The healing solution _'s treatment of tubercle

The healing solution _'s treatment of tubercle
1.It has not been bright that hormone treats cause of disease of of tubercle, there is no specific treatment. It is still a first-selected medicine that glucocorticoid of renal gland is abbreviated as hormone, but differ to its view of adapting to card, course of treatment, consumption and curative effect. One view think tubercle disease must have limit nature since, need hormone treat. Once the intersection of disease and limit since, a few will send again only. The hormone treatment can make the granulation swollen and lighten, but can't change the natural course of disease, the granulation was swollen may recur after medicines stopped. Another view thinks hormone can inhibit T lymphocyte hyperplasia and function of T lymphocytic effect cells, prevent the release of the lymphocytic factor, inhibit the alveolus inflammation and swollen forming of granulation, thus reduce the lung function to damage, so advocate early application. But consider there are tubercles from limit nature, and hormone has obvious side effects, so usually only act as the important organ ' Lung, kidney, heart or central nervous system) Function give much trouble or have hypercalcemia at the disease, give hormone treatment just.
I stage patient can not need to treat temporarily, reexamine once in 6 months. There is 2 stage patient whose breathing hard, coughing, chest aches that should treat; Should do 67Ga to scan and check with the lymphocytes in BAIF to the 2 stage patient without symptom first, pathological change have high activity person should offer, treat, getting obvious activity 6 reexamine once month. A patient should act as 67Ga scan and BAL check, the pathological change activity person must be treated. Tubercle should all be treated in principle outside the chest. Treat tubercle and usually select for use and splash the Buddhist nun loose. Treatment and dosage are as follows.
The treatment of every day: Initial dosage every day 30- 40mg, serious the intersection of disease person and 40- 60mg/d, decrement under 6 month, until 10-15mg/d of keeping etc.. The course of treatment is 1- 2 years.
The treatment of a day: It splash Buddhist nun it is loose 50- 50mg/d,after being at 2- 6 week should decrement,keep dosage should to can keep final one by dosages lowest of therapeutic effect, splash the intersection of Buddhist nun and loose 10- 15mg/d, can keep, treat function and side effect lower usually. The course of treatment is 1- 1.5 years.
Suck and treat: Endure Germany (Budesonide) sucking the cloth 0.8mg, 2 times d, being used in 2, a patient can replace oral hormone all or partly. Begin to splash the Buddhist nun and use medicine with oral administration at the same time loose in 2- 3 months, switch over to using separately and sucking writingses to maintain and treat later, the course of treatment the same as uses medicine all over. Active the intersection of lung and the intersection of tubercle and disease have focus person outside the lung, can use separately hormone treat, symptom can add the part to treat with the whole body treatment while being getting serious. Side reaction of hormone and treatment: Reduce the emergence that the dosage can reduce the chance infection greatly. The weight increases and liquid retention can be controlled by diet. Diabetes may be aggravated because of using hormone, it is used that should be careful. In employing the hormone treatment, in view of morbidity of tuberculosis of our country being relatively high, can add and obey isonicotinyl hydrazine every day 0.3g at the same time if necessary.
2.The indole is beautiful and hard and the others are not that the body of steroid resist inflammation medicine effective to arthritis of Loffgren's syndrome. For hormone it can't meet or with after curative effect is getting better can also select for use. If can protect too loose with hydroxyl, 100mg/d, the course of treatment is 3- 6 months, curative effect is like hormone.
3.Chloroquine, to inhibiting the skin pathological changes of lung fiber and tubercle effectively, but application, 250mg, 4 times d, changes into for 2 times every week of 250mg 3 months later, course of treatment is 6 months.
4.Sulphur thiazole purine sulphur thiazole purine 100mg, 4 times d, the course of treatment is 3 months, are used for using hormone and invalid patient of chloroquine. The purine of butterfly of chlorine first: Fiber take and the intersection of skin and pathological change have certain result to lung, long-term administration can also cause the intersection of lung and fiber take. The benzene butanoic acid nitrogen mustard has valid reports too.
5.It is for lung been amino for benzoic acid it take fiber, hemorrhoid lupus effective,can with cortical hormone, chloroquine be used to be replaced.
6.Other immunity strengthen anticlockwise imidazole of pharmaceutical, shifting factor, thymosin,etc.. Will keep out of the sun apparent calcium supersession of influencing tubercle waits to fix. If hypercalcemia disease exists, can consider limiting the intaking amount of calcium in the diet. Tubercle treats the principle: Carry on the possible part treatment; Once use hormone, should use for at least one year (the decrement gradually) ; The induction dosage of relieving symptom is greater than maintaining the dosage. The healing solution should follow the condition decision.
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