
UwitekaVibro Cholerae O139 (VC O139) na O1 (VC O1) ComboIkizamini gikoresha tekinike yubudahangarwa kugirango hamenyekane ubwoko bubiri bwa bagiteri ya kolera. Iki kizamini ningirakamaro mugutahura kolera mugihe, bituma abashinzwe ubuzima bashyira mubikorwa byihuse. Gukoresha neza Vibro Cholerae O139 (VC O139) na O1 (VC O1) Combo byongera imiyoborere yanduye, amaherezo bikagabanya indwara nimpfu ziterwa na kolera.
| Umwaka | Imanza zatanzwe | Bapfuye | Impinduka mu rupfu |
|---|---|---|---|
| 2023 | 535.321 | 4.000 | + 71% |
Ibyingenzi
- UwitekaVibro Cholerae O139 na O1 Ikizamini cya Comboitanga uburyo bwihuse bwo kumenya imiterere ya kolera, ituma ibisubizo byihuse byubuzima rusange.
- Ikusanyamakuru ryiza hamwe nuburyo bukwiye bwo kwipimisha nibyingenzi mugusuzuma neza kolera no gucunga ibyorezo.
- Udushya twa vuba mugupimisha, nkibizamini byihuse byo kwisuzumisha, bitezimbere cyane umuvuduko wo gutahura no kongera imbaraga zo kugenzura kolera.
Uburyo bwa Vibro Cholerae O139 na O1 Combo Ikizamini Immunochromatography Tekinike

Uburyo bwo gukusanya icyitegererezo
Icyegeranyo cyiza ntangarugero ningirakamaro mugupima neza kolera. Inzobere mu buzima zigomba gukurikiza protocole yihariye kugirango hamenyekane ubusugire bwintangarugero. Imyitozo isabwa harimo:
- Ingero z'intebe: Kusanya ingero 4 kugeza 10 z'intebe z'abarwayi bakekwaho kolera. Izi ngero zigomba koherezwa muri laboratoire ya mikorobe kugira ngo yemeze, imenyekane neza, kandi isuzume antibiyotike.
- Itangazamakuru ryo gutwara abantu: Emeza itangazamakuru ryatoranijwe hamwe na laboratoire. Amahitamo arashobora gushiramo impapuro zungurura cyangwa Cary-Blair, zifasha kubungabunga ubuzima bwintangarugero mugihe cyo gutwara.
Uburyo bwo Kwipimisha
Vibro Cholerae O139 (VC O139) na O1 (VC O1) Ikizamini cya Combo gikoresha tekinike ya immunochromatografiya ituma hamenyekana vuba ubwoko bwa kolera. Ibikoresho na reagent bikurikira nibyingenzi mugukora ikizamini:
| Ibikoresho / Reagents | Ibisobanuro |
|---|---|
| IkomeyeStep® Vibrio kolera O1 / O139 Ikizamini cyihuta cya Antigen Combo | Immunoassay yihuta cyane kugirango igaragaze neza Vibrio kolera O1 na / cyangwa O139 muburyo bwa fecal yabantu. |
| Antibodiyite Zirwanya Vibrio O1 / O139 | Yimuwe mukarere ka test ya membrane kugirango tumenye. |
| Ibice by'amabara | Yahujwe na antibodies zo gusobanura neza ibisubizo. |
| Ingero | Ingero zabantu zumuntu, zigomba gupimwa ako kanya nyuma yo gukusanya. |
| Imiterere yo kubika | Bika ibikoresho kuri 4-30 ° C, ntukonje, kandi urinde kwanduza. |
Uburyo bwo kwipimisha burimo gukoresha icyitegererezo cyintebe kubikoresho bipimisha, aho ikorana na antibodies. Umurongo ugaragara werekana ko hari bacteri za kolera, zituma hasuzumwa vuba.
