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 Wysłany: Sob 20:41, 05 Mar 2011 Temat postu: tory burch shoes qev btk kufq ksn |
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Misuse of spinal tuberculosis early analysis of 107 cases of hormone therapy
... Proliferation of fibroblasts, so that TB can not be fully swallowed kill. Glucocorticoids also interfere with the body's metabolic process, so that elevated blood glucose, impaired glucose tolerance. Ketone bodies generate increased. TB can enhance the vitality of ketone bodies _2I, the toxicity of TB increased. Conducive to the propagation of bacteria and the spread of infection, patients with high fever, body weakness, multiple disseminated tuberculosis. This group of patients given the diagnosis of early failure of hormone therapy, which in the absence of regular anti-TB drugs to use corticosteroids, inhibit the body's immune system, lowering the body's ability to kill M. tuberculosis, so that TB the release of toxins increase, leading to increased bone destruction, a lot of pus production, so that patients with systemic poisoning symptoms. Further deterioration spread. Glucocorticoids can also produce an increase in platelet. Increased blood viscosity can cause bone microcirculation and thrombosis: long-term use hormone therapy but also to make bone osteoblast activity decreases. Intestinal malabsorption of calcium, causing hyperparathyroidism, so that the osteopenia. Shao Guangxiang and other long-term use of hormone tests proved that proliferate when the medullary bone marrow pressure can rise to the 245Pa 588Pa. Making it more difficult to repair bone necrosis. The patients showed bone destruction and multiple heavy. 3.2 The reasons for misuse of hormones from this group of patients point of view, patients first diagnosed as chronic low back pain and other chronic rheumatoid inflammation. Given hormone treatment. Obviously due to glucocorticoid anti-inflammatory, anti-drug role. Make systemic and local symptoms in the short term temporary relief, this time easily mistaken for hormonal treatment is effective. Therefore,[link widoczny dla zalogowanych], should focus on spinal tuberculosis with early rheumatoid identification, before the use of hormone therapy. Especially in the high incidence of tuberculosis. Or contact history of tuberculosis, should be excluded from the possibility of bone tuberculosis. With TB-specific fever, night sweats, fatigue and other systemic symptoms, signs and x-ray, erythrocyte sedimentation rate and other tests. Application of appropriate laboratory tests or tuberculosis antibodies (sensitivity of antibody detection of spinal tuberculosis was 90%, specificity 98%). Comprehensive evaluation of the diagnosis, further treatment. Practical difficulties for the diagnosis of biopsy. Biopsy should be accurate within lesions obtained in the granulation tissue lesions. 3.3 TB patients because treatment occurred in poor, remote, rural areas with poor medical conditions. Indiscriminate use of hormones serious, so should raise the level of the region's health care, to avoid serious complications. Hormones on the immune response based on several aspects of the inhibition of hormone therapy for patients too. The need to strengthen anti-tuberculosis drug treatment to control infection and to follow the principles of anti-TB chemotherapy and reasonable. Treatment should be individualized. We feel for such patients, should be used to strengthen the 5-6 species of anti-TB drugs in combination (H/E/P/s/0FX), control the disease, otherwise the body will be further active TB, reproduction, leading to the risk of disease progression : disease control and stabilize the situation, given surgery. Surgery should be strictly the indications and contraindications, as removal of disease,[link widoczny dla zalogowanych], prevent potential flow injection abscess missing, while for the abscess to give suture closure of dead space. Bag pressure chamber to Gaza after the lesion appropriate to extend the drainage tube placed time. So that effective drainage, postoperative treatment time can be extended accordingly. To prevent postoperative fluid formation. Found in patients with resistant types of drugs should be promptly replaced. Another long-term corticosteroids can cause the body potential,[link widoczny dla zalogowanych], static or cure or recurrence of tuberculosis resurgence 『15. TB patients on corticosteroids should also watch for infection may be induced by other bacteria. For the steroid-dependent patients, a powerful anti-TB treatment in the same time, in accordance with the principles of hormone reduction, gradually reduce the dose. In order to avoid a sudden reduction due to hormones adrenal atrophy caused by a series of symptoms. 4 References 1. Ya Bi Yan, ZENG Ji Lin, Liu Yuxi, et al. Determination of the immune function of patients with pulmonary tuberculosis lJ1. Chinese Journal of Tuberculosis Respiratory Diseases,[link widoczny dla zalogowanych], l980, 3 (3): l53.2. Sun Zhongliang. Medical Encyclopedia pneumology Confining lJ1. Shanghai: f m sea of Science and Technology Publishing House. 1986.53-55.3. Shaoguang Xiang, Cao Yi-Xun,[link widoczny dla zalogowanych], Wang Yan pure, and so on. Avascular necrosis of drug-derived hormone lJ1. Spine. 1989.9 (5): 34.44. Qinshi Bing, Cheng Wang. Tian Miao, et al. Rapid immune detection in bone and joint TB diagnosis and differential diagnosis [Jl_ Journal of Tuberculosis Respiratory Diseases, 1998,2 l (6) :333-334 .5. Bao-Zhou Li, Zhang Yongfu, Chen Qiuxia, et al. L4 alcohol similar cases of tuberculosis after the [Jll Journal of Tuberculosis Respiratory Diseases. 1995.18 (4): 234. (Received 13: 2004 Il a 0l repair with a date: 2004 a Il-l6) (English pipeline GUO Wan first) (This edit Lu Qingxia)
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