what is the treatment of leprosy? |Reduce stigma | full knowledge 2021

Guys You must have guessed by looking at my title that what information I am going to share with you in this article. Guys, I will tell you in this article about what is the treatment of Leprosy? So guys I request you to read the full article by which you can get complete information about the treatment of leprosy

Leprosy is not a life-threatening disease. but if it is not treated at a time then it can make disable the patient. That is why it is very important to diagnose the patient early and give him treatment with proper counseling of the patient because most patient leaves their treatment in between treatment. In this disease, the affected part becomes anesthetized due to nerve damage, and due to this reason, The patient thinks that he is not getting cured, and this is the reason for discontinuing the treatment.

This is why it is most important to give proper counseling to the patient when starting his treatment. So guys in this article I will cover the topic What Is The Treatment Of Leprosy? Guys my only motive to write this article is to educate all of you about leprosy disease by which you can know about leprosy and pass this information on to others, and the misconceptions that have spread among the people should be removed.

The most important point is that the treatment of Leprosy is completely possible and it is available at all government hospitals, and every primary health center.

Note: Leprosy is not a contagious disease it is completely curable with MDT (Multidrug therapy).

You may also read:

• History of Leprosy(hansens disease)

• Stigma in Leprosy

• Role of refempicin in Leprosy

• NLEP programms

• Milestones in Leprosy

• Voluntary Muscle Testing in Leprosy

• Disability Prevention and Management in Leprosy 

• management of Leprosy Reaction

What Is The Treatment Of Leprosy?

Treatment of Leprosy is completely possible. Leprosy is treated by MDT(Multidrug therapy)which is a combination of two or three of the following drugs:

1. cap.Rifampicin.

2. cap.Clofaziminetab.

3. Dapsone.

• MDT Kills the M.leprae in the body and stops the progression of the disease and prevent further complication.

• As the bacteria are killed, the patient becomes non-infectious and the spread of infection in the body is reduced, In this way, the risk of spreading the disease to other people is also reduced.

• When the patient has completed his course(required number of doses)then he is released from treatment-RFT.

MDT Regimen!Dose of MDT-

For Adult leprosy case:

PB ADULT:

DOSE: 

Rifampicin:- 600mg(once in a month)

Dapsone:-  100mg(once in a day )

Criteria of RFT: Completion of 6 monthly pulses.

MB ADULT:-

DOSE:-

Rifampicin- 600mg(once in a month)

Dapsone:- 100mg(once in a day )

Clofazimine:- 300mg(once in a month)

Clofazimine:- 50 mg(once in aday)

Criteria of RFT:- Completion of 12 monthly pulses.

MDT Regimen!Dose of MDT-

For child leprosy case:-

(Child-10-14 years of age)

PB CHILD:-

DOSE:-

Rifampicin:- 450mg(once in a month)

Dapsone:- 50mg(once in a day )

Criteria of RFT:-Completion of 6 monthly pulses.

MB CHILD:-

DOSE:-

Rifampicin:- 450mg(once in a month)

Dapsone:- 50mg(once in a day )

Clofazimine:- 150mg(once in a month)

Clofazimine:- 50 mg(every other day)

Criteria of RFT:- Completion of 12 monthly pulses.

The dose of MDT for children under 10years of age can be decided based on their body weight:-

Rifampicin:- 10 mg.per kg.body weight once in a month.

Dapsone:- 2 mg.per kg.body weight once in a day.

Clofazimine:- 6.mg.per kg.body weight monthly and 1mg.per kg.body weight once in a day.

Before you start MDT One must look for the following problems:-

1.Jaundice:-If the patient has jaundice, then wait for his jaundice to be cured.

2.Anaemia:-If Leprosy Patient has Anaemia, treat the anemia with the treatment of leprosy also.

3.Tuberculosis:-If the patient is taking rifampicin, confirm that he continues to take rifampicin in the same dose as is needed for the treatment of tuberculosis along with other medicines required for the treatment of leprosy.

4. Allergy to sulpha drugs:-If the patient is allergic to sulfa drugs, Dapsone should be avoided, Clofazimine may be used instead.

Side effects of Anti-Leprosy Drugs:-

Side effects of dapsone:-

1Anemia.

2. Severe skin complications

3. Hepatitis(liver problems)

4. Nephritis(kidney problem).

Sign and symptoms:-

1.Anaemia:-paleness inside the lower eyelids, tongue, and fingernails, Patient feels tiredness, edema of feet, and breathlessness.

2. Severe skin complication:-Extensive itching, scaling, mouth ulcer, jaundice, and reduced urine output.

3. Hepatitis (liver problems):-Jaundice, loss of appetite, vomiting

4. Nephritis(kidney problem):-Edema of face and feet, reduced urine output.

What to do if side effects appear:-

1. Anemia:-

Give anti-worm tablets and iron tablets. dapsone will continue.

2. Severe skin complication:-

First, stop dapsone. Refer patient to hospital immediately.

3. Hepatitis (liver problems):-

Stop dapsone. and treat first hepatitis.

4. Nephritis(kidney problem):-

Stop dapsone. and treat the first nephritis

Side effects of Rifampicin:-

Change in urine color.

Hepatitis(liver problems)

Flu-like illness

Allergy

Sign and symptoms:-

Change in urine colour:—Reddish color of urine, sweat, and saliva

Hepatitis(liver problems):-Jaundice (yellow color of skin, eyeballs, and urine), loss of appetite, vomiting.

Flu-like illness:-fever, malaise, body ache, headache

Allergy:-skin rashes.

What to do if side effects appear:-

Change in urine colour:-Council the patient and tell him that it is just because of the color of medicine, don’t be afraid.

Hepatitis(liver problems):- Stop rifampicin.treat jaundice.Restart rifampicin after jaundice subsides.

Flu-like illness:-symptomatic treatment start simultaneously with rifampicin.

Allergy:-stop rifampicin.

Side effects of Clofazimine:-

Change in skin color of body

Ichthyosis.

Effects in eye 

Abdominal symptoms.

Sign and symptoms:-

Change in skin color of body: brownish-red discoloration of the skin, urine, and body fluids.

Ichthyosis:-scaling and dryness of skin, itching.

Effects in eye:-dryness of the conjunctiva.

Abdominal symptoms:-abdominal pain, nausea, and vomiting.

What to do if side effects appear:-

Change in skin color of body:-council the patient that it will disappear after completion of treatment and your skin color will be as before.

Ichthyosis:-tell the patient to apply oil to the skin.

Effects in eye:-advice Patient to keep moisturized by using eye drops.

Abdominal symptoms:- Symptomatic treatment.

Summary:

So friends how you like this article give your valuable comments and suggestion also. which help me to improve my skills.Although I have tried my level best to give you more information about leprosy. In my next article, I will cover the topic of self-care in Leprosy patients, which is the most important topic.so keep reading my articles and don’t forget to give your comment and suggestion. Your comments are valuable to me. and don’t forget to subscribe to my website So that you keep getting information about my every article

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