Ogcwele ukuchitheka Mantoux test - kuyinsakavukela noma zokugula?

Ezweni lethu namuhla, udaba imigomo kanye nezivivinyo zokuxilonga okufanele acute ngokungavamile, ngoba inani amacala izifo ezithathelwanayo adluliswa kumuntu nomuntu, yehliswe kancane. Inombolo yobunzima obabangelwa okungafanele amasu manipulations noma izinga kwemithi, kunalokho, kwandisa. Abazali nezingane zabo bonke ubudala Mantoux test, izinga, noma itlhogeko, njalo ngonyaka kuba inkinga enkulu - azibangelwa kokutshelwa ngokukhubazeka kwengane ingane kungase kungavunyelwa ezikhungweni zezingane, futhi ukusabalala inkinga sofuba emphakathini wanamuhla kuyingozi kakhulu.

Mantoux test - ukuthi iyini

Ukusabela Mantoux, ngesilinganiso okungenzeka buhluka anhlobonhlobo, kuyinto isampula intradermal semhlahlo abulawe ukuthi yethulwe zingene izinhlayiya umzimba amaseli microbial sofuba Mycobacterium.

Lapho udle, le Koch imbewu eletha - futhi buthaka, ne umthamo BCG yokugoma futhi TB izivikeli mzimba iqala synthesize amasosha omzimba, kufanele ayeke ukusabalala ukutheleleka. Ngakho, ukuhlola Mantoux, lapho imithetho akuncikile engu-isiguli, la masosha omzimba kuyabaveza - esikhumbeni ukwethulwa izinto enqubeni zokuphila ezivezwa sofuba Mycobacterium eba impendulo eqondile ukuvuvukala. Ngenxa yalokhu ku ibhodi lemisindo isikhumba wabunjwa kuqala "pugovichkami" kulandelwe futhi ububomvu, nalabo abazenzo usayizi is kunakwe ngenxa ye kweemboniso.

Yini okufanele ibe test Mantoux

Kumele kukhunjulwe ukuthi umzimba womuntu contact lokuqala ne Mycobacterium abangabantu ngokuvumelana neziyalezo eMnyango Wezempilo kwenzeka ezinsukwini 2-4 zokuphila - ngaphambi osenyameni evela esibhedlela osanda kuzalwa BCG lokugoma wenziwa. Ngemva kwalokho, umzimba uqala synthesis omzimba owawenzelwa ukuvikela umzimba eyohlasela eseduze kwayo ngo mycobacteria asebenzayo abangela ukutheleleka asebenzayo.

Inkinga iwukuthi ngesilinganiso Mantoux isivivinyo ingane - hhayi ukungabi khona ububomvu kusayithi umjovo ngokuvamile (njengoba abazali abaningi bacabanga), kanye ububomvu, indawo elinganiselwe. Uma ingane abaneminyaka unyaka owodwa e umtholampilo yezingane okokuqala yenza le kweemboniso futhi ngamanzi kwesikhumba kusayithi umjovo ingekho ke baphetha ngokuthi yokugoma iye yenziwa kahle, nokuvikeleka ukuze tubercle imbewu eletha akuyona kwakhiwa.

Minyaka yonke, lokhu isheke iyaphindwa, futhi Mantoux kuyinsakavukela - papule, usayizi okuyinto akufanele idlule 2-4 mm (umphumela kuzoxoxwa njengoba ngabazeka). Ngomqondo onabile, Pulmonology neSifo Sofuba ebalulekile akuwona umphumela wokusebenzisa isivivinyo, futhi ngesikhathi ukuthola okubizwa ngokuthi goba tuberculin ukuhlolwa. Leli gama lisho ukuthi phakathi nesikhathi langemva owedlule ukubulawa Mantoux ukusabela nesineke ithole sofuba Mycobacterium, waqala ukuvuvukala ethize therein.

Ukuze afeze isivivinyo Mantoux

Minyaka yonke, ngesikhathi esifanayo sonyaka (umehluko phakathi ukuhlolwa ezimbili kumele singeqi ezinyangeni 13), zonke izingane ezineminyaka ephakathi kuka-iminyaka unyaka ongu-1 kuya ku-17 kufanele kwenziwe Mantoux test. Norma, ikhumbula Imiphumela etholwe emva kwamahora angu-72, wembula 7 no-14 ubudala neminyaka ababezobhapathizwa kabusha BCG revaccination. Ekukhombeni bend tuberculin ihlola ingane ngempela wathumela ukuze kuboniswane Ochwepheshe TB, ngubani kufanele aqoke esikhathini esingamahora anga-luhlolo isiguli encane.

Kodwa zonke umzali eyingane unelungelo ukuba enqabe ukungena izivivinyo tuberculin esimweni 2 amaviki ngaphambi kosuku isiguli abhekana izifo ezithathelwanayo, kuhlanganise nezifo sibi zokuphefumula, exacerbation izinqubo ezingamahlalakhona sokugembula, nokungezwani komzimba. Trial ngokwayo Kufanele nifeze udokotela noma unesi abaqeqeshiwe, ubani okufanele ukutshela ingane mayelana umama labetibambile isivivinyo Mantoux, futhi imithetho isikhumba ukunakekelwa ngesikhathi indawo umjovo.