Aiki Mantoux a cikin yara - girman

A zamaninmu, anyi Mantoux don dukan yara da suka je makaranta ko makaranta. Bayan haka, tarin fuka yana da mummunan cuta, wanda aka sauƙaƙe zuwa ga ƙungiyoyin yara. Iyaye iyaye suna so su kamu da lafiyar yaro. Sabili da haka, dangane da ƙananan ƙwayoyin cuta na jikin jiki zuwa jarrabawar tuberculin, yana da kyawawa don sanin ka'idar Mantoux a cikin yara kuma abin da ya kamata ya zama girman wurin da ya kasance a jikin fata bayan da aka magance kwayoyin cutar da ke haifar da tarin fuka.

Mene ne ya kamata ya zama diamita a cikin yara bisa ga ka'idodin kiwon lafiya?

Bayan an yi amfani da tuberculin, za a kimanta aikin jiki ba a baya fiye da sa'o'i 72 ba, yana auna girman adadin da aka kafa - matsakaicin wuri tare da hatimin da ke sama da fuskar fata. Wajibi ne a yi wasu manipulations a cikin wani tsari:

1. Na farko, suna nazarin magungunan inji don tabbatar da rashin daukiwa, da kasancewa da tsutsawa da kumburi.
2. Bayan haka, ta hanyar jin dadin zuciya, zafin jiki na fata a shafin yanar gizon tuberculin ya ƙaddara, kuma sai kawai ya ci gaba da rikodin girman nauyin Mantoux da kwatanta da na al'ada.
3. Ana aiwatar da ma'auni ne kawai tare da mai gaskiya mai mulki kuma kawai ƙimar hatimi an ƙaddara. Idan ba haka bane, to sai dai girman girman redness kusa da kiyasta.

Dangane da sakamakon binciken da aka samu, ana bincika gwajin Mantoux:

1. Madaba idan infiltrate ya kasance ba shi da cikakken kuskure ko kusurwa mai kusurwa daga allurar yana da 0-1 mm.
2. Abin takaici, a cikin yanayin idan girman papule ya kasance 2-4 mm ba tare da kariya ba, amma akwai jawa a kusa da shafin inji.
3. Tabbatacce, lokacin da aka kwatanta da karamin. Halin ƙwayar rigakafi na Mantoux a cikin yara don mummunan sakamako shine ƙananan ƙananan ƙarfin ba fiye da 5-9 mm a diamita ba. Idan yana da 10-14 mm, an dauki karfin jiki kamar matsakaicin matsanancin ƙarfi, amma tare da furci mai suna tare da hyperemia a cikin girman 15-16 mm, an classified shi a fili kamar yadda aka faɗi.
4. Hannun ƙwararru (a cikin wannan yanayin, iyaye sun kamata a sanar dasu a hankali), idan diamita na infiltrate yana da 17 mm ko fiye lokacin da aka auna. Musamman mawuyacin yanayin shine bayan yanayin Mantoux, wanda ya gyara bayyanar pustules da ƙwayoyin necrosis a kan shafin inji, da kuma karuwa a cikin ƙananan lymph, ba tare da girman girman hatimin ba.

Har ila yau yana da mahimmanci yawan lokacin da ya wuce tun lokacin gabatar da maganin rigakafin BCG. Don fahimtar irin girman Mantoux ya kamata ya zama al'ada, kula da wadannan:

1. Idan bayan maganin alurar riga kafi daga tarin fuka ya wuce shekara guda, kada ka firgita idan girman hatimin shine 5-15 mm: wannan abu ne na al'ada wanda aka lasafta shi azaman immunity postvaccinal. Amma idan infiltrate ya wuce 17 mm, tabbatar da neman shawara na likita.
2. Shekaru biyu bayan an gama BCG, girman papule ya kasance daidai, kamar yadda a baya, ko ragewa. Ziyarci wani likita idan sakamakon Mantoux ya canza daga mummunan zuwa tabbatacce ko diamita na hatimin ya karu ta 2-5 mm. Haɓakawa na 6 mm ko fiye shine alama ce ta kamuwa da cuta.
3. A cikin shekaru 3-5 bayan gabatarwar alurar rigakafin maganin tarin fuka, yana da sauƙin fahimtar irin girman mace da aka dauka a matsayin yara a cikin yara. Yawan diamita na hatimin ya kamata ya karu a kwatanta da sakamakon da ya gabata kuma ya yi ba fiye da 5-8 mm ba. Idan hali na ragewa ba ya nan ba ko girman adadin papule ya karu da 2-5 mm bayan maganin rigakafin Mantoux na ƙarshe, ziyartar kwararren TB ba zai cutar da shi ba.