Inkcazo eneenkcukacha
1. Ukuxilongwa kweklinikhi
Ngokutsho kweempawu zeklinikhi eziqhelekileyo zesikhumba kunye ne-mucous membrane herpes, edityaniswe nezinye izinto ezinokubangela, ukuhlaselwa okuphindaphindiweyo kunye nezinye iimpawu, ukuxilongwa kweklinikhi akukho nzima.Nangona kunjalo, kunzima ukufumanisa i-herpes yesikhumba kwi-cornea, i-conjunctiva, i-cavity enzulu (efana ne-genital tract, urethra, i-rectum, njl.), i-encephalitis ye-herpetic, kunye nezinye izilonda ze-visceral.
Uxilongo lwezonyango olusisiseko se-herpetic encephalitis kunye ne-meningoencephalitis: ① iimpawu ze-encephalitis ebukhali kunye ne-meningoencephalitis, kodwa imbali ye-epidemiological ayixhasi i-encephalitis B okanye i-encephalitis yamahlathi.② Ukubonakaliswa kwe-Viral cerebrospinal fluid, njengegazi le-cerebrospinal fluid okanye inani elikhulu leeseli ezibomvu zegazi ezifunyenweyo, zicebisa kakhulu ukuba isifo sinokuthi.③ Imephu yendawo yobuchopho kunye ne-MRI ibonise ukuba izilonda bezikwilobe engaphambili kunye nelobe yethutyana, ebonisa ukonakala okungafaniyo.
2. Ukuxilongwa kweLebhu
(1) Ukuhlolwa kwe-Microscopic ye-scraping kunye neesampuli ze-biopsy zezicubu ezivela kwisiseko se-herpes zibonise iiseli ezinama-multinucleated kunye ne-eosinophilic inclusions kwi-nucleus ukuchonga izifo ze-herpes, kodwa azikwazanga ukwahlula kwezinye i-herpesviruses.
(2) Ukufunyanwa kwe-HSV ethile ye-antibody ye-IgM ilungile, eluncedo ekuxilongeni usulelo lwakutsha nje.Ukuxilongwa kunokuqinisekiswa xa i-virus ethile ye-IgG titer inyuka ngaphezu kwamaxesha e-4 ngexesha lokubuyisela.
(3) Ukufumanisa okulungileyo kwe-HSV DNA nge-RT-PCR kunokuqinisekiswa.
Iinqobo zokuxilongwa kwelebhu ye-HSV encephalitis kunye ne-meningoencephalitis: ① I-antibody ye-HSV ethile ye-IgM ilungile kulwelo lwe-cerebrospinal (CSF).② I-CSF yayilungile kwi-DNA yentsholongwane.③ I-Virus ethile ye-IgG titer: i-serum / CSF ratio ≤ 20. ④ Kwi-CSF, i-virus ethile ye-IgG titer yanda ngaphezu kwamaxesha e-4 ngexesha lokubuyisela.I-HSV encephalitis okanye i-meningoencephalitis iya kumiselwa ukuba nayiphi na enye yezinto ezine ihlangatyeziwe.