TB spine

TB spine's disease overview

Currently, tuberculosis of the joint system accounts for 1/5 of the total number of tuberculosis cases outside the lungs. Particularly in Vietnam, 65% of patients with osteoarthritis are infected with tuberculosis , joints (knee joints, groin, ankles, shoulders, wrists ...). So what is tuberculosis ?

TB spinal disease, also known as the vertebra, is a form of tuberculosis in the lungs, the most common in the motor system, however, now under the development of medicine, it has found a cure. When detected early.

Causes of TB spine's disease

The spinal tuberculosis is a condition due to tuberculosis-cushioning of tuberculosis. When infected, the spine is tuberculosis after passing through the lungs or the digestive system will follow the blood tract or lymph to the localities at a part of the musculoskeletal system.

Causes of spinal tuberculosis caused by tuberculosis bacteria after passing through the lungs or the digestive system will follow the blood tract or lymphatic to localities in a certain part of the musculoskeletal system. Disease joints.

Symptoms of TB spine's disease

Patients with spinal tuberculosis will be destroyed silently vertebral bodies, so symptoms of spinal tuberculosis appear very slowly and often have subjective symptoms similar to Such as pulmonary tuberculosis: mild fever in the afternoon, lazy or anorexia, serious weight loss, weak body, fatigue.

Pain of damaged vertebrae: Initially dull pain and tend to increase in the afternoon and night. Pain usually localized in the vertebra area of the chest is the time of tuberculosis. If the more intense appearance is, the lumbar spine is severely destroyed, leading to one or two legs of convulsions and the pain spreads to the pinched nerve roots.

The limbs shrink: the legs shrink, especially in the front of the legs or banana legs, often seen in the lumbar spine. Accompanied by signs of feet paralysis, due to spinal compression, this sign appears slower.

When two legs have signs of nerve root compression, there will be signs of skin, fur, nails.

felt inflated in the lower abdomen. When the large abscess will go through the inguinal ligament, down to the thigh, like the abscess of the shirt. TB abscess may appear large after the buttocks, the Petit triangle on the back of the pelvis, down the lying tumor, or the outside of the thigh ... When the abscess is too large under the skin, the tank abscess will lead to the phenomenon Skin.

Leg paralysis is a more common manifestation than paralysis of limb movement, mostly due to low chest tuberculosis.

Transmission route of TB spine's diseaseTB spine

Due to the penetration of tuberculosis bacteria in the osteoarthritis system in the human body, the spinal tuberculosis can be transmitted from person to person if the cause of the spinal tuberculosis is due to tuberculosis. When tuberculosis bacteria have entered the digestive system and follow the blood circulation to other parts of the bone, thereby destroying the bone and joints in the area that resides.

However, the ability to infect the spine is much less than tuberculosis.

People at risk for TB spine's disease

Subjects at high risk of spinal tuberculosis are people with a history of tuberculosis or frequent contact with people with tuberculosis.

Prevention of TB spine's disease

To prevent spinal tuberculosis can include the following specific measures:

Maintain a scientific and healthy lifestyle, avoid contact with tobacco, dust and chemicals

Restricting contact with patients with tuberculosis, when exposed, measures to avoid infection.

Regular health check periodically to promptly detect the disease and have appropriate treatment.

Diagnostic measures for TB spine's disease

Some measures to diagnose the spine as follows:

X-rays to see the tuberculosis damage, typical in the disc. When the patient is infected, the disc will narrow. In the late period, the vertebrae will stick together, the upper vertebra body and under the disc is destroyed, forming a tuberculosis cave. Patients with spinal tuberculosis do not have a thick reaction of bone, ivory accompanied by bone destruction and is rarely seen in the back of the vertebra, so if the destruction in the back arc can be diagnosed by cancer. P>

In addition, other tests can be used to detect disease such as: the speed of sedimentation, mantoux reaction (+).

TB spine's disease treatments

Currently, due to the development of medicine, tuberculosis can be cured on the condition that patients need to strictly follow the doctor's treatment regimen.

The treatment of spinal tuberculosis consists of 2 parts: tuberculosis and cure for spinal diseases.

Anti -tuberculosis drugs are used according to the same regimen as the treatment of tuberculosis by drinking or injecting. After using the drug, the patient needs to lie down on a hard bed for 4-5 weeks; After that, it is necessary to maintain the exercise regime according to the instructions of the expert to avoid stiffness. For large abscess, inserted into the marrow, it is necessary to perform surgery in time.

To treat spinal problems: avoid carrying heavy objects, having appropriate rest regime, can use painkillers to control pain, use braces To be fixed in the case of a hunchback but not weak and paralyzed.

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