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Hello! Bone tuberculosis is commonly known in traditional Chinese medicine"Tabes dorsalis"or"Sputum in the scar"It is a purulent and destructive lesion caused by the invasion of Mycobacterium tuberculosis into bones and joints, most of which are secondary to tuberculosis, and can spread to the skeletal system through bloodstream after lung infection. After the tuberculosis bacillus spreads to other parts, most of the parts can be eliminated due to the enhancement of resistance, but there are some parts of the tuberculosis bacteria may form a small lesion in the local area, if the body's resistance is very strong, it may be lurking there, when the body resistance decreases, in the stage of being unable to suppress the evil, the tuberculosis bacteria in the primary lesion multiply with the blood circulation to form a large number of bacterial emboli, these emboli are sent to multiple tissues of the body (bones and joints) by the bloodstream at will, so bone tuberculosis is a secondary lesion.
Most of the affected areas are bones or joints that are heavy and active, and are prone to strain. Chongqing Yiqing Hospital of Traditional Chinese Medicine is a specialized Chinese medicine hospital for bone tuberculosis, mainly using pure Chinese medicine target directed body fluids, external treatment of traditional Chinese medicine, and surgery is not advocated, this disease has been more than 30 years, and has considerable clinical experience. For details, please log on to the bone disease worry-free network or add 2 9 3 6 2 6 3 2 1 to learn more.
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Bone tuberculosis is due to the tuberculosis bacteria in the lung infection has not been completely **, through the blood transmission to the bones and joints, spread to the bones and joints will not immediately form a lesion, because due to the body's resistance, will eliminate a part of the tuberculosis bacteria, only a small part of the tuberculosis bacteria will survive, and hide, and when the body's resistance declines, the tuberculosis bacteria will take the opportunity to mess up and form a dominant lesion. TB bacteria multiply slowly, but they are not easily destroyed. Therefore, the bone tuberculosis formed is mostly chronic orthopedic inflammation, which is easy to be ignored and mistreated in the early stage of the disease.
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The onset is slow, and systemic symptoms include low-grade fever, fatigue, and night sweats, and typical cases can include emaciation, loss of appetite, and anemia. A small number of cases have a sudden onset and may have symptoms of hyperthermia, which is usually more common in children.
Can occur in individuals of any age group. There is no significant difference in incidence between the sexes. Lesions are mostly single, and a few are multiple, but symmetry is rare. 30 50 patients tend to have a history of local trauma prior to onset.
The lesion is painful and worsens with activity. Children often have "night cries". In some patients, acute symptoms occur due to pus from the lesion breaking into the joint cavity, and the pain is severe at this time.
There is overlap in the innervation of the hip and knee joints, and children with hip tuberculosis may complain of knee pain. Patients with simple bone tuberculosis have high intramedullary pressure, excessive accumulation of pus, and severe pain.
Superficial joint examination is examination of joints that are swollen and tender and often semiflexed to relieve pain; In the late stages, the muscles are atrophied and the joints are swollen in a fusiform shape.
The development of tuberculosis in the whole joint leads to the accumulation of large amounts of pus, tuberculous granulation tissue, dead bone, and caseous necrotic tissue at the lesion site. Due to the lack of an acute inflammatory response such as red fever, it is called a "cold abscess" or "cold abscess."
abscess)。An abscess may flow through a tissue space to form an abscess outside the lesion, or it can rupture into a sinus tract (sinus) on the surface of the body
tract), through the sinus tract, with rice-like pus, and sometimes dead bones and caseous necrosis
necrosis) substances outflow. The abscess can also communicate with the internal organs of the cavity to form an internal fistula, and it can be penetrated out of the body to form an external fistula. The abscess cavity communicates with the esophagus, lungs, intestines, and bladder and can be coughed up, or excreted in the stool, or pus in the urine.
Cold abscess rupture produces mixed ** staining, and local acute inflammatory reaction occurs. If the co-infection cannot be controlled, it can cause chronic attrition, anemia, systemic poisoning, and in severe cases, it can lead to liver and kidney failure, and even death.
In spinal tuberculosis, abscesses, granulation tissue, and necrotic bone can directly compress the spinal cord and cause paraplegia.
