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Phanele ea phefumoloho ea likokoana-hloko (RP) ke eng?

Karolo ea likokoana-hloko tsa ho hema (RP) e hlahloba likokoana-hloko tse tseleng ea ho hema. Pathogen ke vaerase, libaktheria kapa ntho e 'ngoe e bakang bokuli. Karolo ea hau ea phefumoloho e entsoe ka likarolo tsa 'mele tse amanang le ho hema. Sena se kenyelletsa matšoafo a hao, nko le 'metso.

Hona le mefuta e mengata ea livaerase le libaktheria tse ka tšoaetsang phefumoloho. Matšoao a lula a tšoana, empa kalafo e ka fapana haholo. Kahoo ho bohlokoa ho etsa tlhahlobo e nepahetseng. Liteko tse ling tsa vaerase le baktheria bakeng sa tšoaetso ea phefumoloho hangata li lekanyelitsoe tekong ea pathogen e le 'ngoe. Ho ka hlokahala mehlala e mengata. Ts'ebetso e ka ba thata mme ea nka nako.

Phanele ea RP e hloka feela sampole e le 'ngoe ho tsamaisa liteko bakeng sa livaerase tse fapaneng le libaktheria. Liphetho hangata li tla ka lihora tse 'maloa. Liphetho tse tsoang mefuteng e meng ea liteko tsa ho hema li ka nka matsatsi a 'maloa. Liphetho tse potlakileng li ka u lumella ho qala pejana ka kalafo e nepahetseng.


Mabitso a mang: RP phanele, profil ea vaerase ea ho hema, phanele ea syndromic multiplex

E sebelisetsoa eng?

Sehlopha sa likokoana-hloko tsa ho hema se sebelisetsoa ho thusa ho hlahloba:

Tšoaetso ea vaerase, joalo ka:

  • Mofubelu
  • Sefuba se tloaelehileng
  • 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 le batho ba tsofetseng.
  • Tšoaetso ea Adenovirus. Adenoviruses e baka mefuta e fapaneng ea tšoaetso. Tsena li kenyelletsa pneumonia le croup, tšoaetso e bakang ho khohlela le ho hohlola.

Matšoao a baktheria, a kang:

  • Khohlela
  • Pneumonia ea baktheria

Hobaneng ha ke hloka karolo ea likokoana-hloko tsa ho hema?

U kanna ua hloka teko ena haeba u na le matšoao a tšoaetso ea phefumoloho mme u kotsing ea mathata. Matšoao a mangata a phefumoloho a baka matšoao a bonolo ho isa ho a itekanetseng. Empa tšoaetso e ka ba kotsi kapa ea beha bophelo ho bana ba banyane, batho ba baholo le batho ba nang le boits'ireletso ba mmele bo fokolang.


Matšoao a tšoaetso ea phefumoloho a kenyelletsa:

  • Ho kgohlela
  • Ho hema ka thata
  • Metso o bohloko
  • Nko e petetsane kapa e lutlang
  • Mokhathala
  • Ho felloa ke takatso ea lijo
  • Feberu

Ho etsahalang nakong ea phanele ea likokoana-hloko tsa ho hema?

Ho na le mekhoa e 'meli eo mofani a ka nkang sampole bakeng sa tlhahlobo:

Letlalo la 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 karolong e kaholimo ea 'metso.
  • Mofani oa hau o tla potoloha swab ebe oa e tlosa.

Nasate aspirate:

  • Mofani oa hau o tla kenya motsoako oa saline ka nkong ea hau, ebe o tlosa sampuli ka ho hula hantle.

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

Ha o hloke litokisetso tse khethehileng bakeng sa phanele ea likokoana-hloko tsa ho hema.

Na ho na le likotsi tsa tlhahlobo?

Teko ea swab e kanna ea tsikinyetsa mmetso oa hau kapa ea etsa hore u khohlele. Aspirate ea nko e kanna ea se phutholohe. Liphetho tsena ke tsa nakoana.


Liphetho li bolelang?

Phello e mpe e kanna ea bolela hore matšoao a hau a bakiloe ke kokoana-hloko e sa kenyellelitsoeng phaneleng ea liteko. Ho ka boela ha bolela hore o na le boemo bo sa bakoang ke vaerase kapa libaktheria.

