Ngosuku oluvame ukuba matasa, umfana oneminyaka engu-16 ubudala ogama lakhe linguRuwan weza emtholampilo wami nonina. Nakuba ngokuvamile engumfana othanda ukuganga futhi okhuthele, uRuwan wayemhloshana kakhulu ngalolo suku, ebukeka engaphili nhlobo. Wahlala esihlalweni kancane, ehlikihla intamo yakhe ngokukhathala okukhulu.
"Dkt. Priya, uRuwan ubelokhu ezizwa ekhathele kakhulu futhi ekhathele emasontweni amabili noma amathathu edlule. Uphinde abe nomkhuhlane ovamile. Ubelokhu ekhala ngomphimbo obuhlungu ezinsukwini ezimbili ezedlule, kanti ama-lymph node akhe ezinhlangothini zombili zentamo yakhe avuvukele," kuchaza umama kaRuwan ngokukhathazeka okukhulu. "Besicabanga ukuthi umkhuhlane ovamile wegciwane, kodwa kubonakala sengathi awube usaba ngcono, Dokotela."
Ngalalela uRuwan ngokuthula, ngahlola umphimbo wakhe nentamo. Ngabe sengithi, "Mama, izimpawu zikaRuwan azifani nomkhuhlane ojwayelekile. Lona yi -Glandular Fever , noma lokho okwaziwa ngokwezokwelapha ngokuthi yi -Infectious Mononucleosis . Lokhu ukutheleleka ngegciwane."
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Kuyini i-Glandular Fever?
Lesi simo sibangelwa yigciwane le-Epstein-Barr (EBV) . Saziwa nangokuthi "iSifo sokuqabulana" emazweni aseNtshonalanga ngoba sivame ukusabalala ngamathe.
"Kodwa akukhona ukuqabulana nje kuphela okusakaza lokhu," ngachaza ngihleka. "Leli gciwane lingasakazwa kalula nangokuphuza engilazini efanayo, ukwabelana ngezitsha zokudla, noma ngamaconsi amathe angena emoyeni lapho umuntu onegciwane ekhwehlela noma ethimula."
Umkhuhlane wezindlala uvame kakhulu entsheni nakubantu abadala abasebasha. Abantu abadala abangama-95% emhlabeni wonke sebetheleleke nge-EBV lapho beneminyaka engama-40, kodwa akubona bonke ababa nomkhuhlane wezindlala.
🚨 Amafulegi Abomvu adinga ukunakekelwa kwezokwelapha okusheshayo
Njengoba umkhuhlane wezindlala ungavamile ukubangela izinkinga ezinkulu zempilo, kufanele ufune ukulaliswa esibhedlela ngokushesha uma uhlangabezana nezimpawu ezilandelayo:
- Ubuhlungu obungazelelwe, obukhulu engxenyeni ephezulu kwesobunxele yesisu: Lolu uphawu olubulalayo lokuqhuma kwe-spleen .
- Ubunzima Bokuphefumula/Ukugwinya: Lokhu kwenzeka lapho umphimbo nama-tonsils evuvukala kakhulu, okuvimba indlela yokuphefumula.
- Ukuphuzi kwesikhumba noma amhlophe emehlweni: Igciwane libangela ukuvuvukala kwesibindi, okuholela ekushoneni kwesibindi .
- Umkhuhlane omkhulu ohlala izinsuku eziningana.
Izimpawu zomkhuhlane wezindlala
Ngokuvamile kuthatha amasonto ama-4 kuya kwayi-6 ukuthi igciwane lingene emzimbeni nokuthi izimpawu zivele. Nazi izimpawu eziyinhloko:
- Ukukhathala okukhulu kanye nokudinwa:Lesi yisibonakaliso esiyinhloko salesi sifo, futhi singaphenduka i -Chronic Fatigue Syndrome, esingahlala amasonto noma izinyanga ngisho nangemva kokuba isifo sesipholile.
- Umkhuhlane oqhubekayo: Ngokuvamile uhlala amasonto angu-1-2.
- Umphimbo obuhlungu kakhulu: Amathonsi abomvu futhi avuvuke, futhi kungase kuvele amabala amhlophe kuwo (isimo esifana ne-tonsillitis).
- Ama-lymph node avuvukele: Izindlala entanyeni, emakhwapheni, nasezinsinini ziyavuvukala futhi zibe buhlungu.
- Ikhanda elibuhlungu, izinhlungu zomzimba, kanye nokulahlekelwa yisifiso sokudla.
Izindlela zokuxilonga kanye nokwelapha
1. Ukuxilongwa
Ngaphezu kokuhlola izimpawu, udokotela uzoqinisekisa lesi sifo ngokuhlolwa kwegazi okulandelayo:
- Ukuhlolwa kwe-Monospot: Kuthola ama-antibodies akhiqizwa emzimbeni ngokumelene negciwane le-EBV.
- Ukuskena Kwegazi: Ukuhlola ukuba khona kwama-lymphocyte, uhlobo olungavamile lweseli elimhlophe legazi oluyisici salesi sifo.
- Ukuhlolwa Kokusebenza Kwesibindi: Hlola umonakalo ekusebenzeni kwesibindi.
2. Ukwelashwa
Njengoba umkhuhlane wezindlala uwukutheleleka ngegciwane, azikho izidakamizwa zokulwa namagciwane noma ama-antibiotic angawubulala ngqo. Ukwelashwa kuhloselwe ukuqeda izimpawu:
- Ukuphumula Okuphelele Kombhede: Ukuphumula okuphezulu kuyadingeka ukuze amasosha omzimba acindezele igciwane.
- Phuza uketshezi oluningi: Phuza amanzi amaningi kanye nojusi wezithelo ukuze uvimbele ukuphelelwa amanzi emzimbeni.
- Ukusetshenziswa kwemithi yokubulala izinhlungu: I-Paracetamol noma i-ibuprofen ingasetshenziswa ukunciphisa umkhuhlane kanye nomphimbo obuhlungu njengoba kuyalelwe udokotela (ungalokothi unike izingane ezingaphansi kweminyaka eyi-16 i-aspirin).
Okumele Ukwenze Nokungafanele Ukwenze
| ✔️ Izinto okufanele uzenze (Okufanele Uzenze) | ❌ Okungafanele ukwenze |
|---|---|
| Hlanza ngamanzi anosawoti afudumele izikhathi eziningana ngosuku ukuze unciphise ubuhlungu bomphimbo kanye nokungakhululeki. | Ukuze ugweme ingozi yokuqhekeka kwe-spleen, gwema ukuphakamisa izinsimbi noma ukuzibandakanya kwezemidlalo okungenani amasonto angu-4-6 ngemva kokugula. |
| Geza izandla zakho njalo ngensipho namanzi ukuvimbela ukusabalala kwegciwane. | Gwema ngokuphelele ukuphuza utshwala, okufaka umthwalo owengeziwe esibindini ngesikhathi sokugula. |
| Yidla ukudla okuthambile nokunomsoco okulula ukukugwinya ukuze kunikeze umzimba ukudla okunomsoco okudingayo. | Njengoba kuyigciwane elivamile, ungaphuzi ama-antibiotic ngaphandle kweseluleko sikadokotela. |
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