Treatment of an increase in the lymph nodes of the mediastinum directly depends on the diagnosis. Consider the therapy of the most possible pathologies. So, the treatment of sarcoidosis is effective with the help of steroid inhalations. Treatment of tuberculosis provides for a long period (up to six months) and is carried out in a hospital, after which, up to one and a half years is continued on an outpatient basis. Anti-tuberculosis therapy includes a combination of 3-4 anti-TB drugs in combination with immunomodulators, metabolic therapy, physiotherapy. Various neoplasms often require surgery in combination with chemotherapy and radiation. With mediastinal lymphoma and advanced stages of tumors, only conservative treatment is used.
For the treatment of sarcoidosis, prednisolone is initially used.
Prednisolone is a synthetic analogue of the hormones cortisone and hydrocortisone. It is an anti-inflammatory, antitoxic, anti-allergenic drug. It is produced in tablets and ampoules. The dose is determined individually, but usually starts 20-30 mg per day during an exacerbation. In chronic course - 5-10 mg. They can initially prescribe intravenously (30-45 mg), and with positive dynamics, switch to a reduced dose in tablets. Side effects are sometimes expressed by excessive hair, obesity, education and perforation of ulcers. Prednisolone is contraindicated in pregnancy, in old age, with hypertension, ulcerative lesions of the gastrointestinal tract.
To carry out inhalations, large doses of fluticasone, budesonide, are used. If pathology does not respond to treatment, azathioprine, crisanol, cyclosporine are prescribed.
Azathioprine - refers to drugs that correct immune processes. The form of release - tablets. A day is recommended to take 1-1.5 mg per kilogram of weight. Perhaps the emergence of nausea, vomiting, toxic hepatitis. Has a contraindication in leukopenia.
Combined treatment of tuberculosis may include the following drug combinations: isoniazid, pyrazinamide, rifampicin or isoniazid, rifampicin, etama butol. During treatment outside the hospital, a combination of two drugs is prescribed: isoniazid with ethambutol, or with ethionamide, or with pyrazinomide.
Isoniazid - is prescribed for the treatment of all forms and localizations of tuberculosis, both in adults and in children. Produced in tablets, powders, solutions. The methods of administration are different: oral, intramuscular, intravenous, intracavernous, with inhalation. The dose for each case is individual, an average of 15mg once-only after meals 1-3 times a day. There may be side effects in the form of nausea, vomiting, dizziness, drug hepatitis, an increase in mammary glands in men and bleeding in women. Contraindicated in patients with epilepsy, with increased blood pressure, liver disease, IHD, etc.
Rifampicin is a broad-spectrum antibiotic in the pharmacy chain is presented in capsules and ampoules with a porous mass. Capsules are drunk on an empty stomach half an hour before meals, intravenously drip only adults, using sterile water and glucose to prepare the solution. For adults, the daily dose is 0.45 g, for children 10 mg / kg. The course of treatment is a month and is under close supervision of doctors, tk. May be allergic reactions, lower blood pressure, indigestion, liver and kidney problems. It is not prescribed for pregnant women, children under 3 years old, with increased sensitivity to the drug.
An increase in the lymph nodes of the mediastinum, whatever cause it was caused, requires a balanced diet rich in vitamins and trace elements. The list of useful products is very large, including low-fat varieties of meat, vegetables (zucchini, carrots, asparagus, celery, cabbage, cucumbers, eggplants, onions, garlic, sweet peppers), various fresh and dried fruits, nuts, cereal cereals, cottage cheese, yogurts, fresh juices and other products. Increase the immunity will help infusions of dogrose, beef liver, butter, citrus. For sarcoidosis there is a restriction in the reception of calcium, but vitamins E, D, C, omega-3 are necessary for a sick body.
