Ukuqinisekisa njani ukuxilongwa kwedengue

Umxholo

• 1. Uvavanyo lomzimba
• 2. Ubungqina beLoop
• 3. Uvavanyo olukhawulezileyo lokufumanisa isifo sedengue
• 4. Ukubekwa bodwa kwintsholongwane
• 5. Uvavanyo lweSerological
• 6. Uvavanyo lwegazi
• 7. Uvavanyo lwebhayoloji

Ukuxilongwa kwedengue kwenziwa ngokusekelwe kwiimpawu ezibonakaliswa ngumntu, ukongeza kwiimvavanyo zaselebhu, ezinje ngokubala igazi, ukubekwa bucala kwintsholongwane kunye novavanyo lwebhayoloji, umzekelo. Emva kokwenza iimviwo, ugqirha unokujonga uhlobo lwentsholongwane kwaye, ngaloo ndlela, abonise olona nyango lufanelekileyo lomntu. Ke, ukuba umkhuhlane uyenzeka, uhamba kunye neempawu ezimbini okanye ngaphezulu ezichazwe apha ngasentla, kuyacetyiswa ukuba uye kwigumbi likaxakeka ukuze kwenziwe uvavanyo lokuqonda isifo, kwaye ke, unyango luqala.

I-Dengue sisifo esibangelwa kukulunywa yingcongconi I-Aedes aegypti osulelekileyo, oqheleke kakhulu ukuvela ehlotyeni nakwimimandla enomswakama ngakumbi ngenxa yokukhululeka kophuculo lwengcongconi yedengue. Jonga indlela yokuchonga ingcongconi yedengue.

1. Uvavanyo lomzimba

Uvavanyo lomzimba luquka uvavanyo lukagqirha lweempawu ezichazwe ngumguli, ezibonisa idengue yakudala:

• Intloko ebuhlungu;
• Iintlungu ngasemva kwamehlo;
• Ubunzima bokuhamba ngokudibeneyo;
• Ubuhlungu bemisipha emzimbeni wonke;
• Isiyezi, isicaphucaphu nokugabha;
• Amabala abomvu emzimbeni kunye okanye ngaphandle kokurhawuzelela.

Kwimeko yedengue eyophayo, iimpawu zinokubandakanya ukopha kakhulu okuhlala kubonakala njengamabala abomvu kulusu, ukugruzuka kunye nokopha rhoqo ezimpumlweni okanye kwiintsini umzekelo.

Iimpawu zihlala zivela kwiintsuku ezi-4 ukuya kwezi-7 emva kokulunywa yingcongconi osulelwe yintsholongwane kwaye iqala ngomkhuhlane ongaphezulu ko-38ºC, kodwa emva kweeyure ezimbalwa zikhatshwa zezinye iimpawu. Ke ngoko, xa kukrokrelwa igazi, kubalulekile ukuba ufune uncedo lonyango ukuze kwenziwe uvavanyo oluthe ngqo ngakumbi ukuqinisekisa ukuxilongwa kunye nokuqala unyango ngokukhawuleza, kuba kwiimeko ezinzima kakhulu intsholongwane yedengue inokuchaphazela isibindi nentliziyo. Fumanisa ukuba zithini iingxaki zedengue.

2. Ubungqina beLoop

Uvavanyo lomgibe luhlobo loviwo olukhawulezayo olujonga ukuqaqamba kwemithambo yegazi kunye notyekelo lokopha, kwaye luhlala lwenziwa kwimeko yokurhanelwa kwedengue yakudala okanye yokopha. Olu vavanyo lubandakanya ukuphazamisa ukuhamba kwegazi engalweni kunye nokujonga ukubonakala kwamachaphaza amancinci abomvu, enomngcipheko omkhulu wokopha ngakumbi isixa samachaphaza abomvu abonwayo.

Ngaphandle kokuba yinxalenye yeemvavanyo eziboniswe nguMbutho wezeMpilo weHlabathi wokufumanisa isifo sedenga, uvavanyo lomgibe lunokubonelela ngeziphumo ezingezizo xa umntu esebenzisa amayeza anje nge-Aspirin okanye iCorticosteroids okanye ekwinqanaba laphambi okanye lokuyeka ukuya exesheni, umzekelo. Qonda ukuba uvavanyo lomgibe lwenziwa njani.

3. Uvavanyo olukhawulezileyo lokufumanisa isifo sedengue

Uvavanyo olukhawulezileyo lokuchonga i-dengue luyasetyenziswa ngakumbi ekuchongeni imeko yosulelo yintsholongwane, njengoko kuthatha imizuzu engaphantsi kwe-20 ukufumanisa ukuba ingaba intsholongwane ibikhona emzimbeni kwaye ixesha elingakanani ngenxa yokufunyanwa kweentsholongwane, IgG kunye ne-IgM. Ngale ndlela, kunokwenzeka ukuba uqale unyango ngokukhawuleza.

