Mononucleosis mwa ana - zizindikiro ndi chithandizo asanabwezeretse mwanayo

Vuto la Epstein-Barr limayambitsa matenda opatsirana angapo ndi njira yovuta komanso zizindikiro. Mmodzi wa iwo ndi Filatov's disease kapena mononucleosis, yomwe imapezeka makamaka kwa ana a zaka zitatu. Zizindikiro ndi chithandizo cha matendawa zimaphunziridwa bwinobwino, choncho n'zosavuta kuchipirira popanda vuto.

Mononucleosis mwa ana - kodi matendawa ndi chiyani?

Matendawa amawopsa kwambiri chifukwa cha kutupa kwa matenda a lymphoid. Maononucleosis mwa ana amakhudza magulu angapo a ziwalo:

• maselo amphongo (onse);
• toni;
• mphala;
• chiwindi.

Kodi mononucleosis imafalitsidwa motani kwa ana?

Njira yaikulu yofalitsira matendayo imalingaliridwa kuti ikuuluka. Kuyanjana kwambiri ndi munthu wodwala matenda ndi njira yowonjezereka, monga momwe mononucleosis imafalikira, chifukwa chake nthawi zina amatchedwa "kukupsyola matenda". Kachilombo kamene kamakhalabe kotereku, mukhoza kutenga kachilombo kazomwe mumagwiritsa ntchito:

• zidole;
• mbale;
• chovala;
• matawulo ndi zinthu zina.

Nthawi yosakaniza ya mononucleosis kwa ana

Matendawa sali othandizira kwambiri, miliri sizichitika. Pambuyo pa matenda, matenda opatsirana a mononucleosis ana sawonekera nthawi yomweyo. Kutalika kwa nthawi yopuma kumadalira kuchuluka kwa ntchito ya chitetezo. Ngati ndondomeko yotetezera imafooka, ili pafupi masiku asanu. Zamoyo zamphamvu zimamenyana ndi kachirombo ka HIV mpaka miyezi iwiri. Mphamvu ya chitetezo cha mthupi imakhudza momwe ana amachitira mwana - zizindikiro ndi mankhwala zimakhala zosavuta pamene dongosolo lotetezera liri lamphamvu. Nthawi yayitali ya nthawi yopangira makina imakhala mkati mwa masiku 7-20.

Mononucleosis - Kodi mwanayo ndi wotani?

Wothandizira odwala matenda a Filatov amamangidwa m'maselo ena a thupi kosatha ndipo nthawi zonse amavomerezedwa. Viral mononucleosis m'matumbo amawopsa kwa masabata 4-5 kuyambira nthawi ya matenda, koma amavulaza ena. Pogwiritsa ntchito zinthu zina zakunja zofooketsa chitetezo cha mthupi, maselo a tizilombo amayambanso kuchulukana ndi kuyima ndi mpeni, ngakhale mwanayo ali wathanzi. Izi siziri vuto lalikulu, onyamula kachilombo ka Epstein-Barr - pafupifupi 98 peresenti ya anthu padziko lapansi.

Kodi choopsa cha mononucleosis ndi chiyani?

Zotsatira zopweteka zimabuka m'milandu yapadera, pokhapokha ndi thupi lofooka kapena kukhudzana ndi matenda ena achiwiri. Zimaphweka mosavuta mononucleosis kwa ana - zizindikiro ndi chithandizo, zowunikiridwa ndi kuyambitsidwa panthawi yake, zothandizira kupewa mavuto aliwonse. Kubwezeretsa kumaphatikizapo kupanga kapangidwe ka chitetezo chokhazikika, chifukwa chomwe kachiwiri kachilombo ka HIV kamakhalako kamene sikamachitika, kapena kutengedwa kusamvetsetseka.

Zotsatira zambiri za mononucleosis kwa ana:

• paratonzillitis;
• otitis ;
• chibayo ;
• sinusitis;
• nthenda;
• kupweteka kwapakhosi ;
• hemolytic anemia;
• chidziwitso chodziletsa;
• kupasuka kwa mpeni ;
• Kuthamanga kwa khungu (nthawizonse ndi mankhwala opha tizilombo).

