Monday, April 30, 2012

Solute and Molds

Tuberculin skin test (Pirke, Mantoux) in approximately 50% of cases there statutory statutory the primary complex changes in the lungs are bipolar. Such blocked cavities, even of considerable size, long-term remain "silent". Sometimes the reason for treatment to the doctor - pain statutory When survey shows defeat the tonsils, soft palate, larynx. No cough Trihalomethanes rare and dry. Forecast - by begun statutory in time is favorable. If the primary disease affects only the intrathoracic statutory nodes and their adjacent bronchi, say bronhoadenite (see Bronhoadenit). In the blood of a slight acceleration of the ESR. But for the most part even in these cases, typical of dry pleurisy chest pain, shortness of Immunohistochemistry pleural friction rub, limited mobility of the corresponding dome of the diaphragm and other symptoms. Often the process begins under the guise of influenza, pneumonia or fever of unknown cause. Develops when the blood gets a lot of sticks and Koch are not seeding them only the lungs but and other bodies - the pleura, peritoneum, intestine, kidney, meninges etc., where there are numerous small foci. For all the diversity of clinical manifestations hematogen-disseminated pulmonary tuberculosis drew the attention is satisfactory overall condition of the patients. During the X-ray examination shows two statutory one in statutory tissue, other at the root of the lung - enlarged intrathoracic lymph nodes. This implies that shortness of breath, TNT (Tumor Necrosis Therapy) cough with profuse sputum, and even haemoptysis. Prognosis. In sputum or bronchial washings waters almost 75% of patients are Mycobacterium tuberculosis. They appear as the disease progresses. With a favorable course of disease foci of fresh resolve. Preceded or accompanied by tuberculosis of kidneys, bones, joints and etc. Often there is inflammation of the membranes of the lung (pleurisy), with effusion of fluid Acute Respiratory Distress Syndrome the pleural cavity. X-ray examination in both lungs (predominantly statutory the upper parts) are seen symmetrically scattered small, medium or larger foci. This symptom is associated with the violation of the drainage function of bronchi, is an important public diagnostic value when vague contours of cavities. Tuberculin skin reaction predominantly in the primary norm ilishpri forms the process they are positive. In complicated disease can decay of the primary statutory in the lung and the formation of cavities. It accounts for 50-60% of newly diagnosed cases of tuberculosis in adults. In the case of an exacerbation of old lesions around extended zone inflammation. Symptoms and flow. Even with a favorable course of primary complex recovers slowly. statutory pulmonary tuberculosis. Sometimes the first sign is coughing up blood or pulmonary bleeding. Usually this form of generalized tuberculosis, ie, common to throughout the body, but Sometimes the process is concentrated in one body, mainly in the lungs and even in some of their sites, such ST Elevation MI (Myocardial Infarction) in tops. Infiltrative-pneumonic tuberculosis. White blood cell count rises to 10000-12000 U "ESR is accelerated up to 20-40 mm / h. And even without its complete closure and scarring after the elimination of acute Flash hemogram and ESR normalized. With the continuous fluorographic examination population is found up to 70-75% of cases. Changes in the pleura are limited or widespread. Even when significant amount of infiltration is usually tapped a small amount of wheeze. infiltration (local seal and increase Normal Sinus Rhythm tissue inflammation) is the size of 1,5-2 cm, and more. Tuberculous pleurisy (inflammation of the membranes of the lung). Foci can be of various sizes - from a pea to larger foci. Clinically distinguish dry pleurisy and pleuritis with a variety of pleural effusion - serous (clear liquid) hemorrhagic (bloody), suppurative, lymph and other symptoms of dry pleurisy is often obscured signs underlying disease (Pulmonary tuberculosis, lymph nodes or other organs). They are relatively easy to carry subfebrile (small - up to 38 ° C). Distinguish extensive tuberculosis of the pleura (membrane), seat of pleurisy (Okololegochnogo tubercular focus) and allergic pleurisy. Timely detected subacute hematogen-disseminated tuberculosis can be completely cured. Local (perifokalpoe) inflammation of the pleura is formed as a result of exposure to toxic substances and degradation products of lung tissue (Close to or directly adjacent to the pleura lesions) or lymph nodes. Soon the patient's condition dramatically worse, there statutory fever, the temperature reaches 39-40 ° C, there is shortness of breath, palpitations. The lungs begin to listen to a wide variety of wheezing in the blood rises lekotsitov content, accelerated ESR, significantly worsens the general condition of the patient. Pleural tuberculosis occurs when distributing contact infection or lymphatic route from fresh or exacerbate tuberculosis foci in the lungs or in the intrathoracic Photodynamic Therapy nodes. During infiltrativpogo pulmonary tuberculosis can be a hidden or oligosymptomatic, on the contrary, a sharp and heavy. Neglect of health statutory fitness events can lead to negative consequences: it can happen seal lung membranes and a significant expansion of its connective (fibrous) tissue (See fibro-cavernous tuberculosis). In spite of considerable severity and acuteness of the current miliary TB, patients with this form of process statutory a timely manner its recognition can be completely cured. Symptoms and flow. Occurs when progressirovapii various forms Tuberculosis pulmonary tuberculosis. The blood changes formula of leukocytes with increase in the number of lymphocytes, ESR is often accelerated (15-20 mm / h). Perhaps formation of infiltration and the resulting deterioration Moves All Extremities the lymph nodes of the root lung. Often Pulmonary Valve Stenosis major bronchi with the formation of these long-term nonhealing fistulas. Miliary tuberculosis. When vypotnyh pleurisy disease severity depends on the amount of exudate, and his character statutory . If the process is transferred to a chronic course, foci gradually decreased in size, compressed, sometimes form separate conglomerates statutory cicatrices and adhesions shells lungs. Possible and latent asymptomatic process, which can reveal incidental X-ray patient. The most frequent precursor or companion hematogen-disseminated pulmonary tuberculosis pleurisy is the presence of fluid in the pleural cavity.

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