Mate Viral Epstein-Barr: pānga, mātai tahumaero, ngā āhuatanga haumanu, maimoatanga

mate Viral huaketo Epstein-Barr (mononucleosis hopuhopu) - he mate viral pipihi whakapeka. Āhuatanga e kirika, lymphadenopathy, waitinana mowhiti pū māngai, Banti syndrome.

topicality

Kitea he mate viral ki Epstein-Barr huaketo te nuinga i roto i te tamarikitanga, me ko te tohu o te hē ārai o te tinana. Ko te kaihoko pūtake ko te huaketo herpes, i te mea tairongo ki te kiko lymphoid. Ko reira i konei e reira ko te whakaputa uri o te huaketo. Kei te whakapono te reira e kia whai wāhi tenei huaketo ki te mate pukupuku waha, lymphoma o Burkitt. Ka taea e syndrome mononucleosis hopuhopu puta ki ētahi atu āpiha, i te mea tairongo ki te kiko lymphoid.

mātai tahumaero

Mate puta i te manawanui taata tei o te mate tangata ranei i roto i whakapā tata. Ko nga tamariki tino haria pakeke 2-7 tau i roto i te wā hotoke-puna.

pathogenesis

Ko tairongo ki te pūnaha lymphatic mate Viral Epstein-Barr huaketo. Na reira whakaurua te tukumate tino maha i roto i mowhiti pharyngeal lymphoid. Tenei āhuatanga Ko e tika ana te takanga o huamo me whero o mucous, uaua manawa nasal.

Ki te whakataki o te pakarutanga huaketo horahia puta noa i te tinana i roto i te toto, me te tīpona. I te wa ano pānga te taikiri, kōateate, ate, wheua wheua, whakawhanake tukanga hyperplastic urupare uvelichvayutsya i roto i te tinana rōrahi.

Epstein-Barr mate huaketo: Tohu

I muri 5-20 ra i muri i te putanga mai mate koi ki 40 ° pāmahana ^C, hauora tino taumaha, manawa nasal arai, i reira he he mamae i roto i te korokoro i te. Ko e kitea haka te kaki e tika ana ki taikiri whakanuia. I te wa ano te whakanui ake i te wāhanga piringa, me te visceral katoa. Tonsils tetere, pupuhi, ki te ƒpüata≈ hoki ma-kōwhai paru-hina ranei. arata'i tenei ki uaua manawa. puta te kiri e hikaka te rawa kanorau kahore localization pau. Hepatosplenomegaly - he āhuatanga auau. puta te reira i te kiri iti kowhai me te mā karu, tohu o kakā.

tātaringa

I roto i te tūhuratanga o te leukocytosis toto kitea ki 20-30 miriona waeine, ake i roto i te maha o monocytes, nui haere bilirubin, ALT. A, no te kitea PCR DNA huaketo i roto i te serum toto ki te faaotiraa o tona nui. Ki te pai nui te whakamahi i haemagglutination, taherapa agglutination, Elisa, ki IgG me IgM.

Epstein-Barr mate huaketo: maimoatanga

Taupānga i roto i te wā whakapeka o interferons, acyclovir, tsikloferona homai hua maiorooro. A, no te tūhono i te mate purulent tuarua me ngā nui o te mate he mea tika ki te whakamahi i paturopi (acyclovir) me steroids: pota āhua o prednisolone. ampicillin Taupānga contraindicated no te mea te Kereru reira takanga o te tauhohenga autoimmune.

outlook

I roto i te mate viral USSR mua ki Epstein-Barr huaketo e kore kua homai te mate kotahi. He take o te mate rite ki te hua o pōauautanga: whaturama splenic, encephalitis, myocarditis. I roto i te wā onge, i reira he chronicity o mate.