March 24 is the 13th One of the major infectious diseases, 75% of patients are young, die each year 13 million people. TB prevention and control work of importance and urgency.
3 月 24 afternoon 2:00 Sohu Health invited experts to talk with you On the TB control, please ask.
Interview Record
Moderator: Sohu's friends, good afternoon everyone and welcome to chat room guests. Today is the 13th TB Day. Sohu health is very honored to have the disease Experts from the Centers for TB in our popularity. First of all introduce the presence of two experts, the Chinese Center for Disease Control and Prevention Tuberculosis Prevention and Control Center and the Health Promotion Department of weeks, Lin Zhuren Mayu director of clinical experts.
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TB interview he is very far away from you?
There are a lot of people think he is very far away from tuberculosis, TB that happened in the last century, what Zhou of this is you, the current status of tuberculosis is how and what people should do to prevent TB ?
Zhou Lin: TB is actually very close from us, not went away. Tuberculosis is an ancient disease, tuberculosis in our country is more serious. more familiar to public health people should know that the Chinese is the world's TB burden countries, the total number of TB patients in China ranked second in the world. We did a 2000 national epidemiological survey of tuberculosis, the Chinese population of the whole population of tuberculosis infection rate close to 45%, when the operator P The country has active TB nearly 500 million people in recent years, there is a tuberculosis monitoring network, the number of reported TB epidemic in 37 years has been in first place, we now state the activity of the new place for nearly 140 new TB million, so the patient is still relatively more.
Chinese Center for Disease Control and Prevention Tuberculosis Prevention and Control Center and Health Department host weekly Lin Zhuren
just talked about the prevention of tuberculosis, TB is infectious disease, its prevention is everybody more familiar one is the early detection of patients with infectious diseases of all tuberculosis cured, this is the best way. The second is its prevention, prevention of each person, is to enhance their resistance enhance their resistance to diseases, in normal life, to develop the habit of home ventilation and deflated, and a prevention for children, infants born in our country now routinely have to carry out preventive vaccination of BCG, the main preventive measures of these.
What are the symptoms that had TB?
Moderator: If we want a good good health habits, so as to avoid the disease. Excuse me Mazhu Ren, what are the symptoms that had TB, as TB family or friends, how do they prevent it?
Mayu: There are two aspects had symptoms of tuberculosis, one is systemic symptoms, feeling fatigue, weakness, weight loss, night sweating, which is systemic symptoms, some patients have different degrees of heat, such as low heat or more heat. The second is the respiratory system symptoms, including patients with cough, sputum, dyspnea, or bloody sputum, chronic cough and expectoration two to three weeks, after treatment fails, there is no can be explained by other reasons, it is suspicious of tuberculosis symptoms.
Mayu director of clinical experts to talk about the second
how infectious TB, relatives and friends on how to prevent the problem, because the prevention of tuberculosis, the main tuberculosis,UGG shoes, it is the main route of transmission is through droplets called the so-called, that is, positive tuberculosis patients, the time when the cough will cough up a lot of spray, to hang in the air. If in a very confined room, patients in this environment, coughing out the Mycobacterium tuberculosis suspended in the air four or five hours, and his close contact with patients and the small droplets suspended in the air, these droplets can be infected with TB. prevention includes two, one is positive TB treatment, TB becomes negative, there is no contagious. Secondly, for us a very important period in the infection, tuberculosis and the health of people living in the same room, and the house in well-ventilated. in a well ventilated environment, it can not survive such a long time, reduces the infection.
serious drug-resistant tuberculosis is equivalent to cancer
Moderator: Ma Zhuren, released under the Beijing Municipal Health Bureau Health broadcast, currently there are two main aspects of TB patients, a mobile population of TB patients is increasing, the second is the challenge of drug-resistant TB, a serious argument is the same as cancer, drug-resistant tuberculosis, Ma Zhuren can explain what is a serious resistant tuberculosis?
