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Tuberculosis or pneumonia, when you can't be sure, you will generally follow the pneumonia**, with a limit of one month, to see the absorption of the shadow to determine whether it is tuberculosis, which is right for the doctor to let you take anti-inflammatory drugs, and it is very responsible for you.
Sputum test is to check whether there are tuberculosis bacilli in the sputum, if there is an indication of excretion, it is infectious, if not, it means that it is not infectious or very weak.
However, the sputum test is only a means to determine whether it is tuberculosis, and it cannot determine whether it is tuberculosis, because many tuberculosiss are not contagious, and a negative sputum test does not confirm that it is not tuberculosis.
If there is no diagnosis, there should be some corresponding examinations, such as erythrocyte sedimentation rate, tuberculin skin test, etc., to help determine whether it is tuberculosis, once it is determined, it is necessary to take medicine according to the ** plan, which is very important, anti-tuberculosis drugs are very harmful to the body, especially to the liver, so at the same time to take drugs to protect the liver to protect the liver, nausea, dizziness, muscle aches and other symptoms, after taking the medicine, you can drink more water appropriately, do not vomit,,, After a short period of time, the body will slowly adapt.
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The absence of tuberculosis bacteria in sputum examination indicates that tuberculosis is unlikely. It should be another type of pneumonia. Please continue to visit the hospital, and the specific situation is combined with clinical practice.
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1. Pulmonary tuberculosis is a chronic infectious disease of the lungs caused by the invasion of Mycobacterium tuberculosis into the human body, and the clinical manifestations are mainly dry cough, accompanied by different degrees of hemoptysis, emaciation, fatigue and other symptoms. People with tuberculosis can spread the disease by coughing, sneezing, talking loudly, etc., by expelling microdroplets containing Mycobacterium tuberculosis into the air.
Pneumonia refers to inflammation of the lungs caused by a variety of pathogenic microorganisms and some other pathogenic elements. Infections are usually the most common and can be caused by physical and chemical factors, allergies, and medications. The main clinical manifestations are fever, cough, sputum, etc., which can be life-threatening in severe cases.
2 Tuberculosis: Tuberculosis is caused by infection with Mycobacterium tuberculosis.
Pneumonia: Infectious factors of pneumonia: invasion of pathogenic microorganisms such as bacterial pneumonia, viral pneumonia, etc.; Pulmonary infectious factors:
e.g. from toxic gases, chemicals or toxic fumes, etc.; Disruption of human protection mechanisms: heavy smoking, air pollution, etc.; Human factors: It is easy to be infected with pneumonia after being exposed to rain and cold.
3. Pulmonary tuberculosis: The onset of pulmonary tuberculosis is relatively slow, and patients generally have low-grade fever in the afternoon, and rarely have symptoms of chills and residual fever, no cold sores, and night sweats.
Pneumonia: rapid onset, generally accompanied by high fever, chills, often retained fever, obvious pain in the chest, few symptoms of night sweats, and common cold sores.
4. Blood test results are different.
Tuberculosis: patients with tuberculosis have a generally normal or only mildly elevated blood count.
Pneumonia: the total number of white blood cells and neutrophils is markedly increased in patients with pneumonia.
Tuberculosis: patchy shadows can be seen on chest x-ray, mostly in the two upper lungs, which are prone to early dissolution cavitation and bronchial spread.
Pneumonia: Pneumonia is dense with irregular translucent areas, and pneumonia lung segments or lobes are homogeneous flaky shadows with thin density and no translucent areas.
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I think pneumonia is more serious, because pneumonia is a very serious disease, and it is also very difficult, so when we have this situation, we must go to the hospital to do the corresponding **, and don't let the condition worsen.
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Tuberculosis is more serious, because as a genetic disease, it is very contagious, and the course of the disease is long, and it is harmful to the human body.
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Tuberculosis is more serious because inflammation of the lungs can be obtained**, but tuberculosis needs surgery** to heal.
