Mononucleosis hauv menyuam yaus: ua rau, tsos mob, kev kho mob thiab qhov tshwm sim, tshuaj xyuas

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:27

Mononucleosis hauv cov menyuam yaus yog ib yam kab mob sib kis uas zoo sib xws hauv cov tsos mob ntawm tus mob caj pas lossis mob khaub thuas, nws tseem hu ua "glandular fever", vim cov qog ntshav hauv ntau qhov ntawm lub cev tau nthuav dav. Raws li txoj cai, mononucleosis tseem hu ua "kissing disease", vim nws kis tau yooj yim los ntawm qaub ncaug. Tshwj xeeb txaus ntshai yog cov teeb meem uas tuaj yeem tshwm sim thiab qhov txawv ntawm mononucleosis los ntawm tus mob khaub thuas. Yog li, tus kab mob no yog dab tsi, nws kis tau li cas, nws cov tsos mob li cas, nws kuaj tau li cas thiab kho li cas, kev tiv thaiv kev tiv thaiv dab tsi, muaj teeb meem dab tsi tshwm sim? Txhua yam no yuav tau tham hauv kab lus.

tus kab mob no yog dab tsi?

Mononucleosis yog kab mob kis los ntawm tus kab mob Epstein-Barr. Raws li kws kho mob thiab niam txiv tshuaj xyuas, mononucleosis nyob rau hauv cov me nyuam feem ntau pom thaum muaj hnub nyoog 3 txog 10 xyoo, tsawg dua tus kab mob.tshwm sim hauv pawg hnub nyoog txog li 2 xyoos. Yog hais tias tus me nyuam muaj mob caj pas, tonsils yog mob, snores thaum hmo ntuj, thiab thaum nruab hnub nws ua pa nyuaj - nws yuav muaj mononucleosis.

Tus me nyuam mob muaj cov tsos mob li 3 lub lis piam, tom qab ntawd nws rov zoo.

Nov yog ib yam kab mob uas tshwm sim heev, thaum muaj hnub nyoog 5 xyoos, kwv yees li 50% ntawm cov menyuam yaus muaj cov tshuaj tiv thaiv kab mob no hauv lawv cov ntshav, qhia tias lawv twb tau ntsib lawm. Feem ntau, cov niam txiv tseem tsis tau paub txog nws, txij li tus kab mob no asymptomatic. Cov neeg tsis muaj mob thaum yau, raws li txoj cai, mob thaum laus.

Ib zaug hauv lub cev, tus kab mob tseem nyob hauv nws lub neej, uas yog, tus neeg mob tau mob nws tus neeg nqa khoom thiab, raws li qee qhov xwm txheej, tus neeg xa khoom muaj peev xwm. Kev rov tshwm sim ntawm tus kab mob hauv daim ntawv mob hnyav yog tsis yooj yim sua, vim hais tias lub cev tiv thaiv kab mob tsim cov tshuaj tiv thaiv rau tag nrho lub neej. Tab sis tus kab mob tuaj yeem rov zoo dua nrog cov tsos mob tsis pom tseeb.

Qhov txawv ntawm mononucleosis thiab tonsillitis yog dab tsi?

Ntau zaus, cov niam txiv tsis meej pem tus kab mob no nrog mob caj pas lossis mob khaub thuas. Lawv pib muab tshuaj rau menyuam yaus uas tsis muaj txiaj ntsig thiab tua lub cev tiv thaiv kab mob. Dr. Komarovsky Evgeny hais tias mononucleosis nyob rau hauv cov me nyuam yeej ib txwm nrog rau qhov ntswg congestion thiab ib tug hnyav los ntswg qhov ntswg. Nrog angina, raws li txoj cai, tsis muaj cov tsos mob zoo li no. Qhov ntawd yog, yog tias tus menyuam muaj mob caj pas hnyav thiab qhov ntswg los, feem ntau nws yuav muaj mononucleosis. Ib tus kws kho mob uas paub txog yuav ib txwm muaj peev xwm paub qhov txawv ntawm tus kab mob no los ntawm txhua tuslwm tus.

