Mononucleosis

Mononucleosis, kana mono, chirwere chehutachiona chinokonzera fivha, huro huro, uye kuzvimba makemikari matema, kazhinji mumutsipa.

Mono inowanzoparadzirwa nemate uye kubatana kwepedyo. Iyo inozivikanwa se "chirwere chekutsvoda." Mono inoitika kazhinji muvanhu vane makore gumi nemashanu kusvika gumi nemanomwe, asi hutachiona hunogona kukura chero pazera.

Mono inokonzerwa nehutachiona hweEpstein-Barr (EBV). Kazhinji, zvinokonzerwa nemamwe hutachiona, se cytomegalovirus (CMV).

Mono inogona kutanga zvishoma nezvishoma nekuneta, kurwara kwakanyanya, kurwadziwa nemusoro uye nehuro. Iyo huro inorwadza zvishoma nezvishoma inotowedzera. Matonhe ako anozvimba uye anokudziridza chena-yero yekuvhara. Kazhinji, ma lymph node mumutsipa anozvimba uye anorwadza.

Pingi, gwirikwiti-kunge kuputika kunogona kuitika, uye zvinonyanya kuitika kana ukatora mushonga ampicillin kana amoxicillin yehutachiona hutachiona. (Mishonga inorwisa mabhakitiriya haigone kupihwa pasina bvunzo inoratidza kuti une hutachiona hutachiona.

Zviratidzo zvakajairika zve mono zvinosanganisira:

• Kukotsira
• Kupindwa nechando
• Kazhinji kusagadzikana, kusagadzikana, kana kurwara
• Kupererwa nechido
• Tsvina inorwadza kana kuomarara
• Mapundu
• Huro inorwadza
• Kuzvimba lymph node, kazhinji mumutsipa uye muhapwa

Zviratidzo zvishoma zvinozivikanwa ndezvi:

• Kurwadziwa pachifuva
• Kukosora
• Kuneta
• Kutemwa nemusoro
• Mikoko
• Jaundice (yero ruvara kune ganda uye vachena vemeso)
• Kuomesa kwemitsipa
• Nemhino
• Kukurumidza kurova kwemoyo
• Kunzwisisa kuchiedza
• Kufema kwekufema

Anokuchengetedza hutano achakuongorora. Ivo vanogona kuwana:

• Dzimba lymph node kumberi uye kumashure kwemutsipa wako
• Dzimba matoni ane chena-yero yekuvhara
• Kuzvimba chiropa kana spleen
• Mapundu eganda

Kuongororwa kweropa kuchaitwa, kusanganisira:

• White blood cell (WBC) kuverenga: ichave yakakwira kupfuura zvakajairwa kana iwe uine mono
• Monospot bvunzo: ichave yakanaka kune hutachiona mononucleosis
• Antibody titer: inotaurira mutsauko pakati peiyo yazvino uye yapfuura hutachiona

Chinangwa chekurapa ndechekusunungura zviratidzo. Steroid mushonga (prednisone) inogona kupihwa kana zviratidzo zvako zvakanyanya.

Mishonga yeAntiviral, yakadai seacyclovir, ine bhenefiti shoma kana kuti haina.

Kurerutsa chaiwo zviratidzo:

• Inwa zvinwiwa zvakawanda.
• Gargle nemvura inodziya yemunyu kuti udzikise huro huro.
• Wana zororo rakawanda.
• Tora acetaminophen kana ibuprofen yekurwadziwa nefivha.

Uyezve dzivisa mitambo yekubatana kana yako spleen yakazvimba (kudzivirira kuti irege kuputika).

Iyo fivhiri inowanzo kudonha mumazuva gumi, uye kuzvimba lymph gland uye spleen zvinopora mumasvondo mana. Kuneta kunowanzoenda mukati memavhiki mashoma, asi kunogona kunonoka kwemwedzi miviri kusvika mitatu. Anenge munhu wese anopora zvakakwana.

Matambudziko e mononucleosis anogona kusanganisira:

• Anemia, inoitika apo masero matsvuku eropa muropa anofa nekukurumidza kupfuura zvakajairwa
• Hepatitis ine jaundice (yakajairika muvanhu vakura kupfuura makumi matatu nemashanu)
• Akazvimba kana kuti akatsva machende
• Matambudziko ehurongwa (zvisingawanzoitika), akadai seGuillain-Barré syndrome, meningitis, kufenda, kukuvara kweiyo tsinga inodzora kufamba kwemhasuru kumeso (Bell palsy), uye kufamba kusingawirirane.
• Spleen rupture (zvisingawanzoitika, dzivisa kumanikidza paye)
• Kuputika kweganda (zvisingawanzoitika)

Rufu runogoneka muvanhu vane immune system isina kusimba.

Zviratidzo zvekutanga zve mono zvinonzwa zvakanyanya kunge chero humwe hurwere hunokonzerwa nehutachiona. Iwe haufanire kubata mupi kunze kwekunge zviratidzo zvako zvinogara kwenguva yakareba kupfuura mazuva gumi kana iwe uchikura:

• Marwadzo emudumbu
• Kufema kunetseka
• Kuramba uchingoita fevha (inopfuura 101.5 ° F kana 38.6 ° C)
• Musoro wakanyanya
• Yakanyanya kurwadziwa pahuro kana kuzvimba matoni
• Kushaya simba mumaoko ako kana makumbo
• Ruvara rweyero mumaziso ako kana ganda

Fonera 911 kana iyo yemuno emergency emergency nhamba kana enda kuimba yekukurumidzira kana iwe ukagadzira:

• Yakapinza, kamwe kamwe, kurwadziwa kwakakomba mudumbu
• Mutsipa wakaoma kana kushaya simba kwakanyanya
• Dambudziko kumedza kana kufema

Vanhu vane mono vanogona kutapuriranwa pavanenge vaine zviratidzo uye kwemwedzi mishoma mumashure. Inguva yakareba sei munhu ane chirwere chinopararira zvinosiyana. Utachiona hunogona kurarama kwemaawa akati wandei kunze kwemuviri. Dzivisa kutsvoda kana kugovana midziyo kana iwe kana mumwe munhu wepedyo ane mono.

Mono; Kutsvoda chirwere; Glandular fever

• Mononucleosis - photomicrograph yemasero
• Mononucleosis - photomicrograph yemasero
• Inotapukira mononucleosis # 3
• Acrodermatitis
• Splenomegaly
• Inotapukira mononucleosis
• Mononucleosis - photomicrograph yesero
• Gianotti-Crosti syndrome pagumbo
• Mononucleosis - maonero ehuro
• Mononucleosis - muromo
• Antibodies

Ebell MH, Call M, Shinholser J, Gardner J. Murwere uyu ane hutachiona mononucleosis here?: Iyo inonzwisisika kiriniki yekuongorora yakarongeka kuongorora. JAMA. 2016; 315 (14): 1502-1509. PMID: 27115266 pubmed.ncbi.nlm.nih.gov/27115266/.

Johannsen EC, Kaye KM. Epstein-Barr hutachiona (hutachiona mononucleosis, Epstein-Barr hutachiona-hunosanganisa hosha dzakaipa, uye zvimwe zvirwere). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 138.

Weinberg JB. Epstein-Barr hutachiona. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 281.

Nguva yechando JN. Kusvika kumurwere ne lymphadenopathy uye splenomegaly. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 159.