MDR TB के लक्षण क्या हैं
MDR TB, मे टीबी के समान लक्षण पैदा करता है, जैसे दो सप्ताह से अधिक समय तक कफ के साथ खांसी वजन कम होना और थकान महसूस होना,बुखार, सीने मे दर्द, बलगम मे खून आना इत्यादि, अगर किसी को ये लक्षण हैं तो उन्हें यह सुनिश्चित करने के लिए स्वास्थ्य केंद्र जाना चाहिए और अपनी जांच करानी चाहिये यदि टीबी परीक्षण मे टीबी का किटाणू आता है, तो व्यक्ति को तुरंत उपचार शुरू करना होगा और याद रहे टीबी के उपचार से पहले रोगी को ड्र्ग सेंसविटी टेस्ट भी कराना चहिये जिससे पता चल सके की रोगी पर कौन सी टीबी की दवा काम करेगी, टीबी का उपचार पूरी तरह से नि: शुल्क है , मल्टी ड्रग-प्रतिरोधी टीबी का इलाज चिकित्सक तय करेगा कि कौन सी दवाएं सबसे अच्छी हैं और जब उपचार चालू हो जाएगा, तो रोगी को हर दिन दवाइयां दी जाएंगी, ये इलाज डाक्टर या स्वस्थकर्मी की देख रेख मे सुरू होगा, इसका मतलब है कि एक स्वास्थ्य कर्मचारी देखेगा रोगी हर दिन अपनी सारी दवाइयाँ लेता है या नही लेता
मल्टी ड्रग-प्रतिरोधी टीबी कैसे फैलता हैं
एमडीआर टीबी भी ठीक उसी तरह फैलता है जैसे टीबी फैलता है जब कोई बलगम पाजटिव टीबी से बीमार मरीज अगर वो इलाज नही लेता या इलाज छोड छोड के लेता है और वो खांसता है तो छींकता है ग़ानागाता हैं या जोर जोर से बोलते हैं तो उनके मुह से टीबी के किटाणू बहार निकलते है और हवा के जरिये एक इंसान से दुसरे इंसान तक आसनी से पहुच जाते है,
मरीज के बलगम मे टीबी के किटाणू होते है, वो अपने बलगम को सही से फेकते और न ही वो कफ एटिकेट का पालन नही करते, कही पर भी थूक देते है इससे भी ये बिमारी फैलती है
बलगम पाजटिव टीबी मरीज के साथ एक ही बर्तन मे खाना खाने से, उसके किस करने से और बलगम संकर्मित हाथ या उसके उसके इस्तमाल किये गाये सामान जैसे कपडे,मोबइल,बेड्शीट कम्बल, या हाथ मिलाने से भी ये बिमारी फैल सकती है
बलगम पाजटिव टीबी मरीज के साथ बंद कमरे मे ज्यादा समय तक साथ रहने से भी ये बिमारी लग सकती है
यही कारण है कि जब हम खांसते है या छींकते हैं तो हमें हमेशा अपना मुंह ढंकना चाहिए याद रखें कि एमडीआर टीबी उसी तरह से प्रसारित होता है जैसे कि टीबी प्रसारित होता है हवा से। यदि कोई मरीज अपनी समय दवा लेता है तो वह एक निश्चित अवधि के बाद उसका संक्रामण या रोग फैलाने की क्षमता कम होती चली जाएगी
उपचार के साइड इफेक्ट होते हैं
MDR-TB के लिए उपचार कुछ दुष्प्रभाव पैदा कर सकता है जैसे पेट दर्द मतली दस्त,जोडो मे दर्द, बोडी पैन, स्किनरैश भुख कम लगना और इंजेक्शन स्थल के आसपास दर्द आमतौर पर दुष्प्रभाव मामूली होते हैं लेकिन कभी-कभी वे गंभीर कुछ दुष्प्रभाव हो सकते हैं जैसे पीलिया, कान से सुनाई देना बंद हो जाय आखो के समाने आधेरा या अंधापन इत्यादि अगर MDR-TB की दवा से कोइ भी परेशानीहो तो अपने डाक्टर या स्वथकर्मी को जरुर बताये वो आपकी मद्दत करेंगे बिना बताये उपचार को रोकने की गलती ना करे नही तो बिमारी और भी गम्भीर हो सकती है कार्यकर्ता किसी भी समस्या के बारे में बात करने और सवालों का जवाब देने के लिए हर दिन रोगी के साथ मिलेंगे और यदि कोई दुष्प्रभाव है या उपचार के साथ कोई समस्या है तो स्वास्थ्य कार्यकर्ता को बताया जाना चाहिए ताकि वह या उस समस्या को हल कर सके यह बहुत महत्वपूर्ण है
रोगी के परिवार वालो को दुष्प्रभावों के बारे में पता होना चाहिए जो रोगी के पास रहते हो और वे रोगी को मोटिवेट करके उसे ठीक होने में मदद कर सकते हैं, जबकि रोगी दवाइयाँ ले रहा है रोगाणु/किटाणू की मात्रा हो रही है या नही इसका पता प्रयोगशाला जाच करने से होगा यादि बलगम की जांच मे रेपोर्ट ठीक आ रही है तो मरीज अब संक्रामक नहीं है, लेकिन सावधानी जरुर बरतें और कफ एटिकेट का प्रयोग करे अगर रोगी बेहतर महसूस कर रहा है तो भी उसे सभी दवाइयाँ लेनी जारी रखनी पड़ेगी, और अपना कोर्स पूरा करना होगा अगर इलाज को बीच मे रोकागया तो ये बिमारी अधिक कठिन हो सकती हैं यदि सभी दवाइयाँ नहीं ली गई तो एमडीआर टीबी का संचार करना आसान हो जाएगा जिससे रोगी के साथ रह रहे सभी पारिवारिक मित्रों और समुदाय के दुसरे लोगो को भी ये बिमारी लग सकती है सभी दवाओं को नहीं लेने के कारण रोगी की मृत्यु हो सकती है, हमें एमडीआर टीबी को गंभीरता से लेना चाहिए, हम सभी को अपना काम इमांदारी और कड़ी मेहनत करना चाहिए
क्या एमडीआर टीबी से ग्रसित रोगी अपने पार्ट्नर के साथ यौंनसमबंध बना सकते है
यह एमडीआर टीबी मामले मे एक पेचिदा सवाल है पर ये सच है टीबी यौन संबंध से नही फैलती ये केवल बलगम मे टीबी पाजटिव मरीज के खासने छीकने और इधर उधर थुकने से फैलता है इसलिये एमडीआर टीबी के साथ अंतरंग के साथ व्यक्ति यौन संबंध रख सकते है लेकिन आप यौन संबंध रखते समय चुंबन या किस नही करना चहिये,डॉक्टर का कहना है कि यह ठीक है याद रखें कि एमडीआर टीबी के रोगी को हमेशा अपनी दवाएँ खाते रहना चाहिए और उपचार पूरा करना चाहिए। खाँसते समय या छींकते समय छींक आने पर अपना मुंह हमेशा ढक कर रखना चाहिए। मरीज को जितना संभव हो उतना पौस्टिक खाना चाहिए
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