Tuesday, December 2, 2008

TUBERCULOSIS

Infection of the lungs, the disease caused by germs groups Mycobacterium tuberculosis. WHO in 1990 stated that approximately 1,760 million people (1 / 3 of the world's population) are infected with tuberculosis germs. In developing countries tuberculosis is still the main health problems in the community. Tb is a major cause of death number 2 in Indonesia.

This way of passing the disease through droplet issued by a TB sufferer in the air that can survive in room temperature (25-30o). People can be infected apabaila droplet is terhirup everywhere in the channel.

Clinical symptoms

Symptoms that arise in the lungs, TB is a sufferer;
• vulnerable-productive cough  3 weeks
• bloody vulnerable
• shortness of breath
• Pain chest
• Weak, weary
• body weight decreased
• Nafta decreased food
• sweat in the night
• Fever is not high

Laboratory examination
Checking the usual routine blood examination is mainly LED. Most of the cases, the rate increased LED on the lungs, TB sufferer. In addition, sputum examination is done / sputum 3 times. Results showed positive when 2 of 3 sputum samples found BTA (acid-resistant bacteria). Diagnosis that can be done on the culture and the results there are bacteria Mycobacterium tuberculosis.
Checking other routine X-rays images is paru. Photos done in 2 position, namely from the front and side. Photo chest X-rays done at the beginning and the end of the treatment to monitor the success of treatment, treatment is usually done after 2 months and 6 months.
Imuno-examination serologis usually done in children, conducted by tuberkulin skin test (Mantoux test) said if there is a positive skin redness around the tested> 15 mm.


Dealing
Therapy is done with the OAT (Anti-Tuberculosis Drugs). OAT should be given in combination at least two drugs that are bakterisid (isoniazid and rifampicin) with or without a third drug. OAT is available Isoniazid (H), Rifampicin (R), Etambutol (E), Streptomicin (S), Pirazinamid (Z). Compliance is very important for patients total healing of germs Add.






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