Mayu: First of all talk about how many kinds of drug treatment of tuberculosis, there are dozens of anti-TB drugs, divided into first-line anti-TB drugs, second-line anti-TB drugs. first-line anti-TB drugs is the anti-tuberculosis treatment among the essential drugs. If these ten drugs are cough sputum of TB patients out of a drug resistant TB is called single-resistance of the two main first-line drug resistance, we call it multi-drug resistant . Now look at the so-called called MDR-TB is not only serious resistance to the two main first-line drugs, but also the main drug-resistant second-line drugs if these two drugs are also resistant to first-line, second-line drugs are the most important drug, called XDR. Why XDR TB is equivalent to cancer, said that remains the effect of drugs on him is not good, very poor treatment.
Zhou Lin: It should also frightening than cancer, Cancer is not contagious, since the bad treatment of the disease, but also infect humans, and is it infected patients, the same drug-resistant TB patients should be more frightening than cancer, infectious diseases.
Moderator: Director Zhou, TB for the current situation, what measures does the CDC?
Chow: The state attaches great importance to TB control, from prevention and treatment funding is also increasing year by year, forty million a year from the previous state transfer payment funding for TB control , has risen to four million a year, our country for TB, like Ma Zhuren mentioned symptoms suspicious of tuberculosis, both patients with cough and expectoration, these people as suspicious symptoms of TB, TB control institutions these people to doctor checks for the first time with a chest X-ray, the first film sputum examination free of charge, these people once diagnosed tuberculosis to tuberculosis prevention and control center for treatment, anti-TB drugs are free, in the treatment of sputum during the film screening is free, these people enjoy a free TB supervisory bodies.
Moderator: Many users know that TB at two experts will be invited to do activities, to mention a lot of questions in advance.
Can TB do strenuous exercise after ?
users: If you got TB then, what is taboo in the diet, can you do strenuous exercise?
Mayu: TB is important about so many problems, tuberculosis TB is curable, but also a precondition is that you have to standardized treatment, which is now often referred to the ten words, early treatment, combination therapy and require regular medication, full drug to drug quantity by. If you follow your doctor prescribed treatment, the very good results. in active TB patients, in addition to aggressive treatment, the most important thing is rest, attention to nutrition is also very important. in active it is appropriate to strenuous exercise, vigorous exercise is exhausting, if in TB activities phase, moderate exercise can be a local, rather than vigorous exercise.
Zhou Lin: also referred to the diet, attention to what I think is certainly not smoked cigarettes, wine is to drink less, and other special taboo or not. appropriate increase in the protein, appropriate to add sugar, and more to increase vitamin-rich foods, these are necessary.
Mayu: Regarding smoking, should be to get rid of the same drink during the treatment, it is best not to drink, might affect the efficacy of drinking on alcohol problems, simply that we proposed, smoking and drinking during treatment.
relapse of tuberculosis after cure you?
Moderator: Will Zhou of tuberculosis after cure if , you relapse?
Zhou Lin: I have repeatedly stressed that the patient why early detection, early treatment, if early treatment, 90% of the patients are curable, we say that nearly 10% of patients treated up a Fan twists and turns, more difficult. of cured patients, in general, less recurrence, some people with lower body resistance, there may be recurrent, it may be possible. This situation is relatively small.
Moderator: Director Zhou, there are users asked the child into the university last year after the physical examination, was found to be carriers of tuberculosis, the school adopted a method of vaccination to fight three times, only a shot on a cold, the other two needles also you can play, what other measures to prevent future suffering from tuberculosis he?
Zhou Lin: The users may be confused by it, he mentioned the problem may be that students who test positive is tuberculosis, said should not be playing the three-pin TB prevention, prevention of hepatitis B can guess similar, did not play three-pin TB Prevention, this method is not.
Mayu: People say that vaccines played a three-pin micro card can be prevented.
