Thibelo ea lefuba - rarahaneng ntshetsopeleng ya mehato thibelo lefu

Lefuba Thibelo e kenyeletsa mehato ya ho thibela ho ata ha lefu lena. E arologanyediwa ka paka ya ka sechaba, bophelo bo botle, ente le chemoprophylaxis.

Social thibelo ea lefuba

mofuta ona wa thibelo akarelletsa mehato e sa tšoaneng 'muso ikemiseditse ho ntlafatsa litekanyetso tsa hae tse phelang, ho sireletsa tikoloho, ntshetsopele ya setso' meleng le lipapali.

Malapa a bakuli ba lefuba ba le ntho ea bohlokoa ho tokelo ya ho matlo a, eo ho eona mokuli a e abetswe kamore arohaneng. Phekolo ka sepetlele, litsi tsa bophelo bo botle le dispensaries ke mahala. Nakong ea kalafo, bakuli ba sa tsoa fumanoa hore o tšoeroe ka lefuba le lakane bakeng sa nako ya bokooa likhoeli ho fihlela ho tse leshome.

tsamaiso ea likhoerekhoere

Bohloeki thibelo lefuba o ikemiseditse ho thibela tšoaetso ea batho ba phetseng hantle e tsoang bakuli ba lefu lena. Ho akarelletsa ho le ntlafatso ea tšoaetso foci, bohloeki le ho tsa bongaka ba diphoofolo tlhokomelo le ba bonoa pele ho nako, ho itšehla thajana le kalafo ea bakuli.

Thibelo ke lefuba methapo etsoa fluorographic hlahloba ea baahi kaofela, ho tloha lilemong tse 12 tsa lilemo.

ente

Ente e etsoa thibelo ea lefuba ka bana. O ile a tla ba ho ya masea tsohle, ntle le batho ba nang le contraindications. ente BCG e contraindicated ka maemo a, tse akarelletsang:

- e phahameng mocheso;

- sithabetsang boko ntsa kotsi ha ba beleha;

- boima ba 'mele le qetang ho hlaha ba lik'hilograma tse ka tlaase ho 2;

- haemolytic lefu la ea sa tsoa tsoaloa le;

- pyo-maswe mathata.

Ente o etsoa ka letsatsi 5-7 ka mor'a tsamaiso tsoalo subcutaneous ho boraro e ka holimo ea ka mahetla ea 0,1 di ml ente ea lefuba BCG. E na le attenuated mycobacterium lefuba, eo ba lahlehetsoe ke matla a bona ho etsa hore lefu, empa a sireletsa litsobotsi life tse antigenic. The ente saeteng Ho thehoa ka pustule tse nyenyane, e leng o hlola ka ho ka mora koko la, e leng se bontšang ho atleha ha ente entse.

Maloetseng mora BCG e bolokoa ka lilemo tse supileng. Ka mor'a nako ena ea botjha ente e entseng, e leng e hlokahalang bakeng sa bana bohle bao e seng ba tšoaelitsoeng. Pele revaccination etsa Mantoux teko bakeng sa e batlang tshwaetso lefuba. Positive, Mantoux teko le papule e fetang 20 limilimithara contraindication bakeng botjha ente.

Contraindications bakeng revaccination:

- pele e neng e fetisetsoa lefuba kapa tšoaetso ea;

--positive kapa belaetsang itsoara joang ho Mantoux teko;

- mathata mora BCG;

- mafu alejiki ho sethaleng a hlobaetsang;

- immunodeficiency e re.

chemoprophylaxis

Thibelo ea meriana ea lefuba, ba bitselitsoeng chemoprophylaxis e ne ho hlokahala hore batho bao e ka kopana le bakuli, batho ba nang le nahanela phahameng ho tuberculin le bakuli foromo a sa kopanele tšebeletsong ea lefuba. Bakeng sa morero ona, le isoniazid lithethefatsi sebediswa 0,3 g, habeli ka letsatsi, ka makhetlo a mabeli ka likhoeli tse tharo ka selemo. Ho thibela boipheto ea lefu lena le ho laela isoniazid hammoho le tse ling tse -ba khahlanong le TB lithethefatsi nakong ea selemo le ho oa ka lilemo tse 'ngoe ho tse tharo ka mor'a ho ea tleleniki le radiological netefatso ya hlaphoheloa oa mokuli.

Chemoprophylaxis dumella makhetlo a 'maloa ho fokotsa menyetla ea mekhatlo lefu, o ile a pepesa ho bakuli ba TB.

Latele mehato ena kaofela thibelo TB ho thibela ho ata ha lefu ho lefu lena kotsi a tšoaetsanoang, ho fokotsa kotsi ea matla, a tsamaea le mathata a fapa-fapaneng.