Is pulmonary TB inherited?

Pulmonary tuberculosis is a contagious disease caused by Kock infection, not a genetic disease. Pulmonary tuberculosis is called primary when the disease is present at the time of infection. Pulmonary tuberculosis is called reinfection when or may be due to endogenous origin: an outbreak in an old infectious tuberculosis, or it may be due to an exogenous origin associated with a new infection.

X-rays in patients with pulmonary tuberculosis (Photo: TTO)

The development of tuberculosis coincides with the circumstances in which the body is immunocompromised (puberty, pregnancy, diabetes, post-abortion, alcoholism, malnutrition, depression in old age. ).

If the family has a person with TB, in addition to proper and positive isolation and treatment for the patient, it is necessary to check for other family members (chest X-ray, as a reaction to tuberculine, sputum test find BK .).

The best prevention is BCG for newborns, proper treatment of primary TB, isolation and proper treatment for workers, most commonly in the period of BK (+) in sputum.

Multi-chemotherapy is the best way to treat tuberculosis with drugs: INH, Rifamipicine, Etambutol, Streptomycine lasting 18 months

Lower blood calcium

* Years ago I had a stiff hand, the doctor told me to have hypocalcaemia, given the effervescent calcium tablet, the hands were soft and the pain was gone. Then, at times of illness (gastrointestinal disorders or tonsillitis), the hands sometimes become stiff and hurt the same way). After taking the effervescent calcium pill, it's all over, it's okay to be healthy normally.

What is hypocalcaemia? Does it need treatment? What causes the disease and how to prevent and treat? (Ha Thu)

- Blood calcium hypersensitivity causes the hand to shrink like the hand of the birthing hand, easy to diagnose. Treatment only requires Valium medication and intravenous injection of calcium gluconate about 5 minutes later, the disease is gone.

But tetami bout is just a symptom of many causes:

- Due to lower blood calcium

+ Parathyroid condition

+ Due to lack of Calcium absorption and poor absorption (rickets due to Vitamin D deficiency, soft bone disease .)

+ Because calcium is excreted much (Acidose caused by renal tubules, Fanconi's disease .)

- Due to magnesium deficiency (Mg) of blood in chronic intestinal diseases

- Due to lack of blood potassium (especially Conn syndrome, diuretic use)

- Due to chronic kidney failure

- Due to metabolic or respiratory alkaline (prolonged ventilation)

- Some tetami episodes have normal blood calcium, need more neurological and mental examination.

Therefore, in addition to treating tetami attacks, treatment should be performed on the cause.

BS SAVE STRENGTH SPECIALIST II, Internal Medicine