Peb txhua tus txij thaum me nyuam yaus paub, tias kev ua tub rog ntawm Mantoux tsis muaj kev tshwm sim yog tsis tuaj yeem ntub. Txawm li cas los xij, ob peb paub yog vim li cas thiaj li txiav txim siab li no. Vim li cas cov kws kho mob tiv thaiv qhov chaw ua dej nrog dej thiab yuav ua li cas yog tias Mantou raug qaug? Cia peb xam nws!
Cia peb pib nrog cov tshuaj tiv thaiv kab mob Mantoux.
Mantoux cov tshuaj tiv thaiv yog dab tsi?
Tus kab mob PDD, tuberculin kuaj los yog tshuaj Mantoux yooj yim yog kev tshawb xyuas ntawm lub cev cov lus teb rau kev qhia txog tuberculin (ib yam tshuaj ua los ntawm cov tshuaj tua tau tubercle bacillus). Nws qhia tau hais tias seb tubercle bacillus nyob hauv tus me nyuam lub cev los tsis. Ib qho lus teb zoo yuav txhais tau tias tus me nyuam twb tau ntsib nrog tus kab mob no thiab nws twb muaj nyob hauv nws lub cev, thiab qhov tsis zoo - nws tsis tau ntsib kev mob ntsws. Li no, Mantoux qhov kev ntsuam xyuas yuav pab txhawm rau txheeb xyuas tau tus kab mob loj no nyob rau theem kawg. Nws feem ntau yog ua tiav ib xyoo: qhov no yog qhov tshwm sim los ntawm qhov tseeb tias nws yooj yim heev rau kev mob ntsws qog , thiab nws tseem ceeb heev kom saib xyuas txhua tus me nyuam lub cev.
Mantoux cov tshuaj tiv thaiv yog ua tiav raws li nram no. Hauv qhov ntawm sab hauv ntawm tus me nyuam sab caj npab, nyob rau ntawm daim tawv nqaij, ib tug tuberculin syringe tshwj xeeb nrog rab koob luv luv yog txhaj nrog koob me me ntawm cov tshuaj (1 g). Ntawm txhais tes muaj ib daim ntawv hu ua papule, los yog, raws li tus me nyuam hais, khawm uas yuav qhia tau. Tus nais maum yuav ceeb toom koj txog lub sijhawm koj tuaj yeem ntub tsis tau Mantoux (3 hnub). 72 teev tom qab txhaj tshuaj tiv thaiv, koj yuav tsum tau qhia rau tus kws kho mob kom kos: nws yuav ntsuas lub taub ntawm lub papule nrog tus pas ntsuas thiab muab piv rau qhov zoo qhov qub.
Nrog rau qhov tsis zoo ntawm tus me nyuam noj qab nyob zoo, tus papule yuav yog 0-1 hli loj. Qhov txiaj ntsig ntawm qhov kev xeem zoo yog papule ntau tshaj li 5 hli thiab ib qho kev ceebtoom ntawm cheeb tsam ntawm nws. Muaj kuj yog cov lus nug uas tsis sib haum, thaum lub khawm yog 2 mus rau 4 hli ntawm qhov loj me, thiab thaj tsam ntawm hyperemia ncig nws loj dua. Qhov no yuav qhia tau tias ob leeg muaj nyob rau hauv lub cev ntawm ntau tus tuberculosis bacilli (saum tus txheej txheem), thiab hais txog tus neeg ib txwm ntawm tus kabmob rau yam tshuaj tiv thaiv no. Qhov kev kuaj ntawm "tuberculosis" raws li ib los sis ob peb kuaj tau tsis muab tso ua ke: ua qhov no, kev kuaj mob ntawm phthisiatrician thiab fluorographic kuaj yuav tsum tau ua. Cov me nyuam yaus tib yam, nws qhov kev ntsuam xyuas Mantoux qhia tau hais tias muaj kev sib txuam tsis sib thooj xyoo tom qab xyoo, yog cov neeg sib tw rau qhov kev tshem tawm ntawm BCG.
Nws puas tuaj yeem txhaj tshuaj tiv thaiv kab mob Mantoux?
Qhov kev thov ntawm cov neeg ua haujlwm kho mob uas Mantu yuav tsum tsis txhob raug txhaj tshuaj tiv thaiv tsis yog vim li cas. Qhov tseeb yog tias cov dej tau ntawm lub papule, nws tuaj yeem tshwm sim:
- thawj, kis kab mob yog tias muaj kab mob hauv dej;
- ob, ib qho kev sib txuam tsis sib haum (puffiness, hyperemia, hyperergic test), uas nyob rau hauv txhua qhov teeb meem yuav tsum tau ua pov thawj. Qhov no tuaj yeem tshwm sim yog tias lub papule raug ntim nrog cov qhwv kab mob ua ntej da dej, thiab tseem muab cov ntaub so ntsaws los yog muab tshuaj ntxuav tes.
Txawm li cas los xij, yog hais tias tus me nyuam tsis ntub kev kuaj Mantoux, tag nrho cov no yuav tsis yog, qhov tshwm sim yuav tsis zoo, qhov ntawd yog qhov tsim nyog, thiab tsis muaj leej twg paub txog qhov tsis to taub.
Yog li, ua li cas yog tias koj tus me nyuam, yuam kev lossis txhob txwm ua, txhaj tshuaj tiv thaiv kab mob Mantoux? Ua ntej, tsis txhob ntshai thiab tos qhov kev tshwm sim. Koj tuaj yeem kwv yees papule koj tus kheej: yog tias koj pom ua ntej mus rau qhov chaw kho mob uas lub khawm pom tseeb tshaj 5 hli thiab daim tawv nqaij ncig liab heev, nws tsim nyog qhia rau tus kws kho mob tias qhov tshuaj tiv thaiv tau ua kom tsis zoo, kom nws tsis txhim kho txoj kev kuaj ntawd ntawm daim ntawv txhaj tshuaj. Txawm li cas los xij, feem ntau, cov dej uas tau txhaj tshuaj lawm nws yuav tsis cuam tshuam li cas rau txhua txoj kev.