Isusu ọnụ ọrịa

Infectious mononucleosis (akpịrị monocytic, Filatov ọrịa, Pfeiffer) - nnukwu ọrịa (ọ na-mere site Epstein-Barr virus), ji rịaworo, mgbanwe lymphoid mkpụrụ ndụ na hematopoietic akụkụ, mgbanwe ọbara na-adabere, omume reactive lymphadenitis. First kọwara ọrịa Filatov NF na Pfeiffer, nke nsọpụrụ, ọrịa nwetara aha ya.

causation nke ọrịa

The ọrịa amalite dị ka a n'ihi nke enweghị nchịkwa edinam nke Epstein-Barr virus. The virus dịpụrụ adịpụ na 1964 site na British ndị ọkà mmụta sayensị. Nke a virus bụ nke herpesvirus umu. The causative gị n'ụlọnga, na-abami n'ime ahu penetrates n'ime lymphocytes, gbawara mgbanwe nke mkpụrụ ndụ na-ebilite.

The virus na-ebute site ná site na nje onye ma ọ bụ na virus ụgbọelu obliterated ụdị ọrịa na guzo ruo ọtụtụ ọnwa mgbe ọrịa. The ọrịa a na-ebute site ná site ikuku, ọ na-adịghị ekwe n'aka abanye virus n'elu kọntaktị, site vetikal na ọgwụ na usoro. Tumadi ya hu ihe ehichapu na ìhè ụdị ọrịa ahụ. Na ụmụ ọhụrụ na-eto eto ụmụ na ọrịa na-fọrọ bụghị hụrụ, n'ihi n'ezinụlọ ọgụ. Ọrịa na-efe efe mononucleosis-abụkarị na-eto eto.

Infectious mononucleosis okenye bụ obere, dị ka ọ na 35-40 afọ na ọbara nwere ike ịchọpụta kpọmkwem-alụso ọrịa ọgụ na Epstein-Barr virus. Seasonality nke ọrịa na-adịghị hụrụ, ọ na-e dere n'ime afọ.
Na-ebe akụkụ okuku ume tract, na virus penetrates gọzie gị mucosa, na-eme na-abawanye na reactive Lymph na mucosal edema. Akụzi lymphocytes, nje na-agbasa ofụri idem, na-eme mgbanwe ndị na-lymphatic usoro na ọdịdị ọbara mononuclear mkpụrụ ndụ.

Infectious mononucleosis na ya ngosipụta

Site n'oge ndị virus bụ na ahụ ruo mgbe mgbaàmà nke ọrịa gafee si otu izu iji izu isii. The mbụ ngosipụta nwere ike a prodrome. Clinical ngosipụta nwere ike iche iche. Ahụkarị mononucleosis bụ akpịrị akpịrị, na a akpọ hyperemia akpịrị, gọzie gị mkpọchi, rhinitis phenomena, mmeghachi omume Lymph mgbu mgbe ilo, malaise na phenomena nke igbu egbu. N'oge ụfọdụ, e nwere otu ikpọ imeju na splin.

N'ihi na ọbara analysis, ji a elu leukocytosis (20x10 tupu / 9 / l), mgbanwe ọbara adabere na-abawanye nke lymphocytes, eosinophils na neutrophils.

nchọpụta nsogbu

Infectious mononucleosis na-chọpụtara dabeere na mgbaàmà nke ọrịa na mkpebi siri ike nke mkpụrụ ndụ ọbara e ji mara nke ọrịa - mononuclear mkpụrụ ndụ. Ndị a kpọmkwem mkpụrụ ndụ a oké isi nke lymphocyte na obosara cytoplasm.

N'ihi na oge nke na-efe efe mononucleosis dịruru ruo ọtụtụ izu, ọbara picture laghachi nkịtị n'ime ọnwa ole na ole. Na obere okwu, e nwere ike ugboro ugboro exacerbations, na a nta ugbu a, na etiti oge nke ọtụtụ afọ. Nsogbu nke mononucleosis nwere ike gaps abawanye splin, ịba ọcha n'anya, hemolysis.

ọgwụgwọ

Infectious mononucleosis: ọgwụgwọ nke ọrịa na mfe etoola ụdị anaghị adịkarị mkpa ekenye kpọmkwem aṅụ ọgwụ. Na nnọọ a ụbọchị ole na ole ọrịa na-arịa na-abụkarị nkịtị, ọbara ọnụ otú o kwesịrị. Ekwe Omume symptomatic ọgwụ maka ịrị elu nke okpomọkụ, oké akpịrị na akpịrị na akpịrị. Mgbe protracted N'ezie kenyere mmiri ọgwụ ọgwụ (prednisolone ma ọ bụ ndị ọzọ analogues ya).
Prognosis nke ọrịa bụ na-emekarị mma. Anọrọ ndidi dịghị mkpa n'ihi na ala contagiousness nke ọrịa. Ọ bụrụ na ọrịa ahụ pụtara na oké ụdị, visceral, ụlọ ọgwụ na ụlọ ọgwụ.