Kei te āwangawanga anō hoki koe mō te mate kohi (TB)? Haere mai, me kōrero tātou mō te Whakamātautau TB!

Ko te mate kohi, te mate kohi rānei e mōhiotia ana e tātou katoa, he mate kua rongohia e te tini tāngata, ā, he ahua whakamataku. Nō reira, ko tēnei whakamātautau mate kohi he whakamātautau e mahia ana hei kimi mēnā kei a koe tēnei mate. Hei whakamārama ake, ka tirohia mēnā kua uru mai ngā huakita e puta ai te mate kohi, arā, te iroriki `(Mycobacterium tuberculosis complex)` ki roto i tō tinana. Me kōrero taipitopito atu tātou mō tēnei, āe?

He aha ngā momo whakamātautau mate kohi kei reira?

Titiro mai, e rua ngā momo whakamātautau mate kohi matua. Kua rongo pea koe i ēnei.

1. Whakamātautau Kiri: Ka kiia hoki tēnei ko te "whakamātautau Mantoux" ko te "whakamātautau kiri kopa (TST) rānei". Koinei te whakamātautau e whakamahia whānuitia ana, inā koa mō ngā tamariki kei raro iho i te 5 tau te pakeke.

2. Whakamātautau Toto: Ka kiia tēnei ko te "Interferon-Gamma Release Assay - IGRA". Kei te piki haere te whakamahinga o tēnei whakamātautau toto, inā koa mō ngā kaimahi hauora, ngā tāngata he ngoikore te pūnaha ārai mate (arā, ko te hunga he iti ake te kaha o ō rātou tinana ki te whawhai ki te mate), me te hunga rānei kua ngoikore ō rātou pūnaha ārai mate i ētahi rongoā.

Engari he mea tino nui tēnei hei maumahara māu i konei. Mā ēnei whakamātautau e rua anake ka mōhio koe mēnā kua pāngia koe e te iroriki TB i roto i tō tinana. Arā, kāore e taea e ēnei whakamātautau te kī tika mēnā kei te moe (huna) te iroriki i roto i tō tinana, kei te kaha rānei (kaha) kei te pūtake o te mate. Hei mōhio pono mēnā kei a koe te TB kaha, me mahi koe i ētahi atu whakamātautau pēnei i te hihi-X o te uma me te whakamātautau huware.

Ko wai me mahi i tēnei whakamātautau mate kohi?

Inaianei kei te whakaaro pea koe, "Me mahi anō hoki ahau i tēnei?" Ko te tikanga ka tūtohu ngā tākuta i tētahi whakamātautau mate kohi i roto i ēnei āhuatanga e whai ake nei:

• Mena kei a koe ngā tohu o te mate kohi kaha (hei tauira, te maremare tonu, te mamae o te uma, te kirika i te ahiahi, te hekenga o te taumaha, te ngenge).
• Mena he nui tō tūponotanga ki te pāngia e te mate kohi (TB) , ko te tikanga tēnei:
• Mena he kaimahi hauora koe (he tangata e taunekeneke pinepine ana me ngā tūroro, pērā i te tākuta, i te nēhi rānei).
• Mena kei te noho koe, kei te mahi rānei i tētahi rohe e horapa noa ana te mate kohi, pērā i ngā whare moe, ngā whare tiaki kaumātua, ngā whare herehere rānei.
• Mena kua tata koe ki te whakapā atu ki tētahi tūroro TB e ora tonu ana .
• Mena he ngoikore tō pūnaha ārai mate, nā tētahi atu mate, nā te rongoā rānei e tangohia ana e koe.
• Mena kua haere koe i ēnei rā tata nei ki tētahi whenua e horapa whānuitia ana te mate kohi (hei tauira, ētahi whenua i Āhia, ētahi whenua i Āwherika), me kōrero koe ki tō tākuta mena kua haere koe ki taua whenua.
• I ētahi wā, ina tīmata koe i tētahi mahi hou (ina koa i ngā wāhi pēnei i ngā pokapū tiaki tamariki me ngā hōhipera), me mahi tēnei whakamātautau mate kohi.

