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Liyini iphaneli yamagciwane okuphefumula (RP)?

Iphaneli lamagciwane okuphefumula (i-RP) lihlola amagciwane asendleleni yokuphefumula. I-pathogen yigciwane, ibhaktheriya, noma esinye isidalwa esidala ukugula. Umgudu wakho wokuphefumula wenziwa izingxenye zomzimba ezibandakanyeka ekuphefumuleni. Lokhu kufaka amaphaphu akho, ikhala, nomphimbo.

Kunezinhlobo eziningi zamagciwane nama-bacterium angatheleleka ngomgudu wokuphefumula. Izimpawu zivame ukufana, kepha ukwelashwa kungahluka kakhulu. Ngakho-ke kubalulekile ukwenza ukuxilongwa okulungile. Olunye uvivinyo lwegciwane kanye namagciwane lwezifo zokuphefumula luvame ukukhawulelwa ekuhloleni i-pathogen eyodwa. Kungadingeka amasampula amaningana. Inqubo ingaba nzima futhi idle isikhathi.

Iphaneli le-RP lidinga kuphela isampula elilodwa ukusebenzisa izivivinyo ezinhlobonhlobo zamagciwane namagciwane. Imiphumela ivamise ukufika emahoreni ambalwa. Imiphumela evela kwezinye izinhlobo zokuhlolwa kokuphefumula ingathatha izinsuku ezimbalwa. Imiphumela esheshayo ingakuvumela ukuthi uqale ekuqaleni ngemithi efanele.


Amanye amagama: Iphaneli ye-RP, iphrofayli yegciwane lokuphefumula, iphaneli ye-syndromic multiplex

Kusetshenziselwa ini?

Iphaneli yamagciwane okuphefumula isetshenziselwa ukusiza ukuxilonga:

Ukutheleleka ngegciwane, njenge:

  • Umkhuhlane
  • Umkhuhlane ovamile
  • Igciwane le-syncytial yokuphefumula (i-RSV). Lokhu ukutheleleka okuphefumulayo okuvamile futhi okuvame ukuba mnene. Kodwa kungaba yingozi ezinganeni nasebekhulile.
  • Ukutheleleka kwe-Adenovirus. Ama-adenovirus abanga izinhlobo eziningi zezifo. Lokhu kufaka phakathi i-pneumonia ne-croup, ukutheleleka okubanga ukuhhahla, ukukhwehlela ukukhwehlela.

Ukutheleleka kwamagciwane, njenge:

  • Ukukhohlela okubi
  • I-pneumonia yebhaktheriya

Kungani ngidinga iphaneli yamagciwane okuphefumula?

Ungadinga lokhu kuhlolwa uma unezimpawu zesifo sokuphefumula futhi usengozini yezinkinga. Izifo eziningi zokuphefumula zidala izimpawu ezilinganiselayo kuya kokulingene. Kepha ukutheleleka kungaba kubi noma kusongele nokuphila ezinganeni ezincane, asebekhulile, nakubantu abanamasosha omzimba abuthakathaka.


Izimpawu zesifo sokuphefumula zifaka:

  • Ukukhwehlela
  • Ukuphefumula kanzima
  • Umphimbo obuhlungu
  • Impumu eminyene noma egijimayo
  • Ukukhathala
  • Ukuphelelwa isifiso sokudla
  • Imfiva

Kwenzekani ngesikhathi sephaneli yamagciwane okuphefumula?

Kunezindlela ezimbili umhlinzeki angathatha ngazo isampula ukuze zihlolwe:

I-swab ye-Nasopharyngeal:

  • Uzobuyisela ikhanda lakho emuva.
  • Umhlinzeki wakho wezokunakekelwa kwempilo uzofaka i-swab emakhaleni akho ize ifinyelele engxenyeni engenhla yomphimbo wakho.
  • Umhlinzeki wakho uzoshintshanisa i-swab futhi ayisuse.

I-aspirate yamakhala:

  • Umhlinzeki wakho uzofaka isisombululo sikasawoti emakhaleni akho, bese esusa isampula ngokumunca okuncane.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Awudingi noma yimaphi amalungiselelo akhethekile ephaneli lamagciwane okuphefumula.

Ingabe zikhona izingozi esivivinyweni?

Ukuhlolwa kwe-swab kungahle kukitaze umphimbo wakho noma kukwenze ukhwehlele. I-aspirate ekhaleni ingase ingakhululeki. Le miphumela ingeyesikhashana.


Isho ukuthini imiphumela?

Umphumela ongemuhle ungasho ukuthi izimpawu zakho zibangelwe yi-pathogen engafakwanga kuphaneli lezivivinyo. Kungasho futhi ukuthi unesimo esingabangelwa yigciwane noma amagciwane.

