Hōʻike RPR

ʻO RPR (reagin plasma wikiwiki) kahi hōʻike loiloi no ka syphilis. Ana ʻia nā mea (proteins) i kapa ʻia he mau antibodies i loaʻa i loko o ke koko o ka poʻe i loaʻa ka maʻi.

Pono kahi laʻana koko.

ʻAʻole pono ka 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 ʻeha iki. Hele koke kēia.

Hiki ke hoʻohana ʻia ka hōʻike RPR i ka pale no syphilis. Hoʻohana ʻia ia e nānā i ka poʻe i loaʻa nā ʻōuli o nā maʻi i lawe ʻia i ka moekolohe a hoʻohana pinepine ʻia e nānā i nā wahine hāpai no ka maʻi.

Hoʻohana ʻia ka hōʻoia e ʻike ai i ka hana ʻana o ka syphilis. Ma hope o ka hoʻomaʻamaʻa ʻana me nā lāʻau antibiotic, pono e hāʻule nā ​​pae o nā syphilis antibodies. Hiki ke nānā ʻia kēia mau pae me kahi hōʻike RPR hou aʻe. Hiki ke hoʻololi a piʻi i luna nā pae i kahi maʻi mau.

Ua like ka hoʻāʻo me ka hoʻokolohua noiʻi maʻi maʻi venereal (VDRL).

Kuhi ʻia kahi hopena hōʻike maikaʻi ʻole he mea maʻamau. Eia nō naʻe, ʻaʻole hana mau ke kino i nā mea ʻohola kikoʻī ma ka pane ʻana i ka bacteria syphilis, no laila ʻaʻole pololei ka hōʻike. Kūpono nā Negatives hewa i nā poʻe me ka syphilis mua a me ka hopena. Pono paha e hoʻāʻo hou ma mua o ka haʻalele ʻana i ka syphilis.

ʻO ka hopena o kahi hopena hōʻoia maikaʻi paha he syphilis kāu. Inā maikaʻi ka hōʻike loiloi, ʻo ka hana hou e hōʻoia i ka hōʻoia me kahi hōʻike kikoʻī no ka syphilis, e like me FTA-ABS. E kōkua ka hōʻike FTA-ABS i ka hoʻokaʻawale ma waena o syphilis a me nā maʻi a i ʻole nā ​​kūlana.

Pehea ka hopena o ka hōʻoia RPR e huai ai i ka syphilis ma muli o ke kahua o ka maʻi. Hoʻomaʻamaʻa ka hōʻike (aneane 100%) i ka wā waena o ka syphilis. ʻAʻole maʻalahi ia i ka wā ma mua a ma hope o ka maʻi.

Hoʻokumu paha kekahi mau ʻano i kahi hoʻokolohua maikaʻi ʻole maikaʻi, e like me:

• Hoʻohana lāʻau IV
• Maʻi Lyme
• Kekahi mauʻano o ka paumaonia
• Malaria
• Hapai keiki
• ʻO systemic lupus erythematosus a me kekahi mau maʻi autoimmune ʻē aʻe
• Tuberculosis (TB)

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)

Hōʻike reagin plasma wikiwiki; Hōʻike hōʻike Syphilis

• 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.