Chii chinonzi denguekupindwa nechandouye DENVvirus?
Dengue fever inokonzerwa nehutachiona hwedengue (DENV), iyo inonyanya kutapurirwa kuvanhu kuburikidza nekurumwa kubva kuhumhutu hwechikadzi hunotapukirwa, kunyanya Aedes aegypti neAedes albopictus.
Kune mana akasiyana serotypes ehutachiona (DENV-1, DENV-2, DENV-3, uye DENV-4). Kutapukirwa neimwe serotype inopa kusadzivirirwa kwehupenyu hwese kune iyo serotype asi kwete kune vamwe.
Dengue inonyanya kupararira kuburikidza nekurumwa neumhutu. Zvinhu zvakakosha zvekutapurirana kwayo zvinosanganisira:
Vector:TheAedes egyptimosquito inokura munzvimbo dzemumaguta uye inoberekera mumvura isingayerere.Aedes albopictusinogonawo kutapurira utachiona asi haina kuwanda.
Kutapurirana kubva kumunhu kuenda kuMosquito:Kana umhutu hukaruma munhu ane utachiona, utachiona uhwu hunopinda muumhutu uye hunogona kutapurirwa kune mumwe munhu pashure pemazuva masere kusvika gumi nemaviri.
Sei tine dengue fever kunyangwe munyika dzisiri dzinopisa?
Kuchinja Kwemamiriro ekunze: Kukwira kwekushisa kwepasi rose kuri kuwedzera nzvimbo yekugaraAedes mosquito,ndiwo mavector ekutanga edengue.
Kufamba Kwepasi Pose uye Kutengeserana: Kuwedzera kwekufamba kwenyika nekutengeserana kunogona kutungamirira kuunzwa kweumhutu hunotakura dengue kana vanhu vane utachiona kunzvimbo dzisiri dzinopisa.
Urbanization: Kukurumidza kugariswa kwemaguta pasina kutonga kwakakwana kwemvura, kugadzira nzvimbo dzekuberekera umhutu.
Mosquito Adaptation: The Aedes mosquito, kunyanyaAedes egyptiuyeAedesalbopictus, vari kujairana nemamiriro ekunze anodziya zvikuru enzvimbo dzakadai sezvikamu zveEurope neNorth America.
Izvi zvinhu zvinopa pamwe chete kukura kwekuvapo kwedengue munzvimbo dzisiri dzinopisa.
Nzira yekuongorora uye kurapa dengue fever?
Kuongororwa kwechirwere chedengue kunogona kuve kwakaoma nekuda kwezviratidzo zvayo zvisiri izvo, izvo zvinogona kutevedzera zvimwe zvirwere zvehutachiona.
Zviratidzo:Zviratidzo zvekutanga zvinowanzoitika mazuva 4-10 mushure mekutapukirwa zvinosanganisira kupisa kwakanyanya, kutemwa nemusoro, kurwadziwa kweretro-orbital, kurwadziwa kwemajoini uye tsandanyama, mapundu, uye kubuda ropa zvishoma. Muzviitiko zvakakomba, dengue inogona kupfuurira kusvika kudengue hemorrhagic fever (DHF) kana kuti dengue shock syndrome (DSS), iyo inogona kuva inotyisidzira upenyu. Kukurumidza kuona kunobatsira mukugadzirisa zviratidzo zvisati zvanyanya kuipa.
Kuonekwamethods fordengue:
SErology Miedzo:Wona masoja ekudzivirira chirwere (IgM neIgG) achipokana neDENV, neIgM ichiratidza hutachiona huchangoburwa uye IgG ichiratidzira kuratidzwa kwakapfuura. Iyi miedzo inonyanya kushandiswa mukatimakirinikiuyecentralized marabhoritarikusimbisa hutachiona hwazvino kana hwekare panguva yekupora kana mune asymptomatic vanhu vane nhoroondo yekuratidzwa.
NS1 Antigen Miedzo:Tsvaga iyo isiri-structural protein 1 (NS1) panguva yekutanga yehutachiona, ichishanda sechishandiso chekutanga chekuongorora, chakanakira kuonekwa nekukurumidza mukati mekutanga 1-5 mazuva ekutanga kwechiratidzo. Iyi miedzo inowanzoitwa mukatinzvimbo-ye-kutarisira marongerozvakaita semakiriniki, zvipatara,uyemadhipatimendi ekukurumidzirakukurumidza kuita sarudzo uye kutanga kurapwa.
NS1 + IgG/IgM Miedzo:Tsvaga hutachiona huchiri kushanda uye hwekare kuburikidza nekuongorora mapuroteni ehutachiona uye masoja ekudzivirira chirwere ari muropa, zvichiita kuti zvive zvakakosha pakusiyanisa pakati pehutachiona huchangobva kuitika uye kuratidzwa kwekare, kana kuziva hutachiona hwechipiri. Izvi zvinonyanya kushandiswa mukatizvipatara, makiriniki,uyecentralized marabhoritarinokuda kwekuongorora kwakakwana kwekuongorora.
Molecular Tests:Tsvaga hutachiona hweRNA muropa, hunobudirira zvikuru mukati mevhiki yekutanga yechirwere, uye inoshandiswa pakutanga kwehutachiona hwekunyatsosimbiswa, kunyanya mumatambudziko akaoma. Maedzo aya anonyanya kuitwa mukaticentralized marabhoritariine mamolecular diagnostic kugona nekuda kwekudiwa kwemichina yakasarudzika.
Sequencing:Inotaridza genetic zvinhu zveDENV kuti idzidze maitiro ayo, mutsauko, uye shanduko, yakakosha pakutsvaga kwechirwere chechirwere, kuferefeta kwekubuda, uye kuteedzera shanduko yehutachiona uye nzira dzekutapurirana. Muedzo uyu unoitwa mukatitsvakurudzo marabhoritariuyespecialized public health labskune zvakadzama genomic kuongorora uye kuongorora zvinangwa.
Parizvino, hapana kurapa kwakananga kunorwisa utachiona hwedengue. Management inotarisana nerutsigiro rwekutarisira senge hydration, zororo rekurwadziwa uye kutarisa kwepedyo. Zvinofanira kucherechedzwa kuti kukurumidza kuzivikanwa kwechirwere chedengue kunogona kudzivirira mhedzisiro yakakomba.
Macro & Micro-Test iri kupa akasiyana diagnostic kits eRDTs, RT-PCR uye Sequencing yekuona dengue uye kuongorora denda:
Dengue Virus I/II/III/IV NucleicAcid Detection Kit- mvura/lyophilized;
Dengue NS1 Antigen, IgM/IgG AntibodyDual Detection Kit;
HWTS-FE029-Dengue NS1 Antigen Detection Kit
Mhando dzeDengue Virus 1/2/3/4 Whole Genome Enrichment Kit (Multiplex Amplification Method)
Pepa rinoenderana
https://www.sciencedirect.com/science/article/abs/pii/S0168170218300091?via%3Dihub
Nguva yekutumira: Oct-21-2024