Mononucleosis

Mononucleosis, kapa mono, ke tšoaetso ea vaerase e bakang feberu, 'metso le ho ruruha litšoelesa tsa lymph, hangata molaleng.

Mono hangata o hasana ka mathe le kamano e haufi. E tsejoa e le "lefu la ho aka." Mono e etsahala hangata ho batho ba lilemo li 15 ho isa ho 17, empa tšoaetso e ka hlaha ka lilemo tsohle.

Mono e bakoa ke vaerase ea Epstein-Barr (EBV). Hangata, e bakoa ke likokoana-hloko tse ling, tse kang cytomegalovirus (CMV).

Mono o ka qala butle ka mokhathala, maikutlo a kulang ka kakaretso, hlooho e bohloko le 'metso. Metso o bohloko o ntse o mpefala butle-butle. Likhoele tsa hau li ruruhile mme li hlahisa sekoaelo se bosehla bo bosehla. Hangata, li-lymph node tse molaleng lia ruruha ebile li bohloko.

Ho ka hlaha lekhopho le pinki, le kang maselese, mme ho ka etsahala haeba o noa moriana ampicillin kapa amoxicillin bakeng sa tšoaetso ea 'metso. (Hangata lithibela-mafu ha li fanoe ntle le teko e bontšang hore u na le tšoaetso ea strep.)

Matšoao a tloaelehileng a mono a kenyelletsa:

• Ho otsela
• Feberu
• Ho se utloise bohloko ka kakaretso, ho se phutholohe kapa ho kula
• Ho felloa ke takatso ea lijo
• Ho opeloa ke mesifa kapa ho satalla
• Moferefere
• Metso o bohloko
• Ho ruruha li-lymph node, hangata molaleng le sephakeng

Matšoao a sa tloaelehang ke:

• Bohloko ba sefuba
• Khohlela
• Mokhathala
• Ho opeloa ke hlooho
• Hives
• Jaundice ('mala o mosehla letlalong le makhooa a mahlo)
• Ho satalla ha molala
• Ho tsoa mali ka nko
• Ho otla ha pelo ka potlako
• Ho ba le kutlo ho khanya
• Phefumoloho e khutšoanyane

Mofani oa hao oa tlhokomelo ea bophelo o tla u hlahloba. Ba ka fumana:

• Ho ruruha li-lymph node ka pele le ka morao molaleng oa hau
• Ho ruruha lithane tse koahetsoeng ka bosoeu bo bosehla
• Ho ruruha sebete kapa spleen
• Ho phatloha ha letlalo

Liteko tsa mali li tla etsoa, ​​ho kenyeletsoa:

• Palo ea lisele tse tšoeu tsa mali (WBC): e tla ba holimo ho feta e tloaelehileng haeba u na le mono
• Teko ea Monospot: e tla ba le ts'oaetso bakeng sa mononucleosis e tšoaetsanoang
• Titer ea antibody: e bolela phapang lipakeng tsa tšoaetso ea hajoale le e fetileng

Morero oa kalafo ke ho imolla matšoao. Moriana oa steroid (prednisone) o ka fuoa haeba matšoao a hau a le matla.

Lithethefatsi tse thibelang likokoana-hloko, tse kang acyclovir, li na le molemo o fokolang kapa ha li na thuso.

Ho fokotsa matšoao a tloaelehileng:

• Noa maro a mangata.
• Gargle ka metsi a futhumetseng a letsoai ho kokobetsa 'metso.
• Fumana phomolo e lekaneng.
• Nka acetaminophen kapa ibuprofen bakeng sa bohloko le feberu.

Hape qoba lipapali tsa puisano haeba spleen ea hau e ruruhile (ho e thibela hore e se ke ea phatloha).

