Amabala ahlangene we-Gram fluid

I-joint fluid Gram stain is a test laboratory ukukhomba amagciwane kusampula yoketshezi oluhlangene kusetshenziswa uchungechunge olukhethekile lwamabala (imibala). Indlela ye-Gram stain ingenye yezindlela ezisetshenziswa kakhulu ukukhomba ngokushesha imbangela yokutheleleka kwamagciwane.

Kudingeka isampula yoketshezi oluhlangene. Lokhu kungenziwa ehhovisi lomhlinzeki wezokunakekelwa kwempilo usebenzisa inaliti, noma ngesikhathi senqubo yegumbi lokusebenza. Ukususa isampula kubizwa ngokuthi ukufezekisa uketshezi oluhlangene.

Isampula loketshezi lithunyelwa ebhodini lapho ithonsi elincane lisakazeka kusendlalelo elincanyana kakhulu kusilayidi semakhroskophu. Lokhu kubizwa nge-smear. Kusetshenziswa amabala ahlukahlukene anemibala kusampula. Abasebenzi belebhuthi bazobheka i-smear enamabala ngaphansi kwesibonakhulu ukubona ukuthi awekho yini amabhaktheriya. Umbala, ubukhulu, nokuma kwamangqamuzana kusiza ekuboneni amabhaktheriya.

Umhlinzeki wakho uzokutshela ukuthi ungayilungiselela kanjani inqubo. Akukho ukulungiselela okukhethekile okudingekayo. Kodwa, tshela umhlinzeki wakho uma uthatha igazi elincanyana, njenge-aspirin, i-warfarin (i-Coumadin) noma i-clopidogrel (i-Plavix). Le mithi ingathinta imiphumela yokuhlolwa noma ikhono lakho lokuhlola.

Kwesinye isikhathi, umhlinzeki uzoqala ngokujova umuthi onamafutha esikhunjeni ngenaliti encane, ezoluma. Kusetshenziswa inaliti enkulu ukukhipha uketshezi lwe-synovial.

Lokhu kuhlolwa kungadala ukungaphatheki kahle uma ichopho lenaliti lithinta ithambo. Inqubo ivame ukuhlala ngaphansi kwemizuzu engu-1 kuya kwemibili.

Ukuhlolwa kwenziwa lapho kunokuvuvukala okungachazeki, ubuhlungu bamalunga, nokuvuvukala kwejoyinti, noma ukuhlola ukutheleleka okuhlangene okusolwayo.

Umphumela ojwayelekile usho ukuthi awekho amabhaktheriya ku-Gram stain.

Imiphumela engajwayelekile isho ukuthi amabhaktheriya abonwe endaweni ye-Gram. Lokhu kungaba uphawu lokutheleleka ngokuhlanganyela, isibonelo, i-gonococcal arthritis noma i-arthritis ngenxa yamagciwane abizwa I-Staphylococcus aureus.

Izingozi zalesi sivivinyo zifaka:

• Ukutheleleka kokujoyina - okungavamile, kepha okuvame kakhulu ngezifiso eziphindaphindwayo
• Ukopha esikhaleni esihlangene

Ibala le-Gram loketshezi oluhlangene

U-El-Gabalawy HS. Ukuhlaziywa kwe-Synovial fluid, synovial biopsy, kanye ne-synovial pathology. Ku: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, abahleli. Incwadi kaKelly noFirestein yeRheumatology. Umhlaka 10. IPhiladelphia, PA: Elsevier; I-2017: isahluko 53.

IKarcher DS, iMcPherson RA. I-Cerebrospinal, synovial, uketshezi lomzimba we-serous, nezinye izinhlobo. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. 23d ed. ISt Louis, MO: Elsevier; 2017: isahluko 29.