Imiyalelo yokusebenzisa: "Diaskintest". Inkcazelo analogue iziyobisi

"Diaskintest" - ntoni na? Reviews ngalo eli chiza, kunye nemiyalelo yokusebenzisa kwayo zinikiwe ngezantsi. Kwakhona, uya kufunda ukuba okanye hayi oku kuthetha analogs, kuba yona emiselweyo kwaye Izimo yokusetyenziswa ngayo.

Ekwakhiweni, imilo, inkcazo-arhente diagnostic

Yintoni na ichiza ngasentla? Oko bathi ngaye inkcazo kunye nemiyalelo yokusebenzisa? "Diaskintest" sele ithunyelwa ngohlobo kwesisombululo ezingenambala neselubala elungiselelwe ulawulo intradermal. inxalenye yalo esentloko kukuba iproteni amayeza ESAT6-CFP10, nto leyo yaveliswa ze zemfuza isityalo ilungiswe unyityilikiswa phosphate isotonic saline yemphahla (engenazintsholongwane) kongezwe ukubola ezifana phenol.

Ngaphandle isithako esebenzayo medicament iqulethe izinto ezongezelelweyo: potassium phosphate monobasic, phosphate dibasic dihydrate, sodium chloride, amanzi d / kunye polysorbate 80.

Thenga i "Diaskintest" imiyalelo iziyobisi ukwenzela ukusetyenziswa encamathele phakheji ngamnye banokuba iibhotile zeglasi zibekwe kumadyunguza.

Indlela yokusebenza ye ichiza

wenza njani ichiza kuthethwa ngayo? Oko ikuthethayo ngalo imiyalelo ukusetyenziswa? "Diaskintest" - a allergen TB amachiza ngendlela eqhelekileyo. Iqulethe awakwazi ezimbini, ezi ke ziyafumaneka kunye neentlobo (ngokunamandla) Mycobacterium tuberculosis kunye njengongekhoyo esikolweni BCG yobunzima.

Isiphumo ibangwa ichiza "Diaskintest"? Guide ingxelo ukuba esi sixhobo ibhaqa impendulo zeselula omzimba nezakhi ezithile ze Mycobacterium tuberculosis.

Emva kokuba abantu Inaliti intradermal nosulelo tuberculosis yenza yokusabela ethile kakhulu eluswini, nto leyo emele njengokubonisa bokuhlala ezilibazisekileyo uhlobo hypersensitivity.

Iimpawu zibonisa ukuba ukusetyenziswa kwe isisombululo

Yintoni uthathwa indlela eyenzelwe? Zintoni ezibonisa ichiza iqulethe imiyalelo yokusebenzisa? "Diaskintest" lisetyenziswa ukuseta uvavanyo intradermal abantu babo bonke ubudala:

• ngenxa umehluko ukubonwa kwezifo ezifana nesifo sephepha;
• une-TB, kunye nokuvavanya umsebenzi inkqubo zophendlo lwezifo kunye nokuchonga abantu basengozini enkulu yokuba esi sifo;
• nokuvavanya ukusebenza unyango lwesifo sephepha zidityaniswe kunye nezinye iindlela;
• uxilongo mahluko zizifo ezosulelayo, ngokunjalo nokwaliwa postvaccinal (ngamanye amazwi, zila uhlobo hypersensitivity).

Kufuneka kuqatshelwe ukuba ichiza "Diaskintest" (Instruction, review kukho ulwazi olubalulekileyo, nekucetyiswa ukuba bahlole phambi ukusebenzisa), eli isetyenziselwa injongo yokubahluza kunye isifo ngamnye zosulelo isifo sephepha. Ngokuba lo vavanyo intracutaneous lwenziwa kuphela ingcali injongo (a TB), kwaye ekuqinisekiseni methodological yayo epheleleyo.

Ukumisela ichiza?

Yeyiphi uhlobo izigulane emiselweyo beziyobisi umbuzo? Kuthekani oku yazisa yesikhokelo? "Diaskintest" sokuchonga losulelo sephepha esaziswa kwaba bantu balandelayo:

• ezinxulumene kumaqela ophezulu lomngcipheko wosulelo TB kuthathelwa ingqalelo ubungozi kwezentlalo, unyango kunye kwezifo;
• ngqo kumaziko onyango yokuzahlula TB ukuba ukuvavanyela ngakumbi umsebenzi kunye nobukho usulelo tuberculous;
• zithunyelwe ingcali emva kokuba iziphumo tuberculin abaninzi.

WeMithetho isampuli

Njani na uxilongo lwesifo sephepha ngokuthi "Diaskintest 'iziyobisi? Imiyalelo yokusebenzisa okufunwayo uvavanyo intracutaneous salwenza kunye X-reyi kwaye uvavanyo nonyango kunye kwilebhu isigulane kwindawo esibhedlele.

Kuba iliso kwizigulane ubhaliswe phthisiatrician kunye neempawu ezahlukeneyo isifo sephepha ingqalelo ichiza ilawulwa emva kwesithuba seenyanga 3.5-6. Kule meko, qiniseka ukuba ukwenza iimviwo ezilandelayo ekufuneka ezenzile malunga onke amaqela yezigulane lemithi.

Njengoko olu ukulungiselela ibangela hypersensitivity reactions uhlobo ilibele, nto leyo lu dityanisiwe BCG intradermal uvavanyo endaweni uvavanyo tuberculin zokukhetha ugonyo lokuqala zabantu revaccination.