Kia pēhea te auau o taku whakamātautau mate kohi?

He rerekē tēnei mō ia tangata. Kei te nui o te mōrearea kei a koe ki te pangia e te mate kohi.

• Mena he nui tō mōrearea (e ai ki te kōrero i runga ake nei), ka tūtohu pea tō tākuta kia whakamātauhia tēnei whakamātautau i te iti rawa kotahi i te tau.
• Mena he iti tō mōrearea , me mahi noa pea tēnei i ia tau torutoru.

Heoi anō, ko te tohutohu pai rawa atu mō tēnei mea kei tō tākuta whānau, nō reira he mea whakaaro nui kia pātai atu koe ki a ia .

He pēhea te mahi a ēnei whakamātautau mate kohi? He tino māmā noa iho!

Ko tēnei whakamātautau kiri, te whakamātautau toto rānei, e titiro noa ana ki te urupare a tō pūnaha ārai mate ki ngā wāhanga motuhake (e kiia ana ēnei he "antigens" - ko ngā "antigens" he mea kāore e mōhiotia e tō tātou tinana, nō reira e ngana ana ki te whawhai) mai i te huakita e puta ai te mate kohi ("Mycobacterium tuberculosis"). He rite ki ngā parepare o tō tātou tinana e tangi whakatūpato ana ina whakatata mai te hoariri.

Te Mahi a te Whakamātautau Kiri TB

Koinei te mea ka tupu:

Ka werohia e te tākuta, e te nēhi rānei he iti noa iho o te otinga pūmua motuhake (e kiia nei ko te PPD - he pūmua parakore) i hangaia mai i te huakita Mycobacterium tuberculosis, ki raro i te kiri i te taha mua o tō ringa.

Kāore he mea e wehi ai koe i konei! Ehara tēnei `(PPD)` i te huakita ora. Nō reira, e kore e pāngia koe e te mate kohi.

Nō reira, ki te mea kua pāngia koe e te huakita TB i mua, ka tauhohe tō kiri ki tēnei "(PPD)". I roto i ngā rā e rua, e toru rānei, ka whero te wāhi i werohia ai te rongoā, ka paku mārō, ā, ka puta he puku iti.

Te Mahi a te Whakamātautau Toto TB

Koinei te mea ka tupu:

Ka tangohia he tauira toto mai i a koe, ka tukuna ki te taiwhanga. I roto i te taiwhanga, ka konatunatua ētahi o ngā toto mā o roto i ō toto (koinei ngā mea e whawhai ana ki ngā mate i roto i ō tātou tinana) ki ngā '(antigens)' kua whakahuatia ake nei mai i te huakita 'Mycobacterium tuberculosis'.

Mena kua pangia koe e te mate kohi i mua, ka tukuna e ō pūtau toto mā tētahi pūmua motuhake e kiia nei ko te interferon-gamma (IFN-gamma).

Ka inehia e ngā kaimahi taiwhanga tēnei tauhohenga mā te whakamahi i tētahi tikanga motuhake e kiia nei ko te "immunoassay." Kātahi ka tukuna te hua hei "kino" (arā, kāore he mate), "pai" (arā, tera pea he mate), "kore rānei e taea te whakatau" (arā, kāore i te mārama te hua, kāore hoki i te tino mōhiotia).

He aha ngā mea hei tumanakohia i te wā o te whakamātautau?

He rerekē te āhua o te whakahaere i ēnei whakamātautau e rua. Kia kite tātou me pēhea te haere.

Me pēhea te whakahaere i te whakamātautau kiri mō te mate kohi

Me haere koe ki te tākuta, ki te nēhi rānei kia rua, kia toru rānei ngā wā, mō tēnei whakamātautau kiri.

