Kwa nthawi yaitali, kuti mudziwe ngati pali tizilombo toyambitsa matenda a chifuwa chachikulu m'thupi la mwanayo, zomwe zimagwira ntchito Mantoux zinagwiritsidwa ntchito. Koma lero njira iyi yasinthidwa ndi test quantiferon. Iyi ndi njira yowonjezera yowonjezera, yomwe si yoyenera kwa odwala ang'onoang'ono. Iyenso ndi ofunika kwa akuluakulu. Ndipo poyerekezera ndi zomwe Mantou amachita zimakhala ndi ubwino wambiri.
Chifukwa chiyani kuyesa kwa quantiferon kwa TB kukufala kwambiri kuposa Mantoux?
Chosowa chachikulu cha Mantoux ndi chakuti njira iyi imakhala yovuta kwa anthu komanso matenda a chifuwa chachikulu cha TB. Chifukwa chaichi, zomwe zimachitika nthawi zambiri zimatha kupereka zotsatira zabwino zabodza. Ngati mumakhulupirira ziwerengero, kuyambira 50 mpaka 70 peresenti ya zotsatira zowonongeka sizingatheke.
Ndichifukwa chake m'malo mwa Mantoux lero akuyesa kuyesa quantiferon. Zimayendetsedwa malinga ndi zamakono zamakono, zomwe zimapangitsa kuti asapeze zotsatira zabodza.
Kuwonjezera pamenepo, Mantoux ndi njira yake - Diaskintest - pali zotsutsana zambiri. Sizingatheke kuti tigwiritse ntchito njira izi zofufuza pamene:
- kusagwirizana kwa tuberculin;
- miliri;
- Kukhalapo kwa matenda opatsirana kapena achilendo opatsirana;
- matenda a khungu;
- kuwonjezereka kwa zovuta.
Zisonyezo za mayeso a quantiferon
Mayeso oyenererawa ndi ofunika kwambiri komanso omveka bwino. Amachokera ku magazi a wodwalayo omwe ali ndi kachilombo ka HIV kokha kamene angawoneke kachilombo ka mycobacteria. Interferon IFN-y - mankhwala omwewo - amatulutsidwa ndi maselo T.
Zotsatira za phunziroli kwa odwala omwe ali ndi thanzi labwino, omwe ali ndi chifuwa chachikulu cha chifuwa cha TB kapena matenda omwe ali ndi BCG adzakhala opanda.
Ngati test quantiferon ndi homo test, zidzasonyeza zotsatira zabwino, ndiye munthuyo ali kachilomboka. Pochita mantha, mutalandira yankho lolondola, nthawi yomweyo sikofunikira. Kukhalapo kwa chiwalo cha tizilombo toyambitsa matenda sikutanthauza matenda. N'kutheka kuti munthu ndi wonyamula kachilombo ka HIV. Kuti mudziwe momwe kulimbikitsa tizilombo toyambitsa matenda, kuyesera khungu kumathandiza.
Mayesero a quantiferon apangidwa kuti:
- kudziwika kwa matenda opatsirana a chifuwa chachikulu;
- kafukufuku;
- kusiyana kwa matenda omwe angayambitsidwe ndi mycobacterium chifuwa chachikulu.
Choyamba, mayeserowa amaperekedwa kwa odwala omwe ali pangozi:
- posachedwa kukhudzana ndi anthu omwe ali ndi kachilombo;
- amene adapatsidwa mapapu;
- kuvutika ndi matenda a mapapo;
- HIV;
- chithandizo;
- odwala matenda a shuga, ammimba, khansa ya m'magazi, matenda a impso kapena matenda osiyanasiyana ;
- kukhala ndi minofu yambiri ya thupi.
Zopindulitsa za test quantiferon
Zotsatira zodalirika komanso zotsimikizika za mayeso a quantiferon sizothandiza kwenikweni. Mosiyana ndi zitsanzo zosonyeza kuyambika kwa tuberculin, mayesowa akuchitika "in vitro". Izi ndizo, zonse zomwe wodwala amafunikira ndikupereka magazi ndikudikirira zotsatira. Pambuyo Pambuyo la Mantoux ndi Diaskintest, malo ogwiritsidwa ntchito ayenera kuyang'anitsitsa mosamala ndi kusamalidwa.
Kuonjezera apo, mayesero a quantiferon alibe kutsutsana, alibe zoperewera, palibe zovuta. Ndipotu, phunziro ili ndilowunikira kwambiri magazi. Iyenera kuperekedwa pa mimba yopanda kanthu maola asanu ndi atatu mutatha kudya komaliza.