Ukuhlolwa Ugcunsula

-Delile

• Yini ukuhlolwa kogcunsula?
• Zisetshenziselwani?
• Kungani ngidinga ukuhlolwa kogcunsula?
• Kwenzekani ngesikhathi sokuhlolwa kukagcunsula?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa kukagcunsula?
• Izinkomba

Yini ukuhlolwa kogcunsula?

Ugcunsula ngesinye sezifo ezithathelwana ngocansi (STD). Ukutheleleka ngamagciwane okusatshalaliswa ngocansi lwesitho sangasese sowesifazane, somlomo, noma sendunu nomuntu onegciwane. Ugcunsula ukhula ngezigaba ezingahlala amasonto, izinyanga, noma ngisho neminyaka. Izigaba zingahlukaniswa yizikhathi ezinde ezibonakalayo zempilo enhle.

Ugcunsula luvame ukuqala ngesilonda esincane, esingenabuhlungu, esibizwa ngokuthi i-chancre, esithweni sangasese, endunu, noma emlonyeni. Esigabeni esilandelayo, ungaba nezimpawu ezifana nomkhuhlane kanye / noma ukuqubuka. Izigaba zakamuva zikagcunsula zingalimaza ubuchopho, inhliziyo, umgogodla nezinye izitho. Ukuhlolwa kwe-Syphilis kungasiza ukuxilonga ugcunsula ezigabeni zokuqala zokutheleleka, lapho isifo kulula ukuselapha.

Amanye amagama: i-plasma reagin (RPR) esheshayo, ilabhorethri yezifo zocwaningo (VDRL), i-fluorescent treponemal antibody absorption (FTA-ABS) test, agglutination assay (TPPA), darkfield microscopy

Zisetshenziselwani?

Ukuhlolwa kwe-Syphilis kusetshenziselwa ukuhlola nokuxilonga ugcunsula.

Ukuhlolwa kwe-syphilis kufaka:

• I-plasma reagin esheshayo (RPR), ukuhlolwa kwegazi likagcunsula elibheka amasosha omzimba kumagciwane kagonyovu. Ama-antibody amaphrotheni enziwa amasosha omzimba ukulwa nezinto zangaphandle, njengamagciwane.
• I-laboratory yocwaningo lwezifo zeVenereal (VDRL) test, ephinde ihlole amasosha omzimba ugcunsula. Ukuhlolwa kwe-VDRL kungenziwa ngegazi noma uketshezi lomgogodla.

Uma ukuhlolwa kokuhlolwa kubuya kukuhle, uzodinga ukuhlolwa okwengeziwe ukukhipha noma uqinisekise ukuxilongwa kogcunsula. Iningi lalezi zivivinyo zokulandelela zizophinde zibheke amasosha omzimba ugcunsula. Kwesinye isikhathi, umhlinzeki wezokunakekelwa kwempilo uzosebenzisa isivivinyo esibheka amabhaktheriya ogcunsula wangempela, esikhundleni samasosha omzimba. Izivivinyo ezibheka amabhaktheriya angempela zisetshenziswa kaningi ngoba zingenziwa kuphela kumalebhu akhethekile ngochwepheshe bezempilo abaqeqeshwe ngokukhethekile.

Kungani ngidinga ukuhlolwa kogcunsula?

Ungadinga ukuhlolwa kogcunsula uma umlingani wakho ocansini etholakele ukuthi une-syphilis futhi / noma unezimpawu zesifo. Izimpawu zivame ukuvela cishe amasonto amabili kuya kwamathathu ngemuva kokutheleleka futhi zifaka:

• Isilonda esincane, esingenabuhlungu esithweni sangasese, endunu, noma emlonyeni
• Ukuqhuma okubomvu, okubomvu, imvamisa ezintendeni zezandla noma phansi kwezinyawo
• Imfiva
• Ubuhlungu bekhanda
• Izindlala ezivuvukile
• Ukukhathala
• Ukwehla kwesisindo
• Ukulahleka kwezinwele

Noma ungenazo izimpawu, ungadinga ukuhlolwa uma usengozini enkulu yokutheleleka. Izici zobungozi zifaka ukuba:

• Abalingani abaningi bezocansi
• Umlingani wabalingani abaningi bezocansi
• Ucansi olungaphephile (ucansi ngaphandle kokusebenzisa ikhondomu)
• Ukutheleleka nge-HIV / AIDS
• Esinye isifo esithathelwana ngocansi, njenge-gonorrhea

Ungase futhi udinge lokhu kuhlolwa uma ukhulelwe. Ugcunsula bungadluliselwa busuke kumama buye enganeni yakhe engakazalwa. Ukutheleleka kukagcunsula kungadala ubunzima obukhulu, futhi kwesinye isikhathi kubulale, ezinganeni. ICenters for Disease Control and Prevention incoma ukuthi bonke abesifazane abakhulelwe bahlolelwe kusenesikhathi bekhulelwe. Abesifazane abanezici zobungozi bogcunsula kufanele bahlolwe futhi ku-trimester yesithathu yokukhulelwa (amasonto angama-28-32) baphinde babelethe.

