Mononucleosis yog kab mob kis. Kev txheeb cais qhia tias tus kab mob no feem ntau tshwm sim thaum menyuam yaus. Qhov no yog vim lub cev tsis muaj zog. Reactivation ntawm tus kab mob tshwm sim nyob rau hauv ib tug me nyuam hnub nyoog qis dua tsib xyoos thiab thaum lub sij hawm puberty.
Kev hloov pauv hauv kev ua tiav:
- airborne;
- kev sib cuag ncaj qha nrog tus neeg mob;
- los ntawm niam rau menyuam (hauv utero);
- nrog ntshav.
Rau cov tsos mob ntawm mononucleosis hauv menyuam yaus, kuaj ntshav yog qhov yuav tsum tau ua.
Indicators
Thaum ua tiav cov ntshav suav rau mononucleosis hauv cov menyuam yaus, nws tuaj yeem kuaj xyuas lub cev thiab cov kab mob pathological uas tshwm sim vim kev loj hlob ntawm tus kabmob. Cov ntsuas hauv kev tshuaj ntsuam yuav qhia txog kev ua haujlwm ntawm cov kab mob hematopoietic. Nws koom tes hauv kev tiv thaiv kev ua haujlwm thiab hom metabolism.
Thaum kuaj pom tus kab mob no, pom cov tsos mob ntawm angina, cov qog nqaij hlav loj tuaj, kev loj hlob ntawm daim siab thiab tus po, ua npaws. Kev ntsuas ntsuasntshav rau mononucleosis hauv menyuam yaus tuaj yeem txiav txim siab lwm yam kabmob.
Lawv tuaj hauv:
- tus kab mob Epstein-Barr (kab mob tshwm sim los ntawm tus kab mob gamma herpetic);
- DNA muaj cytomegalovirus;
- hom kab mob tsis tau teev tseg (Q27.9).
ntsuas qhov ntsuas tau zoo thiab muaj txiaj ntsig ntawm kev kuaj ntshav hauv cov menyuam yaus uas muaj kab mob mononucleosis hauv cov kab mob peripheral yuav qhia:
- nce SOE (erythrocyte sedimentation tus nqi hauv cov ntshav);
- moderate leukocytosis (nce ntshav dawb suav);
- leukopenia (txo qis hauv leukocytes ib chav ntim ntawm cov ntshav).
T-cells thiab B-lymphocytes tshwm sim thaum ntxov. Lawv muaj atypical mononuclear hlwb thiab immunoglobulin hauv cytoplasm. Qhov muaj pes tsawg leeg ntawm cov hlwb dawb zoo ib yam li monocytes yog li 5% txog 50%. Tus naj npawb ntawm lymphocytes kuj yuav nce ntxiv. Nrog rau qhov exacerbation ntawm tus kab mob, cov tshuaj tiv thaiv ntawm immunoglobulin M, G tuaj yeem kuaj pom.
Kev hloov pauv kuj yuav tshwm sim.
Nyob rau hauv cov ntshav suav tag:
- qib ntawm atypical hlwb - cov hlwb mononuclear - yuav dhau 10%;
- monocytes yuav ntau dua 40%;
- theem ntawm lymphocytes hauv cov ntshav kuj tseem yuav nce ntxiv - tshaj 10%;
- tag nrho cov monocytes thiab lymphocytes yuav yog 80-90% ntawm tag nrho cov leukocytes;
- neutrophil cells nrog C-puab nucleus yuav ntau dua 6%;
- yog tias muaj qhov tshwm sim, ces erythrocyte suav yuav nyob rau hauv 2.8 × 1012 ib liter, thiab platelet suav yuav tsawg dua 150 × 109 ib liter.
Kev txiav txim siabKev kuaj ntshav rau mononucleosis hauv menyuam yaus (biochemistry):
- aminotransferase thiab aspartate aminotransferase qib yuav dhau los ntawm 2-3 zaug;
- alkaline phosphatase yuav ntau dua 90 units ib liter;
- nce hauv qhov tsis ncaj ntawm bilirubin tshwm sim txog 0.005 (thiab siab dua) mmol / l;
- nce hauv bilirubin ncaj qha yuav siab dua 0.0154 mmol / L.
