Whakautu tika
He whakamātautau toto te whakamātautau ASO e ine ana i ngā paturopi antistreptolysin O, i hangaia i muri i te pangia e te Streptococcus rōpū A. E tautoko ana te whakamātautau ASO i ngā taunakitanga o tētahi mate streptococcal tata nei ina whakapaetia he mate muri-streptococcal pērā i te kirika rūmātiki, te glomerulonephritis rānei. Kāore te whakamātautau ASO e tautuhi i tētahi mate korokoro mamae o nāianei.
Take take
- Ka titiro whakamuri te whakamātautau ASO ki tētahi mate o mua, kaua ki tētahi mate hohe.
- Kāore te pikinga o te taumata ASO anake e tohu i te mate o te kirika rūmātiki, te mate tākihi rānei.
- Ahakoa he noa te taumata ASO, kāore e tohu kua pangia tata nei e te mate streptococcal, inā koa i ngā mate kiri.
- He nui ake te taumaha o ngā tauira takirua he torutoru wiki te wehe, e whakaatu ana i te pikinga o te titorehanga, i te kotahi te pānui.
- Me pānui ngā hua i te taha o ngā tohu, te whakamātautau me ētahi atu whakamātautau e te tākuta nāna i tono te whakamātautau ASO.
I te titiro
| Āhuahira | taipitopito |
|---|---|
| tauira | Te toto uaua, mai i te ringa te nuinga |
| Te nohopuku | Kāore e hiahiatia ana; whai i ngā tohutohu a tō waeine |
| Te wā tango toto | Tata ki te 5 ki te 10 meneti, tae atu ki te rēhitatanga me te tapanga |
| Mahinga | Ngā paturopi hei ārai i te streptolysin O, he paitini i hangaia e te rōpū A Streptococcus |
| Te whakamahi matua | Ngā taunakitanga tautoko mō te mate streptococcal tata nei i roto i te whakapaetia he kirika rūmātiki, he glomerulonephritis rānei i muri i te streptococcal |
| Kāore i whakamahia mō | Te tātaritanga i tētahi mate korokoro hohe, te whakatau rānei i ngā paturopi mō te korokoro mamae |
| He maha ngā wā e whakahokia ana | Āe, ka whai tauira tuarua i muri i ngā wiki e 2 ki te 4 hei tirotiro i te ia e piki ana, e heke ana rānei |
E mohiotia ano ko
- Taitara ASO / Taitara ASLO
- Whakamātautau paturopi antistreptolysin O
- Whakamātautau paturopi strep
- E kiia whānuitia ana i roto i ngā whare hauora Inia ko te "whakamātautau toto kirika rūmātiki" ko te "whakamātautau ASO rānei mō te mamae hononga", he whakaahuatanga koretake ēnei e rua, ehara i te whakamāramatanga tika.
He aha te whakamātautau ASO
Ka tukuna e te Streptococcus Rōpū A tētahi paitini e kiia nei ko te streptolysin O. Ka whakautu te pūnaha ārai mate mā te hanga paturopi hei ārai i taua paitini. Ka ine te whakamātautau ASO i te nui o taua paturopi kei roto i te toto, e whakaaturia ana hei titre i roto i te IU/mL.
I te nuinga o te wā ka tīmata te piki haere o ngā taumata paturopi i te wiki ki te marama i muri i te pangia, ka eke ki tōna taumata teitei i roto i ngā wiki e whai ake nei, kātahi ka heke mārire i roto i ngā marama. Nā tēnei whakaroa, ka whakaata te whakamātautau ASO i te urupare ārai mate ki tētahi mea kua tupu kē. He tohu tēnei mō te pānga, ehara i te maha o ngā huakita ora.
He aha i mahia ai te whakamātautau ASO
- Te whakapae mō te kirika rūmātiki whakapeka: te mamae me te pupuhi o ngā hononga, te kirika, te carditis, te chorea, ngā tohu kiri motuhake rānei i muri i te mate korokoro. Ko te taunakitanga o te mate streptococcal o mua tētahi wāhanga o ngā paearu Jones.
- Te whakapae mō te glomerulonephritis post-streptococcal: te mimi he tae kōura, te pupuhi o te mata, te hekenga o te mimi, te pikinga rānei o te toto i roto i te tamaiti, i te taiohi rānei i muri i te mate korokoro, i te mate kiri rānei.
- He mate kore whakamārama i muri i te mamae o te korokoro: i te wā he ngawari te mate taketake, kāore i rongoātia, kāore rānei i whakamatautauria.
- Whai-ake: i ētahi wā ka whakahokia hei aroturuki mēnā kei te piki, kei te heke rānei te tairite.
