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A patient diagnosed with cavernous tuberculosis is contagious. It spreads bacteria through airborne droplets. On average, the pathology lasts 2 years. With treatment, the cavities heal, leaving a scar or lesion. The fibrous-cavernous form poses a great threat to health; it is fibrous for weeks; it requires long-term, expensive treatment.
In patients, the pathology is secondary, that is, it occurs against the background of another form of tuberculosis. If it is primary, it is detected during preventive fluorography. AuskulAlternative examination methods are not intended to detect this disease, since the cavity cannot be heard. To confirm the diagnosis, an X-ray of the lungs is required. Thanks to this manipulation, the doctor sees the cavities. In the photo they look like rounded or elongated shadows.
Prednisone drugs are administered intravenously or intravenously. For a speedy recovery, it is necessary to combine several treatment methods. The doctor prescribes tuberculin therapy, breathing exercises, and physiotherapy. Physiotherapeutic methods are effective because they act directly on the cavity. If bacteria show resistance to drugs, the treatment regimen is revised.
In parallel with the main medications, the patient takes Kanamycin. Treatment lasts 4 - 6 months, as a result, the release of the bacilli stops, the cavity decreases and closes. If the result cannot be achieved within 6-7 months (the lumen of the formation does not narrow), lung resection is prescribed. During surgery, an artificial pneumothorax is applied. After the operation, the patient is treated in an inpatient setting and is monitored at a dispensary.
Physiotherapy is a set of therapeutic measures to narrow the pulmonary cavity. Inhalations using solutizone. This medicine has an antibacterial effect. Solutizone reduces cough and gradually expels bacteria from the body. For a speedy recovery, 15-20 inhalations are required. The duration of one therapeutic session is 10 minutes. Electrophoresis. An antibacterial drug is injected using low-frequency current. Electrodes equipped with gaskets are placed on the chest near the place where the cavities are. An electrophoresis session lasts half an hour.
Timely treatment of cavernous tuberculosis helps to avoid complications. suppuration, pseudotuberculosis. It is possible to overcome the disease, but you should consult a doctor. The goal of professional therapy is to achieve narrowing, closure and scarring of the cavity.
If the formation has rigid walls, it may relapse due to the fact that it is filled with masses. In rare cases, the disease leads to suppuration and aspergillosis. Complications of cavernous tuberculosis are more difficult to treat. Surgical methods of treating cavernous tuberculosis.
A patient diagnosed with cavernous tuberculosis may undergo segmental or wedge resection. If the lesion is extensive, the entire organ must be removed. Resection is the most common type of surgery. The choice of treatment method depends on the severity of the disease, the size of the cavity and the degree of damage to the lung.
The surgeon creates an artificial cavity near the parietal pleura, air is supplied into this formation, as a result of which it swells. The surgical procedure does not impair respiratory function. Pneumolysis is rarely prescribed to patients, since antibacterial treatment gives good results. Resection is also carried out as a last resort.
Surgery is prescribed for extensive lung damage. The surgeon removes several ribs where the problem is. Manipulation is dangerous because it leads to irreversible changes. the chest narrows, the lung shrinks, and the functions of prednisone pills that were affected during such an intervention are disrupted.