Pākuʻi wai hoʻoheheʻe hui

ʻO ka poke Joint fluid Gram kahi hoʻokolohua hoʻokolohua e ʻike ai i ka bacteria ma kahi hāpana o ka wai hui e hoʻohana ana i kahi moʻo o nā stains (nā kala). ʻO ke ʻano stain Gram kahi ala i hoʻohana pinepine ʻia e ʻike wikiwiki i ke kumu o nā maʻi bacteria.

Pono kahi laʻana o ka wai hui. Hana ʻia paha kēia i kahi keʻena ʻoihana olakino e hoʻohana ana i ka nila, a i ʻole i ke kaʻina hana lumi. Kapa ʻia ka hemo ʻana o ka hāpana i ka ʻiʻini o ka wai hui.

Hoʻouna ʻia ka laʻana wai i kahi keʻena hoʻokolohua kahi e pālahalaha ai kahi kulu liʻiliʻi i kahi ʻāpana lahilahi loa i kahi slide microscope. Kapa ʻia kēia he smear. Hoʻopili ʻia kekahi mau kala kala like ʻole i ka hāpana. E nānā ka limahana o ka hale hana i ka hamo i hoʻohaumia ʻia ma lalo o ka microscope e ʻike ai inā aia nā bacteria. Kōkua ke kala, ka nui, a me ke kinona o nā hunaola i ke ʻano o ka bacteria.

E haʻi aku kāu mea lawelawe iā ʻoe pehea e hoʻomākaukau ai no ke kaʻina hana. ʻAʻole pono kahi hoʻomākaukau kūikawā. Akā, e haʻi i kāu mea hāʻawi inā lawe ʻoe i ka mea lahilahi o ke koko, e like me aspirin, warfarin (Coumadin) a i ʻole clopidogrel (Plavix). Hiki i kēia mau lāʻau ke hoʻololi i nā hopena hōʻike a i kou hiki ke hoʻokolohua.

I kekahi manawa, e hoʻokomo mua ka mea hāʻawi i ka lāʻau numbing i loko o ka ʻili me kahi nila liʻiliʻi, e ʻū ai. Hoʻohana ʻia kahi nila nui e huki i ka wai synovial.

Hiki i kēia ho'āʻo ke kumu i kekahi mau ʻano ʻino inā pili ka piko o ka nila i ka iwi. ʻOi ke kaʻina hana ma mua o 1 a 2 mau minuke.

Hana ʻia ka hoʻāʻo ke loaʻa ka ʻōhū ʻole i wehewehe ʻole ʻia, ʻeha pū, a me ka mumū o kahi ami, a i ʻole e nānā no ka maʻi maʻi hui pū ʻia.

ʻO kahi hopena maʻamau ʻaʻole i loaʻa kahi bacteria ma ka stain Gram.

Nā hualoaʻa kūpono ʻole i ʻike ʻia ka bacteria ma ka stain Gram. He hōʻailona paha kēia o kahi maʻi pū, no ka laʻana, gonococcal arthritis a arthritis paha ma muli o nā bacteria i kāhea ʻia Staphylococcus aureus.

ʻO nā pōʻino o kēia hōʻike me:

• ʻO ka maʻi o ka ami - ʻano ʻē, akā ʻoi aku ka nui me nā ʻiʻini hou
• ʻO ke kahe ʻana i ka lewa hui

Pākuʻi Gram o ka hui wai

El-Gabalawy HS. Nānā i ka wai synovial, ka biopsy synovial, a me nā pathology synovial. I: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, nā hua. ʻO kā Kelly a me Firestein puke aʻo o Rheumatology. 10 o ka lā. Piladelapia, PA: Elsevier; 2017: chap 53.

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. 23d ed. St Louis, MO: Elsevier; 2017: chap 29.