Ko wai me whiwhi i tēnei whakamātautau
- Ngā tamariki me ngā taiohi e mamae ana, e pupuhi ana rānei ngā hononga, e heke ana, e kirika ana, e nekenekehanga rerekē rānei i muri i ngā wiki i te mamae o te korokoro.
- Ngā tāngata he mimi hou tō rātou he tae tī, he tae kora rānei, he pupuhi huri noa i ngā kanohi, he toto toto tiketike hou rānei i muri i te mate korokoro, i te mate kiri rānei.
- Ngā tāngata e aromatawaitia ana mō te whakapaetia he mate manawa rūmātiki, me te whakamātautau haumanu me te echocardiography.
- Ngā tūroro kei raro i te arotakenga motuhake mō ētahi āhuatanga io, nephrological rānei i muri i te pangia.
Ko wai te hunga kāore e hiahia ana ki te whakamātautau ASO: te tangata he mamae korokoro noa iho. Mā te ahurea ūkui korokoro, mā te whakamātautau tere rānei i te antigen ka whakautu i taua pātai. Kaua hoki te whakamātautau ASO e whakamahia hei whakamātautau tirotiro whānui mō te hunga hauora, hei whakamātautau noa rānei mō te ngenge pakupaku, mō te mamae hononga roa rānei, nā te mea he mea noa te pikinga o ngā taumata i roto i te taupori whānui kāore he mate.
Ngā mea kāore e taea te kite, te ārai rānei i te whakamātautau ASO
- Kāore e taea te tautuhi i te mate korokoro streptococcal hohe. Ka roa te wā e puta mai ai ngā paturopi, nō reira i te tīmatanga o te mate, ka noho noa pea te whakamātautau ASO i te wā e kī ana te korokoro i te huakita.
- Kāore e taea e ia anake te tautuhi i te kirika rūmātiki, te glomerulonephritis rānei. Kotahi anake te taunakitanga tautoko e tukuna ana e te whakamātautau ASO. Ko te tautuhi mate ka whakawhirinaki ki ngā paearu haumanu, te whakamātautau, te echocardiography, te whakamātautau mimi me te mahi a te tākihi.
- Ahakoa he noa te taumata ASO, kāore e tohu kua pangia tata nei koe e te mate streptococcal. He ōwehenga o te hunga tino pangia kāore e eke ki tētahi urupare ASO e taea te ine. Ko te mate kiri streptococcal (pyoderma, impetigo) he maha ngā wā ka puta he urupare ASO ngoikore; ko te anti-DNase B te nuinga o te wā he pai ake ki reira.
- Kāore te teitei o te titer ASO e whakaatu ana i te wā i puta ai te mate, te kaha o te mate, me te aha rānei ka puta mai ngā raruraru. Ka taea e ngā taitā te noho teitei mō ngā marama maha i muri i te whakaoranga katoa.
- Kāore te whakamātautau ASO e tautuhi i te momo kitakita, e ārahi rānei i te kōwhiringa paturopi.
- Kāore e taea te aromatawai i te kino o te takirere o te ngākau. E hiahiatia ana he echocardiography mō tēnā.
Kāore te hua o te whakamātautau e whakaatu ana i ngā paturopi kua piki ake, e rite ana ki te mate kua tangohia. Mēnā ka mau tonu, ka kino rānei ngā tohu ahakoa he hua ASO noa, me hoki atu ki tō tākuta kia arotakehia anō.