Physiotherapy treatment in the tumor nature of enlarging the lymph nodes of the mediastinum is not applied. For patients with sarcoidosis, EHF-therapy is effective on the thymus gland region. Tuberculosis of the lungs is treated with a laser, ultrasound, inductothermia. These methods increase blood circulation in the lungs, thereby increasing the effect of anti-tuberculosis drugs. Contraindicated in acute disease, hemoptysis, tumor processes.
In the recipes of alternative treatment of various lung diseases, we use herbs, bee products, animal and vegetable fats, nuts, etc. Here are some of them:
- mix the interior lard (200 g), butter (50 g), honey (tablespoon), cocoa (50 g), egg yolks (4 pcs.), cream (300 g). The resulting mass is whipped in a blender and boiled to the state of thick sour cream. Drink in a cooled form 1 tablespoon 3 times a day;
- 2 tbsp. Spoons of lycopodium and a pack of softened oil are added to a half liter of honey, mix thoroughly. Take several times a day on a tablespoon;
- beet juice, aloe, honey, "Cahors" wine (100 g each), a spoon of pork fat mix and insist 2 weeks, daily portion 40-50 g per day;
- at a temperature, compresses of grated horseradish and grindings with vinegar are effective;
- inhalation, using pine needles and eucalyptus oil.
In nature, there are many herbs that can help in a complex with medicamental treatment. If the enlargement of the lymph nodes of the mediastinum is associated with infectious diseases, pneumonia, tuberculosis, sarcoidosis, it is safe to use teas and decoctions with linden, berries or elderberry flowers, mother-and-stepmother, licorice, plantain, sage, celandine, nettle, calendula. In the pharmacy chain, special collections of herbs are sold, in which all the necessary components for combating pathological foci are balanced.
Homeopathy is often treated when various other methods have already been tested, but the result is not achieved. Homeopathic treatment for cancer uses open at different times by different scientists of biologically active substances aimed at stimulating the body's resistance and activating antitumor mechanisms. If all known methods of treatment have been exhausted, but the effect has not been reached, they resort to autonosod - homeopathic autovaccine, manufactured using ultra-small doses of toxins and poisons. Such preparations are individual and are made from blood, urine or saliva of the patient on the basis of an alcohol solution.
In the treatment of tuberculosis also resort to homeopathic remedies. Depending on the symptoms, this or that drug is prescribed. So, with prolonged sputum, phosphorus is prescribed in different dilutions (at 6, 12, 30); shortness of breath - adonis vernalis, apocinum, digitalis; hemoptysis - millefolium, ferrum acetylum, witch hazel; fever - aconite, belladonna, gelmeumium, ferrum phosphoricum; cough - sodium phosphorus, sodium sulfuricum.
Apocinum - made from the root of kutra red, applied in 3, 6, 12, 30 dilutions. Side effects and contraindications are not described.
Millefolium is an anti-inflammatory and venotonizing drug in droplets. It is recommended before meals to take 10-15 drops three times a day. No adverse events were detected.
Aconite - has a combined effect, reduces the secretion of sputum in the bronchi, reduces temperature, has antiseptic, anti-inflammatory, anesthetic properties. Eat half an hour before meals or an hour after. In the period of an exacerbation put under the tongue 8 granules 5 times a day, gradually reducing to three techniques. After 2 weeks, reduce the frequency of reception to 2 times, continue for another two weeks. There may be allergic manifestations, but stop treatment is not worth it. Contraindicated in pregnant, hypotensive, hypersensitive.
Witch hazel - for the treatment of the lungs is used in granules, the dose is determined by the homeopath individually. For use by pregnant women, a consultation with a gynecologist is necessary.
Surgical treatment is used for tumors and cysts of the mediastinum, and it is necessary to do this as soon as possible. In the case of malignant tumors, the approach is individual, because At the last stage, the radical method does not make sense. Indications for surgical intervention with tuberculosis is the lack of positive dynamics for 1.5-2 years. Sarcoidosis rarely requires surgical intervention, such a need may arise to save a person's life under various complications.