Bleeding after cure of cavernous tuberculosis can be treated by bed rest, medication, anti-tuberculosis treatment, surgery, embolization and so on.
1. Bed rest: Cavitary tuberculosis bleeding after cure is mainly due to long-term non-healing, cavity wall thickening, low immunity and other reasons leading to the deterioration of the condition, pulmonary capillary wall involvement, hemoptysis, etc. Patients can take bed rest, avoiding strenuous labor or coughing, which can make hemoptysis less severe.
2. Drug therapy: If hemoptysis is more obvious in cavitary tuberculosis, in the absence of contraindications, posterior pituitary hormone can be applied, which can promote systemic vasoconstriction and play the role of hemostasis; bacitracin can promote the aggregation of platelets at the bleeding site, and play the role of coagulation kinase-like.
3. Anti-tuberculosis treatment: If cavitary tuberculosis recurs, anti-tuberculosis treatment should be standardized, and isoniazid, rifampicin, pyrazinamide, ethambutol, etc. can be taken under the guidance of the doctor for combined treatment.
4. Surgical treatment: if the hemoptysis is large or the hemoptysis is still large after conservative treatment, fiberoptic bronchoscopy can be used to stop the hemoptysis, in addition to clarifying the site of bleeding, it is also very important to exclude the blood clots that may block the airway.
5. Embolization therapy: for those who have repeated hemoptysis, failed medical treatment and have contraindications to surgery, absorbable gelatin sponge can be injected into the blood vessels for embolization therapy.
Cavity type tuberculosis after the cure and bleeding is recommended to consult a doctor in a timely manner, under the guidance of the doctor to determine the treatment program, to avoid blindly use their own medicine.