Chifukwa Chiyani Kuyesa kwa Multiplex Kuli Kofunika Nyengo Ino Yopumira?

Sabata ino, chiwonetsero cha 2026 cha Guangzhou International Laboratory Medicine and In Vitro Diagnostics Exhibition chikuchitika, ndipo kuyezetsa matenda opatsirana pogwiritsa ntchito njira zosiyanasiyana zopumira ndi chimodzi mwa mitu yomwe ikuonedwa kwambiri pamalopo. Kumbuyo kwa chidwi ichi pali kusintha kwenikweni kwa machitidwe azachipatala: momwe matenda opatsirana pogwiritsa ntchito njira zopumira asinthira kuchoka pa funso la "kusankha chimodzi" kupita ku funso la "kusankha zingapo".

Deta yaposachedwa yowunikira kuchokera ku Chinese Center for Disease Control and Prevention (China CDC) ikuwonetsa kuti mu Sabata la 43 la 2026, pakati pa zitsanzo za kupuma kuchokera ku matenda ofanana ndi chimfine (ILI) m'zipatala za sentinel ndi madipatimenti azadzidzidzi, chiŵerengero cha anthu omwe ali ndi kachilomboka chinali 14.7% pakachilombo ka fuluwenza11.7% ya kachilombo ka rhinovirus, 4.1% ya kachilombo ka metapneumovirus ka anthu, 4.3% ya kachilombo ka parainfluenza, ndi 4.2% yaenterovirus. Kachilombo ka HIV kogwirizana ndi kupumas, kachilombo ka adenovirus, bocavirus, ndi Mycoplasma pneumoniaezinapezekanso. Pakati pa milandu ya matenda oopsa opumira m'chipatala (SARI), chiŵerengero cha kachilombo ka rhinovirus chomwe chinapezeka m'chipatala chinafika pa 11.0% ndipo chinapitirira kukwera poyerekeza ndi sabata yapitayi. Kusanthula koyambirira kwa National Health Commission kunanenanso momveka bwino kuti kupitirirabe kwa matenda opumira m'mapapo kunagwirizana ndi kufalikira kwa magazi m'thupi ndi kuikidwa kwa tizilombo toyambitsa matenda ambiri opumira. Madokotala m'malo opumulirako ndi m'malo odzidzimutsa sakufunsanso kuti "Kodi ndi chimfine?" koma "Ndi tizilombo ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono tomwe tilipo nthawi imodzi?"

Kusintha kumeneku kukuwonekera mwachindunji mu kusintha kwa njira zoyesera. Mgwirizano wa Akatswiri wa 2026 pa Kugwiritsa Ntchito Kwabwino kwa Kuyesa kwa Matenda Opatsirana kwa Matenda Opatsirana umakhazikitsa mfundo zazikulu za mayeso "okhazikika komanso odziyimira pawokha" ndipo umatsutsa kuyesa kwapadera kwa ma spectrum panel popanda zizindikiro. Kwa odwala osapita kuchipatala komanso m'malo odzidzimutsa, mgwirizanowu umapereka njira yomveka bwino: pazochitika zofatsa pomwe pakufunika kuzindikira matenda, kuyezetsa mwachangu kwa antigen kapena kuyezetsa kwa 2-6-target multiplex nucleic acid kuyenera kusankhidwa, ndi nthawi yobwezera (TAT) mkati mwa maola awiri; kwa makanda ndi ana aang'ono, okalamba, kapena odwala omwe sayankha chithandizo chovomerezeka, kuyezetsa kumatha kukulitsidwa mpaka zolinga 2-10 kuti athandizire chithandizo cholimbana ndi matenda. M'malo ogonera odwala komanso m'malo ovuta, kuyezetsa kumakulitsidwanso mpaka kuyezetsa kwa 10-20-target multiplex nucleic acid, kuphatikiza tizilombo toyambitsa matenda wamba ndi majini okana maantibayotiki. Mwanjira ina, zomwe asing'anga amafunikira si "kuyezetsa kochulukirapo, kumakhala bwino," koma zotsatira zomveka zomwe zimaperekedwa pamalo oyenera, ndi kuphatikiza koyenera, mkati mwa nthawi yovomerezeka.

Kwa opanga ma IVD reagent, zotsatira za njira yachipatalayi ndizodziwikiratu: mtengo wa chinthu suli mu kuchuluka kwa manambala omwe mukufuna, koma ngati chingakwaniritse zofunikira za odwala osapita kuchipatala komanso omwe akufunika kuchipatala mwadzidzidzi kuti alandire chithandizo cha TAT komanso omwe akufunika kuchipatala, komanso ngati chingakwaniritse ntchito yokhazikika ya "chitsanzo-cholowa, zotsatira" m'malo osamalira odwala oyamba. Popeza ntchito yopitilira majeremusi oposa khumi nthawi imodzi ikukhala yachizolowezi nthawi yophukira ndi yozizira, kuyesa kwa multiplex kukusintha kuchoka pa "chowonjezera chosankha" kupita ku zomangamanga zofunika kwambiri kuti matenda azindikire matenda m'malo osamalira odwala osapita kuchipatala komanso omwe akufunika kuchipatala mwachangu.