Открытая форма туберкулеза легких

В 19 веке туберкулез был одной из главных причин смертности

В 19 веке туберкулез был одной из главных причин смертности

Туберкулез легких в настоящее время является достаточно частой  причиной смерти людей по всему  миру.

Самой опасной формой  туберкулеза легких, считается открытая форма заболевания. Чаще всего при этом заболевании поражаются легкие, но заболевание может поражать и другие органы человека.

Туберкулез легких – это инфекционное заболевание, вызываемое палочкой Коха. Этот вид инфекции может поражать любой орган человека, чаще палочка Коха поражает легкие.

В 19 веке главной причиной смерти был туберкулез, но в 20 веке уровень смертности значительно упал,  это произошло благодаря значительному улучшению общего санитарного режима и появлению антибиотиков. В последние время наблюдаются повторные вспышки туберкулеза, это происходит из-за того, что все больше людей становятся ВИЧ — инфицированными.

Помимо ВИЧ — инфицированных людей, к группе риска заболевания туберкулезом относятся следующие слои населения:

  •  пожилые люди;
  •  сотрудники медицины;
  •  люди с другими заболеваниями, снижающими защитные силы организма, которые направленны на борьбу с инфекцией;
  • люди, живущие в плохих социально — бытовых условиях;

Самым заразным заболеванием является туберкулез открытой формы. Во время кашля и сплевывании мокроты образуются очень маленькие капли, которые содержат в себе бактерии, при вдыхании этих бактерий, человек может заразиться туберкулезом.

Первичный туберкулез легких открытой формы

Симптомы открытых форм первичного туберкулеза развиваются у лиц, которые ранее не контактировали с человеком — возбудителем туберкулеза. Во время заболевания вокруг места куда попала инфекция начинает развиваться легкая воспалительная реакция. Чаще всего эта форма протекает без каких — либо симптомов. Потом очаг воспаления может превратится в творожистый узел (казеоз), после чего заменяется фиброзной тканью и кальцивируется. Кальцинат обычно обнаруживают на рентгенограмме легких.

Вторичный туберкулез легких открытой формы

Вторичный туберкулез развивается у тех кто уже ранее болел туберкулезом. Так же, как и при первичной форме туберкулеза, этот инфекционный  очаг в легких может зарубцеваться и кальцивироваться. Но в редких случаях он может прорываться в воздухоносные  пути или попасть вместе с потоком крови в селезенку, печень,  кости и в оболочки мозга. Такую форму принято называть  милиарным туберкулезом, так как органы пораженные милиарным туберкулезом внешне напоминают просяные зерна.

Вторичный туберкулез развивается у ранее инфицированных лиц

Вторичный туберкулез развивается у ранее инфицированных лиц

Милиарный туберкулез  имеет ряд достаточно ярких симптомов, его симптомы прогрессируют в течение нескольких месяцев. Самым точным методом выявления туберкулеза является выделение бактерии из мокроты. В лабораториях благодаря специальному окрашиванию можно идентифицировать палочку Коха. Современные методы позволяют обнаружить даже бактериальную ДНК. Если возможно получить для анализа кусочек бронхов, то проводят бронхоскопию. В постановке диагноза очень  помогает рентген органов грудной клетки. Рентген отлично выявляет характерные признаки болезни.

Лечение открытых форм туберкулеза 

При регулярном приеме подходящего вам препарата и правильно построенной схеме лечения заболевание обычно излечивается.

Для борьбы с туберкулезом обычно применяются перорально антибиотики из четырех групп. Чаще всего используют комбинацию из нескольких препаратов, так как бактериальные клетки очень тяжело поддаются лечению. Зачастую назначают  изониазид, рифампицилин, этамбутол и пиразинамид. Обычно курс лечения длится  около полугода. Но если инфекция поразила не только легкие, то этот срок может значительно увеличиться.

 Побочные эффекты антибиотиков

Лечение антибиотиками часто связано с развитием различных побочных эффектов.

Рифампицин

Основные побочные эффекты рифампицина — это  тошнота и боль в животе, но  эти побочные эффекты выражены очень слабо. Если пациентка, в период курса лечения, принимает оральные контрацептивы, рекомендуют сменить метод контрацепции так как эффект действия контрацепции значительно снижается на фоне приема рифампицина.

Изониазид

Данный препарат вызывает нарушение работы печени, а также дает ощущение покалывания  и онемения в кистях и стопах. Но на эти побочные эффекты можно воздействовать приёмом пиридоксина,  он предотвратит поражение нервов.

Этамбутол

Очень в редких случаях этот препарат может вызвать нарушения зрения. Перед назначением этамбутола необходимо консультироваться у окулиста. При любых нарушениях зрения  необходимо прекратить прием препарата и немедленно обратиться к врачу. После отмене препарата зрение приходит в норму.

Медикаментозное лечение туберкулеза часто связано с развитием побочных эффектов

Медикаментозное лечение туберкулеза часто связано с развитием побочных эффектов

Пиразинамид

Так же как изониазид,  данный препарат нарушает работу печени, поэтому необходимо регулярно контролировать печеночные маркеры. Также этот препарат  может вызвать боли в суставах. Во время приёма антибиотиков человек должен полноценно питаться. И не стоит забывать, что курение и злоупотребление алкоголем значительно снижает защитные силы вашего организма и способствует развитию инфекции.

 

 

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190 Responses to Открытая форма туберкулеза легких

  1. помогите как вылечиться от туберкулёза, пью препараты а толку нет………….

    • Одесситка says:

      Барсучий жир является почти панацеей от множества тяжёлых болезней: туберкулёза лёгких, хронические бронхиты (включая курильщиков), затемнение на лёгких, общее истощение организма независимо от факторов, некоторые виды астмы, атеросклероза, начальные стадии силикоза, язва желудка и двенадцатиперстной кишки (в старину барсука на Руси называли «язвенник»), нормализует гемоглобин, деятельность кишечника, повышает половую потенцию и ряд других недугов и заболевание.

      Рекомендуется запивать барсучий жир отваром (настоем) плодов шиповника или цветов зверобоя. При отсутствии аллергии на мёд, барсучий жир желательно смешать (жидкое состояние) с липовым пчелиным мёдом в соотношении объёмов 3 к I, т.е. 3 части барсучьего жира и 1 ч. мёда. Или в таком же соотношении можно барсучий жир смешать с вареньем чёрной смородины. Особенно для приема детям, которым рекомендуется запивать барсучий жир тёплым молоком.

      Приём барсучьего жира желательно начинать трёхразовый (в течение месяца), за 30-40 мин до еды по столовой ложке с последующим переходом на двухразовый прием — утром за 30-40 мин до завтрака и на ночь через 2-3 часа после ужина (Здесь важно, что бы желудок был не полным, барсучий жир рассасывался не в пишу, а в кровь, в организм).
      Будьте здоровы!

  2. А туберкулез в открытой форме реально можно вылечить?

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