Nkhumba zimakhudza pafupifupi mmodzi mwa anthu atatu alionse ku United States, kotero mwangozi mwina mumadziwa kale munthu yemwe anali nawo. Koma ngakhale mutatha kuwona zizindikiro za kudzikongoletsa nokha, ndibwino kuti muwoneke ndi wothandizira zaumoyo kuti muwone bwino komanso kuti mugwiritse ntchito mankhwala oyenera.
Kwa omwe ali ndi vuto lachidziwitso cha matendawa, madokotala amatha kupeza matenda osokoneza bongo pokhapokha akuyang'ana kuphulika ndikufunsa mafunso ochepa zokhudza mbiri yanu yachipatala.
Koma kwa iwo omwe ali ndi zizindikiro zosazolowereka-monga kuthamanga kumathamanga thupi lonse kapena kuthamanga konse-ma test lab akhoza kukhala zipangizo zothandizira zothandiza.
Kufufuza Kwambiri
Pomwe chiwombankhanga chikawoneka, zizindikiro za msupa -zomwe zimatchedwa herpes zoster-ndizosiyana kwambiri ndipo nthawi zambiri zimakhala zokwanira kwa dokotala kuti apeze matenda ndikudziwitsa mankhwala.
Pakuyezetsa thupi, opereka chithandizo chaumoyo adzakufunsani za mbiri yanu ya zachipatala, kuphatikizapo ngati muli ndi nkhuku kapena mutalandira katemera wa nkhuku. Awonanso kuthamanga (ngati alipo) kuti awone ngati ali ndi zizindikiro zonse zotsutsa, kuphatikizapo ku mbali imodzi kapena dera limodzi la thupi, kuyimba, kuyabwa, kapena kuyaka, kapena ngati chiphuphu chikuyamba kapena chakhala chikuwombera.
Ngakhale kuti si zachilendo, nthawi zina mumatha kupwetekedwa kapena kupwetekedwa pogwiritsidwa ntchito ndi mabomba popanda kuthamanga-chikhalidwe chotchedwa zoster sine herpete.
Ngati ndi choncho, madokotala amatha kupeza chitsimikiziro cha matendawa mwa kulamula mayesero a ma laboni pokhapokha ngati akuyesa kufufuza thupi.
Mapulogalamu ndi Mayesero
Ngati mulibe chiphuphu, kapena ngati chiphuphu chikuyendayenda pamtunda kapena chikuwoneka ngati chingakhale mtundu wina wa nthenda yotchedwa herpes simplex kapena dermatitis-dokotala wanu angafunikire mayesero kuti apeze mayesero.
Mapulogalamu a Paulymerase (PCR)
Mapuloteni otchedwa Polymerase chain (PCR) ndi njira ya labu yogwiritsidwa ntchito zosiyanasiyana, kuphatikizapo kuona DNA ya varicella-zoster virus, tizilombo toyambitsa matenda omwe amachititsa shingles.
Kaŵirikaŵiri amatchedwa "maselo am'kopera," PCR imagwiritsa ntchito swabs zomwe zimachokera kumatenda amtchire kapena nkhanambo ndiyeno zimapangitsa kuti DNA yowonongeka ipeze mosavuta. Nthawi zina, swab swag ingagwiritsidwe ntchito, koma sizodalirika ngati zitsanzo zomwe zimatengedwa kuchokera kumabelters.
Pamene swab yatengedwa, ndondomeko ya PCR imangokhala yosinthika komanso mofulumira, zomwe zimapereka zotsatira mkati mwa tsiku limodzi. Kuwonjezera pa kuwona kachilomboka, PCR ingathandizenso kudziwa ngati chiwombankhangachi chimayambitsidwa ndi chilombo cha varicella kapena (nthawi zambiri) ndi vuto la katemera.
Njira zina zogwiritsira ntchito, monga anti-fluorescent antibody (DFA) kapena kuyezetsa magazi a Tzanck, sizikulimbikitsidwa chifukwa sizili zovuta monga PCR.
Serologic Njira
Ngati muli ndi mphutsi yamatchire kapena mulibe swabs abwino omwe mungagwiritse ntchito ngati pulogalamu ya PCR, kuyezetsa serological kungagwiritsidwe ntchito kuwonjezera pa kuunika kwa thupi kuti mudziwe zamatenda, makamaka poyang'ana antibodies m'magazi anu.
Mukapezeka ndi varicella-zoster HIV, thupi lanu limapangitsa kuti tizilombo toyambitsa matenda tiziteteza.
Kuyezetsa magazi kumatha kuona mitundu iwiri ya ma antibodies awa: IgM ndi IgG. Ma antibodies a IgM ndi ma antibodies a nthawi yayitali thupi limapangitsa kuti athane ndi matenda a varicella-omwe amatha kupweteka mkati mwa sabata kapena awiri kuti atenge nkhuku ndi kachiwiri pamene / ngati kachilombo kamakonzedwanso ngati herpes zoster. Pakapita nthawi, ma antibodies amenewa amatha kufikira atakhala osawonekeka koma amatha kuwukanso pamagulu a shingles.
Mankhwala a IgG, kumbali inayo, amapangidwa masabata angapo atalandira kachilombo koyamba ndikukhalabe m'thupi nthawi zonse. Mipata nthawi zambiri imawonekera kwa moyo wanu wonse. Ngati zotsatira zowunika zimadziwika zonse za IgM ndi IgG, zikhoza kukhala chisonyezero chakuti muli ndi zibwenzi.
Ndikofunika kuzindikira, komabe, kuti mayeserowa sakhala opanda pake. Mwachitsanzo, anthu omwe ali ndi mphamvu zoziteteza kuthupi, sangathe kukhazikitsa chitetezo champhamvu kwambiri cha chitetezo cha mthupi kwa nkhuku kapena shingle-mulimonsemo, mayesero a serological angapereke zotsatira zoipa ngakhale atakhala ndi ming'oma.
Mofananamo, ngakhalenso ndi zotsatira zabwino zoyesera, popanda zizindikilo zofanana kapena mbiri yakale ya zamankhwala, zingakhale zovuta kudziwa ngati muli ndi mimba kapena ngati ndizoopsa kwambiri za nkhuku. Dokotala wanu adzayesetsa kuti adziwe ndikusankha mankhwala oyenera.
> Zotsatira:
> Zolinga za Kuletsa ndi Kuteteza Matenda. Ziphuphu: Makanema.
> Zolinga za Kuletsa ndi Kuteteza Matenda. Matenda: Kuzindikira ndi Kuyesedwa.
> National Institute of Research Institute. Pulogalamu ya polymerase yachitsulo (PCR). National Institutes of Health.