Ibyiyumvo byihariye
Ibyiyumvo byihariye kandi byihariye bya Vibro Cholerae O139 na O1 Combo Ikizamini ni ibipimo byingenzi byo gusuzuma imikorere yacyo. Ubushakashatsi buherutse kuvura bwerekana ibipimo bikurikira:
| Ubwoko bw'ikizamini | Ibyiyumvo | Umwihariko |
|---|---|---|
| V. kolera O139 (ingero zayunguruwe) | 1.5 × 10² CFU / ml | 100% |
| V. kolera O139 (ingero zidafunguye) | Igiti kimwe kiri munsi yayungurujwe | 100% |
Byongeye kandi, guhuza ibyiyumvo byihariye hamwe nibisobanuro bya kolera byihuse byo kwisuzumisha byerekana:
| Ubwoko bw'ikizamini | Ibyiyumvo byuzuye | Umwihariko |
|---|---|---|
| Ibizamini bya Kolera Byihuse | 90% (86% kugeza 93%) | 91% (87% kugeza 94%) |
Ibiciro biri hejuru byerekana ko Vibro Cholerae O139 (VC O139) na O1 (VC O1) Combo Test Immunochromatography tekinike itanga ibisubizo byizewe, bigatuma iba igikoresho cyingenzi mugutahura kolera no gucunga ibyorezo.
Akamaro mu buzima rusange

Uruhare mu micungire y'Icyorezo
UwitekaVibro Cholerae O139 na O1 Ikizamini cya Comboigira uruhare runini mugucunga icyorezo cya kolera. Kumenya vuba ubwoko bwa kolera butuma abashinzwe ubuzima bashyira mubikorwa ingamba zihuse. Iki kizamini cyongera cyane umuvuduko nubushobozi bwibisubizo byubuzima rusange.
- Kwiyongera Kwerekana: Gutangiza ibizamini byihuse byo kwisuzumisha (RDTs) byatumye kwiyongera kwa kolera. Abaturage babanje gutekereza ko badafite kolera ubu berekana ibibazo kubera ubushobozi bwo kumenya neza.
- Ikiguzi-Cyiza: RDTs irahenze cyane kandi ntigutwara igihe kuruta ibizamini bya laboratoire. Ubu buryo bworoshya kwisuzumisha no kuvura byihuse, nibyingenzi mugihe cyaduka.
- Ibisubizo ako kanya: Ibizamini bishya byihuse bitanga ibisubizo muminota, byihuse cyane kuruta ibizamini bya laboratoire bishobora gufata iminsi. Ihinduka ryihuse ningirakamaro mu gukumira izindi ndwara no gutangiza ubukangurambaga ku gihe.
Imbonerahamwe ikurikira irerekana ibyiyumvo byiza hamwe nuburyo bwiza bwo kumenya uburyo butandukanye bwo kumenya kolera, bugaragaza ibyiza bya Vibro Cholerae O139 na O1 Ikizamini cya Combo:
| Uburyo | Ibyiyumvo (%) | Umwihariko (%) | Igipimo cyiza cyo kumenya (%) |
|---|---|---|---|
| IFAG | 19.9 | Hejuru | 29/146 |
| Umuco gakondo | 10.3 | Hasi | 15/146 |
| Igihe nyacyo PCR | 29.5 | Isumbabyose | 43/146 |

Inyigo Yokoresha neza
Ubushakashatsi bwakozwe bwerekana imikorere ya Vibro Cholerae O139 na O1 Combo Ikizamini mu turere dutandukanye. Kurugero, ubushakashatsi bwerekana itandukaniro rinini mubipimo byo kurwanya antibiyotike hagati ya Vibrio kolera O139 na O1. Ubwoko bwa O1 bukunze guhuzwa nindwara nini, mugihe O139 ikunda kuba ifitanye isano nindwara rimwe na rimwe ndetse nindwara ziterwa nibiribwa. Gusobanukirwa ubu buryo ni ingenzi mu kurwanya icyorezo cya kolera, cyane cyane mu turere dutishoboye nko mu cyaro cya Bangladesh.
Ingaruka ku Buzima ku Isi
Umutwaro wa kolera ku isi ukomeje kuba ingirakamaro, wibasiye abantu bagera kuri miliyari 1,3, aho usanga umubare munini w’abantu bibanda muri Afurika yo munsi y’ubutayu bwa Sahara no muri Aziya yepfo. Ibyorezo bikunze kuba byinshi kandi birebire, nkuko bigaragara mu bihugu nka Yemeni na Haiti. Uburyo bwa gakondo bwo kwisuzumisha zahabu, harimo umuco wa mikorobe na PCR, bisaba igihe kinini, abakozi bahuguwe, hamwe nibikorwa remezo bya laboratoire, akenshi biganisha ku gutinda kwemeza no gusubiza. Izi mbogamizi zigira uruhare mu kongera indwara n’impfu kandi bikabuza kugereranya neza umutwaro wa kolera, bigatuma ubuzima bw’ubukungu n’ubukungu byiyongera ku turere twibasiwe.
