Tuesday, January 29, 2013

The therapeutic _'s treatment of tubercle

The therapeutic _'s treatment of tubercle
The therapeutic adaptation card of glucocorticoid of tubercle still has objection, to some slight cases, for instance skin damage, before grape membrane inflammation or cough,etc.,only need cortical hormones some not to be treated, whole body tubercle usually needs oral cortical hormone, heart and nervous system pathological change, high blood calcium and eye pathological change failing to respond to any medical treatment to the part are the therapeutic adaptation card of oral cortical hormone. The the whole body cortical hormone treatment of tubercle still have objection outside lung and other lungs, but most scholars should consider the cortical hormone treatment of whole body while thinking that there are symptom and going on development. Have symptom but have continuation lung soak or person who go on the intersection of lung and function too should consider the intersection of whole body and the intersection of and the intersection of cortical hormone and treatment lose. To needing the patient that long-term cortical hormone treats, should consider resisting the use of malaria medicine and malicious medicine of cell, can consider implementing the lung and transplanting the skill while being few to cure venereal disease example while being difficult.
1.Glucocorticoid
Early research shows, short-term oral cortical hormone can relieve respiratory tract symptom, improve the intersection of lung and soak and the intersection of lung and function that X-ray reveal, repeat, examine, reveal cortisone over a longer period treat, can make granulation to be swollen to relieve too while being alive. But stop, treat, often can cause symptom and lung soak recur, have report in stop, treat how patient more than 1/3 recurs in the 2 year.
Therapeutic suitable dosage and course of treatment about cortical hormone are still scarce to seek unity of standard, but in conformity with the individual. To lung tubercle, the initial dosage is usually to splash the Buddhist nun loose for 20- 40mg every other day (prednisone) Or equivalent other cortical hormone, the heart or nervous system pathological change should increase the dosage appropriately, 1- should assess curative effect after the 3 month, treat through 3 month still getting invalid even lengthen time can effective either, should look for reason failed to treat, such as irreversibility fiber take and dosage enough for and endogenous sex hormone tolerate, hormone should from decrement to every day or 5- 10mg every other day, should treat at least 12 month continuously gradually when being treatment effective, cortical hormone decrement or stop after should pay attention to not recuring,because if you can't recur, need not keeping not treating low dose ofly for a long time repeatedly to some patient.
Tubercle skin damage, iris inflammation, grape and membrane inflammation, nasal polyp or angry way pathological change can be treated with some cortical hormone, lung tubercle can be adopted and sucked cortical hormone too.
2.Malicious medicine of cell
The malicious medicine of cell has already verified that there is precise clinical curative effect among some patients, among them first ammonia butterfly purine and sulphur thiazole purine are comparatively safe and effective. Can also consider employing ring phosphorus amide in case of recuring. Foreign one report show, 50 patient 33 case effective to purine of first ammonia butterfly, other 9 must add with splash Buddhist nun to be loose while being low dose of, but medicines stop to recur, most patients are still effective after offering first ammonia butterfly purine again, indicate first ammonia butterfly purine only relieves but not cures tubercle. Have report reveal, use the intersection of sulphur and the intersection of thiazole and purine separately or share until chronic tubercle the same as purine of first ammonia butterfly in curative effect of disease with cortical hormone. Mustard of nitrogen benzene butanoic acid (but tumour would rather) Because toxicity is more greatly to eliminate gradually. The intersection of ring and the intersection of phosphorus and amide because toxicity large too, used in difficult to cure venereal disease example only at present.
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