Te Haerenga Tuatahi:

• Ka horoia rawatia e te tākuta, e te nēhi rānei te kiri o mua o tō ringa (i raro i te tuke, i roto).
• Kātahi ka werohia te wai "(tuberculin)" me te wai "(PPD)" rānei ki raro i te kiri mā te whakamahi i tētahi ngira iti rawa.
• I ētahi wā ka tāia e te tākuta he porowhita ki te pene i te wāhi i werohia ai. Mā tēnei ka māmā ake te kimi i te wāhi ina tirohia i roto i ngā rā e rua.
• Ka puta he mirumiru iti ki te wāhi i werohia ai te rongoā. Ka memeha noa iho i roto i ētahi haora. Kāore he mea hei manukanuka.

Kātahi ka kīia atu kia hoki mai koe i roto i ngā hāora 48 ki te 72 (arā, i roto i ngā rā e rua ki te toru). Hei tirotiro i te momo tauhohenga o te kiri i te wāhi i werohia ai te rongoā. Mena he pupuhi, he whero, he ngawari rānei i reira, tera pea he tohu kei te mate kohi.

He mea tino nui rawa atu kia tae atu koe i te wā tika i tēnei wā tuarua! Nā te mea ki te kore koe e tae atu i roto i ngā hāora 72, me mahi anō pea koe i te whakamātautau katoa. Nō reira kia mahara kia tae atu koe i te wā tika.

Ko tētahi atu mea, mō te hunga ngoikore rawa te pūnaha ārai mate, te hunga rānei he mate kiri tō rātou, he iti noa te tūponotanga kāore pea ngā hua o tēnei whakamātautau kiri e tino tika, e tino pono rānei.

Me pēhea te whakahaere i te whakamātautau toto mō te mate pukupuku TB

Koinei te huarahi noa e koha toto ai koe.

• I a koe e noho ana i runga i te tūru, ka rapu te tohunga toto toto (e kiia ana ko te tohunga toto toto) i tētahi uaua i roto i tō ringa e ngāwari ana te tango toto mai. I te nuinga o te wā ka mahia tēnei i runga ake i te tuke, i te taha o roto o tō ringa.
• Ina kitea he uaua, ka horoia pai te wāhi.
• Kātahi ka werohia he ngira iti ki roto i te uaua, ā, ka tangohia he toto iti. I tēnei wā, ka rongo koe i te ngau iti, me te mea kua ngaua koe e te pōpokorua.
• Whai muri i te werohanga o te ngira, ka kohia he iti toto ki roto i tētahi ngongo whakamātautau.
• Kia oti te tango i te nui o te toto e hiahiatia ana mō te whakamātautau, ka tangohia te ngira, ka pēhia te wāhi ki te miro, ki te kākahu rānei mō tētahi wā, kātahi ka pania he pāreti. Koia kē!
• I te nuinga o te wā, e kore e neke atu i te 5 meneti te roa o ēnei mea katoa.

Kia oti te tango i te tauira toto, ka tukuna ki te taiwhanga hei whakamātautau. Kia puta mai ngā hua, ka whakamāramahia e tō tākuta ki a koe.

He mamae te whakamātautau mate kohi?

He mea tēnei e wehingia ana e te tini tāngata.

• I te wā o te whakamātautau kiri me te whakamātautau toto, tera pea ka rongo koe i te ngau iti (pērā i te ngau a te pōpokorua) ina pā te ngira ki te kiri. Engari he torutoru hēkona noa iho te roa.
• I te wā o te whakamātautau kiri, kāore he wera, he mamae rānei nā te wai i werohia ki raro i te kiri.

He pānga taha anō kei roto i ēnei whakamātautau mō te mate kohi?

He pātai tēnei e pātaihia ana e te tini tāngata. Waimarie, he tino onge ngā pānga kino kino mai i ēnei whakamātautau mate kohi.

