Shingles inokanganisa kamwe chete pavanhu vatatu muUnited States, saka mukana iwe uri kutove watoziva mumwe munhu aive nawo. Asi kunyange kana iwe ukagona kuona zviratidzo zvezviratidzo zvekuzvitsvaga iwe, zvichiri kukosha kuonekwa nemupi wehutano hwehutano hwechirwere chekuongorora uye chirongwa chekubata zvakanaka.
Kune avo vane chirwere chechirwere chechirwere ichi, vanachiremba vanogona kuongorora zvirwere zvese nekuona kurwisana nekubvunza mibvunzo mashomanana pamusoro pezvakaitika kare zvechiremba.
Asi kune avo vane zviratidzo zvisingawanzozivikanwa-zvakadai sekumhanya zvakanyatsotarisana nemuviri kana kusina kumhanyira panguva dzose-mabhii ekuongorora zvinogona kuva zvishandiso zvinobatsira pakuongorora.
Kuongorora Panyama
Kana imwe nguva ichitsvaga, zviratidzo nezviratidzo zve-shingles -wowo anonzi herpes zoster-zvakaisvonaka zvakasiyana uye zvinowanzogadzirira ivo pachavo kuti chiremba aongororwe uye anorumbidza kurapwa.
Panguva yekuongororwa kwepanyama, vatapi vezvoutano vachakubvunza nezvezvenhoroondo yako yezvechirwere, kusanganisira kana iwe wakanga uine chickenpox kana kuti wakagamuchira chirwere chekudyapox. Vachatarisawo kuvhara (kana mumwe aripo) kuti aone kana ine zviratidzo zvose zvinoreva shingles rash, kusanganisira kuiswa kune rumwe rutivi kana rumwe rutivi rwemuviri, kurira, kuchenesa, kana kupisa, kana kuti kupisa kunotanga kusvika kana kuti kutotanga kubhururuka.
Kunyangwe zvisingakwanisi, pane dzimwe nguva unogona kurwadziwa kana kushungurudzika kunobatanidza shingles pasina ruswa-chiitiko chinonzi zoster sine herpete.
Kana zviri izvo, vanachiremba vangangodaro vatsvake chivimbo chekuzivikanwa nekuraira maitiro ekuraira pamwe nekuitisa kuongorora mumuviri.
Labs uye Miedzo
Kana iwe usina kuputika, kana kuti chikafu chinotarisana nemuviri kana kuti chakaita sechingava chimwe chimwe chirume-chakafanana neye herpes simplex kana kuti shandisa dermatitis-chiremba wako angave achida kuongororwa maitiro kuitira kuti aongorore shingles.
Polymerase Chain Reaction (PCR)
Polymerase chain reaction (PCR) inzira yebasa inoshandiswa kune zvakasiyana-siyana zvinangwa, kusanganisira kuona DNA yevaricella-zoster virus, iyo pathogen inokonzera shingles.
Inowanzozivikanwa se "molecular copycopying," PCR inoshandisa swabs inotorwa kubva kumapuranga emapuranga kana kuti maganda uye iyo makopi (inosimudzira) DNA yehutachiona kuti ione nyore. Mune zvimwe zviitiko, swab swab inogonawo kushandiswa, asi haisi yakavimbika semashiripiti anotorwa kubva kune blisters.
Kamwe kana swab inotorwa, hurongwa hwePCR hunenge huchigadziriswa uye huchikurumidzika, huripo huchipa mhinduro mukati mezuva rimwe. Mukuwedzera pakuona hutachiwana, PCR inogonawo kubatsira kuziva kana kukurumidza kunokonzerwa nemusango varicella kana (mune zvisingawanzoitiki) nechinetso chekudzivirira.
Mamwe maitiro ekuongororwa, akadai sokurondedzera fluorescent antibody (DFA) kana kuti Tzanck smear test, haafaniri kukurudzirwa nokuti haasi sevanonzwa sePCR.
Serologic Methods
Kana iwe uine rashpiki kana kuti pasina ma swabs akanaka anoshandiswa semuenzaniso wePRR, kuongorora kweseropolisi kunogona kushandiswa kuwedzera kune kuongorora mumuviri kuti uone zvirwere, zvichida nekutsvaga zvirwere muropa rako.
Paunenge uchitarirwa varicella-zoster virus, muviri wako unoita kuti zvirwere zvinodzivirira pachako.
Kuongorora kwechiviki kunogona kuona mhando mbiri dzezvirwere izvi: IgM uye IgG. Zvirwere zveAgM ndezvirwere zvenguva pfupi muviri unoita kuti varwise nokukurumidza varicella chirwere-kazhinji kuputira mukati memavhiki kana maviri ekuwana chickenpox uye zvakare kana apo / kana hutachiona huchigadziriswa sa herpes zoster. Nokufamba kwenguva, ma antibodies anogona kuderera kusvikira vasingaonekwi asi anogona kumutsa panguva dzezvipfeko.
IgG zvirwere, kune rumwe rutivi, zvinogadzirwa masvondo mashomanana mushure mekutanga kutapukirwa uye kugara mumuviri kwenguva refu. Nhamba dzinowanzoonekwa kune hupenyu hwako hwose. Kana mitsva yekuedzwa ichiona zvose IgM uye IgG, inogona kuva chiratidzo chokuti une shingles.
Zvakakosha kucherechedza, zvisinei, kuti kuedza uku hakusi kunyengera. Vanhu vane simba rekudzivirirwa mumuviri, semuenzaniso, vangave vasina kusimbisa simba rekuzvidzivirira mumuviri kune kana chickenpox kana shingle-mumamiriro ezvinhu akadaro, kuongorora kweseropia kunogona kupa mhedzisiro yakaipa kunyange kana vakanyatsokonzera shingles.
Saizvozvowo, kunyange nemuongorori wakanaka wekuedza, musipo kwezviratidzo zvinowanzoitika kana nhoroondo yakakwana yezvokurapa, zvingava zvakaoma kuziva kana iwe une shingles kana kana chiri chirwere chepakutanga chekoko. Chiremba wako achaita zvose zvaanogona kuti aongorore uye anosarudza kurapa kwakakodzera.
> Sources:
> Centres for Disease Control and Prevention. Shingles: Clinical Overview.
> Centres for Disease Control and Prevention. Shingles: Kuongororwa nekuedzwa.
> National Human Genome Research Institute. Polymerase Chain Reaction (PCR). National Institutes of Health.