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**and nursing (1) General** and nursing: exudative pleurisy often has fever, should lie down and rest, and use the affected side to lie down, so that the healthy side of the lung can give full play to the compensatory role. Strengthen nutrition, increase appetite, and give a high-protein, high-calorie, multivitamin easy-to-digest diet.
Patients with high fever should be cared for as patients with high fever. (2) Anti-tuberculosis and nursing points: The principle of anti-tuberculosis is early treatment, and the drug should be used in sufficient quantities and for a long time.
Tuberculous pleurisy is often treated with a combination of streptomycin and isoniazid**. During the use of streptomycin, patients should be observed for toxic reactions such as lip numbness, tinnitus, and deafness, and the drug should be discontinued immediately if it occurs. Streptomycin-induced hearing impairment is permanent and requires increased vigilance, especially caution in children.
Isoniazid has strong bactericidal power, can penetrate into tissues, penetrates through the blood-brain barrier, can be instilled in the trachea or administered intrathoracically, long-term use of isoniazid should observe the damage to the liver, regularly test liver function, and add hepatoprotective drugs in time. If there are central nervous system reactions such as dizziness, insomnia, or convulsions, vitamin B6 can be added for symptomatic purposes**. (3) Application of adrenocorticotropic hormones:
At the same time as the application of anti-tuberculosis drugs, the use of prednisone hormones is suitable for acute tuberculous exudative pleurisy, which can reduce the symptoms of systemic poisoning, promote the absorption of exudate, and reduce pleural adhesions. Hormones can be given systemically or topically. When withdrawing hormones, it is necessary to pay attention to gradual reduction to avoid rebound.
4) Nursing of pleural effusion: due to excessive pleural effusion, mediastinal or heart compression, and obvious dyspnea, the absorption of exudate by drug ** is slow, thoracentesis can be used to extract exudate to alleviate symptoms and avoid fibrous deposition and thickening of pleural adhesions. Explain the patient's condition before the withdrawal of the fluid to relieve the stress of the germs.
Prepare items and medicines, and strictly aseptic operation. The speed of aspiration should not be too fast, the first time can be 400 600ml, and then it can be gradually increased, but not more than 1000ml each time, so as not to cause circulatory disorders or shock due to sudden decrease in chest pressure and mediastinal displacement. During the operation, the patient's breathing, heart rate and other conditions should be observed at all times, if the patient complains of palpitation, shortness of breath, sweating, etc., indicating the occurrence of pleural shock reaction, the operation should be stopped, epinephrine should be injected subcutaneously, and the patient should be asked to lie flat or semi-recumbent and rest on oxygen.
After pumping, antituberculous drugs and glucocorticoids can be injected into the pleural cavity as needed to improve the efficacy of local diseases. (5) Psychological nursing: The patient should be explained that the disease is completely okay and should be actively cooperated.
It is a chronic disease, easy, and long, and it is necessary to adhere to the medication and complete the course of medication according to the doctor's guidance. It is advisable to take a leave of absence**.
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It is a type of tuberculosis and needs to be taken seriously, and it is necessary to take a leave of absence from school to be responsible for both oneself and others, as it should be. Be conscientious and cooperative**.
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Tuberculous pleurisy is generally not contagious because it is not open TB but must be taken regularly.
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No need to take a leave of absence, no contagious, regular anti-tuberculosis**, more rest, and stronger nutrition.
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If it is not timely, the pleural effusion will increase more and more, which will compress the lungs and lead to respiratory failure. There is also the possibility of pleural adhesions, which can lead to thoracic collapse and compression of the lungs, affecting future respiratory function.
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The impact is particularly severe, which will affect the physical fitness, which may lead to the condition becoming more and more severe, and then there may be immune diseases, which may affect normal life, and may also affect life expectancy.
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Introduction: Tuberculous pleurisy is a disease of respiratory medicine, which is caused by the invasion of bacteria into the human body, resulting in a decrease in human immunity, resulting in tuberculous pleurisy. Tuberculous chest is an acute condition, in addition to its own harm to the human body, it causes a series of symptoms that also have a great impact on human health, and also have an impact on the mental health of patients.
