Kuyezetsa khungu kwa PPD

Kuyezetsa khungu kwa PPD ndi njira yomwe imagwiritsidwa ntchito pozindikira matenda amtundu wa TB (chete). PPD imayimira puroteni yoyeretsedwa.

Mufunika maulendo awiri kuofesi ya omwe amakuthandizani kuti mukayesedwe.

Paulendo woyamba, woperekayo amayeretsa khungu lanu, nthawi zambiri mkati mwa mkono wanu. Mupeza kachipangizo kakang'ono kamene kali ndi PPD. Singanoyo imayikidwa pang'onopang'ono pansi pa khungu, ndikupangitsa kuti pakhale bulu (welt). Bump iyi nthawi zambiri imatha pakangopita maola ochepa pomwe zinthuzo zimayamwa.

Pambuyo maola 48 mpaka 72, muyenera kubwerera kuofesi ya omwe amakupatsani. Wothandizira anu adzawona malowa kuti awone ngati mwakhala mukuyankha mwamphamvu pamayeso.

Palibe kukonzekera kwapadera kwa mayesowa.

Uzani omwe amakupatsani ngati mwayesedwapo khungu loyenera la PPD. Ngati ndi choncho, simuyenera kukhala ndi mayeso obwereza a PPD, kupatula mwazinthu zachilendo.

Uzani wothandizira wanu ngati mukudwala kapena ngati mumamwa mankhwala ena, monga steroids, omwe angakhudze chitetezo chanu chamthupi. Izi zitha kubweretsa zotsatira zolakwika.

Uzani omwe amakupatsani ngati mwalandira katemera wa BCG ndipo ngati ndi choncho, mudalandira. (Katemerayu amaperekedwa kunja kwa United States).

Mukumva kuluma kwakanthawi pomwe singano imayikidwiratu pansi pa khungu.

Kuyeza kumeneku kumachitika pofuna kudziwa ngati mwakumanapo ndi mabakiteriya omwe amayambitsa TB.

TB ndimatenda opatsirana (opatsirana). Nthawi zambiri zimakhudza mapapu. Mabakiteriya amatha kukhala osagwira ntchito (osakhalitsa) m'mapapu kwa zaka zambiri. Izi zimatchedwa TB Yobisika.

Anthu ambiri ku United States omwe ali ndi kachilombo ka bakiteriya alibe zizindikilo za chifuwa chachikulu cha TB.

Muyenera kuti mungayesedwe ngati:

• Akhoza kukhala pafupi ndi munthu yemwe ali ndi TB
• Gwiritsani ntchito zaumoyo
• Khalani ndi chitetezo chamthupi chofooka, chifukwa cha mankhwala ena kapena matenda (monga khansa kapena HIV / AIDS)

Kuyankha molakwika nthawi zambiri kumatanthauza kuti simunatengepo kachilomboka komwe kamayambitsa TB.

Ndikulakwitsa, khungu lomwe mudalandira mayeso a PPD silikutupa, kapena kutupa ndikochepa kwambiri. Kuyeza uku ndikosiyana kwa ana, anthu omwe ali ndi kachilombo ka HIV, ndi magulu ena omwe ali pachiwopsezo chachikulu.

Kuyesa kwa khungu la PPD siyeso yoyesera bwino. Anthu ochepa omwe ali ndi mabakiteriya omwe amayambitsa TB sangachite kanthu. Komanso, matenda kapena mankhwala omwe amafooketsa chitetezo cha mthupi atha kubweretsa zotsatira zabodza.

Zotsatira zosayembekezereka (zabwino) zikutanthauza kuti mwalandira kachilombo ka bakiteriya kamene kamayambitsa TB. Mungafunike chithandizo kuti muchepetse matenda oti abwerere (kuyambiranso matenda). Kuyezetsa khungu labwino sikutanthauza kuti munthu ali ndi chifuwa chachikulu cha TB. Kuyesedwa kwina kuyenera kuchitidwa kuti muwone ngati pali matenda opatsirana.

Kuyankha pang'ono (5 mm ya kutupa kolimba pamalopo) kumawoneka ngati kwabwino mwa anthu:

• Omwe ali ndi HIV / AIDS
• Ndani adalandira kumuika thupi
• Ndani ali ndi chitetezo cha mthupi kapena amene amamwa mankhwala a steroid (pafupifupi 15 mg ya prednisone patsiku kwa mwezi umodzi)
• Omwe amalumikizana kwambiri ndi munthu yemwe ali ndi TB yovuta
• Ndani amasintha pa x-ray pachifuwa yomwe imawoneka ngati TB yapitayi

Zochita zazikulu (zazikulu kapena zofanana ndi 10 mm) zimawerengedwa kuti ndi zabwino mu:

• Anthu omwe adayesedwa koyipa m'zaka ziwiri zapitazi
• Anthu omwe ali ndi matenda ashuga, kulephera kwa impso, kapena zina zomwe zimawonjezera mwayi wawo woti atenge TB
• Ogwira ntchito zaumoyo
• Ogwiritsa ntchito mankhwala osokoneza bongo
• Omwe asamukira kudziko lina omwe ali ndi chifuwa chachikulu cha TB m'zaka 5 zapitazi
• Ana ochepera zaka 4
• Makanda, ana, kapena achinyamata omwe amakhala pachiwopsezo cha achikulire omwe ali pachiwopsezo chachikulu
• Ophunzira ndi ogwira ntchito m'malo ena, monga ndende, nyumba zosungira okalamba, ndi malo osowa pokhala

Mwa anthu omwe alibe chiopsezo chodziwika ndi chifuwa chachikulu cha TB, mamilimita 15 kapena kupitilira apo amatupa olimba pamalowo amawonetsa kuyankha kwabwino.

Anthu omwe adabadwa kunja kwa United States omwe adalandira katemera wotchedwa BCG atha kupeza zotsatira zabodza.

Pali chiopsezo chochepa kwambiri cha kufiira kwakukulu ndi kutupa kwa mkono mwa anthu omwe adayesedwa kale ndi PPD ndikuyesanso. Nthawi zambiri, anthu omwe adayesedwa kale m'mbuyomu sayenera kuyesedwa. Izi zitha kuchitikanso mwa anthu ochepa omwe sanayesedweko kale.

Mapuloteni oyeretsedwa; Kuyezetsa khungu la TB; Kuyesedwa kwa khungu la tuberculin; Mayeso a Mantoux

• Chifuwa cham'mapapo
• Kuyesa kwabwino kwa khungu la PPD
• Kuyezetsa khungu kwa PPD

Fitzgerald DW, Sterling TR, Haas DW. Mycobacterium chifuwa chachikulu. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 249.

Mitengo GL. Mycobacteria. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. Philadelphia, PA: Elsevier; 2017: mutu 61.