Kwenzekani ngesikhathi sokuhlolwa kukagcunsula?

Ukuhlolwa kogcunsula kuvame ukuba sesimweni sokuhlolwa kwegazi. Ngesikhathi sokuhlolwa kwegazi likagcunsula, uchwepheshe wezokunakekelwa kwempilo uzothatha isampula segazi emthanjeni osengalweni yakho, esebenzisa inaliti encane. Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ungase uzizwe uluma kancane lapho inaliti ingena noma iphuma. Lokhu ngokuvamile kuthatha imizuzu engaphansi kwemihlanu.

Izigaba ezithuthuke kakhulu zikagcunsula zingathinta ubuchopho nomgogodla. Uma izimpawu zakho zibonisa ukuthi isifo sakho kungenzeka ukuthi sisesigabeni esithuthuke kakhulu, umhlinzeki wakho wezokunakekelwa kwempilo anga-oda ukuhlolwa kogcunsula ku-cerebrospinal fluid yakho (CSF) yakho. I-CSF iwuketshezi olucacile olutholakala ebuchosheni nakumgogodla wakho.

Kulesi sivivinyo, i-CSF yakho izoqoqwa ngenqubo ebizwa ngokuthi i-lumbar puncture, eyaziwa nangokuthi umpompi womgogodla. Ngesikhathi senqubo:

• Uzolala ngohlangothi noma uhlale etafuleni lezivivinyo.
• Umhlinzeki wezokunakekelwa kwempilo uzohlanza umhlane wakho bese ejova i-anesthetic esikhumbeni sakho, ngakho ngeke ubuzwe ubuhlungu ngesikhathi senqubo. Umhlinzeki wakho angafaka ukhilimu oyindikindiki emhlane wakho ngaphambi kwalomjovo.
• Lapho indawo esemhlane wakho isikindiki ngokuphelele, umhlinzeki wakho uzofaka inaliti encane, engenalutho phakathi kwama-vertebrae amabili emgogodleni wakho ophansi. IVertebrae yimigogodla emincane eyenza umgogodla wakho.
• Umhlinzeki wakho uzokhipha inani elincane le-cerebrospinal fluid ukuze ihlolwe. Lokhu kuzothatha cishe imizuzu emihlanu.
• Uzodinga ukuhlala uthule kakhulu ngenkathi kukhishwa uketshezi.
• Umhlinzeki wakho angakucela ukuthi ulale ngomhlane ihora noma amabili ngemuva kwenqubo. Lokhu kungakuvimbela ekutholeni ikhanda ngemuva kwalokho.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Awudingi noma yimaphi amalungiselelo akhethekile wokuhlolwa kwegazi likagcunsula. Ukuze uthole ukubhoboza i-lumbar, ungacelwa ukuthi ukhiphe isinye sakho namathumbu ngaphambi kokuhlolwa.

Ingabe zikhona izingozi esivivinyweni?

Kunengozi encane kakhulu yokuhlolwa kwegazi. Ungaba nobuhlungu obuncane noma ukulimaza lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.

Uma ngabe unesihlakala sesigaxa, ungahle ube nobuhlungu noma isisa emhlane wakho lapho kufakwe khona inaliti. Ungase futhi uthole ikhanda ngemuva kwenqubo.

Isho ukuthini imiphumela?

Uma imiphumela yakho yokuhlola ibingemihle noma ijwayelekile, kusho ukuthi alutholakalanga ugcunsula logcunsula. Njengoba ama-antibodies kungathatha amasonto ambalwa ukukhula ukuphendula ukutheleleka kwebhaktheriya, ungadinga olunye uvivinyo lokuhlola uma ucabanga ukuthi usengozini yokutheleleka. Buza umhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuthi udinga ukuhlolwa nini futhi nini.

Uma ukuhlolwa kwakho kokuhlola kukhombisa umphumela omuhle, uzoba nokuhlolwa okuningi ukukhipha noma uqinisekise ukuxilongwa kukagcunsula. Uma lezi zivivinyo ziqinisekisa ukuthi unogcunsula, mhlawumbe uzolashwa nge-penicillin, uhlobo lwama-antibiotic. Ukutheleleka okuningi kwe-syphilis kusenesikhathi kuphulukiswa ngokuphelele ngemuva kokwelashwa kwama-antibiotic. Ugcunsula wesikhathi esizayo nawo welashwa ngama-antibiotic. Ukwelashwa ngama-antibiotic kokutheleleka ngemuva kwesikhathi kungavimba ukuthi lesi sifo singabi sibi kakhulu, kepha asikwazi ukulungisa umonakalo osuvele wenzekile.

Uma unemibuzo ngemiphumela yakho, noma nge-syphilis, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

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

Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa kukagcunsula?

Uma kutholakala ukuthi une-syphilis, udinga ukutshela umuntu ozibandakanya naye ocansini, ukuze ahlolwe futhi alashwe uma kunesidingo.

