Treatment of tuberculosis

Content

  • symptoms
  • Diagnostics
  • Treatment of tuberculosis
  • Latent infection
  • Prevention of tuberculosis
  • Culture communication

  • Treatment of tuberculosis

    symptoms

    Symptoms of tuberculosis are constantly
    fever (not above 38 ° C), headache, weight loss,
    anorexia, coughing (both dry and sputum, blood in
    sputum), shortness of breath, sweating at night. There are mood swings,
    irritability, decreased performance.

    Wink can only
    1-2 symptom, not necessarily it will be a cough. Therefore, when
    the appearance of one of these symptoms is not recommended
    treat yourself, and see a doctor in time to
    diagnose possible tuberculosis and its timely start
    treatment.



    Diagnostics

    The simplest test for tuberculosis - the reaction
    Mantu. 72 hours after the Mantoux test can determine if a
    body TB infection. However, this method has a very
    low accuracy.

    Smears under the microscope, too, can not be a model:
    Mycobacterium tuberculosis is easily confused with other species of bacteria and
    make the wrong diagnosis.

    Sputum culture often helps to diagnose TB, however,
    TB bacteria "grow" is not always so, and there are a
    the risk of false negative test.

    Most often, for lack of anything better, for screening for tuberculosis using a conventional chest X-ray and examination of the patient.

    In a specialized clinic, you can make a determination of antibody titer to
    tuberculosis. This method allows to detect the presence of immunity to
    tuberculosis and determine whether effective vaccination.
    Reliability - about 75%.

    The most modern method - PCR (polymerase chain reaction). it
    DNA diagnosis, when the analysis is taken on the patient's sputum. Result
    can be found after 3 days, the accuracy - 95-100%.



    Treatment of tuberculosis

    treat
    TB can not be self - uncontrolled reception
    drugs in Koch's bacillus (Mycobacterium tuberculosis) develops
    drug resistance and cure tuberculosis becomes much
    more difficult.

    Treatment of normal (the drug-sensitive) TB takes
    less than 6 months, and sometimes delayed up to 2 years. For the oppression of infection
    therapy should be carried out systematically, without a pause, while tuberculosis is not
    be able to progress.

    When tuberculosis is identified, the patient is placed in a hospital, where he
    He spends about two months - during which time stops active
    allocation of tuberculosis bacteria. When the patient ceases to represent
    a threat to the health of others, lecheTreatment of tuberculosisof continuing outpatient basis.

    Treatment of conventional TB is carried out in a specific pattern, it
    includes drugs such as isoniazid, rifampicin, pyrazinamide,
    streptomycin and ethambutol. The doctor selects a specific combination
    drugs, which the patient must be taken for 2-3
    months, the treatment takes place in a hospital.

    If after this
    time treatment has not brought the desired effect or the effect is very weak,
    due to infection resistant to a particular drug, the
    chemotherapy amended accordingly. In such cases
    is replaced by one or more drugs or else change their way of
    administration (intravenous, inhalation).

    If, conversely, after 2-3
    months of taking the drugs there is a positive effect, for
    the next 4 months prescribed only isoniazid and rifampicin. By
    after treatment the patient again passes tests and, if the stick
    Koch will be revealed, then moved to the TB
    drug-resistant forms.

    Treatment of drug-resistant form of tuberculosis has been delayed for years.
    Depending on to which drug resistant bacterium
    tuberculosis, the main drugs (isoniazid, rifampicin) is added
    the so-called second-line drugs - ofloxacin, kapriomitsin,
    ethionamide, cycloserine, PAS.

    Second-line drugs are much more expensive than
    ordinary TB medicines, and treatment can cost them about 10
    $ 000. Taking these drugs can only be in the complex, otherwise there will be
    effect.

    Surgery for the treatment of tuberculosis is rarely used, because the effectiveness of this method is very low.

    Previously, an integral part of treatment for tuberculosis was the spa treatment. Nowadays, treatment in sanatoriums
    It is only an additional means of controlling the disease.

    But if
    patient refuses hospitalization, when it is really
    necessary medical institution has the right to submit a court
    patient for compulsory treatment in a TB clinic. This
    practice applied universally in the treatment of patients with irresponsibleTreatment of tuberculosis and
    ensuring the nation's health.

    Of great importance is the right food to cure the disease. The diet
    the patient should include meat, fish, vegetables and fruits. Alcohol
    and smoking is strictly contraindicated.

    Since the patient often loses
    appetite for tuberculosis is recommended to eat foods
    rich in vitamins, which tend to excite the appetite: infusion
    rosehip, fish oil, yogurt, kefir.



    Latent infection

    If
    a person has a strong immunity after infection it is not
    sick immediately, but remains practically healthy, although infection
    remains in the body. It can last a lifetime and
    never lead to tuberculosis.

    The impetus for the development of tuberculosis can serve a lot of stress,
    malnutrition, prolonged binges. Most people do not even
    suspect that the bear in his body tubercle bacillus. So try to always maintain your health is normal, that is in itself
    Statement will oppose the development of the disease.

    can you
    reassure the common cold causes a decrease in immunity, but this
    enough to start tuberculosis. To start tubercle bacillus
    multiply, weakening of immunity should be extended and combined
    with poor living conditions - poor quality food, lack of fresh
    air, hard work in the contaminated areas.



    Prevention of tuberculosis

    Tuberculosis - a disease of poverty and
    unsanitary conditions. To protect yourself from this disease, you need to take care of
    his immunity - a strong immune system in a state of their own
    Koch wand to defeat, if that is ingested. To immunity could
    cope with the disease, you need to eat quality and varied,
    take vitamins, a lot of walking and do some sports.

    The leading role in the spread of drug-resistant tuberculosis
    play prison. Treatment of prisoners are often held wrong or
    patients themselves properly and taking medication as a result of tuberculosis
    Multidrug resistance is distributed in
    exponentially.Treatment of tuberculosis

    Once in the air, the tubercle bacillus viability for 10
    days - for example, in street dust. But in the absence of sunlight
    Bacteria live much longer - several months.

    You can become infected just by inhalation of air in which there are
    microscopically small droplets of saliva and sputum of the patient. There will be
    infected or not - it depends on how much of the bacteria got into
    lungs, the organism can suppress or not.

    If a long time
    be in the same room with a patient infected with the danger increases
    at times - which is why so "blooms" of tuberculosis in prisons. The worse
    ventilated room, the longer the bacteria remain in the air.

    You can not become infected by shaking hands with a patient on the street. but
    room where the air is almost motionless and tactile contact
    the use of common household items significantly increase the risk
    infection.

    A person can get TB by eating milk from cows,
    TB patients. We recommend: do not buy milk "in
    housewives "who trade in places not intended for trading - their
    goods pass sanitary-epidemiological control and no
    ensures you the safety of their products.



    Culture communication

    If among your friends is someone who
    suffering from tuberculosis, be tolerant to it. The man certainly suffers
    by the fact that all surrounding shy away, as soon as he kashlyanet.

    Of course, all of us terribly ill with tuberculosis, but we must remember that
    normal conscious people will never appear in
    society, knowing that is dangerous to others. Therefore, patients who
    work or study with other people, most likely, can not nobody
    infect.

    Very often, people even after successful treatment of the disease
    for many years suffered from unduly squeamish attitude of others.

    Of course, the natural repugnance and fear of infection will not
    hide, but if you fell to communicate with a man who was sick
    tuberculosis, suggested still try to find the
    strength not to show his attitude to his former disease has not
    offend him by their attitude.

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