Lo lus "mononucleosis-zoo li syndrome" yog hais txog cov tsos mob ntawm qee yam kab mob. Nws ua ke nrog cov txheej txheem ntawm pathologies ntawm ob qho tib si kis thiab tsis kis kab mob. Qhov no nyuaj heev rau kev kuaj mob sib txawv. Kev kho mob ntawm mononucleosis syndrome hauv cov neeg laus thiab cov menyuam yaus ncaj qha nyob ntawm qhov ua rau ntawm cov tsos mob nyuaj. Nws feem ntau yog cov tsos mob.
Yog vim li cas
Mononucleosis-zoo li syndrome tsis yog ib qho kab mob ywj pheej. Nov yog tag nrho cov tsos mob ntawm tus yam ntxwv ntawm qee yam mob.
Kab mob, qhov tshwm sim uas tau nrog los ntawm qhov tshwm sim ntawm tus mob mononucleosis zoo li:
- tus kab mob Herpes.
- HIV
- kis kab mob mononucleosis. Cov tsos mob nyuaj yog yam ntxwv ntawm cov kab mob tshwm sim los ntawm ob qho tib si cytomegalovirus thiab lub neej nquag ntawm tus kab mob Epstein-Barr.
- Toxoplasmosis.
- Chlamydia.
- kab mob Adenoviral.
- YMycoplasmosis.
- Tularemia. Mononucleosis-zoo li tus mob tshwm sim tsuas yog nyob rau hauv cov neeg uas muaj mob anginal-bubonic daim ntawv.
- Listeriosis. Cov tsos mob nyuaj yog yam ntxwv ntawm daim ntawv anginal-septic.
- YBrucellosis.
- Pseudotuberculosis.
- mob qog ntshav qog ntshav qog ntshav.
- YLymphogranulomatosis.
- YSystemic lupus erythematosus.
Cov npe muaj cov kab mob uas tau kuaj pom feem ntau. Muaj ntau ntau cov kab mob, cov chav kawm uas yog tus cwj pwm los ntawm qhov tshwm sim ntawm mononucleosis zoo li syndrome. Tias yog vim li cas kev kuaj mob sib txawv yog qhov nyuaj dua, nws yuav tsum tau kuaj xyuas, uas feem ntau siv sijhawm ntev. Tab sis tsuas yog ib tus kws kho mob tuaj yeem tsim qhov ua rau ntawm tus mob mononucleosis, kev siv tshuaj rau tus kheej tsis tuaj yeem txais.
Kev kho mob tshwm sim
Raws li tau hais los saum toj no, tus mob no yog qhov nyuaj ntawm cov cim ceeb toom. Nws suav nrog cov tsos mob hauv qab no:
- Ua npaws (kub 39 rau tus neeg laus thiab tus menyuam nyob ntev li 1-3 lub lis piam).
- Mob caj pas. Thaum kuaj xyuas qhov ncauj kab noj hniav, cov tsos mob ntawm pharyngitis lossis tonsillitis tshwm sim. Qhov nruab nrab, lawv kav 2 mus rau 3 lub lis piam.
- YPolyadenitis. Qhov no yog ib qho mob uas muaj qhov loj ntawm 2 lossis ntau pawg ntawm cov qog ntshav qog. Cov tom kawg yog mob me ntsis ntawm palpation, mobile, ntawm lawv tus kheej thiab cov ntaub so ntswg nyob ze tsis yogsoldered.
- Hepatosplenomegaly. Lo lus no hais txog qhov nce ib txhij ntawm qhov loj ntawm tus po thiab daim siab.
- YCandidiasis stomatitis.
- mob taub hau ntau zaus.
- Ntaus, nquag hloov ua ntuav.
- Zoo.
- mob lub plab zom mov.
- Nyob ib leeg.
- Mob hauv cov leeg thiab pob qij txha.
- poob phaus.
- npau suav phem.
- hws ntau dhau hmo ntuj.
- Cuag.
