Tuberculosis

Tuberculosis's disease overview

tuberculosis is a tuberculosis that is common in our country and tuberculosis in children is tending to increase sharply. Peripheral lymph nodes are the most common tuberculosis with positions such as neck lymph nodes, armpit lymph nodes, inguinal lymph nodes. In addition, tuberculosis can be seen in the lymph nodes in the organs such as mediastinum lymph nodes, hanging lymph nodes ...

Before learning TB is contagious , is it dangerous is dangerous , it should be asserted that this is a less dangerous disease, no death does not cause death Vong, can be cured but quite common and prolonged development. However, tuberculosis causes many difficulties in daily life, often leaving many sequelae, deformity scars that cause aesthetic loss, so patients should not be subjective.

Currently, there are two common tuberculosis forms: Bronchial lymph nodes are only common in children and peripheral tuberculosis common in all ages. TB ganglia usually appears in teenagers and women with tuberculosis 2 times higher than men. In the world, the incidence of tuberculosis is also relatively large and appears in all subjects like in Vietnam.

Causes of Tuberculosis's disease

Common disease in the neck, appearing in children.

The agent of tuberculosis is tuberculosis, the most common is Mycobacterium tuberculosis.  Peripheral lymph nodes are the location that tuberculosis bacteria easily penetrate, localize and lead to tuberculosis. TB bacillus can penetrate directly into the lymphatic line through the lesions of the oral mucosa, or due to trauma, bacterial infection or the disease may be caused by the whole tuberculosis infection of the body (such as in tuberculosis) place.

Symptoms of Tuberculosis's disease

When the lymphadenopathy, the person who has the main manifestation is swelling of one or more lymph nodes.  Lymph nodes increase in size gradually, so patients often do not know when the lymphadenopathy appears. The lymph nodes gradually, no pain, density, smooth surface, swollen skin area not hot, no redness. Often many lymph nodes are swollen, gathered into a string, sometimes only one lymph nodes are swollen.

TB lymph nodes develop through the following 3 stages:

  • The first stage of the lymph nodes begins to swell, unevenly moving is easy because it has not been together and has not sticked to the skin. The disease may only stop at this stage or switch to lymphadenitis and lymphadenitis.
  • The following stage calls for ganglitis and lymphadenitis. At this time, the lymph nodes are larger, due to the inflammation of the lymph nodes, so they can stick together into patches or string, or stick to the skin and surrounding organizations that make the lymph nodes limit mobile.
  • The puree stage: The lymph nodes are soft, touching the skin, the skin of the lymph nodes is swollen, not hot and painless, can see the top of the hat. Once fragile purulent purulent lymphadenopathy creates long -lasting fistula, purple leaky mouth and wrinkled scars, convex or fibrous ligaments that cause loss of aesthetics. Pus flowing often has light blue, non -sticky, pus with pulp.
  • During tuberculosis, the total status is not much affected, sometimes with mild or fatigue. Except for superinfection or tuberculosis lesions in other organs such as lungs, bones ... Systemic symptoms will manifest more severe.

    tuberculosis in the tumor form, also known as hypertrophy of tuberculosis, often shows: the appearance of the tumor in the neck, seeing one or several large lymph nodes, then sticking into a mass, no pain, no redness , Mobile, touch. The tumor gradually grew, occupying most of the neck deformed the patient's neck. The lymph nodes in other places such as under the jaw, ears ... are also hypertrophy. Agent lymphadenitis is often difficult to treat. This disease is very rare.

    Transmission route of Tuberculosis's diseaseTuberculosis

    Unlike tuberculosis, in tuberculosis tuberculosis tuberculosis only localized in the lymphadenopathy, not leaking outside, so the tuberculosis is not directly transmitted from people to people, especially those who directly take care of the care. squirrel people with tuberculosis. Thus tuberculosis is not an infection.

    However, the treatment of tuberculosis is similar to pulmonary tuberculosis is mainly using medical methods such as the use of medications in the stages to inhibit the destruction of tuberculosis bacteria. Overall, tuberculosis needs to go to the doctor and apply proper treatment, does not affect those around them.

    Prevention of Tuberculosis's disease

    To prevent tuberculosis, it is necessary to follow:

  • Improve resistance, diet full of nutrients, reasonable rest.That is for children,
  • Need oral hygiene, extraction or cure tooth decay.

  • Once diagnosed with tuberculosis, it is necessary to follow the treatment as directed by a specialist tuberculin for definitive treatment, avoiding the tuberculosis bacteria to enter and cause disease in Other agencies.
  • Diagnostic measures for Tuberculosis's disease

    Determine diagnosis

    Based on clinical manifestations and some tests such as:

  • Cell testing
  • Disease lymphadenopathy
  • BK transplantation

  • Lung x
  • Distinguish diagnosis

  • Acute or chronic lymphadenitis or virus is a top distinct diagnosis. If swelling is hot, red, touching, soft density and response to antibiotic treatment, it is infection lymphadenopathy
  • Hodgkin and Non-Hodgkin disease: Lymphadenopathy and bone marrow help to distinguish
  • Cancer metastatic lymph nodes: Lymph nodes and clinical manifestations of Nguyen Phat Cancer

    Benign tumors: fat tumors, fibroids, nervous tumors, lymphatic cysts, ...

    Tuberculosis's disease treatments

    tuberculosis is not cured ? In general, tuberculosis is easier to treat than other tuberculosis. The methods of treating tuberculosis include:

    Medical treatment

    The same principle as when treating tuberculosis in general. It is necessary to combine anti-tuberculosis drugs, at least 3 or more drugs. Time of tuberculosis can last from 4-12 months depending on the disease and response of each patient. Lymph nodes in children often respond well when combining drug use with hygiene in daily life such as oral hygiene, extraction or cure tooth decay. At the stage of pus and is about to break, it can be active to avoid creating bad lines or scars, taking antibiotics and continuing to use rimifon for several months, although no longer manifests the disease. Most tuberculosis drugs cause liver damage, thereby combining more drugs or products that protect the liver and lower liver enzymes.Surgical treatment

    surgery to remove all lymphadenopathy: When the lymphadenopathy but does not respond when being detected and treated in combination with antibiotics or in the case of tuberculosis lymphoma, pus and local tuberculosis. It is best to treat tuberculosis before surgery to avoid spreading bacteria.

    surgery and dredging of pus pus and anti -tuberculosis antibiotics are also effective treatments.

    Do not remove early lymphadenopathy in children because the lymph nodes have a role in protecting against the penetration of tuberculosis.

    Regarding treatment, attention should be paid to health care, especially for children, avoiding chronic lymphadenitis.

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