Uma uya kudokotela uma ungazizwa kahle, cishe uke wezwa ukuthi ngezinye izikhathi bakucela ukuthi ubhale "ukuhlolwa kwe-culture." Lokhu kuyiqiniso ikakhulukazi uma unenxeba elingeke liphole, umphimbo obuhlungu, noma ukutheleleka komgudu womchamo. Ngakho-ke kubantu abaningi, lokhu akujwayelekile. Kuyini ukuhlolwa kwe-culture? Kungani kwenziwa? Kutholani? Ake sixoxe ngakho konke lokhu ngendlela elula namuhla.
Okokuqala, ake sibone ukuthi luyini lolu vivinyo lokukhuliswa kwamagciwane?
Kalula nje, amabhaktheriya ayizinto eziphilayo ezincane esingenakuzibona ngamehlo ethu. Akhona yonke indawo esizungezile, ngisho nangaphakathi emizimbeni yethu. Iningi lala mabhaktheriya alisilimazi, futhi amanye aze asisize. Kodwa-ke, kunezinhlobo ezithile zamabhaktheriya, uma engena emizimbeni yethu, angabangela izifo ezahlukahlukene, okungukuthi, izifo. Eqinisweni, lawa mabhaktheriya ayimbangela yezifo eziningi ezithelelanayo.
Ngakho-ke, ukuhlolwa kokukhula kwamagciwane kuwukuhlolwa okwenziwa ukuqinisekisa ukuthi unesifo samagciwane.
Into ekhethekile ngalolu vivinyo ukuthi alugcini nje ngokukutshela ukuthi unesifo, kodwa futhi lukutshela ngqo ukuthi hlobo luni lwamagciwane olubangela ukutheleleka. Lokhu kubaluleke kakhulu ngoba kuvumela udokotela wakho ukuthi akhethe i-antibiotic efanele ezosebenza kahle kakhulu kulawo magciwane athile . Kufana nokuba nezihluthulelo ezahlukene ezifanelana nezingidi ezahlukene.
Kufanele kwenziwe nini lokhu kuhlolwa?
Udokotela angase ancome lokhu kuhlolwa uma esola ukuthi unezimpawu zokutheleleka ngamagciwane. Isibonelo, ezimweni ezinjengalezi:
- Izifo zesifuba ezifana ne -bronchitis
- Ubuthi bokudla
- Ukutheleleka kwezinso
- Inyumoniya
- Izimo ezinzima lapho amagciwane engena khona egazini, njenge -sepsis
- Ukutheleleka komphimbo (umphimbo obuhlungu)
- Ukutheleleka komgudu womchamo (UTI)
- Uma inxeba noma ukusha sekuthelelekile
Kunoma yikuphi okufana nalokhu, lokhu kuhlolwa kuyasiza kakhulu ekutholeni imbangela eqondile yokutheleleka kanye nokunikeza ukwelashwa okufanele kakhulu.
Ulwenza kanjani lolu vivinyo? Ingabe luyinkimbinkimbi kancane?
Cha, kuwe, kulula kakhulu. Kuhilela ukuthatha isampula encane endaweni okusolwa ukuthi isendaweni yomzimba wakho. Indawo yesampula izoncika ezimpawini zakho.
Ngemuva kwalokho, isampula ithunyelwa elabhorethri yezokwelapha. Ochwepheshe elabhorethri "bakhulisa" noma yiziphi izinto ezincane ezingase zibe sesampuleni. Okusho ukuthi, zondla amabhaktheriya futhi ziwavumele ukuba ande. Kufana nokutshala imbewu encane bese ubona ukuthi izokhula ibe uhlobo luni lomuthi.
Uma amabhaktheriya esekhule ngokwanele, ahlolwa ngaphansi kwesibonakhulu ukuze kutholakale ukuthi ayini ngempela uhlobo lwamabhaktheriya.
Yiziphi lezi zinhlobo zokuhlolwa kwesiko?
Kuye ngokuthi ukutheleleka kukuphi, kunezindlela eziningana zokuthatha amasampula kanye nezinhlobo zokuhlolwa. Ake sibheke izinhlobo eziyinhloko zokuhlolwa kokukhula kwegciwane ezenziwayo.