Izinkomba

1. Inhlangano yaseMelika Yokukhulelwa [i-Intanethi]. I-Irving (TX): Inhlangano Yokukhulelwa yaseMelika; c2018. Ugcunsula; [kubuyekezwe ngo-2018 Feb 7; kukhonjiwe ngo-2018 Mar 29]; [cishe izikrini ezi-3]. Kutholakala kusuka: http://americanpregnancy.org/womens-health/syphilis
2. Izikhungo Zokulawula Nokuvimbela Izifo [i-Intanethi]. I-Atlanta: UMnyango Wezempilo Nezinsizakalo Zabantu e-U.S. Ugcunsula: Ishidi Leqiniso Le-CDC (Okuningiliziwe); [kubuyekezwe 2017 Feb 13; kukhonjiwe ngo-2018 Mar 29]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.cdc.gov/std/syphilis/stdfact-syphilis-detailed.htm
3. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington DC: I-American Association for Clinical Chemistry; c2001–2018. Ukuhlolwa Ugcunsula; [kubuyekezwe i-2018 Mar 29; kukhonjiwe ngo-2018 Mar 29]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/tests/syphilis-tests
4. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2018. Ukubhoboza i-Lumbar (umpompi womgogodla): Ukubuka konke; I-2018 Mar 22 [icashunwe ngo-2018 Mar 29]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.mayoclinic.org/tests-procedures/lumbar-puncture/about/pac-20394631
5. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2018. Ugcunsula: Ukuxilongwa nokwelashwa; 2018 Jan 10 [icashunwe ngo-2018 Mar 29]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.mayoclinic.org/diseases-conditions/syphilis/diagnosis-treatment/drc-20351762
6. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2018. Ugcunsula: Izimpawu nezimbangela; 2018 Jan 10 [icashunwe ngo-2018 Mar 29]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.mayoclinic.org/diseases-conditions/syphilis/symptoms-causes/syc-20351756
7. Uhlobo Lokuthengwa Kwamakhasimende we-Merck [Internet]. IKenilworth (NJ): IMerck & Co, Inc .; c2018. Ugcunsula; [kucashunwe ngo-2018 Mashi 29]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.merckmanuals.com/home/infections/sexually-transmitted-diseases-stds/syphilis
8. Uhlobo Lokuthengwa Kwamakhasimende we-Merck [Internet]. IKenilworth (NJ): IMerck & Co, Inc .; c2018. Ukuhlolwa kobuchopho, umgogodla, nokuphazamiseka kwemizwa; [kucashunwe ngo-2018 Mashi 29]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.merckmanuals.com/home/brain,-spinal-cord,-and-nerve-disorders/diagnosis-of-brain,-spinal-cord,-and-nerve-disorders/tests-for -ubuchopho, intambo yomgogodla, -nokuphazamiseka kwemizwa-yezinzwa
9. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukuhlolwa Kwegazi; [kucashunwe ngo-2018 Mashi 29]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health-topics/blood-tests
10. Isikhungo Sikazwelonke Sokungezwani Nokwelashwa Nezifo Ezithathelwanayo [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ugcunsula; [kucashunwe ngo-2018 Mashi 29]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.niaid.nih.gov/diseases-conditions/syphilis
11. UTsang RSW, Radons SM, Morshed M. Laboratory ukuxilongwa kogcunsula: Ucwaningo lokuhlola uhla lwezivivinyo ezisetshenziswa eCanada. Ngabe i-J Infect Dis Med Microbiol [i-Intanethi]. 2011 [icashunwe ngo-2018 Ephreli 10]; 22 (3): 83-87. Kutholakala kusuka: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3200370
12. Impilo ye-UF: University of Florida Health [Internet]. Inyuvesi yaseFlorida; c2018. Ugcunsula: Uhlolojikelele; [kubuyekezwe i-2018 Mar 29; kukhonjiwe ngo-2018 Mar 29]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/syphilis
13. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2018. I-Health Encyclopedia: I-Rapid Plasma Reagin; [kucashunwe ngo-2018 Mashi 29]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=rapid_plasma_reagin_syphilis
14. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2018. I-Health Encyclopedia: i-VDRL (CSF); [kucashunwe ngo-2018 Mashi 29]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=vdrl_csf
15. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2018. Uvivinyo Lwe-Syphilis: Imiphumela; [kubuyekezwe ngo-2017 Mashi 20; kukhonjiwe ngo-2018 Mar 29]; [cishe izikrini eziyi-8]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/syphilis-tests/hw5839.html#hw5874
16. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2018. Izivivinyo Zikagcunsula: Uhlolojikelele Lokuhlolwa; [kubuyekezwe ngo-2017 Mashi 20; kukhonjiwe ngo-2018 Mar 29]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/syphilis-tests/hw5839.html
17. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2018. Uvivinyo Lwe-Syphilis: Kungani Lwenziwa; [kubuyekezwe ngo-2017 Mashi 20; kukhonjiwe ngo-2018 Mar 29]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/syphilis-tests/hw5839.html#hw5852

Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.