Diagnosis
Muaj cov tsos mob ntawm tus kab mob uas paub meej txog cov kab mob pathology nrog kev pab ntawm cov tsos mob. Txawm hais tias tus nqi tseem ceeb ntawm kev kuaj ntshav yog kuaj ntshav uas kuaj pom cov tshuaj tiv thaiv kab mob Epstein-Barr. Lub anamnesis yuav qhia cov tshuaj tiv thaiv tshwj xeeb. Ntawd yog, tus kws kho mob txiav txim siab cov tsos mob ntawm mononucleosis hauv cov menyuam yaus los ntawm kev kuaj ntshav.
ntsuas ntsuas yog qhov tseem ceeb rau kev kho. Lawv txiav txim seb tus neeg mob li cas. Cov kev tshawb fawb no suav nrog:
- kuaj ntshav rau mononucleosis hauv menyuam yaus;
- Ybiochemical;
- plab ultrasound.
Kev ua tau zoo ntawm kev kho yog qhia hauv kev xyaum thaum kuaj pom zoo. Cov ntsiab lus hemoglobin hauv cov ntshav yuav tsum raug soj ntsuam thiab cov leukogram yuav tsum raug txiav txim siab.
kuaj ultrasound yuav qhia meej seb tus po thiab daim siab puas loj tuaj.
Txoj kev kis kab mob
Koj tuaj yeem kis tau los ntawm kev sib cuag ncaj qha. Cov neeg muaj lossis tsis muaj tsos mob hnyav dhau los ua qhov kis mob.
Kev sib cuag tshwm sim nrog cov qaub ncaug. Hauv cov menyuam yaus, qhov no feem ntau yuavkab mob. Cov tub hluas yuav muaj tus kab mob no ntau dua thaum lub sijhawm rov ua haujlwm ntawm tus kab mob. Nws yog ib qho tseem ceeb tshwj xeeb tshaj yog yuav tsum tau ceev faj ntawm exacerbation nyob rau hauv lub caij txias, thaum lub cev tsis muaj zog thiab muaj kev sib cuag nrog cov neeg nyob hauv tsev. Ua li no, nyob rau hauv kindergartens thiab tsev kawm ntawv, chav yuav tsum tau lossi ventilated thiab tua kab mob. Hauv lwm lo lus, tus kab mob tsis ruaj khov thiab tuag thaum nws qhuav. Yog li ntawd, koj yuav tsum tau tawm tsam nws, siv cov kab hluav taws xob ultraviolet thiab kev kho mob tas li ntawm chav tsev uas muaj menyuam yaus ntau.
Yog tias kis tau tshwm sim, kev kho mob yuav tsum pib tam sim ntawd. Kev noj tshuaj tag nrho yuav tsum tau noj, txwv tsis pub rov qab tuaj yeem tshwm sim, vim tias lub cev tsis muaj zog thaum kho. Los yog mob hnyav los ntawm cov kab mob ntev uas kho tsis tau.
Kev ceev faj yog them rau cov mob ntawm cov qog thiab nasopharynx. Ua lub neej noj qab nyob zoo, so tsis tu ncua thaum nkees, thiab tiv thaiv kev tiv thaiv kab mob.
Symptoms
Qee cov cim uas feem ntau tshwm sim nrog tus kab mob tuaj yeem ua mob me lossis hais tau. Lawv manifestation nyob ntawm seb lub zog tiv thaiv ntawm tag nrho cov kab mob, lub chav kawm ntawm tus kab mob, lub pathological mob ntawm tus neeg mob. Muaj peev xwm undulating kab mob.
