Ukuhlolwa kwe-RPR

I-RPR (i-plasma reagin esheshayo) isivivinyo sokuhlola ugcunsula. Kukala izinto (amaprotheni) abizwa ngama-antibody akhona egazini labantu abangahle babe nalesi sifo.

Kudingeka isampula yegazi.

Akukho ukulungiselela okukhethekile okudingeka njalo.

Lapho inaliti ifakwa ukudonsa igazi, abanye abantu bezwa ubuhlungu obulinganiselayo. Abanye bazizwa beshaywa noma betinyelwa kuphela. Ngemuva kwalokho, kungahle kube nokushaywa okuthile noma ukulinyazeka okuncane. Lokhu maduzane kuyaphela.

Ukuhlolwa kwe-RPR kungasetshenziselwa ukubheka ugcunsula. Isetshenziselwa ukuhlola abantu abanezimpawu zezifo ezithathelwana ngocansi futhi ejwayele ukusetshenziselwa ukuhlola abesifazane abakhulelwe ngalesi sifo.

Ukuhlola kusetshenziselwa nokubona ukuthi ukwelashwa kukagcunsula kusebenza kanjani. Ngemuva kokwelashwa ngama-antibiotic, amazinga ama-syphilis antibodies kufanele awe. Lawa mazinga angabhekwa ngesinye isivivinyo se-RPR. Amazinga angashintshi noma anyukayo angasho ukutheleleka okuqhubekayo.

Ukuhlolwa kufana nokuhlolwa kwesifo se-venereal research laboratory (VDRL).

Umphumela wokuhlolwa ongemuhle uthathwa njengokujwayelekile. Kodwa-ke, umzimba awuhlali ukhiqiza ama-antibody ikakhulukazi ekuphenduleni amagciwane kagonyo, ngakho-ke ukuhlolwa akuhlali kunembile ngaso sonke isikhathi. Izenzo ezingezona zamanga zingavela kubantu abane-syphilis yokuqala- neyokufika sekwephuzile. Ukuhlolwa okuningi kungadingeka ngaphambi kokukhipha ugcunsula.

Umphumela wokuhlolwa okuqondile ungasho ukuthi une-syphilis. Uma ukuhlolwa kokuhlolwa kulungile, isinyathelo esilandelayo ukuqinisekisa ukuxilongwa ngokuhlolwa okuthe xaxa kwe-syphilis, njenge-FTA-ABS. Ukuhlolwa kwe-FTA-ABS kuzosiza ukuhlukanisa phakathi kogcunsula nezinye izifo noma izimo.

Ukuthi ukuhlolwa kwe-RPR kungayibona kahle kanjani i-syphilis kuncike esigabeni sokutheleleka. Ukuhlolwa kubucayi kakhulu (cishe i-100%) phakathi nezigaba eziphakathi zikagcunsula. Akuzweli kakhulu ngesikhathi sokuqala nangemva kwesikhathi sokutheleleka.

Ezinye izimo zingadala ukuhlolwa kokungamanga, kufaka phakathi:

• Ukusetshenziswa kwezidakamizwa ze-IV
• Isifo seLyme
• Izinhlobo ezithile ze-pneumonia
• Umalaleveva
• Ukukhulelwa
• I-systemic lupus erythematosus nezinye izifo ezenzakalelayo
• Isifo Sofuba (TB)

Kunengozi encane ethintekayo ekuthatheni igazi lakho. Imithambo nemithambo yegazi kuyahluka ngosayizi komunye umuntu kuya kolunye uhlangothi lomzimba kuya kolunye. Ukuthatha igazi kwabanye abantu kungaba nzima kakhulu ukwedlula kwabanye.

Ezinye izingozi ezihambisana nokudonswa igazi zincane, kepha zingafaka:

• Ukopha ngokweqile
• Ukuquleka noma uzizwe unekhanda elincane
• Ukubhoboza okuningi ukuthola imithambo
• I-hematoma (ukuqoqwa kwegazi ngaphansi kwesikhumba)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)

Ukuhlolwa okusheshayo kwe-plasma reagin; Isivivinyo sokuhlola ugcunsula

• Ukuhlolwa kwegazi

URadolf JD, iTramont EC, uSalazar JC. Ugcunsula (I-Treponema pallidum). Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 237.

I-US Preventive Services Task Force (USPSTF); IBibbins-Domingo K, Grossman DC, et al. Ukuhlolwa kokutheleleka kukagcunsula kubantu abadala nabangakhulelwe: Isitatimende sezincomo se-US Preventive Services Task Force. JAMA. 2016; 315 (21): 2321-2327. I-PMID: 27272583 www.ncbi.nlm.nih.gov/pubmed/27272583.