Virage tuberculin hoao i loko o nā keiki: ke kumu, symptoms,ʻike, a me ka hana hiʻona

Tuberculin ili ho'āʻo i kapaʻia ka lapaʻau 'ana iaoia no ka hoomaopopo ana i ka pā lonoaʻili o ke kanaka a hiki i ka tuberculosis koʻohune. I ka hōʻike, e ike ai i ko tuberculosis maʻiʻaʻai i loko o ke kino o kēia manawa. Ka loa, he pono ole hoʻokolohua o ka hoao ana - Mantoux hōʻike.

He aha mea i kapaia o superelevation tuberculin hoʻokolohua

Ua nui na makua mua e hoʻolohe mai i kaʻike, o "lena tuberculosis ho'āʻo", ninau aku i ia mea. Superelevation kapa tuberculin mua maikaʻi hāpana, aka i ka poe io mai ai i kēia hopena. Ke kumu paha e ka hoʻohei ai vaccination ku tuberculosis, he maʻi a maʻiʻaʻai. Ma kekahi hihia, ua lohe ka makahiki, mai panic: no ka mea e hooiaio ai hope loa o kaʻike, pono i ke keiki, e hele aku ma kekahi mau aiiieieoaeuiuo iiauo ho'āʻo ma. A ma hope o ka piha ninaninau wale, ke kauka hiki e ke definiteʻike.

Mantu

Mantoux ho'āʻo ua kapaia ka pane ana o ke kino, e ku i ka tuberculin. Ma o ka wahi o ka pahu kui lāʻau i Konakele. Ano li nui, kena ae la ia e ke koko keena kuleana no e hoʻonele. Inā ke kanaka kino i keia bacterium tuberculosis, i ke kino o ka naoh i kekahi ka pahu kui e e hou, pili, a me ka hāpana hōʻike he maikaʻi result. Ma ke ana ana i ka lula no laila,-kapaia papule (i loko o na mea hua'ōlelo, "ke pihi" Mantoux), ho oholo i ka degere o ka naoh o kanaka e hoʻonele i ka tuberculosis koʻohune. Hoʻomanaʻo Mantoux ho'āʻo hiki ole i ke alo o ka ili a me infectious maʻi like hoʻi me nā mea maʻi e loaa ana mai ka huʻi allergy.

Naoh i ka hookolokolo ana i na keiki

Ma ka hapanui o na hihia, naoh i ke keiki i ka ai i ka ka pahu kui ana o ka io. Ke koe 30% o nā keiki i ka hāpana haawi he kanalua a maikaʻi.

Kino o ke keiki uaʻalo me tuberculosis koʻohune ma ka koke elemakule. Koch ka bacillus kiʻiona waiwai o ka uku o ka anal i loko o ke kanaka kino. Me ka nawaliwali e hoʻonele maʻiʻaʻai hoʻomaka koke komo i ke kino a me ka 'āina no ka mea, no ke ola. Ke causative Agena o ka tuberculosis paha e hoike ia ia iho a hiki i ka 'ano kūpono no ka hohola. Ke kaʻina hana o ka hui 'ana me tuberculosis koʻohune ma ke kino o ke keiki, he mea paʻakikī. Ma kiʻekiʻe-kamepiula pae nā keiki ma lalo o ka makahiki o 3 makahiki. Ma keia makahiki o ka 90% o nā mea palahēhē komo i ke kino hele aku ai a hiki i ke ano o ka maʻi.

A pau vaccinated keiki mai ka tuberculosis kēlā me kēia makahiki undergo tuberculin ikea ai ina hana.

A maikaʻi hoʻokolohua hopena

Virage tuberculin hoao i loko o na keiki - he hōʻeuʻeu loli i loko o ka hopena maikaʻi result no ka maikaʻi ma manawa. Ke kaʻina nā ke kēia kahua o ka hoʻonaʻauao.

1. I kanalua ole io result i diagnosed iniiaiie hōʻike.
2. Secondary nana hoikeia mai i ka mahuahua ma ka li nui i ka 15 mm.
3. Mahope hōʻoia hoike papules hoomahuahua ma 5 mm o like me ka lua o ke kahua.

I kaʻike, o ka "hoahu i puu tuberculin ho'āʻo" i loko o nā keiki i ole i aku la i ke keiki i loohia mai tuberculosis. Mahuahua na papules hiki i kekahi manawa e i ka hopena o ka allergic naoh i ka ka pahu kui. Akā, me ka rula, e huli mai i ka 'i ke alo o ka maʻi i loko o ke keiki ka kino koʻohune. Definitiveʻike, Kauka prescribes ka hoʻomanawanui i hou ninaninau.

