Pulmonary Tuberculosis

Subject: Community Health Nursing II

Overview

A potentially dangerous infectious condition that mostly affects your lungs is pulmonary tuberculosis. People can contract tuberculosis from one another by coughing or sneezing small droplets of bacteria into the air. Mycobacterium tuberculosis is the causative agent of tuberculosis. Cough, unintentional weight loss, fatigue, fever, night sweats, chills, and loss of appetite are all indications of active TB. Blood tests, physical exams, chest X-rays, history taking, and sputum tests can all be used to diagnose pulmonary tuberculosis. The medications for pulmonary tuberculosis include isoniazid, rifampin (Rifadin, Rimactane), ethambutol (Myambutol), and pyrazinamide. The complications of pulmonary tuberculosis include pleural effusion, respiratory failure, respiratory distress syndrome, return of disease, etc. Early detection and treatment, covering the mouth when sneezing and coughing, refraining from spitting in public places, and promoting BCG immunization for children as soon as possible after birth can all help avoid it.

Pulmonary Tuberculosis

A potentially dangerous infectious condition that mostly affects your lungs is pulmonary tuberculosis. People can contract tuberculosis from one another by coughing or sneezing small droplets of bacteria into the air. Mycobacterium tuberculosis is the causative agent of tuberculosis.

The majority of drugs used to treat tuberculosis don't work on many strains of the illness. To get rid of the infection and stop the emergence of antibiotic resistance, people with active tuberculosis must take a variety of medications for many months.

Symptoms

  • Latent TB
    • You have a TB infection in this situation, but the bacteria remain dormant in your body and don't create any symptoms. It is not communicable to have latent TB, commonly known as dormant TB or TB infection. Treatment is crucial for the person with latent TB as well as for preventing the spread of TB in general because it can develop into active TB.
  • Active TB
    • You become ill from this ailment, which also spreads to others. It could happen years after the first TB bacterial infection or it might happen right after.

Signs and Symptoms of Active TB Include

  • Cough.
  • Weight loss that wasn't planned.
  • Fatigue.
  • Fever.
  • Sweats during night.
  • Chills.
  • Decrease in appetite.

Tests and Diagnosis

Using a stethoscope, your doctor will thoroughly examine your lungs during the physical examination and check your lymph nodes for enlargement. A straightforward skin test is the most often used diagnostic method for tuberculosis. Your inside forearm is given a tiny injection of a substance called PPD tuberculin, just beneath the skin. Only a tiny needle prick should be felt by you.

  • Blood Tests
    • Latent or active tuberculosis may be confirmed or ruled out using blood testing. These tests assess your immune system's response to TB bacteria using cutting-edge technologies. a chest X-ray
    • Your doctor will probably request a chest X-ray if the results of your skin test were positive. This could reveal changes in your lungs brought on by active tuberculosis or it could reveal white areas in your lungs where your immune system has walled off TB bugs.
  • Sputum Tests
    • Your doctor may request samples of your sputum, or the mucus that arises when you cough, if the results of your chest X-ray indicate that you may have tuberculosis. Testing is done on the samples for TB bacteria.

Treatments and Drugs

The mainstay of tuberculosis treatment is medication. But TB treatment takes a lot longer than TB treatment for other bacterial diseases. Antibiotics must be taken for at least six to nine months if you have tuberculosis. Your age, general health, potential drug resistance, the type of TB (latent or active), and the site of the infection in the body all affect the specific medications and length of treatment.

If you have latent tuberculosis, you might only require one kind of TB medication. Multiple medications must be taken at once to treat active tuberculosis, especially if the strain is drug-resistant. The following are some of the most typical drugs used to treat tuberculosis:

  • Isoniazid.
  • Rifampin (Rifadin, Rimactane) (Rifadin, Rimactane).
  • Ethambutol (Myambutol) (Myambutol).
  • Pyrazinamide.

Complications of TB

  • Thoracic effusion
  • Breathing difficulty
  • Syndrome of respiratory distress.
  • illness relapse.

Prevention Early Detection and Treatment Covering

  • when sneezing and coughing, the mouth.
  • Don't spit anywhere else.
  • BCG vaccination should be encouraged for infants as soon as feasible after delivery.

 

 

 

Things to remember
  • A potentially dangerous infectious condition that mostly affects your lungs is pulmonary tuberculosis.
  • People can contract tuberculosis from one another by coughing or sneezing small droplets of bacteria into the air.
  • Mycobacterium tuberculosis is the causative agent of tuberculosis.
  • Cough, unintentional weight loss, fatigue, fever, night sweats, chills, and loss of appetite are all indications of active TB.
  • A straightforward skin test is the most widely used diagnostic method for tuberculosis. Your inside forearm is given a little injection of a chemical called PPD tuberculin, just beneath the skin. Only a tiny needle prick should be felt by you.
  • The mainstay of tuberculosis treatment is medication. Medication is
    • Isoniazid.
    • Rifampin (Rifadin, Rimactane) (Rifadin, Rimactane).
    • Ethambutol (Myambutol) (Myambutol).
    • Pyrazinamide.
  • Complications of TB
    • Thoracic effusion.
    • Breathing difficulty.
    • Syndrome of respiratory distress.
    • illness relapse.
  • Prevention
    • Early identification and therapy.
    • When sneezing and coughing, cover your mouth.
    • Don't spit anywhere else.
    • Encourage the children to receive the BCG vaccine as soon as feasible after delivery.
Questions and Answers

Tuberculosis of the lungs is a potentially fatal infectious disease that mostly affects the lungs.

Mycobacterium tuberculosis is the causative agent of tuberculosis.

 

Active tuberculosis symptoms include:

  •  Cough
  •  Inadvertent weight loss
  • Tiredness
  •  Fever
  •  Sweating at night
  • Goosebumps
  •  Appetite loss

 

Pulmonary tuberculosis can be diagnoised by

1. History taking,

2.  Physical examination,

3.Blood tests,

3. Chest X-ray,

4. Sputum test.

5. Simple skin test

 

Tuberculosis medications include:

  • Isoniazid
  • Rifabutin (Rifadin, Rimactane)
  •  Ethambutol (Myambutol)
  •  Pyrazinamide (Pyrazinamide)

TB Complications

  • Pleural effusion
  • Respiratory distress
  • Syndrome of Respiratory Distress
  • disease relapse

Prevention of tuberculosis are:

  • Early diagnosis and treatment
  • When coughing or sneezing, cover your mouth.
  • Do not spit anywhere else.
  • Encourage children to receive BCG vaccinations as soon as possible after birth.

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