Zhou Lin: This is not recommended, inaccurate.
Moderator: There are users asked why not 100% protective umbrella of BCG, BCG failure is probably how long?
Chow: This is the international general point of view, is we are more generally accepted view, BCG does not prevent you sick, but after BCG species can prevent children have tuberculous meningitis, hematogenous disseminated tuberculosis. The BCG vaccination can be maintained in the body how long ago view is that a few years, so 98 years ago in accordance with the habit of vaccination, children go to school later when inoculated into adult replant again. From the perspective of the development in recent years of not advocating, but also from the international point of view, not in favor of re-immunized after for multiple cropping. for our country, the low infection of BCG in the international countries such as the European, North American countries, BCG is no longer species, but our country is infected countries with high tuberculosis, BCG vaccination, especially for the prevention of children with severe tuberculosis , therefore, we stand now and vaccinate children, we are called first dose at birth, so it must be vaccinated.
Moderator: Director Zhou, there was a net friend asked, when he was 18 years too tuberculosis, has been cured, it is now 25 years old, had a baby, recently has been very thin body, sometimes chest pain, do what CT said no,UGG bailey button, I ask attention to what the possibility of recurrence of tuberculosis? when he had TB when a doctor's diagnosis lung abscess, ask the difference between the two?
Chow: Let me answer the first question, 18-year-old had TB, now 25 years old and uncomfortable, is not too tuberculosis. TB early detection, early treatment, 90% can be cured, and cured after, not without the possibility of recurrence, generally less likely. Because he is now giving birth, this situation is uncomfortable, since the uncomfortable, or the hospital to see a Look, he had a doctor on the hospital, if possible, it is convenient to transfer out to see the previous data. If the information not to be found before, according to the specific situation now and then check the inspection. The second practice Lung abscess on a lung abscess, lung, there is a big hole is infected with TB bacteria other than the formation of a large abscess. There are several cases, one based on the combined secondary tuberculosis infection, there may be nothing to do with the formation of TB lung abscess. with tuberculosis and tuberculosis What is the difference? in clinical terminology is called the lung abscess pus, a large cavity and filled with pus.
Moderator: These two diseases are not the same thing. The two may also be concurrent, but not the same thing.
Week Lin:.
TB is hereditary?
User: TB is hereditary, my brothers and sisters there are suffering from different parts of the TB tuberculosis, lymphatic system, then their children are sick than others, the possibility of large? how to prevent?
Mayu: tuberculosis and the genetic relationship, we must first clear a problem, TB is mainly derived from the Mycobacterium tuberculosis infection of the disease. But then again, we are infected with TB have incidence of 10%, 90% of people not sick. I would rather have a congenital factors, but also acquired factors, but more stress, risk factors, are particularly vulnerable to infection, people are easily susceptible to disease factors. the predisposing factors, many people did research to prove that some of the genetic TB, tuberculosis specific genetic factors, the TB in our community has not been a consensus of common recognition, the most important predisposing factors or other stresses, such as the patient has diabetes, for example, AIDS patients or the patients had a variety of other diseases as the background, had tuberculosis likely to cause disease, we reverse that, TB is an infectious disease caused by TB molecule, so the genetic factors predisposing factors or influence of his disease, the main factor to tuberculosis infection. A family of three siblings have been in different parts of TB, TB infection is transmitted through the respiratory tract, if all tuberculosis may spread to others. If the transmission of active tuberculosis, TB is a positive time may be transmitted to others, lymph nodes or other tuberculosis, is not transmitted through the respiratory tract, this little influence. genetic influence of concern, lack of research data to now, has not been a consensus.
Moderator: Will Zhou of, I Linfen City of Shanxi Yaodu Disease Control and Prevention Center Zhangming Ning, last year I participated in the National District, the baseline survey of drug resistance tuberculosis, the national survey results? the next few years the treatment of tuberculosis and progress without major changes?
