What medicine should I take for pelvic tuberculosis?

There are many treatments for pelvic tuberculosis. The more common ones are drug therapy and surgical treatment. The drugs are mainly some anti-tuberculosis drugs, which can achieve a good therapeutic effect on tuberculosis. Through drug treatment, the patient's symptoms can be gradually improved, thereby achieving the ideal therapeutic effect. The earlier the treatment, the better the effect will be. Through combined drug treatment and a sufficient course of treatment, good therapeutic effects can generally be achieved.

The emergence of anti-tuberculosis drugs has brought about major changes and leaps in the treatment of tuberculosis. Other treatment measures have been mostly abandoned, and cases that previously required surgery have been replaced by safe, simple and more effective drug treatments. However, in order to achieve ideal therapeutic effects, the five principles of rational treatment must be implemented, namely early, combined, appropriate, sufficient and regular use of sensitive drugs.

Early tuberculosis lesions are in the bacterial reproduction stage. The earlier and fresher the lesions are, the better the blood supply is, and the easier it is for drugs to penetrate. Active treatment can prevent delays and the formation of difficult-to-treat chronic caseous lesions. Combination therapy can kill naturally resistant bacteria or prevent their reproduction, greatly reducing the chance of producing drug-resistant tuberculosis bacteria. However, due to the long course of drug treatment, patients often find it difficult to adhere to the regimen, resulting in premature discontinuation of medication or irregular medication, leading to treatment failure.

For this reason, clinicians should pay more attention to the two principles of rules and adequate treatment, pay attention to the patient's treatment situation, strengthen supervision of patients, avoid stopping medication midway or arbitrarily changing medication, and avoid incomplete treatment, which will lead to adverse consequences such as drug resistance and difficulty in treatment.

The first choice for treating pelvic tuberculosis is anti-tuberculosis drugs, and surgical treatment is generally not performed. In order to avoid the spread of infection during surgery, reduce the difficulty of surgical operation caused by extensive adhesion and congestion of pelvic organs, and facilitate the healing of abdominal wall incision, anti-tuberculosis treatment should be carried out for one or two months before surgery.

Surgical treatment should only be considered when: ① the pelvic mass persists after 6 months of drug treatment; ② multiple drug resistance occurs; ③ symptoms (pelvic pain or abnormal uterine bleeding) persist or recur; ④ the lesion recurs after drug treatment; ⑤ the fistula fails to heal; ⑥ there is suspicion of the presence of reproductive tract tumors, etc.