Virage tuberculin bvunzo kuvana: hunokonzera, zviratidzo, chirwere uye kurapwa mamiriro

Tuberculin ganda bvunzo inonzi yokuongororwa nzira nokuda kuziva aikanganiswa ari munhu kusvika tiibhii utachiona. The bvunzo kuona kana tibhii hweHIV mumuviri aripo. Vakawanda shanduro bvunzo - Mantoux bvunzo.

Chii inonzi superelevation tuberculin bvunzo

Vabereki vakawanda kutanga kunzwa chirwere kuti "Bend tiibhii bvunzo", bvunza chii. Superelevation inonzi tuberculin yokutanga zvakanaka mharidzo, akapa vakanga kunaka kusvikira ichi mugumisiro. The chikonzero chingava vanobwembura kana kubaya pamusoro neTB, chirwere kana utachiona. Chero zvazvingava, wakati anzwa izwi, musavhunduka nekuti chokupedzisira nokusimbisa nechirwere mwana anofanira kuenda kuburikidza mamwe nemiedzo inoverengeka. Uye chete shure kuongorora zvizere, chiremba anogona kuita chaicho kuongorora chirwere.

Mantu

Mantoux bvunzo anonzi kwaiita muviri yakarova tuberculin. Munzvimbo jekiseni zvinodhaka sokuti unhu kuzvimba kunokonzerwa masero eropa anokonzera kutapata. Kana munhu muviri aripo utachiona tibhii, muviri paakasangana imwe jekiseni zvichava zvikuru uye mharidzo inoratidza zvakanaka mugumisiro. Nokuyera pamwechete nomubati anonzi papule (zviri nyore, "bhatani" Mantoux), kuona ukuru maitiro kutapata dzevanhu tibhii utachiona. Pfungwa Mantoux bvunzo wairambidza kuvapo ganda kana zvirwere uyewo varwere vanenge rikwanise chisimbwa.

Maonerwo Akaitwa kutongwa vana

Kazhinji, mwana paakanzwa jekiseni munhu akaipa. The yasara 30% yevana mharidzo kunopa negakava kana zvakanaka.

Mutumbi mwana akatarisana tibhii utachiona pazera duku. Koch kwakaita bacillus nevamwe pfuma ndiyo mwero kupinda mukati dzemuviri. Ane simba kutapata chirwere nokukurumidza anopinda muviri uye achagara mariri nokusingaperi. The causative nomumiririri tibhii urege kuonekwa kusvikira mamiriro ezvinhu akanaka ari kupararira. Muitiro kunyorerana netiibhii utachiona nedare mwana zvakaoma chaizvo. In ane ngozi boka rinosanganisira vana pasi pemakore 3 years. Munguva ino 90% kutapukirwa kupinda muviri zvinotungamirira pakuonekwa chirwere.

All nhomba vana tibhii nerimwe gore vanosangana tuberculin yokuedzwa pakuvhiya.

A akanaka bvunzo mugumisiro

Virage tuberculin bvunzo mune vana - a guru vachinje zvakaipa mugumisiro nokuda yakanaka pamusoro nguva. Kwacho zvinosanganisira zvinotevera mumatanho:

1. In zeza kana akaipa mugumisiro akaonekwa chepuraimari bvunzo.
2. Secondary Kuongorora kwakaratidza kuwedzera kuzvimba kusvika 15 mm.
3. Tevera ongororo yakaratidza papules kuwedzera 5 mm zvichienzaniswa rechipiri pachikuva.

The chirwere kuti "kuumbiridzwa tuberculin muedzo" Vana havasati akati kuti mwana akanga achitambura tibhii. Kuwedzera papules dzimwe nguva kunogona kuva pamusana sema maitiro kuti jekiseni. Asi sezvo ari kutonga, dzokai inoratidza kuvapo chirwere ari mwana wacho muviri utachiona. Zvachose chirwere chiremba prescribes murwere chimwezve kuzviongorora.

