TB indlela diagnostic Mantoux test

iimvavanyo Tuberculin, ezibandakanya uvavanyo Mantoux, luvavanyo ezithile zokuxilonga yenzelwe uviwo ubunzima abantwana abafikisayo ukuze akwazi ukufumanisa isifo sephepha. Isampulu kwakhona ukwenziwa ngenxa umahluko une inkqubo isifo sephepha kunye isigqibo iqondo lomsebenzi sifo.

tuberculin Mass kuyimfuneko ukuba bonke abantwana ukusuka kwiminyaka konyaka omnye ubudala. It iyaphindwa minyaka yonke, kungakhathaliseki ukuba iziphumo zovavanyo odlulileyo. Kwiminyaka bade-ebabalile isampuli lwenziwa ngasekunene, kwi emnqakathi - ngasekhohlo. Imfuneko ukutshintsha inaliti intradermal ngenxa yokuba ulawulo ngokuphindaphindiweyo isisombululo ibe ekwindawo enye basabela kunyuswa nangokukhetha tuberculin.

Mantoux tuberculin nyulu isisombululo kubanjelwa ukuxutywa eqhelekileyo. Ukulungiselela le njongo isirinji ekhethekileyo okanye inaliti ye-ziphene intradermal. It lazisa intradermally kweziyobisi kwi kumphezulu engaphakathi yengalo. Xa tuberculin mass lingasetyenziswa injectors Needleless, ukugqithisela leyo amathuba ixesha elifutshane ukuxilonga inani elikhulu labantwana. Kuyaqapheleka izitofu eliphantsi trauma eyenziwa indlela needleless.

iziphumo zovavanyo Mantoux zavavanywa ngeentsuku ezintathu, ukuba ngqo, iiyure asixhenxe anababini. Kuba ngenxa Uvavanyo basabela Walinganisa usebenzisa transparent umlawuli ezinqamlezayo ubukhulu kwasekwa ngenaliti nokungena abantu behleli-apho. Mantoux test kucingwa embi ukuba inaliti kukho azafunyanelwa ndawo kuphela yenaliti yaye ngokupheleleyo infiltrate engekho okanye papule. Ukuba ubungakanani infiltrate ukufikelela 0.2-0.4 cm, okanye isabelo esichaziweyo kububomvu nobuhlungu nawuphi ubukhulu - isampuli uthathwa kuyathandabuzeka. Kucingwa isampulu entle Mantoux abantwana ngesantya bomvu 0.5 cm okanye ngaphezulu. Hyperergic - at ubungakanani afunxwe ezingaphezu kwe-1.7 cm abantwana abafikisayo, abadala ngaphezu 2.1 mm, kwakunye nokuphuhliswa necrosis, vesicles, lymphangitis, nokuba ubukhulu ukuba bomvu.

awasabela ngayo qualification ephilayo ngayo isitofu intradermal of tuberculin nzima nangakumbi ngumba wokuba indlela HIV kunokwenzeka njengoko wosulelwe mycobacteria, kwaye kugonyo kunye BCG. Kuba uhlolo olululo lokuba reaction, cinga oku kulandelayo:

- ugonyo nxamnye tuberculosis ingaba umntwana lwaqhutywa naxa;

- ubunzulu zasabela tuberculin kuphando oludlulileyo kwiminyaka edlulileyo;

- isimo impilo yomntwana kunye nolwazi malunga qha nezigulane TB.

Ngoko ke, ukuba isampuli yenziwe Mantoux, izinga yokusabela ziyahluka ngokubanzi.

Izimo lesampula kwindawo tuberculin ubunzima izifo ezahlukeneyo eluswini, usuleleko etsolo yintsholongwane kunye wentsholongwane egazini, izifo ezondeleyo yondele, negazi, isici kunye obubonakala ezibalulekileyo cutaneous, isifuba inyumoniya, rheumatism esebenzayo, ukuxhuzula. Contraindicated ukwenza tuberculin kumaqela abantwana ngexesha quarantines ezahlukeneyo. Ixesha lokuphumla phakathi nayiphi na ugonyo zothintelo, isifo kunye Mantoux eziphilayo kufuneka ungabi ngaphantsi kwenyanga enye.

tuberculin ngamnye lwenziwa kumaziko onyango ukuze:

- Uxilongo kunye ezohlukileyo isifo sephepha;

- ukumisela umsebenzi oluthile sephepha.

Xa uxilongo ngamnye sifo nayo kusetyenziswa Mantoux uvavanyo esiqhutywa kwi izikhokelo ezivela eklinikhi kunye ngeedosi ezahlukeneyo tuberculin non-esezantsi.