Inyore In-Office Nzira yekuona Kana zvirwere zveFungal Zvine mhosva
KOH test inoshandiswa kuongororwa zvirwere zvefungal zveganda kana misumari .
Ganda kana misumari inoputirwa ne scalpel kana girasi slide zvichiita kuti makanda emaperembudzi akafa agwe pamusoro pegirasi slide. Matonho mashomanana e solution yePotassium Hydroxide (KOH) inowanikwa kudivi uye slide inopisa kwenguva pfupi. IKOH inoparadza zvinhu zvakasunga masero eganda pamwechete achibudisa fungus.
Iyo slide inozoonekwa pasi pe microscope ichitsvaga fungal elements.
Sei KOH Kugadzirira Kuedzwa Kunokosha?
Kuongorora kweKOH kunokurudzirwa kuvarwere vanoratidza zviratidzo zvezvirwere zvefungal. Zviratidzo zvinogona kuitika zvinogona kuratidza kuti mamiriro aya eganda anosanganisira:
- A rash localized
- Rwonzi rwakagadzirwa, rutsvuku ruvara rutsvuku uye ruvara rweganda
- Kuchenesa kwakanyanya kweganda
- Rashes inokundikana kupindura kana kuipisisa nemishonga ye corticosteroid
- Rashes izvo zvinopfuurira kwemwedzi
Pane mutsara wezviitiko zvinogona kuisa mungozi izvo zvinogona kuwedzera kuwedzera zviratidzo zvakanyorwa pamusoro apa, izvo zvingaratidza kukosha kwekuedzwa kweKOH:
- Nhoroondo yezvinetso zveganda zvakadai sa eczema , hay fever kana allergenic asthma
- Nhoroondo yekutarisana nemhuka (kunyanya makate, asiwo imbwa, mabhiza, mhou, uye nguruve)
- Nhoroondo yekudzivirirwa kwemasikirwo emuviri (response immunosuppression )
Pasina kumhanya chirongwa chekugadzirira KOH, chiremba wako haana nzira yekureva kuti ganda rako rine chirwere chetachiona kana kune mamwe mamiriro ezvinhu anoratidza zviratidzo zvakafanana (zvakadai sefabi).
Varwere vane mvere dzemaperembudzi vangave vachitambura zvisina basa kwemakore, asi chiremba anoedza, dzimwe nguva asingabudiriri, kupa mishonga zvichibva pane zvinoonekwa zvomuviri weganda.
Kuongorora kweKOH kunogona kusimbisa zviitiko zvezvinowanzoita dermatophytes (fungi dzinoda keratin kuti ikure), dzakadai seEpidermophyton , Trichophyton , uye Microsporum , izvo zvinowanzokonzera zvirwere zveganda zvemakumbo, mazamu, uye, kunyanya muvana, .
Potassium Hydroxide (KOH) solution is alkaline uye ine simba rokupedza keratin iyo yakatorwa kubva kune imwe kunze kweganda. Izvi zvinobvumira kujekeswa kwezvisikwa zvakadai sedermatophytes kana shripasi pasi pe microscope kuti uwane chirwere chekuona uye nenzira yakadaro, kurapa kwakanyanya.
NezveNzira
An In-Office KOH prep test inoshanda muhofisi yechiremba. Iyi nzira yakakurumidza uye iri nyore, asi iwe unofanira kunge uchiziva zvinotevera:
- Izvo hazvina mirairo inokosha yekugadzirira kuongorora uye nzira yacho haifaniri kutora kupfuura maminetsi mashomanana kuti aite.
- Iwe unganzwa uchimanikidzwa apo chiremba kana mukoti anotsvaira ganda rako, asi hapana marwadzo anowirirana nehutano wacho pachahwo. Kune ngozi shoma yekubuda ropa kana utachiona kubva pakuchenesa ganda, saka iva nechokwadi chekutevera dhigirii mushure mekuraira mazano pamusoro pekuchengetedza nzvimbo yacho yakachena.
- Chiremba wako anokonzera chinetso chemukati weganda rako neecalpel yakagadziriswa kana pamucheto we microscope slide.
- Izvo zvipfeko zveganda zvinowanzoiswa pa microscope slide uye inopiwa squirt ye potassium hydroxide (KOH) solution.
- KOH inoparadza masero ose asina fungal, saka kana iyo mvura iri kuongororwa pasi pe microscope, chiremba wako anokwanisa kuona kana kune chero fungus iripo mumvura.
- Zviitiko zvinowanzoonekwa zvinoratidza kuti hapana mushonga uripo mucheche rako. Maitiro asina kunaka anoreva kuti fungus iripo.
- Chiremba wako achakwanisa kugoverana mhinduro pamwe newe nokukurumidza uye anokupa nzira dzokurapa usati waenda kusarudzwa.
Sources:
Elewski BE, et al. Fungal zvirwere. Mu: Bologna JL, Jorizzo JL, Schaffer JV, eds. Dermatology. 3rd ed. Philadelphia, PA: Elsevier Saunders; 2012: chitsauko 77.
US National Library of Medicine. Chirwere cheganda KOH kuongorora.