Inqubo Elula Ye-In-Office Yokubheka Uma Izifo Zamafungula Ziyizigwegwe
Ukuhlolwa kwe-KOH kusetshenziselwa ukuxilonga izifo ezitholakalayo zesikhumba noma izipikili .
Isikhumba noma isikhonkwane sishaywa nge-scalpel noma i-glass slide eyenza amangqamuzana ekhanda efile awele esilayidi silazi. Amaconsi ambalwa esisombululo se-Potassium Hydroxide (KOH) afakwa kwisilayidi futhi isilayidi sishiswa okwesikhashana. I-KOH ihlakaza izinto ezibopha amangqamuzana esikhumba ndawonye ekhulula i-fungus.
I-slide iyabonwa ngaphansi kwe-microscope efuna izakhi ze-fungal.
Kungani Ukuhlolwa KOH Ukulungiselela Kuyadingeka?
Isivivinyo se-KOH sinconywa iziguli ezibonisa izimpawu zezifo ezifungayo. Izimpawu ezingenzeka ukuthi zingasikisela ukuthi lezi zimo zesikhumba zibandakanya:
- Ukukhishwa kwendawo
- Ama-patches abomvu, abomvu anemiphetho ye-scaly
- Ukuhlanza okukhulu kwesikhumba
- Ukuhlambalaza okuhluleka ukuphendula noma okubi kakhulu ngemithi ye-corticosteroid
- Ukuhlaselwa okuqhubekayo izinyanga
Kukhona uchungechunge lwezinkinga ezingase zenzeke ezingase zithuthukise izimpawu ezibalwe ngenhla, okuzobonisa ukuthi kuyadingeka ukuhlolwa kwe-KOH:
- Umlando wezifo zesikhumba ezifana ne- eczema , hay fever noma asthma ye-allergenic
- Umlando wokuchayeka izilwane (ikakhulukazi amakati, kodwa nezinja, amahhashi, izinkomo, nezingulube)
- Umlando wezimpendulo eziphansi ze-immune system ( immunosuppression )
Ngaphandle kokugijima kokuhlolwa kokulungiselela i-KOH, udokotela wakho akanayo indlela yokwenza ukuthi isimo sakho sesikhumba sibe nesifo sofuba noma kwezinye izimo ezibonisa izimpawu ezifanayo (njengama-scabi).
Iziguli ezinezimo zesikhumba zingase zihlupheke iminyaka eminingi, kanti udokotela uzama, ngezinye izikhathi engaphumeleli, ukuhlinzeka ngemithi ngokusekelwe kwezici ezibonakalayo zesimo sesikhumba.
Ukuhlolwa kwe-KOH kungaqinisekisa amacala we-dermatophytes ejwayelekile kakhulu (isikhunta esidinga i-keratin ekukhuleni), njenge- Epidermophyton , i- Trichophyton , ne- Microsporum , okuvame ukubangela izifo zesikhumba, izitho zangasese, ikakhulukazi ezinganeni, isikhumba .
Isixazululo se-Potassium Hydroxide (KOH) sinamakhemikhali futhi sinamandla okuqothula i-keratin ekhishwa kwendwangu yangaphandle yesikhumba. Lokhu kuvumela ukuhlonza izidalwa ezinjenge-dermatophyte noma ama-scabi ngaphansi kwe-microscope ukuze uthole ukuhlonza kahle futhi ngenxa yalokho, ukwelashwa okuphumelelayo kakhulu.
Mayelana neNqubo
I-In-Office I-KOH prep test iyenziwa ngqo ehhovisi lakho lodokotela. Inqubo ihamba ngokushesha futhi ilula, kodwa kufanele uqaphele lokhu okulandelayo:
- Azikho iziyalezo ezikhethekile zokulungiselela ukuhlolwa futhi inqubo akufanele ithathe ngaphezu kwemizuzu embalwa ukuqhuba.
- Ungase uzizwe ucindezelekile uma udokotela noma unesi ekhanda isikhumba sakho, kodwa abukho ubuhlungu obuhambisana nenqubo uqobo. Kukhona ingozi encane yokuphuma noma ukutheleleka ekukheni isikhumba, ngakho-ke qiniseka ukuthi ulandela imiyalelo ye-doctorcare yakho emva kokugcina ukuthi indawo ihlanzekile.
- Udokotela wakho uphawula indawo yenkinga yesikhumba sakho nge-scalpel ephathekayo noma emaphethelweni we-slide ye-microscope.
- I-scrapings esikhumbeni yabekwa kwi-slide ye-microscope futhi inikezwe i-squirt ye-potassium hydroxide (KOH) isisombululo.
- I-KOH ibulala wonke amangqamuzana angewona fungal, ngakho-ke uma uketshezi luhlolwa ngaphansi kwesikhampasi, udokotela wakho uyakwazi ukubona ukuthi kukhona yini i-fungus ekhona oketshezi.
- Imiphumela evamile ibonisa ukuthi akukho fungus ekhona esikhwameni sakho sesikhumba. Imiphumela engavamile ichaza ukuthi i-fungus ikhona.
- Udokotela wakho uzokwazi ukwabelana ngemiphumela nawe ngokushesha futhi akunikeze izinketho zokwelapha ngaphambi kokuba ushiye ukuqokwa.
Imithombo:
Elewski BE, et al. Izifo ze-fungal. Ku: Bolognia JL, Jorizzo JL, Schaffer JV, eds. Dermatology. I-3rd ed. Philadelphia, PA: Elsevier Saunders; 2012: isahluko 77.
Ilabhulali Kazwelonke Yezokwelapha yase-US. Ukuhlolwa kwesilonda KOH ukuhlolwa.