Hōʻike VDRL
ʻO ka hōʻike VDRL kahi hōʻike loiloi no ka syphilis. Ana ia i nā mea (proteins), i kapa ʻia he antibodies, i hana ʻia e kou kino inā ʻoe i launa pū me nā maʻi bacteria e kumu ai ka syphilis.
Hana pinepine ʻia ka hōʻike me ka hoʻohana ʻana i kahi laʻana koko. Hiki iā ia ke hana ʻia me kahi laʻana o ka wai o ka iwi kuamoʻo. Kūkākūkā kēia ʻatikala i ka hoʻāʻo ʻana i ke koko.
Pono kahi laʻana koko.
Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo paha 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.
Hoʻohana ʻia kēia hōʻike no ka pale ʻana no ka syphilis. Kāhea ʻia nā koʻohune nāna i kumu mai ka syphilis Treponema pallidum.
Hiki i kāu kauka olakino ke kauoha i kēia hōʻike inā loaʻa iā ʻoe nā hōʻailona a me nā ʻōuli o kahi maʻi i loaʻa i ka moekolohe (STI).
ʻO ka kānana Syphilis kahi maʻa maʻamau o ka mālama prenatal i ka wā hāpai.
Ua like kēia hōʻike me ka hōʻike plasma reagin wikiwiki hou (RPR).
He maʻamau kahi hōʻike maikaʻi ʻole. ʻO ka manaʻo ia ʻaʻole i ʻike ʻia kekahi mau mea ʻohina i ka syphilis i kāu hāpana koko.
ʻOi aku ka maikaʻi o ka hoʻāʻo kānana ma ke kekona a me nā pae latent o syphilis. Hāʻawi paha kēia hōʻike i kahi hopena wahaheʻe ʻole i ka syphilis mua a me ka hopena. Pono e hoʻokūpaʻa ʻia kēia hōʻike me kahi hōʻike koko hou e ʻike ʻia ai 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 i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.
ʻO kahi hopena hōʻike maikaʻi e loaʻa paha iā ʻoe ka syphilis. Inā maikaʻi ka hōʻoia, ʻo ka hana hou e hōʻoia i nā hopena me kahi hōʻike FTA-ABS, kahi hōʻike syphilis kikoʻī kikoʻī.
ʻO ka hiki i ka hōʻike VDRL ke ʻike i ka syphilis ma muli o ke kahua o ka maʻi. ʻIke ka ʻike o ka hoʻāʻo e ʻike i ka syphilis kokoke i 100% i ka wā waena; ʻoi aku ka maʻalahi o ka wā ma mua a ma hope o nā pae.
Hoʻokumu paha kekahi mau ʻano i kahi hoʻokolohua maikaʻi ʻole maikaʻi, e like me:
- HIV / AIDS
- Maʻi Lyme
- Kekahi mauʻano o ka paumaonia
- Malaria
- ʻO ka lupus erythematosus ʻōnaehana
ʻAʻole hiki i ke kino ke hana mau i nā antibodies kikoʻī i ka pane ʻana i ka bacteria syphilis, no laila ʻaʻole pololei kēia hōʻike.
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)
Hōʻoia keʻena hoʻokolohua noiʻi maʻi maʻi Venereal; Syphilis - VDRL
- 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.