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Miliary tuberculosis

Miliary tuberculosis is an acute disease which proceeds with tuberculation in several bodies. Generally Милиарный туберкулез у больных пожилого и старческого возраста this tuberculosis extends a certain activator.

Reasons and symptoms of miliary tuberculosis

Miliary tuberculosis can carry both acute, and chronic character. The acute miliary pulmonary tuberculosis is a disease of similar to typhus and proceeds in a severe form. Chronic tuberculosis represents a disease of wavy character with the periods of an aggravation and decrease in symptoms.

At adult patients miliary tuberculosis is an effect of infection or old circulatory reactivations. At children the disease is a consequence of primary tuberculosis.

The miliary pulmonary tuberculosis poses a serious threat for the patient's life at penetration of bacteria into a blood stream.

At this form of tuberculosis the set of injuries of respiratory and other human organs is formed. The main infestant is the mycobacterium which infection is carried out in the airborne way.

Feature of miliary tuberculosis is distribution of the activator and development of the centers of an inflammation in several bodies at once. On the general background of a disease protective functions of an organism decrease.

The main symptoms of miliary tuberculosis are weight reduction, sharp temperature increase, weakness, a febricula, the complicated breath and cough, a fever. At heavy stages of a current there is a change of stem cells of a brain, and also emergence of a leukosis is possible.

Continuous release of bacteria in a blood stream causes temperature increase and exhaustion of an organism.

Miliary tuberculosis forms the centers in lungs, a spleen, intestines, a liver and a meninx. Sometimes this disease affects only lungs, but often represents acute tuberculosis with existence of genesis of hematogenous type.

Miliary tuberculosis can be divided into several types:

tifoidny type with fever and intoxication of an organism;
pulmonary type with symptoms of respiratory insufficiency;
meningeal type with existence of the small centers of distribution in a brain.

Diagnosis of a disease

Miliary tuberculosis can be diagnosed on the roentgenogram and the tomogram. On a x-ray film Милиарный туберкулез является острым заболеванием of a thorax the multiple centers of an inflammation and damage of lungs, and also the centers in other bodies are shown.

The analysis of a phlegm and blood can define presence of mycobacteria. Often at patients test on Manta has a negative take.

For establishment of the exact diagnosis appoint an oftalmoskopiya, the analysis of liquor, a biopsy of easy and other bodies, a marrow puncture.

Treatment of miliary tuberculosis

The basic course of treatment of miliary tuberculosis lasts from 10 to 12 months. Medicamentous therapy includes 3-5 drugs of antibacterial type, and also the drugs immunostimulating procedures of physical therapy and respiratory gymnastics.

At a heavy stage of a course of a disease according to diagnostic testimonies of the patient carry out a resection of lungs.

As additional therapy appoint an accurate work-rest schedule, the balanced food, vitamin therapy, phototherapy and a climatotherapy.

Often for strengthening of an organism at miliary tuberculosis appoint vitamin D, regular reception of dairy products and drugs with the content of calcium.

If vitamin therapy does not give necessary medical effect, then appoint treatment of miliary tuberculosis streptomycin. Also if necessary carry out removal of the lyupozny centers of a disease at miliary tuberculosis of skin type.

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