Which physical impairment due to TB treatment should be considered for rehabilitation?

Hearing loss is a significant physical impairment that can occur as a side effect of certain tuberculosis treatments, particularly those involving ototoxic medications such as aminoglycosides. This particular type of medication can damage the auditory system, leading to a decline in hearing abilities, and it is crucial to consider rehabilitation for this impairment.

Rehabilitation for hearing loss involves assessment and management strategies to help the individual improve their quality of life, such as hearing aids, auditory training, and other supportive measures. Addressing hearing loss is essential not only for effective communication but also for the overall well-being and psychological health of the patient, thereby facilitating better social integration and reducing the impact of the impairment on daily activities.

Other options, like hyperpigmentation and macular rashes, while they can be discomforting or affect a person's self-image, do not typically require rehabilitation. Gynecomastia can be a distressing side effect but is often managed through medication adjustment, and rehabilitation needs are not as crucial as they are for hearing loss. Thus, hearing loss stands out as a critical impairment that warrants focused rehabilitation efforts in the context of TB treatment.