Ukuvimbela isifo sofuba - isethi yamanyathelo okuvimbela ukuthuthukiswa kwesifo

Ukuvimbela isifo sofuba kuhlinzekela izinyathelo ezihlose ukuvimbela ukusakazeka kwalesi sifo. Ihlukaniswe ibe yindawo yomphakathi, inhlanzeko, i-chemoprophylaxis nokugoma.

Ukuvimbela umphakathi ngesifo sofuba

Lolu hlobo lokuvimbela luhlinzekela izinyathelo ezahlukene zikahulumeni ezihlose ukuphakamisa izinga lokuphila labantu, ukuvikela imvelo, ukuthuthukisa imfundo yemvelo kanye nemidlalo.

Imindeni yeziguli zesifo sofuba inelungelo elikhulu lokuthola izindlu, lapho isiguli sinikezwa khona igumbi elihlukile. Ukwelashwa esibhedlela, indawo yokubhula kanye ne-dispensary mahhala. Ngenkathi yokwelapha, iziguli ezinezifo ezithathelwanayo zithola isifo esingenalutho isikhathi esingangezinyanga eziyishumi.

I-Sanitary prophylaxis

Isondlo sokuvikela isifo sofuba sigxile ekuvimbeleni ukutheleleka kwabantu abaphilile abavela ezigulini ezinezifo. Kuhlanganisa ukuthuthukiswa kwe-foci yokutheleleka, ukubhekwa kwezempilo kanye nokuhlolwa kwezilwane, kanye nokutholakala kokuqala, ukuzihlukanisa nokwelashwa kweziguli.

Ukuvimbela isifo sofuba se- pulmonary kwenziwa ngokuhlolwa kwe-fluorographic yonke insimu, kusukela ekuqaleni kweminyaka engu-12.

Ukugonywa

Ukugoma ukuvimbela isifo sofuba ezinganeni. Zonke izinsana zitholakala ngaphansi kwayo, ngaphandle kwalabo abanokuphikisana. Ukwethulwa komgogodla we-BCG kunqatshelwe ezimweni ezifaka:

- izinga lokushisa eliphezulu;

- ukuhlukunyezwa kwe-craniocerebral, etholakala ngesikhathi sokubeletha;

- isisindo somntwana osanda kuzalwa singaphansi kuka 2 kg;

- isifo se-hemolytic of the newborns;

- izinkinga ze-purulent-septic.

Ukugonywa kwenziwa ngosuku lwesishiyagalolunye nesikhombisa emva kokuzalwa ngokujola okungaphansi kwe-0.1 ml yegciwane le-TB BCG engxenyeni engenhla yesithathu kwehlombe. Iqukethe i- mycobacterium isifo sofuba, esilahlekelwe ikhono layo lokubangela izifo, kodwa sigcine izimfanelo ze-antigenic. Esikhathini sokufaka injini, kutholakala i-pustule encane, emva kwalokho kunesibalo esibonisa ukuphumelela kokugoma.

Ukwelashwa ngemuva kokusungulwa kwe-BCG kuhlala iminyaka eyisikhombisa. Ekupheleni kwalesi sikhathi, kwenziwa kabusha i-revaccination, lapho zonke izingane ezingenakulinganiswa zivezwa khona. Ngaphambi kwe-revaccination, ukuhlolwa kwe-Mantoux kwenziwa ukukhomba ukutheleleka kwesifo sofuba. Uhlolo oluhle lwe- Mantoux nge-papula elingaphezu kuka-20 mm luyi-contraindication yokwenza inoculation ephindaphindiwe.

Ukuqhathaniswa kwe-revaccination:

- Isifo sofuba sangaphambilini noma ukutheleleka;

- ukusabela okuhle noma okungaqondakali ekuhlolweni kweMantoux;

- izinkinga ngemuva kokwethulwa kwe-BCG;

- izifo ezithathelwanayo esigabeni esiyingozi;

- i-immunodeficiency ithi.

I-Chemoprophylaxis

Ukuvimbela isifo sofuba ngemithi yokwelapha, okuthiwa i-chemoprophylaxis, kuyadingeka kubantu abathintana neziguli, abantu abanomzwelo we-tuberculin, kanye neziguli ezingasebenzi ngendlela yesifo sofuba. Ngenxa yalesi sizathu, isoniazid 0.3 g kabili nsuku zonke izinyanga ezintathu kabili ngonyaka. Ukuvimbela ukuphindaphinda kwesifo, i-isoniazid ihlinzekwa ngokuhambisana nomuthi owodwa ongenakuqhathaniswa entwasahlobo nasekwindla iminyaka eyodwa kuya kwemibili emva kokuqinisekiswa kwemitholampilo kanye ne-radiological yokuthola isifo.

Ukuqhuba i-chemoprophylaxis kuvumela izikhathi eziningana ukunciphisa ingozi yokuthuthukisa isifo sabantu abaye baxhumana neziguli ezinezifo zesifo sofuba.

Ukuhambisana nazo zonke izinyathelo ezingenhla zokuvimbela isifo sofuba kusivimbela ukusabalala kwezigameko zalesi sifo esithathelanayo esiyingozi, kunciphisa ingozi yokuthuthukisa amafomu aqinile, okuhambisana nezinkinga ezihlukahlukene.