Mononucleosis ho bana - matšoao le phekolo pele ho hlaphoheloa ngoana ka botlalo

Lefu la Epstein-Barr le bakela maloetse a mangata a tšoaetsanoang ka tsela e thata le matšoao a itseng. E 'ngoe ea tsona ke lefu la Filatov kapa mononucleosis, e fumanoang haholo-holo ho bana ba tsoang lilemong tse tharo. Matšoao le phekolo ea lefu lena li ithutile ka ho feletseng, ka hona ho bonolo ho sebetsana ka katleho le eona ntle le mathata.

Mononucleosis ho bana - lefu lena ke eng?

Tlhahlobo e nahannoeng ke tšoaetso e matla ea kokoana-hloko e thibelang mafu a mangata ka ho ruruha ha lisele tsa lymphoid. Mononucleosis ho bana e ama lihlopha tse 'maloa tsa litho:

• lymph nodes (tsohle);
• lithane;
• spleen;
• sebete.

Mononucleosis e fetisoa joang ho bana?

Tsela e ka sehloohong ea ho jala lefu lena e nkoa e le ea moea. Ho ikopanya haufi le motho ea nang le tšoaetso ke khetho e 'ngoe khafetsa, joalokaha mononucleosis e fetisoa, ke kahoo ka linako tse ling e bitsoa "kissing lefu". Lefu la kokoana-hloko le lula le phela sebakeng se ka ntle, le ka tšoaetsoa ka lintho tse tloaelehileng:

• litšoantšiso;
• lijana;
• line;
• lithaole le lintho tse ling.

Nako ea ho qeta nako ea mononucleosis ho bana

Tšoaetso ea mafu ha e tšoaetsanoe, mafu a seoa a se ke a etsahala. Ka mor'a tšoaetso, bana ba tšoaetsanoang ke mononucleosis ha ba hlahe hang-hang. Nako ea nako ea ho tsuba e itšetlehile ka tekanyo ea tšebetso ea ho itšireletsa mafung. Haeba tsamaiso ea tšireletso e fokola, e ka ba matsatsi a 5. Mmele o matla o loantšana le kokoana-hloko ho fihlela likhoeli tse peli. Matla a ho itšireletsa mafung a ama kamoo mononucleosis e hlahang kateng bana - matšoao le phekolo li bonolo haholoanyane ha tsamaiso ea tšireletso e le matla. Nako e tloaelehileng ea nako ea ho qeta nako e ka tlaase ho matsatsi a 7-20.

Mononucleosis - joang ngoana a tšoaetsanoang?

Setsebi sa causative sa lefu la Filatov se kenngoa ka lisele tse ling tsa 'mele ka ho sa feleng' me ka linako tse ling li sebelisoa. Viral mononucleosis ho masea e tšoaetsanoa ka libeke tse 4 ho tloha ho nako ea tšoaetso, empa e beha kotsi ho ba bang. Tlas'a tšusumetso ea likarolo tse ling tsa kantle tse fokolisang tšoaetso ea mafu a kokoana-hloko, lisele tse entsoeng likokoana-hloko li boetse li qala ho atoloha le ho ema le matheba, esita le haeba ngoana a le ntle ka ntle. Ena hase bothata bo tebileng, ba jereng kokoana-hloko ea Epstein-Barr - hoo e ka bang 98% ea baahi ba lefatše.

Ke kotsi efe ea mononucleosis ho bana?

Liphello tse mpe li hlaha liketsahalong tse ikhethang, feela ka 'mele o fokolang kapa ho kopana le tšoaetso ea bobeli. Ho bonolo haholo mononucleosis ho bana - matšoao le phekolo, ho fumanoa le ho qala ka nako e loketseng, ho thusa ho thibela mathata leha e le afe. Ts'ebetso e tsamaisana le ho thehoa ha tšoaetso e tsitsitseng, ka lebaka la hore ts'oaetsano ea bobeli ha e hlahe kapa e fetisetsoa ka mokhoa o sa hlokomeleheng.

Liphello tse mpe tsa mononucleosis ho bana:

• paratonzillitis;
• otitis media ;
• pneumonia ;
• sinusitis;
• neuritis;
• hono follicular ;
• hemolytic anemia;
• ho se sebetse hantle;
• ho phatloha ha spleen ;
• ho phatloha ha letlalo (kamehla ho nang le lithibela-mafu).

