Impendulo kaMantoux kubantwana: ngokuqhelekileyo

Kuzo zonke iziko zasesikolweni nasesikolweni kubantwana, i-polyclinics, ukusabela kweMantoux kusekwa. Ubuncinane kanye, kodwa wonke umama wayejongene nokuvavanywa kovavanyo lweMantoux, olukhokelela ekutyelelekeni kwintlanganiso ye-TB. Kuthetha ntoni amagama athi "iMantoux", "impendulo" kunye "nokuvavanya" konke okufanayo? Masiqonde ndawonye.

Ngokubanzi, uvavanyo lweMantoux luyimpendulo ethile yokuvuvukala komzimba womntu ukuqaliswa kwesantya se-tuberculin. Ngoko, ukusabela kuMantoux kubantwana kubonakala xa kukho i-lymphocytes emzimbeni. Zizo iiseli ezinika impendulo kwindawo apho i-tuberculin yayifakwe khona. Ziyakhiwa ngokuqhagamshelana nomzimba womntu kunye ne-microbacteria yesifo sofuba. Ukuphendula okufanayo kwenzeka emva kokugonywa kwe-BCG, oku kuthetha oku kulandelayo: ukuba umntwana akaphelelwe yi-microbacteria, ukuphendula kuyakuba nzima. I-tuberculin ngokwayo i-antigen engaphantsi, ngoko ayikwazi ukukhupha impendulo. Umzimba uphatha kuphela kwi-microbacteria yesifo sofuba okanye ukugonywa kwe-BCG. Kule meko, umntwana uhlakulela umkhuhlane, oko kukuthi, kukho i-lymphocytes, xa ijojowe nge-tuberculin, ibangela ukubuyiswa kwesikhumba. Le yindlela efanelekileyo ye-Mantoux ukusabela kubantwana, eqhutyelwa ukukwazisa malunga nobukho kunye nokukwazi ukukhusela.

Uvavanyo lweemvavanyo zeMantoux

Ngolunye usuku umntwana ngamnye uya kuhlaselwa yi-microbacteria yesifo sofuba, kodwa umbuzo wendlela umzimba wakhe oya kusabela ngayo ngoku kuhlaselwa. Ngenxa yoko, uvavanyo lweMantoux lwenziwa.

Ukuba isifo sokugonywa kwe-BCG sinikwe isana esisesibhedlele sokubeleka ngomhla wesine okanye wesibhozo wobomi, ngoko uneminyaka engama-nye, kunokwenzeka ukujonga ukuphendula kweMantoux okokuqala. Ukwenza oko kwangaphambili kungenanto, kuba umphumo uya kuba ngumbuzo ongathandabuzekiyo kuMantou, ongeke athi nantoni na.

Ukuphononongwa kwempendulo yeMantoux, oko kukuthi, ukubuyiswa kwesikhumba kwisayithi yokulawulwa kwexabiso, kwenziwa emva kweentsuku ezintathu. Emva kwe-BCG, isiqhelo samanqanaba kubantwana abaneminyaka engaphantsi kweminyaka emithathu siya kuba ngumbuzo ophazamisayo. Ngokuphathelele ubungakanani beMantoux obuqhelekileyo, kukho iindlela ezininzi. Ukuqala kokuphendula kubonelela ukuba ubukhulu beMantoux buya kuba phakathi kwe-5-15 mm ukuba kukho i-hem evela kwi-BCG. Ukuba akukho nanye, ngoko kufuneka silindele ukuphendula okungalunganga kweMantoux kumntwana. Kwiimeko ezininzi, emva komnyaka wesine wobomi, ukusabela kweMantoux kubantwana kuhambelana nomgangatho oqhelekileyo, oko kukuthi, akukho nto. Masize sicacise kwakhona oko kusabela kakubi kweMantoux kubantwana kuthetha, okuyinto evamile. Endaweni apho i-tuberculin yayisilwe khona, emva kweeyure ezingama-72 kuphela ukuphendulelwa kwento yokugodla kufuneka kugcinwe. Ukubeka nje, imbobo encinane ebomvu ukusuka kwisirinji yesirinji.

Ukungqinelana kunye nemithetho yovavanyo lweMantoux

Umntwana ukuba ahlolwe kufuneka abe nempilo enempilo, angenazo izifo ezithintekayo, njengokuba i-acute, kwaye ifomu elingapheliyo). Kwakhona, akunakwenzeka ukuphumeza uvavanyo ukuba umntwana unelungelo lokungahambisani nokubhekisana ne-tuberculin okanye uhluthe. Amama kufuneka akhumbule ukuba iMantoux luhlobo lomvavanyo lomzimba womntwana, ngoko ke akuvumelekile ukuba enze isilingo ngosuku olunye ngokugonywa naluphi na izifo. Ukukhusela komntwana akukwazi ukujamelana nomthwalo onjalo.

Kwaye ekugqibeleni, makhe sikhumbuze ukuba wonke umntu uyazi ukuba ulusu kwindawo apho isampuli yaseMantoux yenziwe khona ayikwazi ukunqunyulwa. Amanzi ngenxa yempendulo angenza ukuvuvukala, okuphazamisa umphumo wangempela. Kungenzeka ukuba, kulo mzekelo, umntwana uya kuhlolisiswa nge-TB kwisifo sofuba.

Yimpilo!