Sephetho se setle se bolela hore pathogen e itseng e fumanoe. E u joetsa hore na u na le tšoaetso ea mofuta ofe. Haeba karolo e fetang e le 'ngoe ea karolo e ne e le ntle, ho bolela hore o kanna oa tšoaetsoa ke kokoana-hloko e fetang e le' ngoe. Sena se tsejoa e le ts'oaetso e kopaneng.

Ho ipapisitsoe le liphetho tsa hau, mofani oa hau o tla khothaletsa kalafo le / kapa ho odara liteko tse ling. Tsena li ka kenyelletsa setso sa libaktheria, liteko tsa mali tsa vaerase le letheba la Gram. Liteko li ka thusa ho netefatsa tlhahlobo ea hau le ho tataisa kalafo.

Haeba u na le lipotso mabapi le liphetho tsa hau, bua le mofani oa tlhokomelo ea bophelo.

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

Litšupiso

  1. Clinical Lab Manger [Inthaneteng]. Motsamaisi oa Clinical Lab; c2020. Ho Shebella Haufi Liphanele tsa Multiplex bakeng sa Likokoana-hloko tsa Phefumoloho, Ts'oaetso, le Mali; 2019 Mar 5 [e qotsitsoeng ka 2020 Mmesa 18]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.clinicallabmanager.com/technology/a-closer-look-at-multiplex-panels-for-respiratory-gastro-intestinal-and-blood-pathogens-195
  2. ClinLab Navigator [Inthanete]. ClinLab Navigator; c2020. Kameho ea Phanele ea Phefumoloho ea FilmArray ho Liphello tsa Mokuli; [e qotsitsoeng ka la 2020 Mmesa 18]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: http://www.clinlabnavigator.com/impact-of-filmarray-respiratory-panel-on-patient-outcomes.html
  3. Das S, Dunbar S, Tang YW. Tlhatlhobo ea Laboraro ea Mafu a Phefumoloho ho Bana - Naha ea Art. Microbiol ea ka pele [Inthanete]. 2018 Oct 18 [e qotsitsoeng ka la 2020 Mmesa 18]; 9: 2478. E fumaneha ho tsoa ho: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200861
  4. Greenberg SB. Tšoaetso ea Rhinovirus le coronavirus. Semin Respir Crit Tlhokomelo ea Med [Inthanete]. 2007 Mphalane [e qotsitsoeng ka la 2020 Mmesa 18]; 28 (2): 182--92. E fumaneha ho tsoa ho: https://www.ncbi.nlm.nih.gov/pubmed/17458772
  5. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001--2020. Pathogen; [e ntlafalitsoeng 2017 Jul 10; e qotsitsoeng ka la 2020 Mmesa 18]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://labtestsonline.org/glossary/pathogen
  6. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001--2020. Phefumoloho Likokoana-hloko Panel; [e ntlafalitsoeng 2018 Feb 18; e qotsitsoeng ka la 2020 Mmesa 18]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/respiratory-pathogens-panel
  7. 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 ntlafalitsoeng 2018 Feb 18; e qotsitsoeng ka la 2020 Mmesa 18]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/respiratory-syncytial-virus-rsv-testing
  8. Mayo Clinic Laboratories [Inthanete]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1995-2020. Boitsebiso ba Teko: RESLR: Phanele ea Likokoana-hloko ea Phefumoloho, PCR, e fapana: Clinical and Interpretive; [e qotsitsoeng ka la 2020 Mmesa 18]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/606760
  9. Mokhatlo oa Naha oa Kankere [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Bukana ea Kankere ea Kankere ea Kankere ea NCI: phefumoloho; [e qotsitsoeng ka la 2020 Mmesa 18]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/respiratory-tract
  10. Bophelo ba UF: Univesithi ea Florida Health [Marang-rang]. Gainesville (FL): Univesithi ea Florida Health; c2020. Setso sa Nasopharyngeal: Kakaretso; [e ntlafalitsoeng 2020 ka la 18; e qotsitsoeng ka la 2020 Mmesa 18]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ufhealth.org/nasopharyngeal-culture
  11. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2020. Health Encyclopedia: Tšoaetso ea Adenovirus ho bana; [e qotsitsoeng ka la 2020 Mmesa 18]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=90&contentid=p02508
  12. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2020. Health Encyclopedia: Rapid Influenza Antigen (Nasal kapa Throat Swab); [e qotsitsoeng ka la 2020 Mmesa 18]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=rapid_influenza_antigen
  13. 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 la 2020 Mmesa 18]; [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

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.

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