Tsanangudzo yakadzama
1. Kuongororwa kwekliniki
Zvinoenderana neyakajairwa kuratidzwa kwekiriniki yeganda uye mucous membrane herpes, yakasanganiswa nezvimwe zvinofanotungamira, kurwiswa kunowanzoitika uye humwe hunhu, kuongororwa kwekiriniki hakuna kuoma.Zvisinei, zvakaoma kuongorora ganda herpes ari cornea, conjunctiva, yakadzika mhango (zvakadai seyekubereka turakiti, urethra, rectum, etc.), herpetic encephalitis, uye mamwe maronda visceral.
Chirwere chechirwere chehepetic encephalitis uye meningoencephalitis: ① zviratidzo zveacute encephalitis uye meningoencephalitis, asi epidemiological nhoroondo haitsigire encephalitis B kana musango encephalitis.② Viral cerebrospinal fluid zviratidzo, zvakadai seropa recerebrospinal fluid kana nhamba huru yemasero matsvuku eropa akaonekwa, anonyanya kuratidza kuti chirwere chinogona.③ Mepu yebrain spot uye MRI yakaratidza kuti maronda acho ainyanya kumberi kwelobe uye temporal lobe, achiratidza kuparara kweasymmetric kukuvara.
2. Murabhoritari kuongororwa
(1) Kuongororwa kweMicroscopic yekukwenya uye biopsy tishu samples kubva pachigadziko cheherpes yakaratidza masero akawanda uye eosinophilic inclusions munyucleus kuziva herpes zvirwere, asi yaisagona kusiyaniswa kubva kune mamwe herpesviruses.
(2) Kuonekwa kweHSV chaiyo IgM antibody yakanaka, iyo inobatsira pakuongororwa kwehutachiona huchangobva kuitika.Kuongororwa kunogona kusimbiswa kana hutachiona hweIgG titer hunowedzera kanopfuura ka4 panguva yekupora.
(3) Kuonekwa kwakanaka kweHSV DNA neRT-PCR kunogona kusimbiswa.
Maitiro ekuongororwa murabhoritari yeHSV encephalitis uye meningoencephalitis: ① HSV chaiyo IgM antibody yakanaka mucerebrospinal fluid (CSF).② CSF yaive yakanaka kune viral DNA.③ Virus chaiyo IgG titer: serum / CSF ratio ≤ 20. ④ MuCSF, hutachiona hwehutachiona hweIgG titer hwakawedzera kupfuura 4 nguva munguva yekudzorera.HSV encephalitis kana meningoencephalitis ichatemwa kana chimwe chezvinhu zvina chasangana.
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