Ngā whakamātautau e pā ana engari he rerekē
| whakamātautau | Ka patai te whakautu | He rerekētanga matua mai i te whakamātautau ASO |
|---|---|---|
| Ahurea ūkui korokoro | Kei roto i te korokoro te Streptococcus rōpū A i tēnei wā? | Ka kitea te mate o nāianei; kāore e kitea e te whakamātautau ASO. Ka roa te wā e tipu ai te ahurea. |
| Whakamātautau tere mō te kimi i te ārai mate (RADT) | Kei roto i te korokoro te mate pukupuku streptococcal i tēnei rā? | He whakautu tere i te taha o te moenga mō te mate o nāianei. He maha ngā wā ka whakaūtia he RADT kino i roto i te tamaiti mā te whakamahi i te ahurea. |
| Anti-DNase B | He taunakitanga ā-pāturopi kei te whakaatu i te mate streptococcal i ngā wā tata nei? | He tohu paturopi anō tēnei. He maha ngā wā ka whai hua ake i muri i te pangia o te kiri, ā, ka roa ake te noho ki runga. I ētahi wā ka mahia mā te whakamātautau ASO ina kore e taea te whakatau ko te tangata anake. |
| CRP me te ESR | He mumura kaha kei roto i te tinana? | Ngā tohu mumura kore-motuhake e whakamahia ana hei tautoko me te aroturuki i te mahi a te kirika rūmātiki. Kāore he kōrero mō te Streptococcus. |
| Te whakamātautau echocardiography (whakamātautau echo) | E pāngia ana ngā takirere ngākau, ngā uaua ngākau rānei? | Ngā whakaahua o te ngākau. He mea nui ki te tautuhi i te mate pūkahukahu rūmātiki; kāore e taea e te whakamātautau ASO te aromatawai i ngā takirere. |
| Te mahinga mimi me te tirotiro karuārai, te creatinine toto | Kei roto ngā whatukuhu? | Ka kitea te toto me te pūmua i roto i te mimi, ā, ka ine i te mahi a te whatukuhu mēnā e whakapaetia ana he glomerulonephritis muri-streptococcal. |
| Te take rheumatoid / te ārai-CCP | He mate rumatiki tēnei? | He rerekē rawa ngā āhuatanga. He maha ngā wā ka pohehe ki te whakamātautau ASO nā te mea e rua ngā mea i whakaritea mō te mamae o ngā hononga. |
Kāore ēnei whakamātautau i whakarārangihia mai i te pai ki te kino. Ko tēhea te mea tuatahi, kei te āhua o te whakaaturanga: ko te korokoro mamae i tēnei rā e tohu ana i te whakamātautau swab, i te whakamātautau antigen tere rānei; ko te pupuhi o ngā hononga me te kirika i muri i ngā wiki e tohu ana i te aromatawai haumanu, ngā tohu mumura, te echocardiography me te whakamātautau ASO ngātahi; ko te mimi kua ngaro te tae e tohu ana i te whakamātautau mimi me te mahi tākihi i te tuatahi.
Me pehea te whakarite
- Kāore e hiahiatia te nohopuku mō te whakamātautau ASO. Ka tono ētahi taiwhanga kia nohopuku poto mēnā kei te whakahaerehia ētahi atu whakamātautau pēnei i te lipids i te wā kotahi.
- Kōrerotia ki te tākuta toto me te tākuta e tono ana mō ngā rongoā katoa, tae atu ki ngā paturopi, ngā steroids me ngā AYUSH, ngā otaota, ngā tāpiringa whare takaro tinana rānei, nā te mea ka pā ēnei ki te āhua haumanu me te whakamāramatanga o ngā hua.
- Kaua e tīmata, e whakamutu, e whakarerekē rānei i tētahi rongoā kua tohua hei whakarite mō tēnei whakamātautau. Kōrero ki te kaiwhakatakoto rongoā i te tuatahi.
- Kawea te whakahaunga, ngā pūrongo ASO o mua me ngā pūrongo whakamātautau korokoro, whakamātautau echo rānei o mua, kia taea ai e te taiwhanga me tō tākuta te whakataurite i ngā au hou.
He rerekē ngā tohutohu whakarite, te whakahaere tauira me ngā tikanga tuku pūrongo i waenga i ngā taiwhanga. Ko ngā tohutohu e hoatu ana e te wāhanga e kohikohi ana i tō tauira he mea nui ake i ngā tohutohu whānui.
tamariki
Whakamāramahia te tikanga o te tango toto i roto i ngā kupu māmā, me te kawe mai i tētahi mea whakamarie. Ka taea te pania he kirimi whakangote i mua i ētahi wāhanga mēnā kua whakaritea i mua. Ka whakamahia he ngongo tamariki iti ake.
Te wa hapu
He māmā noa te tango toto i te wā e hapu ana. Mēnā ka ngoikore koe i te noho, i te takoto papatahi rānei, kōrero atu ki te kaimahi, kia taea ai te whakarerekē i te tūnga.
Ngā tāngata whai mate toto, e tango ana rānei i ngā rongoā whakangawari toto
Me whakamōhio atu ki te hunga kohikohi i mua i te tangohanga o te ngira. Ka pēhia he pēhanga pakari ake, he pēhanga roa ake i muri i te tangohanga o te ngira. Kaua e whakarerekē i te horopeta o te rongoā ārai toto.
Ngā kaumātua me te hunga he uaua ngoikore
He nui ake te tūponotanga ka puta he marutanga. Whakahuatia ngā kume uaua o mua kia taea ai te whakamahi i tētahi tohunga phlebotomist me tētahi ngira iti ake.