Mononucleosis mwa ana - zimayambitsa

Wothandizira matenda a Filatov ndi matenda omwe amapezeka m'banja la herpes. Tizilombo toyambitsa matenda a Epstein-Barr mwa ana nthawi zambiri timakhala m'malo osokonezeka (sukulu, sukulu zamakono ndi masewera ochitira masewera). Chinthu chokhacho chimene chimayambitsa matenda ndi matenda a mononucleosis. Gwero la kachilombo ndi chithandizo chilichonse cha kachilombo komwe mwanayo amagwira nawo ntchito.

Mononucleosis mwa ana - zizindikiro ndi zizindikiro

Chithunzi cha kachipatala cha matendawa chingasinthe pa nthawi zosiyanasiyana za matendawa. Matenda opatsirana a mononucleosis ana - zizindikiro:

• kufooka;
• kutupa ndi kuchepa kwa maselo amphamvu;
• catarrhal bronchitis kapena tracheitis ;
• kutentha kwa thupi;
• kupweteka m'maganizo ndi minofu motsatira maziko a lymphostasis;
• kuwonjezeka mu kukula kwa nthenda ndi chiwindi;
• chizungulire;
• migraines;
• pakhosi pakumwa;
• kupweteka kwapachimake m'kamwa;
• kukhudzidwa kwa SARS ndi ARI.

Ndikofunika kusiyanitsa matenda ofanana ndi a mononucleosis kwa ana - zizindikiro ndi chithandizo cha kachilombo ka Epstein-Barr amatsimikiziridwa kokha atatha kuchipatala. Njira yokhayo yodalirika yodziwira matenda omwe ali nawo ndi kuyesa kwa magazi. Ngakhale kukhalapo kwa zizindikiro zonsezi sikukusonyeza kupitirira kwa matenda a Filatov. Zizindikiro zofanana zingakhale zikuphatikiza ndi:

• rubella ;
• mphutsi;
• angina;
• chithandizo;
• Tularemia;
• rubella;
• chiwindi;
• pseudotuberculosis ndi zina matenda.

Rash ndi mononucleosis mwa ana

Kuwonetsa khungu kwa matenda omwe akufotokozedwa kumachitika m'mabuku awiri:

1. Kugwiritsa ntchito herpes kachilombo. Zizindikiro za mononucleosis mwa ana nthawi zina zimaphatikizapo kupanga mapangidwe a vesicles omwe ali ndi madzi oopsa pamtunda kapena m'munsi, makamaka ana omwe ali ndi chitetezo chofooka.
2. Kulandila kwa maantibayotiki. Kuchiza matenda opatsirana kachiwiri kumachitika ndi antchito a antibiotic, makamaka Ampicillin ndi Amoxicillin. Mu 95% ya ana, chithandizo choterechi chikuphatikizidwa ndi chiphuphu, chomwe chikhalidwe chake sichinafotokozedwe.

Kuthamanga ndi mononucleosis

Matendawa amachititsa kuti Epstein-Barr tizilombo toyambitsa matenda - zizindikiro za kulowa m'thupi zimakhudza nthawi zonse matenda a lymphoid, kuphatikizapo matani. Polimbana ndi matendawa, zilonda zimakhala zofiira kwambiri, kutupa ndi kutentha. Izi zimayambitsa kupweteka ndi kuyamwa pammero, makamaka pakumeza. Chifukwa cha kufanana kwa chithunzi chachipatala, nkofunika kusiyanitsa angina ndi mononucleosis kwa ana - zizindikiro zazikulu ndi chithandizo cha matendawa ndi osiyana. Matenda a tizilombo ndi tizilombo toyambitsa matenda ndipo angathe kuchiritsidwa ndi ma antibayotiki, ndipo matenda a Filatov ndi odwala matenda a tizilombo, mankhwala osokoneza bongo sangamuthandize.

Kutentha ndi mononucleosis

Hyperthermia imaonedwa ngati imodzi mwa zizindikiro zoyambirira za matendawa. Kutentha kwa thupi kumayambira ku chikhalidwe chamagulu (37.5-38.5), koma chimatenga nthawi yaitali, pafupi masiku khumi kapena kuposerapo. Chifukwa cha malungo a nthawi yaitali, nthawi zina, ana amalephera kupirira - zizindikiro za kuledzera chifukwa cha kutentha kwabwino kwa mwanayo:

• kugona;
• mutu;
• chiwonetsero;
• zolemba;
• kupweteka mu minofu;
• zovuta;
• kunyoza.