Hangata feberu e theoha ka matsatsi a 10, mme litšoelesa tsa lymph tse ruruhileng le spleen lia fola ka mor'a libeke tse 4. Ho khathala hangata ho fela ka mor'a libeke tse 'maloa, empa ho ka nka likhoeli tse 2 ho isa ho tse tharo. Hoo e ka bang motho e mong le e mong o fola ka ho felletseng.

Mathata a mononucleosis a ka kenyelletsa:

• Phokolo ea mali, e etsahalang ha lisele tse khubelu tsa mali li shoa kapele ho feta tloaelo
• Hepatitis le jaundice (e tloaelehileng haholo ho batho ba baholo ho feta 35)
• Makhopho a ruruhileng kapa a ruruhileng
• Mathata a tsamaiso ea methapo (a sa tloaelehang), a kang Guillain-Barré syndrome, meningitis, ho oa, ho senya methapo e laolang ho sisinyeha ha mesifa sefahlehong (Bell palsy) le metsamao e sa tsamaisaneng
• Ho phatloha ha spleen (ka seoelo, qoba khatello ho spleen)
• Ho phatloha ha letlalo (ho sa tloaelehang)

Lefu lea khonahala ho batho ba nang le boits'ireletso ba mmele bo fokolang.

Matšoao a pele a mono a ikutloa joalo ka bokuli bofe kapa bofe bo bakoang ke vaerase. Ha ho hlokahale hore o ikopanye le mofani ntle le haeba matšoao a hau a nka nako e telele ho feta matsatsi a 10 kapa o ba le:

• Bohloko ba mpeng
• Bothata ba ho hema
• Feberu e phehellang (ho feta 101.5 ° F kapa 38.6 ° C)
• Ho tšoaroa ke hlooho e bohloko
• 'Metso o bohloko kapa lithane tse ruruhileng
• Bofokoli matsohong kapa maotong a hao
• 'Mala o mosehla mahlong kapa letlalong la hao

Letsetsa 911 kapa nomoro ea ts'ohanyetso ea lehae kapa u ee kamoreng ea maemo a tšohanyetso haeba u ka ba le:

• Bohloko bo bohloko ba mpeng bo bohloko ka tšohanyetso
• Molala o sataletseng kapa bofokoli bo matla
• Bothata ba ho kwenya kapa ho hema

Batho ba nang le mono ba ka tšoaetsana ha ba ntse ba e-na le matšoao le likhoeli tse 'maloa ka mor'a moo. Motho ea nang le lefu lena a tšoaetsanoang o nka nako e telele hakae ho fapana. Baerase e ka phela lihora tse 'maloa kantle ho' mele. Qoba ho aka kapa ho arolelana lisebelisoa haeba uena kapa motho e mong ea haufi le uena a na le mono.

Mono; Maloetse a aka; Feberu ea tšoelesa

• Mononucleosis - photomicrograph ea lisele
• Mononucleosis - photomicrograph ea lisele
• Mononucleosis e tšoaetsanoang # 3
• Acrodermatitis
• Splenomegaly
• Mononucleosis e tšoaetsanoang
• Mononucleosis - photomicrograph ea sele
• Gianotti-Crosti syndrome leotong
• Mononucleosis - pono ea 'metso
• Mononucleosis - molomo
• Masole a mmele

Ebell MH, Call M, Shinholser J, Gardner J. Na mokuli enoa o na le mononucleosis e tšoaetsanoang?: Tlhahlobo e hlakileng ea tlhahlobo ea bongaka. JAMA. 2016; 315 (14): 1502-1509. PMID: 27115266 phatlalalitsoe.ncbi.nlm.nih.gov/27115266/.

Johannsen EC, Kaye KM. Kokoana-hloko ea Epstein-Barr (mononucleosis e tšoaetsanoang, mafu a kotsi a amanang le vaerase ea Epstein-Barr le mafu a mang). Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 138.

Weinberg JB. Kokoana-hloko ea Epstein-Barr. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 281.

Mariha JN. Atamela mokuli ea nang le lymphadenopathy le splenomegaly. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 159.