Tuberculin - ndi chiyani ichi?

Monga mu malo ano zovuta kuti mukhale ndi thanzi lawo la thupi pa mlingo woyenera? Ndipotu, mwamtheradi aliyense akufuna bwino okha ndi kusalola matenda kuswa moyo chizolowezi. Kuti tichite zimenezi, ana adakali aang'ono katemera matenda osiyanasiyana mu chiyembekezo kuti izo matenda m'tsogolo kapena atsogolere madziwo. M'nkhaniyi tiona osakambirana mphamvu ngati zodzitetezera, koma kulabadira zipangizo zimene zimathandiza oterewa matenda oopsa opatsirana mu magawo oyambirira. Pozindikira matenda mu magawo amenewa amathandiza kupewa ngozi moyo ndi kuonetsetsa kuchira bwino. Mmodzi wa mankhwala awa ndi "tuberculin". Yotani? Kodi kuthana ndi njira ayenera kugwiritsidwa ntchito? Kaya Ndi zowopsa kwambiri kumwa ana ndi achinyamata? Kodi milandu ayenera kusiya ntchito mankhwala? mfundo onsewa ayankhidwa m'nkhaniyi.

Mankhwala "Tuberculin": zikuchokera

Tinabadwa ankaona mankhwala ndi mix filtrates ena Mycobacterium TB kuti aphedwa ntchito kutentha ndi woterowu ndi asidi trichloroacetic. Tizilombo timeneti mosamala mankhwala ethyl mowa ndi efa, amene ntchito mankhwala, ndiyeno kusungunuka mu njira yapadera. Yotsirizira ndi osakaniza a mankwala buffered saline, Tween 80 (ogwira stabilizer) ndi phenol (Mkhalidwe usawonongeke). Amagwiritsanso "Tuberculin" Kuchiritsa kwamtundu. Komabe, tisanayambe kusuntha umenewu chithandizo, nthawi zonse muyenera kukaonana ndi dokotala.

Fomu kumasulidwa

Kukonzekera "tuberculin" amapangidwa mu mawonekedwe a njira jekeseni. Izi amapereka yachangu njira kanthu.

wazolongedza

Katemera "Tuberculin" akhoza kumasulidwa yekha mu womata buku la limodzi la magawo khumi la milliliter (kapena awiri tubekrulinovye mayunitsi) pa milliliter (Mlingo khumi), Botolo awiri (Mlingo makumi awiri) kapena Botolo atatu (Mlingo makumi atatu). Aliyense phukusi lili Mbale khumi osiyana.

zikuonetsa

Mu zina, mwayeretsa "Tuberculin"? Nthawi zambiri ntchito tuberculin (chifukwa ambiri anthu). Izi zachitika kuti:

• sankhani gulu la odwala amene mobwerezabwereza BCG katemera chofunika;
• miyezi iwiri kukonzekera ana Katemera chachikulu;
• kudziwa pamaso pa matenda Mycobacterium TB;
• kudziwa njira yaikulu (kapena wamba) TB mu ana.

dosing

Anthu kukonzekera "tuberculin" Buku malangizo amalimbikitsa intradermally kutumikiridwa basi ncholinga atakhala ndi Mantoux mayeso. Kubaya koyenera pokhapokha ngati wodwala ali, monga nthawi zina amayambitsa kukomoka mu anthu maganizo labile. Pakuti oyamba njira "Tuberculin" malangizo kwambiri akuonetsa kulandira kokha syringes apadera (odnogrammovye). Iwo disposable ndi masingano lalifupi woonda. Osati abwino kwa syringes jekeseni insulin kapena zipangizo, alumali moyo umene watha ntchito.

Botolo la medicament pamafunika misozi ndi gauze, amene bwinobwino impregnated Mowa semidesyatigradusnym. Kenako, woyera tsamba anaikira kutsegula ampoules galasi rasp khosi ampoule kenako kusiya. Ntchito syringe amachotsedwa pa medicament vial kuimba Mlingo awiri a katemera (i.e. awiri, magawo a milliliter a). Pambuyo pa zimenezi m'pofunika likhazikike singano woonda ndi kumasula anaimba kuchuluka theka la madzi mu wosabala thonje swab. Chitsegukire vial analetsedwa kusunga maola oposa awiri.

Pamaso kukhazikitsa jekeseni koyenera, m'pofunika kuti ayeretse khungu semidesyatigradusnym ethyl mowa, ndiyeno anali bwinobwino zouma ndi wosabala thonje ubweya. The singano ayenera mosamala kulowa kufanana pamwamba khungu. Kutumikiridwa mosamalitsa ndi magulu syringe pa mlingo, umene uli awiri mayunitsi tuberculin (kapena limodzi la magawo khumi la milliliter a).

Pali gulu lina la odwala amene ayenera kupereka mankhwala "Tuberculin" - ng'ombe (Bovine akuti). nyama ayenera kuperekedwa intradermally ndi masentimita 0.2 kiyubiki kapena 0,1 kiyubiki centimeter palpebral medicament.

