Kubvira panguva dzeSoviet, kuongororwa kwechirwere chetachiona kwakave kuiswa mukufara kukuru: isu tose tinoyeuka zvakakwana majojo eMantoux. Iyi nzira, kunyange isiri yakarurama kwazvo, yakaruramisa pachayo nekuda kwekudhura kwayo kwepamusoro uye kazhinji zvibereko zvakanaka. Nenzira yakanaka, kufambira mberi hakumire, uye ikozvino kune nzira dzakanakisisa dzekuziva mycobacterium tuberculosis.
Nzira dzekuongororwa kwechirwere chetachiona
Kuti vaongorore tuberculosis , vanachiremba vachafanirwa kushanda zvakaoma, sezvo chirwere chacho chinonyanyisa uye hazvisi nyore kuona mycobacteria. Chokutanga pane zvose, mushonga unoda kudzidza anamnesis uye chigadzirwa chemakirini pamusana pekunyunyuta kwemurwere uye zviratidzo zvaakaona. Wedzerai data inobatsira nekuongorora, kuteerera uye kutarisa. Kuti ujekese kutanga kwekuongororwa, nzira dzinotevera dzinoshandiswa:
- tuberculin diagnostics;
- fluorography and roentgen;
- microbiological analysis;
- histological analysis;
- cytological analysis;
- kushandura uye nzira dzinoshanda;
- immunological method;
- tsvakurudzo yakawanda ye laboratory, kusanganisira kuongorora ropa.
Zvose mune zvose zvakasiyana-siyana kuongororwa kwepammonary tuberculosis, iyo inobvumira kutsanangura zvakajeka mafikirwo, huwandu hwekupararira kwechirwere uye kufungidzira. Uyewo basa rayo nderokusiyanisa tuberculosis kubva kune dzimwe zvirwere zvokufema. Chikonzero chekusiyanisa kutsvaga chidzidzo chemapapu achishandisa X-ray, uye imwe yemimwe nzira.
IX-ray yemurwere inotumirwa kana yakarongedzerwa fluorography, iyo inofanirwa kuitwa makore ose maviri, yakaratidza kushungurudza kusviba pamapapu.
PCR-diagnosis yechirwere cheshuga
Purojekiti yePCR inomirira nzira yekutsvakurudza, iyo inosanganisira kunyatsodzidza smear maererano neTsilyu-Nielsen uye nzvimbo yakawanda ye mycobacterium tuberculosis. Sezvokudya, mangwanani anobuda kubva mudumbu revarwere inowanzoshandiswa. Iyi nzira yakanaka, asi inofanira kuyeukwa kuti kunyange kana yakapa mhinduro yakaipa, ichi hachisi chivimbo chokuti hauna TB. Kuongororwa kwetatu chete kunotibvumira kutaura izvi nenzira yakasimba. Uyewo microbiological diagnostics
Ndezvipi zvakajeka kuongororwa kwechirwere chetachiona kubva mukuyera ropa?
Kuongororwa kweropa kuongororwa kwave kuchigoneka kwete kare kare, asi kusvika zvino ndiyo imwe yenzira dzakavimbika dzekusimbisa kuvapo kwe mycobacteria mumuviri. Mukuwedzera, iyi nzira ndeimwe yepamhanyi uye yakarurama kwazvo. Munguva yekudzidza, reagents inokosha inowedzerwa kuropa uye kushamwaridzana kwavo ne mycobacteria yejairo inowanzoonekwa.