Ua lohe paha ʻoe i kēia maʻi i kapa ʻia ʻo mononucleosis, a ua ʻike paha ʻoe i kahi hoaaloha a ʻohana paha e ʻeha nei. He mea maʻamau ia, ʻoiai hoʻi i waena o ka poʻe ʻōpio. No laila e aʻo hou kākou e pili ana i kēia lā. He aha kēia maʻi, pehea e ulu ai, he aha nā hōʻailona,
a pehea e hiki ai iā kākou ke mālama iā ia?
He aha ka mononucleosis? I ka ʻōlelo maʻalahi...
ʻO ka Mononucleosis, i ʻike ʻia hoʻi ʻo "mono" a i ʻole "infectious
mononucleosis ",
he maʻi viral lele loa ia. ʻO ka mea maʻamau ia i
nā ʻōpio a me nā mākua ʻōpio , akā hiki nō hoʻi ke hoʻopilikia i nā keiki ʻōpio. ʻO ke kumu nui ia o kahi maʻi i kapa ʻia ʻo ka
maʻi Epstein-Barr (EBV). Hiki i nā maʻi ʻē aʻe a me nā maʻi ke hana iā ia. I kekahi manawa ua kapa ʻia ʻo ia
ʻo ka " maʻi honi " no ka mea ua maʻalahi ka laha ʻana ma o nā wai o ke kino, e like me ka lawai. No ka laʻana, inā ʻoe e kaʻana like i kahi ʻōmole inu a meaʻai paha me kahi hoaaloha, hiki iā ʻoe ke loaʻa. Akā, mai hopohopo, ʻaʻole maʻi ka hapa nui o ka poʻe me ka mononucleosis. Hoʻomaikaʻi ka hapa nui o ka poʻe me ka ʻole o ka lāʻau lapaʻau. Eia nō naʻe, no kekahi poʻe, ʻo nā hōʻailona e like me
ka luhi nui a me nā ʻeha kino e paʻakikī ai ka hana ʻana i nā hana kula, ka hana, a me nā hana
o kēlā me kēia lā . Hiki i kēia mau pilikia ke mau no hoʻokahi mahina.
Pehea ka maʻamau o kēia?
ʻOi aku ka maʻamau o ka
maʻi Epstein-Barr (EBV) ma mua o kou manaʻo. Ma ʻAmelika Hui Pū ʻIa, ua ʻōlelo ʻia ma kahi o 95% o ka poʻe i ka makahiki 35 ua
loaʻa i kēia maʻi. Akā ʻo ka mea kupanaha,
ʻaʻole nā mea āpau i loaʻa i ka maʻi e hoʻomohala i nā hōʻailona o ka mononucleosis . Lawe wale kekahi poʻe i ka maʻi i loko o ko lākou kino, me ka ʻole o ka maʻi.
He aha nā hōʻailona o kēia?
Hiki ke ʻokoʻa nā hōʻailona o ka mononucleosis mai kēlā kanaka a kēia kanaka. Hiki i kekahi poʻe ke ʻike i nā hōʻailona iki, aʻo kekahi poʻe e ʻike i nā hōʻailona koʻikoʻi. ʻIke pinepine ʻia kēia mau hōʻailona me ka mālie. ʻIke pinepine ʻia nā hōʻailona ʻehā a ʻeono pule ma hope o kou loaʻa ʻana i ka maʻi EBV. Hiki i kēia mau hōʻailona ke mau no ʻehā pule a ʻoi aku paha:
- Luhi : Manaʻo me he mea lā ʻaʻohe ou ikaika.
- Fiva : ʻO ka manaʻo o ka wela nui a me ke kuni.
- ʻEha ka ʻāʻī : ʻEha koʻu ʻāʻī a manaʻo wau he paʻakikī iaʻu ke ale.
- Nā kikowaena lymph pehu : ʻO nā kikowaena lymph i kou ʻāʻī, nā armpits, a me ka ʻūhā e pehu.
- ʻEha poʻo : ʻEha poʻo.
- Anorexia : ʻAʻole makemake e ʻai.
- ʻEha a nāwaliwali paha ke kino : ʻEha nā ʻiʻo, manaʻo ke kino ua make.
- ʻŌhūhū ʻili : Hiki i kekahi poʻe ke loaʻa nā ʻōhūhū ʻili liʻiliʻi.
- Pehu ʻana o ka spleen a i ʻole ke akepaʻa : He mea kēia e makaʻala ai.
He aha ke kumu o kēia?