Kodi chifukwa cha zotsatira?

Kodi kudziwa zotsatira za matenda ndi "Tuberculin" mankhwala? Guide kwambiri akuonetsa ntchito yoti akatswiri, kuyambira chabe woyenera kuchipatala adzatha kuchita izo mwanjira bwino. Zotsatira ayenera kuunikira pambuyo maola makumi awiri pambuyo jekeseni kudzera papules kuyeza kukula kwa limene likuwerengedwa chifukwa millimeters (linakhazikitsidwa yomweyo pambuyo kumayambiriro "tuberculin" yokonza). Zimenezi ikuchitika ndi mwapadera kwa mzerewu.

Pamene akuona Mantoux zotsatira akhoza kutsogoleredwa ndi gulu zotsatirazi. Zimene ankaona zoipa ngati papule si kupanga mfundo; zokayikitsa - ngati pali kusalola, kukula kwa amene zimasiyanasiyana millimeters awiri kapena anayi. Ngati papule kukula millimeters kuposa sikisi, chifukwa imatengedwa zabwino, ndipo ngati kumaposa seventini millimeters mwana kapena wachinyamata makumi awiri ndi chimodzi millimeter wamkulu - hyperergic.

The anachita oyamba a zinthu

mlingo Izi zimatengera yekha mmene thupi amatha payekha kuyankha nzothandiza lapansi. Nthawi zina odwala ndi kuchuluka kudziwa nkhani mankhwala akhoza kukhala zochita zosasangalatsa monga lymphangitis ndi lymphadenitis. Machitidwe ena chowawa ndi mutu, malaise ambiri, kuwonjezeka kwambiri kutentha.

Odwala ena (mwachitsanzo, ana ndi zoipa tuberculin anachita, amene sakhoza mwachita ndi BCG, ndi akulu wathanzi, amene anachita mayeso TB khungu ndi zabwino kapena wofooka) iliyonse katemera njira akhoza kuchitika pokhapokha munthu wounikira woyenera wa zotsatira Mantoux.

"Tuberculin" - ali mbali yofunika kwambiri matenda.

contraindications

Komabe, si onse amene ali ndi ufulu wogwiritsa ntchito katemera mu funso. Choncho, pali zoletsa pa kuvomera mankhwala "Tuberculin". Malangizo ntchito loletsa kugwiritsa ntchito mankhwala milandu zotsatirazi: pamaso pa khunyu, mphumu, matenda a pakhungu, makhalidwe, pachimake enaake ophwanya malungo, matenda aakulu kapena pachimake, kapena matenda zokhudza zonse (makamaka munthawi ya exacerbation).

Only mwezi umodzi pambuyo zizindikiro zikawoneka zinthu zonse pamwamba, mukhoza Mantoux mayeso. Kapena zizichitidwa pambuyo kuchotsa mwamwambo chabe kwaokha lapansi.

Ndi zoletsedwa kuika ana Mantoux ngati timu yawo ali kwaokha matenda alionse opatsirana.

Aliyense njira katemera zimakhudza mphamvu ya "Tuberculin". Diagnostics ndi mankhwala ayenera kukhala kaya mtundu wa katemera, kapena mwezi.

Musanayambe kugwira mayeso tuberculin, katswiri zomuyenereza odwala ndipo analankhula iwo kudziwa contraindications. Izi zingathandize kupewa zambiri zotsatira zoipa.

chifukwa

Pogwiritsa ntchito nkhani pamwamba simudzavutika zinthu zotsatirazi. "Tuberculin" - chimene chiri kuti? Kodi ine ntchito? Nthawi zina, kunali kwabwino kupewa kugwiritsa ntchito ndalama? Mmene angagwirire mtundu uwu wa jekeseni? mudziwe Izi zingakhale zofunikira kwa anthu amene anasonyeza ntchito mankhwala "Tuberculin". Nkofunika amatsatira malangizo onse, yomwe akatswiri odwala awo, kuti kudzipweteka kapena mwana wako. Komanso, mtundu uwu mpheto ziyenera kuperekedwa kokha chifukwa ophunzitsidwa zachipatala woyenera. Compliance ndi zinthu zonse izi kuonetsetsa bwino njirayi.

Mwazina, ndikofunika kukumbukira malangizo ambiri ntchito katemera. Mwachitsanzo, kumezetsanitsa mwana kapena munthu wamkulu, thupi lake panopa chokumana ndi matenda kapena amene anadwala matenda ofanana posachedwapa, kungachititse kuti mavuto adzaoneni (thupi anachita chotero jekeseni kungakhale kwambiri ndipo amafuna chithandizo). Ngati mwakumana ndi zovuta zilizonse, ndikofunika yomweyo kukaonana ndi katswiri.

Sankhani mankhwala apamwamba kwambiri pamodzi ndi mabanja awo. Diagnostics ndi lero ankaona mankhwala "Tuberculin" zikhoza kukhala m'gulu la ndi mankhwala ogwira mtima amatithandiza kusungabe bwino thupi. Musanyalanyaze nokha ndi kukhala wathanzi!