Zhou Lin: The basic work of data collection completed. He asked a more specific, related to the free policy now focused on patients with active tuberculosis, this consists of two parts, the sudden activity by the patient, as well as initial treatment of tuberculosis patients, and retreatment of the first treatment Suddenly tuberculosis patients, free of charge not related to drug resistance in TB, drug-resistant TB in our country but also on the agenda above, now for the fifth round of China's TB Global Fund Project, which has one of the activities is against the resistance of a Medicine in the patient, the first phase of the project covers two provinces, Guangdong and Hubei, the second phase of expansion of the several provinces, the seventh round of applications for drug-resistant TB-specific projects have been completed. our country people for drug-resistant TB is the development of relevant technology policy, and this is some of the activities.
drug treatment reflects the strong when how to do it?
Moderator: Professor Ma to ask the patient when the anti-TB drug treatment, there a strong reflect the medication how to do?
Mayu: TB patients during the treatment, we emphasize that the treatment approach is combination therapy, a longer course of treatment, at least six months, so patients can eat more of the drug, a relatively long treatment may occur reflects a variety of different, but different reflection of how to deal with? depends on the reflection of the degree of tolerance to or can not tolerate, and what his side. For example, if he reflect the occurrence of allergies to drugs, we advocate stopping it is related with the drug caused his allergies, which is to stop. But if only because some mild nausea medicine, a little mild vomiting, the patient can solve the symptomatic , and the patient can be treated. If the patient appears more serious liver damage, abnormal liver function for the different levels do different processing. If there is a more serious liver damage, such as twice to three times more than the normal transaminases more, even 5 times, we have taken measures, all related to the resistance of liver injury should be stopped. If the patient play streptomycin, hearing impairment or deafness caused by kidney problems, according to situation is different, do different treatment Methods.
Moderator: Excuse me Ma Zhuren, right kidney tuberculosis, the line right kidney removed after serving anti-TB drugs to be long, stopping what the standard is whether the tuberculosis hospital need to be checked, to tuberculosis Hospitals should pay attention to what?
Mayu: must be sure that the right kidney had TB and then removed. If you simply right renal tuberculosis, and then removed before the removal of a kidney to do the treatment, done excised, the general requirements for treatment of six months, and Not all are like this, depending on to do the right kidney excised, the left kidney what conditions, any change in the bladder, ureter has not changed, the light depends on the contralateral kidney nephrectomy and ipsilateral ureter bladder what is there exception. If there are exceptions, his treatment is not extended for six months. Second, if it is female patients or male patients, there is no other reproductive system diseases, such as female patients with pelvic tuberculosis and so on. Third, while tuberculosis with other activities, you can not just half a year according to the treatment of renal tuberculosis, treatment usually say more than six months, if the ipsilateral ureter of tuberculosis, while there is also unhealthy contralateral kidney, the treatment for six months is not enough, there is no reproductive system tuberculosis Sometimes the problem is also of concern.
had tuberculosis will not affect prenatal and postnatal care do?
Moderator: got tuberculosis, would not affect prenatal and postnatal care do?
Chow: First of all we have to distinguish the relationship between pulmonary tuberculosis with prenatal and postnatal care, and if women were cured, then pregnant, should not be related. discontinuation after six months pregnant again, it should be with his children that did not affect, because he is a normal healthy person, it'll be fine . If you become pregnant during treatment, and we try to advocate contraception during the treatment of patients, but some people are special, some of the older larger, finally pregnant, how do these people, in the course of treatment, TB prevention and control professionals to go agencies, to find an experienced doctor, as an experienced doctor to know, especially during pregnancy within three months of pregnancy, which medicine can not be used, because the fetus with a subsequent impact, it is not prenatal and postnatal care, and there may be out of deformity. of no pregnancy, contraception during this time as far as possible, not pregnant. the patient to conduct regular treatment, the patient first six months of basically good, and another in the first half can be a normal pregnancy. this time of pregnancy will be affected, of their TB treatment, medication is not good, will also affect the fetus. cured, there should be no impact on the prenatal and postnatal care.