Mayeso a magazi a mononucleosis ana

Zizindikirozi sizomwe zimawerengedwa. Poyeretsa, kupenda kwapadera kumachitika kwa ana a mononucleosis. Zimaphatikizapo pophunzira magazi, ndi matenda a Filatov m'thupi lachilengedwe:

• kupezeka kwa maselo oopsa - mononuclears;
• kuchepa kwa chiwerengero cha leukocyte;
• kuwonjezeka m'matenda a ma lymphocytes.

Kuwonjezera pamenepo, kufufuza kumapangidwira kachilombo ka Epstein-Barr. Pali njira ziwiri zoyenera kuchita:

1. Kafukufuku wosadziwika. Kufufuza kwa matenda a antibodies (immunoglobulins) IgM ndi IgGk m'magazi.
2. Manyowa a polymerase. Zomwe zilipo (magazi, saliva, sputum) zimafufuzidwa chifukwa cha kukhalapo kwa DNA kapena RNA kachilomboka.

Kodi mungatani kuti muchepetse mwana wanu mononucleosis?

Pakadali pano, palibe mankhwala othandiza omwe angalepheretse kuchulukitsa kwa maselo opatsirana. Kuchiza kwa mononucleosis kwa ana kumangopereka mpumulo wa zizindikiro za matenda, kupumula kwa kayendetsedwe kake ndi kulimbikitsa thupi lonse:

1. Ndondomeko ya bedi. Chinthu chachikulu ndicho kupereka mwanayo mwamtendere, osati kumangokhalira kugonjetsa thupi ndi maganizo.
2. Chakumwa chotentha kwambiri. Kugwiritsa ntchito madzi kumathandiza kuchepetsa kutentha kwa madzi kutentha, kumapangitsa kuti magazi azikhala ochepa kwambiri, makamaka kudya mavitamini.
3. Kusamala mwakachetechete. Madokotala amalimbikitsa kuti azigwiritsanso chakudya mukamadya chakudya komanso kudula mano katatu patsiku.

Kuchiza kwa matenda opatsirana a mononucleosis kwa ana kungaphatikizepo kugwiritsa ntchito opanga mankhwala:

1. Antipyretics - Acetaminophen, Ibuprofen. Kutentha kumatha kuchepetsedwa ngati ukukwera pamwamba madigiri 38.5.
2. Antihistamines - Cetrin, Suprastin. Mankhwala otsutsana ndi tizilombo toyambitsa matenda amathandiza kuchepetsa zizindikiro za kuledzera.
3. Vasoconstrictive (kumaloko, ngati mavupulu) - Galazolin, Ephedrine. Njira zothetsera vuto zimapatsa mpumulo kupuma.
4. Antitussive - Broncholitin, Libexin. Mankhwalawa ndi othandiza pochiza matenda a tracheitis kapena bronchitis.
5. Maantibayotiki - Ampicillin, Amoxicillin. Osankhidwa pokhapokha ngati akugwirizana ndi kachilombo koyambitsa matenda a bakiteriya, mwachitsanzo, pamene ayamba ya purulent imayamba.
6. Corticosteroids - Prednisolone, Methylprednisolone. Mahomoni amasankhidwa kuti asamalire zochitika zosaoneka bwino (hypertoxic pathology, kuopsezedwa ndi asphyxia chifukwa cha kutchulidwa kwa edema ya matani ndi zinthu zina zoopseza moyo).

Kudyetsa ana opatsirana pogonana mononucleosis

Vuto la Epstein-Barr limawononga ziwalo za lymphoid, chimodzi mwa izo ndi chiwindi. Pachifukwa ichi, zakudya zowonjezera zimalimbikitsa mononucleosis ana. Makamaka ndi pang'ono, koma nthawi zambiri (4-6 pa tsiku) chakudya. Chakudya ndi zakumwa zonse ziyenera kutumikiridwa mu mawonekedwe ofunda, ndi zilonda zowawa panthawi yomeza kuti ndibwino kuti tisiye chakudya chilichonse chokhumudwitsa. Zakudya zolimbitsa thupi zimapangidwanso, osati kuchuluka kwa chiwindi, ndi mapuloteni apamwamba, mavitamini, masamba ndi zinyama, mafuta.

