Mirayiridzo yekushandisa: "Diaskintest". Tsanangudzo yegadziriro, yakafanana

"Diaskintest" - chii ichocho? Kuongorora pamusoro peizvi chigadzirwa nemirairo yekushandiswa kwayo kuchaiswa pasi apa. Uyezve, uchaona kana kune zvifananidzi zvechirwere ichi, izvo zvinorayirwa uye izvo zvinopesana kuti zvishandise.

Kuumbwa, chimiro, tsanangudzo yehutano hwekuongorora

Chii chinonzi mishonga inotaurwa pamusoro apa? Chii chinorondedzerwa uye mirayiridzo yekushandiswa inotaura nezvei? "Diaskintest" inoramba ichitengeswa nenzira yesarura isina kujeka uye yakajeka, inotarisirwa kuti intradermal administration. Chikamu chayo chakakosha ndiyo protinbinous ESAT6-CFP10 protein, iyo yakagadzirwa nehutachiona hwakashandurwa tsika uye yakasimbiswa mu isotonic buffered phosphate (yakashata) sarudzo pamwe nekuwedzerwa kwekuchengetedza kwakafanana ne phenol.

Mukuwedzera kune izvo zvinoshandiswa, mushonga uyu une zvimwe zvinhu: single-potassium phosphate, disubstituted dihydrate sodium phosphate, sodium chloride, mvura d / u, polysorbate 80.

Kuti utenge kugadzirira "Diaskintest", murayiridzo wekuti kushandiswa kunoshandiswa kune imwe yepakiti, zvinogoneka muhombodo mabhodhoro akaiswa mumativi ekugadzira mapepa.

Nzira yekuita kwechirwere

Mishonga iri mubvunzo inoshanda sei? Ko murairo wekushandisa unoti chii? "Diaskintest" inonzi tuberculous allergen muhuwandu hwekutengesa. Iyo ine maantigenji maviri aripo mumatambudziko e (virulent) mycobacterium tuberculosis uye haasipo mumatambudziko eBBCG.

Chii chinokonzerwa nemishonga "Diaskintest"? Iyo murayiridzo inozivisa kuti izvi zvinoreva kuratidza mafungiro emagetsi emuviri kune mamwe maitiro anonzi mycobacterium tuberculosis.

Mushure mokunge intradermal administration yezvinodhaka kune vanhu vane chirwere chetachiona, inokonzera kugadzikana kwechiganda, iyo inoratidzika kuratidzwa kwehutachiona hwehutsika yakanonoka.

Zviratidzo zvekushandiswa kwemhinduro

Chinangwa chei chinangwa chechiri ichi? Ndezvipi zviratidzo zvinodzidziswa nemirairo? "Diaskintest" inoshandiswa pakuisa muedzo wokupinda muvanhu vemakore akasiyana-siyana:

• Nokuda kwekusiyanisa kuongororwa kwechirwere chakadai sechirwere chetachiona;
• Kuongororwa kwehutachiona hwehutachiona, pamwe nekuongororwa kwegadziriro yehutachiona uye kuratidzwa kwevanhu vari pangozi yekukudziridza chirwere ichi;
• Kuongororwa kwekubudirira kwehutachiona hwehutachiona pamwe chete nedzimwe nzira;
• Kusiyana kwehutano hwehutachiona, uyewo hutachiona hwemashure (izvo zvinonzi, hypersensitivity inonoka rudzi).

Inofanirawo kuonekwa kuti Diaskintest mishonga (murayiridzo, kuongororwa mashoko anokosha anorayirwa kuti aongororwe asati ashandiswa) anoshandiswa zvakashandiswa pakuongorora uye kuongororwa kwehutachiona hwehutachivha. Nokuda kweizvi, muedzo wep intradermal unoitwa chete nokuda kwechinangwa cheanyanzvi (phthisiatrician), uyewo nehuwandu hwaro hwekusimbisa.

Ndiani anorayirwa mutachiona?

