Kune nzira dzakasiyana-siyana dzekuziva chirwere chetachiona - Mantoux test, muedzo wePirke's reaction, sputum analysis nevamwe. Tuberculosis yemapapu inonyanya kuongororwa pamusana pe fluorography. Zvinosuruvarisa, dzakawanda zvezviedzo izvi zvinowanzopa mhinduro dzakashata uye dzisina kururama, dzinoda humwe husimbiso. Ndicho chikonzero kuongororwa ropa kwechirwere ichi kuchiwana mukududzirwa - iyi nzira ine mikana yakaderera yekukanganisa.
Ndezvipi zvakarurama kuongororwa kweropa kwepammonic tuberculosis?
Kana iwe uchida kuziva kuti kuongororwa kupi kweropa kunogona kubatsira kwechirwere chetachiona, zvinogona kuve zvichitaura zvakasimba kuti zvose zvinomanikidzwa ma laboratory test zvichabatsira mune imwe nzvimbo. Rega kuongororwa kweropa kusakundikana kuona kuvepo kweBacillus Koch, kana imwe mycobacteria inokonzera tuberculosis, inobatsira kutarisa utano hwehutano hwomurwere. Kunyanya zvakanaka rinoratidza kukwanisa kwekudzivirirwa kwekudzivirira zvirwere. Kuchinja kwekutsvaga ropa muchifuvachi kunonyanya kukanganisa maitiro eukocyte uye sedimentation rate ye erythrocytes, ESR. Kana zvikwangwani zvikaonekwa kune chiremba achifungira, achapa zvimwe zvidzidzo, zvakadai se:
- sputum analysis;
- bronchoscopy ;
- fluorography ;
- tuberculin tests.
Kuongorora kwekupedzisira hakugoni kuonekwa sekubudirira kana munhu atopiwa chirongwa che BCG. Ndicho chikonzero kuongororwa kwechirwere chetachiona chiri kuwedzera kushandiswa kuongorora ropa, iyo inoratidzira antibodies ku mycobacteria yerubhaibheri, MBT. Pakazara, mhando dzakawanda dzekutsvakurudza dzinoshandiswa:
- chiyero che quinthyferon chechifuba;
- enzyme immunoassay;
- T-SPOT muedzo;
- polymerase chain reaction.
Batsiro reropa rinonzi tuberculosis kuongororwa nekuongorora ropa
Zita rega yega yega kuongororwa ropa nokuda kwechirwere chetachiona chinoratidza zvakajeka chekudzidza. Chiyero chequantified chinovakirwa pakuonekwa kwee interferon kuita muropa riri muropa, kureva kuti, rinotarisa ma antibodies. Ichi chidzidzo chakarurama chaizvo, asi hachigone kushandiswa kuziva kana mapfupa, mapapu, kana dzimwe nhengo dzakagadzirirwa.
Kuongorora kweMasunoenzymatic kunoratidzawo muropa re antigen antibodies, enzymes inokonzerwa nekuita kwekuzvidzivirira. Mukufananidzira, chidzidzo chinoratidza chiyero chemalekemu akasiyana-siyana uye nehupamhi-huwandu hwechikamu cheropa, izvo zvinoita kuti kugadziriswa kwekupedzisira kuongororwa.
Muedzo weT-SPOT wakakurumidza uye unoshanda. Kuongorora kunobva pakuverengwa kwemasero eT muropa. Aya masero anonyatsoshandiswa ne antigen kusvika ku MBT. Chiyero chinobvumira kuzarura mafomu maviri akazaruka uye akavharwa echirwere, iyo yakanyatsonaka ne 95%.
Polymerase chain reaction, kana PCR, inonzi hypersenitive experimental technique inobva pakuongorora zvimwe zvikamu zveDNA muropa. Ichi chidzidzo chakaoma, asi kururama kwayo ndicho chikuru.
Heano maitiro makuru ekucherechedza tuberculosis kubva mukuongorora ropa:
- kukwanisa kuverenga chero rudzi rwechirwere mumaawa mashoma;
- hapana chikonzero chekuongorora zvakare;
- kunonoka kwezvakananga zvenhema uye zvakaipa zvenhema;
- kukwirira kwakakwirira kwechidzidzo.