Ingabe udokotela wakho uke wakuncoma ukuthi wenze isivivinyo seMantoux? Noma uke wabona ilungu lomndeni noma umngane ethola esinye? Abanye abantu bacabanga ukuthi lesi sivivinyo siwumjovo wokuvimbela isifo sofuba, noma umuthi wokwelapha lesi sifo. Kodwa empeleni lokho kuyiphutha elikhulu. Kumane nje kuyisilingo. Ngakho-ke, ake sixoxe ngalokhu ngqo, kalula, namuhla.
Iyini ngempela iMantoux Test?
Kalula nje, ukuhlolwa kwe-Mantoux ukuhlolwa kwesikhumba okubheka ukuthi uke wavezwa yini kumagciwane abangela isifo sofuba. Kufana nokuhlolwa kwenkumbulo ukubona ukuthi amasosha omzimba wakho ayakukhumbula yini.
Lokhu kuhilela ukufaka inani elincane kakhulu leprotheyini ehlanziwe evela kubhaktheriya wesifo sofuba, ebizwa ngokuthi i-Tuberculin Purified Protein Derivative (PPD), ngaphansi kwesikhumba sakho. Khumbula, lena yiprotheyini ehlanziwe, hhayi igciwane lesifo sofuba eliphilayo. Ngakho-ke, lokhu kuhlolwa ngeke kukunikeze isifo sofuba. Ungakhathazeki ngakho.
Inhloso eyinhloko yalolu vivinyo ukuthola ukuthi umzimba wakho uke wavezwa yini yigciwane le-TB ngaphambilini. Uma uke wavezwa, amasosha omzimba wakho azosabela kule phrotheni ye-PPD. Odokotela balinganisa leyo mpendulo ukuze benze ukuxilongwa.
Ngikwenza kanjani lokhu kuhlolwa bese ngibona imiphumela?
Lena inqubo elula kakhulu. Ngokuvamile, isikhumba esisengalo yakho, ngaphansi kwendololwane, siyahlanzwa bese isixazululo se-PPD sijovwa ngaphakathi kwesikhumba kusetshenziswa inaliti encane kakhulu. Kuzovela i-blister encane kuleyo ndawo. Lokhu kuvamile.
Into ebaluleke kakhulu: Ngemva kokuthola umuthi wokugoma, umsebenzi wakho awukapheli. Kufanele nakanjani ubuyele kudokotela noma emtholampilo zingakapheli amahora angu-48 kuya kwangu-72 (okungukuthi, ezinsukwini ezimbili noma ezintathu). Yilapho imiphumela izofundwa khona. Ungayeki lesi sikhathi, ngoba uma wenza kanjalo, lonke ukuhlolwa lizolahleka.
Ngemva kwezinsuku ezimbili, udokotela akahloli nje kuphela ukuthi indawo yomjovo ibomvu yini, kodwa futhi ulinganisa ubukhulu bomjovo ongazwakala ngaphansi kwesikhumba . Lelo nani linquma ukuthi ukuhlolwa kuqondile noma cha.
Izinto ezibalulekile okufanele uzitshele udokotela ngaphambi kokuhlolwa
Imininingwane ethile ngesimo sakho sempilo ingase ithinte imiphumela yalolu vivinyo. Ngakho-ke, qiniseka ukuthi utshela udokotela wakho ngalokhu okulandelayo ngaphambi kokuhlolwa.
| Isimo esikukhathazayo | Kungani kufanele wazise udokotela? |
|---|---|
| Uma uke waba nokusabela okukhulu kokungezwani komzimba ekuhlolweni kweMantoux kwangaphambilini. | Ukuze kuphephe futhi kuvinjelwe ukusabela okunjalo ukuthi kungenzeki futhi. |
| Uma une-HIV noma i-AIDS, umdlavuza, noma esinye isifo esenza amasosha omzimba wakho abe buthaka. | Uma amasosha omzimba ebuthaka, umphumela wokuhlolwa ungase ube yiphutha ngisho noma kukhona ukutheleleka ngesifo sofuba. |
| Uma uthatha imithi yama-steroid (isib. i-Prednisone) noma imithi yokulwa nomdlavuza. | Le mithi ingathinta imiphumela ngoba yenza buthaka amasosha omzimba. |
| Uma unesifo sikashukela, isifo sezinso esibi, noma ukungondleki kahle. | Ngaphansi kwezimo ezinjalo, impendulo yomzimba yokuzivikela komzimba ingashintsha. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. | Nakuba lokhu ngokuvamile kuphephile ngesikhathi sokukhulelwa, kubalulekile ukugcina udokotela wakho enolwazi. |
| Uma usanda kuthola umuthi wokugomela igciwane eliphilayo njenge-measles noma i-chickenpox. | Imithi yokugoma enjalo inganciphisa okwesikhashana impendulo yokuhlolwa kweMantoux. |
Ngaphezu kwalokho, noma yimiphi imithi, amavithamini, amakhambi, noma izithasiselo ozithathayoTshela udokotela wakho nganoma yimiphi imithi oyiphuzayo. Eminye imithi (isib., imithi yokucindezela amasosha omzimba njenge-adalimumab, i-infliximab, kanye ne-etanercept) ingathinta ngqo imiphumela yalolu vivinyo.