Ndeupi rudzi rwevarwere vanorayirirwa kumushonga uri mubvunzo? Ko murairo wekushandisa unotiudzei nezveizvi? "Diaskintest" nokuda kwekuzivikanwa kwehutachiona hwehutachivha hunopiwa kune vanhu vanotevera:

• Zvine chokuita nemapoka evanhu vane hutachiona hwehutachiona hwehutachiona, vachifunga nezvehutano hwevanhu, zvehutano uye hwepidemiological ngozi dzezvikonzero;
• Kutungamirirwa nedhipatimendi chechirwere chechipatara chechirongwa nokuda kwekuwedzera kuongororwa kwebasa uye kuvapo kwehutachiona hwehutachiona;
• Kutungamirirwa kune nyanzvi mushure mokugamuchira migumisiro yehukuru tuberculin kuongorora.

Sample Rules

Kuzivikanwa sei kwechirwere chetachiona chinonzi Diaskintest? Mirayiridzo yekushandisa inotaura kuti kuongorora kwemukati kunoitwa pamwe chete ne-radiographic uye kliniki-laboratory kuongororwa kwemurwere muchipatara.

Kutarisa varwere vanyoreswa nemumwe munyengeri, ane zviratidzo zvakasiyana-siyana zvehutachiona hwehutachiona, mushonga uri mubvunzo unotarisirwa panguva dzenguva yemwedzi 3.5-6. Panguva imwecheteyo, kuongororwa kuongororwa kwemapoka ose evarwere vepabonde kunosungirwa.

Mukuona kwekuti chirwere ichi hachikonzeri kunonoka-rudzi rwekuita hypersensitivity dzinosanganiswa neBBCG, sampuro inonzi intradermal haigoni kutora muedzo we tuberculin kuti usarudze vanhu kuti vachengetedze, uye revaccination.

Zvidzidzo zvekushandisa

Ndezvipi pasi pemamiriro ezvinhu anogona murwere asingakwanisi kuongorora chirwere chetachiona neDiaskintest? Dzidziso (muiti weizvi zvinoreva - ZAO "Generium") inotaura pamusoro pezvinotevera zvinopesana:

• Zvirwere zvinotapukira hazvisingaperi uye zvakanyanya (kunyanya panguva yekuwedzerwa nguva), kunze kwepamusoro pekufungidzirwa kwechirwere chetachiona;
• Kazhinji zvirwere zveganda;
• Somatic nezvimwe zvirwere (zvikurukuru panguva yekuwedzera);
• Zviratidzo zvezvenyeredzi.

Mumwe haakwanisi kubatsira kutaura izvi mumasangano evana, umo mune kuvhara mukana kwehutachiwana hutachiona, muedzo we intradermal unofanira kuitwa kunze kwekunge wabviswa.

Mirairo yekushandiswa

"Diaskintest" inoshandiswa chete kune chiremba chiremba. Muenzaniso wacho unoitwa nevashandi vezvokurapa vakarovedzwa, vane chibvumirano chekuedzwa.

Iyo mishonga inochengetwa chete intradermally. Kuti uite izvi, shandisa mishonga inonzi tuberculin, pamwe chete nendima shoma uye dzakatetepa dzinenge dzakatemwa.

Pamberi pekushanda kwekugadzirira kwekugadzirira kunofanirwa kutarisa zuva rayo kana kusunungurwa kwake uye nguva yekuita.

Kujowa kunoitwa sei? Desi mbiri dzomujeri wekuongorora (0.2 mami) dzinotorwa nesironi uye ipapo sarudzo inosunungurwa kuva yakasvibiswa tampon kune chiratidzo che 0.1 ml.

Pakati pekuiswa kwechirwere, nyaya yacho inofanira kunge yakagara. Kurapa ganda panzvimbo yepakati chetatu chemukati (mukati memvura) ne 70% ethyl doro uye kutambanudza zvishoma pamusoro pezvikamu, 0.1 mami yemishonga inoshandiswa.

