Regarding the question of tuberculosis, can the doctor come in and help me answer it?

1. About the time and method of medication: anti-tuberculosis drugs only rifampicin drugs need to be taken on an empty stomach. Because it is combined with the protein in the food, it reduces the efficacy of the drug.

Therefore, it is okay to take it more than one hour before a meal or more than four hours after a meal, (take it one hour before a meal, and then eat after the drug is absorbed, it will have no effect.) Four hours after eating, the stomach is basically empty, and it doesn't matter if you take medicine. Avoid mixing it with food.

According to the research of many experts and scholars in the world, anti-tuberculosis drugs are most effective when taken at meals. (taken once per day).

2. The quality of drugs: This problem cannot be ignored, and now, the drugs on the market are unreliable. I have seen some small manufacturers put the defunct rifampicin into the market with a new label (packaging).

Patients taking medication and cannot do drug tests and potency analysis. Therefore, it is best to prescribe medicine in the hospital, and if you buy medicine by yourself, you should also buy medicine produced by Dachang Ming Factory. Don't just try to be cheap.

Counterfeit and shoddy drugs are used to attract people.

I would like to ask for your reference.

The 943065 is better, you can refer to it.

The blood test you are talking about may be a liver function test, because anti-tuberculosis drugs can easily cause liver function damage after taking them, so you need to check your liver function regularly.

The general way to take anti-tuberculosis drugs is to take them on an empty stomach every morning, once a day, and give the daily dose of the drug at a time. As for the drugs taken after meals, it may be drugs such as liver protection tablets.

As long as it is purchased in a regular pharmacy and has a national formal approval number, the same drug, different manufacturers, the efficacy is the same, you can rest assured.

Sometimes it feels a little difficult to breathe, because the tuberculosis bacillus causes lung damage, resulting in the alveolar effective ventilation dysfunction.

Hello, I'm a tuberculosis doctor. You are taking the medicine the right way, but if you feel comfortable in your stomach, you can also take rifampicin after breakfast. But it is best to eat before meals.

There is no medicine, and it is perfectly okay to go to the pharmacy and buy it. Anti-tuberculosis drugs are rarely counterfeit. There should be no difference in the effectiveness of the medicine.

Your feeling is normal, if you have the conditions, it is better to be hospitalized**, the time you take medicine at home is not too good, which is more damaging to your liver, it is recommended that you take medicine at 7 o'clock at 6 o'clock at breakfast, eat lunch, eat dinner, and balance the time of taking medicine as much as possible, so that 1 is a balanced medication to achieve the best efficacy, 2 is that the damage caused by the drug to you is also small, it is recommended that you regularly check your liver function, strengthen nutrition, do not be tired and insist on taking medicine, I wish you a speedy recovery.

The formation of cavities means that you have not found the infection of Mycobacterium tuberculosis in time, there is a long time between the infection and the detection, cavitary tuberculosis is the name of the development of pulmonary tuberculosis to a more serious stage, if the cavity is not treated for a long time, it will lead to gradual necrosis of the lungs, so during the ** period, you must increase a large number of meat, eggs and other foods. If it is the first treatment, it will not be resistant.

1. The appearance of cavitation is often referred to as cavitary tuberculosis.

2. Tuberculosis** chest X-ray changes are relatively slow, and the effect is generally evaluated in **2 months. It is too early to assess whether resistance is being made.

3. What you can do now is to keep your mood comfortable, rest well, eat more high-protein foods, and take medicine on time.

Condition analysis: Hello, according to your appeal question, the first is cavitary tuberculosis, and the second**tuberculosis** is relatively slow, and it needs to be taken continuously for more than 6 to 8 months.

Suggestions:

Hello, of course it can be cured. The course of treatment is usually at least 6 months to prevent**.

Mainly chemical drugs**, commonly used drugs are isoniazid, rifampicin, streptomycin, pyrazinyl, ethambutol and amithiourea. The use of chemotherapy should be guided by the following 5 principles: Early stage.

