How To Determine Pulmonary TB Is Completely Cured If There Are Still Complaints Of Chest Pain?
Good morning doctor. My husband was diagnosed positive for pulmonary TB 6 months ago and has been treated at a hospital and then referred to the nearest health center for 6 months, his sputum test results were always negative from the start because my husband had pulmonary TB but did not have phlegm, now the treatment has been told to stop . Is there no need to do another x-ray again to see the results of the treatment? While the husband during the treatment period yesterday often complained of left chest pain while the time was diagnosed and from the results of the X-ray X-ray that had TB it was the right lung, besides that the husband’s BB had only increased by 4kg for 6 months, whereas the decrease from before the illness was approximately 6kg. Whether stopping pulmonary TB medication is enough after 6 months with regular checkups at the puskesmas, I am worried that I will be able to relapse again if it turns out that it has not healed properly but that the treatment has been told to stop.
Hello. Thank you for the question submitted to HealthReplies.com. We can understand the concern you feel.
Tuberculosis (TB / TB) is a disease caused by bacterial infection with Mycobacterium tuberculosis. The organ most commonly infected with this bacterium is the lung, but the infection can also affect almost all organs. The most common symptoms of pulmonary TB are coughing for a long time (lasting 2 weeks or more), a lot of sweating especially at night, drastic weight loss for no apparent reason, and long-standing fever
If the diagnosis of pulmonary TB has been established by a doctor, the patient needs to undergo TB treatment consisting of a combination of antituberculosis drugs (OAT). OAT needs to be used every day regularly for at least 6 months.
During treatment, pulmonary TB patients need to undergo several evaluations in the form of sputum examination to assess the treatment response. If the patient experiences pulmonary TB for the first time and does not have a history of previous TB treatment, an evaluation of sputum examination is done at the beginning of diagnosis, the 2nd month of treatment, the 5th month of treatment, and the end of treatment (6th month). TB patients who have finished undergoing treatment until the 6th month are called cured if the results of bacteriological examination are positive at the beginning of treatment, then become negative at the end of treatment and at one of the previous examinations. So, evaluation of treatment through a sputum examination series is very important to assess the success or failure of treatment.
In general, X-rays are not always needed in evaluating the results of TB treatment. The supporting examination that became the standard in evaluating the success of treatment was the evaluation of sputum bacteriological examination. Sputum bacteriological examination can be done in almost all health centers with adequate facilities. We recommend that your husband consult directly with a doctor, lung specialist, or internist who handles it regarding the need for investigations at the end of the TB treatment period.
To enrich your horizons, you can read articles about TB. Thus information from us. Hopefully always healthy. May be useful.