Ðewohĩ èse dɔléle sia si woyɔna be mononucleosis ŋu nya kpɔ, alo ɖewohĩ èkpɔ xɔ̃wò alo ƒometɔ aɖe wòkpe fu. Ebɔ ŋutɔ, vevietɔ le sɔhɛwo dome. Eyata mina míasrɔ̃ nu geɖe tso eŋu egbea. Nukae nye dɔléle sia, aleke wòdzɔna, dzesi kawoe le eŋu,
eye aleke míate ŋu akpɔ egbɔe?
Nukae nye mononucleosis? Kpuie ko la,...
Mononucleosis, si woyɔna hã be ``mono'' alo ``infectious
mononucleosis '', nye
dɔlékui ƒe dɔléle si xɔa ame me ŋutɔ . Ebɔ ɖe
ƒewuiviwo kple sɔhɛ tsitsiwo me wu , gake ate ŋu adze ɖevi suewo hã dzi. Dɔlékui aɖe si woyɔna be Epstein-
Barr dɔlékui (EBV) gbɔ koŋue wòtsona. Dɔlékui bubuwo kple dɔlékuiwo hã ate ŋu ahee vɛ. Woyɔa esia ɣeaɖewoɣi be
" nugbugbɔgbugbɔdɔ " elabena ekakana bɔbɔe to ŋutilã me tsiwo abe aɖuɖɔ ene me. Le kpɔɖeŋu me, ne èma ahanono alo nuɖuɖu ɖeka kple xɔ̃wò aɖe la, àte ŋu alée. Gake mègatsi dzi o, ame akpa gãtɔ medzea dɔ kple mononucleosis o. Ame akpa gãtɔ ƒe lãme sẽna ne womewɔ atike aɖeke nɛ o. Gake le ame aɖewo gome la, dzesiwo abe
ɖeɖiteameŋu sesẽ kple ŋutilã ƒe veve ene ate ŋu ana wòasesẽ be woawɔ sukudɔwo, dɔwɔɖui, kple
gbesiagbedɔwo . Zi geɖe la, kuxi siawo te ŋu nɔa anyi abe ɣleti ɖeka ene.
Aleke gbegbee esia bɔe?
Epstein-Barr dɔlékui (EBV) bɔ wu alesi nàsusui. Le United States la, wogblɔna be ame siwo ade 95% hafi woxɔ ƒe 35 la,
woxɔ dɔlékui sia. Gake nusi wɔ nukue nye be
menye amesiame si ŋu dɔlékuia le lae dzena mononucleosis ƒe dzesiwo o . Ðeko ame aɖewo tsɔa dɔlékuia ɖe woƒe ŋutilã me, evɔ womedzea dɔ o.
Nukae nye esia ƒe dzesiwo?
Mononucleosis ƒe dzesiwo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ame aɖewo ate ŋu akpɔ dzesi siwo nu mesẽ o, evɔ ame bubuwo ya ate ŋu akpɔ dzesi siwo nu sẽ wu. Zi geɖe la, dzesi siawo dzena vivivi. Zi geɖe la, dzesiawo dzena le kwasiɖa ene va ɖo ade megbe ne èxɔ EBV dɔlékuia. Dzesi siawo ate ŋu anɔ anyi kwasiɖa ene alo esi wu nenema:
- Ðeɖiteameŋu : Sese le ɖokuiwò me abe ɖe ŋusẽ aɖeke mele ye ŋu o ene.
- Asrã : Seselelãme si nye be dzoxɔxɔ le ye ŋu akpa eye asrã le ye ŋu.
- Kɔmeve : Nye ŋɔti le veve sem eye mesena le ɖokuinye me be nu mimi sesẽna nam.
- Lãmetsiŋusẽ siwo vuvu : Lãmetsiŋusẽ siwo le wò kɔ, abɔta, kple akɔta la vuvu.
- Taɖuame : Taɖuame.
- Nuɖuɖumadzroame : Nyemesena le ɖokuinye me be yeaɖu nu o.
- Ŋutilã ƒe vevesese alo gbɔdzɔgbɔdzɔ : Lãmetsiwo le veve sem, ŋutilã sena le eɖokui me be agbe mele ye ŋu o.
- Ŋutilã me ʋuʋudedi : Ame aɖewo ate ŋu axɔ ŋutigbalẽ ƒe ʋuʋudedi suesuesuewo.
- Aɖuɖɔtoe alo aklã ƒe vuvu : Esia nye nusi ŋu wòle be míaɖɔ ŋu ɖo.
Nukae hea esia vɛ?
