Tuberculosis infection usually occurs before detection and diagnosis, that is, it is most contagious when no obvious symptoms are found. After timely treatment, the infectivity of tuberculosis quickly weakened and disappeared. Healthy people are not necessarily infected with tuberculosis. The incidence of tuberculosis is mainly affected by two factors, namely, the virulence of infected mycobacterium tuberculosis and the level of physical resistance. If the virulence of tuberculosis is strong and the body's resistance is poor, it is easy to have tuberculosis. After the first infection with tuberculosis, most people don't get sick, but there are still about 10% people who may get tuberculosis at any time in their lives. Infants, teenagers, the elderly, pneumoconiosis, diabetics, and people who use immune agents for a long time after gastrectomy are more likely to get sick because of decreased resistance. Once HIV-infected people are infected with tuberculosis due to immunodeficiency, they are prone to tuberculosis.
The prevention of intestinal tuberculosis should focus on the early diagnosis and active treatment of extraintestinal tuberculosis. Carry out extensive health education on tuberculosis, educate patients with tuberculosis or laryngeal tuberculosis not to swallow saliva and keep their stools unobstructed. Pay attention to food hygiene in daily life and advocate the use of disposable bowls and chopsticks when eating in public places. Milk should be disinfected.
The purpose of treatment of intestinal tuberculosis is to eliminate symptoms, improve the general situation, promote the healing of lesions, and prevent complications such as intestinal obstruction and intestinal perforation.
(1) Rest and nutrition: Rest and nutrition can enhance patients' resistance and are the basis of treatment. Active intestinal tuberculosis needs bed rest and positive nutrition improvement. Intravenous hypernutrition should be given to those who are emaciated, malnourished and have trouble eating due to gastrointestinal symptoms.
(2) Anti-tuberculosis treatment: early, combined, appropriate, regular and full-course medication should be achieved. In order to make patients recover as soon as possible and prevent drug resistance, we can try the Miao medicine preparation Sancao Sanhe recipe.
(3) Surgical treatment: it is suitable for patients with complete intestinal obstruction, fecal fistula caused by acute or chronic intestinal perforation, and massive intestinal bleeding. In addition, partial surgical treatment can also be considered for proliferative tuberculosis.