I-Pericardial fluid Gram ibala

I-Pericardial fluid Gram stain iyindlela yokwehlisa isampula loketshezi oluthathwe ku-pericardium. Lesi yisaka elizungeze inhliziyo ukuxilonga ukutheleleka ngegciwane. Indlela ye-Gram stain ingenye yezindlela ezisetshenziswa kakhulu ukukhomba ngokushesha imbangela yokutheleleka kwamagciwane.

Isampula loketshezi lizothathwa ku-pericardium. Lokhu kwenziwa ngenqubo ebizwa nge-pericardiocentesis. Ngaphambi kokuba lokhu kwenziwe, ungaba nokuqapha kwenhliziyo ukuhlola izinkinga zenhliziyo. Amachashaza abizwa ngama-electrode afakwa esifubeni, afana nangesikhathi se-electrocardiogram (ECG). Uzoba ne-x-ray yesifuba noma i-ultrasound ngaphambi kokuhlolwa.

Isikhumba sesifuba sihlanzwa ngensipho elwa namagciwane. Udokotela ube esefaka inaliti encane esifubeni phakathi kwezimbambo naku-pericardium. Kukhishwa inani elincane loketshezi.

Ungaba ne-ECG nesifuba x-ray ngemuva kwenqubo. Kwesinye isikhathi, uketshezi lwe-pericardial luthathwa ngesikhathi sokuhlinzwa kwenhliziyo okuvulekile.

Iconsi loketshezi lwe-pericardial lisatshalaliswa ungqimba oluncane kakhulu kusilayidi semicroscope. Lokhu kubizwa nge-smear. Uchungechunge lwamabala akhethekile lusetshenziswa kusampula. Lokhu kubizwa ngokuthi ibala le-Gram. Uchwepheshe waselabhoratri ubheka isilayidi esinamabala ngaphansi kwesibonakhulu, ehlola amagciwane.

Umbala, ubukhulu, nokuma kwamaseli kusiza ekuboneni amabhaktheriya, uma akhona.

Uzocelwa ukuthi ungadli noma uphuze noma yini amahora ambalwa ngaphambi kokuhlolwa. I-x-ray yesifuba noma i-ultrasound ingenziwa ngaphambi kokuhlolwa ukukhomba indawo yokuqoqwa kuketshezi.

Uzozwa ingcindezi nobunye ubuhlungu njengoba inaliti ifakwa esifubeni nalapho kukhishwa uketshezi. Umhlinzeki wakho wezokunakekelwa kwempilo cishe uzokunika umuthi wezinhlungu ukuze inqubo ingakhululeki kakhulu.

Umhlinzeki wakho anga-oda lokhu kuhlolwa uma unezimpawu zokutheleleka kwenhliziyo (i-myocarditis) noma i-pericardial effusion (i-fluid buildup ye-pericardium) enembangela engaziwa.

Umphumela ojwayelekile usho ukuthi awekho amagciwane abonakalayo kusampula elinamanzi.

Uma amabhaktheriya akhona, ungahle ube nokutheleleka kwe-pericardium noma inhliziyo. Ukuhlolwa kwegazi kanye nesiko lamagciwane kungasiza ekuboneni umzimba othize obangela ukutheleleka.

Izinkinga azivamile kepha zingafaka:

• Ukubhoboza inhliziyo noma amaphaphu
• Ukutheleleka

Ibala le-Gram loketshezi lwe-pericardial

• Ibala le-Pericardial fluid

IChernecky CC, iBerger BJ. I-Pericardiocentesis - ukuxilonga. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2013: 864-866.

I-LeWinter MM, izifo ze-Imazio M. Pericardial. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 83.