Mycobacterium tuberculosis invades the human body and causes tuberculous pleurisy, which brings harm to human health. Tuberculous pleurisy is accompanied by a series of symptoms, and when patients are sick, they may have symptoms of fever, chills, and dyspnea; Chest pain is also one of the symptoms of tuberculous pleurisy, which may worsen when the patient breathes and coughs; Patients with tuberculous pleurisy are often accompanied by symptoms of coughing up sputum, and patients with tuberculous pleurisy may feel uncomfortable symptoms such as sweating and fatigue, which greatly hinders the patient's daily life activities; Tuberculous pleurisy, if not treated in time, can also cause a series of complications, the feared lupus erythematosus is a type of complication, lupus erythematosus can lead to kidney failure, and in severe cases, it can be life-threatening.
While the disease endangers the physical health of patients, it also has a great impact on the psychology of patients. We know that tuberculous pleurisy is contagious, and the contagiousness of the disease will make others fearful, therefore, when patients suffer from tuberculous pleurisy, it is easy to be excluded by others in society, and it is difficult for patients with tuberculous pleurisy to have close friends and opportunities to participate in social group activities, which is very painful for patients with tuberculous pleurisy, they may often feel lonely, low self-esteem, etc.; The double pain, both physical and psychological, may cause them to want to end their lives, but this idea is not true. When a patient finds that he or she has symptoms of tuberculous pleurisy, he must seek medical attention in time, cooperate with the doctor, maintain a good attitude, believe in the current medical technology, and be positive and optimistic.
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Tuberculous pleurisy can cause symptoms such as difficulty breathing, chest pain, abdominal discomfort, poor physical function, and frequent fever, which have a great impact on life and work.
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It will affect people's physical health, it will also affect people's physical development, and it will also reduce people's resistance and immunity, and it will also make people feel very uncomfortable, if the situation is very serious, it will also make people have more very serious diseases.
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It will affect breathing, heart problems, or infect others, which will bring inconvenience to life, and will also cause many diseases, and the harm is very many.
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If not, there is no way to **, I recommend using the most conservative drugs**, or using physiotherapy to cure the disease as soon as possible.
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No, this disease is still relatively serious, and if you don't go through some means, there is no way to get better.
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It is not self-healing. This situation still needs to be systematically **, so that it can be cured.
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I sympathize with your situation, because I have suffered from this disease as you do.
Tuberculosis is contagious, but not initially. How to do school hospitals is also reasonable, today's society is like this, the population is large, the social welfare is not good, few people will make any separate preferential policies because of you. So we can only adapt.
If you have tuberculosis, medicine doesn't cost anything. Don't buy the drugs that doctors make you spend money on, just take the state's **.
Now that medicine is developed, if we used to be gone, we would all be gone. So it's good that you can move on with your life, and you have to have a good mentality. If you want to get out of this predicament quickly, the only way is to take medicine on time, don't think about some schools are too ruthless, teachers talk nonsense, this kind of problem, this is not conducive to the improvement of your condition.
The only thing you have to think about now is to get well quickly and get out of the hospital. Solve these problems as soon as possible. If you have tuberculosis, you really can't do heavy work, if you really feel that your family is very tight on your expenses.
You can find some hourly work, do it, and experience the society in advance.
Finally, remember that faith works very well when you are in trouble, you have to believe that what you are doing now is just a small bump in the road of your life, and that there are many more difficult things that you will face next, and if you fall down or become upset, then you are too vulnerable. That's some of my superficial opinions, and the decision is still up to you, and I hope you can do it sooner. Good luck.
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Tuberculosis can be open and closed.
You can issue a diagnosis certificate to the school in the hospital, as long as the sputum bacteria are negative, it is closed, that is, it is not contagious. The reason for the suspension of school must not be asked to be written by the doctor because of pleuritic infection or something, and if it is written, it must be corrected.
But now you are taking a leave of absence, not dropping out, it's okay, it's just a year of delay. However, tuberculous pleurisy requires complete rest and no exertion. Going to school is also a burden.
Tuberculosis medicine must be taken for half a year to nine months, and since it has been rested, it must be well rested and recuperate.
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You can only continue to take the medicine and absorb it slowly. You have to insist on taking medicine, regular check-ups, sometimes it is often pleural pain, but it is not excluded that there is a possibility of hydrostagnancy, don't worry too much, good nutrition, rest, and you will be healthy.
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No streptomycin is used.
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