Mononucleosis

ʻO Mononucleosis, a i ʻole mono, kahi maʻi viral i kumu i ke kuni, ka ʻeha o ka ʻāʻī, a me nā ʻōpena lymph pehu, pinepine i ka ʻāʻī.

Hoʻolahalaha pinepine ʻia ka Mono e ka lawai a me ka pili pili. ʻIke ʻia ʻo "ka maʻi honi." Kū pinepine ka Mono i nā makahiki 15 a 17, akā hiki ke ulu i ka maʻi i kēlā me kēia makahiki.

Hoʻokumu ʻia ka Mono e ka maʻi Epstein-Barr (EBV). Kākaʻikahi, kumu ʻia ia e nā mea ʻino ʻē aʻe, e like me cytomegalovirus (CMV).

Hoʻomaka mālie paha ka Mono me ka luhi, kahi manaʻo maʻi maʻamau, ʻeha poʻo, a ʻeha puʻu. Mālie mālie ka ʻāʻī ʻeha. Pehu kou mau tonsil a hoʻomohala i kahi uhi keʻokeʻo-melemele. ʻO ka pinepine, pehu nā lymph node ma ka ʻāʻī a ʻeha hoʻi.

Hiki ke kupu mai ka ʻula, a me ka ʻōpala, a ʻoi aku paha ka hopena inā lawe ʻoe i ka lāʻau ampicillin a i ʻole amoxicillin no kahi maʻi puʻu. (ʻAʻole hāʻawi pinepine ʻia nā antibiotic me ka ʻole o kahi hōʻike e hōʻike ana he maʻi koʻokoʻo kou.)

ʻO nā ʻōuli maʻamau o mono me:

• Hiamoe
• Fiva
• General discomfort, uneasiness, a i ʻole maʻi manaʻo
• Loaʻa ka ʻai ʻole
• ʻEha ka ʻili a ʻoʻoleʻa
• Rash
• Eha ka 'ā'ī
• ʻO nā pona lymph pehu, ʻo ka mea pinepine i ka ʻāʻī a me ka armpit

ʻO nā ʻōuli liʻiliʻi ʻoi aku ka:

• ʻEha ʻeha
• Cough
• Ka luhi
• ʻEha poʻo
• ʻO Hives
• Jaundice (melemele i ka ʻili a me nā keʻokeʻo o nā maka)
• ʻĀʻī ʻoʻole
• Nosebleed
• Helu puʻuwai wikiwiki
• ʻIke i ka mālam
• Pokole o ka hanu

E nānā kāu mea mālama ola iā ʻoe. Loaʻa paha iā lākou:

• ʻO nā pona lymph pehu i mua a i hope o kou ʻāʻī
• ʻO nā tonsil pehu me ka uhi keʻokeʻo-melemele
• Hū ke ake a pehu paha
• ʻ Skinhū ʻili

E hana ʻia nā hoʻokolohua koko, me:

• Helu keokeo keokeo (WBC): e ʻoi aku ke kiʻekiʻe ma mua o ka maʻamau inā he mono kāu
• Hōʻike Monospot: e maikaʻi no ka mononucleosis infectious
• Antibody titer: haʻi i ka ʻokoʻa ma waena o kahi maʻi o ka wā a me ka wā i hala

ʻO ka pahuhopu o ka mālama ʻana e hōʻoluʻolu i nā ʻōuli. Hāʻawi ʻia ka lāʻau Steroid (prednisone) inā koʻikoʻi kāu mau ʻōuli.

ʻO nā lāʻau anttiviral, e like me acyclovir, loaʻa iki a loaʻa ʻole kahi pōmaikaʻi.

E hoʻokuʻu i nā hōʻailona maʻamau:

• E inu nui i nā wai.
• Kāhi me ka wai paʻakai mehana e hoʻoluʻolu i kahi ʻāʻī ʻeha.
• E hoʻomaha nui.
• Lawe i ka acetaminophen a i ʻole ibuprofen no ka ʻeha a me ke kuni.

Pale pū i nā haʻuki pili inā pili ka pehu (e pale ia mai ka haki ʻana).

