Swab ea Nasal

Litaba

• Sesepa sa nasal ke eng?
• E sebelisetsoa eng?
• Hobaneng ha ke hloka swab ya dinko?
• Ho etsahalang nakong ea swab ea nasal?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa tlhahlobo?
• Liphetho li bolelang?
• Litšupiso

Sesepa sa nasal ke eng?

Swab nasal, ke teko e lekolang livaerase le libaktheriatse bakang mafu a ho hema.

Hona le mefuta e mengata ea tšoaetso ea phefumoloho. Tlhahlobo ea swab ea nasal e ka thusa mofani oa hau ho fumana mofuta oa ts'oaetso eo u nang le eona le hore na ke kalafo efe e ka u tsoelang molemo. Teko e ka etsoa ka ho nka sampole ea lisele tse tsoang linkong tsa hao kapa ho tloha nasopharynx. Nasopharynx ke karolo e ka holimo-limo ea nko le 'metso.

Mabitso a mang: tlhahlobo ea anterior nares, swab ea nasal mid-turbinate swab, NMT swab nasopharyngeal setso, nasopharyngeal swab

E sebelisetsoa eng?

Sesepa sa nko se sebelisetsoa ho fumana ts'oaetso e itseng ea sistimi ea ho hema. Tsena li kenyelletsa:

• Mokakallane
• COVID-19
• Lefu la ho hema la syncytial (RSV). Ena ke tšoaetso e tloaelehileng 'me hangata e bonolo ea ho hema. Empa e ka ba kotsi ho masea a manyane le ho batho ba baholo.
• Ho khohlela, tšoaetso ea baktheria e bakang ho khohlela ho matla le ho hema ka thata
• Meningitis, lefu le bakoang ke ho ruruha ha lera le pota-potileng boko le lesapo la mokokotlo
• MRSA (Staphylococcus aureus e hanyetsanang le methicillin), mofuta o tebileng oa tšoaetso ea baktheria e ka bang thata haholo ho e phekola

Hobaneng ha ke hloka swab ya dinko?

U kanna oa hloka tlhahlobo ena haeba u na le matšoao a tšoaetso ea phefumoloho. Tsena li kenyelletsa:

• Khohlela
• Feberu
• Nko e petetsane kapa e lutlang
• Metso o bohloko
• Ho opeloa ke hlooho
• Mokhathala
• Bohloko ba mesifa

Ho etsahalang nakong ea swab ea nasal?

Sesepa sa nko se ka nkuoa ho:

• Karolo e ka pele ea linko tsa hau (anterior nares)
• Ka morao ho linko tsa hau, ka mokhoa o tsejoang ka hore ke nasal mid-turbinate (NMT) swab.
• Nasopharynx (karolo e ka holimo-limo ea nko le 'metso)

Maemong a mang, mofani oa tlhokomelo ea bophelo o tla u kopa ho etsa tlhahlobo ea pele ea nares kapa swab ea NMT.

Nakong ea tlhahlobo ea pele ea nares, o tla qala ka ho sekamisetsa hlooho ea hau morao. Ebe uena kapa mofani oa litšebeletso o tla:

• Ka bonolo kenya swab ka har'a nko ea hao.
• Potoloha swab 'me ue siee sebakeng sa metsotsoana e 10-15.

· Tlosa swab ebe u kenya nko ea hau ea bobeli.

• Swab nostril ea bobeli u sebelisa mokhoa o ts'oanang.
• Tlosa swab.

Haeba u ntse u itlhahloba, mofani oa thepa o tla u tsebisa ho tiisa sampole ea hau.

Nakong ea swab ea NMT, o tla qala ka ho sekamisetsa hlooho ea hau morao. Ebe uena kapa mofani oa litšebeletso o tla:

• Ka bonolo kenya swab botlaaseng ba nko, u e sutumetse ho fihlela u utloa e emisa.
• Potoloha swab metsotsoana e 15.
• Tlosa swab ebe u kenya nko ea hau ea bobeli.
• Swab nostril ea bobeli u sebelisa mokhoa o ts'oanang.
• Tlosa swab.

Haeba u ntse u itlhahloba, mofani oa thepa o tla u tsebisa ho tiisa sampole ea hau.

Nakong ea swab ea nasopharyngeal:

• U tla khutlisa hlooho ea hau morao.
• Mofani oa hao oa tlhokomelo ea bophelo o tla kenya swab ka nko ea hao ho fihlela e fihla nasopharynx (karolong e ka holimo ea 'metso oa hau).
• Mofani oa hau o tla potoloha swab ebe oa e tlosa.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Ha o hloke litokisetso tse khethehileng bakeng sa swab ea nasal.

Na ho na le likotsi tsa tlhahlobo?

