對分離病原的理解
隨著實驗室手段的不斷進步,分離病原成為疾病診斷的重要步驟。然而,用高技術分離病原時至少應注意以下幾方麵的問題。
主zhu要yao矛mao盾dun與yu次ci要yao矛mao盾dun的de區qu別bie在zai本ben身shen就jiu可ke能neng存cun在zai複fu雜za混hun合he感gan染ran的de亞ya健jian康kang狀zhuang態tai的de動dong物wu群qun體ti中zhong分fen離li病bing原yuan時shi,應ying找zhao到dao的de病bing原yuan是shi原yuan發fa病bing原yuan還hai是shi繼ji發fa病bing原yuan,是shi主zhu導dao病bing原yuan還hai是shi附fu屬shu病bing原yuan,作zuo出chu結jie論lun時shi更geng需xu要yao從cong多duo個ge方fang麵mian進jin行xing綜zong合he評ping價jia。
實驗室方法誤差敏感度和精確度均極高的聚合酶鏈式反應測定方法對各方麵要求極高,導致誤差產生的可能性加大。
xianzaiyeneirenshizuiweiguanxindezhuyuanhuanbingduhelanerbingbingduganranwenti,lilunshangyangxingzhuchangdesuoyougetijunyoukenengyijingganran,danjingguojianyanbiaomingtongyishiyanshiduitongyidongwuquntideduocicedingjieguoyibandoubuxiangtong,butongshiyanshiduitongyiyangbenzhicedingjieguowangwangchayigengda。wulunshinazhongshiyanshifangfadouyouyidingdewuchacunzai,qiebukeduigebiejiancejieguozuotaijueduidejielun。
分離時機
現(xian)時(shi)對(dui)很(hen)多(duo)病(bing)原(yuan)在(zai)動(dong)物(wu)體(ti)內(nei)的(de)消(xiao)長(chang)規(gui)律(lv)還(hai)缺(que)乏(fa)透(tou)切(qie)的(de)了(le)解(jie),尤(you)其(qi)是(shi)流(liu)感(gan)病(bing)毒(du)出(chu)現(xian)血(xue)毒(du)症(zheng)的(de)時(shi)機(ji)相(xiang)當(dang)微(wei)妙(miao)。如(ru)果(guo)沒(mei)有(you)對(dui)發(fa)病(bing)動(dong)物(wu)作(zuo)及(ji)時(shi)細(xi)致(zhi)的(de)跟(gen)蹤(zong)觀(guan)察(cha),而(er)隻(zhi)呈(cheng)隨(sui)機(ji)性(xing)抽(chou)取(qu)血(xue)樣(yang),很(hen)難(nan)捕(bu)獲(huo)目(mu)標(biao)。
藥物幹擾
對患畜作抗生素、化hua學xue藥yao物wu處chu理li以yi及ji疫yi苗miao接jie種zhong等deng措cuo施shi都dou有you可ke能neng影ying響xiang病bing原yuan分fen離li結jie果guo。因yin此ci,對dui大da批pi樣yang品pin處chu理li方fang法fa可ke能neng應ying有you別bie於yu實shi驗yan動dong物wu。鑒jian於yu上shang述shu問wen題ti,沒mei有you任ren何he理li由you隻zhi憑ping分fen離li出chu病bing原yuan與yu否fou來lai作zuo出chu現xian時shi流liu行xing豬zhu病bing的de病bing因yin判pan斷duan。
對病因、病原判斷的方法
youyushiyanshishengwucedingjishudejinbu,geiyanjiugongzuodailaitupoxingjinzhan,raneryerongyizaochengrenmenguofenyilaixianjinjishudesiweixiguan,erhulveleyixiejingdianpanduanfangfa。duidaizuijinliuxingzhubingdebingyuan、病因判斷很有必要回歸理性思維軌道,如臨床症狀、抗體檢測、病理解剖、流行病學規律分析、組織切片、臨床處理結果反饋、病原分離、柯(ke)赫(he)氏(shi)定(ding)律(lv)。在(zai)臨(lin)床(chuang)混(hun)合(he)感(gan)染(ran)較(jiao)為(wei)複(fu)雜(za)的(de)背(bei)景(jing)下(xia),根(gen)據(ju)流(liu)行(xing)病(bing)學(xue)規(gui)律(lv)及(ji)臨(lin)床(chuang)處(chu)理(li)結(jie)果(guo)來(lai)作(zuo)綜(zong)合(he)分(fen)析(xi)可(ke)能(neng)會(hui)得(de)到(dao)很(hen)有(you)價(jia)值(zhi)的(de)啟(qi)示(shi),而(er)在(zai)未(wei)遵(zun)循(xun)柯(ke)赫(he)氏(shi)定(ding)律(lv)多(duo)次(ci)驗(yan)證(zheng)之(zhi)前(qian)不(bu)宜(yi)輕(qing)率(lv)作(zuo)出(chu)發(fa)現(xian)未(wei)知(zhi)病(bing)原(yuan)的(de)結(jie)論(lun)。
臨床處理方案
