Mayeso a RPR

RPR (plasma reagin mwachangu) ndimayeso owunika a syphilis. Imayeza zinthu (mapuloteni) otchedwa ma antibodies omwe amapezeka m'magazi a anthu omwe atha kukhala ndi matendawa.

Muyenera kuyesa magazi.

Palibe kukonzekera kwapadera komwe kumafunikira.

Pamene singano imayikidwa kuti ikoke magazi, anthu ena amamva kupweteka pang'ono. Ena amangomva kubaya kapena kuluma. Pambuyo pake, pakhoza kukhala kupunduka kapena kuvulala pang'ono. Izi posachedwa zichoka.

Mayeso a RPR atha kugwiritsidwa ntchito kuwunika chindoko. Amagwiritsidwa ntchito kuwunika anthu omwe ali ndi zizindikilo za matenda opatsirana pogonana ndipo amagwiritsidwa ntchito pafupipafupi kuwunikira amayi apakati kuti adziwe matendawa.

Chiyesocho chimagwiritsidwanso ntchito kuwona momwe chithandizo cha syphilis chikugwirira ntchito. Mukalandira chithandizo ndi maantibayotiki, milingo ya ma syphilis antibodies iyenera kugwa. Maguluwa amatha kuyang'aniridwa ndi mayeso ena a RPR. Kusasintha kapena kukwera misinkhu kungatanthauze matenda opitilira.

Kuyesaku ndikofanana ndi kuyesa kwa matenda opatsirana pogonana (VDRL).

Zotsatira zoyipa zoyesedwa zimawoneka ngati zabwinobwino. Komabe, thupi nthawi zonse silimatulutsa ma antibodies makamaka poyankha mabakiteriya a syphilis, chifukwa chake mayeso samakhala olondola nthawi zonse. Zonama zimatha kupezeka mwa anthu omwe ali ndi chindoko koyambirira komanso mochedwa. Kuyesanso kowonjezereka kungafunike musanatulutse chindoko.

Zotsatira zoyeserera zabwino zitha kutanthauza kuti muli ndi chindoko. Ngati kuyezetsa magazi kuli koyenera, gawo lotsatira ndikutsimikizira kuti matendawa ali ndi mayeso enaake a syphilis, monga FTA-ABS. Mayeso a FTA-ABS athandiza kusiyanitsa pakati pa syphilis ndi matenda ena kapena mikhalidwe.

Momwe mayeso a RPR angazindikire chindoko zimatengera gawo la matenda. Chiyesocho chimakhala chovuta kwambiri (pafupifupi 100%) mkati mwa magawo apakati a chindoko. Sichimvetsetsa kwenikweni m'zaka zoyambirira komanso zamtsogolo za matendawa.

Zinthu zina zitha kuyambitsa mayeso abodza, kuphatikiza:

• Kugwiritsa ntchito mankhwala osokoneza bongo a IV
• Matenda a Lyme
• Mitundu ina ya chibayo
• Malungo
• Mimba
• Systemic lupus erythematosus ndi mavuto ena amthupi okha
• TB (TB)

Pali chiopsezo chochepa chotenga magazi anu. Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina kupita kwina komanso kuchokera mbali imodzi ya thupi kupita mbali inayo. Kutenga magazi kuchokera kwa anthu ena kumatha kukhala kovuta kuposa ena.

Zowopsa zina zomwe zimakoka magazi ndi zochepa, koma mwina ndi izi:

• Kutaya magazi kwambiri
• Kukomoka kapena kumva mopepuka
• Ma punctures angapo kuti mupeze mitsempha
• Hematoma (magazi akuchuluka pansi pa khungu)
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

Kuthamanga kwa plasma reagin test; Mayeso owunika a Syphilis

• Kuyezetsa magazi

Radolf JD, Tramont EC, Salazar JC. Chindoko (Treponema pallidum). Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 237.

US Preventive Services Task Force (USPSTF); Bibbins-Domingo K, Grossman DC, ndi al. Kuunika kachilombo ka syphilis mwa achikulire osakhala ndi pakati ndi achinyamata: Ndemanga ya US Preventive Services Task Force. JAMA. 2016; 315 (21): 2321-2327. PMID: 27272583 www.ncbi.nlm.nih.gov/pubmed/27272583. (Adasankhidwa)