Ngā mea ka tupu i te wā o te whakamātautau ASO
Ka tāpirihia he toriniketi, ka horoia te kiri, ā, ka tangohia he toto iti mai i te uaua, i te nuinga o te wā i te ringaringa, i te tuke rānei. Ka pēhia i muri mai, kātahi ka tāpirihia he takai iti. He maha ngā tāngata ka pāngia e te ngau poto.
Kia pēhea te roa o te tukanga
E rua ki te rima meneti te roa o te tango toto. Tae atu ki te rēhitatanga, te manatoko me te pēhanga i muri i te tangohanga, whakaritea kia 10 ki te 20 meneti te roa i te wāhi kohi. He rerekē ngā wā tukatuka me ngā wā ripoata taiwhanga i waenga i ngā whare; pātai atu ki te tēpu kohi āhea ka wātea mai tō pūrongo. Mena kua tono tō tākuta mō ngā tauira takirua, ka whakaritea te tangohanga tuarua i muri i te rua ki te whā wiki.
Te mārama ki tō pūrongo ASO
Ka tukuna ngā hua ASO hei titer i roto i ngā waeine ā-ao mō ia miririta (IU/mL). Kāore he tapahi whānui kotahi. Ka whakatakotohia e ia taiwhanga tōna ake wā tohutoro i runga i te tikanga i whakamahia (nephelometry, turbidimetry, latex agglutination rānei) me te taupori e mahi ana rātou. He mea nui hoki te tau, nā te mea he nui ake ngā titer taketake o ngā tamariki kura i ngā pakeke nā te maha o te pānga.
Nā reira, pānuihia te whānuitanga tohutoro kua tāia ki tāu ake pūrongo, kaua ki te whānuitanga kua whakahuatia i runga i tētahi paetukutuku. Ka taea e te whakataurite i te hua ASO ki tētahi tatauranga mai i tētahi taiwhanga rerekē, i tētahi tikanga rerekē rānei te whakapohehe.
Te tikanga o te pikinga o te tairite ASO
Ko te teitei o te ira he tohu kua tūtaki te pūnaha ārai mate ki te Streptococcus rōpū A i tētahi wā tata nei. Kāore e whakaū i te mate o nāianei, kāore e whakaū i te kirika rūmātiki, ā, kāore hoki e tohu i ngā raruraru. He maha ngā tamariki me ngā pakeke hauora, inā koa i ngā wāhi e kitea whānuitia ana te mate streptococcal, he nui ake ō rātou ira, engari kāore he mate.
Te tikanga o te titer ASO noa, iti rānei
Mā te ira noa ka iti ake te tūponotanga o te pangia e te streptococcal o nāianei, engari kāore e ārai i te mate, inā koa mēnā i tangohia wawetia te tauira, mēnā rānei i roto i te kiri te mate, kaua i te korokoro. Tērā pea ka tāpirihia he Anti-DNase B i roto i ēnei take.
He aha te hiranga o te ia o te ao i tua atu i te kotahi tau
Ko te pikinga o te ira toto e kitea ana i waenga i ngā tauira e rua i tangohia i waenganui i ētahi wiki, he tohu kaha ake tēnei mō tētahi mate hou, i te pikinga kotahi. Ko te hekenga o te ira toto e tohu ana kei te memeha haere te mate. Ka whakamāramahia e tō tākuta te ahunga o te huringa me ngā tohu me ētahi atu whakamātautau.
Kaua tetahi hua o te whakamātautau ASO e whakamāramahia hei tātaritanga māna anō. Ko te whakamārama te mea tika mā te tākuta nāna i tono te whakamātautau, ā, e mōhio ana hoki ki te horopaki haumanu o tō whakamātautau.
Ina he ngā hua o te ASO
Ngā āhuatanga ka taea te whakanui hē i te taitara ASO
- Ka taea e ngā tauira lipaemic (ngako) me ngā tauira hemolyzed te whakararuraru i ngā tikanga turbidimetric me te nephelometric.
- Kua honoa ētahi āhuatanga ate me te hyperlipidemia ki ngā pikinga kore-motuhake.
- Ahakoa te kawe a te mate streptococcal i te rauropi me te kore e pāngia e te mate, ka taea tonu e ia te whakaputa paturopi, ka hē ai te whakapae i a rātou ko te mate te pūtake.
- Ngā paturopi e mau tonu ana mai i tētahi mate i ētahi marama kua pahure ake nei, kāore e pā ana ki te amuamu o nāianei.
- Te whakamahi i te tohu paetae pakeke mō te tamaiti kura, ka taea ai e tēnei te āhua rerekē o te taitara noa o te tamaiti.
Ngā āhuatanga ka taea te whakaheke teka i te titer ASO
- Te whakamātautau wawe rawa, i mua i te wā e puta ai ngā paturopi.