Cas thiab txoj hauv kev kis tus kabmob

Qhov ua rau mononucleosis hauv menyuam yaus yog nyob ze nrog tus neeg mob lossis tus neeg nqa tus kabmob. Tus neeg sawv cev ntawm tus kab mob hauv ib puag ncig sai sai tuag. Tus menyuam tuaj yeem kis tau los ntawm kev hnia, siv tib lub tais, los ntawm cov khoom ua si sib koom. Mononucleosis tuaj yeem tau los ntawm cov phuam ntub dej, los ntawm cov pa hauv huab cua, txij li thaum hnoos thiab txham, tus kab mob nkag mus rau hauv huab cua nrog cov kua qaub.

Cov menyuam kawm ntawv preschool thiab hnub nyoog kawm ntawv nyob ze, yog li lawv mob feem ntau. Hauv cov menyuam mos, mononucleosis tsawg dua, lawv kis tau los ntawm leej niam.

Cov kws tshawb fawb tau ua pov thawj tias cov tub hluas mob ntau dua cov ntxhais.

Kev kis tus kabmob kis tau tshwm sim thaum lub caij nplooj zeeg thiab caij nplooj ntoo hlav, vim tias kev tiv thaiv tsis muaj zog thiab qis qis ua rau muaj kev sib kis thiab kis kab mob.

Nov yog kab mob sib kis heev. Yog tias tus menyuam tau ntsib nrog tus neeg mob, tom qab ntawd rau 3-4 lub hlis, cov niam txiv yuav tsum ua tib zoo saib xyuas nws. Yog tias tsis muaj cov tsos mob tshwm sim, qhov no txhais tau hais tias tus menyuam txoj kev tiv thaiv muaj zog txaus, thiab zam kev kis kab mob, lossis tus kab mob me.

Symptoms

Cov tsos mob tshwm sim thiab cov tsos mob ntawm mononucleosis hauv cov menyuam yaus yog:

• Thaum nqos, mob caj pas, loj tonsils, plaque tshwm rau ntawm lawv, o ntawm pharynx, ua tsis taus pa.
• ua pa nyuaj vim qhov o ntawm qhov ntswg mucosa. Snoring in pw tsaug zog, tsis muaj peev xwm ua tsis taus pa ntawm lub qhov ntswg, hnoos heev.
• AchesHauv cov pob txha thiab cov leeg, ua npaws, qhov kub thiab txias hauv mononucleosis hauv cov menyuam yaus nce mus txog 39 ° C, tus menyuam tsis muaj zog, ua daus no, mob taub hau.
• Kev qaug zog tas li tshwm sim, uas kav ntev li ob peb lub hlis tom qab tus mob.
• o thiab o ntawm cov qog nqaij hlav hauv pliaj, caj npab, caj dab.
• plees plees, siab. Qhov tshwm sim ntawm jaundice, muaj ib tug darkening ntawm cov zis. Nrog rau qhov loj ntawm tus po, nws yuav tawg.
• Cov tsos mob tshwm sim ntawm ob txhais ceg, caj npab, nraub qaum, ntsej muag, plab, tab sis tsis khaus. Nws feem ntau ploj ntawm nws tus kheej tom qab ob peb hnub. Yog tias muaj kev fab tshuaj rau cov tshuaj, cov pob khaus pib khaus khaus heev.
• kiv taub hau thiab insomnia.
• Khperminess ntawm cov tawv muag thiab ntsej muag.
• Tus me nyuam qaug zog, tsis kam noj, zoo li pw. Teeb meem hauv plawv (yuav yws, palpitations).
• Muaj cov hlwb mononuclear hauv cov ntshav, uas tau txiav txim siab los ntawm kev kuaj xyuas.

Tus menyuam me, qhov tsis muaj zog ntawm cov tsos mob ntawm mononucleosis tshwm sim, nws nyuaj heev kom paub qhov txawv ntawm cov tsos mob ntawm SARS. Cov menyuam yaus hnub nyoog qis dua ib xyoos yuav hnoos thiab ua pa tawm, hawb pob, khaus khaus, mob me me ntawm cov tonsils hnov thaum ua pa.

Feem ntau pom tseeb tag nrho cov cim qhia ntawm mononucleosis hauv cov menyuam yaus tshwm sim thaum muaj hnub nyoog 5 txog 15 xyoo. Tsis tas li ntawd, yog tias kub taub hau, txhais tau hais tias lub cev tawm tsam.