| Uhlobo lokuhlola | Incazelo kanye nendlela yokuthatha isampula |
|---|---|
| Isiko Legazi | Lokhu kwenzelwa ukuhlola izifo ezingathi sína ezisakazeke kuwo wonke umzimba (ukutheleleka kwesistimu), njenge-sepsis. Ngokuvamile kuhilela ukuthatha igazi elincane emthanjeni osengalweni yakho. |
| Isiko le-CSF (Ukuhlolwa Koketshezi Lomgogodla) | Lokhu kwenzelwa ukuhlola ukutheleleka ebuchosheni noma emgogodleni. Inaliti encane ifakwa phakathi kwamathambo amabili omgogodla bese kuthathwa isampula yoketshezi lwe-cerebrospinal (CSF). Lokhu kubizwa ngokuthi ukubhoboza kwe-lumbar . |
| Isiko Lendle | Lokhu kwenzelwa ukuthola imbangela yokutheleleka komgudu wokugaya ukudla, njengokuhlushwa yisisu kanye nesifo sohudo. Uzocelwa ukuthi unikeze isampula yendle endebeni engenamagciwane. |
| Isiko Lomphimbo | Lokhu kwenzelwa ukuxilonga izifo zomphimbo, ikakhulukazi izimo ezifana nomphimbo obuhlungu. I-swab isetshenziselwa ukusupha kancane ngemuva komphimbo wakho ukuze kuqoqwe isampula. |
| Isiko le-sputum | Lokhu kwenziwa uma kukhona ukusolakala kokutheleleka okujulile emaphashini (njenge-pneumonia). Uzocelwa ukuthi unikeze isampula ye-mucus ebanzi necacile evela ngaphakathi esifubeni sakho. |
| Isiko Lomchamo | Lokhu kwenzelwa ukuxilonga izifo zomgudu womchamo noma zezinso. Ngemva kokuhlanza indawo yesitho sangasese nokukhipha umchamo omncane, udinga ukuqoqa umchamo omncane phakathi kwepayipi lokuhlola uwufake enkomishini ehlanzekile. |
| Isiko Lamanxeba | Uma inxeba lakho noma ukusha kwakho kuqhuma futhi kungapholi, lokhu kwenzelwa ukuhlola ukutheleleka. Kusetshenziswa isirinji ukususa ubomvu noma uketshezi oluvela enxebeni. |
Ingabe kudingeka ngenze noma yikuphi ukulungiselela okukhethekile ngaphambi kokuhlolwa? Ingabe zikhona izingozi?
Ukulungiselela
Esikhathini esiningi, lezi zivivinyo zokukhula kwamagciwane azidingi noma yikuphi ukulungiselela okukhethekile. Kodwa-ke, uma udokotela wakho ekunika noma yimiphi imiyalelo ekhethekile (isibonelo, ekutshela ukuthi uyeke ukuthatha imithi ethile), kubalulekile ukuyilandela ngqo. Ngakho-ke, buza udokotela wakho ngazo ngaphambi kokuhlolwa.
Ingozi
Izingozi noma izinkinga ezihlobene nalezi zivivinyo ziphansi kakhulu. Eqinisweni, izivivinyo eziningi azinazo nhlobo izingozi.
Ngenxa yokuthi inaliti isetshenziselwa ukwenziwa kwe-blood culture kanye ne-spinal fluid culture, kunengozi encane kakhulu yokutheleleka noma ukopha endaweni yokufaka inaliti. Lokhu kufana nengozi yomjovo ojwayelekile. Ngakho-ke asikho isizathu sokukhathazeka ngalokhu.
Kuthatha isikhathi esingakanani ukuthola umbiko wokuhlolwa?
Uma isampula isise-lab, njengoba sixoxile ngaphambili, amabhaktheriya kudingeka akhuliswe. Lokhu kungathatha noma yikuphi kusukela osukwini olulodwa kuya kwezinhlanu, kuye ngohlobo lwamabhaktheriya okusolwa ukuthi akhona.
- Uma amabhaktheriya anele ekhula kusampula, ilebhu izoqinisekisa ukuthi lokhu kuyisifo.
- Iphinde itshele udokotela wakho ukuthi hlobo luni lwebhaktheriya .
Ilebhu yenza into ebaluleke kakhulu. Yenza ukuhlolwa okubizwa ngokuthi i-Antimicrobial Susceptibility Testing (AST) . Kalula nje, lokhu ukuthola ukuthi iyiphi i-antibiotic esebenza kahle kakhulu futhi efaneleke kakhulu kumagciwane abangele ukutheleleka kwakho. Ngezinye izikhathi udokotela angase akuqale nge-antibiotic eyodwa ekuqaleni, kodwa ngemva kokufika kwalombiko, bangase banqume ukukushintshela kwenye i-antibiotic esebenza kangcono nakakhulu. Lokhu kungakusiza ukuthi ululame ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kokukhula kwamagciwane kungahlonza amagciwane athile abangela ukutheleleka kwakho.
- Ngalolu lwazi, udokotela wakho angakhetha i-antibiotic ephumelela kakhulu kuwe.
- Kuye ngezimpawu zakho, amasampula ahlukahlukene njengegazi, umchamo, uketshezi oluphuma emphinjeni kanye nomphimbo angasetshenziswa kulokhu.
- Lezi zivivinyo ziphephile kakhulu futhi izingozi ezihambisana nazo ziphansi kakhulu.
- Uma unemibuzo mayelana nalolu vivinyo, ungangabazi ukubuza udokotela wakho.
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