Kutsvodana chirwere

Zvirwere mononucleosis (kwazvo huro monocytic, chirwere Filatov vake, Pfeiffer) - chirwere chakasimba (nayo anokonzerwa Epstein-Barr utachiona), anozivikanwa angina, kuchinja masero lymphoid uye hematopoietic zvomukati, kuchinja ropa Counts yakaitika reactive lymphadenitis. First akarondedzera chirwere Filatov NF uye Pfeiffer, umo rukudzo, chirwere atora zita rayo.

causation zvirwere

The chirwere kukura sezvo pamusana pathological chiito nokuda Epstein-Barr utachiwana. Utachiona voga muna 1964 nemasayendisiti British. utachiwana Izvi ndowenyika herpesvirus marudzi. The causative mumiririri, rakapinza muruoko muviri chinopinda kupinda lymphocytes, kwebhosvo kuchinja masero unomuka.

Hutachiwana uhu chinopfuudzwa kubva munhu ane HIV kana keriya utachiona obliterated chimiro chirwere uye anomira panze kwemwedzi inoverengeka chirwere. Maperembudzi pachishandiswa mhepo, haisi kunze kupinda utachiona pamusoro vachionana, kubudikidza kutwasuka uye kurapwa. Kunyanya nayo ndikawana vakadzima uye chiedza chimiro chirwere. In vacheche nevana vaduku maperembudzi kushanda asina kuchengetwa, nokuda pusa kutapata. Chirwere kutapuriranwa mononucleosis rinowanzoberekera mu kuyaruka.

Zvirwere mononucleosis nedzevakuru hariwanikwi, sapamazuva 35-40 Makore muropa anogona kuziva chaizvo antibodies kuna Epstein-Barr utachiwana. Seasonality chirwere isina kuchengetwa, makanyorwa rose gore.
Kuwana kuburikidza kufema turakiti, utachiona kupinda munharaunda yacho nasal mucosa, kukonzera kuwedzera reactive node nodes uye mucosal edema. Vanoverevedza lymphocytes, utachiona rinopararira yose muviri, kukonzera kuchinja nhengo dzinobudisa ino uye chitarisiko ropa mononuclear masero.

Zvirwere mononucleosis chacho kuratidzwa

Kubva panguva utachiwana mumuviri kusvikira zviratidzo Chirwere vhiki rimwe vhiki nhanhatu. The kutanga kuratidzwa zvingava prodrome. Clinical kuratidzwa zvinogona siyana. Typical mononucleosis vari kwazvo huro, ane raidudzwa hyperemia huro, nasal kuzara, rhinitis mananara, maitiro node nodes marwadzo kana pakuparadza, zvakawanda zvive uye mananara kudhaka. Mune zvimwe zviitiko, pane yakawedzerwa chiropa uye chirwatata.

Nokuti ropa pachisara dzinoratidzwa yakakwirira leukocytosis (20x10 pamberi / 9 / l), kuchinja ropa hazvibatsiri pamwe nokuwedzera lymphocytes, eosinophils uye neutrophils.

Diagnostics

Zvirwere mononucleosis kunokwanisa kuonekwa pachishandiswa zviratidzo chirwere uye kutsunga masero eropa yo chirwere - masero mononuclear. Masero aya yakananga vane panozogadzirika huru lymphocyte uye yakafara cytoplasm.

Nokuti ya zvinotapuriranwa mononucleosis rinovapo kusvika vhiki dzinoverengeka, mufananidzo ropa anodzokera zvakajairika mukati mishomanana. Mune zvisingawanzoitiki Muzviitiko, ipapo zvingadzokororwa exacerbations, pamwe zvishoma ano, pane zvikamu anoverengeka makore. Matambudziko mononucleosis anogona Makwanza wakakurisa chirwatata, chiropa, hemolysis.

mabatiro

Zvirwere mononucleosis: pakurapa chirwere iri nyore ruchiyerera chimiro kwete kazhinji vanofanira kupa zvakananga zvinodhaka mishonga. In mashoma mazuva murwere ezvinhu rinowanzova kuipa, ropa count rinodzokera dzose. Possible symptomatic kurapa nokuda kuwedzera tembiricha, zvikuru kwazvo huro uye kwazvo huro. Kana kuramba tichishanda Chokwadi basa hormone kurapa (prednisolone kana zvimwe analogues yayo).
Fungidziro chirwere iri kazhinji zvakanaka. Akangotaura murwere haasi zvakakodzera nokuda yakaderera contagiousness chirwere chacho. Kana hosha kunoitika kwazvo chimiro, visceral muchipatara muchipatara.