Ama-shingles asithinta cishe umuntu oyedwa kulaba bantu abathathu e-United States, ngakho-ke amathuba okuba mhlawumbe ukhona kakade owaziyo omunye umuntu. Kodwa ngisho noma ungakwazi ukubona izibonakaliso nezimpawu zokuzikhandla , kusabalulekile ukubonwa ngumhlinzeki wezempilo we-diagnostic esemthethweni kanye nohlelo lokuphatha kahle.
Kulabo abanezifo zakudala zesifo, odokotela bangakwazi ukuhlolisisa izibhamu ngokubheka ukushona nokubuza imibuzo embalwa ngomlando wakho wezokwelapha.
Kodwa kulabo abanezibonakaliso ezingavamile-njengokushayeka okungahambisani nomzimba noma akukho ukuhlaselwa kuzo zonke izivivinyo zamalebhu kungaba ngamathuluzi okuhlola okuwusizo.
Ukuhlolwa Kwemvelo
Lapho kuvela ukuqhuma, izibonakaliso nezimpawu zesibhakela-okuthiwa i-herpes zoster-zihle kakhulu futhi zivame ukuba zodwa ukuze udokotela ahlinzekwe futhi aphakamise ukwelashwa.
Ngesikhathi sokuhlolwa komzimba, abahlinzeki bezempilo bayokubuza ngomlando wakho wezokwelapha, kufaka phakathi ukuthi unayo yini inkukhu noma uthola umgomo wokukhukhuka. Bazophinde babheke ukuqhuma (uma kukhona okhona) ukubona ukuthi unayo yonke izimpawu zokutshela ukushaywa kwe-shingles, kuhlanganise nokugxila ohlangothini olulodwa noma endaweni eyodwa yomzimba, ukugubha, ukucheka noma ukushisa, noma ngabe i-rash iqala noma isivele ihlile.
Nakuba kungavamile, kwezinye izimo ungaba nobuhlungu noma ubuhlungu obuhambisana nama-shingles ngaphandle kokushona-isimo esibizwa ngokuthi i-zoster sine herthete.
Uma kunjalo, odokotela bangase bafune ukuqinisekiswa kokuxilongwa ngokuyala imizamo ye-lab ngaphezu kokuhlola ukuhlolwa ngokomzimba.
Ama-Labs nezivivinyo
Uma ungenayo i-rash, noma uma i-rash ihamba emzimbeni noma ibukeka sengathi ingaba uhlobo oluthile lwe-herpes simplex noma uxhumano lwe-dermatitis-udokotela wakho angadinga ukuhlolwa kwelebhu ukuze ahlolisise izikhwama.
I-Polymerase Chain Reaction (PCR)
I-Polymerase chain reaction (PCR) yindlela yokubhula eyenziwa ngezinhloso ezihlukahlukene, kufaka phakathi ukubona i-DNA ye-varicella-zoster virus, i-pathogen edala izibungu.
Ngokuvamile ibizwa ngokuthi "ukufotshwa kwamakhomikhali," i-PCR isebenzisa ama-swabs ngokuvamile athathwa emabhulashini noma ama-scabs bese amakhophi (ekhulisa) i-DNA yegciwane ukuze ibonakale kalula. Kwezinye izimo, i-swab ye-sali ingasetshenziswa futhi, kodwa ayikho njengokwethenjelwa njengamasampuli athathwa emabhaleni.
Uma ngabe i-swab isithathwe, inqubo ye-PCR cishe iyashintsha ngokuzenzakalelayo futhi iyasheshisa, ngokuvamile ihlinzeka imiphumela kungakapheli usuku olulodwa. Ngaphandle kokubona igciwane, i-PCR ingasiza ekunqumeni ukuthi ukushaywa komzimba kubangelwa i-varicella yasendle noma (ezimweni ezingavamile kakhulu) ngenkinga yokugoma.
Ezinye izindlela zokuxilonga, njenge-antibody fluorescent ngqo (DFA) noma ukuhlolwa kwe-Tzanck smear, azikhuthazwa ngoba azizweli njenge-PCR.
Izindlela ze-Serologic
Uma une-rash yomsindo noma awekho ama-swabs amahle angayisebenzisa njengesampula ye-PCR, ukuhlolwa kwe-serological kungasetshenziswa ngaphezu kokuhlolwa komzimba ukuxilonga ama-shingles, ngokujwayelekile ngokufuna ama-antibodies egazini lakho.
Uma uthola igciwane le-varicella-zoster, umzimba wakho wenza ama-antibodies azivikele.
Ukuhlolwa kwezemvelo kungathola izinhlobo ezimbili zama-antibodies: i-IgM ne-IgG. Ama-antibodies e-IgM angama-antibodies aphansi esifushane umzimba wenza ngokushesha ukulwa nokutheleleka kwe-varicella-ngokujwayelekile ukungena phakathi kweviki noma amabili kokuthola inkukhu yezinkukhu futhi uma futhi uma igciwane liphinde lenziwe njenge-herpes zoster. Ngokuhamba kwesikhathi, lezi zinselo zomzimba zingancika kuze kube yilapho zingabonakali kodwa zingakwazi ukuvuselela ngesikhathi seziqephu ze-shingles.
Amagciwane we-IgG, ngakolunye uhlangothi, kwenziwa amasonto ambalwa emva kokutheleleka kokuqala futhi ahlale emzimbeni isikhathi eside. Amazinga avame ukubonakala kuwo wonke ukuphila kwakho. Uma imiphumela yokuhlola ithola kokubili i-IgM ne- IgG, kungaba yisibonakaliso sokuthi unamaphutha.
Kubalulekile ukuqaphela, noma kunjalo, ukuthi lezi zivivinyo aziyona into engalungile. Abantu abanamasosha omzimba obuthakathaka, ngokwesibonelo, bangase bangaqapheli izimpendulo zamasosha omzimba kakhulu kunoma yikuphi inkukhu noma ukukhwabanisa-uma kunjalo, ukuhlolwa kwe-serological kunganikeza umphumela omubi ngisho noma banezinhlanzi.
Ngokufanayo, ngisho nangomphumela omuhle wokuhlolwa, uma kungekho izimpawu ezivamile noma umlando ophelele wezokwelapha, kungaba nzima ukwazi ukuthi unayo yini izikhwama noma uma ngempela usulelekile ekukhuselweni kwenkukhu. Udokotela wakho uzokwenza konke okusemandleni ukuze ahlolisise futhi akhethe ukwelashwa okufanele.
> Imithombo:
> Amasevisi Okulawula Nokuvimbela Izifo. Ama-Shingles: Uhlolojikelele Kliniki.
> Amasevisi Okulawula Nokuvimbela Izifo. Ama-Shingles: Ukuxilongwa nokuhlola.
> I-National Human Genome Research Institute. I-Polymerase Chain Reaction (PCR). Izikhungo zezempilo zikazwelonke.