Medication as soon as the diagnosis is confirmed; HyphenatedCombined use of 2 or more anti-tuberculosis drugs to ensure efficacy and prevent the emergence of drug resistance, and reduce toxicity; Amount. Law.

Do not omit or interrupt; Full. At present, China mainly uses short-term intensification**, which is supervised by doctors throughout the process, and the course of treatment is generally 6-8 months. Option A:

Intensive phase: isoniazid, rifampicin, pyrazinamide; Once daily for 2 months. Consolidation Period:

Isoniazid, rifampicin, once daily for 4 months. (For the initial treatment of smear-negative tuberculosis ** case) Plan B: Intensive period:

Isonizid, rifampicin, pyrazinamide, streptomycin and ethambutol once daily for 2 months. Consolidation phase: isoniazid, rifampicin, and ethambutol once daily for 4-6 months.

When the consolidation period is **4 months, the phlegm bacteria have not turned negative, and the ** period can be extended for 2 months. (For the re-treatment of smear-positive tuberculosis ** case) Plan C: Intensive period:

Isonizid, rifampicin, pyrazinamide and ethambutol for 2 months. Consolidation phase: isoniazid, rifampicin, abrupt administration, 4 months.

It is the case of newly treated smear-positive tuberculosis **) d, e is the interval medication regimen D plan: intensive phase: isoniazid, rifampicin, pyrazinamide and ethambutol, once every other day or three times a week, 2 months.

Consolidation phase: isoniazid, rifampicin, once every other day or three times a week for 4 months. (It is also a case of newly treated smear-positive tuberculosis) Plan e:

Intensive phase: isoniazid, rifampicin, pyrazinamide, streptomycin, and ethambutol once every other day or three times a week for 2 months. Consolidation Period:

Isoniazid, rifampicin, and ethambutol once every other day or three times a week for 6 months. (It is also a case of re-treatment of smear-positive tuberculosis**).

Are there any symptoms of discomfort now? Pulmonary tuberculosis can be cured if it is detected in a timely manner and standardized and reasonable, and in addition, tuberculosis is a long-term process, and the drug should be taken for at least 6-8 months.

Of course, you can, but it depends on whether you choose Chinese medicine or Western medicine, Western medicine can't be helped, but it can be alleviated, but Chinese medicine can be broken to the root.

First of all, don't rush to the doctor, tuberculosis must be carried out through formal methods**, don't easily believe some home remedies or rumors, which affect the regular** and delay the disease. Tuberculosis is an infectious disease managed by the state, which can be tested and ** at the Centers for Disease Control and Prevention (tuberculosis prevention and control agency), and more than 95% of tuberculosis patients can pass the regular **.

However, the trouble is that the rate of tuberculosis is relatively high. Incompleteness of initial chemotherapy and low human immunity may lead to; Therefore, it is necessary to pay attention to prevention and avoid diseases in tuberculosis**.

You mentioned your brother's situation that I think needs to be aware of the following:

1. You need to follow the doctor's instructions to take the medicine on time, and do not stop or reduce the medicine at will.

2. Strengthen exercise and live a regular life.

3. Pay attention to enhancing your own immunity.

Tuberculosis has a lot to do with immunity, and generally speaking, the anti-** disease and the delay in treatment are caused by low self-immunity. Strengthening exercise, adjusting diet, etc. can improve immunity, but in the case of your brother, there has been no improvement after taking medication, which may have a lot to do with low immunity.

I know these because one of my classmates had tuberculosis, she was a junior in college at the time, and your brother was the same age, the doctor saw that her physique was not very good, so he added Utilins to her to improve immunity, my classmate was going to take a year off from school, but it was cured in more than half a year, and then I didn't hear that there was **, so I recommend you try.

I wish your brother a speedy **!

It's better to be hospitalized, this disease needs antibiotics.

Stick to it, don't give up, comfort him, keep a healthy mindset and be positive**.

It's useless. You should go to the hospital with regular anti-tuberculosis drugs**.

