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  • Name: Cycloserine -Q
  • Add time: 2015-06-17
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Table of Contents
First part     On drug-resistant TB
First, what is the drug-resistant tuberculosis and multidrug-resistant tuberculosis?
Second, the MDR-TB What is the harm?
Third, how is it diagnosed?
Fourth, how is it treated?
Five commonly used drugs have?
Six, can be cured?
Seven, what medication management during treatment is?
The second part          Precautions during treatment
First, how to store the medication?
Second, why should hospitalized two months?
Third, how medication adherence after discharge?
Fourth, no regular medication What are the hazards?
Fifth, when the need to review during treatment?
Sixth, how to properly review the required sputum specimens?
Seven, sputum attention to what issues should be left?
Eight, which appears after taking adverse reactions? How to deal with?
Nine, daily life what precautions?
Ten, how to self-attitude adjustment?
The third part     Other Frequently Asked Questions
First, the drug-resistant tuberculosis can be prevented?
Second, drug-resistant tuberculosis after cure will be transmitted to others?
Third, drug-resistant tuberculosis genetic?
Fourth, how to treat patients with drug-resistant tuberculosis in love and marriage?
Fifth, the close contacts of patients with drug-resistant TB should be how to do?
Six, patients with drug-resistant tuberculosis can bear it?
Seven, patients with pulmonary tuberculosis lactation should how to do?
Eight, should pay attention to what the problem child-resistant TB patients?
Nine, the students had drug-resistant tuberculosis, how should I do?
Drug-resistant tuberculosis knowledge reading
First, what is the drug-resistant tuberculosis and multidrug-resistant tuberculosis?
Drug-resistant TB is TB refers to TB patients, not by one or more anti-TB drugs kill, the more resistant types of drug treatment is more difficult.
TB drug resistance tuberculosis refers to at least isoniazid, rifampicin two kinds of anti-TB drug resistance.
Second, drug-resistant tuberculosis, what harm?
Heavier than ordinary TB disease, difficult to cure, the most serious is almost no cure.
Treatment for up to 2 years, 3 to 4 times the normal tuberculosis.
The cost of treatment is 100 times that of ordinary TB.
Longer duration, spread to more opportunities for others.
Once the disease is infected by multi-drug resistant tuberculosis.
Third, how is it diagnosed?
To accurately diagnose multidrug-resistant tuberculosis, in addition to conventional chest X-rays and sputum pictures inspection, but also for sputum culture and drug sensitivity test for confirmation, some provinces at the same time using a new method for rapid diagnosis.
Fourth, how is it treated?
Treatment-resistant TB patients require more drugs in combination to determine the effective use 4-5 kinds of anti-TB drugs, drug dosage determined by patient weight. Treatment of the whole course of 24 months, divided into injection and non-injection period of two phases, of which the injection period of six months, the non-injection period of 18 months. Currently, the first two months suggest the course of hospitalization, after discharge in the community under the supervision of a doctor to finish the remaining 22 months of treatment. XDR-TB patient in need of treatment for 36 months, possible cure.
Five, commonly used drugs have?
Since multi-drug resistant tuberculosis patients resistant to isoniazid and rifampin. It requires the use of effective first-line anti-TB drugs and second-line drugs.Six, can be cured?
If you actively cooperate with treatment, adhere to the completion of 24 months of treatment, most can be cured.
Seven, what medication management during treatment is?
Patients with drug-resistant tuberculosis, and are used in the medical staff directly observed under medication (DOT) in the full supervision mode of chemotherapy, patients should be in accordance with the requirements of the entire process of medication and therapy under the supervision of medical personnel.
During patient treatment, the first six-month injection period is required by medical staff injected anti-TB drugs to patients, after 24 months of non-injection period:
Whether or not the injection of the injection period, patients are required to go to a specified date in the medication DOT point, under the supervision of medical staff directly observed medication and injections
The second part
Precautions during treatment
First, how to store the medication?
All the anti-TB drug resistant tuberculosis patients should be kept in place to oversee the treatment of medical personnel management.
Second, why should hospitalized two months?
Starting treatment two-month period, prone to adverse drug screening, you may need to adjust the treatment plan, should actively cooperate with medical treatment.
Third, how medication adherence after discharge?
