Tuberculosis

Tuberculosis's disease overview

tuberculosis is a rare pulmonary tuberculosis, caused by tuberculosis and causing multiplication in the mammary tissue. The disease is common in women of reproductive age, about 19-45 years old and women who are breastfeeding because this stage of mammary gland tissue rapidly grows is a favorable condition for bacteria. The case of men with tuberculosis is also recorded, but with a very low rate of about 4%.  The disease usually only has one breast, left breasts must be encountered with equal ratio. In Vietnam, about 30 cases of disease.

Ashey Cooper was the first to discover the breasts in 1829 in the UK. By 1952, McKeown and Wikinson described tuberculosis of two forms:

  • primary tuberculosis: This is a rare form, bacteria directly penetrate into the mammary tissue through skin scratches or milk pipes. Breast infections due to skin scratches or through milk pipes.
  • Secondary tuberculosis: This disease is more common, of which the disease comes from tuberculosis lesions in other organs in the body such as tuberculosis, spinal tuberculosis ... By blood or lymph to breast.

    • TB tuberculosis is not common, but it should be properly diagnosed, helping to minimize incorrect interventions such as breast removal, surgery to break the path or wrong treatment In the direction of mastitis caused by common bacteria, increasing the proportion of anti -drug bacteria, increasing the cost of ineffective treatment.

    Causes of Tuberculosis's disease

    Mycobacterium tuberculosis is the cause of tuberculosis. This is an anti -acid bacillus because it still retains the dye after washing through the acid solution. Tuberculosis bacteria are aerobic bacteria, needing more oxygen to grow. Weak detergents do not kill tuberculosis bacteria.

    Symptoms of Tuberculosis's disease

    Symptoms of tuberculosis include systemic manifestations and manifestations at the sick, including:

  • Fever, usually mild fever, chills, often fever in the evening.
  • tired, not eating well, weight loss.

    • Lymph nodes in the surrounding areas such as armpit lymph nodes, neck lymph nodes.

    Breast pain, more pain when touching or when wearing tight shirts.

  • Skin that can have ulcers, with pus holes out.
  • Touch the tumor in the breast, felt hard or soft, so it is easy to misdiagnose into breast abscesses due to other common bacteria. In this case, symptoms will not be relieved if treating diseases with antibiotics killing other common bacteria.

    • If people with tuberculosis at the same time suffer from tuberculosis or other tuberculosis forms, clinical symptoms may include prolonged cough, sputum, ... P>

    Transmission route of Tuberculosis's diseaseTuberculosis

    People with tuberculosis can be through the following transmission lines:

  • by blood sugar: TB bacteria penetrate the lungs through the respiratory tract, then follow the bloodstream to the breast disease.

    • by lympha: tuberculosis bacteria from diseases such as tuberculosis, pleural tuberculosis along the lymphatic line to the mammary tissue causing disease.

    Directly: tuberculosis bacteria penetrate the breast tissue directly through skin wounds or pouring holes of the nipple.

    Thus, tuberculosis bacteria can move from one organ to another in the body, meaning that a patient with tuberculosis can also be tuberculosis. Then like tuberculosis, pleura.

    People at risk for Tuberculosis's disease

    The factors are increasing the risk of tuberculosis can be mentioned as follows:

  • Living in the circulation area of ​​tuberculosis
  • Close, intimate, long -term contact with people with tuberculosis
  • History of yourself has been tuberculosis
  • Women who are breastfeeding, mammary glands develop
  • Poor, malnutrition
  • The body's resistance is impaired.

    • Prevention of Tuberculosis's disease

    tuberculosis is rare but can be prevented so as not to get sick and limit the bad progress of the disease by the following measures:

  • Full nutrition
  • Healthy lifestyle, regular exercise, health and resistance of the body.
  • Keep the living environment, fresh, light.
  • Self -examination of breasts to detect damage early in the breast. The self -examination should be done regularly, at least once a month, after a few days of menstruation.
  • Keep breast hygiene, wear well -ventilated bra.
  • Full vaccination, especially infant under the National Expanding Vaccination program.

    • Diagnostic measures for Tuberculosis's disease

    Because the clinical symptoms of tuberculosis are not specific, easy to confuse with breast cancer or mastitis due to other common bacteria, subclinical tests and imaging diagnostic means Playing an important role in diagnosing disease, which includes:

  • Suction abscess, fresh examination for tuberculosis, low positive rate
  • Cultivation of tuberculosis bacteria, PCR tuberculosis
  • Biopsy of mammary tissue with small needle suction, surgery to find typical follicular lesions

    • Chest X -ray: Find tuberculosis lesions if any to get suggestions.

  • Breast ultrasound: Describe the lesions of the tissue, although not specific. Breast ultrasound is valuable in helping to make small needle suction in the right position to get the disease.

    • Tuberculosis's disease treatments

    The most effective treatment for tuberculosis is medical treatment. TB anti -tuberculosis drugs are prescribed according to the same tuberculosis regimen. TB tuberculosis responds well to anti -tuberculosis drugs, and can be completely cured. Treatment period lasts from 8-9 months.

    Surgical surgery

    Tips such as drainage abscess, surgery to destroy roads, tumors, etc. Support also medical treatment to help the disease quickly cure. However, these cases often leave many bad scars, shrink the breast skin.

    Patients need to be re -examined monthly including clinical examination, breast ultrasound assessing the extent of breast tissue damage, liver and kidney function test to detect side effects of anti -tuberculosis drugs.

    See also:

  • 3 Methods of screening for breast cancer for high accuracy results
  • Prognosis of breast cancer patients in each stage
  • Women who are treating tuberculosis can continue breastfeeding?
  • tuberculosis: Causes, symptoms, diagnosis and treatment

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