Ni rei lote chhunga reh lova khuh i nei em, emaw, zun kawng natna lanchhuahna tibuaitu i nei em? Doctor hnena i kal khan ‘Gram Stain’ tih test a ziak che a ni mai thei. He hming hi i tan chuan a mak deuh mai thei. Mahse hei hi a takah chuan test pawimawh tak, rang tak, kan taksaa natna hrik hmuhchhuahna atana hman thin a ni. Chuvangin, he thu hi awlsam takin, i hriatthiam theih angin i sawi dawn nia.
Gram Stain hi eng nge ni mai?
A awlsam zawngin Gram stain hi lab-a test tih a ni. A bul berah chuan i taksa chhunga natna hrik awmna hmuna bacteria awmte a zawng thin. Hliam hring chhuak i nei tih han ngaihtuah teh. Tichuan chu hliam atang chuan sample tlemte chu he test atan hian thawn theih a ni.
He test hian a thatna lian ber pakhat chu result hi a rang hle a ni. Hei hian doctor chuan bacteria infection i neih leh neih loh a hriat chian phah a, a awm a nih chuan eng chi nge a nih tih a hre nghal thei bawk. Hei hian doctor chu eng damdawi nge pek tur che tih ngaihtuahna bulpui a neih theih nan a pui a ni.
Kan taksaa bacteria zawng zawng hi a chhe vek lo. Thenkhat chu min puitu bacteria tha tak tak an ni. Mahse bacteria chi thenkhat chuan natna leh hri kai min thlen thin. Gram Stain test hian chutiang natna thlentu bacteria tha lo tak takte chu a hriat theih nan min pui a ni.
He thawnthu hi Gram-positive leh Gram-negative chungchang hi eng nge ni?
Hei hi Gram stain test-a thil pawimawh ber a ni. Bacteria hi thil nung te tak te, thawmhnaw chi hrang hrang ha anga ngaih ang che. Gram stain test-ah hian bacteria-ah hian special stain chi hrang hrang hnawih a ni. Tichuan, bacteria cell wall inthlauhna azirin rawng pahnih ah an inthen a.
1. Gram-positive bacteria: An cell wall hi thil thick tak ``Peptidoglycan'' an tih atanga siam a ni a, hei vang hian an stain hian purple-blue color an chang thin.
2. Gram-negative bacteria: Hengte hian cell wall te tak te an nei a, chuvangin stain a nih chuan pinkish-red color an chang thin.
Hetah hian hriat reng tur pawimawh tak chu ‘positive’ leh ‘negative’ tih hi ‘tha’ leh ‘tha lo’ tihna a ni lo. Bacteria rawng atanga classification an ni mai.
Tunah chuan heng pawl pahniha awm bacteria chi hrang hrang leh an natna thlen dan hi han thlir ila.
| Gram-positive bacteria leh a kaihhnawih natna te | |
|---|---|
| Bacteria chi hrang hrang | Damdawi lam dinhmun awm thei |
| Staphylococcus chi hrang hrang a awm | Vun natna, pneumonia, food poisoning, MRSA infection te a awm thei |
| Streptococcus chi hrang hrang a awm | Thlalak natna (Strep throat), pneumonia, meningitis te a awm thei |
| Listteria chi hrang hrang | Chaw ei tur rimchhia |
| Clostridium chi hrang hrang | Food poisoning, botulism, tetanus natna te a awm thei |
| Gram-negative bacteria leh a kaihhnawih natna te | |
|---|---|
| Bacteria chi hrang hrang | Damdawi lam dinhmun awm thei |
| Escherichia coli (E. coli) te hi a awm a. | Urinary tract infection (UTIs), ei leh in lama rimchhia |
| Neisseria gonorrhoeae a awm thin | Gonorrhea (mipat hmeichhiatna hmanga kai theih natna) . |
| Salmonella chi hrang hrang a awm | Food poisoning, typhoid natna hrik kai |
| Klebsiella chi hrang hrang | Pneumonia, thisen natna, hliam natna |
Gram stain leh bacteria culture hi eng nge an danglamna?
