Virage whakamātautau tuberculin i roto i ngā tamariki: ai, tohu, te tātaritanga me te āhuatanga maimoatanga

whakamātautau kiri Tuberculin huaina he tikanga tātaritanga mō te whakatau i te tūtohutanga o te tangata ki te huakita kohi. Ko te whakamātautau ki te whakatau mehemea kohi mate i roto i te tinana, ko te reira. Ko te putanga tino noa o te whakamātautau - Mantoux whakamātautau.

He aha te mea i huaina superelevation whakamātautau tuberculin

tuatahi whakarongo tokomaha ngā mātua te tātaritanga o "whakamātautau kohi Bend", ui aha te mea te reira. Superelevation huaina tuberculin tauira pai tuatahi, whakaratohia e i kino ki runga ki tenei hua. kia waiho te take he piko werohanga ranei ki te mate kohi, he mate mate ranei. I roto i tetahi take, ka rongo te wā, e kore e mataku: hoki te haamauraa whakamutunga o te tātaritanga me te tamaiti ki te haere i roto i te maha whakamātautau atu. A i muri i anake he whakamātautau tonu, ka taea e te hanga i te tākuta he tātaritanga tino.

Mantu

huaina Mantoux whakamātautau ko te whakautu o te tinana ki te patu i te tuberculin. I roto i te rohe o te werohanga tarukino puta mumura āhuatanga meinga e pūtau toto kawenga mō te wātea i te mate. Ki te te tinana tangata, ko te kohi huakita reira, tauhohenga o te tinana ki te werohanga ka waiho atu kaha, me te whakaatu i te tauira he hua pai. Na roto i te ine ki te rangatira pera-ka karanga papule (i roto i ngā ohie, "he pātene" Mantoux), whakatau i te tohu o te tauhohenga o te wātea i te mate tangata ki huakita kohi. rāhuitia waihanga Mantoux whakamātautau te aroaro o te kiri hopuhopu ranei mate me te tūroro mate i mate pāwera whakapeka.

Tauhohenga ki te tamataraa i roto i ngā tamariki

I roto i te nuinga o te wā, tauhohenga o te tamaiti ki te werohanga o te kino. Ko te toe 30% o nga tamariki homai te tauira te tirengi pai ranei.

fehangahangai Body o te tamaiti i te huakita kohi i te wawe tau. taonga motuhake o Koch Bacillus ko te auau o kătahi ki te tinana tangata. Ki te mate te mate ngoikore tomo tere te tinana, me te noho i roto i reira no te ora. E kore ai te kaihoko fakatupu o te mate kohi faaite mai iho ra ano te tikanga pai mo te horapa. Ko te tino uaua te tukanga o te whakapā ki te huakita kohi i te tinana o te tamaiti. I roto i te tiketike-mōrea rōpū ngā tamariki i raro i te tau o te 3 tau. I roto i tenei tau o 90% o mate tomo te tinana arata'i ki te ahua o te mate.

Katoa ngā tamariki werohia i mate kohi i ia tau mamae tukanga whakamātautau tuberculin.

He hua whakamātautau pai

Virage whakamātautau tuberculin i roto i te tamariki - he huringa hihiri i roto i te hua kino mo te pai i runga i te wā. Ko te tukanga ngā te wāhanga e whai ake nei:

1. I roto i te hua tirengi kino ranei i pāngia whakamātautau tuatahi.
2. whakakitea tirohanga Tuarua he hua i roto i te mumura ki te 15 mm.
3. whakakitea whakaū muri papules ake i te taha 5 mm whakaritea ki te atamira tuarua.

Kua kore ano ka mea te tātaritanga o "whakamātautau tuberculin kua hikina" i roto i te tamariki i te mamae i te tamaiti i te mate kohi. Te whakanui ake i te papules taea ētahi wā kia he hua o te tauhohenga pāwera ki te werohanga. Engari kia rite ki te tikanga, tahuri tohu te aroaro o te mate i roto i te huakita te tinana o te tamaiti. Äta tākuta tātaritanga whakatakoto te manawanui he whakamātautau atu.