ʻO ka maʻi Epstein-Barr (EBV) a mākou i kūkākūkā ai ma mua ke kuleana no 90% o nā hihia o ka mononucleosis. Eia kekahi, hiki i kekahi mau maʻi ʻē aʻe a me nā maʻi ke hana i kēia mau hōʻailona. ʻO kēia mau mea:
- ʻO ka maʻi Adenovirus
- ʻO ka maʻi Cytomegalovirus (CMV)
- Hepatitis A, Hepatitis B a me Hepatitis C
- ʻO ka maʻi Herpes simplex (HSV)
- ʻO ka maʻi pale ʻole kanaka (HIV)
- ʻO Rubella (ʻO Rubella)
- ʻO ka Toxoplasmosis
He laha anei ka mononucleosis? Pehea e laha ai?
ʻAe,
he laha loa nā maʻi e hoʻoulu ai i kēia. Hiki iā ʻoe ke loaʻa iā ia ma ka hoʻopili ʻana me nā wai o ke kino, ʻoiai ka lawai, o kahi kanaka i loaʻa i ka maʻi. Eia ke ʻano o kā lākou laha ʻana:
- Nā hoʻoili koko (ʻaʻole i maʻamau kēia i kēia manawa ma muli o ka hoʻāʻo ʻana)
- ʻUmi a ʻūhū paha
- Honi (ʻike ʻia hoʻi ʻo ka "maʻi honi")
- Kaʻana like ʻana i ka meaʻai, nā mea inu, a i ʻole nā mea ʻai
- Nā hoʻoili kino
- Nā pilina moekolohe
E noʻonoʻo, inā ʻoe e inu mai ka ʻōmole wai hoʻokahi a kahi hoaaloha i inu ai ma kahi pāʻina, a inā ʻoe e ʻai pinepine mai ka ʻōmole ʻaikalima hoʻokahi, hiki ke laha kēia maʻi i nā manawa like. No laila he mea maikaʻi ke akahele iki.
He maʻi laha anei ka 'mono' i ke moekolohe?
He lālā ka maʻi Epstein-Barr (EBV) o ka ʻohana maʻi herpes. Akā, he ʻokoʻa ia mai ka maʻi herpes simplex (HSV), ka mea e hoʻoulu ai i ka herpes genital a i ʻole ka herpes waha. ʻOiai hiki ke hoʻoili ʻia nā maʻi ʻelua ma ke ʻano moekolohe, hoʻolaha pinepine ʻia ka EBV ma o nā mea e like me ka kaʻana like ʻana i nā kīʻaha inu a i ʻole ka honi ʻana.
Hiki i kekahi ke loaʻa i ka mononucleosis i ʻelua manawa?
ʻOiai ma hope o ka nalowale ʻana o kāu mau hōʻailona o ka mononucleosis, noho mau ka maʻi Epstein-Barr (EBV) i loko o kou kino
ma ke ʻano hana ʻole.Ke hoʻomau nei ia. Eia nō naʻe,
hoʻokahi wale nō manawa e loaʻa ai ka mono i ka hapa nui o ka poʻe i ko lākou ola . Inā hoʻāla hou koke ka maʻi EBV, he kakaikahi nā hōʻailona. Eia nō naʻe, hiki iā ʻoe ke hoʻolaha i ka maʻi i hoʻāla hou ʻia i nā poʻe ʻē aʻe me ka ʻike ʻole. Eia kekahi, hiki i ka poʻe me
nā ʻōnaehana pale nāwaliwali ke loaʻa nā hōʻailona mono i ʻelua a ʻekolu paha manawa.
ʻO wai ka mea i ʻoi aku ka paʻakikī ke hoʻomohala i kēia?
ʻElua mau pae nui o ka maʻi me ka maʻi EBV: aia kekahi
i nā keiki ʻōpio i ko lākou mau makahiki kula mua , a ʻo kekahi
i ka wā ʻōpio a me ka wā makua . ʻO ka mea kupanaha, ʻaʻole hōʻike pinepine nā keiki ʻōpio i nā hōʻailona ke loaʻa iā lākou. Eia nō naʻe,
ʻo ka poʻe ʻōpio ma waena o 15 a me 25 mau makahiki ka mea e loaʻa pinepine ai ka mono . Ma kahi o hoʻokahi o ka ʻehā o ka poʻe o kēia hui makahiki i loaʻa i ka maʻi EBV e loaʻa nā hōʻailona o ka mono. Eia nō naʻe, hiki i kekahi ke loaʻa, me ka nānā ʻole i ka makahiki.