Epstein-Barr dɔlékui (EBV) si ŋu míeƒo nu tsoe va yi lae hea mononucleosis ƒe 90% vɛ. Tsɔ kpe ɖe eŋu la, dɔlékui kple dɔlékui bubu geɖewo hã ate ŋu ahe dzesi siawo vɛ. Esiawo dometɔ aɖewoe nye:
- Adenovirus ƒe dɔlékui
- Dɔlékuiwutike si woyɔna be Cytomegalovirus (CMV) .
- Aklãdɔléle A, Aklãdɔléle B kple Aklãdɔléle C
- Herpes simplex dɔlékui (HSV) .
- Amegbetɔ ƒe dɔlélenutsiŋutete ƒe dɔlékui (HIV) .
- Rubella (`Rubella`) .
- Toxoplasmosis ƒe dɔléle
Ðe mononucleosis xɔa ame mea? Aleke wokakae?
Ẽ, dɔlékui siwo hea esia vɛ
la xɔa ame me ŋutɔ . Àte ŋu alée ne èdo ka kple amesi ŋu dɔlélea le ƒe ŋutilã me tsiwo, vevietɔ aɖuɖɔ. Alesi wokakae nye esi:
- Ʋudodo (esia mebɔ kura fifia o le dodokpɔ ta) .
- Kɔdzi alo aɖuɖɔtoe
- Nugbugbɔgbugbɔ (si woyɔna hã be "nugbugbɔgbugbɔdɔ") .
- Nuɖuɖu, nunono, alo nuɖunuwo mama ɖekae
- Ŋutilãwo ƒe ŋutinuwo dodo na ame
- Gbɔdɔdɔ ƒe ƒomedodowo
Bu eŋu kpɔ, ne èno tsigoe ma ke si xɔ̃wò aɖe no le kplɔ̃ɖoƒe, alo ne èɖɔlia ɖua nu tso ice cream-ku ɖeka ma ke me la, dɔlékui sia ate ŋu akaka le ɣeyiɣi mawo tɔgbe me. Eyata enyo be nàɖɔ ŋu ɖo vie.
Ðe ‘mono’ nye gbɔdɔdɔ ƒe dɔlélea?
Epstein-Barr dɔlékui (EBV) nye herpes dɔlékui ƒe ƒomea me tɔ. Gake eto vovo na herpes simplex virus (HSV), si hea vidzinuwo ƒe herpes alo nu me herpes vɛ. Togbɔ be dɔlékui eveawo siaa ate ŋu akaka to gbɔdɔdɔ me hã la, EBV kakana zi geɖe to nusiwo abe ahanono ƒe kplu ɖeka mamã alo nugbugbɔgbugbɔ ene dzi.
Ðe ame aɖe ate ŋu axɔ mononucleosis zi evea?
Ne wò mononucleosis ƒe dzesiwo nu yi gɔ̃ hã la, Epstein-Barr dɔlékui (EBV) gakpɔtɔ nɔa wò ŋutilã me
le nɔnɔme si mewɔa dɔ o me.Eyi edzi. Gake
zi ɖeka koe ame akpa gãtɔ xɔa mono le woƒe agbe me . Ne EBV dɔlékuia gadze dɔ ake zi ɖeka la, dzesiawo mebɔ o. Gake àte ŋu akaka dɔlékui si wogbugbɔ wɔ la ɖe ame bubuwo me evɔ mànyae gɔ̃ hã o. Azɔ hã, amesiwo ƒe
dɔlélenutsiŋutete gbɔdzɔ ate ŋu axɔ mono ƒe dzesiwo zi eve alo zi etɔ̃.
Amekae ate ŋu axɔ nusia wu?
EBV dɔlékuia xɔxɔ ƒe akpa vevi eve li: ɖeka
le ɖevi suewo me le woƒe sukudede ƒe gɔmedzedze , eye evelia nyea
ƒewuiwo kple sɔhɛmenɔɣi . Nukutɔe la, zi geɖe la, ɖevi suewo meɖea dzesi aɖeke fiana ne woxɔe o. Gake
sɔhɛ siwo xɔ tso ƒe 15 va ɖo ƒe 25 ye axɔ mono . Ame siwo ade ɖeka le ene ɖesiaɖe me le ƒe sia me siwo ŋu EBV le la akpɔ mono ƒe dzesiwo. Ke hã, ame sia ame ate ŋu axɔe, eɖanye ƒe ka kee wòɖaxɔ o.
Nukawoe nye nɔnɔme sia ƒe kuxiwo?
