Tuberculosis - How Does It Affect?
Hi,
I am Dr. Nikhil Modi, Pulmonologist. Today I will talk tuberculosis which is a rampant and widespread disease. It is a type of infection which is caused by bacteria which is known as microbacterium TB. Ye bacteria humein hawa se milta hai. AGar kisi ko TB hai aur agar vo khasega toh hum us bacteria ko apne andar le lete hain. Sabse pegle is bacteria ka focus humare lungs pe hota hai but ye body ke kisi bhi hisse mein jake TB kar sakta hai. TB vaise toh body ke kisi bhi hisse mein ho sakta hai. But agar koi sugar ka patient hai, smoking karta hai, alcohol leta hai, immunity low hai, cancer hua hai. TB ke symptoms starting mein less hote hain jis vajah se patient unhein ignore karte hain. Aise hi symptoms badh jaate hain. Sabse common lungs ka TB hota hai. Ye pneumonia karta hai but ye normal pneumonia se isliye alag hota hai kyuki ye dheere dheere badhta hai and dheere dheere symptoms aate hain.
Sabse pehle khaasi aati hai jo sukhi ho sakti hai ya fir bulgum vali ho sakti hai. Jab zakham badh jata hai toh vo andar bleeding bhi kar sakta hai and khasi ke sath bhi khoon aa sakta hai. Patient ko fever bhi ho sakta hai jo evening time mein aa sakta hai. Patient ko kam bhook lagti hai and vajan bhi kam hota hai. Isliye sarar bhi yahi kehti hai ki agar aap ki khaasi 2 weeks se jayada chal rhi hai toh aap ko TB rule out kara lena chaiye. Kyuki ye bahut common hai India mein and timely diagnose karna abhut important hai. Agar TB timely treat na karaya jaay toh vo body mein fael sakta hai and brain ko bhi affect kar sakta hai. Is se brain mein dora, behosi, aankhon mein dhundalapan, headache ho sakta hai. Rid ki haddi mein aane se haddi mudni mushkil ho jaati hai aur haathon mein paralysis bhi aa sakta hai. Peat ke TB mein khana rukne mein dikkat hoti hai, constipation and peat fulna bhi ho sakta hai.
Ye bacteria slow growing hota hai isliaye treatment bhi lamba hota hai. Normal treatment mein 4 medicines di jaati hain aur course pura 6 months ka hota hai. Bina specialist se consult kare medicines na lein kyuki ye medicines bahut garam hoti hain. Ismein liver mein swelling aa sakti hai and dusre bhi side-effects ho sakta hain isliye constant monitoring chaiye hoti hai. Iske alawa ek bigadi hui TB hoti hai jise MDR TB kehte hain. Uska bacteria kuch logon mein direct hawa se aa jata hai, kuch logon mein medicines proper na lene se MDR TB mein convert ho jata hai. Iska ilaj bhi mushkil hai. Injections chaiye hote hain and medicines bhi problem karti hain. Iska treatment 2-2.5 years ka hota hai. Kuch nayi medicines aa rahi hain jis se treatment ka duration kam ho sakta hai. But jab bhi aap ko symptoms aaye toh aap specialist se consult karein kyuki TB contol karna asan hai agar ise sahi time pe pakad liya jaye. TB se darein nahi, iska ilajsambhav hai. Aap ko aisa samjahne ki jarurat nahi hai ki iska kisi ko pata chal sakta hai aur aap ko achoot samjha jayega. Ise chipane ki koi jarurat nahi hai kyuki ilaj hone se aap ki zindagi mein sudhar aayega.
Thank You!