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Tuberculosis Treatment

 

Latent Tuberculosis
Treatment for latent Tuberculosis is important in preventing the infection's progression to active Tuberculosis disease.  A drug regimen, depending on immune status and other risk factors, is employed and appropriately monitored.  Drug therapies are typically comprised of combination antibiotic protocols that may last for several months, to more than a year.

 

Active Tuberculosis
Active Tuberculosis is has a different treatment regimen.  This regimen normally consists of a 4-drug protocol, used to prevent the bacteria from proliferating or becoming resistant to one particular drug.  Patients should be monitored monthly, to evaluate adherence to the protocol, liver toxicity, and to also check for the onset of specific signs and symptoms of Tuberculosis.  Patients with active Tuberculosis are monitored very closely, often to the point that individual medications for disease treatment are monitored by a public health agency.  Public health agencies are vigilant in maintaining infected patients on prescribed treatment plans.

 

Tuberculosis Prevention

Prevention strategies are very widely employed as the most obvious and cost effective means in ‘treating' this disease.  Prevention and control efforts include three priority strategies:

  1. Identifying and treating all persons who have Tuberculosis disease.
     

  2. Finding people who may have been in contact with Tuberculosis patients; evaluating these individuals to determine whether they have infection or disease; and finally, if they are infected, by treating them appropriately.
     

  3. Identifying and testing high-risk groups for infection to determine whether they are candidates for the treatment of a latent infection. [8]

 

Supplements helpful for Tuberculosis

 

Vitamin A
Vitamin A is a fat-soluble vitamin that has many roles in the body. It is found in several foods in many different forms.  Retinol or pre-formed vitamin A supplies about 2/3 of the dietary intake of vitamin A. [9]  In addition, the liver contains the largest stored amount of dietary retinol.  Vitamin A is needed for growth and bone development, vision, reproduction processes, cell production and maturation, maintaining proper skin integrity, and most importantly, immune function.  For those with Tuberculosis, the immune support that vitamin A provides seems to improve the outcome of drug treatment.  Some research shows that there is a tendency for those with Tuberculosis disease to have a deficiency in vitamin A levels. [10]

 

In a study involving 80 patients with active Tuberculosis who were receiving standard Tuberculosis drugs, supplementation with vitamin A improved the effectiveness of the drug treatment. [11]  Those receiving the supplementation were twice as likely to cough up and eliminate the TB bacteria through their sputum compared to those only receiving the standard drug regime.  This study also showed a reduction in abnormalities in chest X-ray than the control group. [12]  More studies are necessary into the effectiveness of vitamin A supplementation on TB positive individuals.  However, the known benefits of vitamin A on the human immune system are reason enough to incorporate this inexpensive adjunctive treatment into combating Tuberculosis.

 

Beta Sitosterol
Beta Sitosterol is a plant compound similar to cholesterol.  Although the average diet provides small amounts, absorption is not very high and thus doesn't share any of the negative health effects associated with excess cholesterol consumption.  Beta Sistosterol actually plays more of a regulating effect, inhibiting cholesterol when consumed in excess and provoking the liver to increase production when cholesterol is in lower amounts.  Evidence suggests that beta sitosterol may have immuno-stimulatory effects, and is thus helpful in Tuberculosis disease.  Taken with a standard regimen of drugs for Tuberculosis, research shows that there is an increase in white blood cell production, as well as an increase in weight gain in these patients. [13]  White blood cell increases in number and mobility are key to fighting infectious processes of any kind.

 

Vitamin D
Vitamin D is a fat-soluble vitamin that is involved in many processes in the body. Besides its role in building bone mass and preventing bone loss, protecting against muscle weakness, and promoting strong teeth, it also enhances immune function. Because susceptibility to disease partially depends on one's immune status, low levels of vitamin D may make one more likely to manifest Tuberculosis.  Usually, vitamin D metabolism leads to an increased ability of the immune system to restrict intracellular growth of the Tuberculosis bacteria.  A study involving Gujarati Asians in west London who tested positive for Tuberculosis showed decreased levels of vitamin D, which investigators suspected might have contributed to the high occurrence level of Tuberculosis in this population. [14]

 

In a mammalian study investigating the role of vitamin D in Tuberculosis disease, pigs were given vitamin D in their feed then injected six weeks later with the Tuberculosis bacteria.  Results showed that in those that were vitamin D deficient, there was an adverse effect on the tuberculin reaction and decreased the ability to control the infection, implying that vitamin D status is influential in Tuberculosis immunity. [15]  Similar to vitamin A, supplementation with vitamin D is a highly cost effective adjunctive therapy for Tuberculosis.

 

Zinc
Zinc is the second most abundant trace mineral in the body.  It is a cofactor in many biological processes within the body, including synthesis of RNA and DNA.  It participates in wound healing, reproductive processes, taste, smell, hormone production, and many processes involving growth and development. [16]  Zinc's role in immune function is highly important.  Studies show that it has a positive influence on Tuberculosis disease.

 

In the same abovementioned study involving vitamin A, zinc seems to have a positive effect on Tuberculosis disease outcome when combined with a standard drug regimen.  The study involved newly diagnosed patients with Tuberculosis; at the conclusion of the study, it was determined that zinc supplementation improved the effectiveness of anti-tuberculosis treatment. [17]

 

Allium sativum (Garlic)
Garlic is a member of the lily family and is cultivated throughout the world.  Its medicinal use dates back many centuries to various parts of the world, including China and Egypt.  Is is thought that the volatile oils of Garlic are responsible for its pharmacological effects.  In fact, the famous Greek physician Hippocrates prescribed garlic for the treatment of cancer.

 

As far back as 1944, American studies show the antimicrobial effects of garlic on certain bacteria. [18]  Concerning Tuberculosis disease, research suggests that garlic has an inhibitory effect on four different strains of Mycobacterium tuberculosis, the bacteria that causes Tuberculosis disease. [19]  Another study discussed the various concentrations of garlic needed to inhibit certain strains of Mycobacterium, reinforcing the role if garlic in Tuberculosis adjunctive treatment. [20]

 

Standard Tuberculosis treatment can provide much greater efficacy when natural medicines with proven immune-stimulating functions are employed.  Additionally, in those with latent Tuberculosis, a protocol using natural medicines may serve to greatly improve patient outcomes.

 

 

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