Virage tuberculin mayeso ana: amachititsa, zizindikiro, matenda ndi mbali chithandizo

Tuberculin khungu mayeso wotchedwa njira yodziwira kuti tipeze tilinazo munthu kuti mabakiteriya a chifuwa chachikulu. Mayeso kuona ngati matenda TB m'thupi alipo. Baibulo ambiri mayeso - Mantoux mayeso.

ndi otchedwa superelevation tuberculin mayesero

Makolo ambiri woyamba kumva matenda a "Bend mayeso TB", funsani chimene icho chiri. Superelevation otchedwa tuberculin woyamba nyemba zabwino, malinga anali oipa kwa chotsatirachi. chifukwa mwina unakhota kapena katemera ndi TB, matenda kapena matenda. Mulimonsemo, namva mawu akuti, musati mantha: pakuti chitsimikiziro chomaliza cha matenda mwana akufuna anayesedwanso angapo zina. Ndipo kokha ndikatha kumfunsafunsa zonse, adokotala akhoza kupanga matenda lolozeka.

Mantu

Mantoux mayeso amatchedwa zimene thupi kugunda tuberculin. M'dera la mankhwala jekeseni limapezeka kutupa khalidwe chifukwa cha maselo magazi udindo chitetezo chokwanira. Ngati thupi pano bakiteriya TB, thupi anachita jekeseni chidzakhala kwambiri ndi chitsanzo kusonyeza zabwino. Pakuunika ndi wolamulira otchedwa papule (mawu osavuta, "batani" Mantoux), kudziwa mlingo wa zimene chitetezo chokwanira anthu kuti mabakiteriya TB. Chiphunzitso Mantoux mayeso analetsa pamaso pa matenda khungu kapena matenda komanso odwala matenda ziwengo pachimake.

Chisoni chiyeso ana

Nthawi zambiri mwanayo anachita jekeseni wa oipa. Otsala 30% ya ana chitsanzo amapereka wofooka kapena zabwino.

Thupi la mwana anakumana ndi mabakiteriya TB ali aang'ono. Koch a Bacillus chosiyana katundu ndi mlingo wa malowedwe mu thupi la munthu. Ndi matenda ofooka chitetezo chokwanira mofulumira alowa m'thupi ndipo amakhala mu moyo. Nthumwi causative TB mwina kuonekera mpaka zinthu yabwino kwa kufala kwa. The ndondomeko zokhudzana ndi mabakiteriya TB ndi thupi la mwana ndi zovuta. Mu yayenda gulu zikuphatikizapo ana osakwana zaka zaka 3. Mu m'badwo uno 90% matenda kulowa thupi kumabweretsa maonekedwe a matenda.

ana onse katemera ku TB chaka kukumana tuberculin kuyezetsa ndondomeko.

A chifukwa mayeso abwino

Virage tuberculin mayeso ana - kusintha wochitachita mu chifukwa zoipa kwa HIV pa nthawi. ndondomeko umaphatikiza magawo zotsatirazi:

1. Mu wofooka kapena zoipa chifukwa anapezeka mayeso chachikulu.
2. anayendera Secondary anaulula kuwonjezeka kutupa kwa 15 mm.
3. yachinsinsi zimasonyeza papules kuonjezera ndi 5 mm poyerekeza ndi gawo lachiwiri.

The matenda a "anasungidwa mayeso tuberculin" ana sizinathe ananena kuti mwana akudwala TB. Kuwonjezeka papules zikhoza kukhala chifukwa cha matupi awo sagwirizana anachita jekeseni wa. Koma monga ulamuliro, nayenso akusonyeza pamaso pa matenda mu mwanayo mabakiteriya thupi. Okhazikika matenda dokotala n'kukulemberani wodwala kuunikidwa zina.

