Pirke gwajin: karanta, kimantawa

Da tarin fuka - shi ne quite na kowa cutar da za a iya samu kusan ko ina a duniya. Cutar na iya faruwa saboda ingestion na daban-daban kwayoyin ko Koch ta bacillus. The rashin lafiya yawanci daukar kwayar cutar ta hanyar Airborne droplets, kuma yana da nauyi bayyanar cututtuka, wato:

• dizziness.
• rigar tari.
• coughing sama da jini;
• rauni.
• zazzabi.
• wanton nauyi asara.
• rika zufa da dare.

Tuberculin kada contraindicated a gaban daban-daban fata cututtuka, rashin lafiyan halayen, asma, epilepsy, cututtuka. Kada sa samfurin da kuma wata guda bayan alura immunoglobulin ko a nazarin halittu samfurin.

diagnosing tarin fuka

Dalili na dalĩli, wanda aka lalace ta da tarin fuka - shi ne haske. Sauran ciki gabobin sha quite rare a wannan cuta. Zai yiwu don gane asali da tarin fuka ta amfani da fluoroscopy, CT (lissafta Tomography), X-ray, tuberculin fata gwajin (Pirquet kima) da kuma sauran iri dakin gwaje-gwaje gwaje-gwaje. Domin gane asali lamba ne da za'ayi sau ɗaya a shekara da cutar.

Mene ne dauki zuwa faci gwaji?

Daya daga cikin hanyoyin da m bincike a kan yara da tarin fuka ne Pirke samfurin. Wannan immunological gwajin iya nuna ko akwai wani girma kwayoyin, ko da a farkon matakai na tarin fuka kamuwa da cuta. Reaction to bayyanar da tuberculin dauki kira Pirke, kuma shi ma'anar jiki ta laulayi Mycobacterium da tarin fuka. Pirke samfurin da aka ma yi, kuma da mãsu haƙuri ne riga ya fara tasawa shekaru kungiyar a matsayin iko bincike a kimantawa da tasiri na magani.

abun da ke ciki na samfurin

A abun da ke ciki na samfurin shiga tuberculin - musamman tsantsa daga halaka bacilli Koch, ƙirƙira baya a 1890 da Jamusanci likita Robert Koch. Yana da wannan likita ya discoverer na irin cututtuka kamar tarin fuka. Hood amfani da farkon a 1907. Da farko, shi lubricates fata da kuma duba da dauki, kuma bayan da tuberculin fara kokarin da za a gudanar subcutaneously.

Yau Pirke samfurin wanda abun da ke ciki ya hada da wani cakuda kashe mycobacteria al'ada filtrate na mutum da kuma Bovine iri, akwai mai yawa na mutane daban-daban shekaru kungiyoyin. Baya daga aiki abu core - tuberculin Pirquet samfurin hada da irin ƙarin abubuwa:

• salts na phosphate buffer bayani .
• sodium chloride.

Ta yaya wannan ya faru?

Ka'idar aiki na samfurin wanda abun da ke ciki dogara ne a kan tuberculin, ne cutaneous aikace-aikace na da miyagun ƙwayoyi. Fata na hannu da dantse, ko kafada da disinfected kawai carbolic acid, domin barasa-tushen abu bar a kan fata gina jiki, wanda shi ne a ke so ga tsarkakuwa, analysis. A incisions sanya a cikin fata ta amfani da pricking zurfin ba fiye da 5 mm. A haƙuri iya bukatar jira har zuwa minti 5, har da mafita da ake tunawa da saura m shafa tare da takarda tawul. Bayan hanya, da mãsu haƙuri monitoring aka gudanar na tsawon sa'o'i 48 da kuma bincikar for dauki wakili.