He aha nā pilikia o kēia maʻi?
Hoʻomaikaʻi pinepine nā hōʻailona o ka mononucleosis ma hope o ʻehā pule. Eia nō naʻe,
hiki i ka luhi ke mau no nā mahina . ʻAʻole hiki i kekahi poʻe ke hele i ke kula a i ʻole ka hana a hiki i ko lākou hoʻōla ʻana.
ʻO ka pilikia nui me kēia maʻi he spleen i haki . ʻO ka spleen kahi gland i loaʻa ma ka ʻaoʻao hema o luna o kou ʻōpū. Hana ia e kānana i ke koko. Inā haki kou spleen, hiki iā ia ke hoʻokahe i ke koko i loko o kou ʻōpū.
Hiki i kēia kahe koko kūloko ke hoʻoweliweli i ke ola a pono e hana ʻoki kino . I mea e pale ai i ka spleen i haki, e haʻi aku kāu kauka iā ʻoe
e pale i ka hoʻoikaika kino, nā haʻuki pili, a me ka hāpai kaumaha a hiki i kou olakino.
Pehea e ʻike ai nā kauka i kēia?
E hoʻoholo kāu kauka i kēia ma muli o kāu mau hōʻailona. E nānā pono lākou no nā ʻōpū pehu ma ka ʻāʻī, a no ka spleen a i ʻole ke akepaʻa i hoʻonui ʻia. Hiki i
nā hoʻāʻo koko ke nānā i
nā antibodies i hana ʻia e kou kino e kūʻē i ka maʻi Epstein-Barr. E nānā pū lākou no ka hoʻonui ʻia o ka helu o
nā lymphocytes, kahi ʻano o ke koko keʻokeʻo, i loko o kou koko, no ka mea, hoʻonui lākou ke loaʻa iā ʻoe kahi maʻi.
He aha nā lāʻau lapaʻau no kēia?
ʻO kaʻoiaʻiʻo,
ʻaʻohe lāʻau lapaʻau kūikawā a lāʻau lapaʻau paha no ka mononucleosis . ʻAʻole hana nā lāʻau antiviral ʻē aʻe (nā antibiotics - hāʻawi ʻia kēia mau mea i nā bacteria, ʻaʻole nā virus) a i ʻole nā lāʻau antiviral no ia. No laila, ʻo ka mālama ʻana i ka mononucleosis e hoʻemi i kāu mau hōʻailona a hāʻawi i ka hōʻoluʻolu. Eia kekahi mau mea hiki iā ʻoe ke hana ma ka home:
- Hoʻomaha : Ke loaʻa iā ʻoe ke anu, luhi loa kou kino. ʻO ka lawa ʻana o ka hiamoe e hāʻawi i kou kino i ka ikaika e hakakā ai i ka maʻi.
- E hoʻomaʻemaʻe maikaʻi : E inu i ka wai a me nā wai i lawa i ka lā a pau e pale aku ai i ka maloʻo ʻana.
- Nā lāʻau hoʻopau ʻeha : Hiki ke hoʻohana ʻia nā lāʻau anti-inflammatory nonsteroidal (NSAID) e hoʻemi i ke kuni, ka pehu, ka ʻeha poʻo, a me nā ʻeha kino. ʻO nā laʻana e like me ka ibuprofen (Advil®) a me ka naproxen (Aleve®). Hiki i ka Acetaminophen (Tylenol®) ke kōkua pū.
- Hoʻomaha i ka ʻāʻī ʻeha : E holoi i ka ʻōpū me ka wai paʻakai , e omo i nā lozenges e hōʻoluʻolu i ka ʻāʻī.
- E pale i nā haʻuki : Hoʻokomo ka hana kino i ke kaomi ma luna o kahi ʻōpū i hoʻonui ʻia, e hoʻonui ana i ka pilikia o ka pahū ʻana. Pono ʻoe e pale i nā haʻuki a me ka hoʻoikaika kino ikaika i kou wā maʻi a no ka liʻiliʻi o ʻehā pule ma hope.
ʻAʻole anei hiki ke pale ʻia kēia?
ʻO ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai ka maʻi e hoʻoulu ai i ka mono, ʻo ia ka hoʻomaʻemaʻe pono ʻana . E pale i ka kaʻana like ʻana i ka meaʻai, nā mea inu, a i ʻole nā wai kino me kekahi mea i loaʻa i ka mono a i ʻole nā hōʻailona ʻē aʻe o ka maʻi, e like me ke kuni, ka ʻū, ka ʻāʻī ʻeha, a i ʻole ka luhi.
