PPD ganda bvunzo

Kuongororwa kweganda rePPD inzira inoshandiswa kuongorora hutachiona hwehutachiona hwakanyarara (latent) (TB). PPD inomirira yakanatswa protein inogadzirwa.

Iwe unozoda kushanya kuviri kuhofisi yemupi wako wezvehutano nezveiyi bvunzo.

Pakushanya kwekutanga, mupi anochenesa nzvimbo yeganda rako, kazhinji mukati memberi kwako. Iwe unozowana pfuti diki (jekiseni) ine PPD. Tsono yacho inoiswa zvinyoro pasi peganda repamusoro peganda, zvichikonzera kuti bundu (welt) riumbike. Bundu iri rinowanzoenda mumaawa mashoma sezvo zvinhu zvacho zvinofinhwa.

Mushure memaawa makumi mana nemasere kusvika makumi manomwe nemaviri, unofanira kudzokera kuhofisi yemupi wako. Wako mupi anotarisa nzvimbo kuti aone kana iwe wakambove nemhinduro yakasimba kumuedzo.

Iko hakuna kwakakosha kugadzirira bvunzo iyi.

Udza mupiki wako kana iwe wakambove neyakajeka PPD ganda bvunzo. Kana zvirizvo, iwe haufanire kunge uine unodzokorora PPD bvunzo, kunze kwekunge zvisina kujairika mamiriro

Udza mupi wako kana iwe uine chirwere chekurapa kana iwe ukatora mimwe mishonga, senge steroids, iyo inogona kukanganisa immune system yako. Aya mamiriro ezvinhu anogona kutungamira kumhedzisiro yemiedzo isiriyo.

Udza mupi wako kana iwe wakagamuchira mushonga weBCG uye kana zvirizvo, pawakaugamuchira. (Mushonga uyu unongopihwa kunze kweUnited States).

Iwe unonzwa kurumwa kupfupi senge tsono inopinzwa pazasi peganda.

Bvunzo iyi inoitwa kuti uone kana wakambosangana nehutachiona hunokonzera TB.

TB chirwere chinopararira (chinotapukira). Inowanzo bata mapapu. Iyo bhakitiriya inogona kuramba isingashande (yakarara) mumapapu kwemakore mazhinji. Mamiriro ezvinhu aya anonzi latent TB.

Vanhu vazhinji muUnited States vane hutachiona hutachiona havana zviratidzo kana zviratidzo zveTB inoshanda.

Iwe ungangoda mukana uyu bvunzo kana iwe:

• Angave anga ari padhuze nemunhu ane TB
• Shanda mune zvehutano
• Iva nehutachiona husina simba, nekuda kwemimwe mishonga kana chirwere (zvakadai segomarara kana HIV / AIDS)

Kuita kwakashata kunowanzoreva kuti hauna kumbobvira watapukirwa nehutachiona hunokonzera TB.

Nemabatiro asina kunaka, ganda rawakagamuchira bvunzo rePPD harisi kuzvimba, kana iko kuzvimba kudiki kwazvo. Chiyero ichi chakasiyana kune vana, vanhu vane HIV, uye mamwe mapoka ane njodzi huru.

Iyo PPD yeganda bvunzo haisi yakakwana yekuongorora bvunzo. Vanhu vashoma vakatapukirwa nehutachiona hunokonzera TB vangangodaro vasina zvavanoita. Zvakare, zvirwere kana mishonga inokanganisa immune immune inogona kukonzera manyepo-asina mhedzisiro.

Mhedzisiro isina kujairika (yakanaka) zvinoreva kuti watapukirwa nehutachiona hunokonzera TB. Ungangoda kurapwa kuti udzikise njodzi yechirwere chinodzoka (kumutsidzira chirwere). Chiyero cheganda chakanaka hachirevi kuti munhu ane chirwere cheTB. Mimwe miedzo inofanirwa kuitwa kuti uone kana paine chirwere chinoshanda.

Chinhu chidiki chekupindura (5 mm yekuzvimba kwakasimba panzvimbo iyi) inoonekwa seyakanaka muvanhu:

• Ndivanaani vane HIV / AIDS
• Ndivanaani vakagamuchira chinongedzo
• Ndivanaani vakadzvinyirirwa immune system kana vari kutora steroid kurapwa (ingangoita 15 mg ye prednisone pazuva kwemwedzi 1)
• Ndivanaani vanga vachinyanya kusangana nemunhu ane TB inoshanda
• Ndiani ane shanduko pachifuva x-ray inoita kunge yapfuura TB

Maitiro makuru (akakura kupfuura kana akaenzana ne10 mm) anoonekwa seakanaka mu:

• Vanhu vane muyedzo wakashata unozivikanwa mumakore maviri apfuura
• Vanhu vane chirwere cheshuga, itsvo kutadza, kana zvimwewo zvinhu zvinowedzera mukana wavo wekubata TB inoshanda
• Vashandi vehutano
• Jekiseni vanoshandisa zvinodhaka
• Vatorwa vanobva kune imwe nyika vane huwandu hweTB mumakore mashanu apfuura
• Vana vari pasi pemakore mana
• Vacheche, vana, kana vachiri kuyaruka vanoratidzwa kune vanhu vane njodzi huru
• Vadzidzi nevashandi veimwe boka rekugara masisitimu, senge majeri, dzimba dzevanotarisirwa, uye dzimba dzekugara

Mune vanhu vasina njodzi dzinozivikanwa dzeTB, 15 mm kana kupfuura yekuzvimba kwakasimba panzvimbo ino inoratidza maitiro akanaka.

Vanhu vakaberekerwa kunze kweUnited States vakabaiwa nhomba inonzi BCG vanogona kuva nemhedzisiro yekunyepa.

Pane njodzi diki kwazvo yekutsvuka kwakanyanya uye kuzvimba kweruoko muvanhu vakamboita bvunzo dzePPD dzakapfuura uye vane bvunzo zvakare. Kazhinji, vanhu vakave nemuedzo wakanaka munguva yakapfuura havafanirwe kudzokororwa. Izvi zvinogona zvakare kuitika kune vashoma vanhu vasina kumboedzwa kare.

Yakanatswa mapuroteni akatorwa muyero; TB ganda bvunzo; Tuberculin bvunzo yeganda; Mantoux bvunzo

• Tiibhii mumapapu
• Yakanaka PPD ganda bvunzo
• PPD ganda bvunzo

Fitzgerald DW, Sterling TR, Haas DW. Mycobacterium tibhii. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chitsama 249.

Matanda GL. Mycobacteria. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. Philadelphia, PA: Elsevier; 2017: chits. 61.