I-mononucleosis engathintekayo (elinye igama - i-angocontic angina, i-lymphoblastosis yehlobo olunobuthi) liyisifo segciwane lesitho zangaphakathi (isibindi, i-spleen, i-lymph nodes). Abafana bayagula kaningi kunamantombazane.
Iyini ingozi ye-mononucleosis ezinganeni?
Ingozi yomntwana yi-mononucleosis ngemuva kwezinye izifo (i-bronchitis, i-otitis), ngoba ibhekene nezinkinga ezinkulu (ukuphuka kwesipere, isifo se-hepatitis). Ukuthuthukiswa kwaso ebuntwaneni kubangela kakhulu ukukhukhumeza kwengane futhi kuphazamise uhlelo lwesimiso sezinzwa, izifo ezinzima njengokuvutha kwamapulisa okukhushulwa.
I-mononucleosis ezithathelwanayo ezinganeni: izimbangela
Iningi le-mononucleosis elithathelwanayo livela ezinganeni ezineminyaka emithathu kuya kweyisishiyagalolunye. Ezinganeni, isifo esinjalo cishe asiqapheli, ngoba sivikelwe ngama-antibodies kusuka ebisini likamama. Igciwane lingadluliselwa ngokuxhumana okusheshayo: ngamathe, ukulala okuvamile, izitsha. Idluliselwa nge-airborne futhi ngokuxhumana. Ngomkhuhlane obuthakathaka emntwaneni, uba ngumthelela kakhulu kumathonya angaphandle. Njengoba igciwane lidluliselwa kusuka kumntwana ogulayo kuya enempilo, lingatheleleka ngokukhwehlela noma ukukhipha izinyane eligulayo. Ngakho-ke, igciwane lingena emzimbeni wezingane emzimbeni omkhulu wokuphefumula, emva kwalokho uqala ukusakazeka kuwo wonke umzimba, ikakhulukazi, igciwane lihlala kulesipelisi, isibindi namallimini. Izimpawu zokuqala zingaqala ukubonakalisa ngemuva kwezinsuku ezingu-5-15.
Futhi, igciwane lingadluliselwa kusuka kumama kuya emfusini nge-placenta.
I-mononucleosis ephathekayo ezinganeni: ukuxilongwa
Kunzima ukuxilonga uhlobo olulula lwe-mononucleosis ebuntwaneni, ngoba izimpawu zingaba mnene. Kodwa-ke, ukucacisa isimo nesilinganiso somonakalo ezingxenyeni zangaphakathi, kubalulekile ukuthi:
- ukuhlolwa kwegazi emtholampilo;
- ukuhlaziywa okujwayelekile komchamo;
- ukuhlola igazi kwegazi (AlT, AsT, antistreptolysin-O, index rheumatoid, proteinogram);
- ukuhlwanyela emakhaleni nasemphinjeni emthonjeni ukuze kunqume ukutholakala kwemithi elwa namagciwane;
- I-Ultrasound yezitho zangaphakathi.
Ngaphezu kwalokho, udokotela angakhipha izivivinyo ezilandelayo:
- ukuhlwanyela umchamo;
- ukuhlwanyela izinhlanzi ku-UPF neqembu le-dysenteric;
- Amakhemikhali e-PCR ku-DNA Yersinia;
- ECG;
- I-Echo-CG;
- i-X-ray yesifuba.
Uma kunesidingo, kungadingeka ukuthi uthintane nochwepheshe abanjengochwepheshe be-hematologist, i-phthisiatrist, i-allergenist, i-rheumatologist, i-pulmonologist, i-neurologist.
I-mononucleosis ephathekayo: izimpawu
Izimpawu ezilandelayo zokuba khona kwesifo zingabonakala ezinganeni:
- umkhuhlane olinganiselayo (ukushisa komzimba kufinyelela kuma-38 degrees);
- ukwanda kwama-lymph nodes entanyeni;
- ukubukeka kokuqala kwe-tonsillitis noma i-tonsillitis;
- ukunqotshwa kwe-tonsils (adenoiditis), ngenxa yalokho ingane iqala ukugubha ebuthongweni;
- coryza;
- ukukhwehlela;
- iqhuma esikhumbeni;
- Ukwandiswa kwesibindi, isitha;
- kwezinye izimo, i-jaundice yesikhumba ingaziwa;
- ukukhathazeka okuvamile kanye nobuthakathaka.
I-mononucleosis ezithathelwanayo ezinganeni: imiphumela
Ngemuva kokudluliselwa kwe-mononucleosis emntwaneni kunenkinga elandelayo:
- Ekuqaleni: i-asphyxia, ukuphuka kwesitebe, i-meningoencephalitis, i-psychosis;
- sekwephuzile: i-anemia ye-hemolytic, i-hepatitis, i-thrombocytopenic purpura, i-dermatitis, i-mumps, i-pancreatitis.
Izinkinga eziningi zenzeka ngokulandelana kwemikhawulo yokushisa.
I-mononucleosis ezithathelwanayo ezinganeni: ukwelashwa nokuvimbela
Njengomthetho, ukwelashwa kwe-mononucleosis kuhloswe ukubeka ingane esibhedlela ukuqapha okunamandla kwe-clock-clock yesimo sakhe. Ukuphumula okulalayo okubalulekile kuyadingeka kulo lonke ukwelashwa. Ingane inikezwa ukudla ngefomu elimanzi nelinye lamanzi, isiphuzo esingeziwe ngendlela ye-cranberry mors kanye netiyi ngelamula.
Njengokwelashwa okuyinkimbinkimbi, udokotela angakwazi ukubeka imithi elandelayo: viferon , cycloferon , paracetamol, analgin, claritin, pipolfen, i-LIV-52, i-forte ebalulekile, i-ampicillin, i-prednisolone, i-galazoline, i- protargol .
Ingane encane, ngokushesha izimpawu zakhe zihamba ngendlela yokwelapha efanelekile.
Isibikezelo ngemuva kokuthola ukwelashwa kulungile. Ukwelashwa okuphelele kwengane kungabonwa emva kwamasonto amabili kuya kwamane. Kodwa-ke, kwezinye izimo, ushintsho ekubunjweni kwegazi lungase lube yingxenye yonyaka. Ngakho-ke, ingane isengakapheli unyaka owodwa ngemuva kokuba lesi sifo sibe sesibhedlela.
Izindlela zokuvimbela ngokuvamile azikwenziwa. Izingane ezigulayo zihlukaniswe nazo zonke ezinye izingane ngesikhathi esiyinkimbinkimbi yesifo.