Tuberculosis of bones
Brief description of the disease
If TB infection affects the spine and bone joints, the person diagnosed with tuberculosis of the bones. The disease is carried by hematogenous from the primary lesion, and often affects children in the first 10 years of life. In most cases, tuberculosis of bones and joints in developing epiphysis articular end of the bone, where, in fact, formed locus. The infection then proceeds to the synovium and articular cartilage.
It should be noted that the disease affects different parts of the joint, so experts distinguish synovial tuberculosis of bones and bone, the symptoms of which we describe below. In the meantime, a few words on the characteristics of each form. Synovial tuberculosis of bones leads to redness and the appearance of a plurality of bumps, filled with serous eskudatom. If treatment is started in time, the infection process almost immediately subsides while healing has expressed sites. Tuberculosis of bones, treatment is not carried out or carried out incorrectly, resulting in the destruction of the ligamentous apparatus and, eventually, complete dysfunction of the articular ends of bones.
Regarding bone tuberculosis, it flows differently. It starts with the melting of the disease or bone substance bone, or with significant necrosis of the skin, a process that eventually begins to spread to larger and larger area. Regardless of the initial symptoms, bone tuberculosis of bones and joints causes the formation of purulent fistula or a cavity opening to the outside. Note also that a few weeks later the inflammatory process can be stabilized and the patient comes remission.
Tuberculosis bone - symptoms and clinical picture
The most characteristic symptoms of tuberculosis of bones - a swelling in the affected joint, soft tissue atrophy, accumulation of serous or serous exudate fibrination, muscle contracture and limited mobility of the joint. X-ray examination revealed: the limited cavity in the bone, bone marrow depression, and substance expansion or narrowing of the joint space (depending on the availability of exudate).
Tuberculosis bone - treatment of the disease
As is the case with other orthopedic diseases, treatment of tuberculosis should be administered in bone complex. During treatment specialists use conservative techniques and surgery. A critical component of the process is chemotherapy, which serves as the basis for a number of other events.
Treatment necessarily involves antimicrobial therapy. If possible, she should start as early as possible to slow down the development of the inflammatory process. Antibacterials can be applied topically, intraosseously, intravenously and intra-arterially. Sometimes they are administered in abscesses and fistulas after puncture. If a person develops TB bones, symptoms of which, for whatever reasons, can not be eliminated with the help of surgery, antibiotic therapy has become the main method of treatment.
A compulsory component of the treatment process are orthopedic techniques, whose purpose - to relieve the affected area until the complete cessation of the spread of the inflammatory process. To do this, the patient is prescribed bed rest in a plaster bed, after which the patient has to wear a plaster, and a little later, and a removable brace. In recent years, the effect of orthopedic techniques for the treatment of tuberculosis of bones fell slightly in relation to the development of new drugs, but, nevertheless, they are still successfully used in many local hospitals.
Surgery is indicated in patients who develop pronounced destructive processes
. In this case, it is desirable to eliminate the pathological focus of inflammation that can be done only by means of surgical techniques
. In our country, we have developed different types of surgery
. Most often doctors perform extirpation of the joint capsule or synovectomy
. Widely used and recovery operations when the experts aim to not only cure tuberculosis of bones, but also to restore the function of the affected department
. At the same time complex treatment of complications that often accompany tuberculosis
. After surgery the patient for some time shown to bed
. He recommended after consolidate the results and visit one of the specialized health centers, where the recovery process will proceed more quickly and painlessly