Mononucleosis

Mononucleosis, kapena mono, ndi matenda opatsirana omwe amayambitsa malungo, zilonda zapakhosi, ndi zotupa zam'mimba zotupa, nthawi zambiri m'khosi.

Mono nthawi zambiri imafalikira ndi malovu komanso kuyandikira pafupi. Amadziwika kuti "matenda opsompsona." Mono amapezeka nthawi zambiri mwa anthu azaka zapakati pa 15 ndi 17, koma matendawa amatha msinkhu uliwonse.

Mono amayamba chifukwa cha kachilombo ka Epstein-Barr (EBV). Nthawi zambiri, zimayambitsidwa ndi ma virus ena, monga cytomegalovirus (CMV).

Mono amatha kuyamba pang'onopang'ono ndi kutopa, kumva kudwala, mutu, ndi zilonda zapakhosi. Pakhosi pake pang’onopang’ono umaipiraipira. Matani anu amatupa ndikupanga chophimba choyera-chikasu. Nthawi zambiri, ma lymph node omwe ali m'khosi amakhala otupa komanso opweteka.

Ziphuphu ngati pinki, ngati chikuku zimatha kuchitika, ndipo ndizotheka ngati mutamwa mankhwala ampicillin kapena amoxicillin a matenda apakhosi. (Maantibayotiki samaperekedwa popanda mayeso omwe akuwonetsa kuti muli ndi kachilombo ka strep.)

Zizindikiro zofala za mono ndizo:

• Kusinza
• Malungo
• Kusapeza bwino, kusakhazikika, kapena kudwala
• Kutaya njala
• Kupweteka kwa minofu kapena kuuma
• Kutupa
• Chikhure
• Kutupa ma lymph node, nthawi zambiri m'khosi ndi kukhwapa

Zizindikiro zochepa kwambiri ndi izi:

• Kupweteka pachifuwa
• Tsokomola
• Kutopa
• Mutu
• Ming'oma
• Jaundice (chikasu pakhungu ndi azungu amaso)
• Kuuma khosi
• Kutuluka magazi
• Kuthamanga kwa mtima mwachangu
• Kumvetsetsa kuunika
• Kupuma pang'ono

Wothandizira zaumoyo wanu adzakuyesani. Atha kupeza:

• Kutupa ma lymph nodes kutsogolo ndi kumbuyo kwa khosi lanu
• Kutupa matani okhala ndi chikuto choyera-chikasu
• Kutupa chiwindi kapena ndulu
• Ziphuphu pakhungu

Kuyezetsa magazi kudzachitika, kuphatikiza:

• Kuwerengera kwa maselo oyera a magazi (WBC): kudzakhala kwakukulu kuposa mwakale ngati muli ndi mono
• Kuyesa kwa Monospot: kudzakhala koyenera kwa kachilombo koyambitsa matenda a mononucleosis
• Mutu wa antibody: imalongosola kusiyana pakati pa matenda apano ndi akale

Cholinga cha chithandizo ndikuthetsa zizindikiro. Mankhwala a Steroid (prednisone) atha kuperekedwa ngati zizindikiro zanu zili zazikulu.

Mankhwala a ma virus, monga acyclovir, alibe phindu lililonse kapena alibe phindu lililonse.

Kuchepetsa zizindikiro zomwe zimakhalapo:

• Imwani madzi ambiri.
• Gargle ndi madzi ofunda amchere kuti muchepetse pakhosi.
• Muzipuma mokwanira.
• Tengani acetaminophen kapena ibuprofen kupweteka ndi malungo.

Pewani masewera olumikizana nawo ngati nthata yanu yatupa (kuti isaphulike).

Malungo nthawi zambiri amagwa m'masiku 10, ndipo zotupa zamagulu zotupa ndi ndulu zimachira m'masabata anayi. Kutopa kumatha pakangotha ​​milungu ingapo, koma kumatha miyezi iwiri kapena itatu. Pafupifupi aliyense amachira kwathunthu.

Zovuta za mononucleosis zitha kuphatikizira izi:

• Kuchepa kwa magazi m'thupi, komwe kumachitika maselo ofiira m'magazi akamwalira msanga kuposa nthawi zonse
• Hepatitis ndi jaundice (yofala kwambiri kwa anthu achikulire kuposa 35)
• Machende otupa kapena otupa
• Mavuto amanjenje (osowa), monga Guillain-Barré syndrome, meningitis, khunyu, kuwonongeka kwa mitsempha yomwe imayendetsa kusuntha kwa minofu pamaso (Bell palsy), ndi mayendedwe osagwirizana
• Kuphulika kwa nthenda (kawirikawiri, pewani kukakamiza pa ndulu)
• Ziphuphu zakhungu (zachilendo)

Imfa imatheka mwa anthu omwe ali ndi chitetezo chamthupi chofooka.

Zizindikiro zoyambirira za mono zimamverera ngati matenda ena aliwonse omwe amayamba chifukwa cha kachilombo. Simusowa kulumikizana ndi wothandizira pokhapokha ngati zizindikilo zanu zimatha masiku opitilira 10 kapena mutakula:

• Kupweteka m'mimba
• Kupuma kovuta
• Kutentha kwamphamvu (kupitirira 101.5 ° F kapena 38.6 ° C)
• Mutu wopweteka kwambiri
• Zilonda zapakhosi kapena zotupa zotupa
• Kufooka m'manja kapena m'miyendo yanu
• Mtundu wachikaso m'maso mwanu kapena pakhungu

Imbani 911 kapena nambala yadzidzidzi yakomweko kapena mupite kuchipinda chadzidzidzi mukayamba:

• Kukupweteka, mwadzidzidzi, kupweteka kwam'mimba
• Khosi lolimba kapena kufooka kwakukulu
• Vuto kumeza kapena kupuma

Anthu omwe ali ndi mono amatha kupatsirana pomwe ali ndi zizindikilo komanso kwa miyezi ingapo pambuyo pake. Kodi munthu amene ali ndi matenda opatsirana amatenga nthawi yayitali bwanji. Kachilomboka kangakhale ndi moyo kwa maola angapo kunja kwa thupi. Pewani kupsompsonana kapena kugawana ziwiya ngati inu kapena wina wapamtima muli ndi mono.

Mono; Kupsompsona matenda; Kutentha kwa malungo

• Mononucleosis - chithunzi cha maselo
• Mononucleosis - chithunzi cha maselo
• Matenda opatsirana mononucleosis # 3
• Matenda a Acrodermatitis
• Splenomegaly
• Matenda opatsirana mononucleosis
• Mononucleosis - kujambulidwa kwa selo
• Matenda a Gianotti-Crosti pa mwendo
• Mononucleosis - kuwona pakhosi
• Mononucleosis - pakamwa
• Ma antibodies

Ebell MH, Call M, Shinholser J, Gardner J. Kodi wodwalayo ali ndi matenda opatsirana a mononucleosis?: Kuwunika koyenera kwamankhwala. JAMA. 2016; 315 (14): 1502-1509. PMID: 27115266 pubed.ncbi.nlm.nih.gov/27115266/.

Johannsen EC, Kaye KM. Epstein-Barr virus (matenda opatsirana a mononucleosis, Epstein-Barr omwe amayambitsa matenda owopsa, ndi matenda ena). Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 138.

Weinberg JB. Vuto la Epstein-Barr. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 281.

Zima JN. Yandikirani kwa wodwala ndi lymphadenopathy ndi splenomegaly. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 159.