Lub sijhawm txij li lub sijhawm tus neeg sawv cev microbial nkag mus rau hauv lub cev mus rau qhov pib ntawm cov tsos mob ntawm tus kabmob yuav siv sijhawm li 3 lub lis piam. Lub sijhawm incubation tshwm sim:
- Tau maj mam, thaum lub xeev kev noj qab haus huv hnyav zuj zus, ua pa nyuajvim yog congestion nyob rau hauv lub nasopharynx, qhov kub nyob twj ywm ntawm 37-38 degrees rau lub sij hawm ntev.
- Ntxhais thaum tawm hws yog qhov tseem ceeb. Nws rhuav tshem tag nrho lub cev thiab cov leeg, qhov taw qhia nyuaj ntawm lub xeev thermal ntawm tus neeg laus lossis menyuam yaus nce siab thiab ntog. Xws li kub poob los ntawm 35 mus rau 39 degrees kav li ntawm 30 hnub.
Cov tsos mob hnyav tau pom nrog qhov nce ntawm cov qog ntshav nyob ntawm caj dab, puab tsaig, thiab sab nraub qaum ntawm lub taub hau. Yog tias muaj kev ntxhov siab ntawm cov cheeb tsam ntawm lub cev, koj yuav tsum tam sim ntawd mus rau kev kho mob kom tsis txhob muaj qhov loj ntawm cov leeg.
Ntxiv nta
Lwm cov tsos mob yuav tsum tsis txhob ignored:
- liab hauv lub qhov ncauj, reactive hyperplastic hloov hauv cov qog ntshav.
- plab o (tsis zoo rau cov menyuam yaus).
- Mononucleosis pathological ntsiab ntawm daim tawv nqaij thiab mucous daim nyias nyias.
Cov pob khaus tshwm rau hnub peb, qee zaum hnub thib tsib ntawm tsev kho mob. Nws zoo li cov hnub nyoog me me nrog cov xim hloov tau ntawm kwv yees li paj yeeb lossis burgundy. Cov ntsiab lus nyob thoob plaws hauv lub cev los ntawm lub ntsej muag mus rau sab qis. Yeej, lawv tsis ua tiav thiab tsis siv tshuaj kho mob. Cov pob khaus yuav ploj ntawm nws tus kheej yam tsis muaj kev phiv thiab khaus.
Pab tau pathologies
Yuav ua rau tus kab mob hnyav tuaj yeem ua rau lwm yam mob ntawm lub cev, qhia txog kev ua txhaum ntawm nws txoj haujlwm ib txwm muaj. Tawm tsam keeb kwm ntawm mononucleosis tsim:
- ntau qhov mob ntawm cov qog thiab qog(polyadenitis);
- mob ntawm cov mucous ntawm nasopharynx thaum tus kab mob nkag mus (nasopharyngitis);
- kab mob ntawm cov kab mob ua pa sab saud uas tshwm sim los ntawm kev mob ntev ntev ntawm cov tonsils (tonsillitis);
- kab mob ntawm txoj hlab pa, uas lub bronchi (bronchitis) koom nrog cov txheej txheem inflammatory;
- cov txheej txheem mob ntawm cov mucous ntawm lub trachea (tracheitis);
- kev ua txhaum ntawm kev ua haujlwm ntawm lub cev, pom los ntawm cov duab histological ntawm pulmonary fibrosis (interstitial pneumonia);
- Txhob inhibition lossis cessation ntawm kev loj hlob thiab maturation ntawm tag nrho peb kab ntawm tes nyob rau hauv cov pob txha pob txha ntawm lub hematopoietic system (aplastic anemia).
Kev kis ntawm cov kab mob no yuav tsum tsis pub tso cai. Txij li thaum tus kab mob tau pom nyob rau hauv cov neeg laus thiab cov menyuam yaus, lub cev tiv thaiv kab mob tshwm sim ntawm tus kheej, cov tsos mob sib txawv, kev kuaj mob yog teeb meem.
Qee lub sij hawm muaj cov tsos mob xws li xeev siab, kiv taub hau, mob plab kab noj hniav thiab tag nrho lub cev malaise. Yog tias tsis kho kom raug, lub sijhawm ntev ntawm mononucleosis raug pom.
