Pleural fluid Gram stain

ʻO ka pleural fluid Gram stain kahi hōʻike e hōʻike i nā maʻi bacteria i nā māmā.

Hiki ke hemo i kahi laʻana o ka wai no ka hoʻāʻo ʻana. Kapa ʻia kēia hana ʻo ka thoracentesis. Hoʻokahi hōʻike e hiki ke hana ʻia ma ka wai pleura e pili ana i ke kau ʻana i ka wai i ka paheʻe microscope a kāwili ʻia me ka poke viole (i kapa ʻia he poke Gram). Hoʻohana kahi loea loea i kahi microscope e nānā i nā bacteria ma ka paheʻe.

Inā loaʻa nā koʻohune, hoʻohana ʻia ke kala, ka helu, a me ka hanana o nā hunaola e ʻike i ke ʻano o nā koʻohune. E hana ʻia kēia hōʻike inā aia kekahi hopohopo no ka maʻi ʻana o kekahi kanaka e pili ana i ka akemā a i ʻole ke ākea ma waho o ka akemāmā akā i loko o ka umauma (pleura space)

ʻAʻole pono kahi hoʻomākaukau kūikawā ma mua o ka hoʻāʻo. E hana ʻia paha kahi kukui x ma mua a ma hope o ka hoʻāʻo.

MAI kī, hanu hohonu, a neʻe i ka wā o ka hoʻāʻo ʻana e hōʻalo ai i ka hōʻeha ʻana i ka hū.

E ʻike ʻoe i kahi nahenahe ke kuhi ʻia ka anesthetic kūloko. ʻIke paha ʻoe i ka ʻeha a i ʻole kaomi ke hoʻokomo ʻia ka nila i loko o ka pleural space.

E haʻi i kāu mea mālama ola inā ʻeha ʻoe i ka hanu a i ʻole ʻeha ka umauma.

ʻO ka maʻamau maʻamau hoʻopiha nā māmā i ka umauma o ke kanaka me ka ea. Inā kūkulu ka wai i ka hakahaka ma waho o nā akemāmā akā i loko o ka umauma, hiki ke kumu i nā pilikia he nui. Hiki i ka hemo ʻana o ka wai i nā pilikia hanu o ke kanaka a kōkua i ka wehewehe ʻana pehea e kūkulu ʻia ai ka wai i laila.

Hana ʻia ka hoʻāʻo ke manaʻo ka mea hāʻawi i kahi maʻi o ka pleural space, a i ʻole ke hōʻike ʻia kahi pahu x-ray i kahi hōʻiliʻili kūpono ʻole o ka wai pleura. Hiki i ka mākia Gram ke kōkua i ka ʻike ʻana i ka bacteria i hiki ke kumu i ka maʻi.

ʻO ka maʻamau, ʻaʻohe bacteria i ʻike ʻia i ka wai pleura.

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 kauka e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

Loaʻa paha iā ʻoe kahi maʻi bacteria i ka uhi ʻana o nā māmā (pleura).

Pākuʻi Gram o ka wai pleura

• Pleural hamo

Broaddus VC, RW māmā. Hoʻonui effa. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 79.

ʻO Hall GS, Woods GL. ʻO ka maʻi bacteriology. 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 58.