Health guidance for TB patients discharged from hospital

  1. Commonly used anti-tuberculosis drugs dosing guidance: Isoniazid is taken orally on an empty stomach or 2 hours after meals. Common side effects: peripheral neuritis, liver damage, central nervous symptoms, gastrointestinal reactions, allergic reactions, etc.  Rifampicin is taken orally on an empty stomach or 2 hours after a meal. Common side effects: liver damage, gastrointestinal reactions, allergic reactions, neurological symptoms, decreased white blood cells, platelets, etc.  Rifapentine is recommended to be taken orally with meals. Side effects are similar to those of rifampicin.  Ethambutol is taken orally on an empty stomach or 2 hours after a meal. Common side-effects: optic nerve damage, gastrointestinal reactions, etc.  Pyrazinamide is taken orally with meals. Common side effects: hepatic impairment, arthralgia, allergic reactions, gastrointestinal reactions, occasional anemia.  Sodium para-aminosalicylate is administered once daily by intravenous drip and requires ready-to-use preparation, protected from light. Common side effects: gastrointestinal reactions, liver damage, allergic reactions, etc.  Streptomycin is administered intramuscularly once/daily. Common side effects: hearing loss, dizziness, tinnitus, kidney damage, allergic reactions, etc.  Note: The above drugs should be taken as prescribed by the doctor, and should not be stopped, missed or taken more than necessary.  2. Dietary guidance Tuberculosis is a chronic wasting disease, so it is important to increase dietary nutrition. Eat more vitamin-rich, low-fat, high-quality protein foods, such as milk, eggs, lean meat, fish, beans, and fresh fruits and vegetables; eat less fried, spicy and stimulating foods; eat regularly every day; do not overeat, and quit smoking and drinking.  3, pay attention to rest After discharge from the hospital to pay attention to body and mind rest, should rest for about six months. Ensure sufficient sleep, avoid overexertion and strenuous activities, and after the condition improves, you can do appropriate activities, such as walking, playing tai chi, doing radio exercises, etc. All activities should be based on the principle of not feeling tired. Keep the living room with fresh and clean air and sufficient sunlight, not in a closed room for a long time.  4, disinfection and isolation guidance Do not spit, cough, sneeze gently cover the mouth and nose with hand towel, and try to wear a mask when going to public places. Tableware and bedding must be used separately and disinfected regularly: tableware should be boiled for 2-5 minutes, and bedding should be exposed to sunlight frequently. If you have children or elderly people in your home, you should live in separate rooms with them.  5.Regular recheck 1 month after discharge, recheck blood routine, liver and kidney function and take chest X-ray. If you find any abnormalities in blood routine or liver and kidney function, come to the hospital as soon as possible. Regular follow-ups (usually about 1 month) are needed to observe the side effects of the drugs and to evaluate whether the disease is improving. Changes in the anti-TB regimen need to be implemented by a medical professional. During out-of-hospital treatment, if adverse reactions such as generalized rash, bleeding spots, or high fever occur, suspend the medication without seeking medical attention. Visit the hospital as soon as possible.