Ibisobanuro birambuye
1. Kwipimisha kwa muganga
Ukurikije ivuriro risanzwe ryerekana uruhu na mucous membrane herpes, hamwe nibintu bimwe na bimwe byateganijwe, ibitero bikunze kugaruka nibindi biranga, gusuzuma ivuriro ntabwo bigoye.Ariko rero, biragoye gusuzuma herpes y'uruhu muri cornea, conjunctiva, cavity ndende (nk'imyanya ndangagitsina, urethra, rectum, nibindi), herpetic encephalitis, nibindi bisebe byo mu mitsi.
Isuzuma rya Clinical ishingiro rya herpetic encephalitis na meningoencephalitis: ① ibimenyetso byindwara ya encephalite ikaze na meningoencephalitis, ariko amateka ya epidemiologiya ntabwo ashyigikira encephalite B cyangwa amashyamba ya encephalite.Ibigaragaza virusi ya cerebrospinal fluid, nk'amazi yo mu bwoko bwa cerebrospinal fluid cyangwa umubare munini w'uturemangingo tw'amaraso atukura byagaragaye, byerekana cyane ko indwara ishobora.Map Ikarita yerekana ubwonko na MRI yerekanaga ko ibikomere ahanini byari imbere yimbere yimbere nigihe gito, byerekana kwangirika kwa asimmetricike.
Gusuzuma laboratoire
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(2) Kumenya HSV antibody yihariye ya HSV nibyiza, bifasha mugupima kwandura vuba.Isuzuma rishobora kwemezwa mugihe virusi yihariye ya IgG yiyongereye inshuro zirenga 4 mugihe cyo gukira.
(3) Kumenya neza ADN ya HSV na RT-PCR birashobora kwemezwa.
Ibipimo byo gusuzuma laboratoire ya HSV encephalitis na meningoencephalitis: antibody antibody ya HSV yihariye ya HSM ni nziza mumazi ya cerebrospinal fluid (CSF).② CSF yari nziza kuri ADN ya virusi.Irus Virusi yihariye ya IgG: serumu / CSF igereranyo ≤ 20. ④ Muri CSF, virusi yihariye ya IgG yiyongereye inshuro zirenga 4 mugihe cyo gukira.HSV encephalitis cyangwa meningoencephalitis izamenyekana niba hari kimwe mubintu bine byujujwe.
Ibirimo
Urupapuro rudakata Urupapuro rwihuta rwo gukora
