Chii mononucleosis uye chii chinonzi ngozi? Zviratidzo vana, zvinokonzera uye kurapwa

Mononucleosis inonzi chaikonzerwa noutachiona. Kokutanga muupenyu yaro kutapuriranwa hunhu iye ane muna 1887. Dr. Filatov. Papera chinguva, muna 1889, chiremba kuratidzwa yakafanana akanyora nyanzvi Emil Pfeiffer. Kwenguva refu nguva nyanzvi kwazvo aongororwe mononucleosis. Zviratidzo zviri vana vaiva vanenge kufanana: wose ane fivha, rikwanise tonsillitis, kuzvimba node nodes, chirwatata uye chiropa. Somugumisiro, vazhinji kubatwa nechirwere ichi chakakura ndicho vana - makore maviri kusvika gumi namasere.

etiology

The chirwere Epstein-Barr utachiona, ndeye mhuri herpes wanda. In zvakatipoteredza, inouraya nokukurumidza vakadhakwa kwemakemikari uye mumuviri zvinhu. Zvinonzi vaidavira kuti hunoita kuti paumbwe nyanyisa anomera.

Sei munhu mononucleosis?

Zviratidzo vana mukati vhiki pashure chirwere, akaratidza: pane marwadzo apo pakuparadza, chena Dombo iri mukanwa uye tonsils, ropa matadza, kurasikirwa kudya, kuda kurutsa, utera. Chaizvo yakawedzera remuromo node nodes - palpation mwana anonyunyuta marwadzo. Hutachiwana uhu pachishandiswa inhalatory uye parenteral. Kunyange pashure abudirire kurapwa kwenguva refu, iyo causative mumiririri anogona kusunungurwa kupinda zvakatipoteredza.

Susceptibility nechirwere yakaderera, kunyanya akanyorwa pakati pevechiduku makore 14 kusvika 18 makore. noutachiona vakuru haawanzopiwi wakaiswa, kubva zera chikonzero yevanhu kutapata anogadzirwa. Zvinofanira kucherechedzwa kuti pane zvishoma chinotapukira rwarisa mononucleosis. Zviratidzo zviri vana vanogona yakareba nguva. Vanofanira kazhinji akafanana zviratidzo nevakawanda kutonhora, ndokusaka vabereki vakawanda vari kunonoka chirwere uye kurapwa, vachifunga kuti hosha iri kuzvipira dzokera shure.

Pathogenesis uye zvekuchipatara mufananidzo

muviri wemwana utachiona anopinda kuburikidza kufema turakiti uye oropharynx, kubva ipapo nomukombiyuta node aibuda iri kune vose node nodes (inguinal, mutsipa, etc.). Zvino anopinda muropa uye kupinda mumba masero, pane ayo kuzvidzora kubereka. The incubation nguva hunogara kubva mana matanhatu mazuva. Anovandudza zvishoma nezvishoma mononucleosis muvana.

Zviratidzo kazhinji kuonekwa pakupera kwemazuva 5-6 chirwere. Tembiricha inokwira kusvika 39 C, zvinonzi akacherechedza migraine, kurwadziwa huro, nasonnement, havachanyatsogoni afemeruke. Pane tonsils chirwere (zviratidzo zvakafanana fibrinous angina), kunayisa muchimiro tsvuku makwapa paganda pamusoro. Pamwe Zviratidzo izvi kuva lymphadenopathy (node nodes ndiwo kukura walnuts).

Ichi hunogona kugara kusvika mwedzi miviri. Uyewo pane chinokosha yakawedzera chirwatata uye chiropa. Mugore chenjera chokutambudzika mononucleosis tiri ngozi chaizvo. Zviratidzo muvana sezvine chakasimba, uye kutambudzirei navo kwenguva refu. Mune vamwe varwere, tembiricha ipfupi pazuva rechipiri, uye ipapo inowedzera zvakare. zviratidzo zvose izvi zvinofanira pasvika vabereki nekuvauraya kwachiremba.

Ngozi yematambudziko anogona kukonzera chirwere, kana kuruboshwe untreated:

-meningity;

-hemolytic kupererwa neropa;

-otit, sinusitis, mabayo;

-entsefalit;

-razryv chirwatata.

Varwere vari kazhinji vakabvuma kuchipatara, asi munyoro chimiro uye outpatient aibata mononucleosis vana. Zviratidzo (kurapwa anosarudza pashure kwazvo chirwere) zvinopedzwa achishandisa detoxification, symptomatic, unonyaradza marwadzo uye antipyretic kurapa. Vana vane kwazvo zvirwere uye simba zvirwere zviri ushandiswe inorwisa mabhakitiriya. Ndakarumbidzwa mishonga immunomodulatory.

Achiratidza gargling pamwe akambozvishandisa kuuraya utachiona uye utano nokudya. The kamuri umo mwana mupenyu, anofanira kuva akachena uye ventilated. Zvinokurudzirwa kuti nguva dzose disinfect mbatya, utsanana zvigadzirwa, matoyi uye mwana nemidziyo.