After discharge in the community supervision of a doctor or a village doctor, as the surface continue to complete 22 months of drug treatment, if there is discomfort, a doctor should be, if necessary, to the designated hospital to be checked.
Fourth, no regular medication What are the hazards?
MDR-TB patients have been diagnosed if intermittent medication will develop extensively drug-resistant, severe almost no cure.
Fifth, when the need to review during treatment?
Review during treatment to determine the therapeutic effect, and the need to adjust the treatment program has a very important significance. Drug-resistant tuberculosis patients should go to the hospital for review, as required, the injection of 1 times / month, non-injection period of 1 word / 2 months.
Sixth, how to properly review the required sputum specimens?
The right to remain sputum is: 2-3 times a deep breath, forced to cough up sputum from deep in the lungs, the sputum coughed up sputum retention in the box (3-5 ml), and tighten the lid sputum.
Review of tuberculosis patients sputum samples should be collected two (night sputum, early morning sputum)
   ● night sputum: sputum day before sending the patient to cough up sputum evening;
   ● morning sputum: Patients morning gargle with water immediately after the first two cough, the first three sputum.
Seven, sputum attention to what issues should be left?
1, if the patient has just eaten should rinse with water;
        2, equipped with denture patients in sputum specimens should be preceded remove dentures;
        3, sputum specimens traits of cheese sputum, bloody sputum, mucus, sputum specimens when qualified; saliva or saliva samples to be ineligible.
Eight, which appears after taking adverse reactions? How to deal with?
Phenomenon may occur after taking include: gastrointestinal discomfort, nausea, itchy skin, joint pain, numbness, severe cases may be vomiting, a gift is unclear, rash, hearing loss, some patients may also suffer from mental neurological symptoms (dizziness, headache, insomnia, depression, etc.), as well as dielectrics disorders, hearing impairment and allergies and other adverse reactions.
Any of the above should be timely and doctors, in order to properly handle; do not own or any changes withdrawal treatment program, which will directly affect your treatment.
Note: bloating
Nine, living life considerations are there?
        Confidence, and actively cooperate with treatment
        Pay attention to rest, the law of life, avoid fatigue
        Reasonable diet, eat fruits and vegetables, grains and protein-rich foods
        Smoking, alcohol
1, to develop good health habits, to avoid infecting others
When TB patients with sputum, must spit it out, do not swallow, do not spit, spit should be wrapped in paper after incineration, or spit in the spittoon in disinfection liquid;
Cover your mouth and nose to speak loudly, coughing or sneezing, not facing the others;
Infectious period as little as possible to public places, to wear a mask when;
Best to have a separate bedroom, light should be sufficient to always open the window ventilation;
TB is most children infected by family members, so pay special attention to the protection of children.
2, smoking prohibition
TB patients should stop smoking, smoking will increase cough, sputum, hemoptysis and other symptoms, can be life threatening massive hemoptysis.
TB patients should alcohol, since most anti-TB drugs metabolized by the liver, and varying degrees of liver damage, drinking will be more heavy burden on the liver. Wine can dilate blood vessels, may cause hemoptysis of pulmonary tuberculosis patients.
3, pay attention to rest, better nutrition to pay attention to rest, appropriate exercise, avoid heavy manual labor.
    Should strengthen nutrition, eat milk, eggs, fish, lean meat, soy and other protein-rich foods, should eat green leafy vegetables, fruits and grains and other foods rich in vitamins and inorganic salts, avoid eating spicy too stimulating food.
Ten, how to self-attitude adjustment?
After being diagnosed with drug-resistant tuberculosis can be very shocking, there fear, worry and other emotions, which is a normal reaction. But the vast majority of TB can be cured, it should build confidence, and actively cooperate with medical treatment;
Illness life and work will be affected, but do not make yourself immersed in the concerns and long-term pain, the effort can and should be done, meaningful activities to distract you;
It may be a family member or friend with you to keep away from the illness, but they are alienated from tuberculosis, rather than alienate you, so you should learn the correct understanding of this behavior of others.
The third part of the other common problems
First, the drug-resistant tuberculosis can be prevented?
He had tuberculosis, complete specification by your doctor 6-8 months of treatment, is the best measure to prevent the development of multi-drug resistant tuberculosis. During treatment:
If unwell, should actively seek medical treatment.
Do not intermittent medication.
Do not attempt to stop, even if not withdrawal symptoms improved