Teko e kanna ea tsikinyetsa mmetso oa hau kapa ea etsa hore u khohlele. Swab ea nasopharyngeal e kanna ea se phutholohe mme ea baka ho khohlela kapa ho koenya molomo. Litholoana tsena kaofela ke tsa nakoana.

Liphetho li bolelang?

Ho ipapisitse le matšoao a hau, e kanna eaba o ile oa lekoa bakeng sa mofuta o le mong kapa a mangata a tšoaetso.

Sephetho se seng se bolela hore ha ho livaerase tse kotsi kapa libaktheria tse fumanoeng sampoleng ea hau.

Sephetho se setle se bolela mofuta o itseng oa vaerase e kotsi kapa libaktheria tse fumanoeng sampoleng ea hau. E bontša hore o na le mofuta o itseng oa ts'oaetso. Haeba u fumanoa u na le ts'oaetso, etsa bonnete ba hore u latela likhothaletso tsa mofani oa hau bakeng sa ho phekola bokuli ba hau. Sena se ka kenyelletsa meriana le mehato ea ho thibela ho fetisetsa tšoaetso ho ba bang.

Haeba u fumanoa u e-na le COVID-19, etsa bonnete ba hore u lula u buisana le mofani oa hau ho fumana tsela e molemohali ea ho itlhokomela le ho sireletsa ba bang tšoaetsong. Ho ithuta haholoanyane, sheba libaka tsa marang-rang tsa CDC le lefapha la bophelo bo botle la lehae.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Litšupiso

