Kedu ihe bụ dengueahụ ọkụna DENVvirus?
Ọrịa dengue na-ebute ọrịa dengue (DENV), bụ nke a na-ebutekarị ụmụ mmadụ site na ata anwụnta ndị nwere nje, karịsịa Aedes aegypti na Aedes albopictus.
Enwere serotypes anọ dị iche iche nke nje (DENV-1, DENV-2, DENV-3, na DENV-4). Ọrịa nwere otu serotype na-enye nchebe ogologo ndụ maka serotype ahụ mana ọ bụghị nye ndị ọzọ.
A na-agbasakarị dengue site na ata anwụnta. Akụkụ ndị dị mkpa nke nnyefe ya gụnyere:
Vector:NkeAedes aegyptianwụnta na-eme nke ọma n'obodo mepere emepe ma na-amụba na mmiri na-adịghị.Aedes albopictusnwekwara ike ibunye nje a mana ọ dị obere.
Mbufe mmadụ na anwụnta:Mgbe anwụnta na-ata onye bu ọrịa ahụ, nje a na-abanye n'anwụnta ma nwee ike ibunye ya na mmadụ ọzọ mgbe oge ịmịnye ya dị ihe dị ka ụbọchị 8-12.
Gịnị mere anyị ji enwe ahụ ọkụ dengue ọbụna ná mba ndị na-abụghị ebe okpomọkụ?
Mgbanwe ihu igwe: Okpomọkụ zuru ụwa ọnụ na-abawanye na-agbasa ebe obibi nkeAedes anwụnta,ndị bụ isi vectors maka dengue.
Njem na azụmahịa zuru ụwa ọnụ: Mmụba njem na ịzụ ahịa mba ụwa nwere ike iduga n'iwebata anwụnta na-ebu dengue ma ọ bụ ndị butere ọrịa n'ebe ndị na-abụghị okpomọkụ.
Ime obodo: Ime obodo ngwa ngwa na-enweghị njikwa mmiri zuru oke, na-emepụta ebe ọmụmụ maka anwụnta.
Mgbanwe anwụnta: anwụnta Aedes, ọkachasịAedes aegyptinaAedesalbopictus, na-eme mgbanwe maka ihu igwe na-ekpo ọkụ nke ebe dị ka akụkụ nke Europe na North America.
Ihe ndị a na-enye aka n'otu n'otu na-abawanye ọnụnọ dengue na mpaghara ndị na-abụghị okpomọkụ.
Kedu otu esi achọpụta ma gwọọ ahụ ọkụ dengue?
Nchọpụta ụlọ ọgwụ nke dengue nwere ike ịghọ aghụghọ n'ihi mgbaàmà ya na-enweghị nkọwa, nke nwere ike iṅomi ọrịa nje ndị ọzọ.
Mgbaàmà:Mgbaàmà mbụ na-apụtakarị ụbọchị 4-10 mgbe ọrịa gasịrị gụnyere oke ahụ ọkụ, nnukwu isi ọwụwa, mgbu retro-orbital, nkwonkwo na mgbu anụ ahụ, ọkụ ọkụ, na ọbara ọgbụgba dị nro. N'ọnọdụ ndị siri ike, dengue nwere ike ịga n'ihu ruo dengue hemorrhagic fever (DHF) ma ọ bụ ọrịa dengue shock syndrome (DSS), nke nwere ike na-eyi ndụ egwu. Nchọpụta mmalite na-enyere aka n'ịchịkwa mgbaàmà tupu ọ na-akawanye njọ.
Nchọpụtamusoro makadengue:
SNnwale erology:Chọpụta ọgwụ mgbochi ọrịa (IgM na IgG) megide DENV, yana IgM na-egosi ọrịa na-adịbeghị anya yana IgG na-atụ aro mkpughe gara aga. A na-ejikarị ule ndị a eme ihe naụlọ ọgwụnacentralized laboratoriesiji kwado ọrịa dị ugbu a ma ọ bụ nke gara aga n'oge mgbake ma ọ bụ na ndị asymptomatic nwere akụkọ ihe mere eme nke mkpughe.
Nnwale NS1 Antigen:Chọpụta protein 1 (NS1) nke anaghị arụ ọrụ n'oge mmalite nke ọrịa, na-eje ozi dị ka ngwa nchọpụta mmalite, dị mma maka nchọpụta ngwa ngwa n'ime ụbọchị 1-5 mbụ nke mgbaàmà mmalite. A na-emekarị ule ndị a nantọala nlebara anyadị kaụlọ ọgwụ, ụlọ ọgwụ, nangalaba mberedemaka ime mkpebi ngwa ngwa na mmalite ọgwụgwọ.
Nnwale NS1 + IgG/IgM:Chọpụta ma ọrịa ndị na-arụ ọrụ na nke gara aga site n'ịnwale protein na nje nje dị n'ọbara, na-eme ka ha baa uru maka ịmata ọdịiche dị n'etiti ọrịa na-adịbeghị anya na mkpughe gara aga, ma ọ bụ ịchọpụta ọrịa nke abụọ. A na-ejikarị ihe ndị a eme iheụlọ ọgwụ, ụlọ ọgwụ, nacentralized laboratoriesmaka nyocha nyocha zuru oke.
Nnwale molekụla:Chọpụta nje virus RNA n'ime ọbara, nke kachasị dị irè n'ime izu mbụ nke ọrịa, ma jiri ya mee ihe na mmalite nke ọrịa maka nkwenye ziri ezi, karịsịa n'ọnọdụ ndị dị oke egwu. A na-eme ule ndị a nke ọma nacentralized laboratoriesnwere ikike nyocha nke mkpụrụ ndụ n'ihi mkpa maka akụrụngwa pụrụ iche.
Usoro:Na-achọpụta ihe mkpụrụ ndụ ihe nketa nke DENV iji mụọ njirimara ya, ụdịdị ya, na evolushọn ya, dị oke mkpa maka nyocha ọrịa na-efe efe, nyocha ntiwapụ, na nsochi mmụgharị nje na usoro nnyefe. A na-eme ule a n'imeụlọ nyocha nyochanaụlọ nyocha ahụike ọha pụrụ ichemaka nyocha ihe omimi nke genomic na ebumnuche onyunyo.
Ka ọ dị ugbu a, ọ dịghị ọgwụgwọ antiviral kpọmkwem maka dengue. Nlekọta na-elekwasị anya na nlekọta nkwado dị ka hydration, ihe mgbu na nlekota nso. Okwesiri iburu n'uche na ịmara n'oge izizi nke ọrịa dengue nwere ike igbochi nsonaazụ siri ike.
Macro & Micro-Test na-enye ngwa nyocha dị iche iche nke RDT, RT-PCR na Sequencing maka nchọpụta dengue na nlekota ọrịa:
Nje Virus I/II/III/IV NucleicNgwa nchọpụta Acid- mmiri mmiri / lyophilized;
Dengue NS1 Antigen, IgM/IgG mgbochiNgwa nchọpụta abụọ;
HWTS-FE029-Ngwa Dengue NS1 Antigen Detection Kit
Ụdị Nje Virus Dengue 1/2/3/4 Ngwa imeju genome dum (Usoro Amplification Multiplex)
Akwụkwọ emetụtara:
https://www.sciencedirect.com/science/article/abs/pii/S0168170218300091?via%3Dihub
Oge nzipu: Ọktoba 21-2024