Tuberculosis and children infect key _'s general knowledge
Tuberculosis is caused by tuberculosis fungus, once tuberculosis fungus is sucked and can cause and infect by children, form inflammation in the lung and have illness coming on in the cooking stove originally at first, then the enlargement of lymph nodes in the chest, further the intersection of tuberculosis and fungus produce the blood to walk and sow scatteredly through the lymph, blood circulatory system, meanwhile the human body can produce the specific resistance to the tuberculosis fungus gradually, most tuberculosis funguses in most children body are eliminated by resistance, have illness coming on originally the cooking stove heals gradually, blood competent to sow scattered to control, leave a few latent focus only, infect in the metasoma hiding focal a small amount of the intersection of tuberculosis and fungus, can exist for a long time too, when resistance is low in any period in all one's life, latent the intersection of tuberculosis and fungus can grow, breed but for taking place tuberculosis continuously of adult progress, become the new infection source of tuberculosis, cause new spread. In send, infect a few bad infecting serious children, can take place and send tuberculosis clinically originally resistance in the course originally, acute competent to sow scattered tuberculosis and tuberculosis blood meningitis serious disease jeopardize the intersection of children and health and life, so protect children from being infected by the tuberculosis fungus, its important meaning gets rid of and prevents children's tuberculosis, it is healthy outside to protect children, control the prevailing important key to tuberculosis fundamentally at the same time.
The infection source that children's tuberculosis infects often comes from the positive adult pulmonary tuberculosis patient of the phlegm slide, , for kinsfolks, if children's mother suffers from the phlegm slide positive pulmonary tuberculosis in majority, it is dangerous that this child has the height infected, because the contact among mother and baby is very close, and to it defends functions with resistance to be relatively bad children, if one rows of the intersection of fungus and the intersection of pulmonary tuberculosis and mother hold, cry and scream Infant and pre-school children,cough and squirt mother by a large number of vigorously to be with tuberculosis fungus droplets core, it is very easy to be suck by infant and pre-school children, infect the danger bigger. The most children infected by the tuberculosis fungus do not develop into tuberculosis, to these healthy children without symptom, it is that the tuberculosis fungus is tested to confirm the only evidence already infected by the tuberculosis fungus positively, infected with tuberculosis fungus children and produced high sensitiveness to tuberculin, it is measured and injects the skin of position to harden the diameter to judge the power reflected in 72 hours that poured into tuberculin inside by the cover, inoculate different situations of Bacillus Calmette-Guerin determine, infect natural the intersection of tuberculosis and fungus already according to children this. The masculine gender of tuberculin test can not be used for weighing the resistance of the body, can't brief on range and intensity that have tuberculosis or tuberculosis either, just indicate the body has been infected with the tuberculosis fungus.
Have natural inborn resistance to the tuberculosis fungus because of the mankind, so although most children are infected by the tuberculosis fungus, but not developed into clinical tuberculosis, but there is a few bad resistance too, infect serious children to develop into tuberculosis. Children's tuberculosis usually accounts for all 5%~15% which combine the disease, the children under the age of 5 are mostly the baby under the age of 2, because the system of defence is unripe in development, the resistance produced is not strong, can sow scattered tuberculosis, tuberculosis meningitis all over, if can't diagnose, treat, can jeopardize the life in time. Because less because of suffering from tuberculosis and children's cough, expectoration symptom, it is difficult to obtain the diagnosis basis of bacteriology, in addition sensitiveness and reactivity to the tuberculosis fungus are high, pathological change can not behave typically, often have occuring frequently serous coat inflammation, arthritis, bubble rash conjunctivitis, nodular erythema,etc. anaphylactic manifestation and strong positive reaction of tuberculin test, at the same time should pay attention to, infect the intersection of contact and history and the intersection of development and bad, the intersection of weight and the intersection of person who lighten and symptom of source especially, children if tuberculosis can find treat while being regular while being rational in time, the result is very fine in early days.
Tuberculosis controls and focuses on prevention for children, the more important thing is to protect children against the infecting of tuberculosis fungus, has already found in time and cured and infected the source completely, patient's overwhelming majority of positive pulmonary tuberculosis of phlegm slide has symptom at various degrees, if cough, expectoration, spits blood, low-heat, weak and night sweating etc., should go to a doctor in time, the doctor needs to have high-level vigilance to carry on the inspection in time to tuberculosis, once make a definite diagnosis of pulmonary tuberculosis or suspect pulmonary tuberculosis should transfer to the tuberculosis prophylactico-therapeutic institution and treat management until fully recovering. Need to carry on the tuberculin test inspection in infecting the person who contacts children in the source family, if strong positive reaction want, make the intersection of chest and X-ray,etc., check further, have clinical tuberculosis focuses to understand, find clinical tuberculosis should offer prophylactic treatment, so as to the chance of tuberculosis takes place after the reduction, should often ventilate in the family, the patient should form the good hygienic habit, should seal the mouth with the handkerchief if coughing, No Spitting,etc..
If find tuberculosis patients of children, its kinsfolks should do the preventative physical examination, find tuberculosis infects the source, prevent continuing passing to other children in the family in time.
The neonate inoculates Bacillus Calmette-Guerin, can improve children's resistance to tuberculosis, reduce whole body blood competent to sow getting scattered tuberculosis and tuberculosis emergence of meningitis, but because Bacillus Calmette-Guerin protects strength it is not strong enough, can't totally prevent the occurrence of tuberculosis yet. Bacillus Calmette-Guerin needn't generally carry on multiple cropping after a kind of success at the beginning.
Life laws of children, equilibrate the rational meal, appropriate outdoor sports, help to strengthen the resistance to tuberculosis.
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