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Will missing medication affect efficacy?
Will it lead to drug resistance?
Missing the drug only once may affect the efficacy, as long as it is taken in time, there are usually no serious consequences and will not lead to drug resistance. However, if it is missed multiple times, it will lead to aggravation or recurrence of the disease, and in severe cases, it will develop into drug-resistant tuberculosis.
Missed medication is an irregular anti-tuberculosis treatment. It can cause rapidly reproducing flora within the lesion to be unable to completely kill, clinically manifest as treatment failure, and may develop drug resistance. At the same time, missing the drug can also lead to the inability to effectively clear the intermittent propagating flora and slow propagating flora in the lesion, which is manifested by a significant increase in the risk of recurrence in patients.
Studies have shown that the main reason why patients have missed medication during treatment is to forget to take medication, followed by adverse drug reactions, financial difficulties and other reasons. Therefore, for the treatment of tuberculosis, it is necessary to strengthen the importance of regular medication, and once there is a missed medication, it is necessary to strive to make up within 24 hours. If you can't make up for it after the time, you can only remind yourself not to forget to take the medicine in the future treatment. It is also emphasized here that if there is an adverse reaction in the treatment, it is necessary to follow up in time, and it is not recommended to stop the drug without authorization.
Will tuberculosis recur after cure?
Whether there will be recurrence after cure needs to be seen in the context of the patient's specific situation.
For most patients with tuberculosis, immunity is normal, after standardized anti-tuberculosis treatment, clinical diagnosis has been cured, in fact, it is not easy to relapse. For patients who relapse after cure, there are two common reasons: First, the treatment is not standardized and thorough, and if there is a case of over-medication, it will increase the chance of recurrence. Second, the patient's low immunity will also lead to the recurrence of cured tuberculosis in the body, which is common in patients who use immunosuppressants and glucocorticoids for a long time, and can also be seen in patients with tumors after receiving radiotherapy and chemotherapy, and the risk of recurrence in these two types of patients may increase.
Therefore, it is recommended that patients with tuberculosis should do a good job of follow-up examination within 2 years after curing. If symptoms such as cough, sputum production or even hemoptysis appear, it is necessary to go to the designated tuberculosis medical institution for examination in time. Once tuberculosis recurs, it is necessary to re-receive regular, full-course anti-tuberculosis treatment.
Can I still get pregnant with tuberculosis?
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Do not get pregnant while you have active tuberculosis.
Because pregnancy is not good for both the pregnant woman and the fetus, the following risks may arise:
First, pregnancy leads to changes in the endocrine function of the body, early pregnancy reactions, physical exertion during childbirth and postpartum breastfeeding, etc., can reduce the immunity of pregnant women and lead to the deterioration of tuberculosis.
Second, anti-tuberculosis drugs, such as rifampicin, streptomycin, etc., have a greater impact on the development of the fetus.
Third, if the pregnant woman's condition is more serious, it can cause fetal hypoxia and malnutrition.
Fourth, the hematogenous spread of tuberculosis bacteria may occur and transmitted to the fetus through the placenta.
Therefore, women with active tuberculosis should temporarily use contraception. After completing treatment, the drug is discontinued for 6 months before becoming pregnant.
Contributed by: Municipal Center for Disease Control and Prevention
Edit: Suki
The image comes from the Internet