- Te rongoā paturopi wawe mō te mate taketake, ka taea te whakaiti i te urupare a te paturopi.
- Ko te mate kiri streptococcal, e hua ai he urupare ASO ngoikore i te nuinga o te wā.
- Te pehi i te ārai mate nā te mate, nā te rongoā rānei, ka whakaiti i te hanga paturopi.
- Kua tōmuri rawa te whakamātautau, whai muri i te hekenga o ngā titer.
Whakatairite i waenga i ngā taiwhanga
Ko ngā tikanga rerekē me ngā wā tohutoro rerekē, kāore pea e taea te whakataurite tika i ngā pūrongo e rua mai i ngā taiwhanga e rua. Mō te aroturuki raupapa, mā te whakamahi i te taiwhanga me te tikanga kotahi i ngā wāhi e tika ana ka nui ake te whai tikanga o te ia.
Ngā mōrearea me te haumaru o te kohi toto
Ko te whakamātautau ASO he tango toto uaua noa. Ko ngā pānga e kitea ana ko ngā pānga o tētahi pokanga toto, ā, he iti noa iho te nuinga.
He mea noa, he iti noa iho
- Mamae poto, mamae rānei i te wāhi werohanga ngira
- He maru iti, he ngawari rānei mō te rā kotahi, e rua rānei
- Mārama te mahunga, inā koa mō te hunga e manukanuka ana, kāore rānei i kai
Pata
- Te hemo i te wā o te utu, i muri tata rānei i te utu
- He nui ake te rahi o te haematoma, he nui ake te tūponotanga i roto i te hunga e tango ana i ngā rongoā anticoagulant, i te hunga rānei e mate ana i te toto
- Whakamātauria anō mēnā he uaua te uru atu ki ngā uaua
Rare
- Te mate pāwera ā-rohe i te wāhi i werohia ai
- Te riri o ngā io e meinga ai te ngau o te ringa
Ka rerekē ngā hua me ngā wheako i runga i ngā āhuatanga haumanu o ia tangata.
Nga haki Whero
Āhua ohorere inaianei
- Te kore manawa i te okiokinga, te mamae o te uma, te kore rānei e taea te takoto papatahi
- Te whakaheke tere, te ngaro rānei o te putanga mimi me te pupuhi
- Ngā haurangi, te pōhēhē, te ānini nui rānei me te toto toto tiketike rawa
- Te kirika nui me te kaki maro, te hiamoe, te mate kiri tere horapa, tino mamae rānei
Ra kotahi
- He mimi hou he tae kora, he toto rānei, he pupuhi rānei i te taha o ngā kanohi
- He kirika hou me ngā hononga mamae, pupuhi, wera, inā koa i roto i te tamaiti, i te taiohi rānei
- Te tere o te manawa, te ngenge rerekē i te wā e whakapau kaha ana, te pupuhi rānei o te pona waewae i muri i te mate korokoro tata nei
- Ngā nekehanga hou kāore i te āta whakaarohia, te panoni ohorere rānei o te tuhituhi, te taunga rānei o te tamaiti
- Korokoro mamae me te pupuhi o te huware, te uaua ki te horomi, te uaua rānei ki te whakatuwhera i te waha
Te wā whakarite noa
- Kua piki ake te taumata o te ASO i roto i te tangata e pai ana te ahua
- Ngā mamae hononga ngawari mō te wā roa, kāore he kirika, he pupuhi rānei
- Te matapaki mēnā e hiahiatia ana he whakamātautau ASO anō, he whakamātautau anti-DNase B rānei
- Te whakamahere i te whai muri i te rongoā penicillin mō te ārai i te mate mēnā kua kitea te mate rūmātiki
Nga ahuatanga motuhake
Nga tamariki me nga taiohi
Koinei te rōpū e tino whai hua ana te whakamātautau ASO i roto i te rongoā, nā te mea ko te kirika rūmātiki whakapeka me te glomerulonephritis post-streptococcal e pāngia ana e te nuinga o ngā tamariki me ngā taiohi. He teitei ake ngā ine taketake i roto i ngā tamariki kura, nō reira ko te uara kua piki ake i roto i te tamaiti hauora he maha ngā wā e whakaata ana i te pānga noa o mua, kaua ki te mate.
Te wa hapu
Ka mahia te whakamātautau ASO i te wā e hapu ana mēnā e tika ana kia tirohia e te rata. Me arotake te ngākau me te whānau mō te wahine e mōhiotia ana he mate manawa rūmātiki tōna, nā te mea ka nui ake te taumahatanga o ngā takirere e pāngia ana e te haputanga. Kāore te whakamātautau ASO e aromatawai i te mahi a te takirere.