Mononucleosis ho bana - sesosa

Moemeli oa causative oa Filatov oa lefu ke tšoaetso ea lelapa la herpes. Lefu la Epstein-Barr ho bana hangata le bakoa ke ho lula libakeng tse ferekanyang (likolo, matlo a matlo le libaka tsa boikhathollo). Lebaka le le leng feela la lefu lena ke tšoaetso ea mononucleosis. Mohloli oa tšoaetso ke mokhanni leha e le ofe oa kokoana-hloko eo ngoana a amehang haholo.

Mononucleosis ho bana - matšoao le lipontšo

Setšoantšo sa kliniki ea mafu a ka fetoha ka nako e fapaneng ea lefu lena. Mathata a tšoaetsanoang ke mononucleosis ho bana - matšoao:

• bofokoli;
• ho ruruha le bonolo ha lymph nodes;
• catarrhal bronchitis kapa tracheitis ;
• mocheso oa 'mele o eketsehileng;
• bohloko mahetleng le mesifa khahlanong le semelo sa lymphostasis;
• eketseha ka boholo ba spleen le sebete;
• botsoa;
• migraines;
• 'metso ha o metsa;
• ho phatloha ha moriri molomong;
• ho khoneha ho SARS le ARI.

Ke habohlokoa ho arola maloetse a tšoanang le mononucleosis ho bana - matšoao le phekolo ea kokoana-hloko ea Epstein-Barr li tiisoa feela ka mor'a ho hlahlojoa ka ho feletseng. Tsela e le 'ngoe feela e ka tšeptjoang ea ho khetholla tšoaetso ea potso ke potlako ea mali. Esita le ho ba teng ha matšoao ana ha ho bontše tsoelo-pele ea lefu la Filatov. Lipontšo tse tšoanang li ka tsamaea le:

• rubella ;
• diphtheria;
• angina;
• listeriosis;
• Tularemia;
• rubella;
• hepatitis;
• pseudotuberculosis le maloetse a mang.

Rash le mononucleosis ho bana

Litšoantšo tsa letlalo tse hlalosoang ke lefu li hlaha liketsahalong tse peli:

1. Ho ts'ehetsa kokoana-hloko ea herpes. Matšoao a mononucleosis ho bana ka nako e 'ngoe a kenyelletsa libopeho tsa vesicles tse nang le turbid liquid holimo kapa ka tlaase molomo, haholo-holo ho bana ba nang le ts'oaetso e fokolang.
2. Reception ea lithibela-mafu. Kalafo ea tšoaetso ea bobeli e etsoa ka mahlahana a antimicrobial, haholo-holo Ampicillin le Amoxicillin. Ka bana ba 95%, phekolo e joalo e tsamaisana le mohopolo, mofuta oa oona o sa hlakisoang.

Leqe le mononucleosis

Pathology e baka kokoana-hloko ea Epstein-Barr - matšoao a kenyelletso ea 'mele ka linako tsohle e ama lik'hemik'hale tsa lymphoid, ho kenyeletsa le lithane. Ho fapana le semelo sa lefu lena, litšoelesa li na le moriri o mofubelu, o ruruha 'me o chesoa. Sena se baka bohloko le ho sisinya molaleng, haholo-holo ha li metsa. Ka lebaka la ho tšoana ha setšoantšo sa kliniki, ke habohlokoa ho arola angina le mononucleosis ho bana - matšoao a maholo le phekolo ea maloetse ana a fapane. Tonsillitis ke kankere ea baktheria 'me e ka phekoloa ka lithibela-mafu,' me lefu la Filatov ke la mafu a tšoaetso ea kokoana-hloko, meriana e loantšang likokoana-hloko e ke ke ea mo thusa.

Mocheso o nang le mononucleosis

Hyperthermia e nkoa e le e 'ngoe ea lipontšo tsa pele tsa lefu lena. Mocheso oa 'mele o nyolohela ho litekanyetso tsa mahetleng (37.5-38.5), empa o nka nako e telele, matsatsi a ka bang 10 kapa ho feta. Ka lebaka la feberu e telele, maemong a mang, ho thata ho mamella mononucleosis - matšoao a ho tsuba mocheso o mpefatsa bophelo ba ngoana:

• ho otsela;
• hlooho;
• lethargy;
• mahlakoreng a manonyeletso;
• ho hula bohloko ka mesifa;
• maqeba a matla;
• ho nyekeloa ke pelo.

