Tlhaloso e qaqileng
1. Tlhahlobo ea bongaka
Ho ea ka liponahatso tse tloaelehileng tsa kliniki ea letlalo le mucous lera herpes herpes, ho kopantswe le ba bang ba predisposing mabaka a, litlhaselo tse pheta-phetoang le litšobotsi tse ling, ho hlahlojoa litleleniki ha ho thata.Leha ho le joalo, ho thata ho hlahloba letlalo la herpes ka cornea, conjunctiva, cavity e tebileng (joaloka pampitšana ea genital, urethra, rectum, joalo-joalo), herpetic encephalitis, le liso tse ling tsa visceral.
Tlhahlobo ea kliniki ea lefu la herpetic encephalitis le meningoencephalitis: ① matšoao a encephalitis e matla le meningoencephalitis, empa nalane ea lefu la seoa ha e tšehetse encephalitis B kapa encephalitis ea morung.② Lipontšo tsa kokoana-hloko ea cerebrospinal fluid, tse kang mali a cerebrospinal fluid kapa palo e kholo ea lisele tse khubelu tsa mali tse fumanoeng, li fana ka maikutlo a phahameng a hore lefu lena le ka 'na la.③ 'Mapa oa sebaka sa boko le MRI e bonts'itse hore maqeba a ne a le karolong e ka pele ea lobe le lobe ea nakoana, e bonts'a tšenyo e fapaneng ea asymmetric.
2. Tlhahlobo ea laboratori
(1) Tlhahlobo ea microscopic ea scraping le biopsy tissue sampuli ho tloha botlaaseng ba herpes e bontšitse lisele tse nang le li-multinucleated le li-eosinophilic inclusions ka har'a nucleus ho khetholla mafu a herpes, empa e ne e ke ke ea khetholloa ho herpesviruses tse ling.
(2) Ho fumanoa ha anti-IgM e khethehileng ea HSV ke ntho e ntle, e leng thuso bakeng sa tlhahlobo ea tšoaetso ea morao-rao.Tlhahlobo e ka netefatsoa ha vaerase e khethehileng ea IgG titer e eketseha ho feta makhetlo a 4 nakong ea ho hlaphoheloa.
(3) Ho fumanoa hantle ha HSV DNA ka RT-PCR ho ka netefatsoa.
Mekhoa ea tlhahlobo ea laboratori ea HSV encephalitis le meningoencephalitis: ① HSV specific IgM antibody e ntle ho cerebrospinal fluid (CSF).② CSF e ne e le ntle bakeng sa DNA ea kokoana-hloko.③ Virus e khethehileng ea IgG titer: serum / CSF ratio ≤ 20. ④ Ho CSF, kokoana-hloko e khethehileng ea IgG titer e eketsehile ka makhetlo a fetang 4 nakong ea ho hlaphoheloa.HSV encephalitis kapa meningoencephalitis e tla khethoa haeba e 'ngoe ea lintho tse' nè e fihletsoe.