Tuberculous pleurisy, now it has become secondary tuberculosis, what should I do?

You still need to continue to take the medicine and can't stop.

The first principle (cross policy) of tuberculosis is: early, regular, whole, moderate, and combined.

In order to be thorough, we must follow the above five principles to ensure that the detection must be cured and the treatment must be thorough.

The whole process is divided into two stages: reinforcement and consolidation, and you are now in the consolidation stage.

The so-called full-course medication means that the doctor determines the chemotherapy regimen according to the patient's condition, and the time required to complete the chemotherapy regimen is three months per course. The full course of treatment is one year or one and a half years. Shortening is not less than 6 months or 10 months.

In addition, it should be noted that the medication should be used regularly in strict accordance with the doctor's instructions, and the medication should not be missed or stopped to avoid the emergence of drug resistance.

Ensuring the completion of the specified deadline is an important measure to increase and reduce the rate.

Strictly follow the appropriate dosage of medication, the dose of the drug is too low to reach the effective blood concentration, affecting the efficacy and easy to produce drug resistance, and the dose is too large to produce drug toxicity.

Conventional medications are isoniazid and rifampicin.

a, b, and c are daily medication regimens.

Scheme a: Intensive phase: isoniazid, rifampicin, pyrazinamide; Once daily for 2 months. Consolidation phase: isoniazid, rifampicin, once daily for 4 months. (It is a case of newly treated smear-negative tuberculosis).

Regimen B: Intensive phase: isoniazid, 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).

Regimen C: Intensive phase: isoniazid, rifampicin, pyrazinamide and ethambutol, administered at a dose, 2 months. Consolidation phase: isoniazid, rifampicin, abrupt administration, 4 months. (It is a case of newly treated smear-positive tuberculosis).

D, E are interval regimens.

Regimen d: Intensive phase: isoniazid, rifampicin, pyrazinamide and ethambutol, once every other day or three times a week for 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**).

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

Consolidation phase: 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**).

It is recommended that you follow the doctor's instructions to take the norm**, I hope you will be soon**.

Internal Medicine: Xiao Song.

First of all, correct you, since you have tuberculous pleurisy, then you must have tuberculosis, and tuberculosis affects the pleura and causes you to develop pleurisy. Therefore, the first thing about this disease is to be anti-inflammatory, followed by long-term anti-tuberculosis.

Why did the doctor ask you to go to the doctor who gave you ** before, because whether the disease of pulmonary tuberculosis is cured or not is to compare the old movies before you can draw conclusions, and other doctors can't judge whether you have been cured of tuberculosis or not, this is what the doctor at the Tuberculosis Prevention Center just told me today.

**It shows that your lesion is basically stable, and the right middle lung should be a tuberculosis ball, with a slight pleural effusion. I feel like you're almost fine

But you still have to ask your doctor.

Tuberculous pleurisy varies according to the effect of the patient's ** period, but most patients should use it for at least 6 months, and until the pleural effusion is not detected by ultrasound.

According to your account, it can be seen that you did not take your medication on time and in sufficient amount, otherwise you would not have had tuberculosis ...... againOr you can say that you have developed drug resistance, and the drugs you take on time are not ...... effective

Pleurisy is the most taboo for exertion, such as watching TV, playing computers, playing mahjong for a long time, ......It is better to change your living habits ......

Yes and don't stop.

It's best to find a good hospital system.

What tests can be done to find out if it is pleurisy?

Secondary tuberculosis needs to be diagnosed, that is, go to the hospital to test the sputum, if the sputum has tuberculosis bacilli, it is tuberculosis.

I don't know if you've had tuberculosis before, but don't worry too much, tuberculosis is okay, and it's free, and you can go to the local CDC regularly every month to pick up medicine.

Precautions: 1. Because tuberculosis is transmitted through your saliva (after you take the medicine for half a month, the tuberculosis bacillus is no longer infectious, and your family does not need to worry about being infected.) So pay attention to the separation of eating dishes and chopsticks.

2. The medicine is best taken on an empty stomach in the morning (take it after getting up, brushing your teeth and washing your face).

3. Avoid doing heavy physical work during the period of taking medicine, and recuperate more.

4. The most important one! Take the medicine on time and in the right amount every day, and remember not to stop the drug (the result of the drug withdrawal is that the Mycobacterium tuberculosis will become resistant, then the drug you are taking now will not have a very good effect, and your medication time will be doubled).

5. In addition to the main drugs for the treatment of tuberculosis, there are also a kind of liver protection tablets, some of the liver protection tablets have ***, it is recommended to use sunflower liver protection tablets, the best curative effect.

Good luck soon**.

The first thing to tell you is to maintain an optimistic mood, a good mood can make the disease as soon as possible**. Lin Daiyu was depressed all day long, so she died because of the fragrance of tuberculosis!

The second is about the disease of tuberculous pleurisy: the pathogenic bacteria of tuberculous pleurisy are still Mycobacterium tuberculosis, and most of them are transmitted through the respiratory tract, so most patients have live Mycobacterium tuberculosis in their lungs, and whether they will develop it depends on your resistance. Tiredness, staying up late for a long time to surf the Internet, depression, cold, irregular life, malnutrition, etc. can cause your immunity to drop sharply and cause the disease.

