Stomach ulcer and tuberculosis: features treatment

ये लक्षण नजर आए तो समझो पेट में अल्सर है ||What Is The Symptoms Of Stomach Ulcer (Health And Medical Video July 2018).

Tuberculosis often occurs on the background of ulcer of the stomach or after its resection. Why is this happening and what are the features of treatment for these two pathologies.

Since ancient times doctors have noticed that peptic ulcer of the stomach and 12-digestive tract often occurs in the background of pulmonary tuberculosis, which significantly weakens the body's defenses and reduces immunity. It often develops anemia, disturbed metabolism, patients lose weight even until development of depletion.

Recently, an increase in the incidence of tuberculosis has been observed in Ukraine. This is largely attributed to the economic crisis, deterioration of living conditions, unbalanced nutrition, rising prices of drugs, increased consumption of alcoholic beverages (especially younger generations), as well as the spread of drugs and smoking.

It has been established that in people with peptic ulcer or resection of the stomach, tuberculosis occurs 4 times more often. In addition, younger patients are more often associated with a combination of tuberculosis, alcoholism and diseases of the digestive system, and in the elderly - tuberculosis, cardiovascular disease, diabetes and peptic ulcer disease. Often, these diseases are joined by viral hepatitis (less often - AIDS).

Causes of peptic ulcer and tuberculosis

With peptic ulcer, especially during the period of its exacerbation, and also after resection of the stomach, patients are forced to adhere to a low-calorie anti-ulcer diet and limit the amount of food consumed. It is often poor in trace elements, vitamins and high-quality protein. All this reduces immunity and increases the susceptibility to any infection, especially tuberculosis. That is why in part of patients already after 5 years from the moment of the onset of peptic ulcer disease (or after resection of the stomach), during another preventive examination, tuberculosis is detected.

Features of the combination of peptic ulcer and tuberculosis

Tumor on the background of peptic ulcer disease has a long and unfavorable course with the disintegration of lung tissue, the formation of cavities of decay and the isolation of tuberculous bacteria (an open form of tuberculosis).

Aggravated peptic ulcer tends to exacerbate tuberculosis, which greatly weakens patients and leads to prolonged disability and frequent disability.

In half of patients during the course of treatment, tuberculosis activists acquire drug resistance, so the only effective method is the surgical removal of the affected part of the lungs.

Less common occurrence is the development of drug resistance in the stomach heliobacter (a pathogenic microorganism that provokes the development of ulcers).

Operative treatment of stomach ulcers almost always leads to an exacerbation of tuberculosis and prolonged its course.

Medicines have pronounced side effects (especially on the mucous membrane of the stomach) and occur in 90% of patients who have been taking anti-TB drugs for a long time.

In patients with peptic ulcer and tuberculosis pathology, heliabacteriosis occurs in 85-90% of cases, while in patients who are not patients with tuberculosis, in 68-70% of cases.

Features of treatment

Great difficulty for doctors is the selection of the least toxic anti-TB drugs in the period of exacerbation of peptic ulcer. Drugs often cause allergies in patients, and they have to be changed to other (the so-called prescription drugs), but it is impossible to stop the treatment of tuberculosis in this period, since lungs rapidly begin to form cavities of decay.

Patients with stomach ulcer and pulmonary tuberculosis are recommended to undergo X-ray examination (X-ray or fluorography of the lungs) at least 1-2 times a year. And at least 2-3 times a year patients should undergo an endoscopic examination of the stomach and be observed in the gastroenterologist. This is necessary in order not to miss the exacerbation, especially when symptoms such as increasing weakness, fatigue, nausea, fever, cough, weight loss and intoxication.

An important role in improving the general condition of the patient is played by:

  • Enriched with high-grade protein, vitamins and microelements of food;
  • Taking medications that stimulate immunity (immunomodulators) and healing of the gastric mucosa;
  • Treatment and prevention of anemia, dysbiosis, hypovitaminosis and other concomitant diseases;
  • In severe cases, intensive therapy with drugs that reduce intoxication is carried out.

In addition, patients should be aware that the surgical treatment of peptic ulcer does not guarantee the disappearance of tuberculosis. (And sometimes even on the contrary - it can provoke its appearance in connection with resection of the stomach, and hence, to varying degrees of digestion disturbed.) Therefore, such patients should be observed, as before, in the phthisiat and gastroenterologist with the periodic holding of instrumental- Laboratory studies.

Stomach ulcer and tuberculosis: features treatment

Category Of Medical Issues: Diseases

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