Doctor in i hriat pakhat "TB test nei rawh" a tih khan i hlau deuh em? A nih loh leh nangmah ngeiin he test hi i tih a ngai a nih chuan eng nge thleng ang tih i ngaihtuah em? Mi tam tak chuan ‘TB’ tih thumal kan hriat hian kan hlau tak zet a ni. Mahse he test leh he natna chungchang hi kimchang taka kan hriat chuan he hlauhthawnna tul lo tak hi kan ti bo thei a ni. Chuvangin vawiinah hian he TB test hi eng nge a nih, engtin nge an tih tih leh result a lo let leh huna thil thlengte hi i hriatthiam theih tur angin i sawi ang u.
A awlsam zawngin TB test tih hi eng nge ni?
A awlsam khawp mai. TB test hian i taksaah TB thlentu bacteria, Mycobacterium tuberculosis , an tih chu i nei em tih a enfiah thin.
He test hi tih dan tlangpui pahnih a awm.
1. Skin test: Hei hi Mantoux test an ti bawk.
2. Thisen test: Hei hi Interferon-Gamma Release Assay (IGRA) an ti a .
Skin test hi naupang kum 5 hnuai lam te tih a ni ber a, mahse tunlai hian a bik takin healthcare worker te, immune system chak lo te tan emaw, immunity titawp thei damdawi ei te tan pawh he thisen test hi tih a ni fo bawk.
A pawimawh ber chu heng test pahnih hian i taksaah TB natna hrik i neih leh neih loh chauh a hriat theih a ni. Active TB natna i neih leh neih loh emaw, i taksaa natna hrik te chu a muhil (latent/dormant) em tih chiang takin an hrilh thei lo che a ni. Chu chu hriat nân test dang i tih a ngai ang a, chu chu sputum test .
He test hi tuin nge tel duh?
I doctor chuan TB natna lan chhuahna i neih emaw, TB vei theihna sang tak i neih chuan he test hi a rawt thei ang. Hnathawhna hmun thenkhat, damdawi in leh naupang enkawlna hmun te pawhin hna i thawh hmain he test hi neih hmasak phawt a ngai thei bawk.
TB vei theihna i nei sang zawk thei a, chu chu:
- Damlo nena inpawh tawn thin healthcare worker i nih chuan.
- Tuberculosis natna vei tamna hmun (e.g. mipui tamna hmun, nursing home, jail)-a i awm emaw, hnathawh emaw i nih chuan.
- Active tuberculosis vei nen inzawmna i neih tawh chuan .
- If you have a medical condition that weakens your immune system , emaw, chutiang ti thei damdawi i ei a nih chuan.
- Tun hnaia TB vei tamna ram (Asia emaw Africa ram thenkhat ang chi) i tlawh tawh a nih chuan he zinkawng hi i doctor hnenah hrilh a pawimawh hle.
Hemi atana hlauhawm i tih chuan i doctor nen pawh hemi chungchang hi sawipui ngei ang che.
Engtin nge TB test hi tih tak tak a nih?
Test chi hnih hian principle inangah hna an thawk a ni. Chu chu TB bacteria atanga antigens lo lutte i immune system-in a chhan dan an teh tihna a ni. A awlsam zawngin sawi ila, antigen hi kan taksa tana thil danglam tak a ni. Taksa a a luh chuan kan immune system hian a do tan thin. He inhnek hi he fiahna hmanga kan tehna a ni.
Mantoux test a ni
He test atan hian ni hnih atanga ni thum chhungin vawi hnih doctor i pan a ngai dawn a ni.
- Ni khatnaah chuan:
- Doctor emaw nurse emaw chuan i kut chhung lam, i elbow hnuai lam vun chu a tifai ang a, chutah chuan vun hnuaiah tui tlemte chu needle te tak te hmangin a inject ang. He tui hi PPD (purified protein derivative) an ti a .
- Ngaihtuah buai suh, he thilah hian bacteria nung a awm lo. Natna a siam lovang che.
- Injection na hmunah hian bubble te tak te a lo lang ang. Darkar tlemte hnuah a bo vek ang. A chang chuan ni hnih khat hnua hmuh awlsam zawk nan pen hmangin ka circle thin.
- Ni hnihnaah (darkar 48 leh 72 inkar):
- Doctor rawn pan leh a ngai a ni. Injection pekna hmunah hian skin reaction a awm leh awm loh a enfiah ang.
- TB hrik i kai tawh a nih chuan a hmun chu a sen a, a hring deuh a, i kut chelh thei khawpa hring a ni thei bawk .
- He test pahnihna hi kal ngei ngei tur a ni. Darkar 72 chhunga i kal loh chuan result dik tak pek theih a nih loh avangin a tir atanga test nawn leh a ngai dawn a ni.
Thisen endik (IGRA Test) 1.1.
Hei hi thisen pek pangngai ang mai a ni. A rang hle mai.