- Erythematous pob khaus. Nws yog symmetrical, qhov chaw zoo li cov uas tshwm sim nrog syphilis thiab qhua pias. Raws li txoj cai, cov pob liab liab yog nyob rau ntawm lub cev, qee qhov ntawm nws cov ntsiab lus tuaj yeem pom ntawm caj dab thiab lub ntsej muag. Spots nyob ntawm daim tawv nqaij ntawm 3 hnub mus rau 3 lub lis piam.
- pob liab vog. Feem ntau, nws cov tsos mob ua ke nrog kev puas tsuaj rau cov mucous ntawm lub qhov ncauj, lub ntsws thiab txoj hlab pas.
Cov tsos mob no tuaj yeem kav ntev txog 3 lub lis piam. Nrog HIV, mononucleosis zoo li syndrome yog qhov tshwm sim ntawm kev tiv thaiv kab mob hauv lub cev. Yog li ntawd, nws kav ntev dua (txog li 6 lub lis piam ntawm qhov nruab nrab).
Txoj kev kawm ntawm cov menyuam yaus
Nyob rau hauv cov menyuam mos, tus mob tshwm sim nws tus kheej tsis muaj zog heev. Hauv qhov no, kev kuaj mob tsis raug yog feem ntau ua - SARS. Qhov txawv ntawm qhov tseem ceeb yog qhov pom ntawm pob khaus hauv cov menyuam yaus.
Mononucleosis-zoo li tus mob hauv cov menyuam yaus (ntawm 6-15 xyoos) pom nws tus kheej zoo dua. Cov menyuam yaus yws txog qhov mob taub hau hnyav, lawv pheej txhawj xeeb txog kev qaug zog, txawm tias tsis pomces cov laj thawj. Lawv chim siab, lawv cov keeb kwm kev puas siab puas ntsws tsis ruaj khov.
Feem ntau, cov tsos mob ntawm mononucleosis-zoo li syndrome yog tib yam rau cov neeg laus thiab menyuam yaus.
Diagnosis
Thaum thawj cov cim ceeb toom tshwm sim, koj yuav tsum sab laj nrog tus kws kho mob. Qhov no yog ib tug kws kho mob uas yuav muab xa mus rau ib qho kev ntsuam xyuas, raws li cov txiaj ntsig ntawm nws yuav kos ib qho kev kho mob los yog xa nws mus rau kev sab laj rau cov kws kho mob nqaim.
Kev kuaj pom thawj zaug ntawm mononucleosis zoo li tus mob yog kev sau ntawm anamnesis, kuaj lub cev thiab palpation. Tus kws kho mob yuav tsum tau muab cov ntaub ntawv hais txog tag nrho cov tsos mob tam sim no thiab lawv qhov hnyav. Nws tseem ceeb heev rau lub suab ntev npaum li cas lawv tshwm sim.
Raws li txoj cai, cov neeg mob yws rau tus kws kho mob tias lawv mob yuav luag txhua lub cev, thiab yog li ntawd lawv lub neej zoo yog qhov phem heev. Kev kuaj mob suav nrog kev tshuaj ntsuam xyuas, suav nrog:
- kuaj ntshav (kuaj kho mob, biochemical, C-reactive protein).
- kuaj zis (general).
- X-ray ntawm cov pob qij txha.
- Nuclear magnetic resonance.
- CT thiab X-ray hauv siab.
- Angiography.
- Echocardiography.
- Ultrasound ntawm lub plab hnyuv plab.
Kev kuaj mob ntawm mononucleosis zoo li tus mob thiab tus kab mob nws nrog yuav siv sij hawm ntev heev. Qhov no yog vim qhov yuav tsum tau sib txawv ntawm tus kab mob los ntawm ntau tus kab mob pathologies,tshwj xeeb tshaj yog cov uas muaj kab mob los yog autoimmune.
