"Diaskintest": wongororo. "Diaskintest" iri nechirwere pamusoro tibhii

Chirwere pamusoro tibhii ari runokwaniswa zvakanyanya. Panzvimbo yakare nzira kuuya itsva, rakanyatsorurama uye akaoma. Idzi dzinosanganisira Diaskintest.

Chii?

Diaskintest - maitiro, chinhu chakafanana Mantoux bvunzo, zvisinei, zviri unetseke dzevanhu Mycobacterium tibhii. Uyewo ari Mantoux bvunzo, rinoshandiswa kunyanya vana, kunyange zvazvo dzimwe nguva anoratidza uye vakuru.

Nzira yapararira achangobva. The zvakasimbisa wayo zvisikwa ndechokuti vanhu Mantoux bvunzo haana kupa mashoko yakarurama kuti ive antibody uko kugozha mikobatery zviri muviri (sezvazvakanyorwa chiyero nehanya kuti subspecies maviri - yevanhu uye bovine mycobacteria).

Specificity jekiseni iri anenge 90 muzana, ukuwo mharidzo pamwe tuberculin utetsa hakuiti kupfuudza 50. Nemhaka iyi yakakwirira kuitika dzenhema uye kururama kunoguma.

Zvinofanira kuva kunzwisisa sei vakatakura Diaskintest uye kuona izvo, iyo inoratidza ichi kuita.

Sei muitiro?

Diaskintest pacharo, ratings izvo Pari vacho zvakanaka, haana kusiyana nzira Mantoux bvunzo. Pfungwa yokuenzanisira iri musi romukati divi honokono. Intradermal tsono iri akaisa millimeters shoma. Pashure kwokubatsira zvinodhaka panguva jekiseni nzvimbo papule achiumbwa ane pose mhando "ndimu svuura". Pashure pechinguva (mazuva yemanyorero pashure maviri) Anoongorora akaumba papules.

Diaskintest tiibhii hazvo kuitwa pane zvikuru akashongedzerwa kwakavakirwa kana kurapwa makamuri. Zvinonzi rambidzwa aite jekiseni kumba, uyewo untrained vashandi pasina chigaro mamiriro ezvinhu kusabereka. Izvi zvinogona kutungamirira kukudziri- yematambudziko pashure nzira.

Kuti tizive migumisiro pakudzidza dzinoongororwa kuchinja mudunhu, kwaakachengetwa Diaskintest.

Kunyatsoongorora pakuongororwa rinoitwa maererano zvimwe zvinodiwa. Kana ukapiwa akaipa mugumisiro (asina kuzivikanwa chero nzira dzekuziva) kana wodzokorora kudzidza kuendeswa kumwe kuongorora muna unyanzvi masangano.

Ndezvipi zviratidzo inoshandiswa kuongorora kubudirira nzira uye mamiriro utano?

Nzira dzekuziva nadzo wayo

Mushure Diaskintest chaiitirwa, kuongorora rinoitwa nokuvapo zvachinja jekiseni wongoramba.

Kazhinji, panguva jekiseni nzvimbo inofanira kuumbwa mapazi ose hyperemia. chitarisiko Its imhaka vawedzere ropa riyerere kune nzvimbo jekiseni uyewo veko sema zvakaitwa.

papules kwemavara kunobva mwero masoja mhinduro. The makuru dhayamita vakaumba papules, akasimba masoja mhinduro. Zvisinei, diki, kana Ukuwo, munhu achinyanyisa guru saizi vari disadvantageous zvinhu papules, sezvinoratidzwa ane attenuated kana overactive rokuzvidzivirira wayo Achipindura pakatanga dzimwe maantigen uye.

Uyezve, kuumbwa papule anofananidzwa nezvawagara zvabuda, kuziva simba kuchinja. Kana pane zvakanaka kwomusikirwo Diaskintest, mapikicha uye kukura hazvo papules ichienzaniswa yapfuura nemigumisiro. Zvinogoneka kuti Munguva ino (gore rapfuura maitiro) muvanhu paiva kuonana TB nevarwere. Kana zvakadaro inoda tichienzanisa kare nemigumisiro.

Diaskintest tiibhii anonzi kuitwa dzose mitemo nemirayiro, kana mbiri pamusoro zvinodiwa.

kududzira zvabuda

Zvinobvira sei kutonga pamberi antibodies kuna Mycobacterium?

Kukoshesa Diaskintest akaita maererano zviviri zvinodiwa - akatsvuka panguva jekiseni nzvimbo uye kukura.

