Nemavhairasi chirwere Epstein-Barr: kushandisika epidemiology, kurapwa features, kurapwa

Nemavhairasi chirwere Epstein-Barr utachiwana (kutapuriranwa mononucleosis) - kusachengeteka kukuru chirwere nemavhairasi chirwere. Vaine fivha, lymphadenopathy, node mhete oropharynx, Banti syndrome.

topicality

Vakawana akabatwa chirwere pamwe Epstein-Barr utachiwana kunyanya vaduku uye ndiyo nechiidzo muviri zvirwere kushaikwa. The causative mumiririri hutachiwana herpes, izvo inonyatsoziva lymphoid tishu. Zviri pano kuti pane kubereka kweutachiwana. Zvinofungidzirwa kuti utachiona uhwu anogona kukonzera nemumuromo kenza, Burkitt kuti rwekenza yelymphoma. kutapuriranwa mononucleosis chirwere chinogona kuitika nevamwe vamiririri, izvo inonyatsoziva lymphoid tishu.

epidemiology

Chirwere kunoitika maererano murwere kana anaro chirwere kwevanhu munguva pedyo kuonana. Vana vakawanda muvamwe makore makore 2-7 munguva yechando-chitubu nguva.

pathogenesis

Nemavhairasi chirwere Epstein-Barr utachiwana inonyatsoziva nhengo dzinobudisa hurongwa. Naizvozvo akatanga nayo utachiona inowanzobva lymphoid pharyngeal mhete. Fani iyi ndiyo wakakodzera panowanikwa kuzvimba uye akatsvuka mucous, nasal kufema kuome.

Pakatanga utachiwana yatanga anoparadzira yose muviri neropa uye node. Panguva iyoyowo rinokanganisa node nodes, chirwatata, chiropa, mumwongo kuva reactive hyperplastic maitiro uvelichvayutsya inzwi miviri.

Epstein-Barr utachiona hweHIV: Zviratidzo

Shure kwamazuva 5-20 pashure chirwere rinobuda zvikuru kuti 40 ° ^C tembiricha, kuderera utano, zvaikanganisa nasal kufema, pane kurwadziwa huro. Mutsipa iri zvinooneka akaremara nokuda mukuriswe node nodes. Panguva iyoyo nokuwedzera ose peripheral uye visceral zvinoriumba. Tonsils kuzvimba, kuzvimba, pamwe chena-yellow kana tsvina-pfumbu patina. Izvi zvinotungamirira arikutadza kufema. The ganda rinowanika siyana chaizvo mapundu pasina chaiwo localization. Hepatosplenomegaly - a kakawanda chinoshamisa. Rinooneka yellowish ganda duku uye sclera, zviratidzo nehepatitis.

Diagnostics

In kuferefeta ropa leukocytosis dzakaonekwa kuti mamiriyoni 20-30 zviyero, kuwedzera kwenhamba monocytes, yakawedzera bilirubin, alt. Apo PCR DNA utachiwana dzakaonekwa muropa serum pamwe kutsunga chayo. With yakakwirira kunyatsoshanda kushandisa haemagglutination, latex agglutination, Elisa, kuti IgG uye IgM.

Epstein-Barr utachiona hweHIV: kurapwa

Kushandiswa iri rikwanise nguva mainterferon, acyclovir, tsikloferona anopa dzisingapindirani zvabuda. Apo unobva yechipiri purulent utachiona uye kwazvo siyana chirwere zvinokurudzirwa kushandisa mishonga inorwisa mabhakitiriya (acyclovir) uye steroids: mwero mishonga kuti prednisolone. Application ampicillin contraindicated nokuti induces panowanikwa ane autoimmune kuita.

mataridzikiro

In yaimbova USSR chaikonzerwa noutachiona pamwe Epstein-Barr Utachiona haana kupiwa rufu chete. Kune nyaya rufu somugumisiro yematambudziko: splenic atsamwira, encephalitis, myocarditis. Mune zvisingawanzoitiki kacho pane chronicity chirwere.