Mushure mokuedzwa, rudzi rwemapule, 7-10 mm muhukuru, hunoumbwa paganda revanhu.

Mhinduro

Migumisiro ye test intradermal inofanira kuongororwa nachiremba kana mukoti mushure memazuva matatu kubvira musi wacho. Izvi zvinogadziriswa nekuyera ukuru hwepakati pekuputika uye mafiroia emapule achishandisa mutongi akajeka.

Pane zviongororwa zvinotevera zvekupindura:

• Kusagadzikana - pamwe chete nekusakwana kwese kwemaperemia uye kupindira, pamwe nekuvapo kwe "kugogodza-off reaction", ukuru hwaro hakupfuuri 2 mm.
• Hazvina chokwadi - zvinoratidzwa nekuvapo kwemaperemia, asi pasina kupindira.
• Chinhu chakanakisisa - chinosangana nekuvapo kwekupinda mukati mehupi.

Inofanira kuonekwa zvakare kuti maitiro akanaka kune mishonga iri mubvunzo inowanzozivikanwa maererano nezvidimbu zvinotevera zvakasimba:

• Mutevedzeri (ukuru hwekupinda mukati ma5-9 mm);
• Zvishoma zvinoratidzwa (kusvika kusvika 5 mm);
• Yakarondedzerwa (10-14 mm);
• Reaction giperergicheskaya (15 mm nemamwe).

Vanhu vane maitiro akanaka uye asinganzwisisiki kumushonga vanoongororwa nehutachiona.

Zvikanganiso

Unogona kuongorora muDaaskintest unogona kukonzera kusagadzikana kusingaiti here? Dzidziso (kurega kune mishonga iyi, semitemo, haisimuke) inotaura kuti pane dzimwe nguva, varwere vanogona kuwana nguva shoma kwenguva refu, fever uye musoro.

Kubatana kwezvinodhaka, kudarika

Mashoko pamusoro pekudarika kwechirwere chechirwere "Diaskintest" mumashoko akabatanidzwa haana kupiwa.

Kuongororwa kwechirwere ichi kuburikidza nechirwere chiri mubvunzo kunofanira kurongwa kusati kwaitwa kushandiswa kwezvirwere zvinodzivirira. Kana izvozvi zvatove zvaitwa, zvino chirwere chemukati chinenge chisati chaitika pane imwe mwedzi mushure mejisi.

Analogues uye nekuongorora

Kunze kwekugadzirira kwakarongwa kunotsiva pane zvisingakwanisi kana kusagadzikana? Maererano nenyanzvi, hapana mafananidzi ezvo chigadzirwa.

Vanotaurei vanotaura nezvechirwere ichi? Vakawanda vanorwara, zvikurukuru vabereki vevana vaduku, vanoramba kuita zviedzo zvakadaro. Mumashoko avo, majekiseni akadaro anogona kukuvadza kukura kwechirwere chetachiona. Zvisinei, nyanzvi dzinoti chigadzirwa chakadaro, se "Diaskintest", chinobva mumatambudziko akashandurwa eEscherichia coli, saka haigone kuita kuti kuve nekurwara kwechirwere ichi.

Uyewo, vanachiremba vakawanda vanoti chirwere chemukati chinonzi chichiitwa kuburikidza nemishonga inobvunzurudzwa inowanzotaridzirwa zvakanaka nevarwere. Kunyange zvazvo dzimwe nguva vanhu vanogona kunge vaine hupfupi uye kwenguva pfupi fivha, zvishoma marise uye musoro. Sezvo mutemo, maitiro ehutachiwana akadaro anopfuura achizvimiririra uye haadi kusarudzwa kwakasiyana.

Kushandisa mishonga ye "Diaskintest" muzvivako zvekuchikoro, vanachiremba vanogona kudzivirira kukura kwechifuva. Muchiitiko ichi, kuramba kwemuenzaniso kunosanganisira kutyisa kukuru kune utano hwomwana uye vanhu vanopoteredza.