Tlhahlobo ea mali ea mononucleosis ho bana

Matšoao ana ha a nkoa e le motheo oa ho hlahlojoa. E le ho e hloekisa, tlhahlobo e khethehileng e etsoa bakeng sa mononucleosis ho bana. E na le ho ithuta ka mali, le lefu la Filatov lefatsing la likokoana-hloko:

• ho ba teng ha lisele tsa maiketsetso - mononuclear;
• ho fokotseha ha palo ea leukocyte;
• ho eketseha ha li-lymphocyte tse ngata.

Ho phaella moo, tlhahlobo e etsoa bakeng sa kokoana-hloko ea Epstein-Barr. Ho na le mekhoa e 2 ea ho e tsamaisa:

1. Lipatlisiso tsa boipheliso. Ho batla tšoaetso ea mafu a li-immunoglobulins) IgM le IgGk maling.
2. Polymerase chain reaction. Boitsebiso leha e le bofe ba likokoana-hloko (mali, mashala, sekoti) se hlahlojoa ka boteng ba DNA kapa RNA ea kokoana-hloko.

Tsela ea ho phekola mononucleosis ho bana?

Hajoale, ha ho na meriana e sebetsang e ka thibelang ho ata ha lisele tse tšoaetsanoang. Kalafo ea mononucleosis ho bana e fokolloa ke matšoao a lefu lena, phomolo ea tsela ea eona le ho matlafatsa 'mele ka kakaretso:

1. Mokhoa oa halofo oa bethe. Ntho e ka sehloohong ke ho fa ngoana khotso, eseng ho feteletsa 'meleng le maikutlong.
2. Seno se chesang se futhumetseng. Ho sebelisoa ha metsi ho thusa ho thibela ho felloa ke metsi ho futhumatsa mocheso, ho ntlafatsa tšebetso ea mali, haholo-holo ho noa lino tse nang le vithamine.
3. Ho hloeka ka mokhoa o hloekileng. Lingaka li khothaletsa ho robala ka mor'a lijo le ho qhotsa meno ka makhetlo a mararo ka letsatsi.

Kalafo ea mafu a tšoaetsanoang a bana a ka 'na a akarelletsa tšebeliso ea litsebi tsa meriana:

1. Antipyretics - Acetaminophen, Ibuprofen. Mocheso o ka theoha haeba o phahama ka holimo ho likhato tse 38,5.
2. Antihistamines - Cetrin, Suprastin. Meriana e khahlanong le phepo e nepahetseng e thusa ho fokotsa matšoao a tahi.
3. Vasoconstrictive (sebakeng seo, sebopeho sa marotholi) - Galazolin, Ephedrine. Lisebelisoa li fana ka khatholoho ea ho hema ha lesea.
4. Antitussive - Broncholitin, Libexin. Lithethefatsi li atleha ho phekola tšoaro ea tracheitis kapa bronchitis.
5. Likokoana-hloko - Ampicillin, Amoxicillin. Ho khethoa feela haeba ho na le tšoaetso ea tšoaetso ea bobeli ea baktheria, ka mohlala, ha angina ea purulent e qala.
6. Corticosteroids - Prednisolone, Methylprednisolone. Li-hormone li khethiloe bakeng sa ho phekoloa maemo a ikhethang (lefu la hypertoxic, lefu la asphyxia ka lebaka la edema ea phatlalatsoang le maemo a mang a sokelang bophelo).

Lijo bakeng sa mononucleosis tse tšoaetsanoang ho bana

Lefu la Epstein-Barr le senya litho tsa lymphoid, tse ling tsa tsona ke sebete. Ka lebaka lena, lijo tse khethehileng li khothalletsoa bakeng sa mononucleosis ho bana. Molemo ka mokhoa o fokolang, empa hangata (makhetlo a 4-6 ka letsatsi) lijo. Lijo le lijo tsohle li lokela ho fanoa ka mofuthu o mofuthu, o e-na le 'metso o bohloko ha o ntse o metsa ho molemo ho tlosa lijo leha e le life tse halefisang. Lijo tse leka-lekaneng li hlahisoa, eseng ho laola sebete, ka karolo e phahameng ea likarolo tsa liprotheine, livithamine, limela tsa meroho le liphoofolo, lik'habohaedreite.