Ni muri urwo rwego, ibizamini byo kwisuzumisha byihuse (RDTs) bitanga uburyo bwo guhindura ibintu. Mugushakisha antigene ya Vibrio O1 na O139 ikoresheje immunoassays itembera, ibi bizamini bitanga ibisubizo byujuje ubuziranenge muminota 5, bitabaye ngombwa kubika ububiko bukonje cyangwa ibikoresho bigoye. Bashobora gutangwa hamwe namahugurwa make aho yitaweho, bigatuma bagira agaciro cyane mugace ka kure kandi gake-umutungo. Nubwo bitagenewe gusuzumwa neza n’abarwayi, RDT ifite agaciro gakomeye ko guhanura, bikagabanya ibikenewe byo kwipimisha ahantu hasanzwe. Ibyifuzo byabo byibanze biri mubigenzurwa na epidemiologiya, aho umuvuduko wabo hamwe nigiciro cyabyo bituma hamenyekana icyorezo hakiri kare, kugenzura neza imigendekere yimiterere ya spatiotemporal, hamwe no gukoresha neza ingamba nkinkingo za kolera zo mu kanwa (OCVs) hamwe ningamba z’isuku-cyane cyane bitewe n’uko OCV itangwa ku isi muri iki gihe.
Ingaruka zo gukoresha immunochromatografiya ziragera kure: kugenzura neza igihe nyacyo kunoza neza ibyahanuwe kandi bigahindura ibisubizo byanduye; gutondekanya ibisobanuro mubihugu mubihugu birashoboka cyane hamwe no guhuza byihuse; hamwe nibisubizo byatanzwe bishobora guhuzwa nubwenge bwubuhanga bwo gusesengura byimbitse imbaraga zo kohereza. Ubwanyuma, udushya ni ngombwa mu guteza imbere kurwanya kolera ku isi, kugabanya impfu zishobora kwirindwa, no kugabanya ingaruka z’ubuzima n’ubukungu ku baturage batishoboye.
UwitekaVibro Cholerae O139 na O1 Ikizamini cya Comboigira uruhare runini mugutahura kolera. Irerekana neza imiterere ya kolera, ituma ibisubizo byubuzima bwihuse bwabaturage. Hamwe na sensitivite yo gutahura nka selile 103 zaV. kolera, iki kizamini kigaragaza ko ari ngombwa mugucunga ibyorezo.
Kongera ubumenyi no gukoresha iki kizamini mubatanga ubuvuzi ni ngombwa. Imbonerahamwe ikurikira irerekana ubwinshi bwa antibiyotike irwanya cholera serogroups:
| Itsinda | Ikwirakwizwa (%) | Kurwanya Antibiyotike (%) |
|---|---|---|
| O1 | Hejuru | 70% (cefotaxime), 62.4% (trimethoprim-sulfamethoxazole), 56.8% (ampisilline) |
| O139 | Guciriritse | N / A. |
Inzego zubuzima zigomba gushyira imbere iki kizamini kugirango zongere imbaraga zo kurwanya kolera kwisi yose.
Ibibazo
Niyihe ntego yibanze yikizamini cya Vibro Cholerae O139 na O1 Combo?
Ikizamini cyerekana vuba ubwoko bwa kolera, butuma ibikorwa byubuzima rusange byihutirwa.
Bifata igihe kingana iki kugirango ubone ibisubizo bivuye mu kizamini cya Combo?
Soma ibisubizo muminota 5. Ntugasobanure ibisubizo nyuma yiminota 10.
Nibyo, ikizamini gishobora kumenya icyarimwe icyerekezo cya Vibrio kolera O1 na O139 muburyo bumwe.
Igihe cyo kohereza: Nzeri-05-2025

