Noj qab haus huv, Tshuaj
Yog nws yeej ib txwm muaj tseeb Mantoux xeem nyob rau hauv cov me nyuam
Cov feem ntau los ntawm txoj kev uas cov me nyuam nqa tawm cov tshev mis rau lub xub ntiag ntawm tuberculosis, hu ua lub mantle. Ua ntej ntawm tag nrho cov, Manta belongs rau lub thawj kev ntsuas rau kev tiv thaiv ntawm tus kab mob ntsws. Nyob rau lub hauv paus ntawm ib tug immunological xeem tebchaws hauv lub xub ntiag los yog tsis tuaj kawm ntawv ntawm ib tug me nyuam lub cev tuberculosis kab mob.
Qhov kev kuaj ntawd yog nqa tawm los ntawm qhia ib tug tshwj xeeb kev npaj - tuberculin, cov sawv cev ib tug allergen uas yuav ua rau ib tug cov tshuaj tiv thaiv nyob rau hauv tus neeg mob. Tuberculin yog ib tug sib tov ntawm kab lis kev cai filtrate mycobacteria, uas tuag nyob rau hauv lub sij hawm luag cov cua kub thiab yog harmless nyob rau hauv cov xwm. Cov ua txhaj site, lub npe hu raws li ib tug yooj yim zog txoj cai "Nyees khawm" daim tawv nqaij pib mus rau blush. lossis puas liab liab ntawm daim tawv nqaij los ntawm kev o tshwm sim los ntawm lymphocyte infiltration. Lub degree ntawm liab yuav nyob ntawm seb seb lub cev yog twb nyob rau hauv lub Mycobacterium tuberculosis los yog tsis. Yog hais tias cov suav yog qhov ntau dua, thiab liab yuav ci, tiam sis yog ib tug zoo Mantoux xeem nyob rau hauv cov me nyuam.
Txawm li cas los, lub mere xub ntiag ntawm Bacillus nyob rau hauv lub cev tsis tau txhais hais tias tus me nyuam yog kev txom nyem los ntawm tus kab mob ntsws. Nws yog tau hais tias ib tug zoo Mantoux xeem nyob rau hauv cov me nyuam yog ib tug tsim nyog tau kev xav koob tshuaj BCG txhaj tshuaj tiv thaiv ua ntej lawm. Qhov no tshuaj tiv thaiv reserves nyob rau hauv tus me nyuam lub cev tubercle Bacillus, uas muaj peev xwm ntxias ib tug zoo lus teb thaum interacting nrog tuberculin.
Cov tshuaj tiv thaiv Mantoux nyob rau hauv cov me nyuam yog soj ntsuam txhua xyoo, pib los ntawm thaum tus me nyuam ib xyoos ntawm hnub nyoog. Me pov tseg koob txhaj nrog ib tug nyias rab koob txhaj tuberculin nyob rau hauv daim tawv nqaij ntawm tus me nyuam. Nws yog tsim nyog los soj ntsuam kev ruaj ntseg ntsuas thaum nqa tawm ib qho kev immunological xeem - txhaj tshuaj los ntawm kev saib xyuas neeg mob uas tsim nyog yuav permissions ua txhaj tshuaj, tsuas yog zoo tuberculin nyob rau hauv ib tug ncaj qha txhais koob tshuaj yuav siv tau raws li ib tug reagent.
Mantoux xeem nyob rau hauv cov me nyuam yog nqa tawm nyob rau hauv kev noj qab nyob chaw - tsev kho mob thiab cov tsev kho mob, raws li tau zoo raws li pre-tsev kawm ntawv thiab lub tsev kawm ntawv hauv tsev. Yog hais tias koj ua raws li tag nrho cov kev cai tsim los ntawm lub Lavxias teb sab kev kho mob, ces tus txheej txheem yog zoo txaus, tus kab mob no yuav tsis tsim vim hais tias ntawm lub thwj ua Mantoux xeem.
Tom qab 72 xuaj moos uas qhov raws li txoj cai soj ntsuam, thiab qhov luaj li cas ntawm cov "cov nyees khawm" yog soj ntsuam Mantoux xeem nyob rau hauv cov me nyuam. Qhov kub yog tsis muaj zog, thiab koj tus me nyuam tsis raug kev txom nyem. Qauv loj thiab "nyees khawm" txhais tau hais tias xyov 72 teev.
Tsis muaj tshwj xeeb puas tabkaum cov tsos mob tsis Mantoux cov tshuaj tiv thaiv. Tej cov me nyuam xws li nyob rau hauv loj los ntawm 0 mus rau 1 hli, nyob rau lub papule offline.
Txawm li cas los, nyob rau hauv tej rooj plaub, lub Mantoux xeem yog zoo. Nyob rau hauv cov ntaub ntawv no, qhov luaj li cas ntawm cov "cov nyees khawm" yog nce mus rau 5 lub hli los yog ntau tshaj. Embodiments ntau thiab tsawg ntawm cov marginal ib thaj tsam (ntawm 2 mus rau 4 mm) yog yuam kom paub txog doubtful qauv.
Nyiam kev ua xua, tsis ntev los no tus kab mob, ntau yam pathologies overly tawv tej zaum yuav muaj kev cuam tshuam cov kev tshwm sim Mantoux xeem. Cov me nyuam nyob rau hauv ib xyoos tsis ua xws li ib tug xeem xwb vim hais tias ntawm cov uas qaug zog thiab underdeveloped tiv thaiv kab mob, uas yuav ua tau kom tsis raug.
Tom qab txhaj tshuaj tuberculin, txhaj tshuaj site yuav tsis tau wetted rau peb hnub, nws yog tsis yooj yim sua rau lo los yog Smear zelenkoj plaster yuav tsis kos - tag nrho cov kev ua ub no tseem ntxias ib tug tsis ncaj ncees lawm no. Yog xav tau ib tug muaj tseeb duab, cov niam txiv yuav tsum soj ntsuam tus me nyuam rau ib tug qhuav qhov chaw "nyees khawm", thiab nyob rau hauv cov ntaub ntawv ntawm ulcers tom qab Mantoux xeem - qhov txhab lis tsuas yog tom qab qhov kev luj xyuas ntawm qhov kev kuaj mob tshwj xeeb kws kho mob.
Yog li, ib tug zoo tshuaj tiv thaiv rau cov Mantoux kev kuaj ntawd yog tsis ib txwm ib tug ua rau tus nrog paub txog ib tug me nyuam raug tus kab mob tus kab mob ntsws.
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