D ni ikiingueumurirona DENVvirus?
Umuriro wa Dengue uterwa na virusi ya Dengue (DENV), yandurira cyane cyane ku bantu binyuze mu kurumwa n'imibu y'ingore yanduye, cyane cyane Aedes aegypti na Aedes albopictus.
Hari ubwoko bune butandukanye bwa virusi (DENV-1, DENV-2, DENV-3, na DENV-4). Kwandura ubwoko bumwe bwa virusi bitanga ubudahangarwa bw'ubuzima bwose kuri iyo virusi ariko ntibitanga ubudahangarwa ku bundi.
Dengue ikwirakwira cyane cyane iyo irumwe n'umubu. Ibintu by'ingenzi bituma ikwirakwira birimo:
Vektori:ItsindaAedes aegyptiImibu ikunda gutura mu mijyi kandi yororokera mu mazi adatemba.Aedes albopictusishobora no kwanduzanya virusi ariko ntabwo ikunze kugaragara cyane.
Kwanduzanya kw'imibu kuva ku muntu kugeza ku mubu:Iyo umubu urumye umuntu wanduye, virusi yinjira muri uwo mubu ikaba ishobora kwanduzwa undi muntu nyuma y'iminsi 8-12 yo kubagwa.
Kuki dufite indwara ya dengue ndetse no mu bihugu bitari mu turere dushyuha?
Imihindagurikire y'ikirere: Ubushyuhe bwiyongera ku isi burimo kongera aho abantu batuyeImibu ya Aedes,ingirabuzimafatizo z'ibanze zitera indwara ya dengue.
Ingendo n'Ubucuruzi ku Isi: Ingendo n'ubucuruzi mpuzamahanga byiyongera bishobora gutuma imibu itwara indwara ya dengue cyangwa abantu banduye bajyanwa mu turere tutari utwo mu turere dushyuha.
Gukura mu mijyi: Gukura mu mijyi vuba nta gucunga amazi ahagije, bigatuma imibu yororokera.
Guhangana n'imibu: Imibu ya Aedes, cyane cyaneAedes aegyptinaAedesalbopictus, barimo kumenyera ikirere gishyushye cyane cy’ahantu nk’igice cy’i Burayi na Amerika ya Ruguru.
Ibi bintu bigira uruhare mu kwiyongera kwa dengue mu turere tutari utwo mu turere dushyuha.
Ni gute umuntu yamenya indwara ya dengue akanayivura?
Gusuzuma indwara ya dengue bishobora kugorana bitewe n'ibimenyetso byayo bitari bimwe, bishobora kwigana izindi ndwara za virusi.
Ibimenyetso:Ibimenyetso by'ibanze bikunze kugaragara nyuma y'iminsi 4-10 nyuma yo kwandura harimo umuriro mwinshi, kuribwa umutwe cyane, kubabara inyuma y'umubiri, kubabara ingingo n'imitsi, kubyimba no kuva amaraso make. Mu bihe bikomeye, dengue ishobora gutera indwara ya dengue hemorrhagic fever (DHF) cyangwa dengue shock syndrome (DSS), ishobora gushyira ubuzima mu kaga. Kuyimenya hakiri kare bifasha mu kugabanya ibimenyetso mbere yuko birushaho kwiyongera.
Gutahuramamahame ngenderwaho kuridingue:
SIbizamini by'indwara z'uruhu:Gupima ubudahangarwa bw'umubiri (IgM na IgG) kuri DENV, aho IgM igaragaza ubwandu bushya, naho IgG igaragaza ko hari igihe wahuye nabwo. Ibi bizamini bikunze gukoreshwa muamavurironaLaboratwari zihuriwehokwemeza ubwandu buriho cyangwa ubwa mbere mu gihe cyo gukira cyangwa ku bantu badafite ibimenyetso bafite amateka yo kwandura.
Ibipimo bya NS1 Antigen:Kumenya poroteyine idafite imiterere ya 1 (NS1) mu gihe cy'intangiriro y'ubwandu, bikaba igikoresho cyo gusuzuma hakiri kare, cyiza cyo kubimenya vuba mu minsi 1-5 ya mbere ibimenyetso bitangiye. Ibi bizamini bikunze gukorwa muahantu ho kwita ku bantunkaamavuriro, ibitaro, naamashami y'ubutabazi bwihutirwakugira ngo hafatwe ibyemezo byihuse kandi hatangwe uburyo bwo kuvura.
Ibizamini bya NS1 + IgG/IgM:Gupima ubwandu bwa virusi n'ubwandu bwa kera ukoresheje gupima poroteyine n'uturemangingo tw'umubiri mu maraso, bigatuma biba ingirakamaro mu gutandukanya ubwandu bwa vuba aha n'ubwandu bwa kera, cyangwa kumenya ubwandu bwa kabiri. Ubusanzwe ibi bikoreshwa muibitaro, amavuriro, naLaboratwari zihuriwehokugira ngo hakorwe isuzuma ryimbitse ry’indwara.
Ibipimo bya Molekyuli:Gupima virusi ya RNA mu maraso, bigira ingaruka nziza mu cyumweru cya mbere cy'uburwayi, kandi bikoreshwa mu ntangiriro z'ubwandu kugira ngo byemezwe neza, cyane cyane mu bihe bikomeye. Ibi bizamini bikorerwa cyane cyane muLaboratwari zihuriwehohamwe n'ubushobozi bwo gusuzuma molekile bitewe n'uko hakenewe ibikoresho byihariye.
Gukurikirana:Igaragaza imiterere ya DENV kugira ngo yige imiterere yayo, itandukaniro ryayo, n'ubwihindurize bwayo, ingenzi mu bushakashatsi ku ndwara z'ibyorezo, iperereza ku cyorezo, no gukurikirana impinduka za virusi n'uburyo yandura. Iki kizamini gikorerwa muriLaboratwari z'ubushakashatsinaLaboratwari zihariye z’ubuzima rusangehagamijwe isesengura ryimbitse rya genome no kugenzura.
Muri iki gihe, nta muti wihariye w’indwara ya dengue uvura virusi. Ubuyobozi bwibanda ku kwita ku bufasha nko kunywa amazi menshi, kugabanya ububabare no gukurikiranirwa hafi. Byakagombye kugaragara ko kumenya ubwandu bwa dengue hakiri kare bishobora gukumira ingaruka zikomeye.
Macro & Micro-Test itanga ibikoresho bitandukanye byo gusuzuma indwara ya RDT, RT-PCR na Sequencing kugira ngo bamenye indwara ya dengue kandi bakurikirane icyorezo:
Virusi ya Dengue I/II/III/IVAgakoresho ko Gupima Aside- amazi/afite lyofilize;
Antijeni ya Dengue NS1, IgM/IgGAgakoresho ko Gupima Ibintu Kabiri;
HWTS-FE029-Agakoresho ko Gupima Ubudahangarwa bwa Dengue NS1
Ubwoko bwa virusi ya Dengue 1/2/3/4 Kit Yongera Ubwinshi bwa Genome (Uburyo bwo kongera imbaraga mu buryo bwinshi)
Inyandiko ijyanye nayo:
https://www.sciencedirect.com/science/article/abs/pii/S0168170218300091?via%3Dihub
Igihe cyo kohereza: Ukwakira-21-2024