Nga pakeke
He mea onge te puta mai o te kirika rūmātiki whakapeka hou i roto i ngā kaumātua, nō reira, kāore pea e taea te whakamārama i ngā tohu mēnā ka piki ake te taumata ASO i roto i tēnei rōpū, ā, me rapu atu i ētahi atu take.
Ko nga tangata he mate whatukuhu mau tonu
Ko te glomerulonephritis post-streptococcal tētahi o ngā take o te mumura o te whatukuhu. Mō te hunga kua pāngia e te mate whatukuhu, me pānui te whakamātautau ASO me ngā kitenga mimi, ngā taumata tāpiringa i ngā wā e tohua ana, me te aromatawai nephrology.
Ngā tāngata e ngoikore ana te pūnaha ārai mate
Ka whakaitihia pea ngā urupare paturopi e te mate, e te maimoatanga ārai mate rānei, nō reira kāore i te tino whakamarie te taumata ASO noa i roto i tēnei rōpū.
Te mate manawa rūmātiki kua whakapumautia
Kia kitea te mate manawa rūmātiki, ka arotahi te whakahaere ki te ārai tuarua me te aroturuki i te ngākau, kaua ki te whai tonu i te taumata ASO. Kāore ngā whakamātautau ASO raupapa e ine i te kino o te takirere, e ārahi rānei i te roa o te ārai.
Te whakamātautau ASO i roto i te horopaki Inia
Ko te kirika rūmātiki whakapeka me te mate manawa rūmātiki tonu te tino take o ngā mate manawa ka taea te ārai i Inia, inā koa i waenga i ngā tamariki me ngā taiohi, ā, he nui ake te kitea i konei i te nuinga o ngā whenua whai rawa. Nā tēnei ka tino whai tikanga ngā āhuatanga haumanu kei muri i te whakamātautau ASO i roto i ngā mahi a Inia, ā, ka whakamāramahia hoki he aha ngā taumata paturopi papamuri i roto i te taupori whānui ka teitei ake i ngā tatauranga kua whakaputaina i te Hauāuru.
Ngā mea whai hua e whai tikanga ana i te rohe:
- kupu kupu: Ko te tikanga whānui o te tuhituhi i te whakamātautau ko "ASO titre" ko "ASLO" rānei i runga i ngā rongoā Inia. He maha ngā wā ka kiia te echocardiogram he "echo test".
- Te nui rawa o te whakahaunga mō te mamae o ngā hononga: He maha ngā wā ka tonoa te whakamātautau ASO mō ngā pakeke katoa e mamae ana ngā hononga. Mō ngā pakeke e mamae ana ngā hononga mau tonu, ā, kāore he tohu o te kirika rūmātiki, ko te nui o te ine e whakaatu ana i te pānga o mua, ā, kāore e whakamārama i ngā tohu. Ko te anti-CCP, te rheumatoid factor, te waikawa uric, te whakaahua rānei te huarahi pātai tika ake.
- Te whakamahinga o ngā paturopi kore utu he mea noa, ā, ka taea te whakaiti i te urupare a te paturopi, ka whakaheke i te titer ahakoa he mate urutā tūturu tēnei.
- Nga mate kiri He mea noa ngā mate pēnei i te impetigo me te pyoderma e pā ana ki te scabies, ā, he maha ake te hononga ki te post-streptococcal glomerulonephritis i te kirika rūmātiki; he ngoikore pinepine ngā urupare ASO i muri i te pangia o te kiri, nō reira he pai ake pea te whakamahi i te anti-DNase B.
- Te ārai tuarua: Ki te whakaūtia te mate rūmātiki whakapeka, he mea nui te ārai i ngā mate paturopi mō te wā roa me te tirotiro i te ngākau kia āta tirohia. Me haere mai ngā whakarerekētanga katoa ki te mahere ārai i te mate i te tākuta e rongoā ana.
Te utu me te inihua i Inia
He iti te utu o te whakamātautau ASO i roto i te toto, ki te whakaritea ki ngā whakaahua, ki ngā panera ārai mate motuhake rānei, ahakoa he rerekē te utu tika i waenga i ngā tāone, i ngā mekameka taiwhanga, i ngā whare kāwanatanga me ngā hōhipera tūmataiti. He tohu noa iho ngā utu e whakahuatia ana i runga ipurangi; whakaūhia te utu o nāianei ki te taiwhanga i mua i te kohikohinga o tō tauira.
Ngā āhuatanga e pā ana ki tāu e utu ana:
- Tikanga i whakamahia: He iti ake te utu o te tātaritanga whakaawhewhe latex i te tātaritanga nephelometry, te tātaritanga turbidimetry rānei.
