Hōʻike koko Tularemia
ʻO nā loiloi hōʻoia koko Tularemia no nā maʻi i kapa ʻia e nā bacteria Francisella tularensis (F tularensis). ʻO ke koʻohune ke kumu o ka maʻi tularemia.
Pono kahi laʻana koko.
Hoʻouna ʻia kahi laʻana i kahi keʻena hoʻokolohua kahi e nānā ʻia ai no nā mea ʻino francisella e hoʻohana nei i kahi hana i kapa ʻia he serology. Nānā kēia hana inā ua hana kou kino i nā mea i kapa ʻia he antibodies i kahi lāʻau haole kikoʻī (antigen), i kēia hihia F tularensis.
ʻO nā Antibodies nā protein e pale aku i kou kino i ka bacteria, nā mea hoʻomaʻi, a me nā fungi. Inā loaʻa nā mea ʻāpili, aia lākou i loko o ke serum o kou koko. ʻO ke serum ka ʻāpana wai o ke koko.
ʻAʻohe hoʻomākaukau kūikawā.
Ke hoʻokomo ʻia ke kui kele e huki i ke koko, ʻike paha ʻoe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a hāpala paha. Hele koke kēia.
Hana ʻia kēia hōʻike koko ke manaʻo ʻia ka tularemia.
ʻO kahi hopena maʻamau ʻaʻohe antibodies kikoʻī no F tularensis loaʻa i ka serum.
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 hoʻokolohua i nā hoʻohālikelike like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.
Inā ʻike ʻia nā mea pale mūhā, aia kekahi F tularensis.
Inā loaʻa nā mea pale mūhā, ʻo ia hoʻi he maʻi ʻino paha kāu i hala a i ʻole ma mua F tularensis. I kekahi mau hihia, hoʻokahi pae kiʻekiʻe o nā mea ʻākeʻakeʻa kikoʻī i F tularensis ʻo ia hoʻi he maʻi kou.
I ka wā mua o kahi maʻi, ʻike ʻia kekahi mau mea ʻāpala. Hoʻonui ka hana Antibody i ka wā o kahi maʻi. No kēia kumu, hiki ke hana hou i kēia hōʻike i mau pule ma hope o ka hōʻike mua.
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, a mai kekahi ʻaoʻao o ke kino i kekahi ʻē aʻe. 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)
Hōʻike Tularemia; Serology no Francisella tularensis
- Hōʻaʻo koko
Aoyagi K, Ashihara Y, Kasahara Y. Immunoassays a me immunochemistry. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 44.
Chernecky CC, Berger BJ. Tularemia agglutinins - serum. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 1052-1135.
ʻO Penn RL. Francisella tularensis (tularemia). I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpikipiki, Hoʻopuka Hou. 8th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 229.