1. Allina Health [Inthanete]. Minneapolis: Bophelo bo Botle ba Allina; Tloaelo ea Nasopharyngeal; [e qotsitsoeng ka 2020 Jun 8]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://account.allinahealth.org/library/content/49/150402
2. Mokhatlo oa Amerika oa Lung [Inthanete]. Chicago: Mokhatlo oa Lung oa Amerika; c2020. Matšoao le Tlhahlobo ea COVID-19; [e qotsitsoeng ka 2020 Jun 8]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.lung.org/lung-health-diseases/lung-disease-lookup/COVID-19/symptoms-diagnosis
3. Litsi tsa Tlhokomelo le Thibelo ea Maloetse [Internet]. Atlanta: Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Lefu la Coronavirus 2019 (COVID-19): Tataiso ea nakoana ea ho bokella, ho sebetsana le ho etsa liteko tsa liteko tsa bongaka tsa COVID-19; [e qotsitsoeng ka 2020 Jun 8]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://www.cdc.gov/coronavirus/2019-nCoV/lab/guidelines-clinical-specimens.html
4. Litsi tsa Tlhokomelo le Thibelo ea Maloetse [Internet]. Atlanta: Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Lefu la Coronavirus 2019 (COVID-19): Matšoao a Coronavirus; [e qotsitsoeng ka 2020 Jun 8]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html
5. Litsi tsa Tlhokomelo le Thibelo ea Maloetse [Internet]. Atlanta: Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Lefu la Coronavirus 2019 (COVID-19): Ho etsa liteko tsa COVID-19; [e qotsitsoeng ka 2020 Jun 8]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/testing.html
6. Litsi tsa Tlhokomelo le Thibelo ea Maloetse [Internet]. Atlanta: Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Lefu la Coronavirus 2019 (COVID-19): Seo U Lokelang ho se Etsa Haeba U Kula; [e qotsitsoeng ka 2020 Jun 8]; [li-skrini tse ka bang 6]. E fumaneha ho tsoa ho: https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html
7. CC ea Ginocchio, McAdam AJ. Mekhoa ea Hajoale e Ntle Bakeng sa Teko ea vaerase ea Phefumoloho. J Clin Microbiol [Inthanete]. 2011 Sep [e qotsitsoeng ka 2020 Phupu 1]; 49 (Tlatsetso ea 9). E fumaneha ho tsoa ho: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3185851
8. Litsi tsa Tlhokomelo le Thibelo ea Maloetse [Internet]. Atlanta: Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Leqephe la Nnete la SARS- CoV-2 (Covid-19); [e qotsitsoeng 2020 Nov 9]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.cdc.gov/coronavirus/2019-ncov/downloads/OASH-nasal-specimen-collection-fact-sheet.pdf
9. Hinkle J, Cheever K. Brunner & Suddarth's Handbook ea Liteko tsa Laboraro le Tlhatlhobo. 2nd Ed, mosa. Philadelphia: Wolters Kluwer Bophelo, Lippincott Williams & Wilkins; c2014. Tloaelo ea Nasopharyngeal; leq. EA-386-TL
10. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001--2020. Teko ea Coronavirus (COVID-19); [e ntlafalitsoeng 2020 Jun 1; e qotsitsoeng ka 2020 Jun 8]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/coronavirus-COVID-19-testing
11. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001--2020. Swab ea Nasopharyngeal; [e nchafalitsoeng 2020 Feb 18; e qotsitsoeng ka 2020 Jun 8]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://labtestsonline.org/glossary/nasopharyngeal-swab
12. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001--2020. Ho Hlahloba Liteko tsa Virus ea Phefumoloho (RSV); [e nchafalitsoeng 2020 Feb 18; e qotsitsoeng ka 2020 Jun 8]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/respiratory-syncytial-virus-rsv-testing
13. Marty FM, Chen K, Verrill KA. Mokhoa oa ho fumana mofuta oa Nasopharyngeal Swab. N Engl J Med [Inthanete]. 2020 Mots'eanong 29 [e qotsitsoeng ka 2020 Jun 8]; EA-382-10: 1056. E fumaneha ho tsoa ho: https://pubmed.ncbi.nlm.nih.gov/32469478/?from_term=How+to+Obtain+a+Nasopharyngeal+Swab+Specimen.+&from_sort=date&from_pos=1
14. Potlakela [Inthanete]. Chicago: Setsi sa Bongaka sa Rush University, Setsi sa Bongaka sa Rush Copley kapa Sepetlele sa Rush Oak Park; c2020. Phapang ea Swab bakeng sa POC le Teko e Tloaelehileng ea COVID; [e qotsitsoeng 2020 Nov 9]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.rush.edu/sites/default/files/2020-09/coronavirus-swab-differences.pdf
15. Meerhoff TJ, Houben ML, Coenjaerts FE, Kimpen JL, Hofland RW, Schellevis F, Bont LJ. Ho fumanoa ha likokoana-hloko tse ngata tsa phefumoloho nakong ea tšoaetso ea mantlha ea phefumoloho: nasal swab khahlanong le nasopharyngeal aspirate e sebelisa karabelo ea 'nete ea nako ea polymerase. Eur J Clin Microbiol Infect Dis [Inthanete]. 2010 Jan 29 [e qotsitsoeng ka 2020 Phupu 1]; 29 (4): 365-71. E fumaneha ho tsoa ho: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2840676
16. Bophelo ba UF: Univesithi ea Florida Health [Marang-rang]. Gainesville (FL): Univesithi ea Florida Health; c2020. Setso sa Nasopharyngeal: Kakaretso; [e ntlafalitsoeng 2020 Jun 8; e qotsitsoeng ka 2020 Jun 8]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ufhealth.org/nasopharyngeal-culture
17. Bophelo ba UF: Univesithi ea Florida Health [Marang-rang]. Gainesville (FL): Univesithi ea Florida Health; c2020. Pertussis: Kakaretso; [e ntlafalitsoeng 2020 Jun 8; e qotsitsoeng ka 2020 Jun 8]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ufhealth.org/pertussis
18. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2020. Health Encyclopedia: Ts'ebetso ea Pokello ea Swab ea COVID-19; [e ntlafalitsoeng ka 2020 Mar 24; e qotsitsoeng ka 2020 Jun 8]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/quality/nasopharyngeal-and-oropharyngeal-swab-collection-p.aspx
19. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2020. Health Encyclopedia: Meningitis; [e qotsitsoeng ka 2020 Jun 8]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=85&ContentID=P00789
20. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea Bophelo: Methicillin-Resistant Staphylococcus Aureus (MRSA): Kakaretso; [e nchafalitsoeng 2020 Jan 26; e qotsitsoeng ka 2020 Jun 8]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/special/methicillin-resistant-staphylococcus-aureus-mrsa/tp23379spec.html
21. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea Bophelo: Mathata a ho hema, Lilemo tse 12 le ho tsofala: Kakaretso ea Sehlooho; [e ntlafalitsoeng 2019 Jun 26; e qotsitsoeng ka 2020 Jun 8]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/symptom/respiratory-problems-age-12-and-older/rsp11.html#hw81690
22. Lefapha la Bophelo ba Sechaba Vermont [Inthanete]. Burlington (VT): Tsamaiso ea ho Bokella Swab ea Pele ho Nares; 2020 Jun 22 [e qotsitsoeng ka 2020 Nov 9]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.healthvermont.gov/sites/default/files/DEPRIP.EMSNasalNares%20Procedure%20for%20Anterior%20Nares%20Nasal%20Swab.pdf
23. Bophelo bo botle haholo [Inthanete]. New York: Hoo e ka bang, Inc .; c2020. Tšoaetso e Holimo ea Phefumoloho ke Eng; [e ntlafalitsoeng 2020 ka la 10 Mots'eanong; e qotsitsoeng ka 2020 Jun 8]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.verywellhealth.com/upper-respiratory-infection-overview-4582263
24. Lefapha la Bophelo la Washington State [Marang-rang] .Swab Instructions Mid-turbinate self-swab nasal specimen collection; [e qotsitsoeng 2020 Nov 9] [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/Self-SwabMid-turbinateCollectionInstructions.pdf

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.