Prevention o mate kohi - whanaketanga matatini o mehua ārai mate

Mate kohi Prevention ngā mehua ki te ārai horapa o te mate. Kei te wehewehea te reira ki pāpori, hauora, werohanga me chemoprophylaxis.

ārai pāpori o kohi

Tenei momo o te ārai tā ngā mehua kāwanatanga e hāngai ana te whakapai ake paerewa ora, tiaki i te taiao, te whanaketanga o te tikanga ā-tinana, me te hākinakina.

E te tika matua ki whare, i roto i nei tohaina te manawanui ko te ruma motuhake hapu o tūroro ki kohi. Maimoatanga i roto i te fare ma'i, pokapū hauora me dispensaries he utu. I roto i te maimoatanga, tūroro hou pāngia ki te mate kohi he whārangi mo te wā o te hauātanga o runga ki te tekau marama.

rerenga parukore

hāngai ārai mate kohi parukore te i ārai i te mate o te takitahi hauora i tūroro ki tenei mate. Kei roto te reira i te whakapai ake o te mate aronga, te tirotiro parukore, me te kararehe, me te kite wawe, wehe me te maimoatanga o te tūroro.

Prevention o mate kohi pūkahukahu kawea whakamātautau fluorographic o te taupori katoa, mai 12 nga tau o te tau.

werohanga

kawea Vaccination te i roto i te ārai o te mate kohi i roto i ngā tamariki. ka waiho ia i raro ki whanau hou katoa, me te haunga o te hunga e whai contraindications. contraindicated kano ārai mate BCG i roto i ngā āhuatanga, e ngā:

- he pāmahana teitei;

- whara roro pāmamae i roto i whakawhanau;

- taimaha o iti iho i te 2 kg hou;

- mate hemolytic o te hou;

- pōauautanga pyo-ero.

whakamana Vaccination te i ra 5-7 i muri i whakahaere whanau subcutaneous ki te tuatoru o runga o te pokohiwi o 0.1 ml o te kano ārai mate BCG kohi. Kei reira attenuated kohi mycobacterium, e kua ngaro ratou kaha ki te meinga te mate, he mea tiaki ia huru maitatai antigenic. i hanga te wāhi i werohia e te pustule iti, e noho tonu i muri i te rumen, e tohu ana i te whai huatanga o kano i hanga.

Papare i muri BCG puritia te hoki e whitu nga tau. I muri i tenei wā o te re-werohanga te mahi, e hiahiatia ana e te mo te katoa tamariki-huaketo kore. I mua i revaccination mahi Mantoux whakamātautau mō te kimi mate kohi mate. Mauritau whakamātautau Mantoux ki papule he neke atu i te 20 mm contraindication mō te re-werohanga.

Contraindications mō te revaccination:

- whakawhitia mua kohi mate ranei;

- pai nanakia ranei tauhohenga ki te whakamātautau Mantoux;

- fifi i muri BCG;

- disorders pāwera i roto i te wā whakapeka;

- āhua ārai.

chemoprophylaxis

Prevention o pharmaceuticals kohi, hiahiatia te karanga a chemoprophylaxis ki tangata e kei roto i te whakapā ki tūroro, ki te iwi ki te tūtohutanga tiketike tuberculin me ngā tūroro i te ahua paruparu o te mate kohi. Hoki tenei whakaaro, whakamahia te isoniazid tarukino 0.3 g rua rā, rua e toru nga marama i roto i te tau. Kia kore ai hohokitanga o te mate whakahau isoniazid i roto i ngā ki ētahi atu tarukino anti-TB i roto i te puna me te hinga hoki tetahi ki te e toru nga tau i muri i te haamauraa haumanu, me te radiological o te ora o te manawanui.

Chemoprophylaxis taea e rave rahi mau taime ki te whakaiti i te tūponotanga o ngā hinonga mate, whai wāhi ki tūroro TB.

Tautukunga ki enei mehua ārai TB katoa ki te ārai i te horapa o te mate ki tenei mate hopuhopu kino, te whakaiti i te mōrea o nui, haere tahi e ngā pōauautanga.