Complications of pulmonary tuberculosis person most dangerous and life-threatening patients are pulmonary hemorrhage, and spontaneous pneumothorax.Hemoptysis and pulmonary hemorrhage with tuberculosis may be caused by a variety of reasons.Let's talk about the complications of pulmonary tuberculosis, man!
First of all, this:
- loss of vast areas of the lung tissue with involvement in the process of blood vessels, especially in areas of decay,
- chronic infection with frequent exacerbations,
- liver damage with long-term treatment of toxicfor her anti-TB drugs.
There is, moreover, a number of external factors contributing to the emergence of hemoptysis and pulmonary hemorrhage:
- overcooling or overheating of the patient,
- his stay in the face of large fluctuations of atmospheric pressure and air temperature,
- sudden changes of weather, mountainous terrain,
- acute and chronic alcohol poisoning of the human body.
There hemoptysis or pulmonary hemorrhage single and repetitive.Bleed
This patient observed:
- sudden pallor,
- rapid pulse,
- drop in blood pressure.
hemoptysis and even pulmonary hemorrhage, small in size and duration, usually not accompanied by such phenomena.The outcome of pulmonary hemorrhage can be a large volume of the patient's death from asphyxiation as a result of airway obstruction caused by blood clots and they bronchospasm.Unfortunately, at the start of pulmonary hemorrhage can never predict the scope and duration, and even after its termination there is no guarantee that it will not start again.Therefore, at the first sign you should call an ambulance and urgently deliver the patient to the hospital where he can receive adequate treatment.
also is a serious complication of pulmonary hemorrhage - spontaneous pneumothorax.There he is to break the lung tissue and enters the air in the pleural cavity.The development of pneumothorax provokes heavy exercise or coughing, as this sharply increases the pressure in the airways, which helps break.Tendency to violate the integrity of lung tissue is characteristic of patients with long-standing tuberculosis, leading to the formation of non-functioning scar tissue at the site of the old chambers.In the event of spontaneous pneumothorax in the pleural cavity with air always falls and infection, and therefore untimely detection of complications and help such a patient he can develop severe current purulent inflammation of the pleura - empyema.
characteristic feature of spontaneous pneumothorax is a sudden onset of symptoms - the patient can even pinpoint the time of their appearance.Manifestations of pneumothorax can vary significantly depending on the amount of air trapped in the pleural cavity.Especially hard proceeds tension pneumothorax, in which air on inspiration always comes from the lungs into the pleural cavity, and exhale out of it comes out.The most common complaints of pain in the affected side of the chest, dry cough, shortness of breath, heart palpitations.In severe joined pale skin with a bluish tint, cold sweat, rapid pulse, increased blood pressure.
main symptom in tension pneumothorax is severe shortness of breath, and then the skin become grayish-bluish hue, tone of voice is broken, there is a feeling of fear of death.The patient is forced to a sitting position, he was restless, excited.Clearly noticeable lag of the affected side of the chest when breathing, hollow intercostal spaces and supraclavicular dimples disappear or even vybuhayut.When you try to listen to the lungs note that the affected side of the breath sounds are absent, warm tones on the side of pneumothorax weakened.It is sometimes possible to reveal only at x-ray, and in a small closed pneumothorax objective manifestations are not pronounced.
In secondary propagation through the body, usually through the bloodstream, pockets of infection may be formed not in the lung or only in lung and in other organs - kidney, reproductive organs, bones, central nervous system, skin, and so forth. Extrapulmonarylocalization of tuberculosis process is characterized mainly for socially advantaged sectors of the population.In the first place among all extrapulmonary tuberculosis is currently genitourinary tuberculosis.