Zvirwere mononucleosis nedzevakuru

Chirwere mononucleosis chokuita zvakafanana zvinotapukira kuri chakasimba uye inokuvadza zvomukati uye node nodes. Panguva iyoyowo kuchinja uye ropa zvavaifunga.

Mononucleosis nedzevakuru: nhoroondo mashoko

Kwenguva refu maperembudzi chete kuonekwa sechinhu nhengo dzinobudisa Kupindura ivhu vamwe zvirwere. Ake kuzvimirira kunotoda mufananidzo wokutanga 1885 akarondedzera NF Filatov. Akataura pfungwa yokuti hosha kunobva nokuwedzera ari node nodes, akaitumidza glandular fivha. Kusvikira mashoma makore mononucleosis anorondedzerwa se nhengo dzinobudisa angina nezvimwe zvirwere. Yaiwanzoshandiswa panguva ino chete zita chirwere yaiva 1902.

Mononucleosis nedzevakuru: etiology

Zvirwere mumiririri ndiye Epstein-Barr utachiwana, rinogona kuridza kunyange lymphocytes. Iye haitungamiriri muchitokisi rufu, asi nekusiyana, zvinosimudzira nokupesana kwavo uye kubereka. The nemavhairasi nezvimedu ane zvakawanda maantigen chimwe nechimwe achiumbwa imwe kuti. Zvadaro, muna chete kuti mumwe nomumwe wavo muropa munhu ane HIV vari synthesized runoenzanirana antibodies. Virus ari mamiriro ezvinhu anenge kugadzikana, uye pamusoro nokuomesa, uye kuona kuti mukuru tembiricha uye mishonga yokuuraya utachiona anofa zvose.

Mononucleosis nedzevakuru: zviratidzo

The siyana incubation nguva iri rakafara chaizvo kubva mazuva mana kusvikira pamwedzi, asi Paavhareji payo ndedzoupenyu vhiki kana maviri. Dzimwe nguva chirwere chiri nyore zvakadaro, kuti vanhu havafaniri kurapwa. Asi kazhinji kuchiri kunotanga zvishoma nezvishoma kana kamwe fivha. The nomusoro zvakaipa murwere chinokonzera kunyumwira kuti yomumuzongoza. Febrile nguva agare kwemazuva 4 chete, asi anogona kusvika kusvika mwedzi miviri.

Permanent chirwere zviratidzo - kuzvimba node nodes. Most zvakajeka kunokanganisa avo riri pamwe rwemberi pamucheto sternoclavicular-munyatso tsandanyama. Nodes inorwadza pamusoro palpation. Day muna matatu kana mana vanosvika kukura walnuts. Other shwanu (inguinal, mesenteric, axillary, mediastinal) rinogonawo muzvirongwa izvi. Kazhinji, wakawedzera chirwatata uye nekuumbanidzwa. On palpation nayo haakonzeri marwadzo.

Rinotevera chiratidzo - ihosha huro. Zvingava ndisipo zvisingawanzoitiki zviitiko. Angina kungaratidzwa kubva pakatanga chirwere, uye mazuva mashomanana gare gare. By hunhu kunogona lacunar, kana catarrhal urikanwi-diphtheritic. Mukupera nyaya mononucleosis nedzevakuru zvakaoma kusiyanisa diphtheria huro. Uye, chokwadi, mumwe mufundisi chiratidzo - kuchinja muropa. Pakutanga maperembudzi kuchengetwa leukocytosis. The zviri mononuclear masero anosvika 40-90%. ESR romuzvarirwo kana zvishoma kwakawedzera. No kutsaudzira pamusoro chikamu Chizenga uye masero matsvuku eropa. Mune zvimwe zviitiko, zviratidzo zvapfuura kare mazuva 10-15, asi dzimwe nguva kunyange pashure kumira nefivhiri kwenguva refu nguva awanda node nodes uye chirwatata, kunonoka uye kushandura Zvinoumba ropa.

Mononucleosis: kuongorora chirwere

Under Murabhoritari mamiriro, zvirwere kuzivikanwa kunoitika pahwaro mukupindura heterophilic antibodies. Chokwadi ndechokuti panozopera vhiki yokutanga muropa revanhu kukurumidza kukura haemagglutinin kune erythrocytes vamwe mhuka. Mononucleosis nedzevakuru vanofanira kusiyaniswa nezvimwe zvirwere zvakawanda. Saka, angina Vincent diphtheria uye kuzivikanwa nokuda maitiro yokuita leukocytes uye awanda chirwatata. Tularemia - kuvapo muropa masero atypical.