Ingabe uzizwa ukhathele futhi ukhathele ngaso sonke isikhathi? Kanye nalokho, ingabe unomkhuhlane, umphimbo obuhlungu , kanye namaqhubu amancane entanyeni yakho? Ungase ucabange ukuthi umkhuhlane nje, kodwa ngezinye izikhathi kungaba yi-mononucleosis , eyaziwa nangokuthi isifo sokuqabulana . Leli gama lingase lizwakale lingavamile, kodwa livame kakhulu phakathi kwentsha. Ngakho ake sixoxe ngakho konke ngendlela ecacile nelula namuhla.
Kuyini i-Mononucleosis?
Kalula nje, i-mononucleosis iyisifo esithathelwanayo. Ivame ukubangelwa yigciwane elibizwa ngokuthi i-Epstein-Barr virus ( EBV ) . Ibizwa nangokuthi 'i-mono' futhi ibizwa nangokuthi 'isifo sokuqabulana' ngoba sisakazeka ngamathe.
Nakuba lesi kuyisifo esithathelwanayo, asithelelani njengomkhuhlane ovamile. Futhi, i-mononucleosis ngokuvamile ayisona isifo esibi kakhulu. Kodwa-ke, ingaba yingozi kancane ngenxa yezinkinga ezithile ezenzeka lapho zenzeka. Futhi, uma zenzeka, ungase ungakwazi ukwenza imisebenzi yakho evamile amasonto amaningana futhi ungase uzizwe ukhathele kakhulu.
Abantu abaningi bavezwa yigciwane le-EBV ngesikhathi besebancane. Kodwa akubona bonke abantu abathola izimpawu ze-mononucleosis. Abanye abantu bangakwazi ukuthwala leli gciwane impilo yabo yonke ngaphandle kwezimpawu.
Ingabe lokhu kubangelwa yigciwane le-EBV kuphela?
Esikhathini esiningi, cishe u-90% wesikhathi, i-mononucleosis ibangelwa yigciwane le-EBV. Kodwa-ke, akuvamile kakhulu ukuthi amanye amagciwane angabangela izimpawu ezifanayo. Isibonelo:
- I-Cytomegalovirus (CMV)
- I-Hepatitis A, B, noma C
- I-HIV
- I-Rubella
Lesi sifo sisakazeka kanjani kithi?
Isakazeka kakhulu ngoketshezi lomzimba, ikakhulukazi amathe . Yingakho ibizwa ngokuthi 'iSifo Sokuqabulana'.
Cabanga nje ukuthi omunye wabangane bakho unalesi sifo.
- Uma uphuza amanzi enkomishini efanayo naye
- Uma udla ngesipuni esifanayo nefoloko
- Uma umanga
Kunethuba elikhulu lokuthi ungangenwa yileli gciwane ngamathe avela ezintweni ezinjengalezi. Uma nje into efana nesipuni esisetshenziswa umuntu onesifo ihlala imanzi, igciwane lingahlala lisebenza.
Akuvamile ukuba negazi nesidodaIngadluliselwa futhi ngesidoda. Ngakho-ke, ngezinye izikhathi kunethuba elincane lokudluliselwa ngezinqubo zezokwelapha ezifana nokumpontshelwa igazi noma ukuxhumana ngokocansi.
Kuthatha isikhathi esingakanani lokhu?
Ungasabalalisa igciwane kwabanye ngisho nangaphambi kokuba ube nezimpawu. Ngokuqinisekile uyathelelana ngenkathi unezimpawu. Odokotela bakholelwa ukuthi ungalisabalalisa kwabanye izinyanga eziningana ngemva kokuba izimpawu zakho seziphelile.
Yiziphi izimpawu eziyinhloko zalokhu?
Izimpawu ze-mononucleosis zingahluka kumuntu nomuntu. Abanye abantu bangayithola ngaphandle kwezimpawu bese belulama.
| Izimpawu ze-mononucleosis | |
|---|---|
| Izimpawu ezivame ukubonwa | |
| Imfiva | Ukuzizwa sengathi umzimba wakho uyashisa. |
| Ukukhathala | Ukuzizwa ukhathele futhi ulele njalo. Lolu uphawu oluyinhloko. |
| Umphimbo obuhlungu | Umphimbo ubuhlungu, kunzima ukuwugwinya. Amathonsi avuvukele futhi ungabona izinto ezimhlophe, ezifana nobomvu. |
| Ama-lymph node avuvukele | Zizwakala njengezimbotshana ezincane entanyeni, emakhwapheni, nasezimbotsheni. |
| Ubuhlungu bomzimba | Ubuhlungu bemisipha. |
| Ukuqhuma kwesikhumba | Ungase ube nokuqhuma okuncane okubomvu. |
| Izimpawu ezingavamile ukubonwa | |
| Ukukhwehlela, ubuhlungu besifuba, ubunzima bokuphefumula | Ikhanda elibuhlungu, ukuqina kwentamo |
| Ukushaya kwenhliziyo | I-Jaundice - Ukuphuzi kwesikhumba kanye nokumhlophe kwamehlo. |
Iningi labantu liyalulama zingakapheli amasonto ama-2-4 izimpawu, kodwa ngezinye izikhathi izimpawu, ikakhulukazi ukukhathala , zingahlala amasonto amaningana, ngezinye izikhathi kuze kube izinyanga ezi-6.
Udokotela ukubona kanjani lokhu?
Uma ubona udokotela, uzolalela ngokucophelela izimpawu zakho. Ngemuva kwalokho bazohlola umphimbo wakho, intamo, kanye nesisu. Lokhu kungenxa yokuthi ubende nesibindi kungavuvukala kulesi simo.