- Pūrongo kounga me te pūrongo tauanga: Ko te tikanga he nui ake te utu o te taitara tau i te mata pai/kino.
- Whakatairite: He maha ngā wā ka tonoa te whakamātautau ASO me te CRP, ESR me te tatau toto katoa; ka taea e ngā utu mōkihi te whakaiti i te utu mō ia whakamātautau.
- Whakamātautau anō: Ko te tikanga o ngā tauira takirua ko te utu rua.
- Kohinga kāinga ka tāpirihia he utu tango toto i roto i te maha o ngā whatunga.
- Te tukatuka tere, te tukatuka rānei i muri i ngā hāora mahi tērā pea ka kukume mai i tētahi utu nui.
- Whakamanatanga me te taumata tāone: Ko te tikanga he nui ake te utu mō ngā taiwhanga kua whakamanahia e te NABL i ngā tāone nui.
Inihuarangi: he maha ngā wā kāore e hipokina ngā whakamātautau tātaritanga o waho e te inihua hauora paerewa mēnā kāore he kaitono OPD e tono. Mēnā he wāhanga o te wā i whakaurua ai ki te hōhipera te whakamātautau ASO, ka whakaurua tonutia ki roto i te kereme hōhipera. He rerekē te kapinga o te kaupapa hauora a te kāwanatanga me te kaupapa hauora ā-rohe i runga i te kaupapa. Tirohia me tō kaiinihua, me te tēpu nama hōhipera rānei.
Ngā pūrākau me ngā meka
| Talatupu'a | Fact |
|---|---|
| Ki te teitei te ASO, he tohu tēnei kei te pāngia koe e te kirika rūmātiki. | Ko te titer teitei e whakaatu ana i te pānga o mua ki te rōpū A Streptococcus. Ko te kirika rūmātiki he tātaritanga haumanu mā te whakamahi i ngā paearu kua tautuhia, me te whakamātautau ASO hei wāhanga tautoko. |
| Mā te hua ASO noa ka kore pea he mate streptococcal. | Ka whakaiti i te tūponotanga, kāore e āraihia. Mā ngā whakamātautau tōmua, ngā paturopi o mua, ngā mate kiri me te pehi i te pūnaha ārai mate ka taea te pupuri i te iti o te titer. |
| Mā te whakamātautau ASO koe e mōhio ai mēnā e hiahiatia ana he paturopi mō te korokoro mamae. | Kāore. Ka aromatawaihia te mate korokoro o nāianei mā te whakatauranga haumanu, te whakamātautau tere irahiko, te ahurea korokoro rānei. |
| Me mahi anō te whakamātautau ASO kia heke rā anō te tau. | Ka āta heke haere ngā ira i roto i ngā marama, ā, ka noho teitei tonu pea i muri i te oranga. Kāore i te tino whai hua te whai i te tau me te kore he tohu. Whaia te mahere a tō tākuta. |
| Me whai whakamātautau ASO mō ia mamae hononga. | Mō ngā pakeke e mamae ana ngā hononga mau tonu, ā, kāore he āhuatanga muri i te streptococcal, kāore e maha ngā whakarerekētanga o te whakahaere i te whakamātautau ASO, ā, ka puta pea he āwangawanga koretake. |
| Ka pā te whānuitanga tohutoro ASO o tētahi taiwhanga ki tō pūrongo. | He rerekē ngā tapahi i runga i te tikanga me te taupori. Whakamahia te awhe kua tāia ki tāu ake pūrongo. |
Pātai auau
Me nohopuku i mua i te whakamātautau ASO?
Kāore e hiahiatia te nohopuku mō te whakamātautau ASO, nā te mea kāore he pānga o te kai tata nei ki ngā taumata paturopi. Kei te tono tonu ētahi taiwhanga kia nohopuku poto mēnā ka tangohia ngā whakamātautau ngako, huka rānei mai i te tauira kotahi. Whāia ngā tohutohu motuhake a te taiwhanga e kohi ana i ō toto.
Kia pēhea te roa ka piki ake te taumata ASO i muri i te mamae o te korokoro?
Ko te tikanga, ka tīmata te piki haere o ngā paturopi antistreptolysin O i te kotahi ki te whā wiki i muri i te mate korokoro streptococcal, ā, ka tino piki haere i roto i ngā wiki e whai ake nei. Ahakoa te mate tūturu, ka puta pea he hua noa i te whakamātautau wawe rawa. Koia te take e tono pinepine ai ngā tākuta i tētahi tauira tuarua i muri i ētahi wiki hei tirotiro i te pikinga o te ia.
