Friday, April 4, 2008
How elderly tuberculosis treatment?
(1) general treatment: elderly patients with pulmonary tuberculosis in active lesions, bed rest should be adequate intake of nutrients. Condition improves, gradually participate in a number of activities to enhance physical fitness, increase resistance to disease. (2) anti-tuberculosis drug treatment: Practice has proved that reasonable antituberculosis drug therapy is completely cured of the disease of the most important ways. Early treatment principle is to pay close attention governance, rule-balanced, focused on the treatment of sputum-positive patients, and do a good job the whole course of management, and continuously improve the cure rate. Early treatment is followed, appropriate, the use of Cross and the whole approach. ① early Governance: senile initial discovery tuberculosis, or TB drugs has been found that without treatment, are the beginning of the jurisdiction. Minor lesions, non-empty, not carriers of the sputum may be oral isoniazid 0.4 g / day, rifampicin 0.45 g / day, a morning Dayton suits, taking consecutive year. Lesions significantly activities, accompanied by destruction of lung tissue and sputum positive, can be oral isoniazid 0.4 g / day, rifampicin 0.45 g / day, ethambutol 0.75 g / streptomycin, or 0.75 g / , intramuscular injection, in February after two times a week instead of the use of isoniazid and rifampicin, with a total course of treatment for nine months. ② complex governance: the past have received anti-tuberculosis drug treatment, rehabilitation once again called for governance. Elderly complex governance contained in the cases of tuberculosis resistant bacteria increased use of bacteria must be sensitive drug treatment. TB drug sensitivity tests can help select drugs, but the time is too long, the general results only a few weeks. Therefore, in accordance with regular clinical treatment of patients in detail the past, elected by the previous unused or less, or has been used by the Joint Rules of drugs, alternative treatment programmes, joint two kinds or more drug treatment, in accordance with drugs after The results of chemotherapy sensitivity adjustment programme. Early treatment of tuberculosis elderly can often be achieved satisfactory results, which we must seize the opportunity of early treatment of tuberculosis lesions often elderly fiber lesions and cheese stoves, as these lesions poor blood supply, tuberculosis in a low metabolic state, the role of hard drugs , the anti-TB drugs should be used in UEFA, the course should be long enough to completely heal; the elderly speaking, streptomycin easily cause deafness, dizziness, so to rifampin, isoniazid, triethylamine D Alcohol or pyrazinamide "triple" better. Isoniazid, rifampicin, pyrazinamide can cause liver damage, Ethambutol can cause visual impairment, medication should be highly vigilant.
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