Tuberculous loculated pleurisy, do I need surgery?

As long as it has no effect on lung function, it doesn't matter if the pleura is hypertrophied.

It should be a suction.

Minor surgery. My wife.

It was checked out in May last year, and the condition is similar to yours, too.

Tuberculous. Parcel.

Sex. Pleurisy.

The effusion is at least 1 kilogram, her condition is more serious than yours, and if the effusion is small, she can take medicine for a long time and absorb it on her own. If you do aspiration, it is best to go to a more formal hospital or a professional hospital, such a hospital can also inject some drugs into it when aspirating, which is more thorough and safe, and will not cause later problems.

Pleura. Hypertrophy. My wife's current condition has been fine after 9 months** after a follow-up. If you have this disease, you can't get angry, worry, or tired, but you have to meditate and recuperate. Eat more every day.

Protein. food. Smoking and alcohol are contraindicated, and it is best not to eat them.

Ginger. Foods such as chili peppers, green onions, etc.

Tuberculosis is more serious in the cavities of the lungs, and now there is diabetes, is there any good way to control the condition?

Guo Xinmei, Department of Tuberculosis, Shandong Chest Hospital: The problem of diabetic tuberculosis is becoming more and more serious, and it has received more and more attention. I have done some groundwork in this regard, but there is still a long way to go, and many problems need to be resolved.

Suffering from tuberculosis for a long time, combined with diabetes, I estimate that the process is not very regular, so it causes serious drug resistance. Once these two diseases are combined, they will affect each other, and it is necessary to choose the appropriate retreatment chemotherapy regimen according to drug sensitivity and previous drug history on the basis of controlling diabetes.

If new opacities in the right lung persist despite taking medication, consider 1 the diagnosis is incorrect; 2 Drug-resistant tuberculosis. It is recommended to do bronchoscopy to obtain pathological data, and sputum tuberculosis bacteria culture to see if Mycobacterium tuberculosis can be cultured.

If tuberculosis is still considered, the previous first-line drugs are ineffective, and second-line drugs such as isoniazid p-aminosalicylate, rifabutin, levofloxacin, and amicana should be used.

It's best to be conservative** and not have surgery lightly. If the surgery, thoracoscopy is not suitable for a patient like you with pleural adhesions, and a thoracotomy is still required. There is a lot of bleeding and new adhesions may occur as a result of surgery.

If there are lesions in both lungs, doctors usually do not remove the lesions in the lungs.

Conservative medications** are unlikely to be cured.

Only surgery can**.

Pleural dissection, thoracotomy is required, microscopically may not work, if the hypertrophic pleural area is large; Minor microsurgery may be done.

Your condition is currently only more than a year, the condition is not serious, it is recommended that you are younger and try to avoid surgery, take conservative**, you can use second-line anti-tuberculosis drugs, rifapentine, p-aminosalicylic acid isoniazid, pyrazinamide, ethambutol, static aztreonam, tinidazole.

You can go to a specialized tuberculosis hospital in Huimin County, Binzhou, Shandong, which is very famous in Shandong, referred to as Huimin Second Hospital.

Analysis: Hello, tuberculous pleurisy**includes general**, pleural fluid extraction and anti-tuberculosis**. The principles of chemotherapy are the same as those for chemotherapy and active tuberculosis.

The prognosis is good in a timely and correct manner, such as the prolongation of the course of the disease often leads to pleural adhesions, wrapping, resulting in malnutrition, etc., which affects the prognosis. This situation needs to be regular** for a year to a year and a half, and then recheck and eat more green vegetables, such as Chinese cabbage, cabbage, spinach, water spinach, etc. Eat more beef, milk, eggs, organ meats, poultry and soy products.

Eat more fruits such as oranges, mandarins, pears, apples, bananas, etc.

Disease analysis accompaniment: The total lead of pleurisy is early, combined, regular, and whole. There are not many types of anti-tuberculosis drugs, and they are easily resistant, mainly isoniazid, rifampicin, ethambutol, pyrazinyl, streptomycin, and some second-line drugs, and corticosteroids can be added to tuberculous pleurisy.

1. The first criteria for tuberculous pleurisy are:

If the symptoms disappear, the pleural fluid is fully absorbed, the erythrocyte sedimentation rate is normal, and there is no obvious pleural hypertrophy on chest x-ray, it is clinical**. You can check the erythrocyte sedimentation rate and chest x-ray again, and depending on your condition, it is basically close to **.

2. Precautions after tuberculous pleurisy:

1. Tuberculous pleurisy, which is a type of pulmonary tuberculosis, tuberculous pleurisy complicated by pleural effusion, is completely OK after aspiration and anti-tuberculosis. A small number of patients may have pleural thickening and pleural adhesions. Mild cases generally do not affect respiratory function and do not cause obvious symptoms.

2. It should be noted that the anti-tuberculosis should be standardized, and the drug should be used in sufficient and sufficient course under the guidance of the doctor, and the drug should not be stopped prematurely, and the general course of treatment should be about 9 12 months, so as to avoid the occurrence of long-term intrapulmonary and extrapulmonary tuberculosis, or the possibility of causing the disease when the body's resistance declines.

3. After giving a sufficient amount and a full course of treatment, it is generally checked every six months and a year, and followed up for 4 to 5 years.

4. Life should be regular, and you should rest for 2 to 3 months after the illness, and then arrange work appropriately. Be careful not to get too tired. You should keep your spirits up, be in a good mood, and participate in some of your favorite recreational activities.

5. The diet should be nutritious, it is advisable to eat a high-protein, high-vitamin diet, and eat more vegetables and fruits with more vitamins. Avoid spicy, phlegm-producing products, and those who have a habit of smoking and alcohol should resolutely quit.

6. After the gradual recovery of physical strength, physical exercise should be appropriately strengthened, physical fitness should be enhanced, disease resistance should be improved, cold should be avoided, and colds should be prevented.