Ngoko ke, ngaba kunokwenzeka ukuba umanzi Ingubo?

Mhlawumbi, kwilizwe lethu kule minyaka engamashumi amane yokugqibela, kwakungekho mntu, lowo kwakungayi ndazibuza lo mbuzo - ngaba kunokwenzeka ukuba ukumanzisa yokwaleka. Phantse yonke intsapho apho okwangoku abantwana ukususela kunyaka-1 ukuya kwiminyaka eli-16, ngonyaka ngamnye, abajongene nale ngxaki, ikwayile vavanyo komzimba diagnostic (kwaye isitofu sokugonya, kwenziwa ukubala isininzi), kwilizwe lethu asetyenziselwa ukubhaqwa yokosuleleka umntwana Mycobacterium tuberculosis.

Yintoni na uvavanyo Mantoux?

Impendulo yalo mbuzo zinganikwa izivakalisi ezimbalwa, kodwa unako ujoyine ingxoxo, nto leyo maxa wambi iba esandleni ngokwenene ngenqindi. Kwaye uye kulo iingcali zempilo "ububi" ngubani ingqalelo ukuphunyezwa waminyaka le inkqubo efunekayo, yaye izalamane 'elungileyo' umntwana, abo bakholelwa ukuba ukwazi oko ukwenza iilokhwe, wawenza ozikhethelayo ngokupheleleyo. Enyanisweni, izinto azikho simple and tye, yaye umzali ngamnye, umntwana lowo kufuneka enze uvavanyo lokuqonda ngezifo, kufuneka uthathe imizuzu embalwa ixesha lakhe ngokuqinisekileyo exabisekileyo ukuqonda inqubo encinane ezingemnandi kuya kunceda ixesha ukubona isifo esiyingozi.

Abazali abaninzi ngempazamo abakholelwa ukuba TB soze abazichukumisayo, ngabantu abathandayo, yaye ngokuqinisekileyo uya kuze kwenzeka qhagamshelana umntwana wabo kunye Mycobacterium tuberculosis. Eyona nto yenza oku sifo singanyangekiyo zosuleleke ngayo nabantu abaninzi yimpumelelo kwaye ikhuselwe nasentlalweni, nto leyo ndinobukhwele engqongileyo, nomzimba lo mntwana kuphela, amajoni omzimba ayakhekanga ngokupheleleyo, iba nethuba enkulu yosulelo. Kungenxa yoko le nto efumanise mzuzu losulelo besebenzisa iimvavanyo zokufumanisa isifo okanye uviwo x-reyi kunobukhulu yabantu abadala ekuqaleni.

Imithetho abulawe "amaqhosha of"

Kodwa ke umbuzo ngokwayo ukuba kunokwenzeka ukuzinyela Mantu, enemvelaphi yayo kwisiqingatha sokuqala lwekhulu yokugqibela, xa injongo ekufumanekeni sephepha yokuqala usebenzisa uvavanyo patch Pirke, ukungena kwamanzi leyo ebangela uhlaba isiphumo. Kwimeko efanayo, xa uvavanyo Mantoux, tuberculin lihlanjululwe (iantigens ezikhoyo isifo sephepha Mycobacterium), xa wabulawa kakuhle nokuqhathwa iwela phakathi maleko ulusu, apho phezu epithelial wabumba "pugovichkami 'isici.

Enyanisweni, lo uvavanyo Mantoux kufuneka zibekwe ngonyaka bonke abantwana ufikelele kwiminyaka yobudala unyaka-1 kwaye ayiyi kudlula iminyaka eli-16, ngokulandelelana, phakathi ngokubulawa BCG isenza diagnostic tests kufuneka iinyanga ezili-12. Ugonyo sokuqala usana phambi kokuba bekhululwe esibhedlele, ngoko ke umbuzo wokuba kunokwenzeka ukuzinyela ingubo zingenzeka phambi usapho usana de emva wokuzalwa kwakhe kuqala.

Yintoni ukuthetha Mantoux uvavanyo?

Thetha kufuneka ibe yintoni umphumo zolu vavanyo, kunokwenzeka kuphela phantsi imeko esweni okokoko umntwana. Ukuba umntwana kweminyaka kunyaka-1 ayikho okwanamhlanje basabele positive, oku kubonisa ukuba isitofu ngokwayo iye yenziwa ngokuchanekileyo kwaye injongo olifunayo - ukwakha okukwazi ukulwa nesifo - iye engekaphunyezwa. Emva koko, le reaction (diagnostic test) iyaphindwa ngonyaka. Kwiimeko apho umntwana ngenxa yezizathu okanye omnye ayenziwanga wenza BCG phambi kokuba bekhululwe esibhedlele, uvavanyo Mantoux wokuqala kufuneka wenziwe xa bebudala bungaphantsi konyaka 1 uphindwe rhoqo 1 qho kwiinyanga ezi-6 ngexesha.

Ukuze uphendule umbuzo ukuba kunokwenzeka ukuzinyela ingubo, kufuneka kukhunjulwe ukuba impendulo iya kuvavanywa ncam ngenxa yeenguqu eluswini, ngoko ukungena amanzi kakhulu zigonywe, umgaqo, akukho yingozi, nangona umntwana uqale combing inaliti indawo intradermal. Kwiziphumo lokubhaqa isampuli zingachaphazela zombini zovuselelo ngomatshini, apho ekugqibeleni kwenzeka ukuba bomvu, kwakunye nasiphi na isifo solusu. Kungenxa yoko le nto kukho ngokugqibeleleyo xa kuthelekiswa kwi Mantoux Izimo uvavanyo, eziquka dermatitis komzimba kunye dermatoses, kutshanje kwiCEMIS izifo ezihlasela zosulele ezosulelayo, kuquka izifo ezihlasela zosulele ngokuphefumla kunye umkhuhlane.