CSF coccidioides imathandizira kuyesa kukonzanso
CSF coccidioides complement fixation ndiyeso yomwe imayang'ana kachilombo chifukwa cha fungus coccidioides mumadzimadzi a cerebrospinal (CSF). Awa ndimadzimadzi ozungulira ubongo ndi msana. Dzina la matendawa ndi coccidioidomycosis, kapena fever fever. Matendawa akaphimba ubongo ndi msana (meninges), amatchedwa coccidioidal meningitis.
Chitsanzo cha madzimadzi amtsempha amafunikira poyesaku. Chitsanzocho nthawi zambiri chimapezeka ndi lumbar puncture (msana wapampopi).
Chitsanzocho chimatumizidwa ku labotale. Kumeneko, amafufuzidwa ngati mankhwala a coccidioides pogwiritsa ntchito njira ya labotale yotchedwa complement fixation. Njirayi imayang'ana ngati thupi lanu latulutsa zinthu zotchedwa ma antibodies ku chinthu china chakunja (antigen), pankhaniyi coccidioides.
Ma antibodies ndi mapuloteni apadera omwe amateteza thupi lanu ku mabakiteriya, mavairasi, ndi bowa. Ngati ma antibodies alipo, amamatira, kapena "amadzikonzekeretsa" ku antigen. Ichi ndichifukwa chake mayeso amatchedwa "kukonza."
Tsatirani malangizo a omwe amakupatsani zaumoyo momwe mungakonzekerere mayeso. Yembekezerani kuti mukhale mchipatala kwa maola angapo pambuyo pake.
Pakati pa mayeso:
- Mumagona chammbali ndi maondo atatambasulidwa kuchifuwa ndi chibwano pansi. Kapena, mumakhala tsonga, koma mwaweramira patsogolo.
- Mutatsuka msana wanu, adokotala amalowetsa mankhwala ozunguza bongo m'dera lanu.
- Singano ya msana imayikidwa, nthawi zambiri kumunsi kumbuyo.
- Singano ikakhazikika bwino, kuthamanga kwa CSF kumayesedwa ndipo zitsanzo zimasonkhanitsidwa.
- Singanoyo imachotsedwa, malowo amatsukidwa, ndipo bandeji imayikidwa pamalo opangira singano.
- Mumatengedwera kumalo opumulirako komwe mumapuma kwa maola angapo kuti mupewe kutuluka kwa CSF.
Kuyesaku kumayang'ana ngati dongosolo lanu lamanjenje lili ndi kachilombo koyambitsa matenda a coccidioides.
Kupezeka kwa bowa (mayeso oyipa) si zachilendo.
Ngati kuyezetsa kuli koyenera kwa bowa, pakhoza kukhala matenda opatsirana mkati mwa dongosolo lamanjenje.
Kuyezetsa magazi mosadziwika bwino kumatanthauza kuti dongosolo lamanjenje lamkati lili ndi kachilombo. Kumayambiriro kwa matenda, ma antibodies ochepa amapezeka. Kupanga kwa ma antibody kumawonjezeka panthawi yomwe matenda ali nawo. Pachifukwa ichi, kuyesa uku kumatha kubwerezedwa milungu ingapo pambuyo poyesedwa koyamba.
Zowopsa zophulika lumbar ndi izi:
- Kutuluka magazi mumtsinje wamtsempha
- Zovuta pamayeso
- Mutu utatha mayeso
- Hypersensitivity (matupi awo sagwirizana) poyankha mankhwala ochititsa dzanzi
- Matenda omwe amayambitsidwa ndi singano kudzera pakhungu
- Kuwonongeka kwa mitsempha ya msana, makamaka ngati munthuyo asuntha panthawi yoyesedwa
Mayeso a antibody a Coccidioides - madzimadzi amtsempha
Chernecky CC, Berger BJ. Coccidioides serology - magazi kapena CSF. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. St Louis, MO: Elsevier Saunders; 2013: 353.
Galgiani JN. Coccidioidomycosis (Coccidioides zamoyo). Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Mfundo za Bennett ndi Kuchita kwa Matenda Opatsirana, Kusinthidwa. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 267.