Covid-19 (2019-NCOV) tau ua rau ntau pua lab tus kab mob thiab ntau lab tus neeg tuag thaum kawg 2019, ua rau kev mob ntiaj teb kev noj qab haus huv. Lub Koom Haum Ntiaj Teb Kev Noj Qab Haus Huv (Leej twg) tso rau pem hauv ntej tsib "Mutant hom kev txhawj xeeb"[1], uas namely alpha, gamma, raws thiab omicron, thiab Omicron Mutant Clain yog cov kab mob hauv ntiaj teb tam sim no. Tom qab tau kis nrog Omicron Mutant, cov tsos mob me me, tab sis rau cov neeg mob kis mob loj, tab sis rau kev mob tshwj xeeb lossis kev tuag taus tom qab mob siab. Cov ntaub ntawv rog rog ntawm Mutant cov ntaub ntawv hauv Omicron, cov ntaub ntawv tiag tiag hauv ntiaj teb muaj kwv yees li ntawm 0.75%, thiab cov ntaub ntawv rog ntawm cov neeg laus, tshwj xeeb tshaj yog cov neeg coob dhau 80 xyoo qub, tshaj 10%, uas tau ze li 100 zaug uas ntawm cov khaub thuas sib xyaw[2]Cov. Cov kev kho mob uas muaj kev kub ntxhov ntawm kev mob npaws, hnoos, mob caj pas, mob caj pas, thiab lwm yam. Cov neeg mob hnyav yuav muaj dyspnea thiab / lossis hypoxemia.
Muaj ntau hom kabmob npaws: A, B, C thiab D. cov raug mob tseem ceeb yog subtype a (H1N1) thiab hom B (Victoria). Kab mob npaws tshwm sim los ntawm tus kab mob khaub thuas los ntawm tus mob khaub thuas uas muaj kev sib kis raws caij nyoog thiab tsis txaus ntseeg txhua xyoo, nrog tus nqi siab. Raws li cov ntaub ntawv, txog 3.4 lab yog kho rau tus mob npaws txhua xyoo[3], thiab txog 88,100 tus mob ua mob ua npaws ua rau tuag taus, tso nyiaj rau 8.2% ntawm cov pa ua pa[4]Cov. Cov mob kho mob suav nrog ua npaws, mob taub hau, myalgia thiab hnoos qhuav. Cov poj niam muaj pheej hmoo, xws li cov poj niam cev xeeb tub, cov menyuam mos, cov neeg laus thiab mob ntsws, uas yuav ua rau tuag taus rog.
1 covid-19 nrog kev phom sij hmoov khaub thuas.
Kev sib kis ntawm tus mob khaub thuas nrog covb-19 tej zaum yuav ua rau muaj kev cuam tshuam ntawm tus kab mob. Kev tshawb fawb Askiv qhia tau hais tias[5], piv nrog cov kab mob sib kis ib leeg, qhov kev pheej hmoo ntawm cov kab mob ua haujlwm hauv tsev pheeb suab kev tuag hauv pawg tsev kho mob nce los ntawm 4.14 zaug thiab 2.35 zaug.
Tongji Media kawm ntawv qib siab ntawm Huazhong University of Science thiab thev naus laus zis luam tawm txoj kev kawm[6], uas suav nrog 95 kev tshawb fawb uas muaj 62,107 tus neeg mob hauv covid-19. Tus nqi tshaj lij ntawm tus kab mob khaub thuas tus kab mob yog 2.45%, ntawm cov khaub thuas uas muaj feem them rau qhov kev sib txheeb siab. Piv nrog cov neeg mob tsuas kis tau nrog cov kab mob uas muaj mob kis rau tus mob npaws Txawm hais tias qhov kis tau tus mob yog tsawg, cov neeg mob uas muaj lub ntsej muag sib kis tau tus mob hnyav dua ntawm kev rau txim hnyav.
Meta-tsom qhia qhia tau tias[7], piv nrog B-kwj, A-dej yuav muaj feem ntau yuav kis tau nrog Covid-19. Ntawm 143 co-mob tus neeg mob, 74% yog kis tus kab mob A-Stre, thiab 20% yog tus kab mob B-kwj. Kev sib kis tus mob yuav ua rau muaj kev mob hnyav dua, tshwj xeeb ntawm cov pab pawg tsis muaj zog xws li cov menyuam yaus.
Kev tshawb fawb txog cov menyuam yaus thiab cov hluas hnub nyoog qis dua 18 xyoo uas tau tuag los ntawm tus mob khaub thuas thaum lub sijhawm tsis raug mob npaws[8]Tias qhov tshwm sim ntawm kev sib kis nrog tus mob khaub thuas hauv covid-19 tsim nyog mloog. Ntawm cov mob khaub thuas ua npaws, 6% kis tau tus kab mob hauv Careed-19 thiab kev sib cais, thiab kev sib raug zoo ntawm kev tuag uas muaj kev tuag rau 16%. Qhov kev tshawb pom no tau qhia tias cov neeg mob uas muaj feem cuam tshuam nrog tus mob khaub thuas ntau dua li cov uas muaj kev phom sij uas tsuas yog kis tus mob hnyav rau menyuam yaus Cov.
