To share with you a case of tuberculosis, do the wrong 2 steps, develop to the point of critical illness, the lungs are rotten, there are a few lessons I hope to give you a wake-up call.
This young man is only 18 years old, did not enter high school, read a vocational secondary school, just graduated, did not find a job, obsessed with Internet café games, drinking, smoking, staying up late.
At this age, it is the blood and qi Fang Gang, the parents can not listen to it, often eat instant noodles, stay up late, lack of exercise, make themselves very thin, one meter eight weight is less than 60 kg, immunity is weakened, the result accidentally infected tuberculosis.
When he came to the hospital for the first time, his symptoms were not so severe, that is, cough, chest pain, and sometimes breathing difficulty when lying flat, but CT found typical tuberculosis (Figures 1-2):
Mycobacterium tuberculosis destroys his small trachea, forming multiple shoot signs and small patchy shadows, and forming a cavity (orange arrow).
The cavity is due to the necrosis and liquefaction of lung tissue caused by mycobacterium tuberculosis, and after the sputum is discharged, the air enters the necrotic zone to form an air-bearing cavity.
This thick-walled cavity is often a sign that tb is active, especially when a parietal level is seen inside, suggesting a high degree of infectivity.
That is to say, the young man must adjust his work and rest habits, strengthen nutrition to improve immunity, and standardize the use of anti-tuberculosis drugs.
Early diagnosis and timely and standardized treatment of tuberculosis is very important! Because Mycobacterium tuberculosis is a very intelligent and ferocious bacterium, it is destructive, has strong vitality, and is prone to resurgence.
It's a pity!
This is a child who does not listen to his parents, and he refuses to listen carefully to the doctor's words, fishing for three days and drying the net for two days, often not taking medicine, and continuing to be obsessed with online games.
This gives TB bacteria the opportunity to grow and become resistant.
A year later, The tuberculosis bacteria basically dominated his bilateral lungs, feeding on the lobes of his lungs, breeding waves of new waves of tuberculosis offspring, and eating a large number of cavities, as well as extensive bronchial damage:
This time the symptoms were much more serious, the young man had repeated fever, severe cough, frequent coughing up blood, difficulty falling asleep at night, obvious emaciation...
At this point, his life is in danger, severe infection, respiratory failure, blood vessel rupture and bleeding can take his life, and treatment is already very difficult.
He's only 19 years old and he hasn't found a girlfriend yet.
His experience is regrettable and regrettable, but also reminds everyone:
1. When you are young, you must lay a good foundation for your body, stay up late, eat healthily, exercise appropriately, and do not squander health capital!
2. If you accidentally infect tuberculosis, you should standardize treatment in time, do not drag it to the lung tissue for serious damage, and do not artificially cause tuberculosis bacteria to be resistant!
Tuberculosis prevention and treatment knowledge points
The World Health Organization (WHO) estimates that there were about 10.4 million new-onset TB cases worldwide in 2016, of which 1.67 million died of TB, a staggering number.
The mainland is one of the countries with a high burden of tuberculosis, with about 895,000 new cases of tuberculosis every year (more than lung cancer patients), ranking third in the world.
Early diagnosis, early isolation, and early treatment are the key to reducing the incidence and death of tuberculosis!
Mycobacterium tuberculosis is mainly transmitted by respiratory droplets, and tuberculosis people during the active period are the most important source of infection, so they must be isolated and protect their families!
Specific measures are:
1. Tuberculosis people should standardize the use of drugs during the active period, stop work and school, isolate treatment, try not to go to crowded public places, and do not spit on the ground (can be wrapped with paper towels, incinerated);
2. Healthy people do not have to be overly anxious, not all tuberculosis bacteria carriers will develop disease, more people latent infection can be carried for several years, or even lifelong disease;
3. BCG vaccination can be effective in preventing tuberculosis in children (but not completely avoided);
4. Develop good living habits, combine work and leisure, wear masks when going out, and wash your hands frequently.
I am a doctor of imaging, the case is simple, but the education is profound, I hope it will be useful to everyone!