Ibala le-Gram lesilonda sesikhumba

Ibala le-Gram lesilonda sesikhumba ukuhlolwa kwelebhu okusebenzisa amabala akhethekile ukuthola nokukhomba amabhaktheriya kusampula kusuka esikhunjeni sesikhumba. Indlela ye-Gram stain ingenye yezindlela ezisetshenziswa kakhulu ukuthola ngokushesha ukutheleleka kwamagciwane.

Umhlinzeki wakho wokunakekelwa kwezempilo uzosusa isampula lezicubu esikhunjeni sesikhumba. Le nqubo ibizwa ngokuthi i-lesion biopsy. Ngaphambi kwe-biopsy, umhlinzeki wakho uzobamba indawo yesikhumba ukuze ungazizwa lutho.

Isampuli ithunyelwa elabhorethri. Lapho, isetshenziswa ungqimba oluncane kakhulu kusilayidi sengilazi. Uchungechunge lwamabala ahlukahlukene anemibala lufakwa kusampula. Isilayidi esinamabala sihlolwa ngaphansi kwesibonakhulu ukuze sihlole amagciwane. Umbala, ubukhulu, ukwakheka nokuhleleka kwamaseli kusiza ekuboneni igciwane elibanga ukutheleleka.

Akukho ukulungiselela okudingekayo ekuhlolweni kwe-laboratory. Tshela umhlinzeki wakho uma unomlando wezinkinga zokopha ngoba ungopha kancane ngesikhathi se-biopsy.

Kuzoba khona udosi lapho kunikezwa umuthi wokubulala izinzwa. Kufanele uzwe kuphela ingcindezi noma ukungakhululeki okufana ne-pinprick ngesikhathi se-biopsy.

Umhlinzeki wakho anga-oda lokhu kuhlolwa uma unezimpawu zesifo sesikhumba esinegciwane. Ukuhlolwa kwenziwa ukuthola ukuthi imaphi amabhaktheriya abangele ukutheleleka.

Ukuhlolwa kujwayelekile uma kungekho magciwane atholakala.

Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma avivinye amasampula ahlukile. Khuluma nodokotela wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa. Olunye uvivinyo lungenziwa ukusiza ukuthola inkinga.

Umphumela ongajwayelekile usho ukuthi amagciwane atholakale esikhunjeni sesikhumba. Ukuhlolwa okwengeziwe kuyadingeka ukuqinisekisa imiphumela. Lokhu kuvumela umhlinzeki wakho ukuthi anikeze i-antibiotic efanele noma enye indlela yokwelashwa.

Izingozi ze-biopsy yesikhumba zingafaka:

• Ukutheleleka
• Isibazi

Uzopha kancane ngesikhathi senqubo.

Isiko lesikhumba noma le-mucosal lingenziwa kanye nalesi sivivinyo. Ezinye izifundo zivame ukwenziwa kusampula yesikhumba ukuthola ukuthi umdlavuza ukhona yini.

Izilonda zesikhumba segciwane, njenge-herpes simplex, zihlolwa ngezinye izivivinyo noma isiko legciwane.

Isikhumba lesilonda seGram lesikhumba

• Isiko lesilonda segciwane

IHabif TP. Ukutheleleka kwamagciwane. Ku: Habif TP, ed. I-Clinical Dermatology: Umhlahlandlela Wombala Wokuxilongwa Nokwelapha. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2016: isahluko 9.

IHholo GS, iWoods GL. I-bacteriology yezokwelapha. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; 2017: isahluko 58.