Sei Kuongororwa kweMultiplex Kuchikosha Mwaka Uno weKufema?

Vhiki rino, Guangzhou International Laboratory Medicine and In Vitro Diagnostics Exhibition ya2026 iri kuitika, uye kuongororwa kwezvirwere zvekufema zvakawanda ndeimwe yenyaya dzinotariswa zvakanyanya panzvimbo iyi. Seri kwekutarisa uku pane shanduko chaiyo mukurapa: mamiriro ezvirwere zvekufema achinja kubva pamubvunzo wekuti "sarudzo imwe chete" kuenda kune wekuti "sarudzo dzakawanda".

Ruzivo rwekuongororwa kwazvino kubva kuChinese Center for Disease Control and Prevention (China CDC) runoratidza kuti muVhiki rechi43 ra2026, pakati pemasampuli ekufema kubva kuzvirwere zvakaita sefuruwenza (ILI) muzvipatara zvechipatara zvekunze uye kumadhipatimendi ekukurumidzira, huwandu hwevanhu vane chirwere ichi hwaive 14.7% yehutachiona hwefuruwenza11.7% yehutachiona hwemhino, 4.1% yehutachiona hwemametapneumo evanhu, 4.3% yehutachiona hweparainfluenza, uye 4.2% yehutachiona hwemapundu.enterovirus. Virusi rekufema resyncytials, adenovirus, bocavirus, uye Mycoplasma pneumoniaezvakaonekwawo. Pakati pezviitiko zvehutachiona hwekufema hwakanyanya (SARI) muchipatara, huwandu hwehutachiona hwerhinovirus hwakasvika 11.0% uye hwakaramba huchikwira zvichienzaniswa nevhiki rapfuura. Ongororo yapfuura yakaitwa neNational Health Commission yakaratidzawo pachena kuti kuwedzera kuri kuramba kuripo kwezvirwere zvekufema kwakabatana nekutenderera kweropa pamwe chete uye kuiswa kwezvirwere zvakawanda zvekufema. Vanachiremba vari muzvipatara zvekunze uye munzvimbo dzekukurumidzira havasi kubvunza chete kuti "Ifuruu here?" asi kuti "Ifuruu ipi—kana kuti ndeipi yakawanda iripo panguva imwe chete?"

Kuchinja uku kunoonekwa zvakananga mukugadzirisa nzira dzekuyedza. 2026 Expert Consensus on the Rational Clinical Application of Multiplex Pathogen Testing for Infectious Diseases consensus inoisa misimboti mikuru yekuyedza "tiered and individualized" uye inopesana nekuongororwa kwepaneru isina kusarudzwa isina zviratidzo. Kune vanorwara kunze uye munzvimbo dzekukurumidzira, kubvumirana kunopa nzira yakajeka: kune zviitiko zvidiki apo kunodiwa kuziva pathogen, kuyedzwa kwekukurumidza kweantigen kana kuyedzwa kwe2-6-target multiplex nucleic acid kunofanirwa kusarudzwa, nenguva yekudzoka (TAT) iri mukati memaawa maviri; kune vacheche nevana vadiki, vakuru, kana varwere vasingapindure kurapwa kwe empirical, kuyedzwa kunogona kuwedzerwa kusvika ku2-10 targets kutsigira kurapwa kwakanangana nekudzivirira hutachiona. Munzvimbo dzevarwere vari muchipatara uye dzakakomba, kuyedzwa kunowedzerwa kusvika ku10-target multiplex nucleic acid testing, ichifukidza hutachiona hwakajairika uye majini ekudzivirira maantimicrobial. Nemamwe mashoko, zvinodiwa nevanachiremba hazvisi "kuyedzwa kwakawanda, zviri nani," asi mhedzisiro inonzwisisika inopiwa munzvimbo chaiyo, nemusanganiswa wakakodzera wechinangwa, mukati menguva inogamuchirwa.

Kune vagadziri veIVD reagents, zvinorehwa nenzira iyi yekiriniki zvakajeka: kukosha kwechigadzirwa hakuzi muunganidzwa wenhamba dziri kutarisirwa, asi mukuti chinogona kusangana nezvinodiwa zvevarwere vasiri muchipatara uye vari munzvimbo dzekukurumidzira dzeTAT uye vari muchipatara, uye kuti chinogona here kuwana kushanda kwakajairika kwe "sample-in, result-out" munzvimbo dzekutarisirwa kwekutanga. Sezvo kushanda panguva imwe chete kwezvirwere zvinopfuura gumi kwava tsika mumatsutso nemuchando, kuongororwa kwemultiplex kuri kuchinja kubva pa "sarudzo yekuwedzera" kuenda kune zvakakosha zvekuongorora etiological differential munzvimbo dzekukura uye dzekukurumidza.