Yuav ua li cas tshwm sim yog tias koj ntub ib daim tawv nqaij mus kuaj?

Yuav luag txhua leej txhua tus paub hais tias lub ntub mantle thiab txhaj tshuaj tiv thaiv yog txwv tsis pub. Tab sis dab tsi yuav tshwm sim yog hais tias tus ntub lub tsho tshaj sab? Yuav ua li cas yog cov kev txaus ntshai yog tias koj ntub mantle txhua leej txhua tus paub los ntawm thaum yau. Tab sis dab tsi tshwm sim hais thaum ntub dej mantle, ob peb heev neeg paub. Yog vim li cas tsis soak txhaj tshuaj tiv thaiv thiab daim tawv nqaij kev kuaj no? Wb sim kom to taub qhov no. Sim kom paub tseeb tias qhov twg ua li no "tsis muaj sau txoj cai", thiab yuav ua li cas justified qhov txiav npluav ...

Yuav ua li cas tshwm sim yog tias koj ntub ib daim tawv nqaij mus kuaj?

Yog li ntawd peb paub hais tias cov tshuaj tiv thaiv yuav tsis tau ntub dej. Peb pib nrog lub fact tias cov tawv nqaij xeem tshuaj tiv thaiv yog ib qhov nyuaj rau hu, thiab txawm ntau li ntawd wrongly, raws li manta rays tsis txhaj tshuaj tiv thaiv, tiam sis tsuas yog ib tug tsi ntawm diagnostic kev txhaj tshuaj. Cov tshuaj tiv thaiv nrhiav vneenie rau hauv tib neeg lub cev ib tug me npaum li cas uas twb tuag lawm (tsis muaj zog, muaj kev nyuaj siab) los yog lub pathogen ntawm nyob hlwb ntawm ntau yam kab mob nyob rau hauv thiaj li yuav "pib" cov tshuaj tiv thaiv generating kev tiv thaiv (antibodies) rau tus kab mob no.

Nyob rau hauv kev kho mob tsev categorically txwv tsis pub ywg qhov chaw txhaj tshuaj, thiab hais tias yog dab tsi yuav tshwm sim yog hais tias tus ntub mantle, tsis muaj ib tug piav txog.

Tham txog txhaj tshuaj tiv thaiv DTP (txhaj tshuaj tiv thaiv hnoos, tetanus thiab diphtheria), uas sawv cev rau ib tug loj kev nyuaj siab rau kiag li noj qab nyob zoo kab mob thiab lub cev ntawm cov me nyuam txawm ntau. Muab xws kuj nrog da dej (tshwj xeeb tshaj yog nyob rau hauv kub khiav dej) yog undesirable. Qhov tseeb hais tias cov lus teb rau tej txhaj tshuaj tiv thaiv yog unpredictable, nws yog pom zoo kom tshem tawm tej yam uas yuav ua cas muaj feem xyuam rau cov kev ua ntawm "grafted" pathogenic cov kab mob hlwb thiab rau thawj hnub yog zoo tshaj plaws rau refrain los ntawm dej kev kho mob.

Yog vim li cas nws yog tsis pom zoo kom ntub daim tawv nqaij kev kuaj no?

"Nyees khawm" hu ua tuberculin daim tawv nqaij mus kuaj, uas yog lub npe hu rau peb raws li ib tug mantle (hu ua tom qab lub Fabkis paramedic Charles Mantoux). Qhov no "Nyees khawm" los ntawm nws tus kheej tsis kho thiab tsis raug txim, tiam sis tsuas yog pab cov kws kho mob los kuaj kom raug, piv txwv li mus qhia hais tias tus tsis tuaj kawm ntawv los yog muaj cov kev tsis haum tshuaj tiv thaiv nyob sib cuag nrog tuberculin.

Yuav ua li cas tshwm sim yog tias koj ntub ib daim tawv nqaij mus kuaj? Feem ntau cov yuav, tsis muaj dab tsi yuav tsis ua li cas, vim hais tias nws txwv tsis pub ywg kiag li unfounded. Tab sis lub xuas, smear ntsuab xim, muab lub plaster thiab kho nrog hydrogen peroxide yog tiag tiag tsis yooj yim sua. Nyob rau hauv lwm yam lus, koj yuav ua luam dej, tab sis tsis yog tshwj xeeb zealous nrog kev sib txhuam phuam ntxuav muag nyob rau hauv qhov chaw uas tus mantle tau ua.

Yuav ua li cas npaum li cas lub sij hawm yuav tsum tsis txhob yuav ywg dej qhov chaw nyob qhov twg lub mantle tau ua? Muab hais tias qhov luaj li cas ntawm cov nyees khawm los yog papule yog ntsuas tom qab txog li ob los yog peb hnub, lub zoo sij hawm thaum lub sij hawm uas nws yog ntshaw kom "Tsis txhob cuam tshuam", yog peb hnub.

Nws yuav tsum tau muab sau tseg tias yog hais tias ib tug zoo tshuaj tiv thaiv rau cov tuberculin daim tawv nqaij xeem tau lawm tsau, nws yog kiag li tsis muaj ntaub ntawv tsis muab rau ib tug qhov chaw thiab raws li ntawm tus kab mob.

Nco ntsoov hais tias txawm Dr. tsev yog tau puav ua yuam kev, yog li ntawd yog koj tau txhais ib tug zoo lus teb rau cov tuberculin daim tawv nqaij xeem tsis tau ntshai. Tshwj xeeb tshaj yog, yog tias koj ntawd ntub mantle, nws yog heev tau nws pab cov "disappointing me nyuam ntawm qhov kev txiav txim."

Thaum kawg kuv xav hais qhia rau cov niam txiv uas tus me nyuam daim tawv nqaij xeem yuav tsum tau ua xwb tom qab nws tau nais maum kuaj los ntawm ib tug cov menyuam yaus. Tsis tas li ntawd, hom phiaj no, zoo dua yuav ua rau ib tug general tsom xam ntawm cov zis thiab ntshav. Nrog rau tom kawg rau ib co yog vim li cas overlooked los ntawm ntau cov kws kho mob, tab sis yog nws yuav tsum tau ib tug prerequisite, raws li cov kab mob no yog nyob rau hauv feem ntau tus neeg mob nyob rau ntawm ib thaum ntxov rau theem yog txiav txim los ntawm kev tsom xam. Thiab tsis yog txhua txhua thaj noj qab nyob zoo cov me nyuam, cov no yog cov nyob rau hauv qhov tseeb thiab nws yuav nrhiav tau tawm tsuas yog los ntawm kev tsom xam. Thaum lub sij hawm ntawm txhaj tshuaj tiv thaiv, thiab cov zoo li mantu tus me nyuam yuav tsum tau kiag li noj qab nyob zoo.

Nco ntsoov tias yog koj tus me nyuam yog mob, nws yog ib qhov zoo tshaj plaws los mus muab nws li, vim hais tias cov Mantoux xeem muaj ob peb contraindications. Piv txwv li, nws yog tsis yooj yim sua ua li cas yog ib tug me nyuam suffers los ntawm, qaug dabpeg, ntau daim tawv nqaij cov kab mob, raws li tau zoo raws li yog hais tias nws tau aggravated ib tug mob, mob los yog lub cev muaj mob. Tsis tas li ntawd, tsis txhob ua lub tsho tshaj sab nyob rau hauv bronchial hawb pob thiab mob caj dab rheumatoid, tshwm sim nyob rau hauv mob daim ntawv.