Malitere ịrịa ọrịa Epstein-Barr: mkpa, Epidemiology, adakarị atụmatụ, ọgwụgwọ

Malitere ịrịa ọrịa Epstein-Barr virus (na-efe efe mononucleosis) - nnukwu na-efe efe malitere ịrịa ọrịa. Ji fever, lymphadenopathy, Lymph mgbanaka oropharynx, Banti syndrome.

topicality

Hụrụ a malitere ịrịa ọrịa na Epstein-Barr virus tumadi na nwata na bụ ihe na-egosi nke ahụ ji alụso ọrịa erughi. The causative gị n'ụlọnga bụ herpes virus, nke na-agụnye ịmata lymphoid anụ ahụ. Ọ bụ ebe a na e nwere a mmeputakwa nke virus. Ọ na-kweere na a nje nwere ike na-eme ka ọnụ na cancer, Burkitt si lymphoma. na-efe efe mononucleosis syndrome nwere ike ime na ndị ọrụ ọzọ, nke bụ chebaara lymphoid anụ ahụ.

Epidemiology

Ofufe Ọrịa emee site ọrịa ma ọ bụ njide nke ụmụ mmadụ ọrịa n'oge nso kọntaktị. The kasị susceptible ụmụ noo 2-7 afọ na oyi-mmiri oge.

pathogenesis

Malitere ịrịa ọrịa Epstein-Barr virus bụ chebaara lymphatic usoro. Ya mere ẹkenam nje Ọtụtụ site lymphoid pharyngeal mgbanaka. Nke a na onu bụ n'ihi omume nke ọzịza na nācha ọbara-ọbara nke mucous, gọzie gị ume ike.

Na iwebata nke virus akasiaha agbasa ofụri idem site na ọbara na Lymph. N'otu oge ahụ na-emetụta ndị Lymph, splin, imeju, ụmị ọkpụkpụ, ịzụlite reactive hyperplastic Filiks uvelichvayutsya na olu ozu.

Epstein-Barr nje ọrịa: Mgbaàmà

Mgbe 5-20 ụbọchị mgbe ọrịa adahade sharply 40 ° ^C okpomọkụ, ọrịa, impeded dịghị òkè ume, e nwere a mgbu na akpịrị. The olu otú ahụ oruru n'ihi abawanye Lymph. N'otu oge ahụ na-amụba niile elu na visceral mmiri. Tonsils aza, fụrụ akpụ, na-acha ọcha-acha odo odo ma ọ bụ unyi-agba ntụ patina. Nke a na-eduga ná nsogbu iku ume. The akpụkpọ egosi nnọọ iche iche ọkụ ọkụ enweghị kpọmkwem orunótu. Hepatosplenomegaly - a Ugboro onu. Ọ na-egosi obere acha akpụkpọ sclera, ihe ịrịba ama nke ịba ọcha n'anya.

nchọpụta nsogbu

Na nchoputa nke ọbara leukocytosis ahụrụ na 20-30 nde nkeji, mmụba nke ọnụ ọgụgụ nke monocytes, mụbara bilirubin, Alt. Mgbe PCR DNA virus ahụrụ ọbara ọbara na mkpebi siri ike nke ya ego. Na elu arụmọrụ iji haemagglutination, latex agglutination, ELISA, ka IgG na IgM.

Epstein-Barr nje ọrịa: ọgwụgwọ

Ngwa na nnukwu oge nke interferons, acyclovir, tsikloferona enye ekwekọghị pụta. Mgbe ejikọta abụọ purulent na-efe efe na oké forms nke ọrịa na ọ bụ amamihe na-eji ọgwụ nje (acyclovir) na Steroid: agafeghị oke doses nke prednisolone. Ngwa ampicillin contraindicated n'ihi na ọ induces omume nke ihe autoimmune mmeghachi omume.

ele ihe anya

Na mbụ USSR malitere ịrịa ọrịa na Epstein-Barr virus enyeghị otu ọnwụ. E nwere mgbe ọnwụ dị ka a n'ihi nsogbu: splenic agbawa, ụbụrụ, myocarditis. Na obere okwu, e nwere chronicity nke ibute ọrịa.