Tuberculous pleurisy, what to do if tinnitus occurs after using streptomycin?

No streptomycin is used.

You can use traditional Chinese medicine Youfuning capsules and Western medicines such as bizimide, ethambutol, isoniazid and other western medicines together with liver protection drugs.

If you are a first-timer, 6 months can be basic**. Pleurisy** is not overnight, it needs long-term uninterrupted administration**, and the surrounding environment also affects the speed of the disease, this disease is a chronic disease, it is not easy**, mainly rely on raising, after getting sick, you can't get angry, you can't drink, don't smoke cigarettes, rest early, in fact, this is a rich disease, basically rely on raising, don't work and eat well, you have to rely on personal quality, some people recover quickly, and some people recover slowly.

For the sake of your own health, the medicine must insist on eating, if you are the first time to get this disease, and now you have been taking medicine, it is recommended that you stick to it, you have to take half a year of medicine at the beginning, you can basically **, if you do not insist on taking medicine, resulting in no ** on the end of the medicine, once you stay up late or tired to the point of anger, it is easy to get sick, but when you commit it again, it is not as simple as taking half a year of medicine, less to say that you have to take it for a year, more than two or three years, if the body produces drug resistance, then you will have to be accompanied by this disease in this life.

In any case, you must go to bed before 12 o'clock, and you can't drink alcohol during the period of taking medicine, because tuberculosis drugs are very damaging to the liver, and if you drink alcohol, it will increase the burden on the liver.

Don't stay up late, drink, or contribute!

You can do without streptomycin, this drug is hearing damage, and it is irreversible, so you can use other drugs, rifampicin, but there are ***.

I'm almost out of streptomycin!! I'm tinnitus in my ears, hurry up ** ears!! I'm in the same situation as you,!!

It is recommended to go to the hospital for a check-up**.

Streptomycin is an ototoxic drug.

You can stop taking the drug, or consult your doctor.

Some are reversible, it will be better to stop the drug for a while, and some are irreversible, so let's observe it again! Adjust your medications.

Yes, most of the tinnitus caused by drugs is high-frequency tinnitus, and hearing will decline over time, so it is recommended to ** as soon as possible.

Long-term streptomycin injection*** will cause irreversible tinnitus. It is recommended to use rifampicin drugs*** slightly lighter drugs.

**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**.

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**.

Tuberculous pleurisy is generally not contagious because it is not open TB but must be taken regularly.

No need to take a leave of absence, no contagious, regular anti-tuberculosis**, more rest, and stronger nutrition.