Tuberculin - Iyini?

Njengoba esimweni sanamuhla inselele kumuntu ukuhlala impilo yayo engokomzimba ezingeni efanele? Phela, ngokuphelele wonke umuntu ufuna ziyazithanda futhi ukungavumeli izifo ukuze aphule ukuphila isimiso. Ukuze wenze lokhu, izingane kusukela zisencane zigonyelwe izifo ezihlukahlukene ngethemba lokuthi ngeke ukuvimbela ukutheleleka esizayo noma okungenani lula flow yayo. Kulesi sihloko sizobona ukuthi ungaxoxi ukusebenza kwe ezifana izinyathelo, kodwa banake amathuluzi asiza ukuxilonga izifo eziyingozi ezithathelwanayo kuzo lapho kusaqalwa. Ithola izifo kulezi zigaba kusiza ukugwema ingozi ekuphileni nokuqinisekisa alulame ngokugcwele. Enye yalezi izidakamizwa "tuberculin". Yini leyo? Indlela yokubhekana izindlela okufanele zisetshenziswe? Kungakhathaliseki ukuthi kuyingozi ukusebenzisa izingane nentsha? Ngaphansi kwaziphi izimo kufanele uhlukane nale isicelo sale imithi? Zonke lezi imininingwane uzobe okuxoxwe ngazo kulesi sihloko.

Umuthi 'Tuberculin ": Ukwakheka

izidakamizwa Ngokwazo kubhekwe ukuxuba filtrates sofuba ezithile Mycobacterium ukuthi Kuye kwabulawa usebenzisa ukushisa kanye ukugqashuka nge trichloroacetic acid. La magciwane ziphathwa ngokucophelela nge ETHYL utshwala kanye elithi ether, okuyigama isetshenziselwa izinzwa, bese ziyoncibilika isixazululo ekhethekile. Lesi sakamuva ingxube kwe-phosphate buffered nosawoti, Tween-80 (isimame ngempumelelo) kanye phenol (esibulalini uyakulondoloza qualitative). Futhi isebenzisa "Tuberculin" isixazululi nkinga yehadiwe nezinsiza. Nokho, ngaphambi kokuba siyihlole udlulela lolu hlobo ukwelashwa, kufanele ngaso sonke isikhathi uxhumane nodokotela.

ukukhululwa Ifomu

Ukulungiselela "tuberculin" ikhiqizwa ngendlela isixazululo umjovo. Lokhu kunikeza esheshayo isinyathelo izindlela.

nokupakisha

Umgomo "Tuberculin" kungenziwa ikhishwe kuphela umthamo uphawu ka omunye kwabayishumi a ngemililitha (noma ezimbili tubekrulinovye amayunithi) ngemililitha ngasinye (ngemithamo eziyishumi), namamililitha ezimbili (ngemithamo amabili) noma namamililitha ezintathu (amathathu ngemithamo). iphakethe ngasinye siqukethe izitsha eziyisikhombisa ahlukene eziyishumi.

izinkomba

Kwezinye izimo, aziphothula "Tuberculin"? It is ngokuvamile asetshenziselwa tuberculin (I-inani elikhulu labantu). Lokhu kwenziwa ukuze:

• ukhethe iqembu ekubulaleni iziguli ezigulela okuphindaphindiwe BCG lokugoma liyadingeka;
• izinyanga ezimbili ukulungiselela izingane yokugoma eyinhloko;
• sizibone khona Mycobacterium sofuba ukutheleleka;
• ukuhlonza izinhlobo eziyinhloko (noma sendawo) sofuba e izingane.

nokushintsha kokudla nokufakwa

Abantu ukulungiselela "tuberculin" imfundo manual incoma intradermally iqondiswa kuphela sinombono ukubeka isivivinyo Mantoux. Ukuze bafake kudingekile kuphela uma isiguli sihlezi khona, njengoba ngezinye izikhathi kubangela niphele amandla abantu labile ngokomzwelo. Ukwethulwa esebenzisa "Tuberculin" imfundo uncoma kakhulu kuphela imijovo ezikhethekile (odnogrammovye). Ziyakwazi alahlwayo nge short izinaliti mncane. Hhayi ofanele imijovo umjovo insulini noma izinto, impilo eshalofini zazo siphelelwe yisikhathi.