Umphumela omuhle usho ukuthi i-pathogen ethile itholakele. Kukutshela ukuthi hlobo luni lokutheleleka onalo. Uma izingxenye ezingaphezu kweyodwa zephaneli bezilungile, kusho ukuthi ungatheleleka ngamagciwane angaphezu kwelilodwa. Lokhu kwaziwa njenge-co-infection.

Ngokuya ngemiphumela yakho, umhlinzeki wakho uzoncoma ukwelashwa kanye / noma uku-oda ezinye izivivinyo. Lokhu kungafaka isiko lamagciwane, ukuhlolwa kwegazi ngegciwane, kanye nebala le-Gram. Ukuhlolwa kungasiza ukuqinisekisa ukuxilongwa kwakho nokuqondiswa kokwelashwa.

Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Izinkomba

  1. I-Clinical Lab Manger [i-Intanethi]. IMenenja Yezokwelapha Yezokwelapha; c2020. Ukubhekisisa ama-Multiplex Panels for Respiratory, Gastrointestinal, and Blood Pathogens; 2019 Mar 5 [kushiwo ngo-2020 Eph 18]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.clinicallabmanager.com/technology/a-closer-look-at-multiplex-panels-for-respiratory-gastro-intestinal-and-blood-pathogens-195
  2. I-ClinLab Navigator [Inthanethi]. I-ClinLab Navigator; c2020. Umthelela wePhaneli Yokuphefumula Ye-FilmArray Emiphumeleni Yesiguli; [kucashunwe ngo-2020 Ephreli 18]; [cishe izikrini ezi-2]. Kutholakala kusuka: http://www.clinlabnavigator.com/impact-of-filmarray-respiratory-panel-on-patient-outcomes.html
  3. I-Das S, Dunbar S, iTang YW. Ukuxilongwa kwelabhorethri yezifo ezithinta ukuphefumula ezinganeni - uMbuso Wezobuciko. Ngaphambili Microbiol [Inthanethi]. I-2018 Oct 18 [icashunwe ngo-2020 Eph 18]; 9: 2478. Kutholakala kusuka: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200861
  4. IGreenberg SB. Ukutheleleka nge-Rhinovirus kanye ne-coronavirus. I-Semin Respir Crit Care Med [Inthanethi]. 2007 Ephreli [icashunwe ngo-2020 Eph 18]; 28 (2): 182--92. Kutholakala kusuka: https://www.ncbi.nlm.nih.gov/pubmed/17458772
  5. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington DC: I-American Association for Clinical Chemistry; c2001-2020. I-Pathogen; [kubuyekezwe 2017 Jul 10; kucashunwe ngo-2020 Ephreli 18]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://labtestsonline.org/glossary/pathogen
  6. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington DC: I-American Association for Clinical Chemistry; c2001-2020. Iphaneli yamagciwane okuphefumula; [kubuyekezwe 2018 Feb 18; kucashunwe ngo-2020 Ephreli 18]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/tests/respiratory-pathogens-panel
  7. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington DC: I-American Association for Clinical Chemistry; c2001-2020. Ukuhlolwa Kokuphefumula Kwe-Syncytial Virus (RSV); [kubuyekezwe 2018 Feb 18; kucashunwe ngo-2020 Ephreli 18]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/tests/respiratory-syncytial-virus-rsv-testing
  8. IMayo Clinic Laboratories [i-Intanethi]. IMayo Foundation for Medical Education and Research; c1995-2020. I-ID Yokuhlola: I-RESLR: Iphaneli Yezinambuzane Zokuphefumula, i-PCR, Iyahluka: Clinical and Interpretive; [kucashunwe ngo-2020 Ephreli 18]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/606760
  9. Isikhungo Somdlavuza Kazwelonke [i-Inthanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Isichazamazwi seNCI Semigomo Yomdlavuza: umgudu wokuphefumula; [kucashunwe ngo-2020 Ephreli 18]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/respiratory-tract
  10. Impilo ye-UF: University of Florida Health [Internet]. IGainesville (FL): Inyuvesi yaseFlorida Impilo; c2020. Isiko le-Nasopharyngeal: Ukubuka konke; [kubuyekezwe ngo-2020 Ephreli 18; kucashunwe ngo-2020 Ephreli 18]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/nasopharyngeal-culture
  11. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2020. I-Health Encyclopedia: Ukutheleleka kwe-Adenovirus ezinganeni; [kucashunwe ngo-2020 Ephreli 18]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=90&contentid=p02508
  12. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2020. I-Health Encyclopedia: I-Rapid Influenza Antigen (i-Nasal noma i-Throat Swab); [kucashunwe ngo-2020 Ephreli 18]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=rapid_influenza_antigen
  13. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2020. Imininingwane Yezempilo: Izinkinga Zokuphefumula, Iminyaka eyi-12 nangaphezulu: Ukubuka konke ngesihloko; [kubuyekezwe i-2019 Jun 26; kucashunwe ngo-2020 Ephreli 18]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/symptom/respiratory-problems-age-12-and-older/rsp11.html#hw81690

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