Suspected of TB, Corona fearing investigation, some end up in danger

Suspected of TB, Corona fearing investigation, some end up in danger

Durg. 63-year-old Vimala Tiwari (name changed), living in the Navai region of Durg (Chhattisgarh) district of Chhattisgarh, got so bad in the last week of December 2020 that she had to be admitted to the ICU for a week. . Earlier, he was treated at Chandulal Chandrakar Hospital, Bhilai. It was not possible to get treatment here, doctors advised to take them elsewhere. In the investigation report, his heart was found to be filled with water. Family members hurriedly admitted him to the Advanced Cardiac Institute, Raipur, run by the state government. Here, his treatment started under the supervision of Dr. Smit Srivastava.

Dr. Smit Srivastava says that the patient was admitted in critical condition. If there was a delay in extracting water near the heart, then his life could be lost. In counseling, patients and their families said that in August 2020, they had symptoms of Kovid such as cough, fever, loss of appetite, constant weight loss, but due to fear they did not go to the hospital. He gave some medicines with the advice of a nearby doctor. It also brought relief initially, but suddenly his health deteriorated again in December. After his condition improved, other investigations found him suspicious of tubercle bacillus.

Highly Suspected Patient here
With the aim of identifying TB patients and providing timely treatment to them, Dastak 2021 campaign is being run in the entire state including Durg district. In this campaign, TB Warrior Himani Verma, who was playing the main role in Durg district, said that on January 12 this month, his team reached different areas including Camp-2 Surya Nagar, Shyam Nagar of Bhilai. Here 5 people got severe symptoms of TB. Despite their known symptoms in their counseling, these people did not go to the hospital because they were afraid that they would be found positive in the corona virus (Kovid-19) examination and they would have to follow its protocol.

Impact on employment
Himani says that out of 3 people who got severe symptoms of TB in Shyam Nagar and Surya Nagar of Bhilai, 2 are 21 and 23 years old. Apart from this, the age of one is 53 years. All three carry on the business of selling fruits. He told that if Kovid-19 was found positive in them, then under protocol they would have to remain quarantined for 17 days. This would have an impact on their employment. So they did not go for investigation. He had no idea that Kovid could have TB instead.

Kovid-19 affected TB test
Dr. Anil Shukla, District TB Officer, Durg, says that the epidemic of Kovid-19 has had an impact on the campaign against TB. From March 2020 to November 2020, our team could not work in the field. Due to this, the notification of TB patients could not be done. Referring to the data, Dr. Shukla says that from January 2020 to December 2020, the target of total sputum examination in Durg district was 16 thousand 296, out of which we were able to do only 8 thousand 317. The target of Sputum positive was 1584, of which only 648 could be achieved. The team could not work in the area due to the risk of corona infection.

Dastak-2021 gained momentum
Dr. Shukla explains that TB patients are being rapidly diagnosed under the Dastak-2021 campaign. In the Durg district, TB Warriors are going to different areas with the help of some other organizations including Rich Institute. Different teams of 20 TB Warriors are touring the areas. Under Dastak 2021, from January 1 to January 15, the team consulted a total of 25 thousand 665 people in the Central Jail, Old Age Ashram, Slum Area and Khadan areas of the district. Out of this, common and severe symptoms of TB were found in 336 people. All samples have been sent for testing. Till January 15, 18 of these TBs have been confirmed.

Symptoms of TB and Covid are similar
Dr. Anil Shukla, DTO of Durg, says that both the symptoms of coronavirus infection Kovid-19 and TB are almost identical. In both the diseases, cough, cough with sputum, chest pain, weakness, fever, loss of appetite, complains of lack of taste. In such a situation, suspicious people do not understand the difference between the two diseases. Therefore, TB test has been made mandatory for patients getting Kovid positive. Similarly, Kovid test is also being done for new TB patients.

What to do in case of confusion?
Himani Verma, a TB warrior working in the fort on behalf of the Rich organization, says that TB disease is being found in people of every category, but the most affected are people from the food and slum areas. In such a situation, awareness campaigns are being conducted in these areas. However, if there is confusion about Kovid and TB after getting symptoms, then one should immediately go to the nearest health center. TB should be checked if there are symptoms even after the negative test report is negative. So that treatment can start in time.

TB spreads from one to the other
Significantly, the bacteria is called TB due to a bacterium called Mycobacterium tubercloi. If someone happens, it can spread the infection to others. Its bacteria spread rapidly. Therefore, like Kovid, TB patients should not spit in crowded areas. Mask or handkerchief should be kept on the mouth. The immunity power of TB patient like Kovid decreases, due to which the medicine does not work quickly.

Free investigations and medicines
Durg DTO Dr Anil Shukla says that the screening and treatment of TB is done free of cost under the government's scheme. Depending on the symptoms of TB and the nature of the disease, the course of TB medicine is of minimum 6 and maximum 24 months. However, regular medicine is necessary for this.

TV Type - Plumonary TB
According to health experts, TB (Tuberculosis) is divided on the basis of its spread methods and affected organs. In most cases, TB affects the lungs and in this case, TB is called pulmonary TB or plumonary TB. A person affected by plumonary TB has a persistent cough for three weeks or more. Apart from this, he also has to face bloody cough, phlegm freezing, chest pain and difficulty in breathing.

Extrapulmonary TB
If TB is outside the lungs, it is called extrapulmonary TB. In this type of TB, bones, kidneys and lymph nodes etc. are affected. In some cases the person may have plummonary TB as well as extrapulmonary TB. This condition occurs when the infection spreads outside the lungs and starts affecting other organs of the body. In this way a person suffers from TB of the lungs as well as other organs.

Active and Lentant TB
TB is also divided into Active and Lentant TB. Lentant TB is one in which bacteria is present in your body, but it is not active. Due to which neither you feel its symptoms nor that disease spreads. However, in the blood and skin test of TB, you get to know about TB. Lentant TB can also be converted into active TB in the future for people whose immune system is weak. At the same time, bacteria spread in the body in active TB and you also know its symptoms. In this case, the patient needs immediate treatment. On active TB, the patient experiences symptoms such as weight loss, loss of appetite, fever, fatigue, night sweats without any reason.


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