Mantoux: utoliko olwahlukileyo iziphumo isampula

Ukususela bebudala bungaphantsi konyaka omnye ngenjongo yokuthintela lwesifo sephepha abantwana Mantoux iimvavanyo kuqhutywa ngonyaka. Le nkqubo yindlela yokuqala ithandwa kakhulu kwaye kube lula uzingela khona umzimba tuberculosis lomntwana. Ukusebenzisa inaliti encinane (emva kweeyure 72) ikhutshwa phandle i uxilongo ulawulo, ingavalelwa indawo ubukhulu womlinganiselo sikhanyise ngenaliti.

Mantoux akakwazi kusoloko ukunika impendulo ecacileyo malunga usulelo. mininzi imibandela echaphazela ngokuchaneka le nkqubo. Kuqala kwinto zonke, unonophelo ngokwaneleyo kuyo inaliti kunye neempawu ngamnye anobunkunkqele omzimba womntwana ukuba ukuzigqwetha impendulo echanekileyo.

Noko ke, xa sitolisa iziphumo, nto leyo wabanika uvavanyo Mantoux, ithathwa ukuba balandele ngqo le migaqo ilandelayo.

Indlela abasabela ngayo uvavanyo Mantoux ibonakaliswa embi ukuba kwiiyure ezingama-72 emva kokuba isitofu unyango tuberculin, kuphela, azafunyanelwa ndawo lwesiza inaliti esibe ulusu yosana.

Kuyathandabuzeka Mantoux ibonakaliswa kwiimeko apho kwisiza isitofu kwenzeka seal sangqa 2-4 mm, okanye kwisiza isitofu, anozizi na isikhumba.

Inkxalabo omkhulu phakathi iingcali kunye nabazali ebangela yokusabela elihle uvavanyo. Ukuba inaliti wabonakala itywina sangqa 5 mm okanye ngaphezulu, wabona uvavanyo positive Mantoux. Ngaphakathi kukho indlela entle ukushiyana ngakumbi ngcathu indlela entle (itywina ubukhulu kuluhlu 5-10 mm), wavakalisa elihle (ucinezelo ubungakanani uluhlu 11-16 mm) kunye indlela hyperergic (amafu idlula imilinganiselo 17 mm okanye ngaphezulu, okanye kuyo inaliti vesicles wabonakala).

Ezikliniki, ezibhedlele, abancinane eziguqulweyo kunye nezikolo ziindawo apho kwenziwa imisebenzi zokuxilonga othintelo kunye nabantwana: kogonyo, ingubo. Yokusabela naziphi na iinkqubo ngokuxhomekeke esweni ngokusondeleyo ngakumbi kumagqirha, evumela ukuba ukuchonga nokusombulula iingxaki zempilo umntwana.

Ukutolikwa reaction Mantoux uvavanyo zinokungalungi ngenxa yokungafani ezahlukeneyo kunye awohluke ze abantwana ngamnye.

Kulo mzekelo, kukho indlela ezimbi zobuxoki ebonisa ukungabikho isifo sephepha ngelo xesha, njengoko enyanisweni losulelo lwe tubercle eletha iye yachongwa.

Izinto ezibangela impendulo kumzimba ezimbi lobuxoki-ingaba:

-anergiya;

- usulelo lwakutshanje;

- komntwana Small kaThixo ubudala kunye nenkqubo buthathaka omzimba.

Anergy kukhokelela yokungakwazi zisuse tuberculin stimulus omzimba. Isimo esinjalo kunokwenzeka apho izifo immunodeficiency ezikhoyo, kuquka AIDS. Kule meko, phinda Mantoux Uvavanyo lwenziwa ezinomthamo ephakamileyo tuberculin, nayo ifuna axilongwe ukuba ukungaphili kwimpilo.

Kutshanje, izifo ezosulelayo nayo inegalelo impendulo ephosakeleyo ingubo. Ukuba umntwana kokusutywa usulelo kwisithuba kwiiveki ezili-10 phambi kwetyala, kusenokwenzeka ukwenza kwakhona emva kwexesha yokugcina kwiiveki 10, sivumele umzimba ukuba kuphila na kwesi sifo yaye emva koko anike impendulo echanekileyo.

yobudala Small unako ukuzigqwetha meko ngokwenene xa ubukho okanye ukungabikho inegciwane tubercle emzimbeni. Ngenxa icandelo ngokwaneleyo cellular kwamajoni omzimba ngendlela abantwana abaneminyaka kweenyanga ezi-6, impendulo uvavanyo Mantoux ayikwazi ukulandela.

Le meko malunga lwenzeka kunye basabele okungamanga, ethetha ukuba uvavanyo Mantoux wabonisa ukuba kukho isifo sephepha, ngoxa ubunyani losuleleko lomntwana kunye tubercle inegciwane yesiqinisekiso ayifumanekanga. Izizathu ukuba indlela enjalo kufuneka ihleli nontuberculous usulelo mycobacteria, aleji, ukugula yakutshanje okanye ugonyo.

Zonke iimpendulo zingasentla zibonisa ukuba impendulo ecacileyo ecacile, kufuneka ibe yintoni na Mantoux, kuba abakwazi ngenxa ezininzi ukutenxa kuphuhliso imilinganiselo yabantwana kunye nemiqathango isampuli imveliso.