Bottle of nomuthi kumele asule ngokucophelela nge gauze, okuyinto kahle elifakwe Ethanol semidesyatigradusnym. Ngemva kwalokho, blade okumsulwa eyenzelwe kokuvula ingilazi ampoules rasp entanyeni ampoule bese uyeke. Ukusebenzisa isipetu esuswa nomuthi isitsha ukudayela ezimbili ngemithamo yomgomo (ngamanye amazwi,-okweshumi okubili a ngemililitha). Ngemva lokhu kuyadingeka ukugxilisa inaliti mncane futhi ukukhulula ushaye isigamu obusamanzi endaweni oyinyumba ukotini swab. isitsha selivaliwe okwakwenqatshelwe ukugcina amahora angaphezu kwamabili.

Ngaphambi ukuqaliswa umjovo kudingekile, kubalulekile ukuhlanza isikhumba semidesyatigradusnym ETHYL utshwala, bese-ke, wayazi kahle omisiwe nge oyinyumba uhala. Inalidi kufanele ngokucophelela ufake parallel ebusweni isikhumba. Iphathwe ngokuqinile by isipetu ukwahlukana umthamo ngayinye, okuyinto amayunithi tuberculin ezimbili (noma omunye kwabayishumi a ngemililitha).

Kukhona elinye iqembu zeziguli okudingeka ukuba anikeze izidakamizwa "Tuberculin" - Izinkomo (eside sezinkomo). Izilwane kudingeka sinikezwe intradermally nge 0.2 cubic amasentimitha noma 0.1 cubic isentimitha palpebral nomuthi.

Kanjani ukuba alandise ngala Imiphumela?

Kanjani ukuba sihlaziye imiphumela uphethwe nge "Tuberculin" izidakamizwa? Umhlahlandlela lutusa ukusebenzisa ukuze ochwepheshe, kusukela kuphela lochwepheshe bezokwelapha abanekhono uzokwazi ukukwenza ngendlela efanele. Ezenye kumelwe uhlole ngemuva kwamahora ayisikhombisa nambili emva umjovo nge papules ekulinganiseni usayizi okuyinto eyabangela ngamamilimitha (kwakhiwa ngokushesha emva kusungulwa "tuberculin" ukulungiselela). Lesi senzo eyenziwa eziklanyelwe kulo mugqa.

Lapho ekuhloleni imiphumela yokuhlolwa Mantoux engaqondiswa ngezigaba elandelayo. Uhlelo ukuphendula kubhekwe omubi uma papule ingeyona ngokomthetho; ezingabazekayo - uma kukhona umuthi, ubukhulu zazo kuhluka emibili kuya kwemine amamilimitha angu. Uma usayizi papule kuyinto amamilimitha angu kukhulu kune eziyisithupha, umphumela kubhekwa omuhle, futhi uma lidlula nesikhombisa amamilimitha angu ingane noma osemusha amabili nanye milimitha omdala - hyperergic.

Ukusabela ukwethulwa izinto

Lokhu kulinganisela kuncike kuphela indlela umzimba uyakwazi ngamunye aphendule umfutho. Ngezinye izikhathi iziguli ngozwelo landa izidakamizwa indaba ingase ukusabela ezingemnandi ezifana lymphangitis futhi lymphadenitis. Okunye ukusabela ezingezinhle ubuhlungu bekhanda, ukucobeka jikelele, nokwanda okuphawulekayo lokushisa.