Kana jekiseni nzvimbo haisi kuzara vematunhu, izvi zvinoratidza kuti munhu nzira yave ichiitwa nepasipo kana dziviriro yezvirwere mumuviri zvokuti haigoni kuita rokutarisira maantigen. Izvi zvakare zvinoratidzwa kusavapo papules panguva jekiseni nzvimbo.

Kana paine akatsvuka uye mburwa diki (4 mm), kutongwa pamusoro simba rokuzvidzivirira. mugumisiro yakadaro inogona kutaura uye kuti antibodies vashoma kwazvo, uye muviri nokusvika kupinda mycobacteria havagoni kurarama nayo.

Chii mugumisiro hwakanaka munhu ari Diaskintest? wokuyera Its anobva 4 kusvika 12 neMM, zvichiratidza kuti chakaipa kushanda masoja emuviri uye vane anodiwa antibodies.

Kana kamwe kamwe ari jekiseni panzvimbo aumba papule yakakura kupfuura 12 neMM, iyi kunoratidza wokusagadzikana of zvirwere, kureva sema maitiro anogona vacho kuti kupinda pakati mycobacteria.

Zvisinei, tinofanira kuyeuka kuti kunoguma vakuru uye vana zvingava siyanei nepedyo. In vakuru, rakanga akaisa Diaskintest, mwero achava zvishoma - kubva 4 kusvika 16 mm. Izvi zvinoitika nokuti kuti akura womunhu muviri antibodies inopfuura mwana. Vamwe vavo zvinogona kusashanda pamberi antigenic mimicry - ane antigen pamusoro Mycobacterium anogona kuonekwa sezvo isiri mapuroteni nomumwe microorganism, uye achiita, mumwe anogona kusashanda masero chakasimbisa yakati sema kuita.

Dzimwe kusavapo papules kana hombe hukuru zvinogona kunzi nzira rinoitwa nepasipo. Iva nechokwadi kuti kupedza kupfuura mumwe kujekeserwa. Akadzokorora mugumisiro (kunaka kana zvakanaka Re Diaskintest) zvinoratidza phthisiatrician kubvunza.

vomunzvimbo

Izvi kunoratidzwawo mu nzira iyi?

Iva nechokwadi kuti Vanodzidza vana makore 17. Izvi imhaka yokuti nzira chikuru achivhara tiibhii - fluorography - kwakabatanidzwa maekisirei, izvo zvinogona kukanganisa chirongwa kukura muviri wemwana. Ndokusaka zvatinofarira hunopiwa pakatanga maantigen pane nemwaranzi.

Jekiseni rinoitwa vana pamusoro mwedzi mitanhatu pashure Kutarisirwa kwezvinhu BCG mushonga. Panguva ino nenguva kuumba antibodies kune maantigen ari mycobacteria, izvo zvinoita kuti kudzidza rakakodzera.

Uyewo, iva nechokwadi kuti tiite nzira vanhu vakamira nhoroondo iri endocrinologist nezvechirwere cheshuga.

All pasina chaakasiya Diaskintest ichiitwa pamberi zvaikosha kuchinja papules zvichienzaniswa yapfuura pakudzidza (nzira rinoitwa kamwe pagore, asi unogona kuitwa unscheduled kudzidza kusvika 3 times).

Positive Diaskintest kazhinji pakuguma kushumira mitongo vanhu (mumajeri, misha), saka vane Ongororo kuitwa kakati pagore.

umboo

Diaskintest sezvo Mantoux bvunzo, ndiyo evasingatombonamati chirwere muitiro zvainanga vakawanda richiona nezvezvabuda tibhii muvana.

Kazhinji, kudzidza ichi kudzidzisa akaronga, asi pane zvimwe zvairatidza kuti kwayo unoshamisa mufambiro.

Sezvo predisposing zvinhu zvakadai kuita kutendeuka Mantoux maitiro, chinokosha update vakaumba papules ichienzaniswa yapfuura nemigumisiro. In vana kwenguva refu (mwedzi kupfuura rimwe), fivha yakaderera-mugiredhi uye kuvapo pakaoma chikosoro vanofanira kuva nechokwadi kuti aite apiwa kuongororwa, kusanganisira Diaskintest. Photos of pechipfuva (photofluorogram) mu iyi zvinoitwa chete mvumo vabereki vomwana uye rinoshandiswa kuzosimbisa zviratidzo.

Mukuwedzera, kuongorora zvakakodzera vana uye vakuru vane chirwere cheshuga (sezvo chirwere chinokurwadzai masoja kukura, hwezvekukurukurirana ari kupinda pakati nayo utachiona kupinda mumuviri uye kukura ane chirwere muitiro).