Zi geɖe la, mononucleosis ƒe dzesiwo nyona ɖe edzi le abe kwasiɖa ene ene megbe. Gake
ɖeɖiteameŋu ate ŋu anɔ anyi ɣleti geɖe . Ðewohĩ ame aɖewo mate ŋu ayi suku alo awɔ dɔ o vaseɖe esime wohaya.
Afɔku gãtɔ kekeake si le nɔnɔme sia ŋue nye dɔgbo ƒe gbagbã . Aɖuɖɔtoe nye lãkusi si le wò ƒodo ƒe miame le etame. Ewɔa dɔ tsɔ kɔa ʋu. Ne wò dɔgbo gbã la, ate ŋu ana ʋu nado ɖe wò ƒodo me.
Ʋu si dona le ememe sia ate ŋu ade ame ƒe agbe afɔku me eye ahiã be woawɔ dɔ na ame kpata . Be nàxe mɔ ɖe dɔgboa ƒe gbagbã nu la, wò ɖɔkta agblɔ na wò
be nàƒo asa na kamedede sesẽ, kadodo kple kamedefefewo, kple nu kpekpewo kɔklɔ vaseɖe esime wò lãme nasẽ.
Aleke ɖɔktawo dea dzesi esiae?
Wò ɖɔkta anɔ te ɖe wò dzesiwo dzi anya nusi esia nye. Woalé ŋku ɖe lãkusi siwo vuvu le kɔ ŋu vevietɔ, eye ne dɔgbo alo aklã lolo hã.
Ʋudodokpɔ ate ŋu adi
dɔlékuiwutike siwo wò ŋutilã wɔna ɖe Epstein-Barr dɔlékuia ŋu. Woalé ŋku ɖe
ʋumenugbagbevi dzĩwo, si nye ʋumenugbagbevi ɣi ƒomevi aɖe, ƒe xexlẽme si le wò ʋu me hã ŋu, elabena wodzina ɖe edzi ne dɔlékui aɖe le ŋuwò.
Nukawoe nye atike siwo wozãna na esia?
Le nyateƒe me la,
atike alo atike aɖeke koŋ meli na mononucleosis . Dɔlékuiwutike bubuwo (dɔlékuiwutikewo - wotsɔa esiawo naa dɔlékuiwo, menye dɔlékuiwo o) alo dɔlékuiwutikewo mewɔa dɔ nɛ o. Eyata mononucleosis dada ƒe taɖodzinue nye be wòaɖe wò dzesiwo dzi akpɔtɔ eye wòana gbɔdzɔe. Nu siwo nàte ŋu awɔ le aƒeme dometɔ aɖewoe nye esi:
- Gbɔɖeme : Ne vuvɔ le ŋuwò la, ɖeɖi tea wò ŋutilã ŋu ŋutɔ. Alɔ̃dɔdɔ nyuie naa ŋusẽ wò ŋutilã be wòawɔ avu kple dɔlékuia.
- Tsi na wò nyuie : No tsi kple tsi si sɔ le ŋkekea me katã be tsi nagage ɖe lãme na wò o.
- Vevesesenutsitikewo : Woate ŋu azã atike siwo me steroid mele o siwo tsia dzoxɔxɔ nu (NSAIDs) atsɔ aɖe dzoxɔxɔ, abi, taɖuame, kple ŋutilã ƒe vevesese dzi akpɔtɔ. Kpɔɖeŋu aɖewoe nye ibuprofen (Advil®) kple naproxen (Aleve®). Acetaminophen (Tylenol®) hã ate ŋu akpe ɖe ame ŋu.
- Sore throat relief : Gargle with salt water , no lozenges be wòafa akɔ na ŋɔti.
- Ƒo asa na kamedefefe : Lãmesẽfefe dea nyaƒoɖeamenu si le dɔgboa si lolo dzi, si wɔnɛ be afɔku si le eme be wòagbã la dzina ɖe edzi. Ele be nàƒo asa na kamedefefewo kple kamedede sesẽwo godoo ne èle dɔ lém kple kwasiɖa ene ya teti le esia megbe.
Ðe womate ŋu axe mɔ ɖe esia nu be wòagadzɔ oa?
Mɔ nyuitɔ si dzi nàto akpɔ ɖokuiwò ta tso dɔlékui si hea mono vɛ me enye be nàwɔ dzadzɛnyenye nyuie . Ƒo asa na nuɖuɖu, nunono, alo ŋutilã me tsiwo mamã kple amesi ŋu dɔlékuia ƒe dzesi ɖeka alo bubuwo le, abe dzoxɔxɔ, kɔdzi, ŋɔti me veve, alo ɖeɖiteameŋu ene.