Moderator: It is recommended that you first treatment, good treatment after the withdrawal almost half of pregnancy can be carried out . If the special circumstances, must go to the hospital looking for an experienced professional doctors.
User: Can I do PPD test, a blister, about 16mm in diameter, is strongly positive, and later made a biological protein chip, which is negative this case you need medication?
Mayu: he became a bubble, as strongly positive, PPD-positive, meaning that once infected with TB, TB infection in the body, not necessarily sent a disease, PPD strong positive TB patients means that some of the ingredients for super-sensitive state. now strongly positive on the PPD patients may also mean a patient's body, there are potentially active TB, it is also possible. of the patients strongly positive PPD handled in two ways, one way is if the young, the other body is also good, the future is likely that as a future disease, the main chemical prevention of such patients. From another perspective, if this person is elderly, and history of liver disease, we used drug prevention, but also may cause adverse reactions with drugs, there is more harm than good, according to this situation, we say that if the PPD strongly positive in general able to do so, after a comprehensive inspection system, there is no proof there is activity TB, we can use chemical prevention, but prevention is not chemical agents, such as the patient is active hepatitis B, to give him his anti-TB drugs to prevent damage and chemoprophylaxis to prevent his disease, the whole measure of the two drugs. Young were strongly positive PPD, there are blisters, usually conditional observation, there is no contraindication, advocated chemoprophylaxis. In addition to other chemical prevention, appropriate attention to life, due attention to patterns of life, proper rest, proper nutrition, are necessary .
lymph nodes will not have long-term risk of tuberculosis it?
Moderator: Director Zhou, lymph nodes, in many cases are inflammation, swelling if long-term, will do the risk of tuberculosis ?
Zhou Lin: cause lymph nodes, first, inflammation, lymph node tuberculosis can also cause the lymph nodes, other lymphatic disease itself, can cause swollen lymph nodes, first of all be clear why. a long-term non- incentives, some also have an incentive, long-term swollen lymph nodes, related to the inspection, if necessary, it is best to do pathological examination, the first diagnosis, find out what causes in the end, if it is caused by tuberculosis, because a fairly standard anti-TB treatment, treatment before the diagnosis should be the main long-term tuberculous lymphadenopathy is more.
Moderator: Will Ma Zhuren, users asked to eat a bit Medicine 8 months, do CT, doctors said there is TB, how to do this time?
Mayu: in CT or chest X-rays, can see the shadow, and is more common sites of tuberculosis, often considered to be tuberculosis , shaded to distinguish between, for example, the disease is active or has pathological changes, there are still absorbed, leaving only a microscopic photo, that is, tuberculosis scar, which is a big difference. After eight months of treatment, if that is initial treatment, the majority of patients 8 months to reach the level of recovery, image doctor said there was tuberculosis diagnosis based on still images with shadows, sometimes under the shadow judging is still active lesions healed lesions, treatment policy is not the same. this situation to find the best specialist to see a doctor to CT, is the active tuberculosis, or non-active TB.
Moderator: Director Zhou, we all know no matter what illness Health, medicine is should be based on Dayton eat, eat tuberculosis drug users that should have been the morning to eat, the results to forget, in that case, how should I remedy?
Zhou Lin: The patient should be very responsible and better treatment of followers of , and our policy of TB treatment is substantial, early treatment, combination therapy, the entire drug, medicine regularly, take the whole, people occasionally forget the time being, there may be reasons to work, eat medicine has no impact, Occasionally one or two does not matter, forget the time when the missed dose should not be affected, if it is long over and over again many times this happens, then his treatment is affected.
tuberculosis have self- calcification will heal itself?
users: a self-calcification of tuberculosis, will heal itself?