Pathologic dislocations and pathological fractures are not uncommon.
When the advanced lesion is at rest, it can be left with: 1) fibrous adhesions or fibrous rigidity in the joint cavity resulting in joint dysfunction; 2) joint non-functional contractures, such as flexion contracture deformity, posterior spinal process deformity; 3) Destruction of epiphysis in children, unequal length of limbs, etc.
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Bone tuberculosis is a type of tuberculosis, most of which are secondary to pulmonary tuberculosis.
1. Bone tuberculosis.
Bone tuberculosis is a purulent and destructive lesion caused by Mycobacterium tuberculosis entering the bones or joints, most of which are secondary to pulmonary tuberculosis, but can also occur in any organ of the human body, and is a local manifestation of a systemic disease, about 50% of patients with bone tuberculosis are combined with pulmonary tuberculosis, tuberculosis bacteria first occur in the lungs, and the pulmonary infection spreads through the blood circulation, to various systems of the body, and finally colonizes on the bones, forming bone tuberculosis. Bone tuberculosis is not a simple lesion, it is a manifestation of local lesions of the whole body, bone tuberculosis can have no history of pulmonary tuberculosis, it belongs to the insidious infection of tuberculosis.
Second, the ** of bone tuberculosis.
Drug**: The principle of drug** includes early, regular, whole, appropriate amount and combination of drugs, which are divided into two stages: intensification and consolidation. The standard ** regimen generally refers to the 12-18 month chemotherapy course of medication, and the chemotherapy for drug-resistant bone and joint tuberculosis needs to refer to the drug-resistant tuberculosis protocol**; Local**:
These include joint or spinal immobilization, abscess drainage or abscess puncture, pus aspiration and decompression, local injection of antituberculosis drugs; Surgery**: including lesion removal, spinal decompression, bone resection, bone fusion and joint replacement, etc.; Enhanced nutritional support**.
3. Bone tuberculosis can be **.
In the early stage of bone tuberculosis, most of them can, and in patients in the middle and advanced stages, if the bone damage is serious and various complications occur at the same time, the disease is more difficult and even life-threatening. Therefore, in order to improve the rate, bone tuberculosis should be detected early and early. **The main combination of anti-tuberculosis drugs, the main representative drugs are isoniazid, rifampicin, ethambutol, streptomycin, pyrazinamide, etc., and lesion removal surgery can be taken, including biopsy, synovectomy, bone grafting of defects and internal fixation.
Some patients with bone tuberculosis develop bone abscesses, and if necessary, abscess incision may be done to remove dead bone that is not viable. However, nerve damage secondary to spinal tuberculosis is difficult to complete.
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It is caused by diet, work and rest reasons, work reasons, work and rest reasons, and genetic reasons. So when we have this situation, we must go to the hospital for a physical examination, and don't let the condition worsen.
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This is because you don't pay attention to your lifestyle habits, or because of genetics, it is likely to be caused by overwork, and it may also be caused by bad lifestyle habits.
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I think it's caused by an unhealthy diet, some people often eat some bad foods, so they can get this disease.
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It is most likely caused by tuberculosis bacteria, which can lead to a decrease in the body's immunity, which generally requires the use of medication**.
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Bone tuberculosis develops slowly, and patients will have specific local symptoms and systemic tuberculosis poisoning. There are different types of bone tuberculosis, all of which can present with typical symptoms of tuberculosis poisoning, but there are also a variety of different manifestations. Patients may present with tuberculous spondylitis, tuberculous arthritis, tuberculous osteomyelitis, and typical tuberculosis poisoning.
Tuberculous spondylitis. Patients with tuberculous spondylitis will gradually develop walking deformities, muscle spasms in the affected area, and in the advanced stage, the patient will develop a "hunchback". <
In the case of tuberculous arthritis, patients usually do not feel obviously, mainly the affected area is swollen, joint movement is limited, easy to be complicated by other infections, and the joints have generally been destroyed in the advanced stage, and 30% of such patients will have symptoms of tuberculosis poisoning. Tuberculous osteomyelitis is a disease that can occur in all bones of the body, mostly in children, a small number of patients will have an acute onset, local affected areas will feel swelling and pain, but there is no very obvious ** temperature increase symptoms. <>
If symptoms of tuberculosis poisoning develop, people may experience loss of appetite, gradual weight loss, low-grade fever, and night sweats. Bone tuberculosis can also cause complications such as joint dislocation, joint deformity, and bony ankylosis of the joints. Bone tuberculosis is caused by pulmonary tuberculosis through blood, and a small number of patients will be secondary to intestinal tuberculosis, among which Mycobacterium tuberculosis directly invades the human body through **, which is very rare.
