It should be noted immediately that the treatment of tuberculosis of lymph nodes can be medicated or surgical. The doctors claim that no compresses for tuberculosis of the lymph nodes help, and they recommend taking vitamins (they will be of use to them).
A first-line anti-tuberculosis drugs that are used in combination therapy for this disease include the following drugs:
Isoniazid (Izonizid, Tubazid, Dinakrin, Pyrazidin, Eutisone, etc. Trade names) - is administered in / m or / in, and tablets (100, 200 and 300 mg) are taken orally at the rate of 5-15 mg per kilogram of body weight per day (for three meals a day). The duration of treatment is determined by the doctor. There may be side effects in the form of headache, nausea and vomiting, hives, insomnia, worsening of the liver, soreness along the peripheral nerves and paresthesia. These drugs are not prescribed for epilepsy, problems with the liver and thyroid gland, atherosclerosis, bronchial asthma, skin autoimmune diseases.
Antibiotic Rifampicin (Rifampin, Riphoral, Ripamizin Benemecin, Tubocin) is prescribed for 450 mg once a day (one hour before a meal). Side effects include dyspepsia, impaired pancreatic and liver function, and a decrease in leukocytes in the blood. And the list of contraindications includes pathologies of the kidneys, pregnancy and early childhood.
Antituberculous drug Sodium para-aminosalicylate (PASK sodium salt) in the form of a powder for the preparation of a solution, as a rule, take two packets per day (not more than 12 g), dissolving the powder in warm water (half a cup for a single dose). This drug is contraindicated in cases of inflammation of the kidneys, hepatitis and cirrhosis of the liver, ulcerative gastrointestinal diseases (it is undesirable to take with problems with the thyroid gland); and its side effects include loss of appetite, nausea and vomiting, abdominal pain, bronchospasm, joint pain.
Calcium benzamidosalicylate (Bepask) is used in the same way in powder or tabletted.
Surgical treatment of tuberculosis of lymph nodes assumes the removal of the contents of granulotomatous formation in the lymph node after its opening - in the subsequent disinfection and (if necessary) drainage.
Western phthisiatricians use such a surgical method as excision of tuberculous lymph nodes, but only in exceptional cases and in accessible places. Also, the affected nodes on the neck can be removed either by repeated aspiration, or by curettage (scraping).
However, experience has shown that excision should be considered as an adjunct to antibiotic therapy. For example, the removal of the BTE from the mycobacterium tuberculosis often recurs the tuberculosis of the lymph nodes, and also causes the spread of the infection to other organs. In addition, when cervical lymph nodes are removed, there is a risk of damage to the facial nerve
So the most effective treatment is considered traditional antibiotic treatment - within two to three months.