Zhou Lin: Actually this situation to see many, many patients do nothing, according to chest X-ray found a calcification shadow These people have never treated, have been infected with TB, many people are cured by their own immune system, that is their own good, and this very much. This situation is there.
Moderator: Will Ma Zhuren, there was the right friends that I neck lymph nodes, suspected to be afflicted lymphatic? have a swollen a little bigger, next to several small, not a big slide, a small number of slightly can slide it. inflammation of the throat a few days ago is now good. the users in 2003 had tuberculous pleural strict, but because of his physique have been relatively poor, food-TB drugs when the doctor told us not to eat liver function caused by liver drug loss of the last withdrawal, then a medication seems to die, do not know what kind of drug allergy, even the doctors do not know. I recently went to check the film or the right lung with chest X-ray diagnosis, like a little high right lower lung density of the shadow, I would like to take medicine, but now I take medicine for allergies, doctors can tell me how you do it?
Mayu: This question includes two aspects, first, palpable cervical lymph nodes, surrounded by There are several small lymph nodes, and some good activities, and some bad activities. Director Zhou has been talked about earlier, because a large cervical lymph nodes, I think the most important should be said to inflammation. For example, face, mouth, gums, scalp, where there are the cervical lymph node infection trillion drainage, repeated infection, do not become acute, that is, chronic lymph nodes. The patient mentioned a few days ago and sore throat, swollen lymph nodes cause is sum of acute and chronic course of the lymph nodes. The possibility of large. lymph node tuberculosis have the possibility to do in this case the patient's physical body, if there is active disease, and lymph node relative to communication. The second patient if prompted to do PPD strongly positive, lymph nodes and this has a relationship, and finally if the diagnosis is not clear, should do a biopsy. The second question, in the past too tuberculosis, but the medication can not, can not tolerate to allergic, doctors do not know why allergies, the inspection and had tuberculosis, this patient had history of drug allergy, although we claim to be early TB drugs should be combined, to regular drug use, the special situation of his emphasis on what to look for him in the end drug allergies, the medication when there is a principle, the first phase of a step stress medicine, a medicine to take two days to three days to see allergies are not allergic. Second, if the drug is no problem, coupled with a second drug, the occurrence of allergy to The second suspect drug. Under this situation, we must emphasize that we are gradually? two options there is a principle, all medicines can cause allergic reflection of the people who are allergic to. But the probability of happening here or not Like, for example, there is a class of drugs that patients allergic to rifampicin more on allergy drugs is not the first use, easy to produce allergic reflected later. We need to closely observe this. According to the issues raised by the patient and said right lower lung shadows a bit like high-density, often prompted the lesion is stable, not active, so not necessarily need to take medicine, I hope he is best in this situation to the hospital or the local control, because control of the institutions and specialized tuberculosis hospital much more experience in this area. If spend drug allergies, and cause pain, not as good as the first check or need.
around how to distinguish TB infection?
Moderator: Director Zhou, there was just listening to your users say that people do with a lot of tuberculosis, would like to ask you, ask the experts how to distinguish TB infection around, if you have TB infection speculation surrounding the case, how should we deal with it?
Chow: How to distinguish between TB around there, suspicious symptoms of TB? first to find out what is suspect symptoms of TB, repeatedly stressed that more than two weeks of cough and expectoration, cough, sputum can be many reasons cause coughing, but the most common symptoms of tuberculosis are coughing sputum, persistent cough and sputum about two weeks, suspect that these people may have developed TB, this happens around how to do? if they appear, should be positive to have their own TB prevention and control agency experience to see a doctor. on the general hospital did not see the problem. If you find such people around, to mobilize him, told him the old cough, and suggested that he go to the hospital early diagnosis, diagnosis is done, If confirmed, it is necessary to treat as soon as possible, early diagnosis and early treatment. If the diagnosis of patients, it is necessary standardized treatment. further, if discovered around the previous close contact with people who have TB, how to do this? These points are not necessarily people cough TB, if it is tuberculosis, contact with people with him how to do? come in contact with people if possible, repeated in close contact, it should go to a medical health professional organizations do, we touch, do not certain infection to disease, and from the prevention perspective, the medical health professional organizations that do particularly important, especially in contact with infectious tuberculosis patients who are very important to check.
to work after they had tuberculosis?