Again: the first is rest and nutrition, this is very important, generally we ask the patient to take as much bed rest as possible when dealing with tuberculous pleural effusion, as much as possible to extract the pleural effusion, at present, the general use of thin tube drainage, the effect is good, in the application of strong anti-tuberculosis drugs at the same time, can give a small amount of glucocorticoids, to reduce the symptoms of tuberculosis poisoning, and as much as possible to increase nutrition, especially the intake of protein must be enough, do not be reluctant to eat, do not worry about gaining weight. The second is the problem of medication, which must adhere to early, regular, combined, whole-process, and appropriate medication, and cannot be stopped at will, and should intermittently monitor liver and kidney function, blood routine, and prevent and treat complications.

Third: At present, pleural lesions have formed encapsulated pleural effusions, cavities appear in the lungs, and the disease has progressed, and sputum examination for acid-fast bacilli, Mycobacterium tuberculosis culture + drug susceptibility and other related examinations are required to determine whether there are infectious and drug-resistant strains, so as to facilitate the next step**.

Again, take a break! Exams, academics, health always comes first! During my graduate studies, two of my buddies suffered from tuberculous pleurisy, but we were engaged in this business, and in the end, the effect was not bad!

Hope you have a good result too! Good luck with the exam!

This mentality is also very important, you have to keep yourself in a happy mood, and a positive attitude is also very good.

Reasonable exercise is also possible, **on the top of you can also try to use pepper grass porridge soup, pure Chinese medicine, and the effect on ** is also very good.

The primary lesion can be transmitted through breathing when the primary lesion is in the lungs, and simple tuberculous pleurisy is not contagious in daily life. Tuberculous pleurisy is inflammation caused by infection with Mycobacterium tuberculosis. The main clinical manifestations of deficiency clearance are fever, cough, chest pain, dyspnea and pleural effusion.

Exudative pleurisy can occur when Mycobacterium tuberculosis enters the pleural space and the body is in a state of high allergies.

Diagnosis: The onset is similar to a cold, accompanied by fever, cough, chest pain, more fluid than the fluid, dyspnea and shortness of breath, some have night sweats, fatigue, loss of appetite and other symptoms. Physical examination findings:

Respiratory movement is limited on the affected side of dry pleurisy, local tenderness, palpable pleural friction, and pleural friction rub on auscultation. In exudative pleurisy, there is a large pleural effusion, the affected side of the chest is full, the intercostal space is widened, the respiratory mobility and tremor are weakened, the trachea and heart are displaced to the unaffected side, dullness is deducted below the fluid level, breath sounds are weakened or absent, and bronchoalveolar breath sounds may be present above the fluid level, and occasionally small vesicle sounds. Hepatic dullness disappears with right-sided pleural effusion.

If there is pleural adhesion hypertrophy, local chest depression, limited respiratory movement, dullness, and decreased breath sounds.

Blood tests show a slight increase in white blood cells and a rapid increase in ESR in the early stages, which is greater than 20 mm per hour in women and 15 mm per hour in men. Pleural effusion examination is consistent with tuberculous exudate, and tuberculous bacterium test may be positive. On ultrasound probing, a fluid level segment can be seen on the affected side of exudative pleurisy.

X-rays may be unremarkable in dry pleurisy, and exudative pleurisy may show imaging of pleural effusion.

**: Tuberculous pleurisy is mainly based on drugs**, and regular anti-tuberculosis ** regular X-ray examinations should be performed. If there is a large amount of pleural fluid in exudative pleurisy, compressing the heart and lungs, and symptoms such as dyspnea, palpitation, and chest tightness appear, you must go to the hospital immediately**.

Pay attention to the regularity of daily life, arrange work and rest appropriately, and do not be too tired. The diet should be nutritious, avoid spicy, hot and phlegm-producing products, and those who have a habit of smoking and alcohol should resolutely quit. You should keep your spirits up, be in a good mood, and participate in some of your favorite recreational activities.

Strictly speaking, pleurisy needs to leak from 6 to 9 months for the first time, and the drug should not be stopped without authorization unless the doctor's consent is obtained. The possibility of becoming lung cancer is very small, this is what you think about a lot, and from the state you described, there is no ** possibility that there is a greater likelihood. It is advisable to go for a follow-up examination without delay.

First of all, you must be confident in yourself. Your body is your own, you have to make peace with the cells of your body, get rid of all distractions, and your illness will be healed.

Types of Pulmonary Tuberculosis Tuberculosis is divided into five categories: 1. Primary tuberculosis (code: including primary syndrome and intrathoracic lymph node tuberculosis; 2. Disseminated pulmonary tuberculosis (code -- including acute miliary, subacute and chronic hematogenous disseminated pulmonary tuberculosis; 3. Secondary tuberculosis (code - is a major type of pulmonary tuberculosis, and the lesions can contain different pathological changes such as proliferation, infiltration, cheese and cavitation; 4. Tuberculous pleurisy (code -- including tuberculous dry pleurisy, exudative pleurisy and tuberculous empyema; 5. Other extrapulmonary tuberculosis (code -- named according to the location and organs, such as bone tuberculosis, tuberculous meningitis, renal tuberculosis, etc.). Wu Yujun, Department of Tuberculosis, Nanjing Chest Hospital.

It is estimated that it is pleurisy, and tuberculosis is cough with blood.

Looking at your description, the right side of the lower back rib pain, that is, the right side of the water accumulation, depending on your pain level, it is estimated that there is a lot. At least 5 centimeters up.

Analysis of 68 cases of Hershe-like reactions in chemotherapy in pulmonary tuberculosis patients and literature review, China Minkang Medicine, 2007, 18(8).