Ubumpofu bufunyaniswa ngokusekelwe kwiimpawu zekliniki, ngokukodwa ukuvuvukala kwentamo kunye nommandla obusweni obuncinane, owuphawu lokuthengisa olukhuselekileyo.
Ukongezelela, kukho iimvavanyo zokuxilongwa ezinganceda ukuqinisekisa ukuxilongwa. Iimvavanyo zegazi kunye neesampula zemali ezifunyenwe ngaphakathi emlonyeni wakho zizona zincedo kakhulu. Ukuphonononga iimvavanyo kunokuba luncedo ekuhloleni ezinye zeengxaki zeengqungquthela.
I-Self-Checks / Ukuvavanywa Kwekhaya
Ukuba wena okanye umntwana wakho akakwamukelanga ugonyo lwe-mumps, kukho umngcipheko onamandla wokugula. Ukuba ngaba wena okanye umntwana wakho usemngciphekweni wokuphuhlisa ama-mumps, kufuneka uzifundele ngeempawu zokuqala zeemeko ukuze ukwazi ukuzibona kwaye ukhuphe ukusabalalisa kwabanye. Ezi zinokubandakanya umkhuhlane, iintloko, intamo evuvukileyo, i-acry muscle, intlungu xa udla okanye uginya, okanye uvakalelwa ngokubanzi.
IiLabs kunye novavanyo
Kukho iimvavanyo eziliqela ezinokuthi zichonge intsholongwane emzimbeni wakho. Iimvavanyo zegazi ziyakwazi ukuchonga ama-antibodies anesimo somzimba wakho ukulwa nentsholongwane.
I-Buccal Swab Polymerase Chain Reaction (PCR)
Indawo yecala yindawo enzulu emlonyeni wakho, emva kwamazinyo emva. I-buccal swab iyimqoqo yamathe, kwaye mhlawumbi ukukhwa kwezicubu, ukusuka kuloo ndawo.
I-saliva eqokelelwayo ingahlolwa i-RNA yintsholongwane yegazi, yinto ebonakalayo yemfuza yegciwane.
Uvavanyo lofuzo olubizwa ngokuba luvavanyo lwe -PCR lubonisa ukuba yiyiphi na intsholongwane eqokelelwa ngayo.
I-Antibody Test
Umzimba wenza ama-antibodies ekuphenduleni usulelo. Ngenxa yokuba imithi yokugoma ivuselela ukuveliswa kwe-antibody, unokuba ne-antibodies kwiintsholongwane zentsholongwane ukuba uye wagonywa okanye ukuba unesifo kwaye walwa ngokuphumelelayo.
Uvavanyo olulula lwegazi luyakwazi ukufumana izixhobo ezinqamlekileyo kwigazi lakho kwaye liyakwazi ukwahlula nokuba unesifo sengculaza okanye ukuba unentsholongwane esebenzayo. Ukuba unama-anti-gum ase-IgG ekhoyo egazini lakho, oku kubonisa ukuba unamagciwane. Ukuba unentsholongwane echaphazelekayo iimvavanyo zakho ziza kubonisa i-antibodies ye-IgM.
I nkcubeko
I-culture ye-salivary yiyo vavanyo apho i-fluid eqokelelwa ematheni ithathwa kwilebhu ukuze ihlolwe ukukhula kwintsholongwane ngokwayo. Kulula ukuba ugqirha wakho athole umatha emlonyeni wakho ngokususa indawo ye-buccal, njengokuba uvavanyo lwe-PCR.
Inkcubeko ithatha ixesha lokubonisa ukukhula kwintsholongwane, kwaye kungathatha iiveki ezimbini ukuya kwethathu ukuba uvavanyo lwakho lube luhle.
ISampinal Fluid Sample kunye neNkcubeko
Ukuba wena okanye umntwana wakho unakho ukuguqulwa kwamantongitis okanye i-encephalitis ngenxa yezimva, iqela lakho lezonyango lingadinga ukwenza i-lumbar puncture ukuqokelela isampuli ye- cerebrospinal fluid (CSF), umbane ojikeleze ingqondo.
