Mononucleosis. Yintoni na nendlela izifo eziyingozi?

Acute isifo wentsholongwane egazini kunye izitshanguba emlonyeni, umqala, ifiva, echaphazela kwiindawo nkovu, isibindi kunye udakada badla kuthiwa mononucleosis. Yintoni na kwaye kwabangela njani?

Iarhente causative iphambili sifo Epstein-Barr yintsholongwane. Uqulathe eyona DNA unalo (orientation iseli reaction, ulwalathiso ukukhula okanye intshukumo) tropism ukuya B-lymphocyte zidlala indima etiologic kuphuhliso lymphoma Burkitt kaThixo, lymphomas ezithile kubantu immunocompromised, carcinoma nasopharyngeal. Le ntsholongwane ngokwaneleyo ixesha elide uyakwazi ukuqhubeka (sihlale) iiseli nje usulelo afihlakeleyo. amabakala alo antigenic ukuba zininzi izinto esifana nezinye iintsholongwane ze iqela of herpes. Lineminyaka izigulane iindlela ezahlukeneyo kwezonyango Ngeentlobo mononucleosis ntsholongwane musa ukuba umahluko omkhulu.

umqala Ordinary obuhlungu - amaninzi kubhaliwe kubhidaniswe mononucleosis yakhe. Yintoni na - enye efanayo okanye isifo ezineempawu ezifanayo? njani na ukwahlula iinkcukacha zesi sifo? yokufana kwawo kuboniswa kusoloko kwi abasabela jikelele umzimba womntu: ubushushu, kukho umkhuhlane kunye nezinye iimpawu. Eneneni, isifo esosulelayo - i sisifo esibangelwa kwaye iyaxhaswa yi-ubukho pathogen emzimbeni - a arhente amazwe. La inamandla kakhulu, picture kwangumqondiso bangatshintsha ngokukhawuleza. Ngoko ke, ukuze ukwazi ukwahlula phakathi mononucleosis evela umqala obuhlungu, kubalulekile ukuba ukuseka uxilongo echanekileyo, ukuba ukwenze konke uphando eziyimfuneko eziya ukhethe algorithm unyango abanobuchule. Angina zingenzeka njenge sifo ezimeleyo, okanye abe ibonakalisa kwenye sifo. mononucleosis eyosulelayo luphawulwa na ukudumba kuphela emqaleni, kodwa ukwanda kakhulu kwiindawo nkovu, isibindi, udakada, utshintsho awasiwisayo leukocyte egazini.

Lenyuka inani iiseli ezimhlophe esibonakala mononucleosis. Yintoni na nendlela kuyingozi esi sifo? ntonye zawo nabo elithi "isifo Pfeiffer kaThixo", "umkhuhlane glandular", "angina emithanjeni", "limfoblastoz ingozi", "isifo Filatov kaThixo" kunye nabanye. Mononucleosis kakhulu kwande abaphakathi kweminyaka eli-14 ukuya 17, oko kudla ngokuba sifo abafundi. Amaninzi intsholongwane sisasazwa ngamathontsi emoyeni, esosulelayo yaye zonke izinto isigulane ezinxulumene.

Ubhaqo kade kunye nonyango abangafundanga kungakhokelela kubunzima kakhulu, kunjalo ekwakurhanelwa mononucleosis ngokuyimfuneko kwenziwe uvavanyo monospot ngenxa kokuchaza gciwane zaseprayimari. Olu hlahlelo igazi ivumela ecaleni ezinye izifo ezineempawu ezifanayo mononucleosis (lymphocytic, ukubola komqala oropharynx, pseudotuberculosis, hepatitis wentsholongwane egazini, chlamydia inyumoniya, rubella, toxoplasmosis, usuleleko adenoviral).

Ukuhlelwa elidityanisiweyo iintlobo yokubonakalaliswa kwezonyango ye mononucleosis ezosulelayo ayikho. Kodwa kufuneka wazi ukuba ukongeza iintlobo ezithile zesi sifo, angase abonakale Nedlac. Kuba yokugqibela ibe esibonakala ngokungabikho lomnye iimpawu ezingundoqo zesi sifo (lymphadenopathy, tonsils, isibindi eyandisiweyo kunye udakada), ukwanda kunye nobukhali enye obubonakala (necrotizing tonsils, exanthema), kukuvela iimpawu ezingaqhelekanga (senyongo), okanye nezinye ezinxulumene iingxaki.

sesichengeni elide le ntsholongwane emzimbeni kukhokelela kuphuhliso iintlobo ezingapheliyo kwesi sifo. Chonga ukuba uyakwazi ukuqhuba kuphela uthotho lweemvavanyo lwemizekelo zeethishu ukuba histology. Ubunzima ukuba inconstancy ipateni lingaze, nezibonakalisa mononucleosis ngaphezulu okanye ngaphantsi. Yintoni na - uhlobo ezingapheliyo sesi sifo, kwaye lungabonakaliswa njani na? Oku kunokuba ubuthathaka rhoqo, nangathi ziintsumpa nkovu, ukozela kakhulu, umqala obuhlungu, amalungu nokuqaqamba, umkhuhlane rhoqo. Kusenokubakho umahluko lobushushu emzimbeni, ngesiquphe ukuvela isicaphucaphu, urhudo, ukugabha, iintlobo ezahlukeneyo pharyngitis, inyumoniya. Le spleen nesibindi linyuke kakhulu, luphawulwa imbonakalo herpes yomlomo kunye zangasese kude.

Ukufana nazo zonke iintlobo zezifo ezosulelayo nzima kakhulu kuqulunqo loxilongo echanekileyo. Ingozi mononucleosis esingapheliyo immunocompromised kakhulu njengoko ukwanda umngcipheko nezinye izifo yeengxaki ezahlukeneyo (pharyngeal isifo nokudumba, komsipha splenic kunye ngenye indlela). Kule fomu kwesi sifo kuyimfuneko ukuchaza ngokucacileyo iindlela ezenza kube lula ukubona mononucleosis ubambe indlela ekunene unyango.

Kufuneka kuqatshelwe ukuba kukho uzinzo ophezulu izilwa abantu abaye baba mononucleosis. Yintoni le yaye njengoko usibeka? Uninzi lokuhlawulisa intsholongwane wavelisa nezifo. Kodwa uyaqhubeka ukuhlala umzimba womntu uyakwazi ngamaxesha iyasebenza yaye wadluliselwa kwabanye.