Первые признаки туберкулеза

Заболеть туберкулезом может каждый человек и в любом возрасте

Заболеть туберкулезом может каждый человек и в любом возрасте

Туберкулез представляет собой заболевание, появляющееся в результате проникновения инфекционной палочки (палочки Коха) в организм, которая поражает любые органы и ткани человека.

Источником заражения туберкулезом является больной человек. Заражение может произойти  воздушно — капельным путём, а также при контакте с личными вещами больного (контактно — бытовой путь).

Развитие туберкулеза связано  во — первых, с проникновением в организм здорового человека достаточно активного возбудителя, а во — вторых с понижением сопротивляемости организма, что бывает при плохом питании, длительном нервном и физическом перенапряжении, после перенесения тяжелых инфекционных заболеваний и т. д.

Заболеть туберкулезом может каждый человек и в любом возрасте, но более всего подвергаются инфицированию дети и люди молодого возраста.

Кроме того женщины, возраст которых составляет от 24 до 35 лет, туберкулезом болеют намного чаще, чем мужчины, а вероятность заболевания в этом возрасте наиболее велика.

Первые признаки туберкулеза легких

Диагноз ставят в первую очередь на основании данных рентгенологического исследования  | Диагноз ставят в первую очередь на основании данных рентгенологического исследования

Диагноз ставят в первую очередь на основании данных рентгенологического исследования

Первые признаки туберкулеза могут проявляться незначительно, однако с прогрессированием болезни ее симптомы значительно усиливаются и приносят человеку значительные страдания.

Хроническая туберкулезная интоксикация встречается главным образом у детей. Ранними признаками туберкулезной интоксикации можно считать периодическое, непостоянное повышение температуры тела, раздражительность и утомляемость, слабость, понижение аппетита, снижение веса, потливость по ночам, кашель – вначале он будет сухим, но потом кашель наблюдается с мокротой и будет продолжаться более двух недель. Мокрота наблюдается гнойная, а иногда и с кровинками.

Клинические методы диагностики в большинстве случаев не позволяют выявить конкретный патологический очаг (с помощью перкуссии и аускультации не удается определить существенных патологических изменений в легких). Диагноз ставят в первую очередь на основании положительных кожных проб, данных рентгенологического исследования и исследования крови. Разумеется учитывают также анатомические данные и жалобы больного.

Признаки туберкулезной интоксикации зависят от возраста больного. Маленькие дети хуже переносят туберкулезную инфекцию, чем старшие.

По клиническому течению выделяют гладко текущий и осложненный первичный комплекс туберкулеза. При гладком течении процесса через 3 — 4 недели после начала заболевания температура тела снижается, общее состояние улучшается. Однако первичная туберкулезная интоксикация может осложняться (изменение плевры, появление новых инфильтративных очагов), что сопровождается выраженными клиническими проявлениями (повышается температура тела, появляется кашель, определяются патологические изменения в крови и т.д.)

Первые признаки туберкулеза при внелегочной форме

Туберкулезная палочка способна поражать не только легкие, но и другие органы. Выявить внелегочный туберкулез, как правило, удается только после исключения всех других заболеваний с такими же признаками. Выявить его намного быстрее удается в том случае, если у больного ранее была отмечена легочная форма туберкулеза. Признаки внелегочной формы туберкулеза напрямую зависят от локализации инфекционного процесса.

Туберкулез головного мозга и мозговых оболочек

Головные боли могут быть признаком туберкулеза головного мозга

Головные боли могут быть признаком туберкулеза головного мозга

Туберкулез головного мозга и мозговых оболочек возникает чаще всего на протяжении одной – двух недель. Туберкулез центральной нервной системы, в большинстве случаев наблюдается в детском возрасте или у взрослых людей с ослабленной иммунной системой. Первые признаки такого туберкулеза — это сонливость, бессонница, чрезмерная раздражительность и повышение температуры. Уже через неделю больного начинают беспокоить рвота и головные боли. Помимо этого также отмечаются болевые ощущения при вытягивании нижних конечностей или в лежачем положении при наклоне головы к груди, а также мышечная напряженность затылочной части шеи. Также отмечаются различные нервные расстройства.

Туберкулез позвоночника, костей и суставов

Туберкулез костей сопровождается болевыми ощущениями

Туберкулез костей сопровождается болевыми ощущениями

Туберкулез  позвоночника, костей и суставов сопровождается ограничением подвижности, патологическими переломами, нестабильностью, а также болевыми ощущениями в районе пораженных участков тела. Очень важно отличить данную патологию от множества других заболеваний опорно – двигательного аппарата.

Туберкулез органов пищеварительного тракта

Признаками туберкулеза органов пищеварительного тракта являются периодические запоры и поносы, метеоризм, боли в животе, кровь в каловых массах, длительное повышение температуры. Вполне возможно и развитие непроходимости кишечника.

Туберкулез кожи

Туберкулез кожи проявляется в виде плотных уплотнений и узелков, локализованных под кожным покровом, которые со временем увеличиваются, разрывают кожу и высвобождают характерные творожистые массы белого цвета. Могут быть и другие признаки данной патологии.

Туберкулез органов мочеполовой системы

Туберкулез органов мочеполовой системы может поразить мочеполовые органы как у мужчин, так и у женщин. Поражению, в большинстве случаев, подвергаются почки. К первым признакам, появляющимся при поражении почек, можно отнести: болевые ощущения в поясничной области и в области спины, кровь в моче, а также повышение температуры тела. Намного реже туберкулезная палочка локализуется в мочеиспускательном канале, мочеточниках и мочевом пузыре. В данных случаях развиваются многочисленные нарушения процесса мочеиспускания: моча с кровью, задержка мочи, болевые ощущения и т. д. В случае поражения палочкой Коха половых органов вполне возможно формирование и такой очень серьезной патологии как бесплодие.

Если туберкулез был выявлен на ранних стадиях, то он практически всегда поддается лечению. В нашей стране всем новорожденным детям вводят  вакцину для профилактики туберкулеза. Ревакцинацию проводят у детей в возрасте 7, 12 и 17 лет, а также взрослым до 30 лет, у которых проба Манту дала отрицательный или сомнительный результат.

Очень важно выявить туберкулез на ранних стадиях

Очень важно выявить туберкулез на ранних стадиях

В борьбе с распространением туберкулеза важнейшую роль играет уничтожение возбудителя, а также своевременное выявление и лечение больных туберкулезом. Инфицированный человек должен строго соблюдать индивидуальные санитарно — гигиенические правила.

 

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