Infectious mononucleosis (rimwe zita-monocytic angina, lymphoblastosis yeropa rwuri rudzi) chirwere chetachiona chemukati (chiropa, spleen, lymph nodes). Vakomana vanorwara kakawanda kupfuura vasikana.
Ndeipi njodzi ye mononucleosis muvana?
Ngozi yemwana ndiyo mononucleosis kune dzimwe zvirwere (bronchitis, otitis), sezvo yakazara nezvinetso zvakakomba (kuparara kwepleen, viral hepatitis). Kubudirira kwaro muhuduku kunonyadzisa kusachengetedzwa kwemwana uye kunovhiringidza basa remagetsi emagetsi, zvirwere zvakakomba zvakadai sekuputika kwemavopu europi kunogona kuitika.
Infectious mononucleosis muvana: zvinokonzera
Yakawanda inopararira inonzi mononucleosis inowanikwa kune vana vane makore matatu kusvika kune mapfumbamwe. Mucheche, chirwere chakadaro hachina kuonekwa, nokuti chakachengetedzwa nema antibodies kubva mumukaka wamai. Utachiona hunokwanisa kutapurirwa kuburikidza nehukama hwepedyo: kuburikidza nemate, mabhedheni akazara, ndiro. Inoparidzirwa nemhepo uye nekutaurirana. Nehutachiona husina simba mumwana, anonyanya kunetseka kune dzimwe nyika. Sezvo utachiona hunoparadzirwa kubva kumwana anorwara kusvika kune hutano hwakanaka, hunogona kutapukirwa nekukanganiswa kana kuchenesa mwana anorwara. Nokudaro, hutachiona hunopinda mumuviri wevana kuburikidza nepamusoro pekufema, iyo inotanga kupararira mumuviri wose, kunyanya, hutachiona hunogadziriswa mumucheka, chiropa uye lymph nodes. Zviratidzo zvekutanga zvinogona kutanga kuratidza mushure memazuva mashanu kusvika ku15.
Uyezve, hutachiona hunogona kutapudzwa kubva kuna amai kuenda kune fetus nepamusoro pepascenta.
Infectious mononucleosis muvana: kuongororwa
Izvo zvakaoma kufungidzira nzira iri nyore ye mononucleosis muhuduku, nokuti zviratidzo zvinogona kuva zvinyoro. Zvisinei, kuti uone maitiro uye chiyero chekukuvara kune nhengo dzomukati, zvakakosha kuti:
- kuchipatara ropa test;
- general analysis of urine;
- biochemical blood test (AlT, AsT, antistreptolysin-O, rheumatoid index, proteinogram);
- Kudyara kubva mumhino uye nehuro pamiti kuti uone kusagadzikana kumishonga inorwisa mabhakitiriya;
- Ultrasound yenhengo dzomukati.
Mukuwedzera, chiremba anogona kupa mitezo inotevera:
- Kudyara urini;
- Kudyara zvimedu pa UPF neboka reDysenteric;
- PCR feces paDNA Yersinia;
- ECG;
- Echo-CG;
- chifukidzo che X-ray.
Kana zvichidikanwa, zvingave zvakakosha kutarisana nevanyanzvi vakadai semhematologist, phthisiatrist, allergist, rheumatologist, pulmonologist, neurologist.
Infectious mononucleosis: zviratidzo
Zviratidzo zvinotevera zvekuvapo kwechirwere zvinogona kuonekwa kune vana:
- inopisa fever (kutonhora kwemuviri kunosvika pedhi 38);
- kuwedzera mune lymph nodes mumutsipa;
- kutaridzika kwekutanga kwetonillitis kana tonsillitis;
- kukundwa kwematoni (adenoiditis), somugumisiro wekuti mwana anotanga kunyorera pahope;
- coryza;
- chifuva;
- mapundu paganda;
- kuwedzera kwechiropa, spleen;
- mune dzimwe nguva, jaundice yeganda inogona kuonekwa;
- general malaise uye kushaya simba.
Infectious mononucleosis muvana: migumisiro
Mushure mekuendeswa kwemaononucleosis mumwana zvinetso zvinotevera zvinogona kutaurwa:
- pakutanga: asphyxia, kuparara kwepleen, meningoencephalitis, psychosis;
- Nguva yekupedzisira: hemolytic anemia, hepatitis, thrombocytopenic purpura, dermatitis, mummyps, pancreatitis.
Zvipingamupinyi zvakawanda zvinowanzosiyana nemamiriro ekudzivirira kwemafuro.
Infectious mononucleosis muvana: kurapwa nekudzivirira
Sezvo mutemo, kurapwa kwemaononucleosis kunokurudzira kuisa mwana muchipatara kumativi ose-awa-masimba ekucherechedza kwemamiriro ake. Kugara kwebhedha kwakasimba kunodiwa mukurapa. Mwana wacho anopiwa zvokudya mumvura uye mumasikirwo emvura, kuwedzerwa kunwa nenzira yekranberry mors uye tei nemononi.
Sechirwere chakaoma, chiremba anokwanisa kupa mishonga inotevera: viferon , cycloferon , paracetamol, analgin, claritin, pipolfen, LIV-52, zvakakosha zvikuru, ampicillin, prednisolone, galazoline, protargol .
Muduku mwana wacho, kukurumidza zviratidzo zvake zvinopera nemishonga yakasarudzwa zvakanaka.
Izvo zvinodaro mushure mekunge kurapwa kwakanaka. Kurapa kwakakwana mumwana kunogona kuonekwa pashure pevhiki mbiri kana ina. Zvisinei, mune dzimwe nguva, kuchinja kwehutano hweropa kunogona kunge kuchiri kwehafu yegore. Nokudaro, mwana achiripo kwegore rimwe mushure mekunge chirwere ichi chave chiri pamusangano nechiremba.
Maitiro ekudzivirira haawanzoitwa. Mwana anorwara ari oga kubva kune vamwe vana panguva yechirwere chechirwere chacho.