Norm Mantoux kubantwana - ubungakanani

Ngethuba lethu, ukusabela kweMantoux kwenzelwe bonke abantwana abaya esikolweni okanye esikolweni. Emva koko, isifo sesifo sofuba sisifo esibi, esicatshulwa kalula kumaqela abantwana. Bambalwa abazali abafuna ukubeka ingozi kwimpilo yabantwana babo. Ngoko ke, ngokubhekiselele kwiimeko ezongeziweyo zokuphendula komzimba kwisifo se-tuberculin, kuyinto enqwenelekayo ukuba ukwazi isiqhelo seMantoux kubantwana kunye nokuba yintoni ubukhulu bendawo ehlala ekhumbeni emva kokulawulwa kweebhaktheriya ezibuthathaka ezibangelwa isifo sofuba.

Yintoni ekufuneka ibe yiMantoux ububanzi kubantwana ngokwemigangatho yonyango?

Emva kokugaya i-tuberculin, ukuphendula komzimba kuhlolwa ngaphaya kweeyure ezingama-72, ukulinganisa ubukhulu be-papule - indawo ebomvu enesitywina ephakama ngaphezu kwesikhumba. Kubalulekile ukwenza inani leendlela zokuhamba ngokulandelelana:

1. Okokuqala, bahlolisisa indawo yejoza ukubeka ukungabikho kokuphendula, ubukho be-hyperemia kunye nokuvuvukala.
2. Emva koko, ngokuziva kakuhle, ubukhulu besikhumba kwindawo yesifo se-tuberculin luzimisele, kwaye kuphela ke uqhubeke nokurekhoda ubuninzi beMantoux ukusabela kunye nokuthelekiswa kwayo nokuqhelekileyo.
3. Isilinganiselo senziwa kuphela ngombusi obala kwaye kuphela ixabiso lesetywina lichongiwe. Ukuba akunjalo, kuphela ke ngoko ubukhulu bobomvu buqikelelwa.

Ngokuxhomekeke kwimiphumo yokulinganisa, uvavanyo lweMantoux luqwalaselwa:

1. Ukungalungi ukuba ukungena ngaphakathi kungabikho okanye ububanzi bebala ukusuka kwilenki ngu-0-1 mm.
2. Ngokungathandabuzekiyo, kwimeko apho ubukhulu beepule buyi-2-4 mm ngaphandle kokuhambelana, kodwa kukho ubomvu kummandla wejojo.
3. Efanelekileyo, xa ukuxubusha kubonakala ngokucacileyo. Isiqhelo sesayizi yokugonywa kwe-Mantoux kubantwana ngenxa yokusabela okubuthathaka kukungena kwe-5-9 mm ububanzi. Ukuba ngaba yi-10-14 mm, ukuphendula komzimba kubalwa njengobunzima obuphakathi, kodwa nge-papule echazwe nge-hyperemia malunga nobukhulu be-15-16 mm, ichazwa ngokucacileyo.
4. I-Hyperergic (kule meko, abazali kufuneka baxeliswe ngokukhawuleza), ukuba ububanzi be-infiltrate bungama-17 mm okanye ngaphezulu xa kulinganiswa. Ingozi kakhulu yimeko emva kokuphendula kweMantoux, okulungisa ukubonakala kweepustules kunye ne-necrosis yeesisitayiti kwisayithi ye-injection, kunye nokwanda kwimizimba ye-lymph nodes, kungakhathaliseki ubungakanani besitywina.

Kwakhona kubaluleke kakhulu ukuba sele ixesha elidlulileyo liye laqala ukusungulwa kwe-BCG. Ukuqonda ukuba yiyiphi inqanaba leMantoux kufuneka libe yinto evamile, qaphela oku kulandelayo:

1. Ukuba emva kokugonywa kwesifo sesifo sofuba sele kudlulile unyaka, ungakhathazeki ukuba ubungakanani benqatyisiweyo buyi-5-15 mm: oku kuyinto eqhelekileyo eyenziwa njenge-immunity immunity. Kodwa ukuba ukungenelela kungaphezulu kwama-17 mm, qi niseka ukuba ufune iingcebiso zonyango.
2. Emva kweminyaka emibili emva kwe-BCG, ubukhulu bempapule kufuneka buhlale bufana, njengaphambili, okanye ukuncipha. Ukutyelela ingcali ukuba umphumo weMantoux ushintshile ukusuka kumbi ukuya kwi-positive okanye ububanzi besitywina buye banda ngo-2-5 mm. Ukwanda kwe-6 mm okanye ngaphezulu kungumqondiso wesifo.
3. Kwiminyaka engama-3-5 emva kokusungulwa kwesigontsho sokulwa nesifo sofuba, kulula kakhulu ukuqonda ukuba ubukhulu beMantoux bubhekwa njengento evamile kubantwana. Ubungakanani botyikityhi kufuneka buyeke ukuthelekiswa nomphumo wangaphambili kwaye ungenzi ngaphezu kwama-5-8 mm. Ukuba ukuthambekela kokunciphisa kungabikho okanye ubukhulu beepule buye banda ngo-2-5 mm emva kokugonya kweMantoux yokugqibela, ukutyelela kwi-dispensary ye-TB ayiyi kubuhlungu.