Kev tiv thaiv ntawm tus kab mob ntsws - complex txoj kev loj hlob ntawm tus kab mob tiv thaiv kev ntsuas

Mob Ntsws Tiv Thaiv muaj xws li kev ntsuas kom tiv thaiv kom txhob kis tau ntawm tus kab mob. Nws yog subdivided rau hauv kev sib raug zoo, kev kho mob, txhaj tshuaj tiv thaiv thiab chemoprophylaxis.

Social kev tiv thaiv ntawm tus kab mob ntsws

Qhov no hom ntawm kev tiv thaiv muaj ntau yam tsoom fwv ntsuas tsom ntawm kev txhim kho nyob cov qauv, tej kev tiv thaiv, kev loj hlob ntawm lub cev kab lis kev cai thiab kev ua si.

Cov tsev neeg ntawm cov neeg mob nrog tus kab mob ntsws muaj ib feem txoj cai tsev, nyob rau hauv uas tus neeg mob yog faib ib tug cais chav tsev. Kev kho mob nyob rau hauv tsev kho mob, kev noj qab nyob chaw zov me nyuam thiab dispensaries yog free. Thaum lub sij hawm kev kho mob, cov neeg mob tshiab khiv paub hais tias nrog tus kab mob ntsws ib daim ntawv rau ib lub sij hawm ntawm kev tsis taus mus txog rau kaum lub hlis.

KEV NTXUAV TU

Huv tuberculosis kev tiv thaiv yog aimed ntawm kev tiv thaiv tus kab mob ntawm kev noj qab nyob cov neeg los ntawm cov neeg mob nrog tus kab mob no. Nws muaj xws li kev txhim kho ntawm kab mob foci, muaj kab mob thiab kho tsiaj saib xyuas thiab kom tau thaum ntxov, kev rho tawm thiab kev kho mob ntawm cov neeg mob.

Kev tiv thaiv ntawm pulmonary tuberculosis nqa fluorographic kev soj ntsuam ntawm lub tag nrho cov pejxeem, vim 12 xyoo ntawm lub hnub nyoog.

txhaj tshuaj tiv thaiv

Txhaj tshuaj tiv thaiv yog nqa tawm tiv thaiv ntawm tus kab mob ntsws nyob rau hauv cov me nyuam. Nws yuav tsum raug rau tag nrho cov me nyuam mos, nrog rau cov kev zam ntawm cov neeg uas muaj contraindications. Xav koob tshuaj BCG tshuaj tiv thaiv yog ua rau tej yam kev mob, uas muaj xws li:

- ib tug kom kub;

- puas hlwb raug mob thaum lub sij hawm yog tau me nyuam;

- me nyuam mos luj ntawm tsawg tshaj li 2 kg;

- hemolytic kab mob ntawm cov me nyuam mos;

- pyo-lub taub dej khawb teeb meem.

Txhaj tshuaj tiv thaiv yog ua rau hnub 5-7 tom qab yug tus me nyuam subcutaneous cov thawj coj mus rau hauv lub thib peb ntawm ib tug lub xub pwg ntawm 0.1 ml ntawm tuberculosis xav koob tshuaj BCG tshuaj tiv thaiv. Nws muaj attenuated mycobacterium tuberculosis, uas tau poob lawv muaj peev xwm yuav ua tau kom tus kab mob, tab sis fwm antigenic qualities. Cov kev txhaj tshuaj ntawm qhov chaw yog tsim ib tug me me pustule, uas tseem nyob rau tom qab lub rumen, qhia cov hauj lwm zoo ntawm cov tshuaj tiv thaiv ua.

Tiv thaiv tom qab koob tshuaj BCG lawm yog muab khaws cia tseg rau xya xyoo. Tom qab no lub sij hawm ntawm re-txhaj tshuaj tiv thaiv yog ua li cas, uas yog yuav tsum tau rau tag nrho cov uas tsis yog-kis tus kab mob rau cov me nyuam. Ua ntej revaccination ua Mantoux xeem rau tebchaws tuberculosis kab mob. Zoo Mantoux xeem nrog papule yog ntau tshaj li 20 mm contraindication rau re-txhaj tshuaj tiv thaiv.

Contraindications rau revaccination:

- yav tas los kis mob ntsws los sis kab mob;

- zoo los yog dubious cov tshuaj tiv thaiv mus rau lub Mantoux xeem;

- teeb meem tom qab koob tshuaj BCG lawm;

- tsis haum mob nyob rau hauv lub mob nyob ntev;

- immunodeficiency lub xeev.

chemoprophylaxis

Kev tiv thaiv ntawm tus kab mob ntsws pharmaceuticals, hu ua chemoprophylaxis uas yuav tsum tau rau cov neeg uas yog nyob rau hauv kev sib cuag nrog cov neeg mob, cov neeg uas muaj rhiab heev rau tuberculin thiab cov neeg mob lub tsaug zog hauv daim ntawv ntawm tuberculosis. Rau lub hom phiaj no, cov tshuaj Isoniazid siv 0.3 g ib hnub ob zaug, ob zaug rau peb lub hlis nyob rau hauv ib lub xyoo. Yuav kom tiv thaiv tsis tshua mob heev ntawm tus kab mob muab Isoniazid nyob rau hauv ua ke nrog nrog rau lwm cov anti-TB tshuaj nyob rau hauv lub caij nplooj ntoos hlav thiab lub caij nplooj zeeg rau ib mus rau peb lub xyoos tom qab soj ntsuam thiab moj qhia txog cov neeg mob rov qab.

Chemoprophylaxis tso cai ob peb lub sij hawm los txo cov kev pheej hmoo ntawm tus kab mob chaw, raug tus kab mob TB cov neeg mob.

Raws li tag nrho cov kab mob TB tiv thaiv kev ntsuas kom tsis txhob kis ntawm tus kab mob mus rau qhov txaus ntshai kis tus kab mob, thiaj li muaj cov uas muaj feem yuav mob, nrog los ntawm ntau yam teeb meem.