku, turkey, howa (chena chena), squid , soy, cocoa, pizi, chum caviar. Aya maamino acids ane mishonga inorwisa mabhakitiriya.
Uye zvakare, muviri unoda kuzadzwa nemafuta akakosha acids (iwe unofanirwa kudya mafuta emiriwo uye bota), mavitamini emapoka A, B, C, E, calcium (unogona kuiwana uchishandisa cottage chizi, kabichi, bhinzi, lettuce, mazambiringa akaomeswa), phosphorus, magnesium uye iron.
Tiine tiberculosis yemudumbu, murwere anoda kudya masaga akareruka, muto usina kusimba, ndiro dzakapiswa, zviyo, miriwo yakakangwa (manhanga, karoti, zucchini, mbatatisi), jelly, jelly, rosehip decoction, majusi, isina-acidic cottage chizi uye kwete chizi inonaka, cutlets yakabikwa nyama yenyama.
Kana iyo nasopharynx uye larynx ikabatwa netubillle bacillus, zvakakosha kuti chikafu chose chiri mune yemvura, grated, mushy fomu. Uncool mbatatisi yakakwenenzverwa, tii kana kofi nemukaka, mukaka chete, mukaka porridge, muto wakaomeswa nechando uye jelly yakasvinwa yakanyatsokodzera kudyiwa.
Kana tibhii kukuvara majoini uye mapfupa, unofanira kuzadza muviri calcium, phosphorus uye hove mafuta.
Paunenge uchikosora ropa, unofanirwa kuenzanisa muyero wemvura-munyu, kunwa jelly, zvinwiwa zvemichero, jelly, muto wedomasi, mvura ine muto wemonimu, idya semolina yemvura.
Kazhinji, varwere vanofanirwa kutora chikafu munzvimbo yakadzikama, inofadza, nguva dzose munzvimbo ine mweya. Kudya kunofanirwa kuve kuchidimbu, huwandu hwezvikafu hunofanirwa kusvika ka5.
Kudya kwevarwere vane tibhii kunoenderana nekudya kwetafura Nha.
Mushonga wetsika
- Muchopu ine mukaka unopisa, isa chipunu chemafuta emukati ehanzi, nguruve uye tii yeIndia nhema, wedzera 250 magiramu eakaomeswa currants uye raspberries, magirazi maviri evodka, hombe hombe yemashizha etsvo. Pheka kwemaawa maviri nechivharo chakavharwa pamusoro pemoto wakadzika. Mushure mekuguma kwekubika, siya muto kuti usimbise kweawa imwe, wobva waisefa uye wobva wawedzera hafu yelita yeuchi (zviri nani kutora huchi hwenyuchi, asi hapana kana chikonzero chaunofanira kuibika - icharasikirwa nemabasa ayo anobatsira uye shanduka kuva chepfu). Tora yakadaro decoction imwe yepuniki katatu pazuva usati wadya (2-20 maminetsi).
- Uine tibhii, unofanira kudya nguruve yenguruve netii. Kuti uite izvi, gira mazana maviri magiramu ebhekoni uye maapuro matatu egirini, isa mundiro uye wira pamusoro pekupisa kwakanyanya. Panguva ino, rova gumi nemaviri ehuku yolk negirazi yeshuga kusvika chena. Mushure mekukuya, wedzera magiramu mazana maviri echokoreti yakasviba yakasikwa kune mazai. Dururira pamusoro pebhekoni rakanyungudika nemaapuro nemusanganiswa unoguma uye nyatsosanganisa, wobva waisefa. Siya kuti utonhorere. Paradzira iyo inokonzeresa bota pachingwa uye idya netii.
- Inobatsira kutsvagisa propolis, kufema mweya wegariki uye horseradish.
- Phytotherapy zvakare iri nzira inoshanda yetibhii. Izvo zvinobatsira kunwa decoctions kubva kune gooseberry mashizha, paini buds, chaga (birch howa), coltsfoot, agave, mishonga Veronica, knotweed, nettle mashizha nemidzi, aloe, St. John's wort, agave.
Chikafu chine njodzi uye chinokuvadza chetibhii
- nechirwere chetibhii ura: nyama inoputa, chikafu chemumagaba, magaka, mafuta eganda, mazai miriwo nemiriwo, kvass, soda, chingwa nhema, zvinonhuwira, mukaka wakazara, chero chikafu chinotonhora, nyama ine mafuta;
- nechirwere chetibhii kidneys: radish, horseradish, mustard, mhiripiri, zvinwiwa zvinodhaka;
- nechirwere chetibhii dokoriro uye nasopharynx zvinorambidzwa kudya chikafu chinogumbura mucous membrane - yakaviriswa, ine munyu, zvinonhuwira, yakasanganiswa, inopisa kana inotonhora ndiro, zvese zvinonhuwira;
- nechirwere chetibhii chiropa, zvakakosha kusadya kudya kwezai mazai, nyama nehove dzemhando dzakasiyana-siyana, kofi, nyama inoputa, zvinonhuwira, muffin.
Kune chero mhando yerudzi rwehutachiona, kunyanya kudya uye kuwanda kwemvura zvinopesana. Zvakare, panguva yekurapa, zvakakodzera kusabvisa chero mafuta (zvekudya, nyama yemombe, nyama yenguruve) kubva mukudyiwa, uchidzivirira makeke, mafakeji ane keke yechingwa, nyama yakakora nehove.
Chenjerera!
Iwo manejimendi haatarisiri chero kuyedza kwekushandisa ruzivo rwunopihwa, uye haivimbise kuti harukuvadze iwe pachezvako. Izvo zvinhu hazvigone kushandiswa kupa mushonga uye kugadzirisa chirwere. Nguva dzose bvunza chiremba wako wezvechiremba!