Ezinye iziguli (isib, izingane ezimbi ukuphendula tuberculin, okungakwazi kwenziwe nge BCG, futhi abantu abadala abaphile kahle, ogama asabela ngayo ovivinyweni isikhumba TB omuhle noma ngabazeka) yimuphi lokugoma izifo esiyolandelwa kuphela ngemva kokuhlaziywa afanele imiphumela yokuhlolwa Mantoux.

"Tuberculin" - kuyingcenye eqakatheke kakhulu uphethwe.

Izimo

Nokho, akubona bonke abangabohlobo ukhululekile ukukusebenzisa umgomo mbuzo. Ngakho, kukhona kwezithibelo ezithile ku yokuvuma lesi sidakamizwa "Tuberculin". Yokusetshenziswa sivimbela ukusetshenziswa kwezidakamizwa kulezi zimo ezilandelayo: ebukhoneni isithuthwane, isifuba somoya, izifo zesikhumba, idiosyncrasies, acute imfiva ye-rheumatism, sifo singalapheki noma sibi, noma izifo letindzala (ikakhulukazi izikhathi exacerbation).

Kuphela inyanga eyodwa ngemuva izimpawu zinyamalale zonke mibandela engenhla, ungafaka Mantoux test. Noma ingabe kufanele yenziwe yini emva ukususwa esisemthethweni ngokuhlukaniswa.

Akuvunyelwe ukubeka izingane Mantoux uma ithimba labo has a ngokuhlukaniswa iyiphi nezifo ezithathelwanayo.

Noma yimuphi zokuvimbela lokugoma nomthelela mayelana nokusebenza kahle "Tuberculin". Ukuxilonga nge izidakamizwa kufanele kwenziwe noma ukuba lolu hlobo lokugoma, noma inyanga.

Ngaphambi afeze isivivinyo tuberculin, uchwepheshe kumele ahlole iziguli yaxoxa nabo ukuze abone Izimo. Lokhu kuzosiza ukugwema eziningi nemiphumela ebuhlungu.

yi

Ukusebenzisa zendaba engenhla kuyoba lula ukuqonda lezi zinto ezilandelayo. "Tuberculin" - kunjani lokho? kufanele ngisebenzisa kanjani? Kwezinye izimo, kuyoba ukuhlakanipha ukugwema ukusetshenziswa kwezimali? Kanjani ukufeza lolu hlobo umjovo? Lolu lwazi kuyoba kubalulekile ukuba labo abavame wabonisa ukusetshenziswa kwezidakamizwa "Tuberculin". Kubalulekile ukulandela ngokucophelela zonke izincomo, okunikeza ochwepheshe iziguli zabo, hhayi ukuba uzilimaze noma ingane yakho. Futhi, lolu hlobo zokukhwabanisa kumele kwenziwe kuphela by abaqeqeshiwe abanekhono bezempilo. Ukuhambisana zonke lezi zinto kuzoqinisekisa impumelelo yale nqubo.

Phakathi kwezinye izinto, kubalulekile ukukhumbula iziqondiso jikelele ukusetshenziswa umgomo. Ngokwesibonelo, ngokuxhunyelelwa ingane noma umuntu omdala, isidumbu okwamanje buthaka uma unesifo noma abahlupheka isifo esifanayo muva nje, kungaholela emiphumeleni emibi (endleleni umzimba osabela ngayo umjovo ezinjalo kungaba nzima kakhulu futhi zidinga ukunakekelwa ngezokwelashwa). Uma uhlangabezana yini imiphumela emibi, kubalulekile ngokushesha uthintane onguchwepheshe.

Khetha eliphezulu zokwelapha ngokwabo kanye nemindeni yabo. Ukuxilonga nge namuhla kubhekwa lesi sidakamizwa "Tuberculin" kungaba yingxenye yokwelapha ngempumelelo yokuthi lisiza ekulondolozeni isimo esihle ngokomzimba. Bunake wena uhlale uphilile!