Reddened Mantoux bvunzo - ndozvakajairwa kana zvokurwara?

In nyika yedu nhasi, nyaya majekiseni uye chirwere miedzo vanofanira kugomo chakasimba, nekuti kuwanda Muzviitiko zvirwere kuti chakasvitswa pamunhu nomunhu, ipfupi zvishoma. Nhamba yematambudziko akakonzerwa kukodzera unyanzvi manipulations kana unhu mishonga, nekusiyana, anowedzera. Nokuti vabereki vana vemazera ose Mantoux bvunzo, mwero, kana kushaya kwayo, nerimwe gore inova dambudziko hombe - kwete mugumisiro nechirwere kwakadaro mwana arege kubvumirwa muna nevana masangano, uye kupararira dambudziko tiibhii munzanga yanhasi iri zvakakura chaizvo.

Mantoux bvunzo - chii

Zvaakazoita Mantoux, mwero izvo zvinogona siyana mukati-siyana, iri intradermal chirwere mharidzo kuurayiwa kuti vari chakaunzwa mumuviri tudonhwe microbial masero Mycobacterium tibhii.

Kana anwa, kuti Koch bacillus - uye simba, ane dose pamusoro BCG kubaya uye TB hweHIV dziviriro yezvirwere mumuviri anotanga synthesize antibodies, izvo zvinofanira kumisa kupararira chirwere. Nokudaro, Mantoux bvunzo, iyo mitemo regai kuvimba nemakore murwere, antibodies izvi kunobatsira kuziva - paganda pakatanga zvinhu zviri mubishi upenyu zvinoberekwa Mycobacterium tiibhii hwapedyo chaiwo anogumbura mhinduro. Somugumisiro iyi honokono ganda aumba yokutanga "pugovichkami" vakatevera uye akatsvuka, uye vane saizi iri kufungwa somugumisiro wacho chirwere bvunzo.

Chii chinofanira kuva Mantoux bvunzo

Zvinofanira kurangarirwa kuti vanhu vokutanga muviri kuonana nevanhu Mycobacterium maererano Bazi Health mirayiridzo ndepana mazuva 2-4 upenyu - asati zvinoerera kubva muchipatara achangoberekwa BCG kubaya rinoitwa. Zvadaro, mutumbi rinotanga kwetunhu antibodies yakagadzirirwa kudzivirira muviri acharwisa hondo yaro tichishingaira mycobacteria anokwanisa kukonzera vanoshingaira noutachiona.

Dambudziko nderekuti mwero Mantoux Muedzo ari mwana - kwete kusavapo akatsvuka panguva jekiseni nzvimbo vakawanda (sezvo vabereki vakawanda vanofunga), uye akatsvuka, yakaganhurirwa nharaunda. Kana mwana ane makore rimwe gore muna vana kiriniki kokutanga kuti muedzo chirwere ichi uye Flushing ganda panguva jekiseni panzvimbo hakuitiki, zvino ari vakagumisa kuti kubaya yave ichiitwa zvakanaka, uye kutapata kuti tubercle bacillus haina kuumbwa.

Gore negore, cheki iyi inodzokororwa, uye Mantoux wokuyera - papule, kukura izvo havafaniri kupfuudza 2-4 mm (mugumisiro ichakurukurwa sezvo negakava). Pfungwa Pulmonology uye Tibhii inokosha kwete pamusana bvunzo, uye nenguva vasabatwa paiya inonzi vanobwembura tuberculin nemiedzo. Izvi rinoreva kuti panguva yapfuura mushure yapfuura kuurayiwa Mantoux nezvinoita murwere akamuka Mycobacterium tibhii, uye akatanga yakananga kuzvimba mairi.

Kuti aite Mantoux bvunzo

Gore negore, panguva iyoyo yegore (kusiyana maviri yekuedzwa haafaniri kupfuudza 13 months), mwana ose pakati pemakore 1 gore 17 makore zvinofanira kuitwa Mantoux bvunzo. Norma, kufungisisa migumisiro vakawana pashure pemaawa 72, anoratidza 7 uye 14 makore vaida apiwa BCG revaccination. Kuona vanobwembura tuberculin anoedza mwana hazvo akadana kubvunzana kuti TB nezvokurara, vanofanira kugadza inosimbisa pakuongorora murwere duku.

Asi mubereki wose ane mwana muduku ane kodzero yokuramba kuita miedzo pamwe tuberculin ari chiitiko kuti 2 mavhiki yakarongwa musi murwere akatambura chero zvirwere, kusanganisira chakasimba zvirwere kufema, exacerbation echirwere pathological urongwa, uye neutachiona. Trial pacharo vanofanira kutakura kubuda chiremba kana zvikurukuru nomukoti, uyo anofanira kuudza mwana pamusoro mai vakabata Mantoux bvunzo, uye pamusoro nemitemo ganda hanya panguva jekiseni nzvimbo.