Lihlahisoa tse latelang li thibetsoe kapa ha lia khelosoa:

• nama e mafura le tlhapi;
• liphaephe tse chesang;
• e halikiloeng le e entsoeng ka lijana tse ngata;
• li-broth tse matla le li-soups tse ruileng;
• marinades;
• lisebelisoa tsa tsuba;
• libano tse bohale;
• tlhokomelo;
• lijo leha e le life tsa acidic;
• tamati;
• li-sauces;
• li-mushroom;
• linate;
• fragola;
• konofolo;
• lihlahisoa tsa nama;
• eiee;
• k'hafu;
• radish;
• spinach;
• radish;
• lihlahisoa tse mafura;
• litholoana tsa citrus;
• tse tala;
• mahepu;
• bohobe bo botšo;
• lipere;
• Lijo tse monate le botoro le tranelate ea mafura;
• tsokolate;
• mahobe;
• koaa;
• lebese lohle;
• likhalase tsa carbonate, haholo-holo monate.

Lijo tse khothalletsoang nakong ea phekolo:

• meroho ea meroho le sopho;
• lijo tsa nama, litlhapi (li phehiloe, li phehotsoe, li entsoeng ka likotoana, li-meatball, li-cutlets, mousse le lintho tse ling tsa nama e nkiloeng);
• bohobe bo tšoeu bosiu, li-biscuits;
• likomkomere;
• li phehiloe le li-porcene tse metsi ka metsi;
• casseroles;
• lihlahisoa tsa lebese tsa mafura a fatše;
• li-salate ea meroho, leqe;
• litholoana tse monate;
• liapole tse behiloeng;
• li-biscuits tse ommeng, li-biscuits;
• kissels;
• ho chesa li-apricot tse omisitsoeng, li-prunes;
• tee e fokolang le tsoekere;
• jeme;
• motsoako;
• pastila;
• marmalade;
• compote ea litholoana tse omisitsoeng;
• decoction ea letheka la rose;
• ciliegia;
• apricots;
• Liperekisi (ntle le peel), li-nectarine;
• mahapu;
• e sa ntsane e le metsi a mangata;
• tea ea litlama (ka ho khetheha e monate).

Ho khutla ha mononucleosis ho bana

Likhoeli tse tšeletseng tse latelang ho tloha nakong ea ho hlaphoheloa ha ngoana li lokela ho bontšoa nako le nako ho ngaka. E thusa ho tiisa hore na litla-morao tse mpe li bakile mononucleosis ho bana - matšoao le phekolo e hlalositsoeng ka tsela e nepahetseng ha li tiisetse ho thibela tšenyo ea sebete le li-spleen tissue. Ho hlahlojoa hangata ho etsoa ka makhetlo a mararo - ka mor'a likhoeli tse 1, 3 le tse 6 ho tloha letsatsing la ho fola.

Ho khutla ha mononucleosis ho amana le ho boloka mesebetsi e tloaelehileng e tloaelehileng:

1. Thibelo ea lits'ebeletso. Ho bana ba hlaphohileng ho tsoa lefapheng la ho hlahloba, ho hloka lintho tse fokolang sekolong. Ho khothalletsoa ho qoba koetliso ea 'mele, ngoana ka mor'a lefu lena o ntse a fokola' me kapele o khathala.
2. Eketsa nako e setseng. Lingaka li eletsoa ho lumella ngoana hore a robale lihora tse 10-11 bosiu le lihora tse 2-3 hoseng haeba a li hloka.
3. Ho latela tumellano e nepahetseng. Bana ba lokela ho ja ka hohle kamoo ho ka khonehang, fumana li-vithamine tsa bohlokoa, li-amino acid le liminerale. Ho eletsoa ho tsoelapele ho fepa ngoana ka lijo tse phetseng hantle ho potlakisa phekolo le ho hlaphoheloa ha lisele tse senyehileng tsa sebete.
4. Ho etela libaka tsa maeto. Lipatlisiso tsa morao-rao li bontšitse hore phomolo haufi le leoatle ha e kotsi ho bana ba hlaphohileng ho tloha mononucleosis. Ho hlokahala hore feela ho fokotsa nako ea hore ngoana a lule tlas'a mahlaseli a letsatsi.