Pehea ka lōʻihi e hoʻōla ai mai ka mononucleosis? (Prognosis)
Hiki ke koʻikoʻi loa nā hōʻailona o ka mononucleosis. Hiki i kēia ke hoʻopilikia i kāu mau hana o kēlā me kēia lā no kekahi manawa. ʻO ka mea pōmaikaʻi, hiki i kēia mau lāʻau lapaʻau maʻalahi ma ka home ke kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona.
Hiki i ka luhi ke mau no kekahi mau mahina. I loko o kēia manawa,
pono ʻoe e mālama i kou olakino ma ka loaʻa ʻana o ka nui o ka hoʻomaha, ka inu ʻana i nā wai he nui, a me ka pale ʻana i nā hana ikaika e hōʻemi i ka pilikia o ka spleen ruptured.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe ka mononucleosis a ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei,
e ʻike koke i ke kauka :
- Inā pilikia ʻoe i ka ale ʻana a i ʻole ka hanu ʻana
- Inā manaʻo ʻoe ua poniuniu a nāwaliwali paha
- Inā ʻoe e manaʻo i ka nāwaliwali nui a i ʻole ka mae ʻole i kou mau lālā
- Inā loaʻa iā ʻoe ka ʻeha nui o ke kino
- He kuni kiʻekiʻe mau loa
- He ʻeha poʻo hiki ʻole ke hoʻomanawanui
- ʻEha nui ma ka ʻōpū hema o luna (hiki ke lilo i pilikia me ka spleen)
He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?
Inā loaʻa iā ʻoe ka mononucleosis, he mea maikaʻi ke nīnau i kāu kauka i nā nīnau e like me kēia:
- He aha nā lāʻau lapaʻau maikaʻi loa no kaʻu mau hōʻailona?
- Pehea ka lōʻihi e hiki ai iaʻu ke hoʻoulu i kēia no nā poʻe ʻē aʻe?
- He aha kaʻu e hana ai e pale aku i ka laha ʻana o kēia maʻi i nā poʻe ʻē aʻe?
- Pehea ka lōʻihi e hoʻōla piha ai mai ka mono?
- Āhea e hiki ai iaʻu ke hoʻi i ke kula/hana?
- Āhea e hiki ai iaʻu ke hoʻomaka hou i ka hoʻoikaika kino a me ka hana kino?
- Hiki iaʻu ke loaʻa hou i kahi mea?
- Pono anei au e makaʻala i nā pilikia?
He aha ka mea e hana ai inā loaʻa ka mononucleosis i ka wā hāpai?
ʻO ka poʻe i loaʻa i ka mononucleosis i ka wā hāpai ma muli o ka EBV, he hāpai olakino ko lākou. Eia nō naʻe,
inā loaʻa iā ʻoe ke kuni, e haʻi koke i kāu kauka , no ka mea, hiki i ke kuni ke hoʻonui i ka pilikia o ka hāʻule ʻana a i ʻole ka hānau mua ʻana. Aia kahi manawa liʻiliʻi e hiki ai iā ʻoe ke hoʻoili i ka maʻi Epstein-Barr i kāu pēpē i hānau ʻole ʻia a hānai waiū paha. Eia nō naʻe, ʻaʻole hōʻike ka hapa nui o nā pēpē i nā hōʻailona o ka mono. Eia nō naʻe, inā loaʻa iā ʻoe ka mono i ka wā hāpai ma muli o ka maʻi CMV, pono ʻoe e kamaʻilio me kāu kauka hānau e pili ana i ia mea, no ka mea hiki ke hoʻopilikia i ka pēpē.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
ʻO ka hapa nui o ka manawa, ʻaʻole he maʻi koʻikoʻi ka mononucleosis (infectious mononucleosis - mono). Eia nō naʻe, hiki i nā hōʻailona e like me
ka luhi nui, ka ʻeha ʻāʻī, a me nā ʻeha kino ke hoʻopilikia i nā hana kula, ka hana, a me ke ola o kēlā me kēia lā. Hiki i kāu kauka ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo no nā ala e loaʻa ai ka hōʻoluʻolu.
ʻO ka hoʻomaha a me nā lāʻau lapaʻau ma luna o ke kauka nā ala maikaʻi loa e kāohi ai i nā hōʻailona .
He mea nui hoʻi e pale i ka hana kino ikaika e hōʻemi i ka pilikia o ka spleen i hoʻonui ʻia . E makaʻala!
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