Izici nezinzuzo ze-Diaskintest, ngaphambi kokuhlolwa kwe-Mantoux
Umehluko omkhulu phakathi kwalezi zidakamizwa ezimbili ukuthi ukuhlolwa komzimba wesifo sofuba kuthatha kokubili ukugoma kwe-BCG kanye nokuphendula okwehlukile ngemva kwalokho, ngakho-ke uMantou uvame ukubonisa imiphumela emihle (60 kuya ku-80%). Isivivinyo sesimanje sinquma ukuthi ingane iyagula noma iphilile, cishe ngamathuba angu-90%.
Abazali abaningi bakhathazekile ngokuthi umntwana wabo angathola yini isifo sofuba uma ethatha isidakamizwa. Kodwa-ke, asikho imbangela yokukhathazeka: ku-Diaskintest akekho i-agent ekhusayo yalesi sifo, ngakho-ke akukho nhlobo encane yokutheleleka ngokugoma. Ngokuphambene nalokho, lokhu kuhlolwa kuvumela ukuveza lesi sifo ngokunemba ngokunembile esiteji sawo sokuqala ne-okuthiwa ukutheleleka kwangempela, ngoba iqukethe i-antigens CFP10 kanye ne-ESAT6 ehambisanayo, etholakala emithonjeni ye-mycobacterium isifo sofuba ngokwabo.
Namuhla i-Diaskintest isetshenziselwa ukusolakala ukuthi isifo sofuba sabantu abadala kanye nezingane. Ngokuvamile kunqunywe ukuhlolwa uma ukuhlolwa kweMantoux kunikeze umphumela omuhle noma wamanga. Izingane zinganikezwa le mithi, ngokuqala ngeminyaka eneminyaka eyodwa.
Kufanele kukhunjulwe mayelana nokuphikisana kwalokhu kuhlolwa. Lezi zihlanganisa izifo zesifo sokuwa nesifo se-dermatological, ukubonakaliswa okukhulu kwezifo, izifo ezihlukahlukene ezithathelwanayo. Uma kwenzeka ingane isanda kutholakala ukutheleleka kwesifo sengculazi esiyinkimbinkimbi, isampula inqunywe ngaphambi kwenyanga eyodwa emva kokuthola okugcwele. Futhi, awukwazi ukugoma i-Diaskintest ngesikhathi sokuhlukanisa isikhathi uma umntwana efunda esikoleni noma enkulisa.
Kumele kuqashelwe ukuthi ukuhlolwa kukaDiaskin kunqunywe ngaphambi kokugonywa kokuvimbela, hhayi ngemuva kwabo. Uma ukuhlolwa kubonisa umphumela omubi, ungakwazi ukugoma ingane ngokuphepha.
I-Diaskintest: kufanele kube yini umphumela?
Lokho ukuhlolwa okuboniswe kufanele kuhlolwe udokotela noma umhlengikazi oqeqeshwe ngokukhethekile. Isheke senziwa amahora angu-72 emva kokugoma: uma kwenzeka amaphethini noma ama-hyperemia endaweni yomjovo, kulinganiswa nombusi obala ohlukaniswe ngamabhilimitha.
Imiphumela ye-Diaskintest ngesifo sofuba ihunyushwa ezinganeni kanje.
I-Negative ingumphumela we-diaskintest uma kwenzeka ukungabi khona kwama-papules nama-hyperemia. Kulokhu, ukubuyiswa okuncane okufinyelela ku-2 mm ububanzi kubhekwa njengokwemukelekile (okuthiwa "ukusabela kokungena").
Umphumela omuhle we-diaskintest wukuthi isiguli sinamapule noma yisiphi isayizi. Ingafinyelela ku-2 ukuya ku-15 mm, futhi konke lokhu kubonisa ukuthi isiguli singenwe igciwane. Noma kunjalo, imiphumela ye-Diaskintest ayitholakali ngudokotela, ngaphandle kwalokho kumele ilinganiswe ngemva kwamahora angu-72 futhi kungenjalo. Ngokuvamile kwenzeka ukuthi abazali bomntwana, lapho bebona i-papule yakhe, besaba, futhi uyanyamalala ngokuphelele ngesikhathi sokulinganisa.
Umphumela ongathandabuzeki we-diaskintest ukwakhiwa kwe-hypermia, okungukuthi, ukubomvu. Kulesi simo, ingane kufanele ihanjiswe kuchwepheshe we-TB ukuthola ukuhlolwa okwengeziwe ngesifo sofuba .
Ngaphezu kwalokho, ngezinye izikhathi ingane inokulimaza endaweni yomjovo, ephinde ithinte umphumela we-Diaskintest. Udokotela angaphinda ahumushe lokhu ngokungacacile, nakuba amacala anjalo avamile futhi avame ukusho kuphela ukuthi inaliti ingene esitokisini esincane segazi ngaphansi kwesikhumba.