2023-12-14 04:35:51
Difficult case: spinal tuberculosis Professor Doctor Surat warns that tuberculosis is still around.
December 14, 2023 at 11:35 a.m.
Spinal tuberculosis, unable to walk, difficult case, must be treated quickly Prof. Dr. Surat warns that tuberculosis is still circulating. Strange and unreliable symptoms should come and see a tuberculosis doctor today (14 Dec. 2023). Asst. Prof. Dr. Surat Tanprawet, a specialist in the nervous system and brain. Faculty of Medicine, Chiang Mai University Providing health knowledge through the brain information page with Dr. Surat It is used as a warning for tuberculosis. Contagious diseases still found in Thailand Professor Dr. Surat said that today’s story is strange. Found two patients with tuberculosis. One person had tuberculosis in his lungs. He was very tired and stopped breathing and had to give CPR. After pumping the heart The patient had non-stop seizures due to cerebral ischemia. The other tuberculosis patient was a Thai man who was elderly and might not urinate. Not having an enlarged prostate Then there was a feeling of numbness. Symptoms spread to the navel. X-rays and MRI were performed and spinal tuberculosis was found. Then it causes the spine to become inflamed. The X-ray picture showed a long white patch, dragging down, unable to walk, halfway down, which was a difficult case. It was necessary to quickly arrange for a cerebrospinal fluid puncture to be examined. and give medicine to treat tuberculosis Teacher Dr. Surat Used as an example: 1. Tuberculosis is like an ancient disease. But it hasn’t gone away, it’s still around. 2. Have a close history with tuberculosis patients. Then there is a chronic cough, weight loss, and night sweats. Be careful of tuberculosis. Hurry and get a chest x-ray. 3. Can’t urinate, stumble when urinating, have numbness. Be careful of meningitis. You need to treat it quickly, or it might lead to paralysis. If treated quickly, you can recover. 4. Strange symptoms that are unreliable, come see a specialist doctor. for bone tuberculosis The Medical Department provides information that Thai people are not yet familiar with the term bone tuberculosis, but in fact it is another disease that is common among Thai people and can be transmitted to others. From inhaling mucus droplets from tuberculosis patients who cough, sneeze, or breathe, or may be transmitted by eating food. and food containers contaminated with tuberculosis bacteria Bone tuberculosis is caused by bacteria entering the body through the lungs. When the lungs are infected Will cause pulmonary tuberculosis. This infection can penetrate the bloodstream and spread to destroy other organs such as lymph nodes, brain, kidneys, and bones. When it destroys the bones, it is called bone tuberculosis. The infection will cause the bones to collapse, the back to bend, and the appearance of pus or bone fragments. herniated disc And when it enters the spinal cord, it causes compression on the nerves in the spinal cord, causing paralysis in the legs. For symptoms of bone tuberculosis, during the first 1-2 weeks there will be body aches and pains. Until one month has passed, the pain will become more evident. There may be a low-grade fever in the evening, along with loss of appetite, weight loss, and you may think it’s normal back pain. If left for a long time, it will cause the spine to bend. Because the infection destroys the bones If there is pressure on the nervous system, it can cause numbness in the legs, difficulty in defecating, urinating, enlarged lymph nodes, and walking with a limp. Common locations include the spine, hip joints, knee joints, shoulder joints, wrists, and lumbar spine. Diagnosis of bone tuberculosis Can be examined radiologically to see if the bones were destroyed There is also deflection. or a narrowing of the disc, which is a sign that TB is destroying the spine CT scan examination or MRI To see if there is pus and spinal destruction. For treatment to eliminate tuberculosis and prevent compression of the nervous system. Including preventing the spine from being deformed Give anti-TB medicine to bones and joints in cases with mild symptoms. that must be taken continuously And in the case of severe If drug treatment is ineffective, surgical treatment is used. The way to protect yourself from bone tuberculosis is to always maintain good health. Exercise regularly to keep your immune system strong. Try to stay in a clear place and breathe easily. If you cough or sneeze, cover your mouth with a cloth or paper. To prevent germs from spreading, discard paper into a trash can with a lid. Importantly, you should have a health check every year.
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