Ɣeyiɣi didi kae wòxɔna hafi wòhaya tso mononucleosis me? (Nyagblɔɖi) .
Mononucleosis ƒe dzesiwo ate ŋu asẽ ŋutɔ. Esia ate ŋu ado kplamatse wò gbesiagbedɔwo hena ɣeyiɣi aɖe. Dzɔgbenyuietɔe la, aƒeme atike bɔbɔe siawo ate ŋu akpe ɖe ŋuwò nàɖe dzesiawo dzi akpɔtɔ.
Ðeɖiteameŋu ate ŋu anɔ anyi ɣleti geɖe. Le ɣeyiɣi sia me la,
ele be nàlé be na wò lãmesẽ to ɖiɖiɖeme geɖe, tsi geɖe nono, kple asaƒoƒo na dɔ sesẽ wɔwɔ me be nàɖe afɔku si le dɔgboa ƒe gbagbã me dzi akpɔtɔ.
Ɣekaɣie wòle be makpɔ ɖɔkta?
Ne mononucleosis le ŋuwò eye dzesi siwo gbɔna dometɔ aɖe dze ŋuwò la,
yi ɖɔkta enumake :
- Ne nu mimi alo gbɔgbɔ sesẽ na wò
- Ne èse le ɖokuiwò me be yeƒe ta le ƒoƒom alo yeƒe tagbɔ le gbegblẽm
- Ne èse le ɖokuiwò me be yeƒe abɔwo le vuvu alo gbɔdzɔgbɔdzɔ si gbɔ eme
- Ne wò ŋutilã le veve sem vevie
- Asrã sesẽ si nɔa anyi ɖaa
- Taɖuame si womate ŋu ado dzi atsɔ o
- Vevesese sesẽ le miame ƒodo si le etame (esia ate ŋu anye kuxi na dɔgboa) .
Nya vevi kawoe wòle be míabia ɖɔktaa?
Ne mononucleosis le ŋuwò la, anyo be nàbia nya siawo abe esiawo ene wò ɖɔkta:
- Nukawoe nye atike nyuitɔwo kekeake na nye dzesiwo?
- Ɣeyiɣi didi kae mate ŋu adzi esia na ame bubuwo?
- Nukae mate ŋu awɔ be dɔlékui sia nagakaka ɖe ame bubuwo me o?
- Ɣeyiɣi didi kae wòxɔna hafi wòhayana tso mono me keŋkeŋ?
- Ɣekaɣie mate ŋu atrɔ ayi suku/dɔme?
- Ɣekaɣie magadze kamedede kple kamedede gɔme ake?
- Ðe mate ŋu akpɔ nane akea?
- Ðe wòle be manya kuxi siwo dona tso emea?
Nukae dzɔna ne èxɔ mononucleosis le fufɔɣi?
Zi geɖe la, amesiwo xɔa mononucleosis le fufɔɣi le EBV ta la ƒe fu nɔa lãmesẽ me. Gake
ne asrã dze dziwò la, gblɔe na wò ɖɔkta enumake , elabena asrã ate ŋu ana fuɖeɖe alo vidzidzi kaba ƒe afɔkua nadzi ɖe edzi. Mɔnukpɔkpɔ sue aɖe li be nàte ŋu atsɔ Epstein-Barr dɔlékuia ayi na viwò si le dɔme alo esi nèna no. Gake vidzĩ akpa gãtɔ meɖea mono ƒe dzesi aɖeke fiana o. Gake ne èxɔ mono le fufɔɣi le CMV dɔlékui ta la, ele be nàƒo nu tso eŋu na wò vidzidziŋutinunyala, elabena ate ŋu agblẽ nu le vidzĩa ŋu.
Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui
Zi geɖe la, mononucleosis (infectious mononucleosis - mono) menye dɔléle sesẽ o. Gake dzesiwo abe
ɖeɖiteameŋu vevie, ŋɔti me veve, kple ŋutilã ƒe veve ate ŋu ado kplamatse sukudɔwo, dɔwɔɖui, kple gbesiagbegbenɔnɔ. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò le mɔ siwo dzi nàto akpɔ gbɔdzɔe ŋu.
Zi geɖe la, gbɔɖeme kple atike siwo womeƒlena o ye nye mɔ nyuitɔ siwo dzi woato aɖu dzesiawo dzi .
Ele vevie hã be woaƒo asa na kamedede sesẽ be woaɖe afɔku si le dɔgboa ƒe lolome me dzi akpɔtɔ . Kpɔ ɖokuiwò dzi!
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