Ukuhlolwa Mantoux: ukutolika ezahlukene imiphumela isampula

Kusukela ngineminyaka engu-unyaka owodwa ngenjongo zokuvimbela sofuba izingane Mantoux ukuhlolwa ziqhutshwa njalo ngonyaka. Le nqubo iyindlela lokuqala ethandwa kakhulu futhi kulula nxa uzingela khona emzimbeni sofuba ukutheleleka kwengane. Ukusebenzisa umjovo ezincane (ngemuva kwamahora angu-72) Kwenziwa a ukuhlola control, limbozwe isikhala usayizi nesilinganiso jabulile ngomjovo.

Mantoux abanakwethenjwa ngaso sonke isikhathi ukunikeza impendulo iguma mayelana nokuthi lesi sifo kwabanye. Ziningi izici ezithinta ukunemba inqubo. Okokuqala, ukunakekelwa ukungadli isayithi umjovo kanye izici ngazinye ikhono umzimba wengane sika baphendukezele lengiyo.

Nokho, lapho ehumusha imiphumela, okwakunginika isivivinyo Mantoux, ayiswe banamathele ezimisweni elandelayo.

I yokusabela kuya ukuhlolwa Mantoux saziwa ongemuhle uma angu-72 emva umjovo we ukwelashwa tuberculin, kuphela nokuncane indawo umjovo elapha isikhumba sengane.

Kuyangabazeka Mantoux test saziwa ezimweni lapho endaweni umjovo iphutha seal ububanzi 2-4 mm, noma endaweni umjovo, ububomvu kwesikhumba kwakhiwa.

Okukhathaza kakhulu phakathi ochwepheshe kanye nabazali kubangela ukusabela okuhle ekuhlolweni. Uma isayithi umjovo uvele uphawu ububanzi 5 mm noma ngaphezulu, beqaphela ukuthi omuhle Mantoux test. Ngaphakathi kukhona ukusabela ngendlela eyakhayo ukushiyana kwezidalwa ngaphezulu ngokulinganisela ukuphendula omuhle (uphawu ubukhulu ku uhla 5-10 mm), waveza omuhle (kokucindezelwa usayizi ububanzi 11-16 mm) kanye yokusabela hyperergic (ukufingqa idlula izilinganiso 17 mm noma ngaphezulu, noma endaweni umjovo vesicles uvele).

Imitholampilo, izibhedlela, izinkulisa kanye nezikole ayizindawo lapho kwenziwe imisebenzi kungakanani abakwaziyo kanye nokuhlola zokuvimbela nezingane: lokugoma, isiphuku. Ukusabela kunoma yiziphi izinqubo kuncike ukuqapha okwengeziwe eduze kodokotela, evumela ukuba lemuka nokurarulula imiraro impilo kule ngane.

Ukuhunyushwa ukuphendula Mantoux test kungenzeka ukuthi ayilungile kwakubangelwa ukuhlukahluka ehlukahlukene izici izingane ngabanye.

Kulokhu, kukhona ukuphendula zamanga ezazingezinhle kubonisa ukungabi khona sofuba ukutheleleka ngesikhathi, njengoba kuyiqiniso isifo tubercle imbewu eletha kwahlonzwa.

Izimbangela impendulo zamanga-negative umzimba kungaba:

-anergiya;

- ukutheleleka zamuva;

- Small iminyaka yengane futhi ebuthaka izivikeli mzimba.

Anergy kuholela ukungakwazi zisuse tuberculin umfutho mzimba. Leso simo kungenzeka lapho izifo immunodeficiency etholakalayo, ezihlanganisa ingculaza. Kulesi simo, ukuphinda Mantoux test siqhutshwa wokuqukethwe lelisetulu tuberculin, futhi kudinga ngihlolwa ukuthola kwezinso sinempilo.

Muva nje, izifo ezithathelwanayo nakho kunomthelela impendulo ezingafanele kuze kube nesiphuku. Uma ingane wahlupheka ngegciwane emasontweni 10 ngaphambi kwesivivinyo, kungenzeka ukwenza kube emva isitoreji isikhathi esingamasonto 10, ukuvumela umzimba ukuba ululame lesi sifo bese ukunikeza impendulo enembile.

yobudala Small unamandla phendulela isimo beqiniso kanye khona noma ukungabi khona imbewu eletha tubercle emzimbeni. Ngenxa ampofu ingxenye yeselula kwesimiso somzimba sokuzivikela ezifweni ngendlela izingane ezineminyaka engu-izinyanga ezingaphansi kwezingu-6, impendulo isivivinyo Mantoux abakwazi ukulandela.

Isimo kwenzeka okuphambene ne basabele kahle amanga, okusho ukuthi isivivinyo Mantoux yabonisa khona sofuba ukutheleleka, kuyilapho iqiniso ukutheleleka kwengane kanye tubercle imbewu eletha isiqinisekiso ayitholakali. Izizathu ukusabela ngaleyo ndlela ingase ezicathama nontuberculous mycobacteria ukutheleleka, komzimba, ukugula yamuva noma ngokugoma.

Zonke ukusabela zamanga ezingenhla zibonisa ukuthi impendulo ecacile futhi ecacile, lokho kufanele kube Mantoux, kube bengayi ngenxa sebuningini ngeziphambeko kusukela ukuthuthukiswa kwamazinga kwezingane kanye nemibandela isampuli yomkhiqizo.