Vuto la Epstein-Barr ndi limodzi mwa matenda opatsirana kwambiri. Malingana ndi chiwerengero, 98% ya anthu akuluakulu m'thupi amakhala ndi ma antibodies ku matendawa. Matendawa amatanthauza matenda opatsirana osatetezedwa. Palibe katemera motsutsana ndi matendawa, choncho, kufalikira kwake sikungakhudzidwe.
Vuto la Epstein-Barr - ndi chiyani?
Choyamba chinapezedwa mu 1964 mu zitsanzo zamatumbo. Anatsegulidwa ndi Pulofesa Michael Epstein ndi wothandizira Yvonne Barr. Kuwalemekeza iwo, ndipo amatchedwa kachilombo. Mu mankhwala, nthawi zambiri amagwiritsidwa ntchito kuchepetsa VEB. Tizilombo tating'onoting'ono tomweyi ndi a banja la antchito ake. Komabe, mosiyana ndi mavairasi ena mu gulu ili, matenda samabweretsa imfa, koma amangokhudza maselo pang'ono. Zotsatira zake, mtundu wa tizilombo 4 wa tizilombo timene timayambitsa matendawa timachititsa kuti maonekedwe ake asapangidwe. Njira iyi mu mankhwala imatchedwa "kuchuluka." Zimasonyeza kuwonjezeka kwa maselo.
Kodi kachilombo ka Epstein-Barr kanasinthika bwanji?
Gwero la matendawa ndi munthu wodwala. Ndizowopsa kwambiri kwa anthu oyandikana nawo pamapeto otsiriza. Ngakhalenso matendawa atagonjetsedwa, thupi la wodwalayo likupitirizabe kugawa tizilombo toyambitsa matenda kwa zaka 1.5. Epstein-Barr kachilombo koyambitsa matenda ali ndi izi:
- Njira ya Aerogenic - ngozi ndikutsekemera kwa saliva ndi mankhwala osokoneza bongo . Kutenga kumatha kuchitika ndi kupsompsona, kukambirana, kukokera kapena kupopera.
- Kuyankhulana ndi njira zapanyumba. Zagawo za mitsempha ya kachilomboka zimatha kukhala pa mbale, tilu komanso zinthu zina zomwe zimagwiritsidwa ntchito.
- Njira yoika magazi. Amagulu amalowa m'thupi pambuyo poika magazi magazi.
- Pamene kupuma kwa mafuta a m'mafupa - kuchokera kwa wopereka kachilomboka kwa wolandira.
- Njira yopitilira njirayi imachokera ku mimba ya pakati.
Wothandizira pambuyo polowera kulowa mu thupi amalowa m'kati mwa mitsempha yotchedwa lymphatic system, ndipo kuchokera pamenepo imafalikira ku ziwalo zosiyana. Pa nthawi yoyamba ya kukula kwa matenda, kufa kwakukulu kwa maselo a tizilombo kumachitika mbali. Otsalira akufutukula mwakhama. Chotsatira chake, matendawa kuchokera pachigawo choyambirira amatha kufika pachimake, ndipo zizindikiro za matendawa zimayamba kuonekera.
Kodi ndi kachilombo koyambitsa matenda a Epstein-Barr?
Chiwonetsero chosavuta cha matendawa ndi matenda opatsirana a mononucleosis. Amatchedwanso Filatov's disease. Ndi chitetezo champhamvu, matendawa ndi ofatsa. Kawirikawiri zimatengedwa ngati matenda a tizilombo toyambitsa matenda. Panthawi imeneyi, thupi limapanga tizilombo toyambitsa matenda ku Epstein-Barr. M'tsogolomu, ma immunoglobulins amaletsa ntchito ya antchito.
Ngati chitetezo champhamvu chiri champhamvu ndipo mankhwalawa asankhidwa bwino, kachilombo ka Epstein-Barr sikangayambitse zotsatira zake. M'malo mwake, munthu adzakhala ndi chitetezo chamoyo chonse ku matendawa. Ndi mphamvu yochepa yotetezera, nthawi zambiri sichikuchiritsidwa. Vutoli likupitirizabe kugwira ntchito mu thupi la munthu, kukhudza ziwalo zake ndi machitidwe. Zotsatira zake, matenda aakulu akhoza kukula.
Kodi matenda a Epstein-Barr amachititsa matenda otani?
Matendawa amachititsa kuti pakhale vuto loopsa. Vuto la Epstein-Barr limapangitsa mavuto monga:
- matenda aakulu;
- shuga;
- nyamakazi ya nyamakazi;
- matenda opatsirana (khansa ya m'mimba, minofu ya lymphoid, matani, matumbo ndi zina zotero);
- bakiteriya chibayo;
- magazi;
- kupweteka;
- hepatitis ya poizoni;
- lupus erythematosus;
- matenda a magazi.
