Implies pathogenetic therapy TB patient use of all means, increases resistance to infection, suppress pathological inflammatory reactions, eliminating individual manifestations of the disease.We discuss in the article by all means and the treatment of tuberculosis drugs!
nonsteroidal anti-inflammatory drugs (NSAIDs) are one of the often used groups of drugs that are used to eliminate the inflammation, as in exudative type, and mostly in the productive type reactions.The most effective among them have diclofenac and indomethacin, which is usually administered orally after meals 3 times a day for 3-4 weeks.It possesses sufficient anti-inflammatory effect and heparin, which is used by subcutaneous injection at a dose of 5,000 IU / kg over the course of a day or 1.5-2 months as electrophoresis thorax.
With the predominance of exudative nature of the inflammatory response and severe disease (pleural effusion, meningitis, infiltrative, or miliary tuberculosis) patients to prescribe drugs adrenal hormones
duration of the course depends on the patient, but is usually 3-8 weeks, so taking into account the increased excretion of potassium in the background of glucocorticoid therapy should be prescribed a diet rich in potassium salts, and drugs such as asparkam or Pananginum.Another feature of glucocorticoid therapy is the compulsory registration of daily biological rhythms of the body release its own hormones, ie take them mainly in the morning.It is enough to require a long course of prednisone gradually cancel it (usually scheme: 20 mg - 15 mg - 10 mg - 5 mg - 2.5 mg).In addition to systemic administration, and glucocorticoids are used locally (in the form of aerosols hydrocortisone) tuberculosis bronchus, larynx, as well as the expressed allergic phenomena associated with intolerance to anti-TB drugs.
hurt if the lungs are expressed destructive processes (the collapse of the lung tissue), prescribe drugs from the group of inhibitors of proteolysis - contrycal, Gordok that inhibit the enzymatic degradation of proteins.Patients recommended for the correction of disturbed metabolism in the body taking medication from the group of antioxidants.These include tocopherol (vitamin E), and sodium thiosulfate as a 30% solution of 8-10 ml intravenously or inhaled.In addition, improved energy metabolism contribute Riboxinum dose of 0.2-0.4 g per day 3 times a rate of 30-40 days, lipoic acid of 25 mg three times a day, kokarboksig manhole and ATP in the complex course of 20-40 days.Among non-pharmacological methods most widely used to use low-energy laser radiation.
is important, timely and comprehensive vitamin, which is administered simultaneously with the number of TB drugs for the prevention and correction of possible side effects.Furthermore, in terms of tuberculosis intoxication increases the need for vitamins, but their reserves are being rapidly depleted in the body.It must be remembered that a TB patient in need of high doses of vitamin C (1-1.5 g daily), vitamin B (5 mg daily), vitamin B6 (2 mg per day).To correct the adverse effects of PTP successfully used pantothenic acid and glutamic.
treatment after achieving a stable anti-inflammatory effect should be aimed at strengthening the recovery processes in the lung tissue.For this purpose, the anabolic hormones tend Nerobolum Retabolilum or 50 mg (1 mL), 1 time per week (4-5 injections per year), as well as biogenic stimulators - solkoseril, vitreous plazmol, FiBS.They are used and to reduce the formation of rough scarring of lung tissue in conjunction with trentalom.From non-drug funds in this period used ultrasound to the chest in the region of localization of the lesions of the lung tissue.Tuberkulinoterapiya (tuberculin treatment) used in the tendency to form tuberculoma to stimulate recovery processes.The initial dose is determined by intradermal titer.
pneumothorax and pneumoperitoneum - these treatments are increasingly applied to surgical and relatively rare.Artificial pneumothorax is the introduction of air into the pleural cavity for therapeutic purposes.The positive effect of pneumothorax caused by a complex reflex mechanism leading to the formation of a functional relative calm in the affected area of the lung, where conditions change and the blood supply and lymphatic drainage.Currently, the indication for the imposition of an artificial pneumothorax is to maintain a stable cavity decay and bacterial isolation in the treatment of PCP in sufficient doses for 3-4 months, mainly in infiltrative, cavernous and focal tuberculosis.In addition, pneumothorax and applied in the development of complications such as pulmonary hemorrhage and hemoptysis.Treatment is carried out on an artificial pneumothorax therapy with anti-TB drugs, which continue for at least 10-12 months.Pneumoperitoneum - a method of treatment of pulmonary tuberculosis by introducing air into the abdominal cavity.