Pa tsiku lomwe nthawi zambiri limakhala lotanganidwa, mnyamata wazaka 16 dzina lake Ruwan anabwera kuchipatala changa ndi amayi ake. Ngakhale kuti nthawi zambiri anali mnyamata wochita zinthu mopupuluma komanso wokangalika, Ruwan anali wotumbululuka kwambiri tsiku limenelo, akuoneka wopanda moyo. Anakhala pampando pang'onopang'ono, akusisita khosi lake ndi kutopa kwambiri.
"Dr. Priya, Ruwan wakhala akumva kutopa kwambiri komanso kutopa kwa milungu iwiri kapena itatu yapitayi. Amadwalanso malungo pafupipafupi. Wakhala akudandaula za kupweteka pakhosi kwa masiku awiri apitawa, ndipo ma lymph nodes ake mbali zonse ziwiri za khosi lake atupa," amayi ake a Ruwan anafotokoza ndi nkhawa yayikulu. "Tinkaganiza kuti ndi malungo wamba, koma sizikuwoneka kuti zikuchepa, Dokotala."
Ndinamvetsera Ruwan modekha, ndinayang'ana pakhosi ndi khosi lake. Kenako ndinati, "Amayi, zizindikiro za Ruwan sizikugwirizana ndi malungo wamba. Ichi ndi Glandular Fever , kapena chomwe chimadziwika kuti Infectious Mononucleosis . Ichi ndi kachilombo ka HIV."
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Kodi Matenda a Glandular Fever ndi chiyani?
Matendawa amayamba chifukwa cha kachilombo ka Epstein-Barr (EBV) . Amadziwikanso kuti "Matenda a Kissing" m'maiko akumadzulo chifukwa nthawi zambiri amafalikira kudzera m'malovu.
"Koma si kupsompsonana kokha komwe kumafalitsa izi," ndinafotokoza ndikuseka. "Kachilombo kameneka kangathenso kufalikira mosavuta mwa kumwa kuchokera pagalasi limodzi, kugawana ziwiya zodyera, kapena ndi malovu omwe amatuluka mumlengalenga munthu wodwala akamatsokomola kapena kuyetsemula."
Matenda a malungo a glandular amapezeka kwambiri mwa achinyamata ndi achinyamata. 95% ya akuluakulu padziko lonse lapansi amakhala atatenga matenda a EBV ali ndi zaka 40, koma si onse omwe amadwala malungo a glandular.
🚨 Zizindikiro zofiira zomwe zimafuna chithandizo chamankhwala mwachangu
Popeza kutentha thupi m'thupi nthawi zambiri sikungayambitse mavuto aakulu pa thanzi, muyenera kupita kuchipatala nthawi yomweyo ngati mukukumana ndi zizindikiro zotsatirazi:
- Kupweteka kwadzidzidzi komanso koopsa kumtunda kumanzere kwa mimba: Ichi ndi chizindikiro chakupha cha ndulu yosweka .
- Kuvuta Kupuma/Kumeza: Izi zimachitika pamene pakhosi ndi matoni zimatupa kwambiri, zomwe zimatseka njira yopumira.
- Kuoneka kwachikasu pakhungu kapena maso oyera: Kachilombo kameneka kamayambitsa kutupa kwa chiwindi, zomwe zimapangitsa kuti munthu adwale jaundice .
- Malungo aakulu omwe amakhalapo kwa masiku angapo.
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Check Availability →Zizindikiro za malungo a glandular
Kawirikawiri zimatenga pakati pa milungu 4 ndi 6 kuti kachilomboka kalowe m'thupi ndipo zizindikiro zake ziwonekere. Zizindikiro zazikulu ndi izi:
- Kutopa kwambiri ndi kutopa:Ichi ndiye chizindikiro chachikulu cha matendawa, ndipo chimatha kusanduka Chronic Fatigue Syndrome, yomwe imatha kukhala kwa milungu kapena miyezi ngakhale matendawa atachira.
- Malungo osalekeza: Nthawi zambiri amatenga milungu 1-2.
- Kupweteka kwambiri pakhosi: Ma tonsils amafiira ndi kutupa, ndipo madontho oyera amatha kuwonekera pa iwo (vuto lofanana ndi tonsillitis).
- Ma lymph nodes otupa: Tizilombo ta m'khosi, m'khwapa, ndi m'mimba timatupa ndipo timapweteka.
- Mutu, kupweteka kwa thupi, komanso kusowa chilakolako cha chakudya.
Kuzindikira ndi njira zochizira
1. Kuzindikira matenda
Kuwonjezera pa kuwona zizindikiro, dokotala adzatsimikizira matendawa kudzera mu mayeso a magazi otsatirawa:
- Kuyesa kwa Monospot: Kuzindikira ma antibodies opangidwa m'thupi motsutsana ndi kachilombo ka EBV.
- Kupaka Magazi: Kufufuza ngati pali ma lymphocyte, mtundu wachilendo wa maselo oyera amagazi omwe ndi chizindikiro cha matendawa.
- Mayeso a Ntchito ya Chiwindi: Yang'anani ngati chiwindi chawonongeka.
2. Chithandizo
Popeza malungo a m'thupi ndi matenda opatsirana ndi mavairasi, palibe mankhwala opha mavairasi kapena maantibayotiki omwe angawaphe mwachindunji. Chithandizo chake ndi kuchepetsa zizindikiro:
- Kupuma Pabedi Konse: Kupuma mokwanira ndikofunikira kuti chitetezo cha mthupi chiteteze kachilomboka.
- Imwani madzi ambiri: Imwani madzi ambiri ndi madzi a zipatso kuti mupewe kutaya madzi m'thupi.
- Kugwiritsa ntchito mankhwala ochepetsa ululu: Paracetamol kapena ibuprofen ingagwiritsidwe ntchito kuchepetsa malungo ndi kupweteka kwa pakhosi monga momwe dokotala wanenera (musapereke aspirin kwa ana osakwana zaka 16).
Zoyenera kuchita ndi zosayenera kuchita
| ✔️ Zinthu zoti muchite (kuchita) | ❌ Zosayenera kuchita |
|---|---|
| Pakani madzi ofunda amchere kangapo patsiku kuti muchepetse kupweteka kwa pakhosi komanso kusasangalala. | Kuti mupewe chiopsezo cha ndulu kuphulika, pewani kunyamula zolemera kapena kuchita masewera olimbitsa thupi kwa milungu yosachepera 4-6 mutadwala. |
| Sambani m'manja nthawi zonse ndi sopo ndi madzi kuti mupewe kufalikira kwa kachilomboka. | Pewani kumwa mowa kotheratu, zomwe zimapangitsa kuti chiwindi chizivutika kwambiri panthawi ya matenda. |
| Idyani zakudya zofewa komanso zopatsa thanzi zomwe zimakhala zosavuta kumeza kuti thupi likhale ndi zakudya zomwe limafunikira. | Popeza ndi kachilombo kofala kwambiri, musamwe mankhwala opha majeremusi popanda upangiri wa dokotala. |
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