I doctor chuan heng test pahnih hi tih dun tir turin a rawt fo mai thei a, mahse an thu hriatte erawh a danglam thung.
- Gram Stain: Hei hi instant photo ang mai a ni. Bacteria awm leh awm loh, a awm a nih chuan Gram-positive nge Gram-negative, leh an pianzia (round emaw rod-like emaw) tih ngaihdan tlangpui a pe nghal vat a ni.
- Bacteria Culture: Hei hi i sample-a bacteria awmte chu lab-a special medium-a tihpun a ni. Thlai chin ang mai a ni. Hei hian ni engemaw zat a daih thei. Bacteria te hi an lo thang tha tawh chuan i hre thei a, eng antibiotics nge an tan a tha ber tih i hre thei bawk.
A awlsam zawngin, Gram stain hian kaihhruaina rang tak a pe a, bacterial culture erawh chuan nemnghehna chiang ber a pe thung .
Gram Stain test hi engtin nge an tih thin?
Hetiang kalphung hi step lian pathum ah then theih a ni.
1. Sample lakkhawm
Sample lak dan hi i rinhlelhna hmun azirin a inang lo ang.
- Swab hmangin: Cotton swab hmangin ril, hnar kawng, vun natna, leh mipat hmeichhiatna hmun atanga sample lak theih a ni.
- Secretions khawlkhawm: Mucus, zun leh bawlhhlawh ang chi thil te chu bawm fai takah i khawlkhawm thei.
- Fine-needle aspiration: Hetiang hmanrua hi taksa chhung atanga tui lakchhuah nan hman a ni a, entirnan, ruhkawr atanga tui lakchhuahna atan te, lung chhehvel atanga tui lakchhuah nan emaw, thinlung chhehvel atanga tui lakchhuah nan te hman thin a ni.
2. Lab chhunga thil thleng
I sample chu lab a thlen chuan medical laboratory scientist chuan glass slide-ah a theh darh ang. Tichuan, a hmaa kan sawi tawh ang khan special dye pali an dah ang a, an silfai ang.
3. Microscope hmanga en
A tawpah chuan he slide buatsaih hi microscope hmangin an enfiah a. Hei hi bacteria awm leh awm loh, an rawng (purple/blue emaw pink/red), an pianzia (round (cocci) emaw rod-shaped (bacilli)), leh an group hrang hrang (mahni chauh, pahnih emaw, cluster emaw) kan enfiah hian a ni.
Investigation report hian eng nge a sawi?
I test report-ah hian result lian ber pahnih a awm thei.
- Negative Gram stain (No organism seen): Hei hian slide-ah hian bacteria hmuh tur a awm lo tihna a ni. Mahse, a chang chuan bacteria an tlem em avangin hetiang hi a thleng thei a ni. Chuvangin culture report chu i nghah a ngai mai thei.
- Positive Gram stain: Hei hian i sample-ah bacteria a awm tihna a ni. Report-ah hian a chipchiar zawka tarlan te chu:
- Bacteria chi hrang hrang: Gram-positive nge Gram-negative?
- Bacteria awm dan: `cocci` (round) nge `bacilli` (rods)?
- Cell dang: Cell dang a awm leh awm loh pawh hriat theih a ni a, chu chu thisen var (infection chhinchhiahna) te hi a ni.
Heng zawng zawng hi a khawlkhawm a, i natna lan chhuah dan nen a khaikhin chuan doctor chuan i tan enkawlna tha ber a tan ang.
Take-Home Thuchah a ni
- Gram Stain hi test rang tak, a bulpui ber a ni a, bacteria infection hriat theihna atana hman thin a ni.
- Hei hian bacteria chu group lian pahnih (Gram-positive - purple/blue leh Gram-negative - pink/red) ah a then a.
- He thu hian i doctor chu a rang thei ang bera enkawlna dik tak tan tir turin nasa takin a pui ang .
- Diagnosis chiang zawk neih nan chuan Gram stain test hi bacterial culture test nen an ti fo thin .
- I test result chungchangah ngaihtuahna i neih chuan i doctor nen zalen taka sawiho chu hlau ngai suh .











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