Yimiphi imiphumela emibi nezinto okufanele uziqaphele?
Lokhu kuhlolwa kuphephile kakhulu, kodwa njenganoma iyiphi inqubo yezokwelapha, kunemiphumela emibi emincane engenzeka.
Izimo ezivamile okungesona isizathu sokwesaba
Ungase uzwe ukubomvu, ukulunywa, ubuhlungu obuncane, noma ukuphuka okuncane endaweni okujovwe kuyo. Lokhu kuvame ukuphela ngokwako ezinsukwini ezimbalwa. Ungakhathazeki ngakho. Kodwa uma kuqhubeka noma kukukhathaza, tshela udokotela wakho.
Izimpawu ezinzima ezidinga usizo lwezokwelapha ngokushesha
Lezi yizimo ezingavamile kakhulu, kodwa uma uhlangabezana nanoma yiziphi zalezi zimpawu, bona udokotela ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ukusabela okukhulu kokungezwani komzimba: ukuqubuka komzimba wonke, ukuqubuka, ukuvuvukala kobuso, izindebe, noma ulimi.
- Ubunzima bokuphefumula noma umuzwa wokuqina esifubeni.
Uma udinga iseluleko sezokwelapha mayelana nokusabela okukhulu kokungezwani komzimba nomuthi, ungashayela neNational Poison Information Centre eColombo National Hospital bese ucela iseluleko.
Ingabe kufanele ngesabe uma ukuhlolwa kukhomba ukuthi nginayo i-HIV?
Cha. Yilapho abantu abaningi bethola khona iphutha. Ukuhlolwa kwe-Mantoux okuhle akusho ukuthi une-TB ethelelanayo nesebenzayo.
Lokhu kusho ukuthi esikhathini esithile empilweni yakho, igciwane le-TB selingene emzimbeni wakho futhi amasosha omzimba wakho aselibonile. Lokhu kubizwa ngokuthi ukutheleleka kwe-TB okufihliwe .
Esimweni esinjalo, udokotela wakho uzokwenza ezinye izivivinyo, njenge -X-ray yesifuba, ukuqinisekisa ukuthi unesifo esisebenzayo noma ukutheleleka okucashile. Ngakho-ke, ungesabi uma ukuhlolwa kubuya kuqinisekisiwe. Landela imiyalelo enikezwe udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kweMantoux kuwukuhlolwa kokuhlola isifo sofuba, hhayi ikhambi noma umuthi wokugomela. Ngeke kubangele ukuthi ube nesifo sofuba.
- Ngemva kokwenza isivivinyo, qiniseka ukuthi ubuyela kudokotela ezinsukwini ezimbili noma ezintathu (amahora angu-48-72) ukuze ubone imiphumela.Lena yinto ebaluleke kakhulu.
- Ngaphambi kokuhlolwa, tshela udokotela ngazo zonke izimo zakho zezokwelapha kanye nayo yonke imithi oyithathayo (kufaka phakathi imithi ye-Ayurvedic).
- Uma ukuhlolwa kukhomba ukuthi unesifo sofuba, ungakhathazeki. Akusho ukuthi unesifo sofuba esithelelanayo. Udokotela uzokwenza ezinye izivivinyo ukuze athole isimo esiqondile.
- Uma uzwa izimpawu ezifana nokuvuvukala okukhulu endaweni yokujova noma ubunzima bokuphefumula, funa iseluleko sezokwelapha ngokushesha.
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