Ka manao o Kauka Komarovsky

He hana hoihoi i ka ike i ka manao o ka luawai-ike pediatrician Evgeniya Olegovicha Komarovskogo hoʻohei o tuberculin hoao i loko o nā keiki. Ke kauka mai nei i ka maikaʻi Mantoux ho'āʻo? Acoeueoao Hōʻike ke alo aku o ke keiki i loko o ke kino o ka tubercle bacillus. Ke kaʻina hana o ka hoʻoulu papules nā kūkākūkā e pili ana i? Acaeoey o hoʻonele. Next Komarovsky hoi, a kuka e hana hou ka ninaninau ana i ke keiki: i kekahi, i ka hoʻokolokolo pono ninaninau, ke koko o Kaoleioku, X-kukuna hana. Inā mau ana i hoʻopaʻa i kaʻike, ka mua, e hoʻomaka e pono tuberculosis. Inā ka Ua ulu maila ka mea, i hookupaa iho la ia, i ke keiki ua manaoia e e ola, a me ka hou ana no kaʻike, a me ka hana ka mea, ua i koi 'ia.

I kekahi manawa, i kou kauka i kekahi kanalua e pili ana i kaʻike,. He pinepine ka hana i ka wa a ka X-Ray kiʻi hiki ole ke 'ano ua unambiguously. Ma keia hihia, Eugene O. ka Aha, e hoʻomaka kāohi lapaʻau "isoniazid". Virage tuberculin hōʻike mai i ka manawa e kūkulu i loko o ka tuberculosis oiaio no manawa. Ua hiki ke lawe 5, a me kekahi manawa he 10 makahiki, a me untreated i ka manawa i ka lā mua o ka maʻi ua lilo ia i maoli weliweli maʻi.

Ke pahiki o ia ke kaʻina o 0.5%, akā, aka hoi, ma ka loa hoopii, kauka, a reinsured antibiotic lawelawe ana i na keiki. Ma keia kulana, Dr. Komarovsky hoi, a kuka makua ole, e hilinaʻi kauka, ka mea i pinepine naʻaupō ai, a e hoʻoholo ma luna o lākou iho.

Ka hoʻohana o "Isoniazid"

Ke kaʻina hana o ka hana maikaʻiʻole o ka TB mea lōʻihi, oi loa aku hoi mai ma ka pau 'ana o ka hoomanawanui nele hou hoʻopulapula. Nolaila, Kāohiʻana o ka tuberculosis - he makakoho ma mua o ke kaʻina hana o ka lapaau. Lapaʻau hoʻohei tuberculin hoao aku i na keiki me ka "Isoniazid" - nui i ke keʻena o ka TB ke kāohi hana. Haʻawina hoao hoi i ka hana o ka "Isoniazid" e ho'ēmi i ka 90% o ka pahiki o ka ulu ana o tuberculosis i loko o kanaka, ka poe i mua iho mailoko o.

Ka lāʻau e loli ai i ka tuberculosis koʻohune makana ma propagation pae, e like me maʻi pepehi microorganisms i loko o ka ilina pae. ʻO ka hoʻokōʻana kiʻekiʻe o ka lāʻau ua malama ole wale i loko o ka iapaau ana o ka tuberculosis, akā, ma prophylaxis. He nui no ka maopopo mea e ia i ka hoʻohana 'ana o "Isoniazid" wale i loko o ia mau wahi, i hiki ai i kaʻike, i hōʻike ahuwale kamepiula kumumea no keia maʻi. Ka lāʻau 'ua hōʻike nā mea maʻi nona kaʻike, e leie aku koʻohune maʻiʻaʻai a tuberculosis paipai i ka likelihood o? Acaeoey o hana ano o ka maʻi wale no.

"Isoniazid" i hoakaka ia no na keiki, ka poe i hui 'ana me nā moku halihali mokulele o ka maʻi. 3 mahina ma hope o ka papa o ka lapaau i ke keiki mea he Mantoux hōʻike. prophylactic dosing ana no na keiki, he 2 mahina. "INH" lawe mai i ka 10 mg no kilogram o ka hoʻomanawanui kino ke kaupaonaʻana no ka lā.

Ka pilikia o ka maʻiʻaʻai mai keiki

He haʻawina 'ana i mālamaʻia e epidemiologists hōʻike i ka panina papa o ka tuberculosis keiki kākaʻikahi iho mailoko o nā keiki a me nā mākua. Children ka cough he kokoke ole sputum, a me ka nawaliwali cough pahu aku ai i ke keiki mea,ʻaʻole hiki i kaʻehu o nā koʻohune (particles) i loko o ka lewa. I ka Ia manawa adolescents me ka nuiʻekeʻeke o ka maʻi, hiki ke hoʻouna i ka maʻi. Ma nä pulmonary tuberculosis i loko o ke keiki, he nui loa kauka waiho aku e kaʻawale ka opiopio ahonui. Naʻe, ka mea, ua hoao aku au ia ia e like me ke ana o AND: e huli tuberculin hoao i loko o nā keiki kākaʻikahi ho'īli.