- Nurse chuan i elbow chhungah thisen lakna tur vein awlsam tak a hmu ang.
- A hmun chu an tifai a, needle te tak te an thun a, thisen tlem te te chu tube-ah an la khawm a. Needle i dah chuan natna tlem i nei ang.
- Thisen an lak zawh chuan a zung chu an la chhuak a, a hmun chu cotton chi khatin an press a, plaster an hnawih bawk.
- A pum pui hian minute nga aia rei a daih lo.
- Chumi hnuah i thisen sample chu laboratory-ah thawn a ni. TB antigens nen an pawlh a, i cell-te hian interferon-gamma tih protein an chhuah leh chhuah loh enfiah thin a ni. I doctor chuan an lo haw hunah result a hrilh ang che.
Engtin nge a rah chhuah chu kan hriatthiam theih ang?
Test result chu "Negative" emaw "Positive" emaw a ni thei.
- Negative result a awm chuan:
- Chumi awmzia chu i taksain TB hrik lakah hian engmah a chhanna a lantir lo tihna a ni. Hei hian TB hrik chu i taksaah a lut lo a nih a rinawm ber tihna a ni.
- Mahse, TB symptoms i neih chuan doctor chuan test tam zawk a la ti thei tho a, result negative pawh nise.
- Results tha tak chu:
- Chumi awmzia chu i taksain TB hrik chu a chhang let tawh tihna a ni. Chumi awmzia chu i nunah engtik lai pawhin TB hrik chu i taksaah a lut tawh tihna a ni.
- A châng chuan, naupang kan nih laia BCG vaccine kan dawn hian vun test-ah false-positive result a thlen thei a ni.
Hei hi hre reng ang che! Positive test hlau suh. Active tuberculosis i nei tihna a ni lo. I taksaah hrik a lut tihna mai a ni.
| Engtin nge vun test hi "positive" a nih theih? | |
|---|---|
| Vun thicking leh swelling lian tham (millimeter-a chhut) . | Tute nge "positive" anga ngaih? |
| 5 mm aia tam a nih chuan | Mite taksa chakna chak lo tak tak (e.g., HIV kai, taksa peng dang thlaktu, hun rei tak chhunga steroid ei thin) |
| 10 mm aia tam a nih chuan | Healthcare worker te, tun hnaia TB vei tamna ram atanga lo haw te, naupang te te, leh natna dang, zunthlum ang chi nei te. |
| 15 mm aia tam a nih chuan | Tuberculosis vei theihna tur risk factor nei lo tu pawh. |
Test a positive a nih chuan eng nge thleng leh ang?
Test a positive a nih chuan i doctor chuan test eng emaw zat a ti leh ang a, active disease i nei em tih a finfiah ang.
- Chest X-ray: Lung chhunga inthlak danglamna awm leh awm loh enfiah nan.
- Sputum Test: 1.1.I khuh (sputum) ah TB bacteria a awm leh awm loh enfiah thin ang che.
Heng test te hnuah hian doctor chuan latent emaw active condition emaw i neih leh neih loh a hre ang a, enkawlna \ha tak a tan ang. Heng natna pahnih tan hian enkawlna a awm bawk.
Doctor i hmuh tur hunah
Tuberculosis kaihhnawih symptoms i neih chuan, emaw, TB vei tu emaw i tawk tawh nia i ngaih chuan a rang thei ang bera doctor pan rawh.
Heng ang symptoms te hi hre reng ang che:
- Kar hnih aia rei khuh
- A rilru a na
- Chhan awm lovin taksa rihna tihtlem
- Tlai lamah khawsik tlem lo tak a lo thleng thin
- Zan a thawk hah
Tuberculosis hi uluk taka enkawl loh chuan thihna thlen thei a ni. Mahse thu lawmawm tak chu i doctor-in damdawi a pek chu hun bituk chhunga i ei chuan TB natna chu i tidam vek thei tih hi a ni . Chuvangin, hlauthawng suh la, rinhlelhna i neih chuan a tha ber chu damdawi lam thurawn lak hi a ni.
Take-Home Thuchah a ni
- TB test hian TB hrik i kai tawh em tih chauh a enfiah thin. Active disease i neih leh neih loh a hre thei lo.
- Test chi hnih a awm a, chungte chu vun test (Mantoux) leh thisen test (IGRA) te an ni.
- Test result "positive" a nih chuan hlauthawng suh. I doctor chuan testing dang a nei leh ang a, enkawlna i mamawh leh mamawh loh a hriat theih nan, a mamawh a nih chuan eng chi nge tih a hriat theih nan.
- Tuberculosis hi tunah chuan natna tihdam theih vek a ni tawh. A pawimawh ber chu Doctor thupek leh damdawi a pek ang anga zawm hi a ni.
- TB symptoms i neih emaw, risk group-a i awm emaw chuan test neih hun tikhawtlai ngai suh. Doctor hmu nghal rawh.











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