Iva nechokwadi kuti kuitisa munhu unscheduled bvunzo vana vane vabereki vanacho tibhii.

Contraindications

Kungofanana muitiro, Diaskintest ane zvimwe contraindications kuti. Izvi zvinosanganisira hypersensitivity kuti zvokubikisa zvinodhaka, uyewo kuvapo chinoshingaira chirwere kudzidza (Diaskintest zvishoma zvishoma fomu sezvo jekiseni rinoitwa pasi yokumusoro ruoko, apo ganda chitete inokwana paumbwe papules. Zvimwe nzvimbo muviri kwete ganda nguva dzose vanokwanisa kuwana zvinodiwa zvabuda).

Panewo muganhu zera. The nzira haina kuitwa vachangoberekwa uye vana kwete kare nhomba pamwe BCG.

With Kunyatsodzidza kuitiswa nokuvapo kwevanhu vane immunodeficiency, kubva kwokubatsira maantigen kunogona kukonzera sizvo kwaiita nhengo.

Benefits Diaskintest

Sezvo chikazozikamwa, Diaskintest chakatsiva Mantoux bvunzo. Izvi zvakakonzerwa nokuti Mantoux bvunzo haapi mhinduro yakarurama pamusoro antibody pamusoro Mycobacterium kwevanhu tibhii (anoona kuvapo antibodies pamusoro utachiona maviri mycobacteria). Diaskintest, phthisiologists mhinduro iyo zvikurukuru akanaka, muitiro wacho zvikuru kusanyatsotsanangurwa pfungwa, sezvo injectable kugadzirira unotora antibody chete m. Tibhii.

Pane kure zviitiko apo pashure jekiseni Mantoux bvunzo pasi nekukudziridza kushingaira tibhii. In epidemiological mazwi Diaskintest nani nokuti harina basa mycobacteria, uye maantigen dzavo chete pave antibody kugadzirwa. Hypersensitivity akadaro anenge kumbobvira anova pamusoro kwokubatsira chezvinodhaka.

Sezvo nzira haana kusiyana mureza tuberculin, rinogona kutakura kubuda dzakawanda Maitiro vanamukoti vakarovedzwa.

Maonero kuvarwere uye vanachiremba

Munguva pfupi nguva rinoshandiswa Diaskintest, akagamuchira yakawanda pamusoro inofambiswa kubva kuvarwere uye kubva n'anga.

Kudzidza forum dzakawanda, izvo kukurukura tibhii nevarwere kana hama dzavo, yaiitwa Diaskintest, wongororo dzaiwanzova akanaka. Maererano vanhu, muitiro uri nyore kushandisa, hakurevi chinhu kudzidziswa.

Chii vanhu vanofunga pachiitiko ichi vanachiremba? Vazhinji TB nyanzvi dziri kuti vanodavira kuti Diaskintest zvakawanda-chinja nzira kupfuura Mantoux bvunzo kana epidermal yokuenzanisira Pirke (pari kwete kushandiswa). Yakakwirira specificity zvinodhaka achibvumira chokwadi anenge Mhedziso kuzosimbisa kuvapo mycobacteria pamuviri, uye mangwanani kurapwa. Varwere vakawanda vari rutsigiro kuitira kuti vaida haana fluorogram (izvo unoratidza chete chirwere choga), ndokupfuura Diaskintest. Reviews vanachiremba pamusoro nzira iri rinenge nguva yakanaka, chete chiduku chikamu wavo anoda radiography kana nejasi.

Apo unogona achindireverera nzira?

Kana uchifungidzira kuti une TB, kazhinji pane mubvunzo pamusoro apo kwatinotarira. Pfungwa idzi kazhinji kuonekwa mushure radiologist akaona mumvuri pamusoro mufananidzo zvemapapu, kana iwe kukosora kwenguva refu, unonzwa simba uye simba. izvi zvose anonongedza kuti zvinobvira kuvapo vanoshingaira tibhii uye kunonotsa nechirwere hazvibviri.

First Diaskintest anogona kuenda specialized masangano - TB dispensaries kana zvipatara. Kazhinji nzira rinoitwa kuti vakundi zvose nokuda muripo, kunyange zvazvo zvichiita uye kunyange zvakafanira kuti upote nenzira woruwa chiremba.

Kuwedzera nzira iyi, unogona kutaura remunharaunda utano nzvimbo (somuenzaniso, dunhu zvipatara) uye utano basa. Kazhinji nzvimbo kunodiwa kuti pane imwe TB nyanzvi, ndiani achakwanisa kuongorora nounyanzvi iwe uye rokuongorora chorurindi, kana zvichidikanwa tichibatsirwa Diaskintest.