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Additional resources for How to Diagnose & Treat Leprosy
You must make sure that your patient knows how to prevent more damage occurring. You can find information on how to prevent problems such as ulcers or muscle wasting in Essential Action to Minimise Disability in Leprosy. The problem that happens most often after treatment is new nerve damage caused by a reaction. If this happens, you do not need to restart the leprosy treatment, but you must treat the reaction. When you see the patient at the end of their treatment explain that they should come back immediately if any of their previous symptoms come back again.
Qxd 30/4/03 10:02 am Page 30 How to care for patients during treatment Every time a patient comes to take their drugs, ask them how they are feeling; have there been any changes since the last visit? The main problems you may find are • Side effects of the drugs. • Signs of new nerve damage or inflammation (reaction). • New social problems related to leprosy. Side effects of the drugs Serious side effects of leprosy treatment are rare. The most serious side effects are • A serious allergy to one of the drugs.
It is available free, and the drugs are supplied in special packs that contain the correct dose for one person for four weeks. All you have to do is to decide which course of treatment the patient needs and to make sure that they take it regularly. qxd 30/4/03 10:01 am Page 24 How to decide which treatment a patient needs Some patients have a mild infection. This can be cured by treating the patient with two drugs for six months. This type of infection is called paucibacillary or PB leprosy. Other patients may have a more serious infection.
How to Diagnose & Treat Leprosy by ILEP