The maonero Dr. Komarovsky

Zvinofadza kuziva maonero rinozivikanwa wevana Evgeniya Olegovicha Komarovskogo Bend pakati tuberculin Muedzo muvana. Chiremba anoti zvakanaka Mantoux bvunzo mugumisiro inoratidza kuvapo mwana muviri tubercle bacillus. Muitiro kuwedzera papules anotaura pamusoro kukura kutapata. Next Komarovsky rinokurudzira kuti ubvume kumwe kuongorora mwana: zvakaitika kwazvo kuongororwa, miedzo ropa, X-ray kuita. Kana nezviyero izvi zvinoratidza rokutanga nechirwere, kutanga kubata tibhii. Kana kufungirana zvisina yasimbiswa, mwana anoonekwa utano, uye mamwe matanho kuti chirwere uye kurapwa haina kuzvireva.

Dzimwe nguva chiremba wako chero mubvunzo pamusoro zvawanikwa. Izvi zvinowanzoitika kana X-ray mufananidzo hazvigoni zvichishandurwa zvisingarevi zvakawanda. Muchiitiko chino, Eugene O. Council kuti kuitisa chokudzivirira kurapwa "isoniazid". Virage tuberculin bvunzo ine mukana kukudziridza kuva tiibhii wechokwadi pamusoro nguva. Zvingatora 5, uye dzimwe nguva kunyange makore 10, uye untreated panguva kutanga hosha yazova chaiye chirwere chakaipisisa.

Mukana mumwe muitiro wakadaro 0.5%, asi zvisinei, kazhinji, vanachiremba uye reinsured mushonga raitongwa vana. Pakadaro, Dr. Komarovsky rinorayira vabereki kwete kuvimba vanachiremba, vari kazhinji sagona, uye kuita zvisarudzo zvavo pachavo.

Kushandiswa "Isoniazid"

Pfungwa Mabatirwo TB iri refu, kunyanya sezvo ari apedza murwere anoda zvimwe vapore. Saka, kudzivisa tibhii - pakutanga kupfuura nedanho kurapwa. Treatment vanobwembura tuberculin bvunzo muvana ne "Isoniazid" - chinokosha chezvinonhuwira TB kudzora zvinoitwa. Ongororo zvinoratidza kuti kushandisa "Isoniazid" kuderedza 90% kuti ndingangokuvara kukura tibhii vanhu vakanga kare kutapukirwa.

The mushonga rinokanganisa tiibhii utachiona vaivapo kupararira danho, uyewo chirwere kunouraya zvigare zviri dzokuzororera chokutambudzika. Yakakwirira kunyatsoshanda zvinodhaka riri vakachengeta kwete chete pakurapa tibhii, asi panguva prophylaxis. Zvakakosha kunzwisisa chii chinofanira kushandiswa "Isoniazid" chete avo ezvinhu apo nechirwere akaratidza pachena zvinhu ngozi chirwere ichi. The mushonga zvinoratidzwa chete varwere vane chirwere achibvumira utachiona hweHIV kana tibhii kunoratidza mukana wokuti pave vanoshingaira siyana chirwere.

"Isoniazid" ushandiswe vana vaiva kuonana vatakuri chirwere. 3 months pashure yawapiwa mwana ari Mantoux bvunzo. prophylactic dosing zvazvingava vana ndiyo 2 months. "INH" kutora kusvika 10 MG chete kilogram nokushivirira muviri uremu pazuva.

Mukana wokutapukirwa kubva mwana

zveBhaibheri zvakawanda achiitiswa epidemiologists anoratidza kuti dzekare nzira tibhii vana Kashoma kombera vamwe vana kana vanhu vakuru. Vana chikosoro rine anenge asina sputum, uye simba chikosoro kusunda mwana haasi kukwanisa mwaya kwemabhakitiriya nezvimedu mudenga. Panguva iyoyowo vechidiki huru muhomwe chirwere, chinogona kuparadzira chirwere. Panoongororwa pulmonary tiibhii ari mwana, vanachiremba vakawanda vanoti nevamwe vaduku murwere. Zvisinei, ichiidzwa kuti chiyero kwakadaro hakudikanwi: kutendeukira tuberculin bvunzo muvana kashoma zvitange.