2 tus mob sib txawv ntawm tus mob khaub thuas thiab covid-19.
Cov kab mob no tshiab thiab mob npaws tau sib kis tau zoo heev, thiab muaj cov tsos mob zoo sib xws, xws li kub cev, hnoos thiab menalgia. Txawm li cas los xij, cov kev kho mob kho rau ob tus kab mob sib txawv, thiab cov tshuaj tua kab mob siv sib txawv. Thaum lub sijhawm kho, tshuaj yuav hloov kho cov tshuaj hauv tus kab mob, ua rau nws nyuaj rau tus kabmob nkaus xwb. Yog li no, kev kuaj mob ntawm covid-19 thiab Incleenza yuav tsum cia siab rau cov kab mob uas ua kom ntseeg tau tias cov neeg mob tuaj yeem tau txais kev kho mob thiab siv tau zoo.
Ib tug xov tooj ntawm kev pom zoo ntawm kev kuaj mob thiab kev kho mob qhia tau hais tias qhov kev xaiv tus kab mob ntawm kev taw qhia yog qhov tseem ceeb rau kev tsim kho cov phiaj xwm kev kho mob.
"Kev kuaj mob ua npaws thiab kev kho mob (2020 tsab)"[9]thiab "Kev kuaj mob npaws ua npaws thiab kev kho mob cov kws tshaj lij kev siv hluav taws xob ceev kev pom zoo (2022 tsab)"[10]Txhua yam ua rau nws pom tias mob npaws yog ib co kab mob hauv pawg-19, thiab cov tsos mob me me thiab hnoos qhuav thiab mob me me thiab mob caj dab, Kev ua mob hnyav thiab ua rau mob ntsws, mob ua pa tsis zoo rau cov tshuaj tua kab mob hnyav thiab mob hnyav, thiab yuav tsum tau sib txawv ntawm lwm yam.
"Kev txhaj tshuaj Coronavirus tshiab thiab kev kho mob (thib kaum rau kev sim"[11]Hais txog tias txoj kab ke ntawm covid-19 yuav tsum sib txawv los ntawm kev ua pa sab saud los ntawm lwm cov kab mob.
3 sib txawv ntawm kev kho mob ntawm tus mob khaub thuas thiab cov tub sab-19
2019-NCOV thiab mob khaub thuas yog cov kab mob sib txawv los ntawm cov kab mob sib txawv, thiab cov qauv kev kho mob sib txawv. Kev siv tshuaj tiv thaiv kab mob yuav ua rau muaj kev phom sij hnyav thiab kev tuag ntawm ob kab mob.
Nws raug nquahu kom siv cov tshuaj molecular me me antiiviral xws li nimatvir / ritonavir / Monola thiab nruab nrab tshuaj tiv thaiv cov tshuaj tiv thaiv kab mob xws li cov tshuaj tiv thaiv kab mob omoodon[12].
Kev tiv thaiv tus kab mob khaub thuas neuraminidasease neibitase (Oseltamivir, Zanamlutors (Mablooxavir), uas muaj cov txiaj ntsig zoo rau cov kab mob npaws tam si no[13].
Xaiv ib qho tsim nyog antiviral regimen yog ib qho tseem ceeb heev rau kev kho ntawm 2019-NCov thiab mob khaub thuas. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum txheeb xyuas cov kab mob kom meej meej rau kev coj cov tshuaj kho mob.
4 COVID-19 / PERMARZA A / KUB TXHAJ DUB B Peb zaug Kev Tshuaj Ntsuam Xyuas Nucleic Acid Khoom
Cov khoom no muab cov cim nrawm thiab raug oF 2019-NCOV, mob khaub thuas A thiab tus mob khaub thuas B viruses, thiab pab kom paub qhov txawv 2019-NCOV thiab mob khaub thuas, ob qho kev ua pa rau cov tsos mob sib xws me tab sis cov tswv yim kho sib txawv. Los ntawm kev txheeb xyuas cov kab mob, nws tuaj yeem coj cov kev kho mob ntawm cov kev pabcuam kho mob thiab ua kom cov neeg mob tuaj yeem tau txais kev kho kom tsim nyog.
Tag Nrho Cov Tshuaj:
Qauv sau - nucleic acid extraction - nrhiav tau reasent - polymerase cov tshuaj tiv thaiv
Yog qhia txog cov npe: Txheeb xyuas covb-19 (orf1ab, n), mob khaub thuas tus kab mob thiab tus kab mob npaws thiab mob khaub fwb hauv ib lub raj.
Heev rhiab: LOD ntawm COVID-19 yog 300 daim ntawv luam / ml, thiab tus mob khaub thuas A thiab B / ML.
Kev pab cuam ntau: Covid-19 suav nrog tag nrho cov kev paub sib txawv, H3N1, H3N1, H3N1, H3N1, H3N1, thiab lwm yam kom ntseeg tau tias yuav tsis muaj qhov ploj Kev kuaj pom.