Nangona kunjalo, uvavanyo olukhawulezileyo aluchazi ubukho bezinye izifo ezidluliswa yingcongconi yeDengue, ezinje ngeZika okanye iChikungunya, kwaye, ke, ugqirha unokuyalela uvavanyo lwegazi oluqhelekileyo lokuchonga ukuba bosulelekile na kwezi ntsholongwane. Uvavanyo olukhawulezileyo lusimahla kwaye lunokwenziwa kumaziko ezempilo eBrazil nangubani na nangaliphi na ixesha, njengoko kungekho mfuneko yokuzila ukutya.

4. Ukubekwa bodwa kwintsholongwane

Olu vavanyo lujolise ekuchongeni intsholongwane egazini kunye nokuseka ukuba yeyiphi i-serotype, evumela ukuba kufunyaniswe umahluko kwezinye izifo ezibangelwa kukulunywa yingcongconi efanayo kwaye eneempawu ezifanayo, ukongeza ekuvumeleni ugqirha ukuba aqalise unyango oluthe ngqo.

Ukubekwa wedwa kwenziwa ngokuhlalutya isampulu yegazi, ekufuneka iqokelelwe kwangoko xa kuvela iimpawu zokuqala. Le sampulu yegazi ithunyelwa elebhu kwaye, kusetyenziswa ubuchwephesha bokuqonda isifo, njengePCR, umzekelo, kunokwenzeka ukuba kuchongwe ubukho bentsholongwane yedengue egazini.

5. Uvavanyo lweSerological

Uvavanyo lwe-serological lujolise ekuchongeni isifo ngokuxinana kwe-IgM kunye ne-IgG immunoglobulins egazini, eziziprotein ezinokutshintsha koxinzelelo lwazo kwimeko zosulelo. Ukuxinana kwe-IgM kuyanda kwakamsinya nje ukuba umntu unxibelelana nentsholongwane, ngelixa i-IgG inyuka emva koko, kodwa ikwisigaba esibi sesi sifo, kwaye sihlala sinexabiso eliphezulu egazini, ekubeni, singumakishi wesifo , kuba ithe ngqo kuhlobo ngalunye losulelo. Funda ngakumbi nge-IgM kunye ne-IgG.

Uvavanyo lwe-Serological luhlala lucelwa njengendlela yokufezekisa uvavanyo lokwahlulwa kwintsholongwane kwaye igazi kufuneka liqokelelwe malunga neentsuku ezi-6 emva kokuqala kweempawu, njengoko oku kwenza ukuba kube lula ukujonga ukugxila kwe-immunoglobulin ngokuchanekileyo.

6. Uvavanyo lwegazi

Ubalo lwegazi kunye ne-coagulogram ikwavavanywa ngugqirha ukuze achaze umkhuhlane we-dengue fever, ngakumbi umkhuhlane we-dengue fever. Ubalo lwegazi luhlala lubonisa ukwahluka kwee-leukocyte, kwaye kunokubakho i-leukocytosis, okuthetha ukwanda kwenani leukocyte, okanye i-leukopenia, ehambelana nokwehla kwenani leukocytes egazini.

Ukongeza, ukonyuka kwenani lee-lymphocyte (i-lymphocytosis) zihlala ziqwalaselwa kunye ne-atypical lymphocyte, ukongeza kwi-thrombocytopenia, kulapho iiplatelets zingaphantsi kwe-100000 / mm³, xa ixabiso lesalathiso liphakathi kwe-150000 kunye ne-450000 / mm³. Yazi ixabiso lokubalwa kwegazi.

I-coagulogram, eluvavanyo oluvavanya ukubanakho kwegazi ekunqandeni, ihlala iceliwe kwimeko yedengue ekrokrelayo yokopha kunye nokunyuka kwexesha leprothrombin, inxenye ye-thromboplastin kunye nexesha le-thrombin, ukongeza ekunciphiseni kwe-fibrinogen, prothrombin, VIII kunye ne-factor XII , ebonisa ukuba i-heestasis ayenzeki njengoko kufanelekile, eqinisekisa ukuxilongwa kwedengue ekopha.

7. Uvavanyo lwebhayoloji

Uvavanyo oluphambili lwe-biochemical oluceliweyo yimilinganiselo ye-albhamuin kunye nee-enzyme zesibindi i-TGO kunye ne-TGP, ebonisa inqanaba lokukhubazeka kwesibindi kunye nokubonisa inqanaba eliphambili lesi sifo xa ezi paramitha.

Ngokwesiqhelo, xa i-dengue sele ikwisigaba esisezingeni eliphambili, kunokwenzeka ukuba kugcinwe ukwehla kwe-albin egazini kunye nobukho be-albin kumchamo, ukongeza kunyuko lwe-TGO kunye ne-TGP igazi, ebonisa ukonakala kwesibindi.