HSV-I IgG/IgM Tijaabada Degdega ah

1. Cilad-baadhis caafimaad
Marka loo eego astaamaha caadiga ah ee kiliinikada ee maqaarka iyo xuubka xuubka herpes, oo ay weheliyaan qaar ka mid ah arrimaha khatarta ah, weerarrada soo noqnoqda iyo sifooyinka kale, ogaanshaha bukaan-socodka ma aha mid adag.Si kastaba ha ahaatee, way adag tahay in la ogaado herpes maqaarka ee kornea, conjunctiva, dalool qoto dheer (sida xubinta taranka, kaadi mareenka, malawadka, iwm.), herpetic encephalitis, iyo nabarrada kale ee visceral.
Asalka ogaanshaha kiliinikada ee herpetic encephalitis iyo meningoencephalitis: ① calaamadaha cudurka encephalitis ba'an iyo meningoencephalitis, laakiin taariikhda epidemiological ma taageerto encephalitis B ama encephalitis kaynta.② Calaamadaha dareeraha maskaxda ee fayraska, sida dareeraha maskaxda ee dhiigga leh ama tiro badan oo unugyada dhiigga cas ah oo la ogaado, waxay si weyn u soo jeedinayaan in cudurka laga yaabo.③ Khariidadda barta maskaxda iyo MRI waxay muujisay in nabarradu ay u badan yihiin lafaha hore iyo lafaha ku-meel-gaadhka ah, oo muujinaya burbur asymmetrical ah.
2. Baaritaanka shaybaadhka
(1) Baaritaanka microscopic ee xoqidda iyo shaybaarrada unugyada biopsy ee laga soo qaaday saldhigga herpes waxay muujiyeen unugyo badan oo isku dhafan iyo eosinophilic ku darida xudunta si loo aqoonsado cudurrada herpes, laakiin lama kala saari karo fayraska kale ee herpes.
(2) Ogaanshaha HSV ee gaarka ah ee difaaca jirka ee IgM waa mid togan, kaas oo waxtar u leh ogaanshaha caabuqa dhawaanta.Cilad-sheegashada waxaa la xaqiijin karaa marka fayraska gaarka ah ee IgG titer uu kordho in ka badan 4 jeer inta lagu jiro xilliga soo kabashada.
(3) Ogaanshaha togan ee HSV DNA ee RT-PCR waa la xaqiijin karaa.
Shuruudaha loogu talagalay ogaanshaha shaybaarka ee HSV encephalitis iyo meningoencephalitis: ① HSV gaar ah IgM antibody ayaa si togan u leh dareeraha maskaxda ee maskaxda (CSF).② CSF waxay u wanaagsanaatay DNA-da fayraska.③ Fayraska gaarka ah ee IgG titer: saamiga serum/CSFHSV encephalitis ama meningoencephalitis ayaa la go'aamin doonaa haddii mid ka mid ah afarta shay la buuxiyo.