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Чаще всего поражает лёгкие, но существуют и другие формы: туберкулёз костей, суставов, почек, кожи и других органов [2](https://citilab.ru/articles/tuberkulez-formy-simptomy-diagnostika-lechenie/). \n\n**Источник инфекции** — больной человек, который выделяет микобактерии в окружающую среду (например, при кашле) [4](https://www.fdoctor.ru/bolezn/tuberkulez/)[8](https://ProBolezny.ru/tuberkulez-legochnyy/).\n\n\n\n## Причины\n**Основной механизм передачи** — воздушно-капельный [1](https://cgon.rospotrebnadzor.ru/naseleniyu/infektsionnye-i-parazitarnye-zabolevaniya/infektsii-ot-a-do-ya/tuberkulez-chto-nuzhno-znat/). Возможны воздушно-пылевой, контактный, алиментарный (с пищей), вертикальный (во время беременности) пути передачи [1](https://cgon.rospotrebnadzor.ru/naseleniyu/infektsionnye-i-parazitarnye-zabolevaniya/infektsii-ot-a-do-ya/tuberkulez-chto-nuzhno-znat/). \n\n**В группе риска** по заражению туберкулёзом — люди с ослабленным иммунитетом: новорождённые, пожилые люди, люди с врождёнными иммунодефицитами, онкологические пациенты, ВИЧ-инфицированные [4](https://www.fdoctor.ru/bolezn/tuberkulez/).\n\n## Симптомы\n**При лёгочной форме** проявляются: длительное повышение температуры тела (обычно не более 37,5 ℃), слабость, повышенная утомляемость, сонливость, сильная потливость по ночам, ухудшение аппетита, снижение веса, кашель с мокротой, кровохарканье, боль в груди, одышка, затруднённое дыхание [4](https://www.fdoctor.ru/bolezn/tuberkulez/). \n\n**При внелёгочной форме** симптомы зависят от локализации инфекционного процесса [4](https://www.fdoctor.ru/bolezn/tuberkulez/). Например: костная ткань — скованность движений, боли в костях, мочевыделительная система — боль в пояснице, частые или болезненные мочеиспускания, глаза — покраснение глаз, слезотечение, ощущение инородного тела, лимфатические узлы — увеличение, плотность и болезненность лимфоузлов [4](https://www.fdoctor.ru/bolezn/tuberkulez/). \n\n**Часто туберкулёз протекает в бессимптомной форме** или с минимальным количеством симптомов и выявляется случайно [1](https://cgon.rospotrebnadzor.ru/naseleniyu/infektsionnye-i-parazitarnye-zabolevaniya/infektsii-ot-a-do-ya/tuberkulez-chto-nuzhno-znat/).\n\n## Диагностика\n**Для подтверждения диагноза** врач использует несколько методов [16](https://cmrt.ru/stati/kak-lechit/tuberkulyez-lyegkikh/): \n* рентгенографию или КТ органов грудной клетки [16](https://cmrt.ru/stati/kak-lechit/tuberkulyez-lyegkikh/); \n* микроскопию мокроты — поиск микобактерий в лаборатории [16](https://cmrt.ru/stati/kak-lechit/tuberkulyez-lyegkikh/); \n* посев мокроты для определения чувствительности возбудителя к противотуберкулёзным препаратам [16](https://cmrt.ru/stati/kak-lechit/tuberkulyez-lyegkikh/); \n* кожные тесты (проба Манту, Диаскинтест) или иммунологические анализы крови [16](https://cmrt.ru/stati/kak-lechit/tuberkulyez-lyegkikh/). \n\n**Самолечение или произвольное прекращение приёма препаратов** крайне опасно — это ведёт к формированию лекарственной устойчивости бактерий [16](https://cmrt.ru/stati/kak-lechit/tuberkulyez-lyegkikh/).\n\n## Лечение\n**Терапия всегда проводится под наблюдением врача-фтизиатра** и длится не менее 6 месяцев [16](https://cmrt.ru/stati/kak-lechit/tuberkulyez-lyegkikh/). При некоторых формах курс может занимать год и более [16](https://cmrt.ru/stati/kak-lechit/tuberkulyez-lyegkikh/). \n\n**Для лечения** используются специальные противотуберкулёзные препараты, которые делятся на несколько групп [16](https://cmrt.ru/stati/kak-lechit/tuberkulyez-lyegkikh/): \n* препараты первого ряда — основа терапии, наиболее эффективны против микобактерий [16](https://cmrt.ru/stati/kak-lechit/tuberkulyez-lyegkikh/); \n* препараты второго ряда — применяются при устойчивых формах заболевания [16](https://cmrt.ru/stati/kak-lechit/tuberkulyez-lyegkikh/); \n* вспомогательные средства для поддержки печени, коррекции анемии, снижения интоксикации [16](https://cmrt.ru/stati/kak-lechit/tuberkulyez-lyegkikh/). \n\n**Комбинация лекарств** подбирается врачом индивидуально, с учётом формы туберкулёза, распространённости процесса и чувствительности возбудителя [16](https://cmrt.ru/stati/kak-lechit/tuberkulyez-lyegkikh/). \n\n**При развитии осложнений** (кровотечения, массивное разрушение ткани, плевриты) может потребоваться хирургическое вмешательство [16](https://cmrt.ru/stati/kak-lechit/tuberkulyez-lyegkikh/).","linksData":[{"sourceId":1,"url":"https://cgon.rospotrebnadzor.ru/naseleniyu/infektsionnye-i-parazitarnye-zabolevaniya/infektsii-ot-a-do-ya/tuberkulez-chto-nuzhno-znat/","shownUrl":"https://cgon.rospotrebnadzor.ru/naseleniyu/infektsionnye-i-parazitarnye-zabolevaniya/infektsii-ot-a-do-ya/tuberkulez-chto-nuzhno-znat/","title":"Туберкулез. 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