It's hard to say. If you want to know if you have to do a special checkup.

First of all, the chest X-ray only depends on the doctor's personal subjective judgment at the time, and it is better to take a film. It is convenient for multiple doctors to judge. Tuberculosis tends to occur in the upper lobes of the lungs.

However, the doctors all said that the heart and trachea are displaced, and your lesions should have reached moderate, of course, provided that you have no other respiratory or lung diseases. Also, How old are you? This should also be considered.

Symptoms of the second TB are cough, sputum production, hemoptysis, and systemic symptoms such as TCM yin deficiency, including night sweats, low-grade fever, and in others, the pleura is injured, and there may be chest pain and pleural effusion. If you don't have hemoptysis, you don't know if you have sputum production, and sputum cultures can be used as evidence to confirm the diagnosis of TB. Although your symptoms may not be obvious, tuberculosis cannot be ruled out.

In addition, look at the people around you and those who have been in contact with you for a long time to see if they have similar symptoms.

Third, if you want to be diagnosed, you can go to the hospital for a sputum culture, but the results are relatively slow. If you haven't been vaccinated with BCG, you can do a PPD (tuberculin test), and the results are relatively fast.

Hope it works for you. Third.

Long-term cough and night sweats are typical symptoms of tuberculosis, I recommend that you go to the local tuberculosis prevention and control institution or chest hospital as soon as possible, now the state gives tuberculosis patients ** is free, it may have been before, it has been a hidden ** infection, no attack only, early treatment and early recovery, tuberculosis is not terrible, but if you don't go to the doctor, keep delaying, it is possible that the symptoms will worsen, cause other complications, and you will also infect the family around you, so it is better to see a doctor as soon as possible.

Go for a sputum test, and the result will be available on the same day, and if it is positive, it means that it is tuberculosis, and if it is negative, tuberculosis can basically be ruled out.

Don't worry about the landlord.

First of all, it is not possible to diagnose pulmonary tuberculosis by chest X-ray alone, and it is necessary to cooperate with sputum examination and skin test diagnosis, mainly sputum examination, if active tuberculosis bacteria are found, it can generally be diagnosed as pulmonary tuberculosis.

Secondly, tuberculosis is divided into open and non-open, the open is more contagious, and the non-developed is basically infectious. And even if it is open, it is generally much less contagious after about a month of lasting. However, if your friend is really tuberculosis, then you remind her that she generally needs to insist on taking medicine for half a year to a year, and don't stop taking medicine by herself because it has improved, and listen to the doctor.

Finally, in fact, not only tuberculosis, but also many other diseases, whether you will be infected, it also depends on your own immunity, it is also with the source of infection, some people will be infected, and some people will be fine. So the best "medicine" is to improve one's own immunity.

I'm the tuberculosis outpatient doctor, agree with the upstairs, don't be so afraid, according to your idea, we doctors are not all tuberculosis patients, hehe. However, it is necessary to remind the patient to pay attention and not to infect others.

Your father's illness has not been cured for a long time, which may be related to drug resistance and lack of system, so it is necessary to carry out a plan, especially the physical resistance of the elderly gradually declines with age, find a suitable doctor, and formulate a systematic plan, although the cycle is longer, but it is still possible. **Later, as long as you don't overwork, the resistance will not be too weak**. Here's a summary of some of my recommendations:

1. Find a designated medical hospital for tuberculosis, find a chief doctor, and formulate a plan according to the condition.

2. Hospitalize**, observe the medication, make drug adjustments, and be discharged when the condition improves**.

3. Insist on taking medicine, do not miss or secretly reduce, and it is best not to take more than one ton of medicine at a time, which will cause great damage to the liver.

4. Pay attention to rest and avoid staying up late and overwork.

5. Increase dietary nutrition**, supplement more high-protein and high-fiber foods, and eat some cordyceps sinensis if you have the conditions to enhance the resistance of the lungs.

6. Be relaxed and avoid sadness and loss.

7. Appropriate exercise, the elderly are more suitable for walking and tai chi.