Kuwonjezera apo, pali kusintha kwakukulu mu ntchito ya chitetezo. Wodwalayo amakhala ndi chizoloŵezi chodwala matenda opatsirana. Ngakhalenso milandu imalembedwa kumene munthu amachira matenda, komwe kumakhala koyambitsa chitetezo. Mwachitsanzo, ikhoza kukhala chikuku, nkhuku, rubella ndi zina zotero. Momwemonso chitetezo cha mthupi chimakhala choopsa, cytomegalovirus ndi herpes simplex zimachitika.
Epstein-Barr kachilombo mimba
Matendawa mu nthawi yobereka mwana ndi yowopsya kwambiri. Nthawi ina, zimakhala zotetezeka kwa mayi ndi mwana, ndipo zina zimakhala zoopsa kwambiri. Vuto la Epstein-Barr pamene ali ndi pakati lingayambitse matendawa:
- kupatuka kwapadera;
- mimba yofiira;
- kupweteka maso kwa khanda;
- kamwana kakang'ono;
- Kulephera kwa kayendedwe kabwino ka mwana;
- chroniosepsis;
- kugonjetsedwa kwa dongosolo la mitsempha mu fetus.
Komabe, kachilombo ka Epstein-Barr IgG sikakhala koopsa nthawi zonse. Ngati mayi adayesedwa asanayambe kutenga mimba ndi ma antibodies ake amapezeka m'magazi, izi zimasonyeza kuti ali ndi kachilombo, koma thupi limamenyana bwino. Komabe, mayi pa nthawi yobereka mwana ayenera kutenga pulogalamu ya PCR 5-7 nthawi. Izi zidzakuthandizani kuti muwone zomwe zikuchitika ndipo, ngati kuli koyenera, yambani mankhwala oopsa.
Kuopsa kwa tsogolo la mayi ndi fetus ndi ma antigen a mtundu wa IgG-EA womwe umapezeka m'magazi. Kukhalapo kwawo kukusonyeza kuti kachilombo ka Epstein-Barr kanakhazikitsidwa. Pachifukwa ichi, adokotala adzalamula njira yapadera yokhala ndi chithandizo. Njira yotereyi ndi cholinga choyambitsa wothandizila kuti asalowe m'malo. Mu mawonekedwe awa, iye adzakhala otetezeka kwambiri kuti mkazi ndi mwanayo abadwe.
Vuto la Epstein-Barr - chizindikiro
Matendawa ali ndi nthawi zitatu: makulitsidwe, maulendo ovuta komanso mawonekedwe aakulu. Matendawa atangotenga kachilomboka, matendawa ndi osakwanira. Nthawi zina, pangakhale zizindikiro:
- zofiira za mabwalo amkati;
- kuwonjezeka kutentha kwa thupi kufika 38 ° C;
- kusokonezeka kwa minofu .
Matenda a herpes simplex 4 omwe ali ndi chidziwitso m'kati mwake akhoza kukhala awa:
- kutentha kwa thupi kumakwera mpaka 40 ° C;
- mitsempha yowonjezereka;
- liwu limakhala wamphongo;
- Kuchokera pa matayoni pali purulent discharge;
- pali kuwonjezeka kwa kukula kwa chiwindi ndi nthata;
- Kuthamanga khungu kumawonekera pa thupi.
Vuto la Epstein-Barr limasonyeza kuti matendawa ndi awa:
- kufooka kwakukulu;
- thukuta;
- ululu m'maganizo ndi minofu;
- kupweteka kwa kukumbukira ndi kupezeka kwa chidwi;
- chisokonezo chagona;
- mutu;
- thrush ;
- herpes pa milomo .
Epstein-Barr HIV - matenda
Popeza matendawa ali ofanana kwambiri ndi matenda ena opatsirana, dokotala asanayambe kumwa mankhwala adzalangiza wodwalayo kuti ayesedwe. Dziwani kuti kachirombo ka Epstein-Barr ka magazi kamathandizira. Wodwalayo amatha kufufuza bwinobwino ma immunological. Ayeneranso kupititsa kuyeretsa kwa magazi komanso kachibadwa. Kuwonjezera apo, wodwalayo wapatsidwa maphunziro kuti adziwe mayankho a seriti.
Ngati kuli kotheka, dokotala akhoza kulangiza njira zina zothandizira:
- X-ray yamphongo;
- kufunsana kwa wodwalayo;
- kuyembekezeretsa magazi ;
- kufunsira kwa katswiri wamagazi;
- Ultrasound ya chiwindi ndi nthata;
- Kukambirana kwa ovumbula.
Kapsid antigen wa HIV Epstein-Barr
Mu mankhwala, ilo limasankhidwa VCA. Mankhwala a m'kalasi G amapangidwa ndi thupi masabata atatu mutangoyamba kumene. Iwo ali ndi moyo kwa onse omwe ali ndi VEB. Vuto la Epstein-Barr capsid limapezeka ndi hematological test. Mfundo zotsatirazi (unit / ml) zimakhala chitsogozo:
- zosakwana 20 - zoipa;
- oposa 40 - abwino;
- 20-40 - ndizokayika.
