Atamwa matenda Epstein-Barr: zoyenerera, EPIDEMIOLOGY, mbali matenda, mankhwala

Atamwa matenda Epstein-Barr HIV (opatsirana mononucleosis) - ndi pachimake nthenda tizilombo. Yodziwika ndi malungo, lymphadenopathy, lymph mphete oropharynx, Banti syndrome.

topicality

Anapeza matenda enaake ndi Epstein-Barr HIV makamaka ana, ndipo ndi chizindikiro cha kuperewera kwa chitetezo cha mthupi. Nthumwi causative ndi nsungu HIV, omwe amakhudzidwa minofu lymphoid. Ndi apa kuti pali kubalana wa HIV. Akukhulupirira kuti kachilombo izi zimachititsa kuti khansa m'kamwa, lymphoma Burkitt a. opatsirana mononucleosis syndrome angayambe ndi wothandizila ena, amene amakhudzidwa minofu lymphoid.

EPIDEMIOLOGY

Infection kumachitika ndi wodwala kapena chotengera matenda omwe pa kukhudzana pafupi. Ana kwambiri atengeke zaka 2-7 mu nyengo yozizira-kasupe.

pathogenesis

Atamwa matenda Epstein-Barr HIV amakhudzidwa dongosolo lymphatic. Choncho anayambitsa tizilomboto zambiri kudzera lymphoid pharyngeal mphete. chodabwitsa Ichi ndi chifukwa pakutchulidwa a kutupa ndi redness a mucous, amavutika m'mphuno kupuma.

Ndi kumayambiriro inayamba HIV kufalikira thupi lonse la magazi ndi lymph. Pa nthawi yomweyo amakhudza lymph mfundo, ndulu, chiwindi, mafupa, kukhala zotakasika hyperplastic njira uvelichvayutsya mu matupi buku.

Epstein-Barr HIV matenda: Zizindikiro

Pambuyo 5-20 masiku pambuyo matenda limatuluka zikuchepa 40 ° ^C kutentha, kudwala, asalankhule m'mphuno kupuma, pali ululu mu mmero. khosi ndi chimaonekadi opunduka chifukwa anawonjezera mwanabele. Pa nthawi yomweyo kuwonjezeka zotumphukira ndi choipidwa zigawo zikuluzikulu zonse. Tonsils kutupa, kutupa, ndi woyera-chikasu kapena zonyansa-imvi patina. Zimenezi zimabweretsa movutikira. Khungu limapezeka yosiyanasiyana totupa popanda kutanthauzira yeniyeni. Hepatosplenomegaly - chodabwitsa pafupipafupi. Zikuoneka yaing'ono chikasu khungu ndi sclera, zizindikiro za matenda.

diagnostics

Mu Kufufuza leukocytosis magazi wapezeka kuti mamiliyoni 20-30, kuonjezera chiwerengero cha monocytes, kuchuluka bilirubin, alt. Pamene PCR DNA HIV wapezeka mu seramu magazi ndi mtima wa ndalama zake. Ndi dzuwa mkulu ntchito haemagglutination, lalabala agglutination, Elisa, kuti IgG ndi IgM.

Epstein-Barr HIV matenda: chithandizo

Ntchito mu nthawi wokonda interferon, acyclovir, tsikloferona amapereka zotsatira kosagwirizana. Pamene kulumikiza sekondale purulent matenda ndi mitundu choopsa cha matenda izo m'pofunika kugwiritsa ntchito mankhwala (acyclovir) ndi mankhwala: zolimbitsa Mlingo wa prednisolone. Ntchito ampicillin contraindicated chifukwa induces zosayembekezereka ya anachita autoimmune.

kaonedwe

Mu matenda akale USSR tizilombo ndi Epstein-Barr HIV sanatipatse imfa umodzi. Pali milandu la imfa chifukwa cha matenda oyamba: splenic chophukacho, encephalitis, myocarditis. Nthawi zina, pali chronicity matenda.