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Гость
|  Опубликовано: 20-01-2005 06:31
Здравствуйте. Скажите пожалуйста каковы признаки легочного туберкулеза на первых стадиях. И какие исследования надо провести что бы поставить диагноз.
Ребенку поставлен диагноз "тубинфицирован",( реакция манту 12 мм, легкие чистые.) на основании реакции манту а также частых простуд с продолжительным сухим кашлем. С другой стороны терапевт утверждает что кашель остается от простуд долго, так так подозревает развивающийся невроз. (ребенок эмоциональный). Пожалуйста объясните разницу между тубинфицированием и болезнью, или это одно и то же. Фтизиатром были назначены изониазид 0,25 и витамин /3 месяца. Пока ничего не пили, что посоветуете. Прошлый раз кашель остановил массаж в сочетании с двумя ингаляциями гормона гидрокартизона, а так же 2 процедуры гальванического воротника.
Спасибо большое.
Анастасия
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Гость
|  Опубликовано: 22-01-2005 03:44
Important to know how old your child is and how many times and when he got BCG vaccin. Tuberkulinreaction 12 mm can be caused by BCG especially if it was given recently, few years ago. At some age it is very common to have respiratory symptoms for a child. I would not take the medication if there is no known contact with TB. I think there is nothing wrong with your child. If your child is sick it is better to go to a good pediatrician and not to Tb specialist.
Best regards, B. Kan, MD
Stockholm, Sweden
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Гость
| Опубликовано: 26-01-2005 17:56
Thank you for your comments.
My son is 7,5 years old. He had a BCG vaccine when he was born, I know he is supposed to have another one at 7 year old but for some reason they have not done it yet. It seems that he has always had a strong Tuberculin reaction: 0 mm-1997 15-1999, 12-200, 15-2002, 12-2004. They say they missed so called "virazh" in 1999 when I guess he could have supposelly tubinfected. Saratov (Volga Region) when he was born and we lived till he was 7 is very unfortunate with tuberculosis . They have a high rate of such patients. That is my major concern. If ex-ray is not showing anything and TB skin test is still big what are my next steps?..I realize this is a school age so he might have getting lots of colds from other kids but I know as well tuberculosis is not well shown on ex-ray untill the certain stage. Please, tell me if blood test shows any tuberculosis presence or we should do a cultivation test because I know antibiotics is not really good for the immunal sustem and kidneys and want to be sure he really needs it. His pediatrician does not see any particular health problems so I sound really crasy to him. But he never asked about TB skin tests so I assume he is not even considering the possibility of such a disease.
I appreciate your comments.
Thank you
Anastassia
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Гость
| Опубликовано: 29-01-2005 22:08
We say about tuberkulintest that once positive, is always positive which mean that we would never test your child again after 99. It is difficult to say what happened between 97 and 99 when reaction increased from 0 to 15 mm. If it would be because of TB, the actual risk for your child to get TB was much bigger at that time than now. There are no blood tests to show TB
We don't test every child with tuberculin. I would say that Russia is one of very few countries in the world who does. We belive that only groups of risk should be tested like contacts to TB cases or immigrants from Africa etc. Yes, it can be difficult to diagnos pulmonary TB in a child. But a child with TB is most often (seriously) ill, continiously. It doesn't t sound to me that your child is sick. TB drugs are not dangerous but unnessesary in your case, as I see it. I think you should trust your pediatrician. I don't know the reason why your child is often sick. I can only say it is hardly because of TB!
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Гость
| Опубликовано: 03-02-2005 12:22
Моим уважаемым зарубежным коллегам, низводящим нашу постсоветскую медицину на уровень африканской, а также всем нашим, принимающим как аксиому мнение таких коллег рекомендую ссылочку: http://www.ifp.kiev.ua/doc/news/dots.htm
Со своим уставом, как говорят...
PS Неужели в России не осталось специалистов, способных отвечать на родном языке?
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Гость
| Опубликовано: 06-02-2005 03:39
Dear all,
I write in English because my computer doesn't have Russian letters. I work and live in Stockholm. As you can see, you don't have so many answers on your site, mostly questions and again questions. If you want to read about TB policy you can also visist www.tuberculosis.ru. 
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 Уважаемые пациенты! Мы можем ответить на Ваши вопросы, мы можем подсказать Вам, что лучше сделать в конкретной ситуации, но помните, что ни одна виртуальная консультация не заменяет очный визит к врачу. |
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