Lechenie Bol'nykh Tuberkulezom Mochevogo Puzyrya I Prostaty : optimal'nye skhemy etiopatogeneticheskoy terapii oslozhnennogo urotuberkuleza s porazheniem mochevogo puzyrya i prostaty

Monografiya posvyashchena aktual'noy probleme - adekvatnoy korrektsii oslozhnyennykh form tuberkulyeza mochepolovoy sistemy. Tuberkulez mochevogo puzyrya - odno iz samykh tyazhelykh oslozhneniy nefrotuberkuleza, prichinyayushchee patsientu naibol'shie stradaniya, rezko snizhayushchee kachestvo ego zhizni i plokho poddayushcheesya terapii. Analiz iskhodov tuberkuleza mochevogo puzyrya pokazal, chto standartnaya etiotropnaya polikhimioterapiya effektivna menee chem v polovine sluchaev (42,1%), a u 57,9% patsientov razvivayutsya oslozhneniya v vide posttuberkuleznoy tsistalgii (36,8%) ili smorshchivaniya mochevogo puzyrya (21,1%). Tol'ko 22% bol'nykh tuberkulyezom predstatel'noy zhelezy mogut byt' izlecheny khimiopreparatami, a u 78% zabolevanie priobretaet khronicheskoe, torpidnoe, nepreryvno-retsidiviruyushchee techenie. Tuberkulez mochevogo puzyrya i predstatel'noy zhelezy neredko imeyut svoim iskhodom sindrom khronicheskoy tazovoy boli. Sindrom khronicheskoy tazovoy boli sushchestvenno snizhaet kachestvo zhizni, chem i obuslavlivaetsya ego ne tol'ko meditsinskoe, no i sotsial'noe znachenie. Otsyuda yasno, kak vazhna svoevremennaya diagnostika, profilaktika, i adekvatnaya terapiya oslozhneniy tuberkuleza mochepolovoy sistemy.