Ka taea e te taumata ASO te toto te noho teitei tonu?
I te nuinga o te wā ka heke haere ngā ira i roto i ētahi marama i muri i te pangia, ahakoa he rerekē te tere i waenga i ngā tāngata. Ka mau tonu ētahi taumata piki ake mō te wā roa, me te kore e pāngia e te mate. Ko te pikinga tonu o te ira i roto i te tangata e pai ana te ahua, ehara i te mea he take mō te maimoatanga, te whakamātautau anō rānei.
He aha te rerekētanga i waenga i te whakamātautau ASO me te anti-DNase B?
Ka kitea e rāua ngā paturopi ki te rōpū A Streptococcus. Ka pai te urupare a te whakamātautau ASO i muri i te mate korokoro engari he maha ngā wā ka ngoikore i muri i te mate kiri, ina pai ake te mahi a te anti-DNase B, ā, ka roa ake te pikinga. I ētahi wā ka tohua e ngā tākuta ngā mea e rua ina kore e taea te whakatau i tētahi hua engari kei te mau tonu te whakapae haumanu mō te mate streptococcal tata nei.
Me whai rongoā paturopi mēnā he nui te ASO titer?
Ehara te pikinga o te taumata ASO anake i te tohu mō ngā paturopi, nā te mea e whakaatu ana i tētahi urupare ārai mate o mua, kaua ki tētahi mate hohe. Ka tohua ngā paturopi mō te mate o nāianei, hei ārai tuarua rānei mō te wā roa i muri i te whakaūnga o te kirika rūmātiki. Ko tō tākuta rongoā anake ka taea te whakatau, i runga i tō tirohanga haumanu katoa.
He nui te ASO o taku tamaiti engari kāore he tohu. Me manukanuka ahau?
He nui ake ngā taumata ASO taketake o ngā tamariki kura nā te pānga pinepine ki te streptococcal, ā, kāore i te kitea. Mō te tamaiti hauora, kāore he kirika, he pupuhi hononga, he nekehanga rerekē, he huringa mimi rānei, ko te pikinga o te taumata anake kāore e tohu i te mate. Kōrerohia te pūrongo ki tō tākuta tamariki, kaua e mahi i runga i te tau.
Ka taea e te whakamātautau ASO te kite i te mate manawa rūmātiki?
Kāo. Kāore e taea e te whakamātautau ASO te aromatawai i ngā takirere ngākau, i te uaua ngākau rānei. Ka tātaritatia, ka aroturukitia hoki te mate ngākau rūmātiki mā te whakamātautau haumanu me te echocardiography, i ētahi wā mā te ECG me te whakaahua uma. Ka tāpiri noa te whakamātautau ASO i ngā taunakitanga i puta mai he mate streptococcal i tētahi wā o mua.
Me whakahaere te whakamātautau ASO hei wāhanga o te tirotiro hauora o ia rā?
Kāore te whakamātautau ASO i te tūtohutia hei whakamātautau tirotiro whānui. Mō te hunga kāore he tohu e pā ana, he mea noa te pikinga o ngā ira, ā, he koretake te tikanga, ka hua ake te manukanuka koretake me te whakamātautau anō. He whai hua te whakamātautau ASO ina whakapae motuhake te tākuta i tētahi raruraru i muri i te mate streptococcal.
Me whakamahi anō ahau i te taiwhanga kotahi mō te whakamātautau ASO anō?
Āe, ki te taea. He rerekē ngā tikanga me ngā wā tohutoro a ngā taiwhanga rerekē, nō reira kāore e taea te whakataurite i ngā ine ira i waenga i a rātou. Mā te whakamahi i te taiwhanga me te tikanga kotahi mō ngā tauira takirua ka māmā ake te whakatau a tō tākuta mēnā kei te piki, kei te heke rānei te ine.
Rauemi
- Te Whakahaere Hauora o te Ao, ngā pepa kōrero mō te kirika rūmātiki me te mate manawa rūmātiki me ngā pūrongo hangarau
- Te American Heart Association, i whakahoutia ngā paearu Jones mō te tātaritanga o te kirika rūmātiki whakapeka i te wā o te Doppler echocardiography
- Te Kura Tākuta Pediatrics o Īnia, he aratohu mō te kirika rūmātiki whakapeka me te mate manawa rūmātiki i roto i ngā tamariki
- Te Kaunihera Rangahau Hauora o Īnia, te aratohu mō te maimoatanga o ngā mate paturopi me ngā mate hopuhopu
- Ngā tohutoro taiwhanga haumanu paerewa mō te serology streptococcal, tae atu ki ngā herenga o te whakamātautau ASO me te anti-DNase B
