Pleural madzimadzi Gram banga

Mapazi amadzimadzi a Gram ndimayeso opezera matenda a bakiteriya m'mapapu.

Chitsanzo cha madzimadzi amachotsedwa poyesa. Izi zimatchedwa thoracentesis. Chiyeso chimodzi chomwe chingachitike pamadzi am'madzi chimaphatikizapo kuyika madziwo pa microscope slide ndikusakaniza ndi banga la violet (lotchedwa Gram banga). Katswiri wa labotale amagwiritsa ntchito microscope kuyang'ana mabakiteriya.

Ngati mabakiteriya alipo, mtundu, kuchuluka kwake, kapangidwe kake kamagwiritsidwa ntchito pozindikira mtundu wa mabakiteriya. Kuyesaku kudzachitika ngati pali nkhawa kuti munthu ali ndi matenda okhudzana ndi mapapo kapena malo kunja kwa mapapo koma mkati mwa chifuwa (pleural space).

Palibe kukonzekera kwapadera komwe kumafunikira mayeso asanayesedwe. X-ray ya m'chifuwa mwina imachitika musanayesedwe komanso pambuyo pake.

Osatsokomola, kupuma movutikira, kapena kusuntha poyesa kuti musavulazidwe m'mapapu.

Mumva zowawa mukadzabayidwa mankhwala oletsa ululu am'deralo. Mutha kumva kupweteka kapena kukakamizidwa singano ikalowetsedwa m'malo opembedzera.

Uzani wothandizira zaumoyo wanu ngati mukupuma movutikira kapena mukumva kupweteka pachifuwa.

Nthawi zambiri mapapu amadzaza chifuwa cha munthu ndi mpweya. Ngati madzi amadzaza m malo kunja kwa mapapo koma mkati mwa chifuwa, zimatha kubweretsa mavuto ambiri. Kuchotsa madziwo kumatha kuthetsa mavuto ampweya wamunthu ndikuthandizira kufotokoza momwe madzi amadzimadzi amapangidwira pamenepo.

Kuyesaku kumachitika pomwe wothandizirayo akukayikira kuti ali ndi kachilombo ka kachilombo, kapena ngati x-ray ya pachifuwa ikuwonetsa kusokonekera kwa madzi am'mapapo. Dontho la Gram lingathandize kuzindikira mabakiteriya omwe angayambitse matendawa.

Nthawi zambiri, palibe mabakiteriya omwe amawoneka m'madzi am'mimba.

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma lab ena amagwiritsa ntchito miyeso yosiyanasiyana kapena amayesa mitundu yosiyanasiyana. Lankhulani ndi dokotala wanu tanthauzo la zotsatira zanu zoyesa.

Mutha kukhala ndi kachilombo ka bakiteriya m'mapapu (pleura).

Gulu la gramu lamadzi am'madzi

• Kupaka kwapopu

Broaddus VC, Kuwala RW. Kutulutsa kwa Pleural. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 79.

Hall GS, Woods gl. Bacteriology yazachipatala. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. St Louis, MO: Elsevier; 2017: chap 58.