Tonsefe kuyambira tili mwana timadziwa kuti kutentha kwa Mantoux sikungatheke. Komabe, ochepa chabe amadziwa zifukwa zotsutsa. Ndichifukwa chiyani madotolo amatsutsana ndi malo a inoculation ndi madzi ndipo chidzachitike nchiyani ngati Mantou akuphimbidwa? Tiyeni tione izi!
Tiyeni tiyambe ndi zomwe katemera wa Mantoux uli.
Kodi Mantoux amachita chiyani?
Mayeso a PDD, mayeso a tuberculin kapena katemera wamba wa Mantoux ndiko kufufuza kwa thupi poyambitsa TB (mankhwala opangidwa kuchokera ku mankhwala oyeretsedwa a bacillus). Zimasonyeza ngati kachilombo ka bacillus kalipo mu thupi la mwana kapena ayi. Yankho labwino likutanthauza kuti mwanayo wayamba kale kukhudzana ndi matendawa ndipo ali kale mu thupi lake, ndipo choipa - kuti sanakumanepo ndi chifuwa chachikulu. Choncho, yesero la Mantoux limathandiza kuzindikira matenda aakuluwa pamayambiriro akale. Kawirikawiri imachitidwa kamodzi pa chaka: izi zimayambitsidwa chifukwa chakuti ndi kosavuta kupeza chifuwa chachikulu cha TB , ndipo ndikofunikira kuyang'anira nthawi zonse thupi la mwana aliyense.
Mantoux akuchitidwa motere. Pakatikati mwa khungu la mwanayo, pansi pa khungu, sirinji yapadera ya tuberculin yokhala ndi singano yaing'ono imayikidwa ndi mlingo wa mankhwala ochepa (1 g). Pa dzanja pali papule wotchedwa papule, kapena, monga mwana akunena, batani yomwe idzakhala chizindikiro. Namwino akuchenjezani za nthawi yochuluka yomwe simungathe kuthira Mantoux (masiku atatu). Pakatha maola 72 mutemera katemera, muyenera kufotokozera dokotala kuti ayese: amatha kuyeza kukula kwa papule ndi wolamulira ndikuliyerekeza ndi chikhalidwe.
Pokhala ndi vuto la mwana wathanzi, papule adzakhala 0-1 mm kukula. Zotsatira za mayesero abwino ndi papule kuposa 5 mm ndi kuwonetseratu kudera komwe kulizungulira. Palinso chinthu chomwe chimatchedwa chokayikakayika, pamene batani liri 2 mpaka 4 mm kukula, ndipo dera lomwe lili pafupi nalo liri lalikulu kwambiri. Izi zikhoza kusonyeza kukhalapo m'thupi la chiwerengero cha bacilli bacelcle (pamwamba pa chizoloŵezi), komanso za chizoloŵezi cha thupi kuti atero. Kupezeka kwa "chifuwa chachikulu" pogwiritsa ntchito chiwerengero chimodzi kapena zingapo sikunayikidwa: kuchita izi, kufufuza kwa katswiri wa chiphuphu komanso kufufuza kwa chidziwitso kuyenera kuchitidwa. Ana omwewo, omwe mayesero awo a Mantoux amasonyeza kuti amakayikira chaka ndi chaka, amafunsidwa kuti abwezeretsedwe ku BCG.
Kodi n'zotheka katemera katemera wa Mantoux?
Kupempha kwa ogwira ntchito zachipatala kuti Mantu sayenera katemera sikuli chifukwa. Chowonadi ndi chakuti ngati madzi atha pa papule, zikhoza kuchitika:
- Choyamba, matenda ngati pali matenda alionse m'madzi;
- Kachiwiri, kuchita zosadziŵika (kudzikuza, chithunzithunzi, mayeso osokoneza bongo), zomwe ziribe kanthu kokayikitsa. Izi zikhoza kuchitika ngati papule isindikizidwa ndi chithandizo chamagulu musanabatire, komanso kuti muzitsuka ndi nsalu kapena musamalidwe ndi sopo.
Komabe, ngati mwanayo akuwongolera mwamsangamsanga mayeso a Mantoux, zonsezi sizingakhale, zotsatirazo zidzakhala zoipa, ndiko kuti, zoyenera, ndipo palibe amene angadziwe za kusamvetsetsana kumeneku.
Nanga bwanji ngati mwana wanu, mwachangu kapena mwachangu, atamwa katemera wa Mantoux? Choyamba, musachite mantha ndipo dikirani zotsatira. Mukhoza kulingalira kukula kwa papule nokha: ngati muwona kuti musanapite ku chipatala kuti bataniyo ili pafupi ndi 5mm ndipo khungu lozungulira ilo liri lofiira kwambiri, ndi bwino kumuuza dokotala kuti katemerayo anawombera mwangozi, kotero kuti sadakonzekere zotsatira zabwino za mayesero pa khadi la katemera. Komabe, nthawi zambiri, madzi omwe amapezeka katemera sakhudza zotsatira zake mwanjira iliyonse.