Hōʻike CSF-VDRL

Hoʻohana ʻia ka hōʻike CSF-VDRL e kōkua i ke diagnose neurosyphilis. Nānā ʻo ia no nā mea (proteins) i kapa ʻia he antibodies, i hana ʻia e ke kino i kekahi manawa i ka hopena i ka bacteria e hoʻomaka ana i ka syphilis.

Pono kahi laʻana o ka wai spinal.

E hāhai i nā ʻōlelo a ke kahu mālama ola i ka hoʻomākaukau ʻana no kēia hōʻike.

Hana ʻia ka hōʻike CSF-VDRL e hōʻoia i ka syphilis i ka lolo a i ʻole ka iwi kuamoo. ʻO ke komo ʻana o ka lolo a me ka iwi kuamoo he hōʻailona pinepine ia o ka syphilis pae hope.

ʻOi aku ka maikaʻi o nā hōʻike loiloi koko (VDRL a me RPR) i ka ʻike ʻana i ka syphilis pae waena (kekona).

ʻO kahi hopena maikaʻi ʻole he maʻamau.

Hiki ke hana i nā negatives wahaheʻe. Kuhi kēia hiki iā ʻoe ke loaʻa syphilis ʻoiai inā maʻamau kēia hōʻike. No laila, ʻaʻole hoʻokau pinepine kahi hōʻike maikaʻi ʻole i ka maʻi. Hiki ke hoʻohana ʻia i nā hōʻailona ʻē aʻe a me nā hoʻokolohua e hōʻoia i ka neurosyphilis.

He hopena maikaʻi ʻole kahi hopena maikaʻi a he hōʻailona ia o neurosyphilis.

ʻO nā pilikia no kēia hoʻāʻo nā mea e pili ana i ka lumbar puncture, i hiki ke hoʻopili ʻia:

• Kahe i loko o ka canal spinal a i ʻole ka lolo (subdural hematomas).
• Ka hōʻoluʻolu ʻole i ka wā o ka hoʻāʻo.
• Headache ma hope o ka hoʻāʻo e hiki ke hala i kekahi mau hola a i ʻole mau lā. Inā ʻoi aku ka nui o nā poʻo o ke poʻo ma mua o kekahi mau lā (keu paha i kou noho ʻana, kū a hele wāwae paha) loaʻa paha iā ʻoe kahi kulu CSF. Pono ʻoe e kamaʻilio me kāu kauka inā kū kēia.
• Hypersensitivity (allergic) ka hopena i ka anesthetic.
• ʻO ka maʻi i hoʻolauna ʻia e ka nila kuʻi i ka ʻili.

Hiki i kāu mea hoʻolako ke haʻi iā ʻoe e pili ana i nā pilikia ʻē aʻe.

Hōʻike slide slide hale noiʻi noiʻi maʻi Venereal - CSF; Neurosyphilis - VDRL

• Hōʻike CSF no ka syphilis

ʻO Karcher DS, McPherson RA. Cerebrospinal, synovial, wai serous kino, a me nā mea i koho ʻia. 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 29.

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.