Handling In Tuberculosis Patients Accompanied By Heart Swelling?
, I want to ask, so my father recently had a disease that made his lungs have fluid and swelling in his heart, which he felt was a cough that didn’t stop and felt tightness. He has been taken to hospital and is undergoing hospitalization, the problem is that some BPJS provisions now stipulate that patients must be treated for at least 3 days, for this I do not understand. In addition, my father was diagnosed with tuberculosis but did not need to enter the isolation room according to the expert at the hospital. My questions: 1. What is the actual hospitalization time needed to fully recover? Is it true that the symptoms felt by my ship have to be hospitalized? 2. Does someone who has symptoms of illness like my father can do outpatient care, and what risks will be experienced by the family around if done outpatient.3. Are there any other suggestions for curing my father’s illness without hospitalization?
Hello Rizky, Thank you for the question.
Tuberculosis (TB) is an infection caused by the bacterium Mycobacterium tuberculosis which attacks the lungs or other organs outside the lungs. TB that occurs in the lungs that can be transmitted through the air through splashes of coughing or sneezing. One complication that can be caused by tuberculosis is pleural effusion, which is a buildup of fluid in the pleural cavity (pleura is the membrane covering the lungs and chest wall). Pleural effusion can cause symptoms of coughing, fever, chest pain, and shortness of breath which can cause respiratory failure if the amount of fluid that accumulates is very large. towards the pleural cavity. In some cases, the doctor will leave this tube in place for some time until the amount of fluid is very minimal before finally being pulled. This action requires medical supervision and therefore, in this case, in general, the patient will be hospitalized. If pleural effusion is handled properly and your father does not experience complications or other health conditions, then your father can undergo outpatient TB treatment.
Cardiac swelling (known as cardiomegaly in medical language) can be caused by an enlarged heart chamber or thickened heart muscle. This condition can be caused by a number of health problems such as high blood pressure, coronary heart disease, heart rhythm disorders, abnormalities in heart valves, kidney disease, anemia, viral infections, and others. Do you know the cause of your father's heart swelling?
I'm sorry I can't give a definite answer as to whether your father really has to be hospitalized and how long your father should be treated because of limited information about your father's current condition. In general, your doctor will definitely recommend hospitalization according to indications, in your father's case it is because your father has a pleural effusion and a swollen heart. If the medical condition that causes swollen heart in your father is a more serious condition then of course the doctor will recommend a longer stay until your father's condition is stable and can undergo outpatient care. If your father continues to insist on outpatient treatment, the risk is that your father does not get the maximum treatment which in turn can lead to further health complications and may even be life threatening. Therefore, please consult with your doctor who treats your father because the doctor has examined your father and better understand his current condition. Don't hesitate to ask your doctor about the medical condition that your father is experiencing and its severity. The doctor will also be able to tell you about how long your father will be treated. If you are still unsure, your father can consult with another doctor to ask for a second opinion.
Hopefully this information can help you.