Mononucleosis yog kab mob kis kab mob. Thawj zaug, Dr. Filatov tau taw qhia txog nws qhov kis kab mob hauv xyoo 1887. Ib me ntsis tom qab, xyoo 1889, tus kws tshawb fawb Emil Pfeiffer tau sau txog qhov tshwm sim zoo sib xws. Tau ntev, cov kws tshaj lij tau ua tib zoo kawm txog mononucleosis. Cov tsos mob ntawm cov menyuam yaus yuav luag zoo ib yam: txhua tus muaj kub taub hau, mob tonsillitis, o lymph nodes, spleen thiab siab. Raws li nws tau nthuav tawm tom qab, nws yog cov menyuam yaus uas raug mob hnyav tshaj plaws - nruab nrab hnub nyoog ob txog kaum yim.
Etiology
Tus kab mob ua rau tus kab mob yog tus kab mob Epstein-Barr, nws nyob hauv tsev neeg herpesvirus. Nyob rau hauv ib puag ncig, nws sai sai tuag nyob rau hauv tus ntawm cov tshuaj thiab lub cev yam. Muaj kev xav tias nws txhawb kev tsim cov qog nqaij hlav malignant.
Nws kis mus rau tib neeg li casmononucleosis?
Cov tsos mob hauv cov menyuam yaus ib lub lim tiam tom qab kis tau tus mob: muaj mob thaum nqos, cov quav hniav dawb ntawm lub palate thiab tonsils, los ntshav cov pos hniav, tsis qab los noj mov, xeev siab, tsis muaj zog. Cov qog nqaij hlav hauv tsev menyuam tau pom qhov loj - ntawm palpation, tus menyuam yws yws ntawm qhov mob. Tus kab mob no kis tau los ntawm aerogenic thiab parenteral txoj kev. Txawm tias tom qab ua tiav kev kho mob, cov kab mob tuaj yeem tso rau hauv ib puag ncig ntev.
Kev kis tus kab mob tsawg, feem ntau sau tseg hauv cov tub ntxhais hluas hnub nyoog 14 txog 18 xyoo. Cov neeg mob kis tus kab mob hauv cov neeg laus tsis tshua muaj sau tseg, txij li thaum tus neeg muaj hnub nyoog paub txog kev tiv thaiv kab mob. Nws yuav tsum raug sau tseg tias kab mob mononucleosis tsis kis tau ntau. Cov tsos mob ntawm cov menyuam yaus yuav kav ntev. Lawv feem ntau zoo ib yam li cov tsos mob ntawm tus mob khaub thuas, uas yog vim li cas ntau tus niam txiv ncua kev kuaj mob thiab kev kho mob, xav tias tus kab mob yuav rov qab los ntawm nws tus kheej.
Pathogenesis thiab daim duab kho mob
Tus kab mob nkag mus rau tus menyuam lub cev los ntawm txoj hlab pa thiab oropharynx, los ntawm qhov ntawd nws raug xa mus los ntawm cov qog ntshav mus rau tag nrho cov qog nqaij hlav (inguinal, cervical, thiab lwm yam). Tom qab ntawd nws nkag mus rau hauv cov hlab ntsha thiab nkag mus rau hauv lymphocytes, qhov twg nws rov tsim dua nws tus kheej. Lub sij hawm incubation yuav kav li ntawm plaub mus rau rau caum hnub. Mononucleosis tshwm sim nyob rau hauv cov me nyuam.
Cov tsos mob feem ntau tshwm sim thaum hnub kawg ntawm 5-6 ntawm kev kis kab mob. Qhov kub nce mus txog 39 C, migraine, mob caj pas, qhov ntswg, cuam tshuamua pa. Muaj qhov txhab ntawm cov tonsils (cov cim qhia zoo ib yam li fibrinous tonsillitis), ua pob liab liab ntawm daim tawv nqaij. Tib lub sijhawm nrog cov kev tshwm sim no, lymphadenopathy tshwm sim (cov qog ntshav qab zib tau dhau los ua qhov loj ntawm walnut).
Lub xeev no tuaj yeem kav ntev txog ob lub hlis. Kuj tseem muaj qhov nce ntxiv ntawm tus po thiab daim siab. Nyob rau theem mob, mononucleosis yog qhov txaus ntshai heev. Cov tsos mob ntawm cov menyuam yaus yog qhov mob hnyav heev, thiab thab lawv rau lub sijhawm ntev. Hauv qee cov neeg mob, qhov kub thiab txias txo rau hnub thib ob, thiab tom qab ntawd nce ntxiv. Tag nrho cov cim no yuav tsum ceeb toom cov niam txiv thiab yuam kom mus ntsib kws kho mob.
Cov teeb meem phom sij tuaj yeem ua rau tus kab mob no yog tias tsis kho:
-meningitis;
-hemolytic anemia;
-otitis media, sinusitis, pneumonia;
- encephalitis;
-ruptured spleen.
Cov neeg mob feem ntau tau mus pw hauv tsev kho mob, tab sis nyob rau hauv daim ntawv me me thiab nyob rau hauv cov neeg mob sab nraud, mononucleosis hauv cov me nyuam raug kho. Cov tsos mob (kev kho mob pib tom qab kuaj pom tseeb) raug tshem tawm nrog kev pab ntawm detoxification, symptomatic, analgesic thiab antipyretic therapy. Cov tshuaj tua kab mob tau muab rau cov menyuam yaus uas muaj mob hnyav thiab lub cev tsis muaj zog. Cov tshuaj Immunomodulatory pom zoo.
Qhia tshuaj tua kab mob caj pas gargles thiab noj qab nyob zoo. Chav tsev uas tus menyuam nyob yuav tsum huv si thiab ua pa. Nws raug pom zoo kom tsis tu ncua tua tus menyuam cov ntaub pua tsev, cov khoom tu tus kheej, cov khoom ua si thiab cov khoom siv.