Bone tuberculosis is a secondary form of tuberculosis, in which tuberculosis bacteria invade the human body, resulting in a series of pathological changes. <>
Patients with bone tuberculosis develop the disease slowly, and by the time symptoms appear, they are already at an advanced stage. Therefore, people need to take some precautions to avoid bone tuberculosis, people who are often in contact with tuberculosis need to do a good job of daily isolation, wear masks at ordinary times, and do not eat raw and cold food, which can reduce the chance of getting sick. If people have symptoms of loss of appetite, low-grade fever in the afternoon, night sweats, and general fatigue, they need to seek medical attention immediately to avoid delaying the condition and causing the condition to worsen, and this tuberculosis is likely to be transmitted to relatives around them.
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Bone tuberculosis is the invasion of Mycobacterium tuberculosis into the skeletal system of the human body, thereby causing destructive diseases of the bones.
Bone tuberculosis is caused by tuberculosis bacteria infecting the bones, which is secondary tuberculosis, which is generally a disease caused by the spread of tuberculosis bacteria to the skeletal system through the blood system if the tuberculosis disease is not complete or untimely. Bone tuberculosis disease is relatively slow, and there will be symptoms such as weakness, loss of appetite, and local pain in the early stage, and in severe cases, symptoms such as dysfunction and joint swelling may occur.
If there are symptoms of bone tuberculosis, you should go to the hospital in time for examination and diagnosis, and actively carry out chemotherapy under the guidance of the doctor. Regardless of whether the bone tuberculosis disease is operated on or not, it should be carried out regularly, in sufficient amount, and with a full course of drugs**, commonly used drugs are isoniazid, rifampicin, fluoroquinolones, etc.
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Bone tuberculosis is a purulent and destructive lesion caused by the invasion of Mycobacterium tuberculosis into bones and joints, most of which are secondary to pulmonary tuberculosis, and can spread to the skeletal system through bloodstream after lung infection.
It is manifested as obvious systemic symptoms, and as the disease progresses, it gradually feels general malaise, fatigue, loss of appetite, weight loss and other symptoms.
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Very severe pain, muscle spasms, joint movement is very inflexible, sometimes night sweats, and the body will lose weight, which may be infected with tuberculosis bacilli, which may be caused by the body's weakened immunity.
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There may be pain and fever, limited joint movement, tatters, fatigue and loss of appetite. This is due to the fact that the body's immunity is relatively low, so the virus is transmitted through the bloodstream to the joints and bones of the human body, and such a disease is formed.
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Hello! Bone tuberculosis is a disease with a fairly high rate of disability. Because Mycobacterium tuberculosis cannot directly invade bones and joints, bone tuberculosis is a secondary disease, 95% of which are secondary to pulmonary tuberculosis. Mycobacterium tuberculosis enters the blood through the primary lesion of the body and lurks in the synovial cavity of bones or joints, although the tuberculosis bacilli at this time are active but in a static state, once the body is overtired, malnourished or suffering from other diseases, the tuberculosis bacillus latent in the synovial cavity of bones and joints will take the opportunity to multiply rapidly, break through the envelope of fibrous tissue and develop the disease.
This is where bone tuberculosis occurs.
Bone tuberculosis is a local manifestation of systemic diseases, and the occurrence of bone tuberculosis indicates that the patient's overall physical condition has problems such as decreased immunity and weak physique. Especially in the elderly, the complications and sequelae of surgery are difficult for elderly patients with bone tuberculosis to bear. Surgery is generally faster and can control the disease, but because the tuberculosis bacteria do not travel with the blood throughout the body, surgery cannot completely remove the lesion, and the possibility is relatively large. >>>More
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Name. Called the tuberculosis pill. Place. square].
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