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There is a difference in the ** aspect, there is a difference in the diet, there is a difference in the spiritual aspect, there is a difference in the work and rest, and there is a difference in the reaction. Because the condition of the two is different, and pneumonia is much milder than tuberculosis, we must pay attention to this aspect of the problem.
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There are different clinical manifestations, and there will be different physical reactions, different symptoms, different causes of disease, different pathogenic principles, different phenomena that lead to diseases, and different reactions to the two disease situations.
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Pneumonia and tuberculosis are infected in different ways, the first method after infection is different, the infection symptoms are different, the transmission route is different, and the method of checking the condition is different.
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I would like to make a few comments on your question for your reference.
1. It is difficult to distinguish between pulmonary tuberculosis and pneumonia in the early stage of imaging examination, but they both have their own characteristics: pulmonary tuberculosis is more common in the middle and upper lung fields, the density of lesions is mostly uneven, and the leukocytes are slightly increased and lymphocytes are increased. Pneumonia mostly occurs in the middle and lower lung fields, with a large area, consistent lesion density, a significant increase in white blood cells and neutrophils, and symptoms such as high fever and chills.
2. There are no typical symptoms of tuberculosis, and negative sputum bacteria cannot rule out tuberculosis.
3. There is also the possibility of the two at the same time, (mixed infection) This needs to treat pneumonia first, after the pneumonia is absorbed, if there is still a lesion, it is not too late to press tuberculosis, because the development of tuberculosis is very slow.
4. What kind of disease is you? Further examinations are also required, such as another sputum thickness smear test or sputum culture, blood count, PPD test, etc. Early diagnosis,** is targeted.
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It is difficult to distinguish between the two, and it is generally necessary to distinguish between anti-inflammatory ** half a month, from your description, it feels like pneumonia, and the general inflammation medication will disappear in about half a month. If you get tuberculosis, it will take a long time, and you have not been exposed to the cases of tuberculosis drugs after only taking them for 18 days, and it usually takes half a year to a year. It is not known whether the sputum test was done before taking tuberculosis medicine, if it was done before, tuberculosis was basically ruled out, but there is also a possibility that tuberculosis is not in the infectious period.
Now tuberculosis is not like before, few people have those 8 symptoms, most of them are coughing for more than half a month, and most of them are not good to use medicine.
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Go to the hospital to take a chest x-ray, if the lesion is in the upper lung, there is a high possibility of tuberculosis, if it is in the lower lung, the possibility of pneumonia is high, because tuberculosis bacteria prefer dry places, while other bacteria prefer moist places.
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Tuberculosis is a chronic respiratory infection caused by Mycobacterium tuberculosis.
There are many pathogens that cause pneumonia, including bacteria (Streptococcus pneumoniae, Haemophilus influenzae, Legionella, etc.), mycoplasma, chlamydia, viruses (influenza virus, adenovirus, respiratory syncytial virus, parainfluenza virus, etc.), fungi, etc. More than half of clinical pneumonia cases in the United States are unidentifiable as a pathogen.
Hope it helps you.
Tuberculosis is a manifestation of the beginning of the activity of tuberculosis bacteria in the lungs, and with tuberculosis it means that your immunity is already at an absolute low level, and the body has lost its resistance to all viruses and bacteria
Analysis of 68 cases of Hershe-like reactions in chemotherapy in pulmonary tuberculosis patients and literature review, China Minkang Medicine, 2007, 18(8).View the original post
Clinical manifestations of tuberculosis.
Patients with early stage or mild lesions of pulmonary tuberculosis are often asymptomatic or have mild symptoms, which are easily ignored by patients, etc., and the general symptoms, compared with many other respiratory infections, are generally few characteristic except for being relatively prolonged. >>>More
1. If you are strongly positive for PPD, you should be considered to have tuberculosis, but you can't be completely sure, because some people will also have a strong positive reaction after being exposed to tuberculosis. If your symptoms disappear and the lung lesions disappear after anti-inflammatory**, it is also considered to be inflammation. >>>More
Yes, you have to go to a specialized tuberculosis hospital, and you can be cured through drugs**.