A magazi kuti TB: zizindikiro zoyimira ndi decryption

Anthu ambiri amadabwa mmene akutengedwa ndi anachita magazi kuti TB. njirayi ndi zofala. Ndi ayankhe masiku ano mitundu womwewo wa matenda a matenda. Koma kodi mayesero magazi? Kodi mtundu wa mbali zikuphatikizapo chiyani? Ndipo monga nzika, malinga ndi zotsatira kumvetsa, ngati ali ndi matenda kapena ayi? Kumvetsa zonsezi si monga zovuta monga izo zikuwoneka. Sidzitengera digiri zachipatala kuti okonzekera zotsatira kudzatunga omaliza. Chotero kodi nzeru ndi nzika poyerekezera ndi mayesero a chifuwachi?

About matenda

Kuyamba disassemble, mtundu wa matenda icho? Chinthu ndi TB - matenda aakulu, ndi woopsa kwambiri ndipo opatsirana. Kudzera mwa m'malovu airborne kapena zipangizo banja. Ndi zachilendo mu dziko, koma magawo oyambirira a chifuwachi ndi kovuta kuzindikira.

Matendawa akhoza kugunda ziwalo zonse anthu. Choncho n'zosatheka molondola zimene idzatha. Pofuna kuzindikira matenda, ndi chofunika kuchita zofufuza zovuta. Mwachitsanzo, atayezetsa kwa TB.

Mtundu ambiri matenda ndi amene amakhudza mapapo. Ndi nawo makutu ambiri Association. Nthawi zambiri kusonyeza matenda akhoza kusokonezedwa ndi chimfine. TB iko kokha kwambiri anawona. Makamaka mu magawo oyambirira chitukuko.

matenda matenda Mitundu

Anthu ambiri amadabwa kuti kodi dzina la magazi kuti TB. Kudziwa zimenezi n'kofunika. Ndipotu, ngati mankhwala yake ya matenda recedes ndi anthu osati anakumana ndi mavuto aakulu zoipa matenda. Nkofunika kudziwa kuti nthawi pali mitundu ingapo ya matenda mu dziko.

Amene? zotsatirazi zingathe kudziŵika:

• Mantoux mayeso;
• sputum;
• bronchoscopy;
• Elisa;
• QuantiFERON-TB Gold;
• IGRA;
• PCR.

Nthawi zina, magazi wathunthu kulengeseka. Izi kawiri kawiri zimachitika mu magawo oyambirira kudziwa Mwina ndi matenda. chitsimikiziro kumachitika kudzera mu njira ndaitchula. Amene anabwera ndi njira ina imene m'malo atayezetsa chifuwachi - Diaskintest. Iye sali mu kukhudzana ndi magazi, koma pa nthawi yomweyo kumathandiza kudziwa tubercle Bacillus mu thupi la munthu. Iye ali chiwerengero cha ubwino ndi kuipa. Mu Russia, izo unayamba mu 2016.

IFA

Tsopano pang'ono za mayesero magazi. Ndipotu, iwo ankaona kuti zowaphunzitsa kwambiri. Nthawi zambiri, mawu limeneli EIA kuphunzira. Chotero magazi kuti chifuwa limasonyeza kukhalapo kwa akupha oyambitsa tubercle.

Mfundo si njira koipa. Onse ayenera kuti wodwalayo - ndi magazi. Kawirikawiri kutenga venous, limatipatsa chifukwa yolondola. Mwatsoka, amaona kuti kukhala IFA si nkhani. Ndipotu, mu phunziro ili sikutheka kuti zimene siteji matenda, ngati ilipo. Koma ndondomeko ngati zikuthandizani, monga zanenedwa, kuti awulule kukhalapo kwa chitetezo ku matenda m'thupi.

Mwamwayi, mankhwala Kodi chilili, ndipo pali njira zina kudziwa matenda. Komanso, magazi zokhudzana. Kodi ubwino ndi kuipa chiyani? Kodi akupereka? Kodi tingatani kuti timvetse zimene munthu akamadwala?

PCR diagnostics

Zambiri nkhani komanso zothandiza ndi kusanthula PCR magazi a chifuwachi. Ndi njira zamakono zimene zimathandiza kudziwa pamaso pa tubercle Bacillus. Kwambiri nkhani, ngati kuphunzira ndi Sadadzipangire magazi, ndipo phlegm.

