Ana amfani da gwajin jini na musamman don tantance cutar Ebola a West Nile. Wannan gwajin yana nufin ko dai gano cutar ta kanta ko neman wasu kwayoyin da suka samo asali ga cutar Ebola ta West Nile.
An gwada gwajin musamman ga mutanen da ke fama da rashin lafiya tare da kamuwa da cutar ta West Nile amma ba a yi wuya a cikin wadanda ke da irin wannan cuta ba.
Sanin hoto na bidiyo
Yin nazarin jini ko jikin jiki ga cutar ta West Nile kanta an kammala shi tare da gwajin maganin polymerase (PCR) , gwajin da zai iya gane ainihin RNA.
Wannan jarabawar ba sau da amfani sosai wajen bincikar cutar Ebola a West Nile a cikin mutane saboda cutar ta saba kasancewa a cikin jini kawai don ɗan gajeren lokaci bayan da kamuwa da cuta ta auku, kuma an tafi (ko a cikin raguwar hankali) ta wurin lokaci m bayyanar cututtuka ci gaba. Saboda haka tare da kamuwa da ƙwayar cuta na kamuwa da cuta, gwajin PCR yana da kyau sosai a lokacin gwajin lokaci.
Duk da haka, a cikin mutanen da suka bunkasa ƙananan cututtuka na zafin rana na Nilu, cutar za ta iya kasancewa a cikin jini lokacin da rashin lafiya ya fara, don haka jarraba PCR yana da amfani sosai.
Har ila yau, gwajin PCR na ruwa mai mahimmanci (CSF) yana da amfani ga mutanen da ke da ciwon kogin Nilu ko ƙwayoyin cuta , saboda cutar ta kasance a cikin CSF a cikin waɗannan mutane.
Testing Antibody
Gwajin ELISA (gwagwarmaya mai kwakwalwa ta hanyar enzyme) zai iya gano kasancewar kwayoyin IgM da jiki ya yi don yaki da cutar ta West Nile. Wannan jarrabawar ana yin sau biyu sau biyu-a lokacin rashin lafiya, sannan kuma a lokacin lokacin convalescent. Tashi da kuma lalacewar matakan IgM na yawanci yawanci ne don tabbatar da ganewar asali.
Jarabawa ga kamuwa da cutar West Nile zai iya zama tsada, kuma fassarawa wadannan gwaje-gwaje ba sabawa ba ne. Don haka binciken gwajin gwajin cutar West Nile yana yawanci ne kawai idan an yi la'akari da cewa yana da mahimmanci don tabbatar da asali.
Labaran Lab Labarin
Duk da yake gwaji na jini (kamar jini da magunguna) an yi a kusan kowane mutumin da ke fama da rashin lafiya, waɗannan gwaje-gwajen ba a nuna su a cikin mutumin da ke fama da cutar Ebola ta West Nile ba.
Lokacin da za a gwada
Mafi yawan mutanen da ke fama da cutar ta West Nile ba su da gwajin gwaji musamman-kuma ba sa bukatar hakan. Yawancin mutanen da suka kamu da cutar Ebola a West Nile ba su da wata alamar bayyanar cutar, ko kuma suna ci gaba da rashin lafiyar kansu kamar yadda suke kulawa da kansu, ba tare da tuntube masu sana'a ba.
A gaskiya ma, kimanin kashi 80 na lokacin da cutar ta West Nile ta kamu da ita ba ta da bambanci daga "sanyi mai sanyi" da muke yi akai-akai daga lokaci zuwa lokaci. Saboda babu wani magani na musamman game da ƙwayoyin cuta da ke haifar da cututtuka (ciki har da cutar West Nile), likitoci, yadda ya dace, kada ku gwada gwaji don ganin abin da cutar ta haifar da "sanyi".
Akwai, duk da haka, yawancin lokuta da yin ƙayyadaddun ganewa yana da mahimmanci.
Mahimmanci, wadannan su ne shari'ar da:
- Mai haƙuri yana da rashin lafiya, kuma akwai hadarin rashin lafiya mai tsawo, rashin lafiya, ko mutuwa. A irin waɗannan lokuta, likitoci zasuyi duk wani gwajin da ya wajaba don tabbatar da asali. Ana gwada gwajin gwaji mai tsanani lokacin da maningitis ko encephalitis yake.
- Yin ƙayyadaddun ganewa na iya haifar da wasu matakan kiwon lafiyar jama'a, kamar su matakai don rage yawan sauro ko raba yawan jama'a, ko aika sako ga lafiyar jama'a.
Yawancin cututtuka masu tsanani sunyi kama da rashin lafiya da cutar ta West Nile ta haifar, saboda haka yana da muhimmanci a rarraba ganewar asali.
Yayin da yake tabbatar da ganewar asali, likita ya haɗa da (ban da gwaje-gwaje a gwaje-gwaje), yin la'akari da tarihin tarihin tafiye-tafiye, da kuma nunawa ga sauro ko ƙuƙwalwa. (Kwayar cutar ta West Nile ba a san cewa za'a yada shi ga mutane daga kaskoki ba, amma sauran cututtuka irin su ne.)
Magunguna masu tsanani wadanda zasu iya rikicewa tare da kamuwa da cutar ta West Nile ciki har da:
- Sauran ƙwayoyin cuta na iya haifar da ciwon mutum ko ciwon ƙwayoyin cuta, ciki har da ƙananan ƙwayoyin cuta na herpes simplex , varicella-zoster encephalitis, zazzaɓi Dengue , kamuwa da cutar Powassan , likitancin St. Louis, jabu na Japan , ko kuma ƙananan ƙwayoyin cuta saboda wani enterovirus .
- Yawancin cututtuka na kasuwa na iya haifar da cututtuka wanda bazai iya ganowa daga cututtukan yammacin Nilu, ciki har da zazzabi na tsaunuka na Rocky , cutar Lyme , da ehrlichiosis.
- Kwayar cutar ta jiki tare da pneumococcus ko meningococcus zai iya kama kamar sauran meningitis, ciki har da ciwon da cutar ta hanyar West Nile cutar.
Yawancin cututtuka sun bukaci magani tare da maganin rigakafi. Saboda wannan dalili, yana da mahimmanci don gano ainihin ganewar asali a duk lokacin da wani yana da mummunan rashin lafiya wanda zai iya (ko a'a) ya kasance saboda cutar ta West Nile.
> Sources:
> Barzon L, Rawanci M, Ulbert S, Palù G. Bugawa ta Kwanan baya Da kuma Galubalantar Cikin Gano Ciwon Halittar Kwayar cutar Ebola ta Yammaci. Gwani Rev Anti Cutar Ther 2015; 13: 327.
> Busch MP, Kleinman SH, Tobler LH, Et Al. Kwayar cuta da Dynamics na Abokan Cutar A Cutar Kwayoyin cuta na Yammacin Kogin Nilu. J Infect Dis 2008; 198: 984.
> Lindsey NP, Staples JE, Lehman JA, Et Al. Kulawa ga Ciwon Kwayoyin cutar Yammacin Kogin Nilu - Amurka, 1999-2008. Rahoton MMWR na 2010; 59: 1.