Norm Mantoux nyob rau hauv cov me nyuam - qhov loj

Hauv peb lub sijhawm, qhov kev txiav txim siab ntawm Mantoux yog tsim rau txhua tus menyuam uas mus kawm ntawv lossis tsev kawm ntawv. Tom qab tag nrho, tuberculosis yeej yog ib qho kab mob txaus ntshai, uas yooj yim kis tau rau cov me nyuam pawg. Ob peb niam txiv xav kom lawv tus menyuam muaj mob. Yog li ntawd, vim muaj cov neeg mob ua rau lub cev muaj zog rau qhov kev kuaj tuberculin, nws yuav tsum paub txog Mantoux norms hauv cov menyuam thiab seb yuav tsum muaj qhov loj ntawm qhov chaw nyob ntawm daim tawv nqaij tom qab kev tswj cov kab mob tsis muaj zog uas ua rau tuberculosis.

Dab tsi yuav tsum yog Mantoux lub cheeb ntawm cov me nyuam raws li cov qauv kev kho mob?

Tom qab txhaj tshuaj ntawm tuberculin, lub cev qhov tshuaj tiv thaiv tsis tau ua ntej dhau 72 teev, ntsuas qhov loj ntawm cov papule uas tsim tau - qhov chaw liab liab nrog lub seal uas nce saum npoo ntawm tawv nqaij. Nws yog ib qho tsim nyog yuav tau ua ib qho ntawm ntau tus txiv neej nyob rau hauv ib qho kev sib lawv liag:

1. Ua ntej, lawv kuaj xyuas qhov chaw txhaj tshuaj kom tsim muaj kev tsis haum, qhov muaj cov hyperemia thiab o.
2. Tom qab ntawd, los ntawm kev xav zoo, qhov tawv nqaij ntawm cov tawv nqaij ntawm lub tsev kawm ntawv ntawm tuberculin yog txiav txim siab, thiab tsuas yog cia li pib sau cov tshuaj tiv thaiv Mantoux thiab qhov sib piv nrog cov qauv.
3. Ntsuas yog ua tiav nrog ib tus neeg kav lub luag hauj lwm thiab tsuas yog tus nqi ntawm lub foob tau txiav txim siab. Yog hais tias nws tsis yog, tsuas yog tom qab ntawd yog qhov ntau thiab tsawg ntawm cov xim nyob ib ncig ntawm kwv yees.

Nyob ntawm seb cov txiaj ntsim tau los tau licas, kev xeem Mantoux yog xam:

1. Tsis zoo yog tias tus infiltrate tsis tuaj kiag li los yog qhov chaw kab uas siv los ntawm kev txhaj tshuaj yog 0-1 hli.
2. Muaj tseeb, nyob rau hauv rooj plaub thaum lub papule qhov loj yog 2-4 hli uas tsis muaj compaction, tab sis muaj liab nyob ib ncig ntawm lub tsev kawm ntawv ntawm kev txhaj tshuaj.
3. Zoo, thaum lub compaction yog kom meej meej pronounced. Tus qauv ntawm Mantoux qhov hnyav ntawm cov menyuam yaus rau kev tsis haum yog qhov infiltrate me me tsis tshaj 5-9 hli inch. Yog hais tias nws yog 10-14 hli, qhov tshuaj tiv thaiv ntawm lub cev yog cais raws li qhov nruab nrab, tab sis nrog ib tug papule qhia tau tias muaj hyperemia nyob ib ncig ntawm ib tug loj ntawm 15-16 hli, nws yog cais li kom meej meej pronounced.
4. Hyperergic (qhov no, niam txiv yuav tsum paub sai sai), yog hais tias lub taub ntawm qhov infiltrate yog 17 hli lossis ntau dua thaum ntsuas. Kev mob nyhav tshwj xeeb yog qhov mob tom qab Mantoux cov tshuaj tiv thaiv, uas kho qhov tsos ntawm pustules thiab cov nqaij ntshiv necrosis ntawm qhov chaw txhaj tshuaj, thiab ntxiv rau hauv cov qog ntshav siab, tsis hais seb qhov loj ntawm lub foob.

Nws kuj tseem ceeb heev npaum li cas lub sij hawm dhau los txij li thaum qhia txog koob tshuaj BCG. Kom nkag siab txog qhov loj me me Mantoux yuav tsum ua li cas, them nyiaj rau cov hauv qab no:

1. Yog tias tom qab txhaj tshuaj tiv thaiv los ntawm tuberculosis tau dhau ib xyoos lawm, tsis txhob ntshai yog tias qhov loj ntawm lub foob 5-15 mm: qhov no yog ib qho phenomenon uas yog cais raws li kev tiv thaiv kab mob. Tab sis yog hais tias tus infiltrate ntau tshaj 17 hli, nco ntsoov mus nrhiav kev pab kho mob.
2. Ob xyoos tom qab BCG tiav lawm, qhov papule qhov luaj li cas yuav tsum nyob zoo li qub, raws li ua ntej, los yog txo. Mus xyuas ib tus kws kho mob tshwj xeeb yog tias Mantoux tau hloov los ntawm qhov tsis zoo los yog txoj kab uas hla ntawm lub foob tau nce 2-5 hli. Kev nce ntxiv ntawm 6 hli lossis ntau tshaj yog tus cwj pwm yuav kis tau tus kab mob.
3. Hauv 3-5 xyoos tom qab kev taw qhia txog cov tshuaj tiv thaiv kab mob TB, nws yooj yim heev kom nkag siab tias seb me me Mantoux yog qhov kev cai lij choj ntawm cov menyuam yaus. Qhov lub cheeb ntawm lub foob yuav tsum txo qhov sib piv nrog cov kev tshwm sim dhau los thiab ua tsis pub ntev tshaj 5-8 hli. Yog tias qhov kev xav txo tau yog qhov tsis tuaj kawm ntawv lossis qhov papule loj loj tau ntxiv los ntawm 2-5 hli tom qab txhaj koob tshuaj tiv thaiv kab mob Mantoux tas, yuav mus ntsib tus neeg mob TB tsis tuaj yeem raug mob.