Siphelisa ukusetyenziswa

Kuphantsi kwaziphi iimeko apho eli sigulane asikwazi ukuba kwenziwe ngendlela kwesifo sephepha "Diaskintest 'iziyobisi? Imiyalelo (umenzi esi sixhobo - JSC "Generium") okubonisa Izimo zilandelayo:

• Izifo ezosulelayo bezifo kunye etsolo (ingakumbi yondele), ngaphandle kwakwiimeko sephepha okusolwayo;
• izifo isikhumba eqhelekileyo;
• kunye nezinye izifo somatic (ingakumbi i exacerbation);
• komzimba.

Asikwazi ukuba kumaziko apho kukho ndzivalelo kwi zizifo zabantwana, uvavanyo intradermal kufuneka lwenziwe kuphela emva kokuba isuswe.

Imiyalelo yokusebenzisa

"Diaskintest" lisetyenziswa kuphela kagqirha. I sampuli elandelayo kuqeqeshwa abasebenzi bezonyango ukuba ufikelelo ukuqhuba iimvavanyo.

Kujongwa medicament kuphela alawulwa intradermally. Ukulungiselela le njongo, kukho isirinji tuberculin, kunye iinaliti ezimfutshane ebhityileyo nokuba isilayi elibhalwe ngokumileyo.

Ngaphambi kokuba usebenzisa imveliso, qiniseka ukukhangela umhla eyayikhutshwe ngawo kwaye umhla wokuphelelwa.

Njani na le mali? Ngesirinji ekuzuzeni amathamo amabini arhente diagnostic (0.2 ml), uze ukhupha isisombululo ibe swab engenazintsholongwane ukuya kwinqanaba 0.1 ml.

Ngexesha Inaliti examinee kufuneka sikwazi ekuhlaleni. Emva liqhube ulusu kwi yesithathu phakathi ngesa- (umphezulu engaphakathi) ne-70% ethyl utywala kwaye ngobunono batsale umphantsi nomphezulu kweemakhishithi, uqhutywe yokwenziwa 0.1 ml yokulungiselela.

Emva kokuba kwenziwe uvavanyo kwisikhumba yabantu buyeyona uhlobo ubukhulu 7-10 mm papule umbala ezimhlophe.

iziphumo

Iziphumo zovavanyo intradermal kufuneka bahlole ugqirha okanye umongikazi emva kweentsuku ezintathu ukususela kumhla ukuphunyezwa kwayo. Le nkqubo ikhutshwa phandle ngokulinganisa nenkalo ezinqamlezayo of nokungena kunye papules ukuvuleka ukusebenzisa irula ngaphaya.

Uvavanyo zilandelayo impendulo:

• Negative - sikhatshwe ukungabikho ngokupheleleyo hyperemia idibane kwakunye ubukho "ukolochnoy reaction", ubukhulu ogama ayidluli 2 mm.
• Kuyathandabuzeka - luphawulwa ukuba bomvu, kodwa ngaphandle nokungena.
• Positive - nokungena ikhatshwe bubukho nayiphi ubukhulu.

Kufuneka kuqatshelwe ukuba indlela elihle ichiza phantsi ingqalelo imiqathango neliqaqambileyo kwezi izidanga ilandelayo sandla:

• abangaxhalabisiyo wavakalisa (infiltrate ubukhulu - 9.5 mm);
• okwanamhlanje waveza (5 mm);
• libizwa (10-14 mm);
• indlela hyperergic (15 mm okanye ngaphezulu).

Abantu basabela kakuhle okanye kusenokwenzeka ukuba ichiza akukho isifo sephepha.

imiphumela emibi

Oku kunokubangela abasabela embi ukulungiselela uvavanyo intradermal "Diaskintest"? Imiyalelo (bagulayo kule iyeza idla lungenzeki) uchaza ukuba kwezinye iimeko, ukugula yexesha elifutshane angenzeka izigulane nangecesina, ebuhlungu.

imithi, ngaphezulu

Ulwazi malunga libanda, iziyobisi "Diaskintest" kwi imiyalelo zifakwe enikiweyo.

Uxilongo lwesifo sephepha imithi ingqalelo kuyimfuneko ukucwangcisa ukuphumeza ugonyo lokuthintela. Ukuba yokugqibela sele zabanjwa, uvavanyo intradermal wenza ngaphambi ngaphezu kwenyanga enye emva kokuba isitofu.

Analogs nokubuyekeza

Ichiza kuthethwa indawo ukungafumaneki yayo nobandlululo? Ngokutsho iingcali, nontanga isixhobo no.

Yintoni abantu bathi ngayo abathengi medicament? izigulane ezininzi, ingakumbi abazali babantwana abasebancinane abangavumiyo ukwenza iimvavanyo ezinjalo. Ngokutsho kwabo, ezi iinaliti ngokulula nimqumbise uphuhliso lwesifo sephepha. Noko ke, iingcali ingxelo ukuba isixhobo ezifana "Diaskintest", efunyenwe Ngeentlobo zemfuza basis of E. coli, ngoko ke asikwazi igalelo kuphuhliso sifo.

Kwakhona, oogqirha abaninzi bathi uvavanyo intradermal, kwenziwa ingxelo ichiza, wathwala kakuhle kakhulu kwiimeko ezininzi. Nangona ngamanye amaxesha abantu anokubonwa nomkhuhlane kancinane kwaye zezomzuzwana, umkhuhlane, kunye nentloko okuncinane. ezinjalo ithi izifo Ngokuqhelekileyo yeyethu zabo kwaye musa kufuna unyango eyahlukileyo.

Ukusebenzisa amayeza "Diaskintest" ezikolweni, oogqirha iyaluthintela uphuhliso lwesifo sephepha. Kulo mzekelo, eli ligatya a iziphumo sample kwi emngciphekweni omkhulu umntwana kunye nabantu ngeenxa zonke kuye empilweni.