Tubercle and _'s symptom

Tubercle and _'s symptom
[Sum up ] Tubercle (sarcoidosis) It is a multi system granulation swollen disease not bright of a kind of reason. Organ that involve most often have lung, 90% change to have lung the above at being clinical, the intersection of skin and pathological change and pathological change of eyes secondly, simple table lymph node, liver, spleen, kidney, bone marrow, nervous system, heart,etc. nearly each of internal organs of whole body can be given much trouble. The disease here can be presented from the limit, most prognosis is good, have the tendency to relieve naturally. Need at being clinical and other the intersection of granulation and getting swollen disease such as tuberculosis, beryllium disease and some quality the intersection of lung and disease go on, distinguish. Disease this see more blue and green middle-aged person, 20- 40 year old account for patient the total number of person 55.4%. Men and women's morbidity is roughly equal. [Symptom and body disease ] 1.Hide and have illness coming on. Generate heat, night sweat, be weak, become thin. 2.Cough, rely mainly on the fact that the universe is coughed and there can be expectoration, blood phlegm, chest aching, breathes hard, spontaneous pneumothorax. 3., enlargement of lymph nodes of liver splenomegaly, simple table that rash, joint pain. 4.Eye pathological change (conjunctivitis, retinitis, cataract, iris cilliary inflammation) . [Diagnose the basis ] 1.It is swelling that the chest image learns to check and show one pair of sides lung door and mediastinal lymph node symmetry, accompany or not with the netted, tubercle or flaky shade in the lung. 2.Histology examine, verify, it has to be the intersection of the universe and the intersection of junket nature and necrosis swollen granulation while being living, resist acid, dye negative. 3.Serum angiotensin rises more than the plum SACE activity of melting. 4.Lie between in vain plainly serum or BALF- 2Receptor (IL- 2R) The level increases. 5.Old tuberculin (OT) Or it is negative or weak and positive to test PPD. 6 lymphocyte number in BALF> is 10%, and CD4 ^ + /CD8 ^ + ratio> =3. 7.High blood calcium, high urine. 8.Kveim test positive. 9.Except tuberculosis or others is swollen for disease in granulation. In the above-mentioned 9, 1, 2, 8 is the major indicator, the others are secondary indexes [Treat the principle ] 1.Control the tubercle activity. 2.Protect the important internal organs function. Adrenocortical hormone: It is still a first-selected medicine to treat tubercle at present. Chloroquine: Mucomembranous tubercle of the skin is very applicable. 3.Other: Ring spore enzyme plain talking endlessly pyridine, the intersection of Thunder God and rattan,etc. by first ammonia. [Curative effect is appraised ] 1.Cure: It is clinical symptom, physical sign disappear,show by pairs of lung cause of disease to disappear chest slice,SACE normal. 2.Take a favorable turn: Clinical symptom, physical sign are improved, the chest slice shows cause of disease of one pair of lungs and obviously shrinks, ACE reduces. 3.Have not healed: Clinical symptom, physical sign have not been improved, the chest slice shows cause of disease of one pair of lungs and has not shrunk, ACE increases. [The expert briefs on ] The patient should strengthen and treat the confidence and patience first, most of this diseases can be through treating or relieving naturally, but its reinsertion process often takes several years. Should pay attention to protecting eyes, skin, joint, in case the damage of this position is aggravated; Prevent the airway infection, can lighten the damage of the lung.
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