Pākuʻi Gram o ka biopsyʻaʻaʻa
Gram stain o kaʻaʻaʻa biopsy ho'āʻo pili i ka hoʻohana 'aniani lila violin e ho'āʻo i kahi laʻana o nāʻaʻaʻa i lawe ʻia mai kahi biopsy.
Hiki ke hoʻohana ʻia ke ʻano stain Gram ma kahi o nā laʻana. He hana maikaʻi loa ia no ka hana ʻana i kahi laulā, ʻike kumu o ke ʻano o nā koʻohune i ka hāpana.
ʻO kahi laʻana, i kapa ʻia he smear, mai kahi kiko kiko e waiho ʻia i kahi papa lahilahi loa ma ka paheʻe microscope. Pākuʻi ʻia ka laikini me ke kala aniani viola a hele i loko o nā hana hou aʻe ma mua o ka nānā ʻia ʻana ma lalo o ka microscope no ka bacteria.
ʻO ke ʻano o ka bacteria, e like me ko lākou kala, kinona, ʻāpana (inā he mau), a me ke ʻano o ke kala ʻana e kōkua ai i ka hoʻoholo ʻana i ke ʻano o nā bacteria.
Inā hoʻokomo ʻia ka biopsy ma ke ʻano he ʻoki o ke kaʻina hana, noi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea i ka pō ma mua o ke kaha ʻana. Inā he mea nui (ma ka ʻili o ke kino) ka biopsy, noi ʻia ʻoe ʻaʻole e ʻai a inu paha no kekahi mau hola ma mua o ke kaʻina hana.
Pehea ka manaʻo o ka hoʻāʻo e pili ana i ka ʻāpana o ke kino e biopsied. Nui a hewahewa nā ʻano hana like ʻole no ka lawe ʻana i nā laʻana kiko.
- Hoʻokomo ʻia kahi nila kuʻi ma o ka ʻili i ka ʻaʻa.
- Hiki ke hana ʻia kahi ʻoki (ʻokiʻoki) ma o ka ʻili i loko o ka ʻili, a hemo kahi ʻāpana liʻiliʻi o ka mea.
- Lawe ʻia paha kahi biopsy mai loko o ke kino e hoʻohana ana i kahi mea kani e kōkua i ke kauka e ʻike i loko o ke kino, e like me ka endoscope a i ʻole cystoscope.
ʻIke paha ʻoe i ke kaomi a me ka ʻeha ʻoluʻolu i ka wā o kahi biopsy. Hāʻawi pinepine ʻia kekahi ʻano o ka lāʻau hōʻoluʻolu ʻeha (anesthetic), no laila he ʻuʻuku a ʻaʻohe ou ʻeha.
Hana ʻia ka hoʻāʻo ke manaʻo ʻia kahi maʻi o kahi kino.
Inā he koʻohune, a he aha ke ʻano, aia ka i ka biopsied o ka iʻa. Kūleʻa kekahi mau mea i ke kino, e like me ka lolo. ʻO nāʻiʻo ʻē aʻe, e like me ka ʻōpū, loaʻa nā koʻohune.
Kaha: hiki ke loli iki i nā pae waiwai maʻamau ma waena o nā hale hana ʻokoʻa. E kamaʻilio me kāu kauka e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.
ʻO ka hopena maʻamau nā hopena maʻamau he maʻi i kaʻiʻo. ʻO nā hoʻokolohua hou aku, e like me ka hoʻomeheu ʻana i kaʻiʻo i hemo ʻia, pono pinepine ʻia e ʻike i ke ʻano o nā bacteria.
ʻO nā pilikia wale nō mai ka lawe ʻana i kahi biopsy iʻa, a hiki pū ke komo i ke kahe ʻana a i ʻole ka maʻi.
ʻO ka biopsy kaola - Gram stain
- Pākuʻi Gram o ka biopsyʻaʻaʻa
Chernecky CC, Berger BJ. ʻO Biopsy, kikoʻī pūnaewele - hiʻohiʻona. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013.199-202.
ʻO Hall GS, Woods GL. ʻO ka maʻi bacteriology. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23d ed. St Louis, MO: Elsevier; 2017: chap 58.