Antigen ya nyukiliya ya kachilombo ka Epstein-Barr
Mu mankhwala, iwo amatchulidwa EBNA. Dziwani kuti kachilombo ka nyukiliya Epstein-Barr ikhoza kukhala miyezi isanu ndi umodzi mutatha kutenga kachilombo ndikuyambitsa mankhwala. Pomwe nthawi yobwezeretsa ikubwera. Ngati matenda a Epstein-Barr akuyambitsa matenda a haematological, kuwunika kumeneku kudzakhala kolondola ngati zingatheke:
- amaperekedwa pa mimba yopanda kanthu;
- tsiku lisanafike kusintha, muyenera kusiya chakudya chokazinga ndi mafuta;
- Pa nthawi yoyezetsa, ntchito zakuthupi ziyenera kutayidwa.
Vuto la Epstein-Barr ndi antigen ya nyukiliya
Amapangidwa ndi othandizira opitiriza mu maselo a thupi. Vuto la Epstein-Barr limapanga tizilombo toyambitsa matenda pambuyo poti tizilombo toyambitsa matenda tizilombo toyambitsa matenda timene timayambitsa matenda a maselo a maselo, omwe amakhala mu mtima wawo. Mankhwala oterewa amasiya malo awo "kubadwa" ndipo amatulukira pamwamba pa nembanemba. Popeza zimapangidwa m'maganizo a maselo obwera, maselo oterewa amatchedwa nyukiliya. Pakadali pano, mitundu isanu ya antigen yotereyi imadziwika. Kuti apeze matendawa, amaphunzira kwambiri za hematological.
Vuto la Epstein-Barr - mankhwala
Pa nthawi yovuta ya matendawa, njira yovomerezeka ikulimbikitsidwa. Pambuyo pa kachilombo ka Epstein-Barr kamakhala kosalekeza, wodwalayo akuchira mofulumira kunyumba. Mu acute mononucleosis ndibwino kuti:
- mpumulo;
- chakudya chokwanira nthawi zonse;
- kumwa kwakukulu;
- Kuchotsa ku zakudya zamagetsi zomwe zimayambitsa kutentha (chokoleti, uchi, zipatso za citrus ndi zina zotero);
- kukana zakudya zamphongo, zamchere ndi zamchere;
- kulimbikitsa zakudya ndi mankhwala omwe ali ndi mavitamini B ndi C, ndi mkaka wowawasa.
Mankhwalawa ayenera kukhala omveka bwino. Cholinga chake ndikuteteza kachilombo ka HIV, kulimbikitsa chitetezo cha mthupi komanso kupewa chitukuko cha mavuto. Pano pali njira zochizira mankhwala a Epstein-Barr:
- maantibayotiki (Cefodox, Azithromycin , Ceftriaxone);
- mankhwala osokoneza bongo (Fosquavir, Gerpevir, Acyclovir);
- mankhwala omwe ali ndi kachilombo koyambitsa matenda ndi matenda osokoneza bongo (Interferon, Uracil, Cycloferon);
- antihistamines (Cetrin, Suprastin, Loratadine);
- ma immunoglobulins (Bioven, Pentaglobin, Sandoglobulin);
- zamatsenga (Enterosgel, activated carbon);
- mankhwala a hormonal (Dexamethasone, Prednisolone);
- mavitamini (Pikovit, Vitrum, Milgama).
Nthawi iliyonse, pamene kachilombo ka Epstein-Barr kamapezeka, chithandizo cha munthu aliyense chimasankhidwa. Kutalika kwa mankhwala kumadalira kukula kwake kwa chiwonetsero cha matenda komanso mkhalidwe wa chitetezo cha wodwalayo. Ngati matendawa ayamba kale ndipo akutsatiridwa ndi machitidwe opweteka, palibe njira yapadera yolimbana nayo. Mankhwalawa ali ochepetsedwa kuti apitirize kulimbitsa thupi.
Kodi kachilombo ka Epstein-Barr kangachiritsidwe?
N'kosatheka kuthetsa matendawa. Ngakhale mankhwalawa atagwiritsidwa ntchito mankhwala osokoneza bongo, kachilombo ka herpes 4 kakapitiriza kukhalapo mu B-lymphocytes. Pano izo zasungidwa kwa moyo. Ngati munthu ali ndi chitetezo champhamvu, kachilombo kamene kamayambitsa matenda a Epstein-Barr sichigwira ntchito. Pomwe chitetezo cha thupi chitachepa, VEB imapita kudera lazowonjezereka.
Vuto la Epstein-Barr - mankhwala ndi mankhwala owerengeka
Njira yothandizira yokha yokha imapereka zotsatira zooneka bwino. Amagwiritsidwa ntchito mogwirizana ndi mankhwala osankhidwa bwino ndi kuyang'aniridwa ndi dokotala. Pulojekiti ndi imodzi mwa njira zamankhwala. Chidutswa chaching'ono (mpaka 5 mm m'mimba mwake) chiyenera kusungunuka kufikira zitasungunuka kwathunthu. Vuto la Epstein-Barr la therere limasonyeza kugwiritsa ntchito. Nthawi zambiri ndi:
- chamamile;
- timbewu;
- kalendula;
- ginseng;
- mayi ndi mayi opeza.