Diagnosis and treating and managing _'s general knowledge of pulmonary tuberculosis

Diagnosis and treating and managing _'s general knowledge of pulmonary tuberculosis
Pulmonary tuberculosis main symptom of patient for cough, cough up phlegm, spit blood, bring blood, the intersection of chest and the intersection of person who ache and have difficulty in breathing and some symptom in the phlegm; Can also appear low-heat in the afternoon while being getting serious ' Usually the body temperature does not exceed 38 ) , night sweat, be tired and unable, become thin ' The weight is lightened) And the endocrine is disorderly ' Such as menoxenia) Wait for whole body to be poisoned symptom and physical sign. Most common the intersection of symptom and cough for being fairly long, cough up phlegm, present, cough, cough up phlegm over 3 weeks such as symptom while being clinical generally, should consider possible to suffer from pulmonary tuberculosis, call pulmonary tuberculosis suspicious symptom person, the person who has above-mentioned symptom should go to the tuberculosis prophylactico-therapeutic institution to go to a doctor and carry on phlegm slide and chest X-ray examination as soon as possible.
As to the pulmonary tuberculosis patient, it diagnoses one of the most effective bases to find the tubercle bacillus in the phlegm, so every patient with pulmonary tuberculosis and suspicious symptom, should go to the tuberculosis prophylactico-therapeutic institution to go to a doctor and leave and fetch phlegm 3 times according to the doctor's requirement as soon as possible, in order to carry on the inspection of the phlegm tuberculosis fungus. Finds the tubercle bacillus, can diagnose as pulmonary tuberculosis in the phlegm clearly, should begin to resist the tuberculosis treatment immediately.
The X-ray examination of chest not only can find tuberculosis in early days but also can confirm the focal position, property, range, understand and have illness coming on the situation and judgement used for therapeutic effect, it is very convenient to launch. The chest CT can find the smaller one or conceal pathological change of the position, can remedy the deficiency of general X-ray examination. In addition the commonly used pure albumen of tuberculin spreads out and melts things(PPD) The test, it is one of the evidences which has been infected with the tuberculosis fungus to be positive. In the blood, the antibody test masculine gender of tuberculosis contributes to diagnosing too in the phlegm. The fibrous bronchus mirror is checked, can observe directly or judge pathological change in the bronchus, lung indirectly, and there are biopsies, irritate washing, video, shooting functions such as the photo,etc. in the trachea, very useful to diagnosis and differential diagnosis.
World Health Organization recommends supervising and guiding the chemotherapy method in the whole journey at present, namely adopt the short distance chemotherapy (abbreviated as DOTS) under the supervision of medical worker ,This kind of method undergoes clinical verification, have very good therapeutic effects. Usually cure the pulmonary tuberculosis patient for the first time, through the law medicines of 6 months, can be fully recovered.
Several principles that must be followed are to resist the tuberculosis treatment: Early, unite, right amount of, law, whole journey. That is to say, resisting the tuberculosis treatment must begin as soon as possible; Should use several kinds of antituberculotic at the same time, in order to get the result of sterilizing in coordination; Should take medicine according to the fixed therapeutic date law, this is the key to treating successfully; The patient should obey the therapeutic medicine of the complete department course of treatment according to the fixed therapeutic course of treatment, can't stop medicines midway. So long as resist the tuberculosis treatment according to the above-mentioned principles strictly, cure the tuberculosis patient and can be cured at the beginning of 85%.
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