Thursday, October 18, 2018

How to treat tuberculosis? Can tuberculosis be cured? How does tuberculosis resistance occur?

How to treat tuberculosis? Can tuberculosis be cured? How does tuberculosis resistance occur?
How to treat tuberculosis? Can tuberculosis be cured? How does tuberculosis resistance occur?

How to treat tuberculosis?

  • Anti-tuberculosis treatment Anti-tuberculosis drugs can shorten the infection period of tuberculosis, reduce the mortality rate of patients, and the infection rate and prevalence rate of the population. The principle of medication is: early, joint, sufficient, regular and full-time medication. Strictly follow the principle of medication can effectively kill tuberculosis in the body, reduce the production of drug-resistant tuberculosis, improve treatment. Commonly used chemotherapy drugs are: isoniazid, rifampicin, ethambutol, pyrazinamide, streptomycin, these five drugs are most commonly used in clinical, known as first-line drugs, more than 80% new Infected tuberculosis patients are treated effectively. 
  • Surgical treatment Surgery is less used in the treatment of tuberculosis, but for drug-resistant tuberculosis; complications caused by tuberculosis difficult to treat with drugs such as bronchiectasis, empyema, etc.; massive hemoptysis caused by tuberculosis, surgical treatment still It is an important treatment option that can be chosen. 
  • Symptomatic treatment :(1) Symptoms of tuberculosis poisoning: generally controlled after treatment with chemical drugs, no special treatment is required; (2) hemoptysis: small doses of sedatives, cough medicines, and hemostatic drugs can be used.




Can tuberculosis be cured?
Tuberculosis can be cured after treatment or mild lesions without treatment. In general, the treatment of newly diagnosed tuberculosis is good, as long as early diagnosis, early treatment, standardized treatment, the vast majority can be cured.

How does tuberculosis resistance occur?
On the one hand, drug resistance is due to the resistance of some tuberculosis bacteria, and on the other hand, because of the irregular treatment of anti-tuberculosis, unreasonable drug use or drug withdrawal, the tuberculosis is resistant to drugs. In order to prevent the occurrence of drug resistance, we must adhere to early, joint, adequate, regular and full-time medication.

Why is standardized treatment of tuberculosis important? How long does the general treatment last?
Standardized treatment can reduce the production of drug-resistant bacteria, effectively kill tuberculosis in the body, and the treatment effect is good. The general short-term course of treatment is 6 to 9 months, and the standard chemotherapy course is 12 to 18 months.

What are the side effects of taking anti-tuberculosis drugs? What related checks are needed?
Common side effects of anti-tuberculosis drugs are gastrointestinal reactions (nausea, vomiting, abdominal pain, diarrhea, etc.), liver damage (patients with liver disease should consult a doctor, use medication carefully), joint damage, blood system reactions, allergies, etc. Some patients may have jaundice (yellowing of the skin), oiliness, and fatigue. Liver function and blood routine should be checked regularly during medication. In addition, the commonly used drug ethambutol can cause red-green blindness, so it is necessary to check vision regularly.

Why is tuberculosis difficult to treat?
Tuberculosis is prone to recurrence, is prone to drug resistance, and is difficult to treat. The therapeutic effect of tuberculosis is related to the patient's own resistance, the toxicity and quantity of tuberculosis, and whether tuberculosis is resistant.

Why do you need to take anti-tuberculosis drugs when you have not diagnosed tuberculosis?
The preventive treatment of tuberculosis is mainly used in high-risk groups susceptible to tuberculosis infection, including:

  • Infected children in the family of tuberculosis patients found;
  • Intubation mean diameter of tuberculin test in children and adolescents ≥15mm; (3) People infected with HIV, suspected of being infected with tuberculosis; 
  • Other high-risk subjects with tuberculosis. Such as diabetes, silicosis, post-gastric resection and other long-term application of immunosuppressive agents; 
  • In the lungs without formal chemotherapy, there are inactive tuberculosis lesions. Diagnostic treatment is available for patients with pulmonary inflammation who are temporarily undiagnosed and cannot rule out non-tuberculosis. If anti-tuberculosis treatment is effective, it can be diagnosed as tuberculosis, otherwise it is considered ordinary pneumonia.

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