Childs, PCR matenda akusonyeza kuti zizindikiro Muzisamala kuti ndi chinachake chofanana ndi chifuwa chachikulu. Komabe, monga madokotala kunena, kuphunzira pa nkhani ya magazi sapereka% zotsatira 100. Ndi zotheka pamene wodwalayo tuberculous sepsis. Apo ayi, magazi PCR kudziwika si mkulu ntchito.

Mantu

Kodi aliyense ayenera kulabadira? A magazi pa chifuwa ana, monga ulamuliro, si ikuchitika. Nthawi zambiri, akutumikira otchedwa Mantoux mayeso. Njira imeneyi zimathandiza mkulu, koma osati 100% molondola kudziwa kumene kuli matenda.

Kodi kuwunika? Mwana kutumikiridwa subcutaneously ndi chiphunzitso chapadera. Kenako, muyenera masiku ochepa kusunga jekeseni malo. Ngati TB palibe dera limeneli adzatsala sichinasinthe. Limodzi likhoza zindikirani chotupa pang'ono ndi discoloration wa khungu - adzakhala kwambiri pinki.

Pamaso pa chifuwa amawonjezereka jekeseni malo, kutupa, chotupa akuyamba kukula. Nthawi zina zikhoza kutenga mtundu cyanotic. Imeneyi, mwana kukonzanso anaika chofunda. Kapena ndi magazi kuti TB (Elisa kapena PCR), kutsimikizira kapena refutes chifukwa cha chitsanzo.

Mantu ndi zina zolakwika

Komabe, muyenera kudziwa kuti Mantoux mayeso - iyi si njira yabwino oterewa TB m'thupi. Chinthu ndi kusanthula izi nthawi zambiri kolakwika.

Kodi tingachitenso kumasulira kuwunika? Chinawathandiza kumvetsa n'chakuti zabwino Mantoux mayeso ndi yosavuta. Iwo angayambe pamene:

• Ochiritsira exacerbation la matenda aakulu;
• mphumu;
• chifuwa;
• matenda opatsirana;
• chitetezo chokwanira lotereli;
• khunyu.

Choncho, ngakhale zitsanzo zabwino sayankha umboni yeniyeni pamaso pa matenda. Choncho, magazi kuti TB Mantoux m'malo zikuoneka kukhala aluso ndi nkhani. M'pofunika kuthetsa nkhani zonse kale zidalembedwa. Tikatero titha adzaweruza pamaso pa matenda.

Complete magazi okwanira

Ngati Mantoux mayeso anali wotsimikiza, sayenera kumufunsa mantha. Zanenedwa kuti njira ya matenda si zabwino. M'pofunika kutenga magazi. M'mapapo mwanga TB (osati) pali kusintha mu thupi. Amene?

Chinthu ndi mu magawo koyamba kwa magazi akhala sichinasinthe. Choncho, chiwerengero kapena matenda kusanthula sizimatanthauza. Malinga "kunyalanyaza" matendawa, adzasintha anthu kapena zizindikiro zina. General magazi mayeso a chifuwachi ndi zina kwenikweni imathandiza kuti kukhalapo kapena kusapezeka kwa matenda.

Komabe, okha si koyenera kudalira. Ndipotu, magazi ndi kapangidwe kake zimasiyanasiyana, malingana ndi zifukwa zambiri. Choncho tikulimbikitsidwa kapena diagnostics Elisa kapena PCR. Komanso pa kusanthula ambiri a magazi, nayenso, siyenera.

Decoding wa kusanthula akukhudzidwira

Pa zizindikiro kuyang'ana kwa ngati pali Mwina matenda tuberculous? Ndi gawo yogwira matenda malamulowa Ndithu ndikuthandiza kuti amvetsetse chimene chili mu mwazi wa dalaivala.

Kodi chimodzimodzi? ESR n'kofunika. Mwachibadwa, munthu chithunzi ichi kudzadalira m'badwo. Kuyenera zochokera deta zotsatirazi:

• ana kwa zaka 10 - mpaka 10 mm / h;
• akazi zaka 50 - 20 mamilimita / h;
• akazi pambuyo 50 - 30 mamilimita / h;
• Amuna zaka 50 - 15 mamilimita / ola pazipita;
• pambuyo 50 - 20 mamilimita / h.