Moderator: colleagues suffered from tuberculosis, for example, whether the staff work, whether for normal contact with you?
Chow: You asked a question of great concern to everyone around with the patient, how do? We say that we talk about the first not to discriminate against the patient, or to care because the patient is still weak, for the patients, in the acute phase or infectious tuberculosis patients, in the row of people around the infected bacteria to temporarily not work, after all, infectious diseases. But the standard treatment after the patient has not ranked bacteria, and clinical diagnosis by a doctor to certify that the patient has not ranked bacteria, and infectious have been very small, these patients can go to work, as long as there is evidence of clinicians should be no problem. when in contact with colleagues in the room to enhance the ventilation, regular windows, this is necessary. the other nothing special.
Moderator: Excuse me Ma Zhuren, there was the 2001 users was stricken with tuberculosis, with cure in Western medicine about a year, and after doctors said will have automatic immunity, no longer suffering, he still need to pay attention to what?
Mayu: Listen to the friends introduction After a year of treatment is, it should be said to be very standardized, and more than our usual short-course treatment is also a longer treatment, it should be said that his disease stable. won a feature of TB is one of the patients had recurrence possible, the most in need of attention, and we have to do a healthy annual health check, not to mention that he won after all, tuberculosis, so the regular health checks, including particularly the chest, that is, X-rays, it is very necessary, it is It should be noted first. We usually have a regular life, proper attention to rest, attention to nutrition, the other to avoid over-exertion, this is necessary. For him, the most critical is the annual health check must include perspective, if uncomfortable time, always think of too tuberculosis, is not its cause, but also do inspections. Other general considerations and we just talked about are all the same.
Moderator: If you are used to TB patients, advising them every year self-health checks done on their own physical condition will increase the number of alert lesions have a very good role.
Mayu: Because healthy people are now caring their health check every year, let alone patients it.
Moderator: What about Zhou of, that someone put the question of endobronchial tuberculosis, will stopping criteria, the disease will have consequences, how to be considered completely cured?
Zhou Lin: Bronchial endometrial tuberculosis, and tuberculosis treatment is consistent with the principles, from the treatment, treatment time is the same. initial treatment of tuberculosis, at least adhere to six months, the final completion of treatment, when bacteria are negative. This is the discontinuation standards. As the time of treatment the patient may simply tuberculosis than the average treatment time is slightly longer, because it is the place to be slower absorption, the treatment time to be close to a year or so, he should insist on at least six months, until year, it will be better. For early lesions, we said earlier the diagnosis the treatment of patients in the mucosal injury in the case of relatively minor, since cure is basically no sequelae. If discovered late in the disease tracheal membrane has broken?, and can cause airway intimal fibrosis, resulting in bureaucratic tracheal stenosis can cause reduced lung ventilation. So we have repeatedly stressed that TB Ye Hao, a variety of diseases have, have to get a diagnosis, finding treatment, because early diagnosis means that the damage will be lighter lesions and early treatment can mean the therapy would be better.
Host: One user said the new hair right superior pulmonary TB (has a small cavity formation), clothing rifampin, ethambutol, pyrazine milling amines, isoniazid and other drugs in February, is still 37 degrees the afternoon about 4, now under the administration of the second bronchoscopy (RFP) , ct film has absorbed half of the right lung lesions. Advisory: When the body temperature to return to normal? Thank you!
Mayu: This condition is best a little more specific and said right upper lung cavity after bronchoscopy following treatment of rifampicin and two months of TB therapy combination therapy needs to be emphasized ...
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