Kuyeza magazi kwapadera kumagwiritsidwa ntchito kupeza matenda a HIV Nile. Kuyezetsa kumeneku kumayesetsanso pozindikira kachilombo kayekha kapena kuyang'ana ma antibodies omwe apangidwa motsutsana ndi kachilombo ka West Nile.
Kuyezetsa kwachindunji kumachitika kwa anthu omwe akudwala kwambiri ndi matenda a West Nile omwe akuganiza kuti ndi odwala koma nthawi zambiri amapezeka mwa iwo omwe ali ndi matenda ofanana ndi a chimfine.
Chidziwitso cha Viral
Kufufuza magazi kapena thupi lakumadzi kwa kachilombo ka West Nile kumatheka ndi mayeso a polymerase (PCR) , mayeso omwe angadziwe kuti ali ndi kachilombo ka HIV.
Mayesowa siwothandiza kwambiri kupeza kachilombo ka West Nile mwa anthu chifukwa kachilombo kawirikawiri kamakhalapo m'magazi kwa kanthawi kochepa chabe mutatha kachilomboka, ndipo kawirikawiri amapita (kapena m'misautso otsika) panthawiyi Zizindikiro zochepa zimayamba. Choncho ndi mitundu yoopsa ya kachilombo ka HIV, kuyesa kwa PCR nthawi zambiri kumakhala kovuta poyesedwa.
Komabe, mwa anthu amene amakhala ndi milandu yambiri ya West Nile fever, kachilombo ka HIV kamakhala kovuta kwambiri kuti akakhale ndi magazi pamene nthawi ikudwala, kotero kuyesa kwa PCR kumakhala kofunika kwambiri.
Komanso, kuyesa kwa PCR kwa cerebrospinal fluid (CSF) kumathandiza kwa anthu omwe ali ndi West Nile meningitis kapena encephalitis , chifukwa kachilombo kawirikawiri kalipo mu CSF mwa anthuwa.
Kuyezetsa Mankhwala
Kuyezetsa magazi kwa ELISA (immunosorbent assay) kumatha kuona kuti pali ma antibodies a IgM amene thupi lawo lapanga polimbana nawo ndi West Nile. Mayesowa amachitika kawiri-panthaŵi ya matenda aakulu, ndiyeno kachiwiri pa gawo la convalescent. Kuwuka ndi kugwa kwa magm antibody ya IgM kumakhala kokwanira kukhazikitsa matenda.
Kuyezetsa matenda a West Nile kungakhale kotsika mtengo, ndipo kutanthauzira mayeserowa nthawi zambiri sikumveka bwino. Choncho kuyezetsa matenda a West Nile kumayesedwa kawirikawiri pokhapokha ngati kuyenera kukhala kofunika kuti mudziwe bwinobwino.
Kuyesedwa kawirikawiri ka Lab
Ngakhale kuyesa magazi nthawi zonse (monga kuwerengera magazi ndi maselo a serum electrolytes) kumachitika pafupi ndi munthu aliyense amene ali ndi matenda aakulu, mayesero awa sali otchulidwa makamaka mwa munthu amene ali ndi kachilombo ka West Nile.
Nthawi Yoyesedwa
Ambiri mwa anthu omwe ali ndi kachilombo ka West Nile alibe nthendayi yeniyeni yoyezetsa-komanso safunikira. Anthu ambiri atsegula kachilombo ka West Nile alibe zizindikilo nkomwe, kapena amakhala ndi matenda omwe ali ochepa omwe amadzipangira okha, popanda kufunsa akatswiri azachipatala.
Ndipotu, pafupifupi 80 peresenti ya nthawi yomwe matenda a West Nile amawoneka kuti sadziwika ndi "nyengo yozizira" yomwe timakhala nayo nthawi ndi nthawi. Chifukwa palibe mankhwala enieni omwe amachititsa kuti matendawa (kuphatikizapo kachilombo ka West Nile), madokotala, moyenerera, musamachite mayeso okwera mtengo kuti tiwone momwe tizilombo timayambira "kuzizira."
Komabe, pali nthawi zambiri zomwe zimapangitsa kuti munthu atenge matenda enaake.
Mwachidziwikire, awa ndi milandu yomwe:
- Wodwala akudwala kwambiri, ndipo pali chiopsezo cha matenda aakulu, kulemala kwamuyaya, kapena imfa. Zikatero, madokotala adzachita chilichonse choyesera kuti apange matenda enaake. Kuyezetsa matenda opatsirana nthawi zonse kumakhala kofunika pamene matenda a meningitis kapena encephalitis alipo.
- Kupanga chithandizo chodziŵika bwino kungayambitse matenda ena, monga kutenga njira zochepetsera udzudzu kapena nkhupakupa, kapena kutumiza chithandizo cha thanzi kwa anthu ambiri.
Matenda ena akuluakulu angayang'ane mofanana ndi matenda omwe amachititsidwa ndi kachilombo ka West Nile, choncho ndikofunika kupatsirana ndi matendawa ngati momwe zingathere.
Pofuna kupeza chithandizo choyenera, adokotala ayenera kuphatikizapo (kuphatikizapo kuyesa ma laboratory), kutenga mbiri yosamalitsa ya mbiri yakale ya maulendo oyendayenda, komanso kutsegula kwa udzudzu kapena nkhuku. (Magulu a West Nile sakudziwika kwa anthu kuchokera ku nkhupakupa, koma matenda ena ofanana ndi awa.)
Matenda akuluakulu omwe angathe kusokonezeka ndi matenda a HIV Nile ndi awa:
- Mavairasi ena amachititsanso kuti matenda a mitsempha kapena encephalitis, kuphatikizapo herpes simplex encephalitis, varicella-zoster encephalitis, Dengue fever , matenda a Powassan , St. Louis encephalitis, encephalitis ya ku Japan , kapena encephalitis chifukwa cha enterovirus .
- Matenda angapo a tizilombo angapangitse matenda omwe angakhale osadziwika ndi matenda a West Nile, kuphatikizapo Rocky Mountain yomwe imapezeka malungo , matenda a Lyme , ndi ehrlichiosis.
- Bacterial meningitis ndi pneumococcus kapena meningococcus angayang'ane ngati mankhwala ena aliwonse a meningitis, kuphatikizapo kupweteka kwa m'mimba kumene kumayambitsa matenda a West Nile.
Ambiri mwa matendawa amafuna chithandizo ndi ma antibayotiki enieni. Pachifukwa ichi, ndizofunikira kuti mudziwe bwinobwino ngati wina ali ndi matenda aakulu omwe angathe (kapena ayi) chifukwa cha kachilombo ka West Nile.
> Zotsatira:
> Barzon L, Pacenti M, Ulbert S, Palù G. Zosintha Zowonjezereka ndi Zowopsya Mu Kuzindikiritsidwa kwa Matenda a Edzi Akumadzulo kwa Nile. Akatswiri Rev Anti Infect Ther 2015; 13: 327.
> Busch MP, Kleinman SH, Tobler LH, Et Al. Matenda a kachilombo ka HIV ndi Anti Antiptic Infection. J Infect Dis 2008; 198: 984.
> Lindsey NP, Zakudya JE, Lehman JA, Et Al. Kuyang'anitsitsa Matenda a HIV West Manil - United States, 1999-2008. Msonkhano Wopambana wa MMWR 2010; 59: 1.