Ukugqitywa kwe-lumbar , ebizwa ngokuba ngumpompo womthambo, luvavanyo apho ugqirha wakho ufaka inaliti kwindawo yangasemva yakho, phakathi kwamalungu omzimba, ukuqokelela isampuli yomswakama ojikeleze ingqondo yakho kunye nentambo yomgogodla. Olu lukhuni lungabonakalisa ukwanda kwamaseli egazi ezimhlophe kunye neeprotheni, ngamanye amaxesha kuncipha kwi-glucose, ebonisa ukuba usulelekileyo, kodwa ayithethi ukuba uthethe i-mumps.
Nangona kunjalo, ukuba intsholongwane ye-mumps ikhula kwiinkcubeko ze-CSF, ke oku kukucebisa kakhulu ukuba une-meningitis okanye i-encephalitis ngenxa yamathambo.
Ukuhlolwa kwe-Enzyme ye-Pancreatic
Ukuba une- pancreatitis njengengxube yeengxube zamanzi, iimvavanyo zakho zegazi zingabonisa ezinye izinto ezingaqhelekanga ezibonisa ukubandakanyeka kwe-pancreatic. I-enzyme ye-pancreatic-amylase, lipase, kunye ne-elastase-1-inokuphakanyiswa ukuba unayo i-pancreatitis ngenxa yokusuleleka kumama.
Ukucinga
Ngokubanzi, uphando lweengcamango aluyiyo inxalenye yesifo sokuxilongwa kwesigxina. Nangona kunjalo, kwezinye zeengxaki zeengxenyana, izifundo zokucinga zingaba luncedo.
Neck CT
Ukuba imbangela yentliziyo yakho yokuvuvukala ingacacanga, unokufuna i-CT ukukhanda kwentamo yakho ukufumanisa ezinye izizathu ezibangelwa ukukhukhuma kwentamo, njengentlungu, ama-abscesses, okanye kwi-casual cases.
I-Brain CT okanye i-MRI
Ukuba une-encephalitis ngenxa yamathambo, unokuba neempawu ezinzulu, ezifana nokugunjwa, okufuna ukuphonononga okuthe xaxa kunye nokucinga ngengqondo. Ukuba unempawu ze-neurological, ugqirha wakho angadinga ukubona i-CT scan yakho yengqondo ngaphambi kokukhangela.
Igciwane lesisu okanye i-Ultrasound
Ukuba unempawu okanye iimpawu zepascreatitis , ugqirha wakho angadinga ukuba enze i-CT esiswini okanye i-ultrasound ukuba uhlalutye kakuhle imeko yakho kwaye ubone ukuba unobungqina benye ukuvutha kwesisu okanye isifo.
Ultrasound yeTestanti
Ukuba unethambo lokuzikhukhumeza, enye yeengxaki zokutheleleka kwamathambo, ugqirha wakho unokuyalela umzekelo wokuhlola ukucinga ukuba ngaba kukho enye ingxaki ebangela ukuvuvukala nokuba unayo nayiphi na inyango okanye unyango olwenziwe.
Ukuxilongwa ngokungafani
Ubumpofu bubangela ezininzi iimpawu ezifana nezinye zeemeko. Ngenxa yokuba ama-mumps aqhelekanga, ugqirha wakho unokuqwalasela ezinye izimbangela zeempawu zakho.
Usulelo lweNtsholongwane
Izifo ezininzi zentsholongwane zibangelwa intloko, iindlovu, ukukhathala, kunye neentsimbi zomzimba. Ukuvuvukala kweengqungquthela ze-parotidi yinto ephawulekayo yeengqungquthela, kodwa ezininzi iintsholongwane zingabangela ukuvuvukala kwee-lymph nodes entanyeni kunye neentambo.
Ngokuqhelekileyo, ukuvuvukala okubangelwa izifo ezininzi zentsholongwane akuyona into evelele njengalezi zinambuzane. Uvavanyo lwe-antibody, uvavanyo lwe-PCR, kunye neenkcubeko zinokuhlukanisa intsholongwane enye kwenye.
