Te māramatangaTaipōKirika: Ngā Tohu, te Tukunga, me ngā Rautaki Whakamātautau Serological

Te kirika taipoi He mate urutā puku whakapeka te mate urutā (Salmonella Typhi). Ka horapa te mate nei mā te kai, mā te wai rānei kua poke, ā, he mea noa i ngā wāhi kāore i te pai te akuaku. Ko ngā tohu noa ko te kirika nui tonu, te mamae o te puku, te ponana roseola, te bradycardia, me te hepatosplenomegaly. Ka taea e ngā keehi kino te puta he poka, he toto rānei i roto i te puku, ā, ka taea te whakararu i te ora. He mea nui te tautuhi wawe me te wawaotanga hei whakahaere i te haere whakamua o te mate me te whakaiti i te mate, ā, he mea nui te whakamātautau serological i roto i tēnei tukanga.

Ngā ara tuku me ngā wāhi e nui ana te pānga

TaipōKo te nuinga o te wā ka horapa te kirika mā te ara paru-waha. He nui ngā huakita kei roto i ngā paru o te hunga kua pangia, e kawe mai ana rānei i te mate, ka taea e ēnei te whakapoke i te wai, i te kai rānei, ā, ka pangia pea ētahi atu. Kei te horapa tonu te mate i ngā whenua whakawhanake pēnei i a Āwherika, Āhia ki te Tonga, me Āhia ki te Tonga-mā-rāwhiti, inā koa i ngā rohe he ngoikore ngā hanganga akuaku me te kore e taea te uru atu ki te wai inu ma. Ka pāngia hoki te hunga haereere ki ngā rohe mōrearea ki te pangia mēnā kāore rātou e mahi i ngā mahi ārai e tika ana.

Ngā tikanga whakamātautau serological mōtaipōkirika

Te tautuhi wawe i tetaipō he uaua te kirika, nā te mea he rite tonu ōna tohu ki ērā o ētahi atu mate kirika, pērā i temalaria mete mate dengue kirika. Ko te ahurea toto te paerewa koura mō te whakaūtaipōte kirika, engari he roa te wā e pau ana i tēnei tikanga (he maha ngā rā e pau ana), ā, ka pāngia tōna aro e ngā āhuatanga pēnei i te wā kohikohi me te whakamahinga o te paturopi. Nō reira, he whānuitia te whakamahinga o te whakamātautau serological hei taputapu tātaritanga tāpiri nā te tere me te māmā.

1. Whakamātautau Whānui
   Ko te whakamātautau Widal he whakamātautau serological tuku iho mō te kirika taipoi, e whakamahia ana hei kite i ngā taumata paturopi ki te O (somatic antigen) me te H (flagellar antigen) i roto i te serum o te tūroro. Ko ngā taumata paturopi ka tīmata te piki ake i te wiki kotahi i muri i te tīmatanga o ngā tohu.
   • Whakaritenga mahi: Me whakauru takirua ngā tauira toto mai i ngā wā whakapeka me ngā wā whakaora. E kiia ana he mea nui te tātaritanga mēnā ka piki ake te taumata o te paturopi kia whā ngā wā, kia nui ake rānei.
   • Ngā Here: He iti noa te motuhaketanga o te whakamātautau, ā, tera pea ka puta he hua teka-pai (hei tauira, nā te werohanga o mua, nā te mate rānei ki ētahi atuSalmonella(ngā momo huaketo). He iti hoki tōna aro ki ngā wāhanga tōmua o te mate.
2. Whakamātautau Ārai Mate Pūmua Hononga-Whākī (ELISA)
   I ngā tau tata nei, kua whānuitia te whakamahinga o te hangarau ELISA hei kimi i ngā paturopi taipō (pēnei i te anti-Vi antigen IgG me te IgM), ā, he tino tairongo, he tino motuhake hoki.
   • Ngā Painga: Ka taea te wehewehe i te mate urutā (IgM-pai) mai i te mate o mua, i te tūnga kawe rānei (IgG-pai). Ka taea e te tauira toto kotahi te whakarato i tētahi hua tohutoro, ka whakapoto i te wā tātaritanga.
   • Te Whakamahinga: He tino pai mō ngā wāhi he iti noa ngā rauemi hauora, hei taputapu tirotiro tere rānei i te wā o ngā pakarutanga o te mate urutā.
3. Ngā Tikanga Whakamātautau Tere kē atu
   Kua whakamahia hoki ngā kete whakamātautau tere pēnei i ngā whakamātautau immunochromatographic koura colloidal, e taea ai te whakaputa hua tuatahi i roto i te 15–20 meneti, ā, he pai hoki mō ngā whare tiaki tuatahi me ngā tirotiro i te papaanga.

Ahakoa he tere, he watea hoki ngā painga o te whakamātautau serological, me arotake whānuitia ngā hua me ngā tohu haumanu o te tūroro, te hītori mate urutā, me ētahi atu whakamātautau taiwhanga (pēnei i te ahurea toto me te whakamātautau ngota PCR) kia kore ai e hē te tautuhi.

Te Ārai me te Maimoatanga

Ngā huarahi tino whai hua hei aukati i tetaipōme pupuri te akuaku whaiaro, te inu wai haumaru, me te werohanga mō te kirikataipōkirika. Kia kitea te mate, me whakamahi wawe tonu i ngā paturopi hei rongoā. Heoi anō, nā te pikinga ake o ngā momo ātete-rongoa i ngā tau tata nei kua puta mai he wero hou ki te maimoatanga haumanu.

Hei whakarāpopototanga,taipō Kei te noho tonu te kirika hei whakawehi i te hauora o te marea i roto i ngā rohe maha o te ao. Ko te whakamātautau serological, hei taputapu tātaritanga āwhina nui, e tumanakohia ana ka whakapai ake i te tere tātaritanga wawe otaipō te kirika me te tautoko o ngā hangarau kua arotauhia tonutia, e tautoko ana i te whakahaere whai hua o te tuku mate.

Hauora o BaysenKei te arotahi tonu mātou ki te tikanga tātaritanga hei whakapai ake i te kounga o te oranga. E rima ngā tūāpapa hangarau kua whakawhanakehia e mātou - Latex, koura colloidal, Fluorescence Immunochromatographic Assay, Molecular, Chemiluminescence Immunoassay. Kei a mātou Whakamātautau Tere mō te IgG/Igm taipoi hei tirotiro i te whara o te whatukuhu i te wā tōmua.