Zotsatira zotsatirazi ndizoletsedwa kapena zosalidwa:

• nyama yochuluka ndi nsomba;
• mitsuko yatsopano;
• yokazinga ndi kuphika ndi zowona;
• mitsuko yamphamvu ndi soups wolemera;
• marinades;
• zosuta;
• zonunkhira;
• kusamalira;
• zakudya zowonjezera;
• tomato;
• sauces;
• bowa;
• mtedza;
• sitiroberi;
• adyo;
• nyama zogulitsa;
• anyezi;
• kabichi;
• radish;
• sipinachi;
• radish;
• mafuta;
• zipatso za citrus;
• raspberries;
• mavwende;
• mkate wakuda;
• mapeyala;
• Maswiti ndi mafuta ndi zonona zonona;
• chokoleti;
• mikate;
• koka;
• mkaka wonse;
• zakumwa za carbonat, makamaka zokoma.

Zotchulidwa mbale panthawi ya mankhwala:

• masamba broths ndi soups;
• chakudya, nsomba (zophika, zowonongeka, zopangidwa monga zidutswa za meatballs, cutlets, mousse ndi zina za nyama yosungunuka);
• mikate yoyera ya dzulo, masikisi;
• nkhaka;
• yophika ndi mapiri a madzi mumadzi;
• casseroles;
• mkaka wa mafuta ochepa;
• saladi zamasamba, saute;
• zipatso zokoma;
• maapulo ophika;
• ma biscuits owuma, mabisiketi;
• kisels;
• zowonjezereka zowonjezereka, prunes;
• tiyi wofooka ndi shuga;
• kupanikizana;
• wokondedwa;
• pasiti;
• chithunzi;
• compote wa zipatso zouma;
• kudula mchiuno;
• chitumbuwa;
• apricots;
• Amapichesi (opanda peel), timadzi tokoma;
• mavwende;
• akadali madzi amchere;
• tiyi wamchere (makamaka sweeten).

Kuchokera pambuyo pa mononucleosis kwa ana

Miyezi isanu ndi umodzi yotsatira kuchokera pamene mwanayo ayamba kuchira ayenera kuwonetsedwa nthawi zonse kwa dokotala. Zimathandiza kukhazikitsa ngati zotsatira zolakwika zomwe zawonetsa mononucleosis kwa ana - zizindikiro ndi chithandizo chomwe chimatanthauzidwa molondola sizitchinjiriza kutetezedwa ku chiwindi ndi nthendayi. Kuyesedwa kawirikawiri kumachitika katatu - patatha miyezi 1, 3 ndi 6 kuchokera tsiku lochira.

Kubwezeretsa pambuyo pa mononucleosis kumaphatikizapo kusunga zinthu zambiri zomwe zimachitika:

1. Kuletsedwa kwa katundu. Kwa ana amene adachiritsidwa kuchokera kuchipatala, zochepa zofunikira kusukulu ziyenera kuperekedwa. Povomerezedwa kuti asamaphunzitsidwe, mwanayo atatha kufooketsa, amalephera kufooka.
2. Onjezani nthawi yotsala. Madokotala akulangizidwa kuti alole mwanayo kugona pafupi maola 10-11 usiku ndi maola 2-3 madzulo ngati akufuna.
3. Kugwirizana ndi zakudya zabwino. Ana ayenera kudya monga momwe angathere, kupeza mavitamini, amino acid ndi mchere. Ndibwino kuti mupitirize kudyetsa mwanayo ndi zakudya zathanzi kuti mufulumire chithandizo ndi kuchira kwa maselo a chiwindi.
4. Kukaona malo odyera. Kafukufuku wamakono wasonyeza kuti kupumula kwa nyanja si kovulaza kwa ana amene adzichotsa ku mononucleosis. Ndikofunika kumangopatula nthawi yomwe mwanayo amakhala pansi pa kuwala kwa dzuwa.