Uvavanyo lweRPR

I-RPR (i-plasma reagin ekhawulezileyo) luvavanyo lokuvavanywa kwegcushuwa. Ilinganisa izinto (iiproteni) ezibizwa ngokuba ngamachiza omzimba akhoyo egazini labantu abanokuba nesi sifo.

Isampulu yegazi iyafuneka.

Akukho lungiselelo lukhethekileyo ludla ngokufuneka.

Xa kufakwa inaliti ukutsala igazi, abanye abantu baziva iintlungu eziphakathi. Abanye baziva behlaba okanye behlaba kuphela. Emva koko, kunokubakho ukubetha okanye ukutyumza kancinci. Oku kuya kuhamba kungekudala.

Uvavanyo lwe-RPR lunokusetyenziselwa ukukhusela igcushuwa. Isetyenziselwa ukuvavanya abantu abaneempawu zosulelo oludluliselwa ngesondo kwaye isetyenziswa rhoqo ukukrola abasetyhini abakhulelweyo ngesi sifo.

Uvavanyo lukwasetyenziselwa ukubona ukuba lusebenza njani unyango lwe-syphilis. Emva konyango ngamayeza okubulala iintsholongwane, amanqanaba e-syphilis antibodies kufuneka awe. La manqanaba anokujongwa kolunye uvavanyo lweRPR. Ukutshintsha okanye ukunyuka kwamanqanaba kunokuthetha usulelo oluqhubekayo.

Uvavanyo luyafana novavanyo lophando lwesifo se-venereal (VDRL).

Iziphumo zovavanyo ezingalunganga zithathwa njengeziqhelekileyo. Nangona kunjalo, umzimba awusoloko uvelisa ii-antibodies ngokuthe ngqo ekuphenduleni ibacteria ye-syphilis, ke uvavanyo alusoloko luchanekile. Izinto ezichasayo zibubuxoki zinokwenzeka kubantu abane-syphilis kwangoko nasekupheleni kwexesha. Olunye uvavanyo lunokufuneka ngaphambi kokulawula igcushuwa.

Iziphumo zovavanyo ezilungileyo zinokuthetha ukuba unegcushuwa. Ukuba uvavanyo lokuvavanywa luhle, inyathelo elilandelayo kukuqinisekisa ukuxilongwa ngovavanyo oluthile ngakumbi lwegcushuwa, njenge-FTA-ABS. Uvavanyo lwe-FTA-ABS luya kunceda ukwahlula phakathi kwegcushuwa kunye nolunye usulelo okanye iimeko.

Uvavanyo lwe-RPR luyifumana njani igcushuwa kuxhomekeke kwinqanaba losulelo. Uvavanyo lubuthathaka kakhulu (phantse i-100%) ngexesha lamanqanaba aphakathi egcushuwa. Akuthandeki kangako ngexesha lokuqala kunye nasemva kwamanqanaba osulelo.

Ezinye iimeko zinokubangela uvavanyo oluchanekileyo, kubandakanya:

• Ukusetyenziswa kweziyobisi nge-IV
• Isifo seLyme
• Iindidi ezithile zenyumoniya
• Isifo seengcongconi
• Ukukhulelwa
• Inkqubo ye-lupus erythematosus kunye nezinye iingxaki zokuzimela
• Isifo sephepha (TB)

Akukho mngcipheko ubandakanyekileyo ekuthatheni igazi lakho. Imithambo kunye nemithambo iyahluka ngobukhulu ukusuka komnye umntu ukuya komnye nakwelinye icala lomzimba liye kwelinye. Ukuthatha igazi kwabanye abantu kunokuba nzima ngakumbi kunabanye.

Eminye imingcipheko enxulumene nokutsalwa kwegazi incinci, kodwa inokubandakanya:

• Ukopha kakhulu
• Ukufa isiqaqa okanye ukuziva ungenantloko
• Ukugqobhoza okuninzi ukufumana imithambo
• I-Hematoma (igazi eliqokelela phantsi kwesikhumba)
• Usulelo (umngcipheko omncinci nangaliphi na ixesha ulusu lwaphukile)

Uvavanyo olukhawulezayo lweplasma; Uvavanyo lokuvavanywa kweSyphilis

• Uvavanyo lwegazi

URadolf JD, iTramont EC, uSalazar JC. I-Syphilis (I-Treponema pallidum). Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahl 237.

Umsebenzi we-US Prestive Services Task Force (USPSTF); Ii-Bibbins-Domingo K, Grossman DC, et al. Ukuvavanywa kosulelo lwe-syphilis kubantu abadala nabakhulelweyo: I-US Preventive Services Task Force statement. JAMA. Ngo-2016; 315 (21): 2321-2327. IINKCUKACHA: 27272583 www.ncbi.nlm.nih.gov/pubmed/27272583.