Hōʻike koko FTA-ABS
Hoʻohana ʻia ka hoʻokolohua FTA-ABS e ʻike i nā mea ʻino i nā koʻohune ʻO Treponema pallidum, ʻo ia ke kumu o ka syphilis.
Pono kahi laʻana koko.
ʻAʻole pono kahi hoʻomākaukau kūikawā.
Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki. Hele koke kēia.
Hana pinepine ʻia kēia hōʻike e hōʻoia inā paha kahi hōʻike loiloi maikaʻi no ka syphilis (ʻo VDRL a i ʻole RPR) ʻo ia hoʻi he maʻi syphilis kāu i kēia manawa.
Hiki nō ke hana ʻia ke maikaʻi ʻole nā hōʻike syphilis ʻē aʻe, e kāpae i kahi hopena wahaheʻe-maikaʻi ʻole.
ʻO kahi hopena maikaʻi ʻole a nonreactive paha i manaʻo ʻia ʻaʻohe ou hopena i hala a i hala paha me ka syphilis.
Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā hoʻāʻo i nā laʻana like ʻole. E kamaʻilio me kāu mea mālama ola e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.
ʻO kahi FTA-ABS maikaʻi he hōʻailona pinepine ia o ka maʻi syphilis. E mau ka hopena o kēia hopena hōʻoia no ke ola inā ua mālama pono ʻia ka syphilis. No laila, ʻaʻole hiki ke hoʻohana ʻia e nānā i ka mālama ʻana i ka syphilis a i ʻole e hoʻoholo i ka loaʻa ʻana o ka syphilis.
ʻO nā maʻi ʻē aʻe, e like me ka yaws a me ka pinta (ʻelua ʻano maʻi maʻi ʻili), e hopena paha i nā hopena FTA-ABS maikaʻi. I kekahi manawa, hiki i kahi hopena maikaʻi ʻole wahaheʻe, pinepine i nā wahine me ka lupus.
ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.
ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:
- Kahe nui ke koko
- Pāleʻale a ʻoluʻolu paha
- Nā punctures he nui e ʻimi i nā uaua
- Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
- Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)
ʻO ka hoʻāʻo absorption antibody treponemal fluorescent
- Hōʻaʻo koko
Radolf JD, Tramont EC, Salazar JC. Syphilis (Treponema pallidum). I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 237.
ʻO ka Pūʻali Hana Hana Preventive US (USPSTF); Bibbins-Domingo K, Grossman DC, et al. ʻO ka loiloi no ka maʻi syphilis i nā mākua ʻole hāpai a me nā ʻōpio: US Preventive Services Task Force haʻi ʻōlelo. JAMA. 2016; 315 (21): 2321-2327. PMID: 27272583 www.ncbi.nlm.nih.gov/pubmed/27272583.