Kwayar cutar Epstein-Barr: munasaba, epidemiology, asibiti fasali, magani

Kwayar cutar Epstein-Barr virus (dauke da kwayar cutar mononucleosis) - wani m dauke da kwayar cutar kwayar cutar. Halin da zazzabi, lymphadenopathy, Lymph zobe oropharynx, Banti ciwo.

topicality

Found wani kwayar cutar da Epstein-Barr cutar yafi a lokacin kuruciya da kuma shi ne mai nuna alama na jiki ta rigakafi da rashi. A causative wakili ne herpes cutar, wanda shi ne kula da lymphoid nama. A nan ne akwai wani haifuwa da cutar. An yi imani da cewa wannan cutar na iya taimakawa wajen baka ciwon daji, Burkitt ta lymphoma. dauke da kwayar cutar mononucleosis ciwo zai iya faruwa da sauran jamiái, wanda shi ne kula da lymphoid nama.

epidemiology

Kamuwa faruwa da haƙuri ko mariƙin na mutum kamuwa da cuta a lokacin kusa da lamba. A mafi saukin kamuwa yara shekaru 2-7 shekaru a cikin hunturu-spring zamani.

pathogenesis

Kwayar cutar Epstein-Barr cutar ne m ga lymphatic tsarin. Saboda haka gabatar da pathogen mafi sau da yawa ta hanyar lymphoid pharyngeal zobe. Wannan sabon abu ne saboda abin da ya faru na kumburi da redness na mucous, hanci numfashi wahala.

Tare da gabatarwar da cutar Ebola shimfidawa a ko'ina cikin jiki ta hanyar da jini da kuma Lymph. A lokaci guda rinjayar da Lymph nodes, saifa, da hanta, bargo, ci gaba amsawa hyperplastic matakai uvelichvayutsya a juz'i na jikinsu.

Epstein-Barr cutar kamuwa da cuta: Alamun

Bayan 5-20 kwanaki bayan kamuwa da cuta yakan sharply zuwa 40 ° ^C da zazzabi, tabarbarewar kiwon lafiya, impeded hanci numfashi, akwai wani zafi a cikin makwarwa. The wuyansa an kula maras kyau saboda kara girman Lymph nodes. A daidai wannan lokaci da kara duk da na gefe da visceral aka gyara. Tonsils kumbura, ƙãruwa, da fari-rawaya ko datti-m patina. Wannan take kaiwa zuwa wahala numfashi. A fata bayyana sosai bambancin rash ba tare da daidai sarrafawa. Hepatosplenomegaly - wani m sabon abu. Yana bayyana kananan yellowish fata da kuma sclera, ãyõyin hepatitis.

bincikowa da

A binciken da na jini leukocytosis gano zuwa 20-30 miliyan raka'a, kara a yawan monocytes, ta ƙara bilirubin, Alt. Lokacin da PCR DNA cutar gano a cikin jini magani tare da tabbatar da dalilin da ta adadin. Tare da high dace ta amfani da haemagglutination, latex agglutination, Elisha, to IgG da IgM.

Epstein-Barr cutar kamuwa da cuta: magani

Aikace-aikace a cikin m lokaci na interferons, acyclovir, tsikloferona ba saba sakamakon. Lokacin da za a haɗa da sakandare surkin jini cututtuka da kuma mai tsanani siffofin da cutar shi ne bu mai kyau don amfani maganin rigakafi (acyclovir) da kuma steroids: matsakaici allurai prednisolone. Aikace-aikace ampicillin contraindicated saboda shi yanã abin da ya faru na wani autoimmune dauki.

Outlook

A cikin tsohon Tarayyar Soviet kwayar cutar da Epstein-Barr virus bai ba wata guda mutuwa. Akwai lokuta da mutuwa a sakamakon rikitarwa: splenic katsewa, encephalitis, myocarditis. A rare lokuta, akwai chronicity kamuwa da cuta.