Tuberculosis of the liver diagnosed at just 1.2% of the total number of people affected by TB. However, this disease in recent years have been identified in 50-80% of patients who had died of pulmonary tuberculosis.

In most cases, tuberculosis of the liver - a secondary tuberculosis, which occurs in patients with pulmonary tuberculosis or intestines. When the probability of pulmonary tuberculosis granuloma formation in the liver is significantly higher than for other internal organs, because through it are huge amounts of blood, which is why the risk of getting it increases tubercle bacilli. But usually these granulomas have only a minor impact on the functioning of the liver, so liver tuberculosis causes minimal symptoms, and sometimes even asymptomatic. Primary tuberculosis of the liver is rare, usually - in patients with diseases that have led to a significant weakening of the immune system.

Symptoms of tuberculosis liver

A significant portion of patients with secondary liver tuberculosis, there are only the symptoms typical of pulmonary TB - cough, expectoration of sputum, chest pain, fever, weakness, wanton weight reduction. Specific symptoms of primary and secondary liver tuberculosis can be pain in the right part of the abdomen and hepatomegaly Hepatomegaly - not a disease but a sign of the terrible   (enlarged liver). In some cases, patients develop jaundice - a condition in which the skin and mucous membranes acquire a yellowish tint.

Diagnostics

A blood test for tuberculosis liver usually shows increased alkaline phosphatase and transaminases. However, even in the presence of symptoms characteristic of tuberculosis liver and blood tests may be misdiagnosed. For example, there are cases where patients with tuberculosis liver mistakenly diagnosed with cholangiocarcinoma - a malignant tumor of the bile ducts. To detect tuberculosis liver, in most cases, requires a computer tomography (CT) or magnetic resonance imaging (MRI). These methods of medical imaging allow you to see multiple growths of varying density, typical for different stages of tuberculosis of the liver, including - tuberculous granulomas, fibrosis, or tissue calcification. To confirm the diagnosis may also need fine-needle biopsy.

Forecast

With timely treatment, the prognosis is favorable enough, but because of the fact that tuberculosis often causes no liver symptoms persist, it is not always possible to diagnose and begin to treat the early stages. The death rate from tuberculosis liver varies from 15% to 42% in developed and developing countries, respectively. The following factors increase the likelihood of death with the diagnosis:

• Age younger than 20 years;
• Miliary tuberculosis Tuberculosis - a full recovery is not guaranteed ;
• Prolonged treatment with steroids;
• AIDS;
• Cachexia - severe depletion of the body;
• Cirrhosis of the liver;
• Liver failure.

Treatment of tuberculosis of the liver

Because of the relatively high probability of complications and even death in the treatment of this disease is usually used just four anti-TB drugs - isoniazid, rifampicin, ethambutol and piradinamid. The course of treatment for most patients with tuberculosis of the liver lasts at least one year.

Possible side effects of anti-TB drugs:

• Isoniazid. Acceptance of this drug may cause fatigue, nausea and lack of appetite. In rare cases, as a rule, people suffering from malnutrition, it causes tingling and numbness in hands Numbness of hands - not such a harmless symptom   and feet;
• Rifampicin can cause diarrhea, poor appetite, nausea and vomiting, menstrual disorders, headache and rash. Sometimes it leads to a change in the color of urine and saliva - they can buy an orange or pink hue. Furthermore, rifampicin reduces the effectiveness of combined oral contraceptives and other drugs - this should talk to your doctor before beginning treatment;
• Ethambutol often leads to problems with vision. Patients should be several times during the course of treatment be checked by an ophthalmologist. People who are taking ethambutol, for any loss of vision should immediately consult your doctor;
• Pyrazinamide. The most common side effects of this drug are nausea and lack of appetite. Seek immediate medical help if while taking pyrazinamide you notice symptoms such as skin rash, fever and joint pain Joint pain - how to understand what is going on? .

Pancreatin is able to improve the function of the digestive system, as it promotes rapid digestion of food and quality. As a result of its use proteins fats and carbohydrates rapidly digested and absorbed into the bloodstream without irritating the walls of the gastrointestinal tract.

Pancreatin as a home remedy to combat violations of overeating and dieting

Probably not a man who would not experience the effects of a fatty, sugary foods or large quantities of meat. Fatty foods cause nausea and sometimes vomiting, diarrhea, sweet - bloating and cramping in the bowels. If you eat a lot of meat, the digestion to break it to join the process of decay, resulting in the formation of toxic products and a lot of gas - it will cause a headache Headache: Causes and Complications , Disorders, and general condition of the chair.

Medication, which include pancreatin, prevent the development of such unpleasant phenomena. If the pre-take such a drug fails, it will reduce its reception discomfort to a minimum.

In violation of the diet, you can take one or two pills mezima forte, festal or panzima. If the consequences of violation of the diet have said, these drugs can take one or two tablets three times a day for two to four days. If during this time will not improve the condition (especially with rising temperature), you should see a doctor.

The use of pancreatin in the treatment of diseases of the pancreas

Inflammation of the pancreas called pancreatitis. Acute pancreatitis can not always be attributed to inflammatory diseases as the main pathological process in this case is not the inflammation and destruction of the pancreatic cells and access to a large number of its tissue of pancreatic juice, which can digest large portions of tissue of the body. If you assign an additional pancreatin, for the destruction of the pancreas will increase, which will make the already difficult condition of the patient threatening. Therefore, in cases of suspected acute pancreatitis (severe encircling appearance of pain in the upper abdomen, nausea and vomiting) can not take pancreatin should call an ambulance.

Do not take pancreatin and an exacerbation of chronic pancreatitis. But without exacerbation, when the fore signs of digestive disorders (with each exacerbation of the pancreatic tissue Diabetes and pancreas - the things you need to know   replaced by connective tissue, and therefore the body loses its function) is assigned as pancreatin treatments, with the dose and duration of administration selected patient physician individually.

In this case it performs as a pancreatin substitution function, and stimulates the secretion of pancreatic juice own. In addition, it helps to improve the function of other organs of the gastrointestinal tract, which also always suffer from chronic pancreatitis.

The use of pancreatin in the treatment of chronic diseases of other digestive organs

Any long flowing inflammatory processes of the digestive system in due course lead to a reduction of their function, since there is poor circulation in the concerned body metabolism Metabolism: The basis of life of all living things   (degeneration of tissue) and decreased function as a result of cell death, secreting digestive enzymes. Such processes are characteristic of chronic diseases of the stomach, duodenum, colon, liver and biliary tract. This disease is a digestive organ necessarily a negative impact on the function of other organs.

Formulations containing pancreatin, used in this case, the program per individual dose. They improve the function of the digestive system, as it reduces the food load and remove the negative impact on them of toxic products of incomplete digestion.

The use of pancreatin after operations on digestive organs

In some diseases (such as gastric ulcer and duodenal ulcers, tumors, vascular thrombosis bowel, etc.) have to remove the affected organ or part of its whole entirety. In this case it suffers from its main function - the formation and secretion of digestive enzymes.

Patients after prescribed operations such as replacement therapy courses or continuous use (depending on the nature of the transaction) pancreatin Pancreatin - a means to improve digestion .

The use of pancreatin in diagnostic studies of the abdominal cavity

When diagnostic examinations of the abdomen the presence of even a small amount of gas in the intestines can interfere with detection of irregularities in a particular organ. Therefore, before the X-ray and ultrasound of the abdominal cavity prescribed medications, which include pancreatin. Pancreatin helps break down food without formation of gases.

Pancreatin - a drug which is widely used for the treatment and prevention of various diseases and conditions.

Galina Romanenko