• Mō te whakamātautau kiri: Haunga te rongo i te ngau iti ina werohia te ngira, ka pāngia pea ētahi tāngata e te ahua rerekē o te tae, te pupuhi iti, me te ngawari iti ki te wāhi i werohia ai. Ka memeha haere ēnei i roto i ētahi rā.
• Mō te whakamātautau toto:Tērā pea ka paku mamae te wāhi i tangohia ai te toto, ā, ka paku kikorangi pea. Ka hoki anō tēnei ki te āhua noa i roto i te rā kotahi, e rua rānei.

He aha ngā hua o te whakamātautau mate kohi?

Āe, kia kite tātou i ngā hua o ēnei whakamātautau, me ā rātou kōrero.

Ko te hua ka puta ko te 'kino' (arā, "kāo"), ko te 'pai' rānei (arā, "āe").

Ko te mea nui hei maumahara ko tēnei: ​​Mā ēnei whakamātautau ka kitea mēnā kua pāngia koe e te iroriki TB, arā, kua uru ki roto i tō tinana. Kāore e taea te kī mēnā he mate hohe, he mate huna rānei.

Tētahi atu mea, mēnā kua whiwhi koe i te kano ārai mate BCG (he kano ārai mate hei tiaki i te mate kohi) i a koe e tamariki ana, i ētahi wā ka puta he hua hē i roto i te whakamātautau kiri. Ka kiia tēnei he hua hē-pai. Nō reira, mēnā kua whiwhi koe i te kano ārai mate BCG, me kōrero ki tō tākuta .

He aha mēnā he pai te hua o te whakamātautau TB?

Ki te mea he 'pai' te hua o tō whakamātautau mate kohi, ko te tikanga kua pangia pea koe e te huakita e hua ai te mate kohi .

I tēnei wā, ka whakahaua e tō tākuta ētahi atu whakamātautau hei kimi mēnā he mate kohi ora tōu, he mate moe rānei. Tērā pea kei roto i ēnei whakamātautau tāpiri he hihi-X o te uma me te tauira huware. Ehara te huware i konei i te huware noa e puta mai ana i te korokoro, engari he huware matotoru e puta mai ana i ngā pukahukahu.

Ko te mea nui, ahakoa he mate kohi huna, he mate kohi ora rānei tōu, me whiwhi koe i te maimoatanga mōna.

He aha mēnā he kino te whakamātautau TB?

Mena he 'kino' te hua o tō whakamātautau TB, ko te tikanga kāore pea koe i pāngia e ngā huakita TB . I roto i te whakamātautau kiri, ko te tikanga o te 'kino' kāore he tauhohenga kiri (whero, pupuhi) i te wāhi i werohia ai te rongoā.

Heoi, i ētahi wā ahakoa he 'kino' te hua, ki te mea kei a koe ngā tohu o te mate kohi (pēnei i te mare, te kirika), ka tirotirohia pea e tō tākuta.

Āhea ahau ka mōhio ai ki te pūrongo whakamātautau mate kohi?

• E 48 ki te 72 hāora te roa o te whakamātautau kiri . Nō reira, ina haere koe ki te tākuta mō te wā tuarua, ka taea e te tākuta te kī atu ki a koe i reira tonu mā te titiro ki te tauhohenga o tō kiri mēnā he mate kohi tōu, kāore rānei.
• Ko te pūrongo mō te whakamātautau toto ka wātea i roto i te kotahi ki te rua rā. Heoi, i ētahi wā ka roa ake te wā i runga i te nui o te mahi a te taiwhanga.

He aha te āhua o te whakamātautau kiri mō te mate kohi (i runga i te whakamātautau kiri)?

Ko te hua "pai" o te whakamātautau kiri he mārō te wāhi i werohia ai te rongoā, he rite ki te puku whero . Ka ine te tākuta i te kaha o te puku i roto i ngā mirimita.

