Pleural fluid Gram stain

Iyo yekunyemwerera yemvura Gram stain ndiyo bvunzo yekuongorora hutachiona hutachiona mumapapu.

Muenzaniso wemvura yacho unogona kubviswa kuti uongororwe. Iyi nzira inonzi thoracentesis. Imwe bvunzo inogona kuitwa pane inoyerera fluid inosanganisira kuisa iyo fluid pane maikorosikopu inotsvedza uye kuisanganisa neivara (iyo inonzi Gram stain). Nyanzvi yerabhoritari inoshandisa microscope kutsvaga mabhakitiriya pane iyo slidei.

Kana mabhakitiriya aripo, ruvara, nhamba, uye chimiro chemasero zvinoshandiswa kuratidza mhando yebhakitiriya. Muedzo uyu uchaitwa kana paine kunetsekana kwekuti munhu ane hutachiona hunosanganisira mapapu kana nzvimbo iri kunze kwepapu asi mukati mechipfuva (pleural space).

Hapana gadziriro yakakosha inodikanwa usati waedzwa. Chifuva x-ray chingangoitwa pamberi uye mushure mekuyedzwa.

USAKONZE kukosora, kufema zvakadzika, kana kufamba mukati mekuyedza kudzivirira kukuvara kumapapu.

Iwe unonzwa kunzwa kunorwadza kana iyo yemuno anesthetic yakajowa. Iwe unogona kunzwa kurwadziwa kana kumanikidzwa apo tsono inopindirwa munzvimbo yekukumbira.

Udza mupi wako wezvehutano kana iwe uchinzwa kushoma mweya kana uine kurwadziwa pachipfuva.

Kazhinji mapapu anozadza chipfuva chemunhu nemhepo. Kana mvura ikawanda munzvimbo iri kunze kwemapapu asi mukati mechipfuva, zvinogona kukonzera matambudziko mazhinji. Kubvisa chinoyerera kunogona kurerutsa matambudziko emunhu ekufema uye kubatsira kubatsira kutsanangura kuti mvura yacho yakavakwa sei ipapo.

Muedzo unoitwa kana iye mupi achifungidzira hutachiona hwenzvimbo yekuteterera, kana kana chipfuva x-ray ichifumura muunganidzwa usina kujairika wekununura mvura. Iyo stain Gram inogona kubatsira kuziva mabhakitiriya angave ari kukonzera hutachiona.

Kazhinji, hapana mabhakitiriya anoonekwa muyemukati memvura.

Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Mamwe marabhu anoshandisa zviyero zvakasiyana kana kuyedza akasiyana sampuli. Taura nachiremba wako nezve zvinorehwa nemimwe miedzo yako.

Iwe unogona kunge uine hutachiona hwehutachiona mumutsara wemapapu (pleura).

Giraidhi yeganda remvura

• Pleural smear

Broaddus VC, Chiedza RW. Kubwinya kwepleural. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 79.

Horo GS, Woods GL. Chiremba bacteriology. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chitsiko 58.