Kev tswj tau zoo: kev tswj hwm zoo, kev tswj hwm zoo, sab hauv Enteric, Reagents zoo thiab kev khiav haujlwm los xyuas kom meej.
Siv dav siv: tau tshaj cov ntsiab lus muaj plaub-channel fluorescence pcr kev hauv kev ua lag luam.
Tsis Siv Neeg Extraction: Nrog Macro & micro-tnyobTsis siv neeg nucleic acid extraction system thiab extraction seavents, kev ua haujlwm efficiency thiab cov txiaj ntsig kev ua haujlwm tau zoo.
Cov ntaub ntawv khoom lag luam
Ntawv Sawv cev
1. World Health Orgainezation. Taug qab SARS-COV-2 Cov Variants [EB / ol]. (2022-12-01) [2023-01-08]. https: // www. White.int/activities/Packing-Sars-cov-2-Vielts.
2. Kev txhais lus txhais _ liang wannian: tus neeg txawj tuag nyob hauv omicron yog 7 txog 8 zaus ntawm tus kabmob npaws
3. Feng LZ, Feng S, Chen T, li al. Burden ntawm kev sib tham ua npaws Mob khaub thuas lwm yam kab mob respir, 2020, 14 (2): 162-172.
4. LI L, liu yn, wu p, li al. Kev ua npaws-txuam nrog dhau ntau dhau kev ua kom tuag taus hauv Suav teb, 2010-15: Kev Kawm Raws Li Kev Kawm [J]. Lancet Public Health, 2019, 4 (9): E473-E481.
5. Mus tshuam MC, Russell CD, Harrison em, li al. SARS-COV-CO-1 Co-sib kis nrog cov kab mob khaub thuas khaub thuas, ua rau mob tus kab mob sib haum, lossis adenoviruses. Lancet. 2022; 399 (10334): 1463-1464.
6 Rau tus mob j kis. 2023; 136: 29-36.
7. Dao Tl, Hoang VT, Colson P, lab m, Gautret P. Co--kis tus kab mob ntawm SARS-CE-CE-CLESS-CE-1 thiab tus kab mob khaub thuas: Kev tshuaj xyuas cov kab ke thiab meta-kev tshuaj xyuas. J tau txhaj tshuaj ntxiv. 2021 Sep; 1 (3): 100036.
8. Adams K, Tsoo KJ, Huang S, li al. Kev loj hlob ntawm SARS-COV-COV-COV-COV-CAPTARECTION thiab cov kws kho mob muaj hnub nyoog <18 xyoo uas tau tuag nrog tus mob khaub thuas lossis tau tuag nrog tus mob khaub thuas - Teb Chaws Asmeskas. MMW Morb lub neej tuag WKly rep. 2022; 71 (50): 1589-1596.
9. Lub Tebchaws Kev Noj Qab Haus Huv thiab Kev Nyab Xeeb Kev Noj Qab Haus Huv ntawm Cov Neeg Lub Koomhaum ntawm Tuam Tshoj (PRC), Lub Xeev Cov Thawj Tswj Hwm ntawm cov tshuaj suav ib txwm muaj. Kev kuaj mob ua npaws thiab kev kho mob (2020 tsab (2020 tsab) [J]. Suav cov ntawv xov xwm ntawm cov kab mob sib kis tau, 2020, 13 (6): 401-405,411.
10. Pawg Kws Lij Choj Kho Mob, Beijon Kev Khomob Kev Kho Mob, Tuam Tshoj Cov Neeg Txom Nyem Pab Pawg Khub Ceev Xwm Ceev Xwm Txheej Xwm. Kev pom zoo ntawm cov kws paub thaum muaj xwm ceev rau kev mob ua npaws mob npaws Suav phau ceev xwm txheej ntawm cov tshuaj tseem ceeb, 2022, 42 (12): 1013-1026.
11. Dav dav dav ntawm lub xeev Kev Noj Qab Haus Huv thiab Kev Noj Qab Haus Huv, Dav Department of State of State tshuaj tshuaj ib txwm muaj tshuaj. Daim ntawv ceeb toom rau luam tawm thiab faib cov phiaj xwm kab mob khaub ncaws tshiab thiab kev kho mob (kev ntsuam xyuas kaum).
12. Zhang Fujie, Zhuo Wang, Wang Quanhong, li al. Cov kws tshaj lij kev pom zoo ntawm kev kho mob tawm tsam rau cov neeg tshiab Coronavirus muaj tus neeg muaj mob [J]. Suav cov ntawv xov xwm ntawm cov kab mob sib kis tau, 2023, 16 (1): 10-20.
13 Cov Neeg Kho Mob Thaum Muaj Xwm Ceev Hauv Suav Kho Mob Lub Koom Haum, Beijing Kev Khomob Kev Kho Mob, Tuam Tshoj Cov Neeg Tswjhwm Pab Tub Rog Pawg Kws Tshaj Lij. Kev pom zoo ntawm cov kws paub thaum muaj xwm ceev rau kev mob ua npaws mob npaws Suav phau ceev xwm txheej ntawm cov tshuaj tseem ceeb, 2022, 42 (12): 1013-1026.
Lub Sijhawm Post: Mar-29-2024