Ama-coccidioides we-CSF ahambisana nokuhlolwa kokulungiswa

I-CSF coccidioides complement fixation isivivinyo esihlola ukutheleleka ngenxa ye-fungus coccidioides ku-cerebrospinal (CSF) fluid. Lona uketshezi oluzungeze ubuchopho nomgogodla. Igama lalesi sifo yi-coccidioidomycosis, noma i-valley fever. Lapho ukutheleleka kubandakanya ukumbozwa kobuchopho nomgogodla (ama-meninges), kubizwa ngokuthi yi-coccidioidal meningitis.

Isampula loketshezi lomgogodla liyadingeka kulolu vivinyo. Isampula ivame ukutholwa nge-lumbar puncture (umpompi womgogodla).

Isampuli ithunyelwa elabhorethri. Lapho, kuhlolwe ama-antibodies e-coccidioides kusetshenziswa indlela ye-laboratory ebizwa ngokuthi yi-complement fixation. Le nqubo ihlola ukuthi ngabe umzimba wakho ukhiqize izinto ezibizwa ngama-antibody entweni ethile yangaphandle (i-antigen), kulokhu i-coccidioides.

Ama-antibody amaprotheni akhethekile avikela umzimba wakho kuma-bacterium, amagciwane, nesikhunta. Uma ama-antibody akhona, anamathela, noma "azilungise" ngokwawo, ku-antigen. Kungakho ukuhlolwa kubizwa ngokuthi "ukulungiswa."

Landela imiyalo yomhlinzeki wakho wezokunakekelwa kwempilo yokuthi ungakulungiselela kanjani ukuhlolwa. Lindela ukuba sesibhedlela amahora amaningana ngemuva kwalokho.

Ngesikhathi sokuhlolwa:

• Ulala ngohlangothi ngamadolo adonswe abheke esifubeni sakho futhi isilevu sibheke phansi. Noma, uhlala phansi, kepha ugobile phambili.
• Ngemuva kokuhlanzwa komhlane wakho, udokotela ufaka umuthi wendawo oyindikindiki (izinzwa) emgogodleni wakho ongezansi.
• Kufakwa inaliti yomgogodla, imvamisa ungene endaweni engemuva engezansi.
• Lapho inaliti ibekwe kahle, ingcindezi ye-CSF iyalinganiswa bese kuqoqwa isampula.
• Inaliti iyasuswa, indawo iyahlanzwa, kubekwe nebhandishi ngaphezu kwendawo yesinaliti.
• Uyiswa endaweni yokutakula lapho uphumula khona amahora amaningi ukuvimbela noma yikuphi ukuvuza kwe-CSF.

Lokhu kuhlolwa kubheka ukuthi ngabe isimiso sakho sezinzwa esiyinhloko sinesifo esisebenzayo esivela kuma-coccidioides.

Ukungabikho kwefungus (isivivinyo esibi) kuyinto ejwayelekile.

Uma isivivinyo sikhombisa ukhunta, kungahle kube nokutheleleka okusebenzayo ohlelweni lwezinzwa oluphakathi.

Ukuhlolwa okungajwayelekile komgogodla kusho ukuthi uhlelo oluphakathi lwezinzwa luthelelekile. Ngesikhathi sokuqala kokugula, ambalwa ama-antibodies angatholakala. Ukukhiqizwa kwama-antibody kuyanda ngesikhathi sokutheleleka. Ngalesi sizathu, lokhu kuhlolwa kungaphindwa emasontweni ambalwa ngemuva kokuhlolwa kokuqala.

Izingozi zokubhoboza i-lumbar zifaka:

• Ukopha emgodini womgogodla
• Ukungakhululeki ngesikhathi sokuhlolwa
• Ubuhlungu bekhanda ngemuva kokuhlolwa
• Impendulo ye-Hypersensitivity (allergen) ku-anesthetic
• Ukutheleleka okwethulwa yinaliti edlula esikhunjeni
• Ukulimala kwezinzwa ezisentanjeni yomgogodla, ikakhulukazi uma umuntu ehamba ngesikhathi sokuhlolwa
  

Ukuhlolwa kwamagciwane e-coccidioides - uketshezi lomgogodla

IChernecky CC, iBerger BJ. AmaCoccidioides i-serology - igazi noma i-CSF. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2013: 353.

UGalgiani JN. ICoccidioidomycosis (AmaCoccidioides izinhlobo). Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases, uHlelo Olubuyekeziwe. Umhlaka 8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 267.