Nyob ntawm kab mob

Mob rau menyuam yaus tuaj yeem mob hnyav lossis mob ntev, los ntawm qhov nonyob ntawm nws manifestation. Hom kab mob mononucleosis:

1. Acute - tus cwj pwm los ntawm qhov pib sai. Qhov kub nce siab heev, thawj hnub nws nyob ntawm ib ncig ntawm 39 ° C. Tus me nyuam muaj kub taub hau, nws muab tso rau hauv qhov txias, ces mus rau hauv tshav kub, muaj apathy, tsaug zog, nkees.

Mob mononucleosis nyob rau hauv cov menyuam yaus yog cov tsos mob xws li cov qog nqaij hlav o, o ntawm nasopharynx, txheej dawb ntawm cov tonsils, palate, hauv paus ntawm tus nplaig, daim siab loj thiab tus po, daim di ncauj parched, pob liab me me thiab tuab. thoob plaws lub cev.

Yuav tsum nco ntsoov tias tus menyuam kis tau 3-5 hnub, ib yam li kis kab mob.

2. Ntev. Mob mononucleosis ua mob ntev nrog kev txo qis hauv kev tiv thaiv kab mob, kev noj zaub mov tsis zoo, thiab kev ua neej tsis zoo. Tsis tas li ntawd, nws tuaj yeem tshwm sim rau cov neeg laus, yog tias lawv raug kev ntxhov siab ntau zaus, lawv ua haujlwm hnyav, lawv tsis tawm mus sab nraud ntau.

Cov tsos mob yuav luag zoo ib yam, tab sis mob me dua. Tsis muaj qhov kub thiab txias, lub siab thiab tus po nce me ntsis, tab sis tsis muaj zog, qaug zog, tsaug zog. Qee zaum cov tsos mob hauv qab no tshwm sim: raws plab, xeev siab, cem quav, ntuav.

Nyob rau hauv daim ntawv mob ntev, cov menyuam yaus feem ntau yws txog mob taub hau uas zoo li mob khaub thuas.

Diagnosis

Kev paub qhov txawv ntawm mononucleosis hauv cov menyuam yaus los ntawm lwm yam kab mob thiab sau ntawv kho kom raug, kuaj xyuas siv ntau txoj hauv kev kuaj. Ua cov kev ntsuam xyuas hauv qab nontshav:

• General: rau leukocytes, monocytes, lymphocytes, ESR. Tag nrho cov ntsuas hauv mononucleosis yog nce los ntawm 1.5 - 2 zaug. Mononuclear hlwb tsis tshwm sim tam sim ntawd, tab sis ob peb lub lis piam tom qab kis kab mob.
• Biochemical tsom xam; ntawm cov ntsiab lus ntawm qabzib, urea, protein. Raws li cov ntsuas no, tus kws kho mob soj ntsuam kev ua haujlwm ntawm lub siab, spleen, ob lub raum.
• ELISA rau tshuaj tiv thaiv kab mob herpesviruses.

Ultrasound ua tiav los txiav txim siab qhov xwm txheej ntawm cov kabmob hauv nruab nrog cev.

Mononucleosis hauv menyuam yaus: kev kho mob, tsos mob, qhov tshwm sim

Tsis muaj tshuaj uas yuav ua kom tus kab mob no puas tsuaj. Yog li ntawd, kev kho mob mononucleosis hauv cov menyuam yaus yog ua tiav txhawm rau txo cov tsos mob thiab tiv thaiv txhua qhov tshwm sim. Ib qho yuav tsum tau ua ua ntej yog pw so. Yuav tsum tau mus pw hauv tsev kho mob yog tias tus kab mob hnyav heev, nrog rau ntuav ntuav thiab kub taub hau, ua haujlwm tsis zoo ntawm cov kab mob hauv nruab nrog cev.