Maganizo a Dr. Komarovsky

N'zochititsa chidwi kudziwa maganizo a dokotala odziwika Evgeniya Olegovicha Komarovskogo unakhota mayeso tuberculin ana. adokotala ati zabwino Mantoux chifukwa mayeso akusonyeza pamaso mwana wa thupi la tubercle Bacillus. The ndondomeko za kuwonjezeka papules chimakamba za chitukuko cha chitetezo chokwanira. Kenako Komarovsky limalangiza kuti ayambe kupenda mwana: pochitika bwinobwino, MAGAZI, X-ray kuchita. Ngati zonsezi apeza zimatsimikizira kuti matenda kuyambirira, kuyamba kuchitira TB. Ngati kukaikira si anatsimikizira, mwana amaona kuti kukhala wathanzi, ndi miyeso zina matenda ndi mankhwala si lamulo.

Nthawi zina dokotala anu kukayika kulikonse za matenda. Nthawi zambiri izi zimachitika pamene X-ray chithunzi sangatheke kutanthauziridwa unambiguously. Pankhaniyi, Eugene O. Bungwe kuchita njira mankhwala "isoniazid wa". Virage tuberculin mayeso mwayi kukhala mu chifuwa chachikulu chifukwa cha nthawi. Zingatenge 5, ndipo ngakhale zaka 10, ndipo Popanda kuchitapo kanthu pa nthawi zoyambira za matenda wakhala weniweni zoopsa matenda.

Mwina ngati ndondomeko ndi 0.5%, komabe, nthawi zambiri, madokotala ndi reinsured mankhwala kutumikiridwa kwa ana. Imeneyi, Dr. Komarovsky limalangiza makolo tisamakhulupirire madokotala, amene kawirikawiri yawo, ndi kusankha okha.

Ntchito "Isoniazid"

The ndondomeko ya chithandizo cha TB ndi yaitali, makamaka kuyambira pa akamaliza wodwala akusowa konzanso zina. Choncho, kupewa chifuwachi - patsogolo kuposa ndondomeko mankhwala. Chithandizo unakhota tuberculin mayeso ana ndi "Isoniazid" - yofunika zikuluzikulu za ntchito TB kulamulira. Studies kutsimikizira kuti ntchito "Isoniazid" kuchepetsa 90% Mwina wa chitukuko cha TB anthu amene anali kale ndi kachilombo.

Mankhwala kumakhudzanso mabakiteriya TB pano pa gawo kafalitsidwe, komanso matenda amapha tizilombo mu gawo mpumulo. Mwachangu mkulu wa mankhwala zimawonedwa osati mankhwala a chifuwa chachikulu, koma pa prophylaxis. Nkofunika kumvetsa chomwe tiyenera kugwiritsa ntchito "Isoniazid" mwa zochitika komwe matenda anasonyeza zinthu zoonekeratu chiopsezo cha matenda. mankhwala akusonyeza kokha odwala amene matenda amalola mabakiteriya matenda kapena chifuwa chachikulu zikusonyeza mosavuta chitukuko cha mitundu yogwira matenda.

"Isoniazid" Kwalamulidwa kwa ana amene anali kukhudzana ndi onyamula matenda. miyezi 3 pambuyo njira ya mankhwala mwanayo ndi Mantoux mayeso. prophylactic mlingo dosing ana ndi miyezi 2. "INH" kutenga mpaka 10 mg pa kilogalamu wa thupi wodwala patsiku.

Kusatetezeka kwa mwana

Kafukufuku wosiyanasiyana wochitidwa ndi epidemiologists kusonyeza kuti njira zachikhalidwe cha ana TB kawirikawiri kupatsira ana ena kapena akulu. chifuwa ana lili pafupi palibe sputum, ndi chifuwa ofooka kukankhira mwana sangathe utsi mabakiteriya particles mu mlengalenga. Pa achinyamata yemweyo nthawi ndi matumba aakulu a matenda, angathe kupatsira matendawa. Kudziwa TB m'mapapo mwanga mwana, madokotala ambiri amalangiza kupeza achinyamata mtima. Komabe, imatsimikizirika kuti muyeso oterowo alibe phindu: kutembenukira tuberculin mayeso ana kawirikawiri opatsirana.