Kev kho mob
Tom qab kev kuaj mob, kev kho mob pib. Txawm hais tias mononucleosis tsis haum rau kev kho tshuaj tiv thaiv kab mob, cov teebmeem ntawm cov tshuaj feem ntau yuav txhawb nqa.
Yog tias tus kab mob no tau kuaj pom thiab pom tseeb hauv tus menyuam, ces kev siv tshuaj tua kab mob uas ua rau lub siab tsis zoo yog cais tawm, vim tias nws tuaj yeem ua tau.nce thaum kho.
Kev txhawb nqa yuav nyob hauv tsev lossis hauv tsev kho mob kom muaj teeb meem. Nyob hauv tsev, koj yuav tsum tau tso pa tawm tas li hauv chav thiab tua kab mob, ua raws li tus kws kho mob cov lus qhia.
Yog tus neeg mob muaj cov tsos mob hauv qab no, yuav tsum muaj kev kho mob ceev ceev:
- kub nce siab tshaj 39 degrees;
- ntau qhov mob ntawm cov qog thiab cov qog nrog kev hem thawj ntawm kev ua pa hnyav vim tsis muaj oxygen;
- kev npam ntawm lub cev;
- fainting;
- mob migraine.
Tus kws kho mob yuav saib xyuas qhov kev kho tau zoo. Kev kho mob qhia ntawm:
- txo qis hauv qhov tshwm sim thiab txo cov tsos mob;
- txo qis cua sov thiab sib sau cov cua sov ntau hauv lub cev;
- tshem tawm cov co toxins thiab intoxication;
- txoov qhov ncauj thiab qhov ntswg;
- ua kom lub cev muaj cov vitamins;
- siv tshuaj tiv thaiv kab mob;
- dieting.
Kev nruj nruj rau kev pw tsaug zog hauv tsev kuj raug sau tseg.
Khoom noj
Khoom noj khoom haus ib txwm muab kev saib xyuas tshwj xeeb. Nws yuav tsum ua kom tiav. Tsis txhob noj zaub mov kib lossis zaub mov uas muaj roj ntau. Butter, qab ntsev thiab ntsim cov kaus poom zaub mov yuav muaj kev zam.
Koj yuav tsum noj ntau cov khoom siv mis los yog cov khoom muaj mis nyuj. Integral yuav yogcoarse-grain cereals, low-fat soups with zaub.
Qhov tshwm sim ntawm mononucleosis hauv menyuam yaus
Kev tiv thaiv menyuam yaus ib txwm cuam tshuam los ntawm ntau yam kab mob vim tias nws tsis tsim. Nws nyuaj dua rau nws tiv tus kab mob.
Teeb meem tuaj yeem tshwm sim los ntawm kab mob. Cov kab mob microorganisms nyob rau hauv lub qhov ncauj thiab qhov ntswg kab noj hniav. Ib hom mob hnyav ntawm cov mucous membrane ntawm lub pharynx tsis suav nrog.
Yog tias muaj qhov loj ntawm tus po thiab daim siab, ces icteric syndrome lossis rupture ntawm lub cev uas tsim cov ntshav globules yog ua tau.
kab mob ua pa xws li otitis media, tonsillitis, sinusitis lossis mob ntsws tsis tshua muaj.
Cov xwm txheej ntawm lub cev tuaj yeem qaug zog rau qee lub sijhawm tom qab rov zoo. Muaj qaug zog, qaug zog, xav tau so.
Zoo kawg
Txhawm rau tiv thaiv qhov tshwm sim ntawm mononucleosis, koj yuav tsum tau kuaj xyuas txhua xyoo nrog tus kws kho mob thiab kuaj ntshav kom ntxaws.
Yog tias kuaj pom tus yam ntxwv ntawm tus kab mob, nws yuav tsum tau mus ntsib kws kho mob kom sai li sai tau los kuaj xyuas thiab sau ntawv kho kom zoo.