I konei, ka whakaarohia e te tākuta ō āhuatanga mōrearea kē atu (hei tauira, ahakoa he kaimahi hauora koe, he ngoikore rānei tō pūnaha ārai mate) hei whakatau i te hua. I te nuinga o te wā, ka kiia te whakamātautau he 'pai' mēnā kei roto i ēnei awhe:

• 5 mirimita (`mm`) neke atu rānei , ā, kua ngoikore tō pūnaha ārai mate (hei tauira, he tangata whai HIV, he tangata kua whakatōkia he okana, he tangata e tango ana i ētahi rongoā).
• 10 mirimita (`mm`) rānei, ā, he kaimahi hauora koe, he tangata rānei kua hoki mai i tētahi whenua e horapa noa ana te mate kohi, he tangata e whiwhi ana i ngā rongoā werohanga, he tamaiti rānei kei raro iho i te 4 tau te pakeke.
• 15 mirimita (`mm`) rānei, iti iho rānei , ā, kāore he take mōrearea motuhake atu āu mō te whanaketanga o te mate kohi.

Ahakoa ka kite koe i te pupuhi me te whero o tō ringaringa i muri i ngā hāora 48-72, ā, ka whakaaro koe ki a koe anō, "Āe, me he pai/kino tēnei," he mea nui tonu kia haere koe ki te tākuta ki te whakaatu. Ko te tākuta te tangata e titiro tika ana, e ine ana, e whakatau ana i te hua tika, ā, e tuhi ana.

Āhea ahau me kōrero ki taku tākuta mō te mate kohi?

Me tino tupato koe ki ēnei mea:

• Mena kei a koe ngā tohu o te mate kohi (hei tauira, te maremare neke atu i te rua wiki, i ētahi wā he toto kei roto i te huware, te mamae o te uma, te uaua ki te manawa, te kirika e puta mai ana i te ahiahi, te werawera i te pō, te hekenga o te taumaha, te kore hiahia kai, te ngenge rawa ),
• Ki te whakaaro rānei koe kua tata koe ki tētahi tūroro TB hohe ,

He mea tino nui kia kite i te tākuta me te rapu tohutohu i te wā e taea ai, me te kore e whakaroa.

He mate te mate kohi ka mate pea mēnā kāore e rongoatia tika. Engari, ko te mea pai rawa atu, ki te tangohia e koe ngā paturopi kia rite ki te whakahaunga, mō te roanga o te wā, ka taea te whakaora katoa i te nuinga o ngā mate kohi.

Ahakoa he mate kohi ora, he mate kohi huna rānei tōu, me rongoā ngā mea e rua. Heoi, he rerekē ngā momo rongoā e hoatu ana me te roa o te rongoā e hoatu ana i roto i ēnei take e rua.

Karere Whakamutunga mō te Tango ki te Kāinga

Āe, mai i ngā mea kua kōrerohia ake nei, koinei ngā mea tino nui hei maumahara māu:

• He mea tino nui te whakamātautau mate kohi mō te hauora tūmatanui i tō tātou whenua me te ao whānui, nā te mea ka āwhina i te kitenga wawe i te mate me te whakahaere i tōna horapa.
• Ka mate pea te mate kohi, ā, ka horapa ngāwari mai i te tangata ki te tangata mā te hau. Nō reira, ki te mea he tohu kei a koe, ki te mea rānei kei roto koe i tētahi rōpū mōrearea nui, he mea whakaaro nui kia whakamātauria koe.
• Kia puta mai ngā hua o te whakamātautau, ka kī atu tō tākuta ki a koe he aha te mahi e whai ake nei, me te mea hoki e hiahiatia ana ētahi atu whakamātautau.
• Kaua e wehi i tetahi mea. Pātai atu ki te tākuta i ō pātai, i ō ruarua rānei. Kei reira ngā tākuta me ngā nēhi hei āwhina i a koe. Mā rātou e whakamārama ngā mea katoa ki a koe.

He mea nui kia noho hauora koe!

` Te mate kohi, whakamātautau mate kohi, whakamātautau mate kohi, whakamātautau Mantoux, TST, IGRA, ngā tohumate mate kohi, maimoatanga mate kohi, PPD, Whakamātautau Tukunga Interferon-Gamma