A sakamakon tuberculin a wuri karce taso musamman kumburi (papule) wanda aka jawo da wani jari na T-lymphocytes. Yana da wadannan jini Kwayoyin suna da alhakin tarin fuka rigakafi. A fata zai iya canza launi da yawa a cikin papules. Wannan ganewar asali Hanyar da aka yi amfani da wuya saboda ta low bayanai abun ciki da kuma low bincike yadda ya dace. ba da shawarar bayan da fitina da kuma kafin sakamakon da aka sanya:

• jiƙa wuri inda samfurin da aka dauka.
• goge papule daban-daban kwayoyi ko man shafawa.
• papule rufe plaster.
• tsefe ko da hawaye.

sakamakon

A kan talakawan, a lokacin da wani Pirke gwajin, kimantawa da sakamakon ne da za'ayi bayan kwanaki 2-3, watau 48-72 hours. A wurin da scratches, akwai wani mayar da hankali na hangula yi. Ya yankunan auna da likitoci. A sakamakon da aka classified haka a lokacin da wani samfurin Pirquet:

• cikin kudi lura ga m exponent metering papules (a kan talakawan har zuwa 5 mm).
• adadi 3 mm nuna wajibcin sake alurar riga kafi da kuma sake-ruri kima sakamakon.
• idan sami papule jere a size daga 4 zuwa 10 mm, shi ne m cewa kamuwa da cuta da tarin fuka ko mutum a wani hadarin kungiyar (watau m tsaya a hulɗa da mai cutar da mutum);
• Idan hangula cibiyar yana da girma daga 10 zuwa 15 mm ko sores samu a shafin na alurar riga kafi, wannan nuna alama nuna wani babban Yiwuwar tarin fuka kamuwa da cuta.

kammala karatunsa fitina

Wannan irin binciken ne inganta da kuma wani cutaneous aikace-aikace samfurin via da dama scratches. Ya bambanta da na gargajiya version na binciken, da samfurin da aka graded domin sanin bambanci bincike darajar a aiwatar sanin yanayin da alerji zuwa tuberculin. Skin gwaji da aka yi da ake ji da fata tuberculin da 100%, 25%, 5% da kuma 1% taro. Shiri na fata ne da za'ayi a cikin wannan hanya a matsayin gargajiya Holding Pirke samfurin. A incisions suna amfani da tsananin domin, kuma a lokaci guda akwai daban-daban alama pipette. Ga kowane haƙuri amfani kawai bakararre kayan. Bayan bayyanar da "fari yi" ba za ka iya cire saurã daga cikin tuberculin. Wannan irin bincike da aka fi za'ayi a don ƙayyade da tasiri na lura da tarin fuka.

A sakamakon da aka graded samfurin

Skin gwaji kammala karatunsa Grinchara Karpilovskaya da kuma kimanta bayan 48-72 sa'o'i bayan hanya. Bambanta da irin halayen da daban-daban yawa na tuberculin:

• anergic dauki (babu dauki a cikin samfurin).
• nonspecific dauki (iya kawai tsayar da kadan redness a cikin samfurin da 100% taro na bayani) .
• normergicheskaya dauki (matsakaici lura martani da kwayoyin zuwa tuberculin da kuma mayar da martani ga samfurin tare da 5% da kuma 1% bayani daga babu shi).
• hyperergic dauki (sakamakon halin da mayar da martani ga duk iri na samfurori, da hakan maida hankali a tuberculin bayani, da girma da martani).
• Daidaita da dauki irin (sanya duk samfurori da wannan papules, fata launuka da kuma masu girma dabam na foci na kumburi).
• paradoxical dauki (a wata mafi girma taro a wani samfurin na tuberculin lura mafi pronounced dauki).

Saboda haka, mun yi nazari da hanyar da ganewar asali a matsayin Pirke samfurin. Haifar da shi ba a magana game da sarrafawa da cutar a cikin jiki, ko a kan wani mutum ikon harba lafiya mutane. Ya kawai ya nuna halayen da causative wakili na da tarin fuka. Pirke samfurin (Mantoux gwajin - ta madadin) yana dauke m ga yaro.