Usulelo lweBhakterial Infection
Uninzi lweentsholongwane ezichaphazela i-bacterial tract zingabangela iimpawu ezifanayo njengama-mumps, kwaye zivame ukudala ukwandiswa kwe-lymph node. Nangona kunjalo, iintsholongwane zebhaktheriya ziyakwazi ukuphathwa ngamachiza omzimba, ngoko ugqirha wakho uya kuqhuba iimvavanyo ukufumanisa iibhaktheriya ukuba usulelo lwakho lubonakala lunokwenzeka ukuba lukhuhlane lwebhaktheriya.
Abscess
I- abscess yintsholongwane edibeneyo engahlakulela ngenxa yexinzelelo, ukusuleleka kwintsholongwane, okanye ukungabikho kwintsholongwane yentsholongwane. Ukuvuvukala kunye nentlungu yama-mumps, kunye nomkhuhlane, unokulinganisa i-abscess. Uvavanyo olubonakalayo okanye uvavanyo lweemifanekiso lunokunceda ukucacisa umahluko.
Neck Trauma
Ukuvuvuka kwentamo eyenzeka ngeemvumba kungabonakala njengokuvuvukala emva kokulimala kabuhlungu. Ukuba awukwazi ukuxelela ukuba umntwana wakho wenzakele okanye usulelekile, zikho iindlela ezimbalwa oogqirha bomntwana wakho oya kuziwa umahluko.
Imbali yonyango inokuba luncedo, kodwa ngamanye amaxesha abantwana abakhutheleyo abakwazi ukukhumbula ukuwa okanye ukuzilimaza. Ubukho bentsholongwane, iintloko, ukukhathala, kunye nezicathulo zomzimba zomzimba zibonisa ukuba umntwana wakho unemiva. Ukuba kukho intlungu eqhelekileyo kwindawo yokuvuvukala, ukunyunyuzwa, okanye iimpawu zokulimala kwenye indawo emzimbeni, oku kubonisa ukuba ukuxhwalazeka kungabangela imbilini yokuvuvukala kunokuba iminyumba.
Cancer
Ukuvuvukala kwamathambo kungabonakali, kwaye ukuvuvukala kungabonakalisa uphawu lokuqala lomhlaza. Ugqirha wakho unokuyalela iimvavanyo zokucinga kunye mhlawumbi ne-biopsy ukucacisa isizathu sokuvuvukala kwakho. Musa ukuxhalaba ukuba ezi mvavanyo ziyalwe-nokuba zikhona, ziya kunceda ukulawula ukuxilongwa komhlaza.
I-Tortic Testicular
Ukuvuvukala kweetestular kunye nokuvuvukala kungafuna unyango oluphuthumayo. I-torsion testicular, okuyinto yokuguqula i-anatomiki okanye ukuphazamiseka kwentambo ye-spermatic, iphakathi kwezona zinto ziqhelekileyo kwaye ziphathwe ngokunyanga.
Imiqondiso kunye neempawu zethumbuliso yenkcenkceshe zingabonakala zifana nezobuhlungu bezonyango ezibangelwa iimvumba. Ukuba ugqirha wakho ukhusele ukuba imbangela yokuvuvukala kwakho kweetestular yinto ngaphandle kweemfumba, ungadinga ukuvavanya uvavanyo ukuze uhlukanise isizathu kunye nokuchonga ukuba ngaba ufuna unyango olungxamisekileyo.
> Imithombo:
> I-Cheung L, i-Henderson AH, i-Banfield G, iVoswell I-BMJ Case Rep. 2017 Juni 5; 2017. i-pii: bcr-2017-220103. i-doi: 10.1136 / bcr-2017-220103.
> Magurano F, Baggieri M, Marchi A, Bucci P, Rezza G, Nicoletti L. Mumps ukuxilongwa kwengxaki yokuxilongwa kwengqondo.