Ukuhlolwa kwe-ASLO: yazi ukuthi yenzelwe ini

-Delile

• Yenzelwe ini
• Kwenziwa kanjani

Isivivinyo se-ASLO, esibizwa nangokuthi i-ASO, i-AEO noma i-anti-streptolysin O, ihlose ukukhomba ubukhona be-toxin ekhishwe yigciwane IStreptococcus pyogenes, i-streptolysin O. Uma ukutheleleka ngaleli gciwane kungatholakali futhi kwelashwe ngama-antibiotic, umuntu angaqala ukuba nezinkinga ezithile, njenge-glomerulonephritis ne-rheumatic fever, isibonelo.

Uphawu olukhulu lokutheleleka ngaleli gciwane ngumphimbo obuhlungu owenzeka ngaphezu kwezikhathi ezintathu ngonyaka futhi okuthatha isikhathi ukuxazulula. Ngaphezu kwalokho, uma kunezinye izimpawu ezifana nokuphelelwa umoya, ubuhlungu besifuba noma ubuhlungu bamalunga nokuvuvukala, kubalulekile ukufuna usizo lwezempilo, ngoba kungaba yinkinga yomkhuhlane wamathambo. Yazi ukuthi yini i-rheumatism egazini.

Ukuhlolwa kufanele kwenziwe esiswini esingenalutho amahora amane kuya kwangu-8, kuya ngesincomo sikadokotela noma elebhu, futhi umphumela uvame ukukhishwa ngemuva kwamahora angama-24.

Yenzelwe ini

Udokotela uvame ukuyala ukuhlolwa kwe-ASLO lapho umuntu eneziqephu ezivame kakhulu zomphimbo obuhlungu ngaphezu kwezimpawu ezingakhombisa umkhuhlane we-rheumatic, njenge:

• Imfiva;
• Khwehlela;
• Ukuphefumula okufishane;
• Ubuhlungu obuhlangene nokuvuvukala;
• Ukuba khona kwamaqhuqhuva ngaphansi kwesikhumba;
• Ubukhona bamabala abomvu esikhunjeni;
• Ubuhlungu besifuba.

Ngakho-ke, ngokuya ngokuhlaziywa kwezimpawu nomphumela wokuhlolwa, udokotela uzokwazi ukuqinisekisa ukuxilongwa kwe-rheumatic fever, ngokwesibonelo, okubonakala ngokuhlushwa okuphezulu kwe-anti-streptolysin O egazini. Qonda ukuthi ungayihlonza kanjani futhi uyiphathe kanjani i-rheumatic fever.

IStreptolysin O ubuthi obukhiqizwa yigciwane elifana ne-streptococcus, the IStreptococcus pyogenes, okuthi uma kungakhonjwa noma kwelashwe ngama-antibiotics, kungadala i-rheumatic fever, i-glomerulonephritis, i-scarlet fever ne-tonsillitis, ngokwesibonelo. Ngakho-ke, izindlela eziyinhloko zokuxilonga ukutheleleka ngaleli gciwane zivela ekuhlonzweni kwalesi sifo ngokuthola amasosha omzimba akhiqizwa ngumzimba olwa negciwane, okuyi-anti-streptolysin O.

Yize imiphumela emihle iyisici sokutheleleka ngo- IStreptococcus pyogenes, akubona bonke abantu ababa nezimpawu ze-rheumatic fever, i-glomerulonephritis noma i-tonsillitis, ngokwesibonelo, noma kunjalo kumele babhekwe ngudokotela, benze ukuhlolwa kwegazi ngezikhathi ezithile nokuhlolwa kwenhliziyo. Bona ukuthi iziphi izivivinyo eziceliwe ukuhlola inhliziyo.

Kwenziwa kanjani

Ukuhlolwa kwe-ASLO kufanele kwenziwe esiswini esingenalutho amahora ama-4 kuya kwayi-8, ngokwesincomo sezokwelapha noma selabhoratri futhi kwenziwa ngokuqoqa isampula yegazi ethunyelwa elabhorethri ukuze liyoyihlaziya. Elabhorethri, kwenziwa ukuhlolwa ukuthola ubukhona be-anti-streptolysin O egazini, okwenziwa ngokufaka u-20µL we-reagent, obizwa nge-Latex ASO, ku-20µL wesampula lesiguli kupuleti elingemuva elimnyama. Ngemuva kwalokho, i-homogenization yenziwa imizuzu emi-2 bese izinhlayiya zihlolisiswa ukuthi azihlanganisi yini epuletini.

Umphumela kuthiwa awubi uma ukugxilwa kwe-anti-streptolysin O kulingana noma ngaphansi kuka-200 IU / mL, kodwa lo mphumela ungahluka ngokuya kwelabhorethri lapho kwenziwa khona ukuhlolwa nobudala bomuntu. Uma kutholakala i-agglutination, umphumela kuthiwa muhle, futhi kuyadingeka ukwenza ukuxuba okulandelanayo ukubheka ukugxila kwe-anti-streptolysin O egazini. Kulokhu, udokotela angacela ukuhlolwa okusha ngemuva kwezinsuku eziyi-10 kuya kwezingu-15 ukubheka ukuthi ingabe ukuminyana kwe-anti-streptolysin kuyancipha egazini, kuhlala kunjalo noma kuyanda, futhi ngaleyo ndlela abheke ukuthi ukutheleleka kuyasebenza noma cha.

Ngaphezu kokuhlolwa kwe-ASLO, udokotela angacela isiko le-microbiological lezinto ezivela emphinjeni, njengoba kuyindawo lapho amabhaktheriya ejwayele ukuba khona, ukuthola ngqo ukutholakala kwamagciwane IStreptococcus pyogenes.