How is loculated fluid in tuberculosis treated?

Long-term wrapping One side of the lung is damaged, you now have new pain in the middle of the spine, you have to check a CT of the spine, like yours chest wrap is too strong can do surgery thoracostectomy, you tuberculous encapsulated pleural effusion wrap is too strong Pleural decortication can be done after regular anti-tuberculosis, the lung and pleura due to lesion adhesions Separate them, so that lung activity will not be restricted, and lung function will be restored, but I understand that thoracotomy is generally about 20,000, that is, the adhesions are very strong, so surgical treatment is required, don't This is my suggestion, I recommend a pleural decortication, and you have spine pain right now Check the spine CT as a matter of urgency.

In loculated pleural effusions, due to pleural thickening, the effusion is less likely to be completely absorbed, and if the pleural volume is not large, drainage may be required. If the effusion grows gradually because the tuberculosis is not completely controlled, levofloxacin can also play an anti-tuberculosis role, and is often combined with anti-tuberculosis drugs, and rifapentine can be replaced with rifampicin. If there is no effect after three months, further tests are needed to rule out neoplastic disease.

Hello, friends, if tuberculosis is controlled, the encapsulated effusion will gradually decrease, if the effusion increases, be alert to tuberculosis**. If the pleural effusion is not very large, the package is not particularly extensive, and the regular anti-tuberculosis ** is OK, and it does not necessarily have to be withdrawn, if there is a lot of pleural effusion, and the wrapping is obvious, affecting lung function and physical condition, you can find a thoracic surgeon for thoracoscopic surgery.

If the current pleural effusion has little effect on breathing, standard antituberculosis** can be performed first.

After the inflammation of the lungs disappears, the pleural effusion may be absorbed on its own, and the part that cannot be absorbed can be extracted by puncture.

Let's start with yourself. The best principles of tuberculous pleurisy are:

1.Anti-tuberculosis drugs are used first: isoniazid, rifampicin, ethambutol, pyrazinamide** for naïve patients.

2.Active pumping: Actively pumping water under B-ultrasound positioning, the initial pumping volume cannot exceed 800ml. For tuberculous pleurisy that has already been encapsulated, the more you smoke for the first time, the better.

3.Hormone **: For simple tuberculous pleurisy, corticosteroids can be used**, starting with 30 mg, changing to 20 mg after 2 weeks, and then reducing to 5 mg per week until the reduction is completed.

4.Ultrasound conductance: Isoniazid and rifampicin are introduced using a two-stage alignment of the lesion.

If there is a cohorted effusion, the difficulty of this ** is relatively large, and the effect of the drug ** is generally not ideal, so it is necessary to consider surgery**, because there has been a history of encapsulated effusion before, and if it appears again now, it is necessary to pay attention to the clear **, for **.

If there is a concapsulated effusion, you can use the ** method of traditional Chinese medicine to discharge the accumulated water from the urine and urine, which is quick and convenient.

The effusion has already formed a wrapping or using traditional Chinese medicine** The effect is good, and once the effusion forms a wrapping pumping, it can't be pumped out!

If there is a loafed effusion, it is recommended to do relevant examinations to determine the cause of the effusion, and then**, you can't have a baby during the medication. At the same time, pay attention to rest, strengthen nutrition, and eat more vegetables and fruits.

For encapsulated effusion, thoracotomy can be done or minimally invasive surgery can be done, because minimally invasive surgery is now popular, so thoracoscopic surgery is recommended, which is to treat this encapsulated effusion endoscopically.

The method of treatment of colacular effusion can first be carried out by irrigation of the chest cavity with normal saline, and after irrigation, we can directly aspirate the encapsulated effusion with a negative pressure suction device, which is very direct and can also prevent our long-term convulsion of encapsulated effusion and stasis, resulting in aggravation of infection.

For encapsulated effusion, at present, Western medicine is thoracotomy and exploration, and it cannot be withdrawn at all. Traditional Chinese medicine can achieve the best effect.

This disease can be treated with anti-inflammatory and important blood-invigorating and water-promoting drugs, or surgery**It is recommended that you can use a combination of Chinese and Western medicines, cefaclor levofloxacin orally or intravenously instilled.

If there is a cohorted effusion, the difficulty of this ** is relatively large, and the effect of the drug ** is generally not ideal, so it is necessary to consider surgery**, because there has been a history of encapsulated effusion before, and if it appears again now, it is necessary to pay attention to the clear **, for **.

First of all, it is necessary to confirm whether there is tuberculosis, whether the test is positive or negative in the examination results, whether acid-fast bacilli are found in the bacteriological examination, whether the blood sedimentation rate is increased, whether the clinical symptoms of diagnostic anti-tuberculosis ** are relieved, and if possible, pleural biopsy can be performed to further confirm the diagnosis.

If it is indeed due to tuberculosis that causes pleural effusion, and eventually there is encapsulation, it is generally due to repeated pleural inflammation caused by pulmonary tuberculosis, which thickens the pleura and forms fibroblasts.