Isikhohlela se-Gram stain

I-sputum Gram stain is a laboratory test esetshenziselwa ukuthola amagciwane kusampula yesikhwehlela. Isikhohlela yilokho okuqhamuka ezindleleni zakho zomoya lapho ukhwehlela ngokujulile.

Indlela ye-Gram stain ingenye yezindlela ezisetshenziswa kakhulu ukukhomba ngokushesha imbangela yokutheleleka kwamagciwane, kufaka phakathi i-pneumonia.

Kudingeka isampula yesikhohlela.

• Uzocelwa ukuthi ukhwehlele ngokujulile bese ukhafula noma iyiphi into evela emaphashini akho (isikhwehlela) esitsheni esikhethekile.
• Ungacelwa ukuthi uphefumulele inkungu yomusi onosawoti. Lokhu kukwenza ukhwehlele ngokujule kakhulu bese ukhiqiza isikhwehlela.
• Uma ungakhiqizi isikhwehlela esanele, ungahle ube nenqubo ebizwa nge-bronchoscopy.
• Ukukhulisa ukunemba, lokhu kuhlolwa kwesinye isikhathi kwenziwa kathathu, kaningi izinsuku ezi-3 zilandelana.

Isampuli ithunyelwa ebhodini. Ilungu leqembu lebhu libeka ungqimba omncane wesampula kwisilayidi sengilazi. Lokhu kubizwa nge-smear. Amabala abekwa kusampula. Ilungu leqembu lebhu libheka isilayidi esinamabala ngaphansi kwesibonakhulu, sihlola amagciwane namaseli amhlophe egazi. Umbala, ubukhulu, nokuma kwamangqamuzana kusiza ekuboneni amabhaktheriya.

Ukuphuza uketshezi ngobusuku obandulela ukuhlolwa kusiza amaphaphu akho akhiqize i-phlegm. Kwenza isivivinyo sinembe kakhudlwana uma kwenziwa into yokuqala ekuseni.

Uma une-bronchoscopy, landela imiyalo yomhlinzeki wakho yokuthi ungayilungiselela kanjani inqubo.

Akukho ukungakhululeki, ngaphandle kokuthi kwenziwe i-bronchoscopy.

Umhlinzeki wakho wezokunakekelwa kwempilo anga-oda lokhu kuhlolwa uma unesifo sokukhwehlela esiphikelelayo noma esinde, noma uma ukhwehlela izinto ezinephunga elibi noma umbala ongajwayelekile. Ukuhlolwa kungenziwa futhi uma unezinye izimpawu nezimpawu zesifo sokuphefumula noma ukutheleleka.

Umphumela ojwayelekile usho ukuthi ambalwa amaseli egazi amhlophe futhi awekho amagciwane abonwe kusampula. Isikhwehlela sicacile, mncane futhi asinaphunga.

Umphumela ongajwayelekile usho ukuthi amabhaktheriya ayabonakala kusampula yokuhlola. Ungaba nokutheleleka ngamagciwane. Kudingeka isiko ukuqinisekisa ukuxilongwa.

Azikho izingozi, ngaphandle uma kwenziwa i-bronchoscopy.

Ibala le-Gram lesikhwehlela

• Ukuhlolwa kwesikhwehlela

IBeavis KG, iCharnot-Katsikas A. Ukuqoqwa kwezinhlobo nokuphathwa kokuthola izifo ezithathelwanayo. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; 2017: isahluko 64.

UTorres A, uMenendez R, uWunderink RG. I-pneumonia yebacteria kanye nethumba lamaphaphu. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 33.