Kufotokozera mwatsatanetsatane
1. Matenda a matenda
Malinga ndi mmene matenda mawonetseredwe a khungu ndi mucous nembanemba nsungu, pamodzi ndi zinthu predisposing, zinabadwa kuukira ndi makhalidwe ena, matenda matenda si kovuta.Komabe, n'zovuta kuzindikira nsungu pakhungu mu cornea, conjunctiva, patsekeke kwambiri (monga maliseche thirakiti, mkodzo, rectum, etc.), herpetic encephalitis, ndi zina zotupa visceral.
Kuzindikira kwachipatala chifukwa cha herpetic encephalitis ndi meningoencephalitis: ① Zizindikiro za pachimake encephalitis ndi meningoencephalitis, koma mbiri ya miliri siyigwirizana ndi encephalitis B kapena encephalitis ya m'nkhalango.② Mawonekedwe a Viral cerebrospinal fluid, monga magazi a cerebrospinal fluid kapena kuchuluka kwa maselo ofiira amagazi omwe apezeka, akuwonetsa kuti matendawa atha.③ Mapu a malo aubongo ndi MRI adawonetsa kuti zotupazo zinali zapatsogolo ndi lobe yanthawi, zomwe zikuwonetsa kuwonongeka kwapang'onopang'ono.
2. Matenda a labotale
(1) Kufufuza kwapang'onopang'ono kwa zitsanzo za scraping ndi biopsy minofu kuchokera m'munsi mwa nsungu kunasonyeza maselo ambirimbiri ndi ma eosinophilic inclusions mu nucleus kuti azindikire matenda a herpes, koma sakanatha kusiyanitsidwa ndi herpesviruses ena.
(2) Kuzindikirika kwa ma antibody a HSV enieni a IgM kuli kwabwino, komwe kumakhala kothandiza pakuzindikiritsa matenda aposachedwa.Matendawa amatha kutsimikiziridwa pamene kachilombo kamene kamayambitsa kachilombo ka IgG kachulukira nthawi zoposa 4 panthawi yochira.
(3) Kuzindikira kwabwino kwa HSV DNA ndi RT-PCR kungatsimikizidwe.
Zofunikira zowunikira mu labotale za HSV encephalitis ndi meningoencephalitis: ① HSV specific IgM antibody is positive in cerebrospinal fluid (CSF).② CSF inali yabwino kwa ma virus a DNA.③ Virus yeniyeni IgG titer: chiŵerengero cha seramu / CSF ≤ 20. ④ Mu CSF, kachilombo kameneka kamene kamayambitsa matenda a IgG kunakula nthawi zoposa 4 panthawi yochira.HSV encephalitis kapena meningoencephalitis idzadziwika ngati chimodzi mwazinthu zinayi zakwaniritsidwa.