E hāʻule mau ke kuni i 10 mau lā, a pehu nā lymph glands a me ka spleen i 4 mau pule. Hele pinepine ka luhi i loko o kekahi mau pule, akā lōʻihi paha ia no 2 a 3 mau mahina. Ma kahi kokoke i nā poʻe āpau e hoʻōla loa.

Komo pū nā pilikia o mononucleosis:

• Anemia, i kū i ka wā e make koke nā hunaola koko i ke koko ma mua o ka maʻamau
• Hepatitis me ka jaundice (ʻoi aku ka nui o ka poʻe ma mua o 35)
• Huikala pehu a i ʻole wela paha
• Nā pilikia ʻōnaehana hopohopo (laha ʻole), e like me ka maʻi ʻo Guillain-Barré, meningitis, ka hopu ʻana, hōʻino ʻia i ke aʻalolo e kaohi ana i ka neʻe ʻana o nā mākala i ka maka (Bell palsy), a me nā neʻe ʻole i hoʻohui ʻia.
• Haki ʻāpala (kākaʻikahi, pale i ke kaomi ma ka ʻāpā)
• ʻ rlapa ka ʻili (ʻike ʻole ʻia)

Hiki ke make i ka poʻe i loaʻa ka ʻōnaehana pale nawaliwali.

ʻO nā ʻōuli mua o ka mono e like me nā maʻi ʻē aʻe i hoʻokumu ʻia e ka maʻi. ʻAʻole pono ʻoe e kāhea i kahi mea hāʻawi ke ʻole ka lōʻihi o kāu mau hōʻailona ma mua o 10 mau lā a i ʻole ke hoʻomohala ʻoe:

• Abdominal eha
• Pilikia hanu
• ʻO nā fiva kiʻekiʻe paʻa (ʻoi aku ma mua o 101.5 ° F a 38.6 ° C)
• ʻEha poʻo poʻo
• ʻEha ʻeha nui a i ʻole nā ​​tonsil pehu
• Nāwaliwali i kou mau lima a me kou mau wāwae
• Waihoʻoluʻu melemele i kou mau maka a i ʻole ʻili

Kāhea iā 911 a i ʻole ka helu kūloko kūloko a i ʻole e hele i kahi keʻena pilikia inā hoʻomohala ʻoe:

• ʻEha, ʻeha, ʻeha loa i ka ʻōpū
• ʻĀʻī ʻoʻoleʻa a nāwaliwali loa paha
• Pilikia i ka ale ʻana a me ka hanu ʻana

He maʻi lele paha ka poʻe me mono ʻoiai he ʻōuli ko lākou a no kekahi mau mahina ma hope. Pehea ka lōʻihi o ka laha ʻana o kekahi me ka maʻi. Hiki i ke virus ke noho no kekahi mau hola ma waho o ke kino. Hōʻalo i ka honi ʻana a me ke kaʻanalike ʻana i nā mea hana inā he mono kāu a i ʻole kahi mea kokoke iā ʻoe.

Mono; Maʻi honi; ʻO ke kuni glandular

• Mononucleosis - photomicrograph o nā hunaola
• Mononucleosis - photomicrograph o nā hunaola
• ʻO ka mononucleosis maʻi # 3
• ʻAcrodermatitis
• ʻO Splenomegaly
• Mononucleosis maʻi maʻi
• Mononucleosis - photomicrograph o ka pūnaewele
• ʻO Gianotti-Crosti maʻi ma ka wāwae
• Mononucleosis - ʻike i ka puʻu
• Mononucleosis - waha
• Nā Antibodies

ʻO Ebell MH, Kelepona M, Shinholser J, Gardner J. Loaʻa i kēia mea maʻi i ka mononucleosis infectious?: Ka loiloi ʻōnaehana loiloi pono loiloi. JAMA. 2016; 315 (14): 1502-1509. PMID: 27115266 pubmed.ncbi.nlm.nih.gov/27115266/.

Johannsen EC, Kaye KM. ʻO Epirus-Barr virus (infectious mononucleosis, Epstein-Barr virus-pili malignant maʻi, a me nā maʻi). I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 138.

Weinberg JB. ʻO Virus Epstein-Barr. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 281.

ʻO Winter JN. Hele i ka mea maʻi me ka lymphadenopathy a me ka splenomegaly. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 159.