Binciken kwayar cutar strep ba zai iya dogara ne kawai akan alamun asibitoci da bayyanar cututtuka ba, kuma ana buƙatar ƙarin gwaje-gwaje don ganewa tabbatacciyar kwayoyin Streptococcus pyogenes wadanda ke haifar da yanayin. Gwajin gwaje-gwaje mai sauri zai iya haifar da sakamakon sakamako na yau, amma zai iya ɗaukar kwanaki biyu don samun sakamako na al'ada, ko da yake wannan gwajin ya fi daidai.
Sakamakon ganewa daidai yana da muhimmanci saboda magani zai iya taimakawa wajen hana rikitarwa na tsawon lokaci, kamar zuciya da koda.
Kasuwan kai
Alamar farko da bayyanar cututtukan kwayar cutar strep tare da wadanda ke cikin cututtuka na numfashi. Duk da yake baza ku iya gano asalinku ba tare da strep, za ku iya nemo abin da ke gaba, wanda zai iya jaddada cewa strep makogwaro zai iya shafar ku ko yaronku:
- Kusawa a baya na makogwaro
- Fusho mai launin fata ko farar fata a baya na makogwaro
- Ƙananan launi ko launin mai launi a bakinka
Wasu cututtuka masu cutarwa da yanayin likita zasu iya farawa tare da bayyanar cututtuka waɗanda suke kama da wadanda suke da kwayar strep. Yayinda yake da wuya, strep makogwaro kanta zai iya ci gaba wajen haifar da rikitarwa mai tsanani. Akwai wasu muhimman al'amurran da suka kamata ka kasance a kan faɗakarwa don tabbatar da cewa babu jinkirin ganewar asali na yanayinka:
- Babban zazzabi (sama da digiri 101)
- Tsarancin zafin jiki (na tsawon tsawon sa'o'i 24)
- Rash a kan kirji, makamai, ko wuyansa
- Redness a fuska
- Rashin numfashi
- Rage adadin fitsari; canzawa cikin launi na fitsari
Labs da gwaje-gwaje
Saboda strep makogwaro yana haifar da alamu da bayyanar cututtukan da suke kama da wadanda ke fama da cututtukan cututtuka da sauran cututtuka na kwayan cuta, hanya mafi kyau don tabbatar da ganewar asali ne tare da gwaje-gwaje na gwaje-gwaje wanda zai iya gano ko dai Streptococcus pyogenes kanta ko kuma gano alamomin da ke nuna cewa kwayar halitta ba a bayan kagwagwaro.
Al'umma Ƙasa
An yi la'akari da al'adun tsohuwar ƙwayar cutar ƙwayar cuta wadda ta kamu da cutar ta hanyar tseren mita 24 zuwa 48 a sakamakon al'adu. An yi al'adar bakin ta ta tattara kwayoyin daga baya daga makogwaro ta amfani da swab mai tsawo. Ana sanya samfurin a kan faranti na musamman wanda aka yi da tumakin tumaki da aka haɗa da kwayoyin kafofin watsa labarai kwayoyin (wanda ake kira lambun jinin tumaki) kuma an yarda su girma a cikin wani lab.
Streptococcus pyogenes yana da siffar musamman wanda ya ba shi izinin karya bude jinin jini. Lokacin da kwayoyin ke girma a kan waɗannan faranti, za a sami sharewar jinin jini a jikin man fetur idan kwayoyin cutar Streptococcus pyogenes ke samuwa a cikin samfurin.
Ra'idodin Gano Tsarin Dattijan Rapid
An gwada gwajin antigen mai sauri a yawan ofishin likita kuma ana yin shi ta swabbing baya na makogwaro. Swab ɗin na kwayan cuta an hõre shi ko dai enzymes ko acid don cire sassan kwayoyin Strep pyogenes , wanda ake kira antigens. Gaskiya ko korau, ya kamata ka sami sakamako a game da minti 10 zuwa 20.
Gwaje-gwaje masu magunguna na sauri suna da ƙwarewa fiye da ƙwaƙwalwar ƙwayar cuta, wanda ke nufin cewa sun fi kuskure su kuskure kamuwa da kamuwa da cuta fiye da tsohuwar al'adu.
An kiyasta cewa gwaje-gwajen antigen da sauri na da kimanin kashi 14 zuwa kashi 20 cikin dari na ƙananan bambanci. Saboda wannan dalili, idan akwai yiwuwar cutar kututtura, za'a bada shawara cewa sakamakon mummunan sakamako daga wani gwajin antigen mai sauri zai biyo tare da al'adu na bakin ciki (don tabbatarwa).
Binciken gwaje-gwaje na antidididic acid ba a hade da mummunar ƙari, wanda ke nufin cewa idan sun dawo lafiya, akwai tabbacin cewa kana da kamuwa da cutar kututture.
Hoto
Jirgin gwajin ba na yau da kullum ba ne a cikin ganewar asibiti mai kamuwa da cuta ta strep throat. Duk da haka, gwaje-gwaje irin su X-ray, CT, MRI, ko duban dan tayi na iya zama dole don tantance matsalolin matsaloli na cututtuka na strep, irin su koda ko zuciya.
Bugu da ƙari, waɗannan matsaloli suna da wuya kuma suna gani a marasa lafiya marasa lafiya.
Bincike daban-daban
Yawancin cututtuka na numfashi na sama zai iya farawa tare da alamu guda daya da bayyanar cututtuka kamar kwayar strep. A nan ne cututtuka da suka fi dacewa da su da aka saba gani yayin da aka kimanta ku don yiwuwar kututtuka, tare da kowane ƙarin, alamar bayyanar cututtuka:
- Epstein-Barr cutar (mononucleosis): Har ila yau, ya haɗa da ƙwayar tsoka da kuma jin motsin rai
- Rashin ruwa (mura)
- Ciwon ciwon huhu: kamuwa da cutar huhu wanda ke haifar da tari, tsawa, da kuma rashin ƙarfi na numfashi
- Bronchitis: wani kamuwa da cuta na maski wanda ke haifar da tari kuma yana iya haifar da gajeren numfashi
- Ciwon ƙwayar mycobacteria: kamuwa da cutar huhu da ke haifar da tari da kuma motsi
- Fusobacterium necrophorum: kamuwa da cutar huhu wanda yakan haifar da cututtuka mafi tsanani fiye da strep makogwaro
- Marasa tsarin jiki: zai iya rinjayar kowace jikin jiki kuma zai iya farawa tare da bayyanar cututtuka kama da wadanda suka kamu da cutar kututtuka
- Appendicitis: na iya farawa da zazzabi da kuma ciyawa, amma yawanci yakan haifar da ciwon ciki
- Arthritis: bayyanar cututtuka kamar kamuwa da rikice-rikice na kamuwa da strep
> Sources:
> Atkinson TP, Centor RM, Xiao L, et al. Tattaunawa game da kwayar halitta mai mahimmanci a cikin matasan da ciwon makogwaro ya nuna wani abu mai yawa na yawan Fusobacterium tare da rashin bambanci. PLoS Daya. 2018 Janairu 13, 13 (1): e0189423. Doi: 10.1371 / journal.pone.0189423. eCollection 2018.
> Cohen JF, Bertille N, Cohen R, Chalumeau M. Raunin bincike na antidin antigen na rukuni A streptococcus a cikin yara tare da pharyngitis. Cochrane Database Syst Rev. 2016 Jul 4; 7: CD010502. Doi: 10.1002 / 14651858.CD010502.pub2.