Kev kho mob
Txoj kev kho mob ncaj qha nyob ntawm tus kab mob hauv qab. Kev xaiv kev kho mob raws li qhov tshwm sim tau piav qhia hauv cov lus hauv qab no.
| Kab mob | Lub Sijhawm Kho Mob |
| tus kab mob Herpes | Kev noj cov tshuaj tiv thaiv kab mob thiab cov tshuaj tiv thaiv kab mob |
| HIV | Kev tswj hwm hauv qhov ncauj thiab siv qhov ncauj ntawm cov tshuaj nrog tshuaj tiv thaiv kab mob, nrog rau cov tshuaj, cov khoom nquag uas pab txhawb lub cev tiv thaiv |
| kis kab mob mononucleosis | Noj cov tshuaj tua kab mob thiab tshuaj tua kab mob, nrog rau corticosteroids. Yog tias tsim nyog, kev kho mob yog ua tiav |
| Toxoplasmosis | noj tshuaj tua kab mob |
| Chlamydia | Qhov ncauj siv cov tshuaj tua kab mob thiab cov tshuaj tiv thaiv kab mob, cov tshuaj vitamin kho |
| kab mob Adenoviral | Txais cov tshuaj tua kab mob thiab cov complexes uas pab txhawb lub cev tiv thaiv |
| YMycoplasmosis | Kev siv tshuaj tua kab mob thiab cov tshuaj tiv thaiv kab mob, kev kho mob hauv zos ntawm qhov txhab |
| Tularemia | Tshuaj tua kab mob thiab tshuaj tiv thaiv, kho cov tsos mob |
| Listeriosis | Kev tswj hwm thiab qhov ncauj siv tshuaj tua kab mob |
| YBrucellosis | noj tshuaj tua kab mob, tshuaj tiv thaiv kab mob thiabsedatives, nrog rau cov vitamins thiab glucocorticosteroids |
| Pseudotuberculosis | Kev siv cov tshuaj tua kab mob, kev tswj hwm cov piam thaj hauv cov ntshav |
| Lymphoblastic leukemia | Chemo-thiab kev kho mob |
| YLymphogranulomatosis | Radiation thiab chemotherapy, pub pob txha pob txha hloov |
| YSystemic lupus erythematosus | Txais glucocorticosteroids thiab immunomodulators |
Raws li txoj cai, cov tsos mob nyuaj ploj mus ntawm nws tus kheej tom qab kev kho mob zoo ntawm tus kab mob. Yog tias tsim nyog, ntxiv NSAIDs, tshuaj tua kab mob, tshuaj sedatives, tshuaj tua kab mob, thiab lwm yam.
Cov lus pom zoo los ntawm cov kws tshaj lij
Cov kws kho mob hais tias kev noj tshuaj rau tus kheej tsis tsim nyog. Cov kws tshaj lij tsis pom zoo kom noj cov tshuaj pej xeem, vim tias tiv thaiv keeb kwm yav dhau los ntawm kev siv cov duab kho mob yuav raug cuam tshuam, uas cuam tshuam rau kev kuaj mob.
Nws yog ib qho tseem ceeb kom paub tias qhov ua rau ntawm mononucleosis zoo li tus kab mob tuaj yeem yog kab mob txaus ntshai. Kev noj tshuaj rau tus kheej lossis tsis quav ntsej cov cim ceeb toom tuaj yeem ua rau tuag taus.
Kev Tiv Thaiv
Tsis muaj kev ntsuas tshwj xeeb tiv thaiv kev txhim kho ntawm cov tsos mob nyuaj. Lub luag haujlwm tseem ceeb ntawm txhua tus yog los tiv thaiv qhov tshwm sim ntawm pathologies, cov chav kawm uas nrog cov mob. Ua li no, nws yog ib qho tsim nyog yuav tsum ua raws li cov hauv paus ntsiab lus ntawm kev noj qab nyob zoo thiabkho txhua yam kab mob raws sij hawm.
In xaus
Mononucleosis-zoo li tus mob yog ib qho nyuaj ntawm cov tsos mob uas yog tus yam ntxwv ntawm qhov tshwm sim ntawm ntau tus kab mob. Hauv qhov no, thaum thawj cov cim ceeb toom tshwm, koj yuav tsum sab laj nrog kws kho mob.
