What problems should patients with spinal tuberculosis pay attention to?

1. When can I start standing and walking training after operation?

Rehabilitation training should be started immediately after spinal tuberculosis operation. There are some disputes and differences at home and abroad about the time node of standing and walking training. Many foreign scholars advocate walking on the ground early within 3 days after operation and wearing braces. Domestic scholars hold a relatively conservative view, requiring patients to stay in bed for at least 2 weeks before trying walking training. In fact, individualization should also be advocated in this respect: that is, the time of standing and walking on the ground should be decided according to the position and scope of the injured spine of the patient, the way and firmness of surgical fixation, and the patient's own bones and physical condition. Generally speaking, if conditions permit, early activities are conducive to the early recovery of limb function.

2. How long do I need to wear braces after the operation?

One of the treatment principles of spinal tuberculosis is fixation. Traditional braking methods include bed rest, plaster fixation, brace fixation and traction. Under normal circumstances, the spine can be stabilized immediately after internal fixation with instruments, but in order to ensure the braking effect, braces should be worn for about 3 months after operation. During the follow-up, X-ray or CT examination was made, and the doctor confirmed that the focus area had achieved bone fusion and the brace could be removed.

3. What are the precautions for patients with spinal tuberculosis during exercise?

General principle: under the guidance of doctors, do what you can, step by step. Different parts, different surgical methods, different exercise methods should be adopted. Basic steps: stay in bed as soon as possible after operation to exercise limbs joints and muscle strength to prevent muscle atrophy and joint stiffness; In the early postoperative period, walking with the help of family and crutches under the protection of waistline, neck brace or brace gradually developed into walking alone and for a long time, and then practicing squatting, even swimming and jogging. The specific exercise mode, frequency and intensity should follow the doctor's guidance.

4. What should patients with spinal tuberculosis pay attention to in their diet?

Patients with spinal tuberculosis should supplement high-calorie and high-protein food, and pay attention to the interaction between anti-tuberculosis drugs and food to avoid adverse reactions such as food poisoning and allergies. For example, isoniazid can lead to insufficient monoamine oxidase in the body, which in turn reduces the oxidation ability of amines. Therefore, it is necessary to avoid eating foods with high histamine content, such as scaleless fish and marine fish that have been placed for a long time. Isoniazid should not be taken with wine with high tyramine content. Lactose hinders the absorption of isoniazid drugs and cannot be taken at the same time. Milk slows down the absorption of rifampicin drugs and should be reduced or avoided at the same time.