Yog li, yuav ua li cas kho tus kab mob mononucleosis hauv cov menyuam yaus? Cov tshuaj tua kab mob tsis muaj zog tiv thaiv kab mob, yog li nws tsis muaj txiaj ntsig los muab rau menyuam yaus, ntxiv rau, lawv tuaj yeem ua rau muaj kev fab tshuaj hnyav. Rau kev kho mob, tshuaj antipyretic yog siv (syrups "Ibuprofen", "Panadol"). Txhawm rau txo qhov mob ntawm caj pas, nws yog qhov yuav tsum tau yaug nws nrog kev daws ntawm dej qab zib, furatsilina.

Txhawm rau txo cov tsos mob ntawm kev qaug cawv ntawm lub cev, tshem tawm cov kev tsis haum tshuaj, cov kws kho mob tau sau tshuaj tiv thaiv kab mob ("Claritin","Zirtek", "Zodak").

Txhawm rau kho lub siab ua haujlwm, cov tshuaj choleretic ("Karsil", "Essentiale") tau sau tseg.

Nws tseem yuav tsum tau muab cov tshuaj immunomodulatory rau menyuam yaus uas muaj cov tshuaj tiv thaiv kab mob ("Cycloferon", "Imudon", "Anaferon"). Kev kho cov vitamins thiab kev noj haus yog qhov tseem ceeb heev.

Thaum qhov mob hnyav ntawm nasopharynx, cov tshuaj hormonal raug muab tshuaj ("Prednisolone", "Nasonex").

Thaum tus po ruptured, phais tau ua.

Nws yuav tsum nco ntsoov tias kev kho tus kheej ntawm tus kab mob no tuaj yeem ua rau muaj qhov tshwm sim tsis zoo thiab muaj qhov tshwm sim loj, yog li koj yuav tsum ua raws li txhua tus kws kho mob cov lus pom zoo thiab kho cov kab mob mononucleosis hauv cov menyuam yaus raws li tau qhia.

Mononucleosis, zoo li tus kab mob herpes, tsis raug kev puas tsuaj tag, thiab kev kho mob yog txhawm rau txo cov tsos mob thiab tus mob ntawm tus neeg mob, nrog rau txo qis kev pheej hmoo ntawm cov teeb meem.

Ntxiv mus, koj tuaj yeem siv nqus pa nrog cov tshuaj tshwj xeeb uas pab txo qhov o thiab ua pa yooj yim dua.

Ntev npaum li cas thiaj kho tus mob mononucleosis hauv cov menyuam yaus? Tsis muaj ib lo lus teb rau lo lus nug no, txhua yam nyob ntawm tus menyuam txoj kev tiv thaiv kab mob, kev kuaj mob raws sij hawm, thiab kev kho kom raug.

Kev nyuaj siab

Nrog kev kho tsis raug, kuaj mob lig, tsis ua raws li tus kws kho mob cov lus pom zoo, tus kab mob no nyuaj los ntawm otitis, tonsillitis, paratonsillitis, mob ntsws. Hauv hnyavCov neeg mob muaj mob neuritis, anemia, raum tsis ua haujlwm.

Qhov cuam tshuam tsis zoo ntawm mononucleosis hauv cov menyuam yaus thaum kho cov enzyme deficiency thiab kab mob siab tsis tshua muaj tshwm sim. Tab sis rau rau lub hlis tom qab pib muaj tus kab mob no, cov niam txiv yuav tsum tau saib xyuas thiab hnov mob xob laim rau cov tsos mob xws li yellowing ntawm lub qhov muag thiab tawv nqaij, lub teeb quav, ntuav, thiab plab zom mov. Nrog cov tsos mob no, thiab yog tias tus menyuam tseem yws yws ntawm qhov mob plab, koj yuav tsum mus ntsib kws kho mob.

Kev Tiv Thaiv Kab Mob

Txhawm rau tiv thaiv lawv txoj kev loj hlob, nws yog ib qho tsim nyog yuav tsum tau saib xyuas tus menyuam tus mob tsis yog thaum muaj mob xwb, tab sis kuj yog ib xyoos tom qab cov tsos mob ploj mus. Pub ntshav, saib xyuas lub siab, tus po, lub ntsws thiab lwm yam kabmob los tiv thaiv kev mob ntawm daim siab, leukemia lossis lub ntsws ua haujlwm tsis zoo.

