Ukuvavanywa kweziphumo kuqhutywa ngokulinganisa indawo ye-hypermic. Ngoko ke, oomama bahlala benomdla kuzo kwaye bafuna ulwazi malunga nobudala apho ubukhulu bebala emva kokuba isampuli libe khona. Masiqwalasele ngokuthe ngqo ukuba imimiselo yeMantoux ubukhulu kufuneka ibe kubantwana abangaphantsi kweminyaka emithathu ubudala.
Yintoni efunekayo iMantoux?
Uvavanyo lweMantoux ngokwawo luyizidakamizwa ezenziwe ngokuchanekileyo ezibandakanya i-pathogen yesifo sofuba. Ngoko ke, ukuba emva kokungeniswa kwesi sirhaba akukho mpendulo kwi-injection site, oku kuthetha ukuba isilwanyana sele siqhelaniswe nale pathogen, i. isitofu esibhedlele siphumelele. Kule meko, ubungakanani bokubomvu, ukungenelela kubaluleke kakhulu.
Abazali abaninzi, bengayazi izinto eziqhelekileyo kubantwana kwiminyaka emithathu kufuneka baphendule kwiMantoux, baxakeke kukuba, ngokwamvo abo, ukuvuvukala nokubomvu kukhulu, kwaye abazithunyelwa kwisilingo sesibini. Into into yokuba ubukhulu obomvu obuvela kwi-vacant Mantoux bujonge ngokuqinisekileyo kwi-dynamics, ngokweminyaka edluleyo, kuba impendulo kwimeko nganye ngumntu ngamnye.
Ngokubanzi, ukuvandlakanywa kweziphumo zesampula ezenziwe kwenziwa ngokolu hlobo lulandelayo:
- Isampuli yinto engalunganga, ukuba indawo yokujola isetywina, ubomvu abufumaneki.
- Ngomphumo ongathandabuzekiyo, kukho ukuphindaphinda okufutshane, kunye nokuba khona kwepuli akukho ngaphezu kwe-5 mm. Kwiimeko ezinjalo, oogqirha, okokuqala, bajonga iziphumo zemivavanyo yangaphambili, ukujonga iinguqu zenguqu, kunye nokuchonga abantu abachaphazelweyo abasemngceleni osondeleyo wengane.
- Ngesampuli esilungileyo, i-vial ihlala kwisayithi yokujova, ukuphakama kwalo okungaphezu kwama-5 mm. Kule meko, umntwana kufuneka adibanise ne-phthisiatrician.
- Ukuba, kwi-injection site, ukubunjwa kweepule ngaphezu kwe-15 mm kuyabonwa, kwaye i-crust okanye i-vesicle ibonakala, umntwana uyaphathwa.
Ngakanani ubungakanani beMantus kufuneka umntwana abe neminyaka emithathu?
Xa uvavanyo lweMantoux lwenziwe kwiminyaka emithathu, ukuvandlakanywa kokuphendula kubantwana kuqhutyelwa ngokwemimiselo:
- kunye nokunciphisa obomvu, kwaye ukuba ubungakanani bayo abugqithanga u-5-8 mm, bathetha ngobungqina bokukhusela kwangasemva;
- ukuba, ngenxa yesampulu kwisayithi yokujola, kukho ubomvu, okuyi-2-5 mm encinci kuneyona ebonile ixesha elidlulileyo, okanye akukho mkhwa wokunciphisa, bathetha ngeziphumo eziphazamisayo, ukuze kuqinisekiswe ukuba kukho iimviwo ezingaphezulu;
- xa usulelekile, impendulo yesampula yaseMantoux ishintshela kwi-positive, okanye indawo iyanda ngo-6 mm, xa kuthelekiswa neyokudlulileyo. Ukuxilongwa okufanayo kunokubonakaliswa nangona utshintsho lwangena ngaphakathi
kwenzeka ngokukhawuleza kwi-2-4 mm kwaye ifinyelele kwi-12 mm.
Ukuphononongwa kweziphumo kufuneka kwenziwe kuphela ngugqirha, ngokuqwalasela iimvavanyo zakuqala. Ngoko ke, akukho mzekelo umama akufanele ulinganise ubomvu ngokwalo, kwaye wenze izigqibo.
Ngaloo ndlela, umntu akufanele angayithinteli uvavanyo lweMantoux, olungavumelekanga kuphela ukufumanisa i-pathogen ekuqaleni kwexesha, kodwa linokubangela ukuba kuqaliswe unyango olufike ngexesha. Emva koko, ixesha lokunyanga kwesifo esifana nesifo sesifo sofuba siphezulu kakhulu, kwaye kungathabatha iinyanga ezili-3-4.