Kudzivirira tibhii - kunzwisisa kukura chirwere muzvidzivirire matanho

TB Prevention kunosanganisira matanho kudzivirira kupararira chirwere. Zvinonzi rakamuka-kamuka evanhu, utano, kubaya uye chemoprophylaxis.

Social kudzivirira tibhii

Izvi mhando muzvidzivirire kunosanganisira hurumende matanho siyana zvainanga mukuvandudza mhenyu mitemo, dziviriro kwezvakatipoteredza, budiriro mumuviri tsika nemitambo.

Mhuri varwere tibhii vane pakutanga kodzero pokugara, umo murwere dzinounzwa munechimwewo kamuri. Kurapwa muchipatara, utano nzvimbo uye dispensaries akasununguka. Panguva kurapwa, varwere richangobva nechirwere chorurindi semucheka kwenguva akaremara kwemwedzi anosvika gumi.

kutsvinda

Utsanana Kudzivirira tiibhii nechinangwa mukudzivirira utachiona utano vanhu kubva varwere nechirwere ichi. Rinosanganisira kuvandudzika chirwere foci, utsanana uye wemhuka cherechedzo uye mangwanani kuonekwa, voga uye kurapwa wevarwere.

Kuzvidzivirira kubva pulmonary tiibhii vakatakura fluorographic kuongorora yose vakawanda, sezvo makore 12.

kubaya

Vaccination rinoitwa kudzivirira tibhii muvana. Iye achava pasi vachangoberekwa zvose, kunze kwevaya vane contraindications. BCG mushonga ari contraindicated mu ezvinhu, izvo zvinosanganisira:

- yakakwirira tembiricha;

- dzechimwe Kukuvara uropi pakusununguka;

- achangoberekwa kurema pe2 makirogiramu;

- hemolytic chirwere of achangoberekwa;

- pyo-septic matambudziko.

Vaccination rinoitwa pazuva 5-7 pashure pokuberekwa subcutaneous rokutarisira kune rokumusoro chetatu pamafudzi 0.1 ml tibhii BCG mushonga. Rine attenuated mycobacterium tibhii, izvo vakafirwa kugona kwavo kuti chirwere, asi wakachengetedza antigenic unhu. The jekiseni Nzvimbo iri vakaumba pustule duku, zvakasara mushure rumen, zvichiratidza kubudirira yokudzivirira akaita.

Kutapata pashure BCG iri rakaramba kwemakore manomwe. Pashure iyi kunenge kubaya zvaitwa, iyo inodiwa vose vana vasiri vatapukirwa. Asati revaccination kuita Mantoux muedzo Detective tiibhii hweHIV. Positive Mantoux bvunzo pamwe papule kunopfuura 20 mm contraindication kuti kunenge kubaya.

Contraindications nokuti revaccination:

- kare akatamisa tiibhii kana chirwere;

- yakanaka kana dubious pavakanzwa Mantoux bvunzo;

- matambudziko pashure BCG;

- sema nepfungwa iri rikwanise Danho;

- immunodeficiency inoti.

chemoprophylaxis

Kudzivirira tibhii Pharmaceuticals, inonzi chemoprophylaxis kunodiwa vanhu vari kuonana varwere, vanhu vane yakakwirira aikanganiswa tuberculin uye varwere akaneta muchimiro tibhii. Nokuti chinangwa ichi, zvinodhaka isoniazid vakashandisa 0.3 d kaviri zuva nezuva, kaviri kwemwedzi mitatu pagore. Kudzivirira dzokororo chirwere varayire isoniazid akabatana nevamwe Anti-TB zvinodhaka muchirimo uye kuwa kuti matatu mushure kurapwa uye radiological kusimbisa murwere apore.

Chemoprophylaxis anobvumira kanoverengeka yekuzvidzivirira zvirwere masangano, pachena kuti TB varwere.

Zvaidiwa zvose izvi Kudzivirira TB matanho kudzivirira kupararira kwezvirwere zvakawanda zvinotapukira kune ngozi iyi chirwere, kunoderedza ngozi iyo, achiperekedzwa matambudziko akasiyana-siyana.