Kev noj haus

Nrog mononucleosis, zaub mov yuav tsum sib npaug thiab muaj zog, ua kua, calorie ntau ntau, tab sis tsis rog, los pab txhawb kev ua haujlwm ntawm daim siab. Nco ntsoov suav nrog kua zaub, khoom noj siv mis, cereals, boiled nqaij thiab ntses, txiv hmab txiv ntoo qab zib nyob rau hauv cov zaub mov. Tsis txhob noj ntsim, qaub thiab ntsev, nrog rau cov dos thiab qej.

Yog li, cov khoom hauv qab no yuav tsum raug cais tawm ntawm cov ntawv qhia:

• nqaij npua thiab nqaij nyuj noj.
• ntsim txuj lom, seasonings, cov zaub mov kaus poom.
• Ketchup, mayonnaise, mustard.
• Bouillons ntawm cov pob txha lossis nqaij.
• Chocolate, kas fes, cocoa.
• dej qab zib.

Tus menyuam yuav tsum haus dej kom ntau kom tsis txhob muaj dej, thiabco toxins raug tawm hauv cov zis.

tshuaj ntsuab

tshuaj ntsuab, siv tau tsuas yog tom qab sab laj nrog kws kho mob.

Txhawm rau tshem tawm ua npaws, koj tuaj yeem muab rau koj tus menyuam ib decoction ntawm chamomile, dill, mint, nrog rau tshuaj yej los ntawm raspberry, maple, currant nplooj, nrog zib mu thiab txiv qaub kua txiv.

Linden tshuaj yej, kua txiv lingonberry pab mob taub hau.

Txhawm rau txo qhov mob, txhawm rau txhawm rau kom rov zoo sai, koj yuav tsum muab tus menyuam haus cov tshuaj tua kab mob ntawm cov roses qus, motherwort, mint, yarrow, roob tshauv, hawthorn.

txhawm rau tua kab mob thiab kab mob, txhawm rau txhim kho lub cev tiv thaiv kab mob, echinacea tshuaj yej pab ntau heev. Koj yuav tsum haus 3 khob ib hnub, rau kev tiv thaiv noj 1 khob ib hnub.

Ib qho zoo soothing, immunomodulatory thiab anti-allergic tshuaj yog txiv qaub balm tshuaj ntsuab, los ntawm cov decoction yog tsim thiab muab rau haus nrog zib mu.

Compresses nrog ib tug decoction ntawm willow nplooj, birch, calendula, ntoo thuv, chamomile yuav siv tau rau o ntawm lymph nodes.

tiv thaiv kab mob

Kev ntsuas kev tiv thaiv muaj xws li: txhawb kev tiv thaiv kab mob, noj zaub mov zoo, kev ua kis las, tawv tawv, txo kev ntxhov siab, ua raws li kev noj haus txhua hnub, kev kho cov tshuaj vitamin nyob rau lub caij nplooj ntoo hlav thiab lub caij nplooj zeeg.

Yog tus me nyuam tau muaj tus kab mob mononucleosis, tus kab mob no tseem nyob hauv nws lub cev, thiab qee zaum nws dhau los ua haujlwm thiab tuaj yeem kis mus rau lwm tus.

Yuav kom tsis txhob kis tus kab mob, koj yuav tsum ua raws li cov cai ntawm kev tu tus kheej, txhua tus neeg hauv tsev neeg yuav tsum muaj lawv tus kheejib txheej ntawm cov tais diav, koj tus kheej phuam, koj yuav tsum tau noj cov txiv hmab txiv ntoo tshiab thiab zaub, nyob nraum zoov ntau zaus.

Tsis muaj tshuaj uas yuav tiv thaiv kev kis tus kabmob, tab sis cov lus ceeb toom tau teev tseg yuav pab txo qis kev pheej hmoo ntawm tus kabmob. Tsis tas li ntawd, nws yog ib qho tsim nyog yuav tau kho ARVI kom raws sijhawm thiab, yog tias ua tau, kom tsawg dua hauv cov chaw pej xeem thaum muaj kev sib kis. Tsis tas li ntawd, nws yog ib qho tsim nyog los npaj cov zaub mov muaj txiaj ntsig thiab muaj zog ntxiv nrog cov txiv hmab txiv ntoo tshiab thiab zaub.