Uma kudingeka, udokotela uzoyala ukuhlolwa kwegazi okuningana ukuqinisekisa ukuxilongwa.
- Ukubalwa Kwegazi Okuphelele (i-CBC): Lokhu kungahlola inani lamaseli amhlophe egazini lakho nokuthi ngabe anazo yini izinkinga.
- Ukuhlolwa Kwama-Antibody: Lokhu kuhlolwa kungathola ukuthi umzimba wakho uwenze yini ama-antibodies ngokumelene negciwane le-EBV.
Yiziphi izinkinga eziyingozi ezingavela kulokhu?
Nakuba ngokuvamile kungesiyo ingozi, i-mononucleosis ayivamile ukubangela izinkinga ezinkulu.
- Amathonsili amakhulu: Amathonsili emphinjeni angavuvukala kakhulu futhi anciphise indlela yokuphefumula. Lokhu kungenza kube nzima ukuphefumula nokugwinya ukudla.
- Ukuvuvukala nokuqhekeka kwe-spleen: Lena yinkinga ekhathaza kakhulu . I-Mononucleosis ingabangela ukuthi i-spleen, etholakala engxenyeni engenhla kwesobunxele sesisu, ivuvuke. Uma i-spleen ivuvukele, ingaqhekeka uma kukhona ukushaywa kanzima esiswini, uma into esindayo iphakanyiswa, noma uma uhlanganyela ekuzivocavoceni okunzima.
- Izinkinga zesibindi: Kungase kube nezimo ezifana ne-hepatitis noma i-jaundice.
- Izinkinga zegazi: Lokhu kungafaka izinto ezifana nokubhujiswa kwamangqamuzana abomvu egazi (i-hemolytic anemia) noma ukwehla kwama-platelet egazi (i-thrombocytopenia).
- Izinkinga zenhliziyo nesimiso sezinzwa: Akuvamile kakhulu ukuthi kube nezimo ezingathi sína njengokuvuvukala kwemisipha yenhliziyo (myocarditis) noma ukuvuvukala kobuchopho (encephalitis, meningitis).
- Phumula ngokwanele: Lena yinto ebaluleke kakhulu. Phumula ngangokunokwenzeka. Hlala embhedeni.
- Phuza uketshezi oluningi: Phuza izinto eziningi ezifana namanzi, isobho, kanye nojusi wezithelo.
- Izibulali-zinhlungu: Uma umkhuhlane kanye nobuhlungu bomzimba, ungathatha umuthi wokuqeda izinhlungu njenge-paracetamol, njengoba utshelwa udokotela wakho.
- Ukuxubha ngamanzi anosawoti: Ncibilikisa ithisipuni likasawoti engilazini yamanzi afudumele bese uxubha lawo manzi ukuze unciphise umphimbo obuhlungu.
- Ukugwema umsebenzi onzima kanye nemidlalo: Gwema ezemidlalo nokuphakamisa izinsimbi ngokuphelele okungenani inyanga yonke , njengoba lokhu kwandisa ingozi yokuqhekeka kwe-spleen.
- Gwema utshwala: Uma une-mono, kubalulekile ukugwema utshwala ngokuphelele. Lokhu kungenxa yokuthi isibindi sakho singathinteka naphakathi nalesi sikhathi. Ukuphuza utshwala kungabangela umonakalo omkhulu wesibindi.
- I-Mononucleosis yisifo esibangelwa kakhulu yigciwane elibizwa ngokuthi i-EBV. Sibizwa nangokuthi 'iSifo Sokuqabulana'.
- Isakazeka kakhulu ngamathe, ngakho gwema ukwabelana ngezitsha, izinkomishi, kanye nezitsha nabanye.
- Izimpawu eziyinhloko ukukhathala okukhulu, umkhuhlane, umphimbo obuhlungu kanye nokuqina kwentamo.
- Akukho muthi othize walokhu. Ukwelashwa okungcono kakhulu yilokhuPhumula ngokwanele futhi uphuze uketshezi.
- Gwema ezemidlalo, ukuphakamisa izinto ezisindayo, njll. ngokuphelele kuze kube yilapho isifo sesipholile futhi cishe inyanga ngemva kwalokho. Gwema nokuphuza utshwala.
- Uma uzwa ubuhlungu obungazelelwe, obukhulu esiswini esingaphezulu kwesobunxele, hamba uye ekamelweni lezimo eziphuthumayo esibhedlela (ETU) ngokushesha.
- Uma usola ukuthi unezimpawu ze-mononucleosis, qiniseka ukuthi ufuna iseluleko sezokwelapha.
Uma ngokuzumayo uzwa ubuhlungu obukhulu, obubukhali ohlangothini olungaphezulu kwesobunxele lwesisu sakho, kungaba yisimo esiphuthumayo sezokwelapha. Esimweni esinjalo, iya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze (i-ETU) ngokushesha. Kungase kudingeke ukuhlinzwa.
Uma amasosha omzimba wakho ebuthakathaka (isibonelo, ngenxa yesimo esifana ne-HIV/AIDS noma ngoba uthatha imithi ethile), usengozini enkulu yokuthola lezi zinkinga.
Yiziphi izindlela zokwelapha?
Akukho muthi othize ongabulala igciwane le-EBV elibangela i-mononucleosis. Njengoba lesi kuyisifo esibangelwa yigciwane , ama-antibiotic awasizi ngalutho.
Kodwa-ke, kunezinto eziningana ezingakusiza ukuthi ulawule izimpawu zakho futhi ululame.
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