Gwajin gaggawa na HSV-I IgG / IgM

1. Binciken asibiti
Dangane da bayyanar cututtuka na al'ada na fata da mucous membrane herpes, haɗe tare da wasu dalilai masu mahimmanci, hare-haren da suka faru da sauran halaye, ganewar asibiti ba shi da wahala.Duk da haka, yana da wuya a gano cututtukan fata a cikin cornea, conjunctiva, rami mai zurfi (kamar al'amuran al'aura, urethra, dubura, da dai sauransu), ciwon daji na herpetic, da sauran raunuka na visceral.
Tushen ganewar asibiti na herpetic encephalitis da meningoencephalitis: ① bayyanar cututtuka na m encephalitis da meningoencephalitis, amma epidemiological tarihi ba ya goyi bayan encephalitis B ko daji encephalitis.② Bayyanar cututtukan ƙwayoyin cuta na cerebrospinal, irin su ruwan cerebrospinal mai jini ko adadin jajayen ƙwayoyin jini da aka gano, suna ba da shawarar sosai cewa cutar na iya.③ Taswirar tabo na kwakwalwa da MRI sun nuna cewa raunuka sun fi yawa a cikin lobe na gaba da lobe na wucin gadi, suna nuna lalacewar asymmetric.
2. Binciken dakin gwaje-gwaje
(1) Binciken microscopic na scraping da biopsy nama samfurori daga tushe na herpes ya nuna kwayoyin halitta da yawa da eosinophilic inclusions a cikin tsakiya don gano cututtuka na herpes, amma ba za a iya bambanta da sauran ƙwayoyin cuta na herpes ba.
(2) Gano takamaiman maganin rigakafi na HSV na IgM yana da inganci, wanda ke taimakawa don gano kamuwa da cuta kwanan nan.Za'a iya tabbatar da ganewar asali lokacin da takamaiman ƙwayar cuta ta IgG titer ta ƙaru fiye da sau 4 yayin lokacin dawowa.
(3) Ana iya tabbatar da ingantaccen gano HSV DNA ta RT-PCR.
Ma'auni don ganewar dakin gwaje-gwaje na HSV encephalitis da meningoencephalitis: ① HSV takamaiman IgM antibody yana da inganci a cikin ruwan cerebrospinal (CSF).② CSF ya kasance tabbatacce ga DNA na kwayar cuta.③ Cutar takamaiman IgG titer: serum/CSF rabo ≤ 20. ④ A cikin CSF, takamaiman ƙwayar cutar IgG ta ƙaru fiye da sau 4 yayin lokacin dawowa.HSV encephalitis ko meningoencephalitis za a ƙayyade idan ɗaya daga cikin abubuwa huɗu ya hadu.