Abstract
This paper will attempt to address the problem of co-morbidity. This paper will summarize and give concrete responses and actions to this growing problem in the medical community.
Summary
The problem of co-morbidity caused by the impact of some kind of abuse is a standpoint within a majority of governmental structures and subsidiaries all over the world. The reciprocal connection between diseases is inevitable. One negative factor may cause terrible disease which in return may signal the further emergence of another disease. The problem of alcohol abuse as one of the main factors for the emergence and amplification of tuberculosis is widely discussed in medical circles and social organizations as well. It occurred with Lisa and she needs help in her problematic situation.
The way of treatment is taking into account different directions for lessening risks of further co-morbid illnesses and death as the most terrible final effect. Moreover, many doctors are learning to work out the reasons and, as it usually appears to work with, the effects of tuberculosis, to determine the diagnosis and gradual treatment plan. The prescribed methods of treatment provision are divided into inclusion and exclusion criteria, and the behavioral factor is considered in the treatment. Then the parameters of the procedures are made out and kept flowing. Alcohol-related treatment complications, forecasting tuberculosis on the initial stage and destruction of disease’s symptoms are at the core attention for many therapists and people working over this problem resolving.
Concrete Response
The example of my son’s friend impressed me by how tuberculosis evolved in his body and by the complexity of factors that more or less favored its spread. Zach was a gifted student in college and many of the adults in his life hoped he would make his destiny better and would certainly achieve the tops in this life. The story began changing when Zach met a group of so-called friends who made a big influence on him by means of freedom and strength expression due to the alcohol, cigarettes and immoral way of life. He looked at it as a “cool initiative for life”, but soon he became an alcoholic and could do nothing with that.
His doctor told Zach’s parents about disappointing news. It concerned the gradual development of tuberculosis in his body. Hard alcohol addiction only stimulated the emergence of disease with further complications. Thus, latent tuberculosis kept progressing due to further alcohol consumption by Zach who kept it hidden even while in the hospital. As alcohol is a substance to be a mere factor for TB (WSTSM, 2009), so the unintentional at the first sight addiction of Zach played in the box with him because of liver injury and rifampin taking which resulted in a severe form of hepatitis. No wonder, that doctors had wrongly diagnosed Zach, but all in all there were too many factors for the illness’s progression in him and alcohol along with the impact of tuberculosis stimulated immunosuppression.
Reflection
Tuberculosis treatment is effective and available today. Medication systems provide people with TB prevention services. When patients get TB, they usually wonder why did not they mention any of the ways to prevent TB to me? Precaution is a great method not to have such a complicated disease. Family and people closely related can also help greatly. In fact, it is true, because personal intentions along with the extent of the family can predict negative effects in terms of therapeutically determined and socially connected influence. (Viljoen & Croxford, 2002) If there is a problem of comorbid diseases, a detailed plan of treatment should be adhered to.
Tuberculosis is a result of bacteria penetration into the organism by means of breathing. Lisa’s example urges the medical community to provide medical and psychological treatment. When the stage of inclusion criteria (age, possible previous cases of TB, dependence by the CIDI-SAM, consent of a patient to follow doctor’s prescriptions) is through, then the exclusion ones (tests of liver functioning and retest after 5 days, opioid use in the past month, possible pregnancy or breastfeeding, etc.) take over. (Clinical Trials, 2009) Useful algorithm or flow charts for Lisa should adhere to the example of treatment for such-like diagnosed patients in Tomsk, Russia. The schedule consists of four points, namely:
- A Behavioral Counseling Intervention (BCI) plus treatment as usual (TAU) (i.e. standard referral to and management by an addictions specialist);
- Naltrexone/ Brief Behavioral Compliance Enhancement Treatment (BBCET) plus TAU
- BCI + Naltrexone/BBCET plus TAU
- TAU The RCT will be conducted only if Naltrexone use proves safe. (Clinical Trials, 2009)
Another approach gives 6-months therapy treatment where every month has a particular schedule of treatment methods and means. In this case, a doctor should check the risk factors of liver transaminases, chest x-ray analysis, and medication taking. (2001A-TB-004)
Action
Tuberculosis as a result of alcohol abuse is rather dangerous for people and presents a very bad picture of symptoms. While having a close look at the problem I would rather recommend getting a physical exam, any medical suggested and living apart from any kind of abuse and alcohol. The most shocking fact is that many young people abuse alcohol and drugs, and as a result, get TB. This can lead to complicated effects and death. Indeed, the risk to be dead by TB is high and everyone should not ignore doctor’s appointments for testing. The more we are informed about the reality of our health with further measures of its strengthening, the less we are endangered.
Reference
Clinical Trials. (2009). Effectiveness of Alcohol Interventions Among Tuberculosis (TB) Patients in Tomsk Oblast, Russia (IMPACT). Web.
Platt, A. E. (1994). Why Don’t We Stop Tuberculosis?. World Watch, 7, 31+.
Viljoen, D., Croxford, J., Gossage, J. P., Kodituwakku, P. W., & May, P. A. (2002). Characteristics of Mothers of Children with Fetal Alcohol Syndrome in the Western Cape Province of South Africa: A Case-Control Study. Journal of Studies on Alcohol, 63(1), 6+.
2001A-TB-004. (2001). TB Treatment/Discharge Plan. Web.