Mononucleosis ezinganeni: Izimpawu kanye Ukwelashwa (Komorowski). izifo ezithathelwanayo

Ezweni kukhona izifo eziningi ezibhekwa kobuntwana kakhulu. Kuyinto kulesi sigaba wenza classing mononucleosis. Ukuthuthukisa ngokugcwele isihloko lesi sifo, kungenzeka, xoxani ngemibuzo elandelayo: mononucleosis ezinganeni, izimpawu kanye nokwelashwa, Komorowski - iseluleko sikadokotela, nezinye izici ezibalulekile. Ngalolu futhi Kuzoxoxwa.

amagama

Ekuqaleni, ufuna ukuqonda ukuthi yini lesi sifo. Ngakho, mononucleosis - bemvelo virally-ezithathelwanayo lesi sifo. Ibangelwa igciwane, Epstein-Barr igciwane. Nokho, ososayensi bathi ngezinye izikhathi kungaba avuse futhi cytomegalovirus (herpes igciwane). Uma kancane ujule indaba, ungabona ukuthi ngaphambi sifo sabizwa ngokuthi "isifo filatov sika", yokudumisa udokotela abasithola okokuqala emuva 1885. ngokuthi "imfiva yezindlala" lisetshenzisiwe nangokuqondene ngokulinganisa.

Umlando omncane

Njengoba kuphawuliwe, isifo itholakala kuphela izingane. Nokho, mayelana 10-15% of amacala, igciwane ithelela futhi intsha. Kufanele kuqashelwe ukuthi uma ingane ineminyaka engaphezu 10, lesi sifo kungavuka amafomu ezinzima kakhulu, futhi le nqubo zokuphulukisa ngezinye izikhathi ziphazamiseke ezinyangeni ezimbalwa. Ezinganeni, izimpawu buzofiphaliswa, kukhona ngokuvamile ukucinana ezivamile, ukululama ephelele kwenzeka phakathi namasonto amathathu. Ngokuvamile lesi sifo asymptomatic.

symptomatology

Sifunda indlela okuphuma mononucleosis ezinganeni, izimpawu kanye nokwelashwa. Komorowski (udokotela izingane eyaziwa sika) umi kwelokuthi izimpawu zesifo kudingeka silalelisise. Phela, ukwazi kanjani ukubonisa inkinga ngokushesha ngangokunokwenzeka ukucacisa uphethwe, okuyinto ukuphuthumisa ikhambi. Izimpawu zesifo:

1. Ezimweni eziningi, lesi sifo kwenzeka ezinganeni evilaphayo kakhulu. Umntwana waphawula kuphela ukukhathala isifiso alale ngaso sonke isikhathi. Ngesikhathi esifanayo, kukhona futhi angafuni kudla. Okunye kuwukubonakaliswa ingane ayikwazi ukungabi.
2. Against isizinda ukucobeka kanye ukutubeka ngokuvamile kukhona ubuhlungu emisipheni nasemalungeni.
3. Ingane ingaba esekhala umphimbo obuhlungu. Ngesikhathi esifanayo, ngezinye izikhathi izingane kwenzeka namathansela mononuclear (amalaka avele izindawo lemicu empunga elinamathela othini ukuthi kudingeka asuswe).
4. Bangaphinde babe avuvukele zamanzi. Palpation kulesi simo kungaba yinto ebuhlungu kakhulu. Ukwehluleka kwenzeka lymph izicubu.
5. Izinga lokushisa at mononucleosis akuvamile futhi uvame kubangelwa yini igciwane, kanye nezifo ohlangothini ezivukayo ku isizinda mononucleosis.
6. Njengoba lesi sifo ngezinye izikhathi kuphakamisa igciwane herpes esikhumbeni zingavela ngamawala.

Ezinye izimpawu ukuthi kwenzeke ezinganeni: isicanucanu, amakhala yisisu, imfiva, ukopha izinsini, ezifweni ekubeni buthakathaka amasosha omzimba ukuba amagciwane kanye nezinye izifo.

Izindlela ukutheleleka

Uma ucabangela mononucleosis ezinganeni, izimpawu kanye nokwelashwa, Komarovsky weluleka ukuba banake izindlela zokungenwa yizifo. Kumele kuqashelwe ukuthi le nkinga ngezinye izikhathi ibizwa ngokuthi futhi "noma ukuqabulana isifo". Futhi lokhu akumangalisi, ngoba ukwazi kuphela itheleleke nge sisondelene nomuntu ogulayo. Odokotela bathi izingane "ukuthola" igciwane ngokusebenzisa amathoyizi wabelane isiguli noma ngokusebenzisa kwihendisethi, kufaka phakathi iselula. Kuyadingeka ukuba kahle bavisise kwekutsi loko kwentiwe igciwane mononucleosis, okuyinto senziwa igciwane. Ngakho-ke, ukuze ubhekane ngokuphumelelayo nalesi sifo ngemithi elwa namagciwane ngeke zisebenze.

ukuhlola

Kubalulekile wazi ukuthi sitholakele isifo mononucleosis kunzima kakhulu. Futhi sonke ngoba ejwayelekile isithombe emitholampilo ye isifo kungenzeka isici nezinye izifo eziningi. Isibonakaliso main elikhombisa le nkinga igciwane - izimpawu ezingamahlala iqhubeka isikhathi eside. Libuye efiselekayo zihlolelwe mononucleosis (igazi wahlola kabili):

1. Esikhathini sokuqala icala heterophile agglutinins (e-90% amacala la manani positive) kungatholakala.
2. Esimeni sesibili, ukutadisha igazi smear ku khona kuwo lymphocyte atypical.

