Mononucleosis. Kuyini futhi kanjani isifo esiyingozi?

Acute isifo yegciwane nge izilonda emlonyeni, emphinjeni, imfiva, ezithinta ama-lymph node, isibindi kanye ubende ngokuvamile abizwa ngokuthi mononucleosis. Kuyini kanti lokhu kwadala kanjani?

The main causative ejenti lesi sifo Epstein-Barr igciwane. Iqukethe DNA has a (orientation ukuphendula cell, isiqondiso ukukhula noma ukunyakaza) tropism ukuze B-lymphocyte ukudlala indima etiologic ekuthuthukiseni lymphoma Burkitt sika, lymphomas ezithile kubantu immunocompromised, carcinoma nasopharyngeal. Igciwane ngokwanele isikhathi eside uyakwazi iqhubeka (ukuhlala) kumaseli njengoba ukutheleleka esicashile. izingxenye zalo antigenic kuningi esifana nezinye amagciwane leqembu ka-herpes. Behlukene iziguli ezine izinhlobo ezahlukene zokwelashwa mononucleosis igciwane zamagciwane akudingeki umehluko omkhulu.

Ordinary umphimbo obuhlungu - avame it is kudidaniswe mononucleosis wakhe. Kuyini - fike futhi the fana noma isifo nge nezimpawu ezifanayo? Ungakwenza kanjani ukuhlukanisa idatha zesifo? yokufana kwawo kuboniswa njalo ukusabela jikelele nomzimba womuntu: izinga lokushisa likhuphuka, kukhona imfiva kanye nezinye izimpawu. Ngempela, isifo esithathelwanayo - iyona Isifo esibangelwa futhi kusekelwa khona pathogen emzimbeni --ejenti angaphandle. Ziyakwazi ashukumisayo kakhulu, ukucinga indikimba yendaba lingaze Ungashintsha ngokushesha. Ngakho-ke, ukuze umuntu ahlukanise phakathi mononucleosis kusukela umphimbo obuhlungu, kubalulekile ukusungula okuyikona, ukudabula yonke ucwaningo oludingekayo ezokwenza ukhetha abanekhono ukwelashwa algorithm. Angina kungenzeka njengenhlangano isifo ezimele, noma kube yikwembulwa omunye isifo. mononucleosis ezithathelwanayo libhekene hhayi kuphela ukuvuvukala emphinjeni, kodwa nokwanda okuphawulekayo ama-lymph node, isibindi, ubende, izinguquko liphinyiselwe leukocyte igazi.

It isibalo sezikhungo amangqamuzana amhlophe egazi libhekene mononucleosis. Kuyini futhi kanjani yingozi yini kulumkhuhlane? omqondofana zayo nazo imigomo "isifo Pfeiffer sika", "imfiva yezindlala", "angina lymph", "limfoblastoz ingozi", "isifo filatov sika" nabanye. Mononucleosis ngokuvamile kwenzeka abaneminyaka ephakathi kwengu-engu-14 kuya ku-17, uvame ukubizwa ngokuthi lesi sifo abafundi. Ngokuvamile igciwane wadluliselwa amaconsi sisemoyeni, ezithathelwanayo kanye nazo zonke izinto nesineke ezihlobene.

Ukuthola Late nokwelashwa futhi bengafundile kungaholela eziyingozi, Nokho esolwa mononucleosis ngempela eyenziwa monospot test sizibone pathogen eyinhloko. Lokhu kuhlaziya igazi evumela ukuba ngakususi ezinye izifo kanye nezimpawu ezifanayo mononucleosis (lymphocytic, idiphtheria oropharynx, pseudotuberculosis, isifo sokusha kwesibindi kohlobo viral, chlamydia inyumoniya, rubella, toxoplasmosis, ukutheleleka adenoviral).

ngezigaba Enobunye amafomu ka ukubonakaliswa emitholampilo ye mononucleosis ezithathelwanayo akuyona. Kodwa kufanele wazi ukuthi ngaphezu amafomu ejwayelekile lesi sifo, zingaphinda zivele atypical. Kule yakamuva kungaba lungachazwa yini engekho omunye izimpawu eziyinhloko zesifo (lymphadenopathy, namathansela, isibindi lakhulisiwe futhi ubende), yokudlanga nokugasela ngamandla omunye zako (necrotizing namathansela, exanthema), okuvela kuyo nezimpawu ezingavamile (i-jaundice) noma kwezinye izimpawu, ukubona ezihlobene izinkinga.

ukuvezwa kwesikhathi eside igciwane emzimbeni kuholela ukuthuthukiswa amafomu njalo lesi sifo. Thola kungaba kuphela ukuqhuba kokuxilongwa amasampuli izicubu ngoba Histology. Ubunzima kangakanani inconstancy iphethini lingaze, ucishe mononucleosis esibonisa. Kuyini - uhlobo njalo lesi sifo, futhi kanjani ungaboniswa? Lokhu kungaba buthaka njalo, evuvukele lymph node, ukozela ezinzima, umphimbo obuhlungu, amalunga omzimba ezidabukile, imikhuhlane njalo. kungenzeka ukuhlukahluka lokushisa komzimba, singazelele kuyi isicanucanu, uhudo, ukuhlanza, izinhlobo ezahlukene pharyngitis, inyumoniya Kukhona. Ubende kanye isibindi kakhulu anda, libhekene ukubukeka herpes temlomo na zangasese ngisho.

Ukufana nazo zonke izinhlobo zezifo ezithathelwanayo inkimbinkimbi kakhulu ekwakhiweni uphethwe yini. Ingozi mononucleosis okungalapheki immunocompromised kanzima njengoba kwengozi ezinye izifo yezinkinga ezihlukahlukene (pharyngeal mucosa edema, ukudabuka splenic ngenye indlela). Kuleli fomu lesi sifo kubalulekile ukuchaza ngokucacile ngaphezulu nenqubo okwenza kube lula ukubona ukuthi mononucleosis bese ubamba inkambo efanele ukwelashwa.

Kufanele kuqashelwe ukuthi kukhona ukuzinza eliphezulu masosha omzimba kubantu abanesikhathi mononucleosis. Yini lena futhi njengoba usibeka? Iningi lokulungisa igciwane ekhiqizwa amasosha omzimba. Kodwa namanje ahlale emzimbeni womuntu uyakwazi ngezikhathi yasebenza futhi angadluliselwa kwabanye.