Komabe, ESR mu akazi apakati ndi anthu odwala achuluke. Mu chifuwa, kawirikawiri index kumawonjezera mpaka mayunitsi okwana 50 kapena kuposa. Choncho muyenera kulipira kwambiri. Ngati erythrocyte sedimentation mlingo mu magazi kwambiri kuposa linalake, Ndizachidziwikire mkulu Mwina wa kuipitsidwa.

Features mayeso magazi

Tchulani zikuyenera kuchitika ngati anaganiza kafukufuku zina pa nkhope ya matenda pansi kuphunzira? A magazi kuti TB Mantoux yoikidwa m'malo zambiri. Koma pa Elisa chomwecho ndi PCR zambiri zokwana matenda komaliza. Complete magazi ndi mokwanira chimasonyeza chithunzi cha zimene zikuchitika mu thupi.

Kodi kulabadira zimene dokotala ngati mukukayikira pamaso pa tubercle oyambitsa mu thupi amaika ndi kusanthula amuzolengedwa magazi. Mukhozanso kupanga kafukufuku osiyana kukhalapo kwa mapuloteni. Zimenezi zimathandiza kutsimikizira zotsatira.

Ngati TB, koma kokha mu mawonekedwe wofooka, mbali mapuloteni adzakhala malamulo kusokonekera. Mawonekedwe pachimake cha matenda kumawonjezera mafuta m'thupi, urea, ndi lysozyme. Mu albumin choncho kuti kuchepetsedwa.

matenda amene amakhudza chiwindi, kumaonjezera zizindikiro monga Ast, alt ndi bilirubin. Zonse izi wapezeka ndi magazi, pamene Mantoux mayeso sasamalira mfundo zimenezi. Mfundo imeneyi tiyenera kuziganizira.

Diaskintest

Tsopano ndi chicodziwika kuti pali nkhawa za kupezeka kwa matenda anaphunzira ku thupi, mukhoza kutenga magazi kuti TB. Komanso, sayansi ndi kuphunzira ambiri anatumizidwa owonjezera. Zonsezi zimathandiza comprehensively ganizilani zinthu ndi kupanga nkhani pamaso pa matenda mu thupi.

Komabe, masiku ano anthu ambiri akukambirana mtundu watsopano wa diagnostics TB, zomwe zimathandiza kuti azicheza ndi reagent ndi magazi. Tikuyankhula zokhudza ndaitchula Diaskintest. Ichi ndi m'malo a pakhoma. Kodi ine ndikukhulupirira ino? Kodi ubwino ndi kuipa motani?

Njira imeneyi matenda amalola osati amakhudzana ndi magazi - ichi kale anatsindika mobwerezabwereza. Choncho, pamene thupi wofooka palibe imabwera kutenga matenda. Wodwala Diaskintest akukumbutsa chofunda. Kafukufuku chofunika kuchita chaka. Kawirikawiri pa miyezi 12 kuti anthu zaka 8 mpaka 17.

Komabe, ambiri mfundo chakuti mtundu uwu wa mayeso chamoyo pamaso pa chifuwa si kwambiri yeniyeni. Zonsezi ndi chifukwa chakuti, monga Mantoux mayeso, zinthu zingapo angapeleke wabodza zabwino. Ndipo munthu paudindo kapena kukonzanso kuphunzira, atayezetsa chifuwachi.

Pomaliza

Tsopano zikuonekeratu kuti n'zotheka kudziwa pamaso pa matenda pansi kuphunzira kudzera mwa nkhani zosiyanasiyana. QuantiFERON-TB Gold ndi IGRA - sikawirikawiri nawo mu njira mayeso mchitidwe magazi. Iwo kuimira mosamala, omwe amasonyeza kuchuluka kwa chitetezo ndi kupezeka kwa matenda. Mu Russia, pafupifupi konse ntchito.

Mwina kudziŵika kuti ngakhale mayesero ambiri ndi amuzolengedwa magazi kuthandiza kuzindikira TB mu nkhani zina. Zokwanira kulabadira zina zizindikiro. Iwo adzaphwanyidwa. ESR kwenikweni bwino mu chifuwa chachikulu. Nthawi zambiri yekha dokotala akhoza pamaziko a maphunziro angapo kuti omaliza zolondola. Kutsimikiza matenda, inu mukhoza kutenga kusanthula ndi magazi, ndipo phlegm ayi.