Usongo igciwane ukuthi uyakwazi azenza nezinye izifo ezithathelwanayo, futhi ngenxa yalokho, ukuze anqume isifo kungaba nzima kakhulu.

ukwelashwa

Ukugula mononucleosis ezinganeni: Izimpawu kanye Ukwelashwa. Komorowski ukuthi umuthi owodwa, okuthiwa ikhambi lesi sifo akekho. Ukwelashwa kufanele kube lingaze, okuhloswe ngazo ekulweni kuwukubonakaliswa inkinga. Ngakho, kubalulekile ukuba athobele embhedeni ukuphumula, futhi ngokuqinile ukuhambisana nayo yonke izincomo udokotela. Uma isibindi lakhulisiwe futhi ubende, une ukulandela ukudla №5 (ukudla usawoti-free). Uma, ukwenza isibonelo, umphimbo obuhlungu, kubalulekile iphendukele uhlambulule njalo. Ungasebenzisa futhi amaphilisi absorbable futhi izifutho ngoba umphimbo. Uma ukwanda lokushisa kubalulekile ukusebenzisa antipyretics. Njalo njalo. Lokho, impatho iqondiswe kuphela ulwe nazo lezo zimpawu esavela phakathi nokugula. Futhi wokuqonda indlela yokuphatha mononucleosis, kufanele kuphawulwe ukuthi phakathi nale nkathi kuyasiza izimali kokuthola, kuqinisa amasosha omzimba, kanye ekulweni umzimba ukudakwa wengane.

Komorowski: umbono uchwepheshe

Virus mononucleosis - yisifo esibangela amasosha omzimba eziphikelelayo. Lokho, emva kwesikhathi esithize, futhi, ingane kungenziwa igciwane futhi. Futhi ukwelashwa futhi kube lingaze.

UDkt Komarovsky, a lifetime cishe wonke umuntu emhlabeni okungenani kanye, kodwa idlulisele mononucleosis ezithathelwanayo. Nokho, akubona bonke uyazi ngakho, ngoba lesi sifo ngokuvamile asymptomatic ibekezelelwe.

Ngaphambili, izincwadi eziningi imithi libike ukuthi ngemuva kokuxinwa mononucleosis ingane akuvunyelwe nhlobo ukuvakashela ilanga, njengoba kwengozi ezihlukahlukene nezifo igazi. Nokho, ucwaningo lwamuva olwenziwa Angitholanga nhlobo uxhumano phakathi wonke la maqiniso. Nokho, Komorowski wakhumbula ukuthi umphumela emisebeni ultraviolet kuyinto yingozi, kungakhathaliseki umntwana mononucleosis iyagula noma cha.

Mononucleosis is hhayi ziphathwe ngemithi elwa namagciwane. Kufanele kube ngokucacile ukuqaphela. Isikhathi esining impela, ngemva ukwelashwa okunjalo, ingane ukuqubuka wonke umzimba ngendlela izindawo esikhulu esibomvu. Ngakho ukuthi iziphatha ngendlela engafanelekile esiqokiwe udokotela "ampicillin" futhi "amoxicillin".

Ukuze kwezinyanga ezimbalwa emva ukunyamalala izimpawu, ingane ingakha kumele zigcinwe zikhona ukutubeka futhi ukucobeka. Lo mntwana uyoba angasebenzi, bayozela. Leli qiniso kwezokwelapha ibizwa ngokuthi "komzimba okungamahlalakhona". Lesi simo ngeke ziphathwe amavithamini noma immunostimulants, nje idinga ukusinda nje umzimba ngokwawo kubuyiselwa.

Ngemva kokugula idluliselwe esikhathini esingangesonto noma izinsuku ezingu-10, kudingeka kudlule i kwegazi abavamile. Ngezinye izikhathi kukhona ukwehla igazi lymphocyte ku-formula. Le nkinga kumelwe zixazululwe, bese uthumela ingane enkulisa noma esikolweni.

Epstein-Barr igciwane bangaphila kuphela umzimba womuntu. Kuphela uma sikhona, liphindaphindeke futhi yamukeleke. Izilwane ezifuywayo hhayi abathwali yayo.

lokukhipha elula

Ngenxa okukhipha encane, siphawula ukuthi mononucleosis - isifo hhayi eziyinkimbinkimbi kakhulu. Lesi sifo adluliselwe cishe yonke. Kungaba ukuthi lalotshwa ukutheleleka self-nokukhawulela okudinga ukwelashwa okuncane ngokwempilo noma angakutholi nhlobo.