Ko te whakaaro o Dr. Komarovsky

He pārekareka ki te mohio te whakaaro o te tākuta tamariki pai-mohiotia Evgeniya Olegovicha Komarovskogo piko o whakamātautau tuberculin i roto i ngā tamariki. Ko te tākuta ta e te hua whakamātautau Mantoux pai tohu te aroaro o te tamaiti i roto i te tinana o te Bacillus tubercle. Ko te tukanga o te whakanui ake i papules kōrero e pā ana ki te whanaketanga o te wātea i te mate. tohutohu Next Komarovsky ki te kawe i whakamātautau atu o te tamaiti: ki te tika i te hi'opo'a maitai, whakamātautau toto, mahi X-hihi. Ki te mea kua whakapumautia enei mehua te tātaritanga tuatahi, ki te timata ki te hamani kohi. Ki te kahore e nga whakaaro whakapumautia, whakaaro te tamaiti e ki kia hauora, me mehua atu mō te tātaritanga me te maimoatanga e kore te mea e hiahiatia ana.

I te tahi taime to koutou tākuta tetahi feaa e pā ana ki te tātaritanga. maha tupu tenei ka kore e taea te whakaatu ai te whakapakoko X-ray unambiguously. I roto i tenei take, Eugene O. te Kaunihera ki te whakahaere ārai maimoatanga "isoniazid". Virage tuberculin whakamātautau he wāhi ki te whakawhanake i ki te kohi pono i runga i te wā. ara 10 nga tau, kia tangohia te reira 5, a ētahi wā, me kāore i te wa nga timatanga o te mate, kua meinga te mate e wehingia ana tūturu.

Ko te tūponotanga o te tukanga taua ko 0.5%, engari ahakoa, i nuinga o te wā, tākuta me reinsured paturopi whakahaere ki ngā tamariki. I roto i tenei āhuatanga, tohutohu Dr. Komarovsky mau metua e kore ki te whakawhirinaki tākuta, e e maha kuare, ka hanga whakatau i runga i to ratou ake.

Ko te whakamahi o "Isoniazid"

He roa te tukanga o te maimoatanga o te TB, rawa mai i runga i te hiahia otinga o manawanui whakanohonoho atu. Na reira, te ārai o te mate kohi - te matua atu i te tukanga o te maimoatanga. whakamātautau tuberculin Treatment piko i roto i ngā tamariki ki "Isoniazid" - he wāhanga nui o ngā mahi mana TB. Studies whakamatau e ki te whakamahi o "Isoniazid" whakaiti i 90% i te tūponotanga o te whanaketanga o te mate kohi i roto i te iwi nei i huaketo i mua.

pānga te raau i te huakita kohi hakari i runga i te wāhanga whakatö, me te mate whakamate microorganisms i roto i te wāhanga okiokinga. kitea te tōtika tiketike o te tarukino te kore anake i roto i te maimoatanga o te mate kohi, engari i roto i prophylaxis. He mea nui ki te matau he aha kia te whakamahi o "Isoniazid" anake i roto i te hunga āhuatanga i reira whakakitea te tātaritanga āhuatanga mōrearea kitea mo tenei mate. tohua te tarukino te anake hoki tūroro nei tātaritanga taea huakita mate ranei kōrero kohi te tūponotanga o te whanaketanga o ngā momo kaha o te mate.

"Isoniazid" whakaritea ki ngā tamariki nei i whakapā ki kawe o te mate. 3 marama i muri i te akoranga o te maimoatanga te tamaiti ko te whakamātautau Mantoux. auau dosing prophylactic mō ngā tamariki ko te 2 marama. "Inh" tangohia ake ki te 10 mg ia manokaramu o taimaha tinana manawanui ia ra.

Ko te mōrea o te mate i te tamaiti

rangahau maha whakahaeretia e epidemiologists whakaatu e te akoranga puāwaitanga o te mate kohi tamariki uaua whakapoke i ētahi atu tamariki pakeke ranei. Kei tata kore sputum mare o tamariki, me te mare ngoikore pana kore e taea ki te rehu i te matūriki huakita i roto i te rangi i te tamaiti. I nga taiohi wa ano ki whitiki nui o te mate, ka taea e tuku i te mate. I roto i te tautuhi i mate kohi pūkahukahu i roto i te tamaiti, tūtohu maha kaiwhakaako ki tutakina te manawanui taitamariki. Heoi, kua whakamatauria te reira e te mea faufaa te mehua taua: tahuri whakamātautau tuberculin i roto i ngā tamariki uaua tuku.