流行豬病以流感及圓環病毒病為主,對發病的患畜應采取隔離、加強保溫、加強消毒、zaiyinshuizhongtianjiaxiaodujiheweishengsudengchulicuoshi,dengqinaiguoganranhouzixinghuifu,qiebukecaiqujixingjiezhongrenheyimiaohuozhushekangshengsudengjiajuyingjidecuoshi。fouzebudanyushiwubu,haihuijiasubingcheng。duirengnengzizhucaishideyisihuanchuzeyingjiaqiangguanlicuoshi,shidangbuchongweishengsu,jinliangjianshaoyingji,bingzuohaoxiaodugongzuo,kongzhijifaganran。
重構動物的主動免疫功能是當務之急
從cong近jin年nian臨lin床chuang診zhen斷duan處chu理li結jie果guo分fen析xi,豬zhu群qun之zhi所suo以yi如ru此ci易yi感gan,在zai任ren何he可ke以yi產chan生sheng流liu行xing因yin素su的de病bing原yuan攻gong擊ji下xia都dou可ke以yi導dao致zhi大da麵mian積ji發fa病bing並bing損sun失shi慘can重zhong。主zhu要yao原yuan因yin是shi動dong物wu群qun體ti的de主zhu動dong免mian疫yi功gong能neng已yi十shi分fen脆cui弱ruo,免mian疫yi應ying答da反fan應ying機ji製zhi不bu完wan善shan,免mian疫yi麻ma痹bi現xian象xiang十shi分fen普pu遍bian,很hen多duo情qing況kuang下xia超chao劑ji量liang疫yi苗miao接jie種zhong也ye無wu法fa收shou到dao預yu期qi效xiao果guo。因yin此ci,真zhen正zheng從cong動dong物wu的de基ji本ben健jian康kang出chu發fa,重zhong構gou動dong物wu群qun體ti的de非fei特te異yi性xing免mian疫yi功gong能neng是shi當dang前qian防fang控kong疫yi病bing的de當dang務wu之zhi急ji。
流行病麵前的應對與反思
麵(mian)對(dui)還(hai)難(nan)以(yi)預(yu)料(liao)何(he)時(shi)會(hui)停(ting)止(zhi)的(de)流(liu)行(xing)病(bing)害(hai),結(jie)合(he)近(jin)年(nian)來(lai)的(de)豬(zhu)病(bing)變(bian)化(hua)情(qing)況(kuang),業(ye)內(nei)人(ren)士(shi)似(si)應(ying)理(li)性(xing)地(di)思(si)考(kao)一(yi)些(xie)無(wu)法(fa)回(hui)避(bi)的(de)問(wen)題(ti)。政(zheng)府(fu)主(zhu)管(guan)機(ji)構(gou)應(ying)以(yi)務(wu)實(shi)的(de)態(tai)度(du)及(ji)時(shi)製(zhi)定(ding)遏(e)製(zhi)病(bing)害(hai)流(liu)行(xing)的(de)有(you)效(xiao)措(cuo)施(shi)。重(zhong)整(zheng)農(nong)村(cun)基(ji)層(ceng)獸(shou)醫(yi)防(fang)疫(yi)機(ji)構(gou),使(shi)之(zhi)真(zhen)正(zheng)起(qi)到(dao)有(you)效(xiao)的(de)作(zuo)用(yong)。有(you)計(ji)劃(hua)地(di)培(pei)訓(xun)農(nong)村(cun)從(cong)業(ye)人(ren)員(yuan),使(shi)之(zhi)能(neng)真(zhen)正(zheng)掌(zhang)握(wo)最(zui)基(ji)本(ben)的(de)養(yang)豬(zhu)知(zhi)識(shi),而(er)不(bu)是(shi)隻(zhi)通(tong)過(guo)良(liang)莠(you)不(bu)齊(qi)的(de)商(shang)業(ye)途(tu)徑(jing)獲(huo)得(de)經(jing)驗(yan);在沒有得到有效措施之前,審慎考慮滅活病變組織分離物在可控條件下的使用;樹(shu)立(li)和(he)加(jia)強(qiang)生(sheng)物(wu)安(an)全(quan)的(de)觀(guan)念(nian),采(cai)取(qu)果(guo)斷(duan)的(de)行(xing)政(zheng)措(cuo)施(shi),切(qie)斷(duan)飼(si)料(liao)源(yuan)性(xing)生(sheng)物(wu)汙(wu)染(ran)及(ji)有(you)害(hai)金(jin)屬(shu)汙(wu)染(ran)的(de)途(tu)徑(jing),禁(jin)止(zhi)人(ren)類(lei)藥(yao)物(wu)用(yong)於(yu)動(dong)物(wu),通(tong)過(guo)有(you)效(xiao)的(de)方(fang)法(fa)來(lai)恢(hui)複(fu)和(he)提(ti)高(gao)動(dong)物(wu)群(qun)體(ti)正(zheng)常(chang)免(mian)疫(yi)功(gong)能(neng),是(shi)今(jin)後(hou)要(yao)麵(mian)對(dui)的(de)重(zhong)點(dian)課(ke)題(ti)。
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