Recognize And Prevent Spinal Tuberculosis

Spinal tuberculosis needs to be diagnosed and treated in tuberculosis specialist to avoid severe consequences later on for the patient.
Tuberculosis of the spine mainly damages the disc and vertebrae, rarely in the posterior arch. The disease may occur primarily in the spine, may be secondary in patients with tuberculosis, tuberculosis ..

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Signs of spinal tuberculosis
In addition to the syndrome of infection, intoxication as in other tuberculosis, symptoms of the spine and nerve roots manifested as follows: when the disease is first, the symptoms are mainly pain at the site of the injured vertebra, then spread along the corresponding nerve roots, increasing pain when walking, carrying, when coughing, sneezing .. lying down, the pain is reduced, the pain gradually increases, the pain relief treatments do not help.



Examination of pain at the spine.
The lumbar spine is reduced or loses its physiological bent, limiting movement, spasms of the muscles near the spine. By the time of the disease, the intervertebral disc and spine were severely damaged, and at the same time, forming a cold abscess around the affected area.
Severe clinical manifestations, increased pain in the injured vertebra, persistent pain, accompanied by nerve roots, with myelosuppression syndrome or horsetail. Spinal lesions protruding back, spine may be distorted, limited mobility.
Tuberculosis of the spine directly affects the life and health of patients
Depending on the affected vertebrae, the corresponding localized neurological symptoms may occur, for example, lesions of the thoracic vertebrae D2 and D3 will cause compression of the medulla space there, clinical manifestations of paralysis of the lower limbs and presence of symptoms of plant neurological disorders, nutritional disorders in the lower part of the affected area.
If the lesions in the back of the spine L2 and L3, will cause tamponade at high altitude, neurological manifestations by peripheral paralysis and loss of sensation in the lower extremities, peripheral sphincter disorders, true neurological disorders and heavy nutrition in the lower limbs Examination can see cold abscess, pus under skin layer or muscle layer, spot no redness, no pain.




The abscess has a different position depending on where the injury is, for example, plunges in the back of the spine, abscess follows the ribs to the back, creating a cold abscess located next to the sides of the rhombus ; Tuberculosis in the lumbar spine abscess follows the lumbar-sac muscle and descends, creates abscess in the pelvic hole or in the groin (Scarpa triangle area).
Systemic symptoms: Patients with fever, thinning, can see TB lesions in other places such as tuberculosis, tuberculosis, intestinal tuberculosis ...
Methods to support the diagnosis
X-rays can show typical TB lesions as the disc narrows and at a later stage the kidneys of the vertebra stick together, the upper and lower vertebrae are destroyed and the tuberculosis is formed. The vertebral column is collapsed, especially in the foreground, which makes the vertebrae shaped like a wedge and the hunched, thin spine of the vertebra protrudes.
If there is a cold abscess, the X-ray film will see the shadow of the cold abscess. X-ray image of spinal tuberculosis differs from cancer lesions as follows: In cancer lesions mainly in the vertebra, the disc is not damaged, so the disc is not collapsed and stick to the vertebra.




Patients should have X-rays to be able to accurately diagnose spinal tuberculosis
Tuberculosis lesions do not react to bone thickening, bone dentin and bone destruction. Tuberculosis lesions are less common in the posterior vertebra, so if destruction in the posterior arc can be diagnosed by cancer. Other tests such as increased blood sedimentation rate, Mantoux reaction (+).
For patients who have early symptoms of the disease, they must go to tuberculosis specialist to confirm the diagnosis. There are also more modern diagnostic methods and the most effective treatments available.
How is spinal tuberculosis treated?
When suffering from tuberculosis of the spine, the patient is allowed to use anti-tuberculosis drugs, must combine a variety of rifampicin, rimifon, ethambutol ...



, treat seriously, persist enough time, according to the anti-tuberculosis formula with strict control by Tuberculosis specialist, used in combination with analgesics, vitamins and nutritional supplements.
If the patient is newly diagnosed, the disease is mild and only stays motionless in the spine for about 3-4 months. If the patient is seriously ill, they need to use a powder bed or a dough to fix the spinal column. It is possible for patients to exercise, massage their limbs to avoid muscle atrophy and stiffness. Surgical indications are indicated when there is pulmonary tamponade, horse tamponade and cold abscess..

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