Ubumanzi bebala leGrama

Umbala we-Gram stain fluid luvavanyo lokufumanisa usulelo lwebhakteria emiphungeni.

Isampuli yolwelo ingasuswa kuvavanyo. Le nkqubo ibizwa ngokuba yi-thoracentesis. Olunye uvavanyo olunokuthi lwenziwe kulwelo lwamanzi lubandakanya ukubeka ulwelo kwisilayidi semicroscope kwaye luxutywe nebala le-violet (elibizwa ngokuba yibala leGram). Ingcali yaselebhu isebenzisa imicroscope ukukhangela iintsholongwane kwisilayidi.

Ukuba kukho iibhaktheriya, umbala, inombolo, kunye nokwakhiwa kweeseli kusetyenziswa ukuchonga uhlobo lweebhaktheriya. Olu vavanyo luyakwenziwa ukuba kukho inkxalabo yokuba umntu unesifo esibandakanya umphunga okanye indawo engaphandle kwemiphunga kodwa ngaphakathi kwesifuba (indawo yokubongoza).

Akukho lungiselelo lukhethekileyo luyafuneka ngaphambi kovavanyo. I-x-ray yesifuba iya kwenziwa ngaphambi nasemva kovavanyo.

SUKUKHOhlele, phefumla nzulu, okanye ushukume ngexesha lovavanyo ukunqanda ukwenzakala emphefumlweni.

Uyakuva ulwamvila xa i-anesthetic yendawo itofwa. Unokuziva ubuhlungu okanye uxinzelelo xa inaliti ifakwa kwindawo yokubongoza.

Xelela umboneleli wakho wezempilo ukuba uziva uphefumla kancinci okanye unentlungu esifubeni.

Ngokwesiqhelo imiphunga igcwalisa isifuba somntu ngomoya. Ukuba ulwelo luyanda kwisithuba esingaphandle kwemiphunga kodwa ngaphakathi esifubeni, kunokubangela iingxaki ezininzi. Ukususa ulwelo kunokunciphisa iingxaki zokuphefumla komntu kwaye kuncede ukucacisa ukuba ulwelo lwakhiwe njani apho.

Uvavanyo lwenziwa xa umboneleli ekrokrela ukosuleleka kwendawo yokubongoza, okanye xa i-x-ray yesifuba ityhila ingqokelela engaqhelekanga yolwelo olunencasa. Ibala leGram linokunceda ekuchongeni ibhaktiriya enokubangela usulelo.

Ngokwesiqhelo, akukho bhaktiriya ibonakalayo kulwelo olunencindi.

Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Ezinye iilebhu zisebenzisa imilinganiselo eyahlukeneyo okanye ukuvavanya iisampulu ezahlukeneyo. Thetha nogqirha wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Unokuba nosulelo lwebhakteria kwimigca yemiphunga (pleura).

Ibala legram yeencindi zamanzi

• Ukuthanjiswa kwendalo

I-Broaddus VC, ukuKhanya kweRW. Ukuchithwa kwendalo. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 79.

IHolo GS, iWolds GL. Unyango lwebacteriology. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; Ngo-2017: isahluko 58.