Umkhuhlane we-typhoid uyisifo esiphuthumayo, okutholakala ukuthi kwenzeka ngokuhlolwa okuyinkimbinkimbi. Enye yezindlela zokuqinisekisa ukuxilongwa yisenzo sikaVidal, esenziwa ngaphambi kweviki lesibili lokutheleleka.
Ngaphambi kwalokhu, ukuxilongwa kusungulwa ukuhlolwa kwegazi, ukuhlolwa kwe-urinalysis nokuthola izimpawu zesifo, njenge:
- ukudakwa komzimba;
- ukuqhuma;
- umkhuhlane;
- izinqwaba zesibindi nesipule;
- i-bradycardia .
Ukuphendula kwe-Vidal's agglutination
Ngokuvamile, umkhuhlane we-typhoid utholakala ngokuhlolwa kwe-serological. Esikhathini se-serum yegazi, izakhiwo ezibuthakathaka zitholakala (kumuntu onempilo lezi zinhlayiya azibonakali). Kodwa ngosuku lwesishiyagalombili lwesifo ungakwazi ukusetha izinguquko ezinjalo, ngenxa yalokho okusemandleni akho ukuthola ukunquma ngokunembile lesi sifo.
Ukuze uthole ukuxilongwa, i-agglutination test titer ye-Vidal uhlobo kufanele ibe ngo-1: 200 isilinganiso. Ngesikhathi esifanayo, umuntu angaphetha ngokuthi lesi sifo sikhona, uma okungenani ku-tube yokuqala yokuhlola ene-1: 200 ye-aggregination factor ratio. Uma kwakukhona i-agglutination yeqembu kanye nokuvezwa ngesikhathi esisodwa kwama-antigens amaningana, i-agent causative ye-infection iyona lapho ukusabela kwenzeka khona ekuduleni okukhulu.
Isitatimende sokuphendula kukaVidal
Isiguli sithatha amamitha ayizigidi ezintathu zegazi kusuka emthanjeni (endaweni yegobow). Ngemva kwalokho, ngemva kokulinda ukuze ihlanganise, i-serum ihlukanisiwe, okusetshenziselwa ukulungisa ukuhlunga:
- I-tube ngayinye igcwele u-saline (1ml).
- Emva kwalokho, enye i-milliliter ye-serum yengezwe kuyo (ihlanjululwe 1:50). Ngenxa yalokho, ukukhishwa kwe-1: 100 kuyatholakala.
- Ukuqhubeka okuvela kule flastiki into eyongezwayo elandelayo, lapho kukhona isisombululo saline saline. Ngenxa yalokho, inani liyi-1: 200.
- Ngendlela efanayo, ukuhlenga kwe-1: 400 no-1: 800 kutholakala.
- Ekugcineni, i-flask ngayinye igcwele ukuxilongwa (amaconsi amabili) futhi ithunyelwe ku-thermostat amahora amabili kuma-37 degrees.
- Ngemuva kokuthi izikhumba zisuswe futhi zishiywe ukukhombisa ukusabela. Umphumela wokugcina uyaziwa ngosuku olulandelayo.
Izinkinga zendlela
Ukusabela kukaVidal kumkhuhlane we-typhoid kulula futhi kulula, kodwa kunamathuba amaningi:
- Ukunquma ukuthi i-pathology ingaba isonto lesibili lokutheleleka.
- Nge-antibiotic therapy noma izifo ezinzima, imiphumela emibi ingabonwa.
- Kubantu abaye bathola i-paratyphoid noma i-typhoid fever, ngokuphambene nalokho, kukhona impendulo enhle.
Uma ucubungula ngokunembile, ukusabela kukaVidal kufanele kubekwe ngokuphindaphindiwe ezinsukwini eziyisihlanu kuya kweziyisithupha. Uma unegciwane lesandulela ngculaza, i-antibody titer iyakhula esikhathini sokugula.