Kuongororwa kwehutachiona hwemukondombera (mono) kunowanzoitwa zvichienderana nezviratidzo, zvinowanikwa mukuongorora kwepanyama, uye kuongorora ropa. Mono inowanzokonzerwa neAppstein-Barr virus (EBV) kana mavairwo akafanana, asi ruzivo rwemitsipa uye mamwe mimwe mamiriro ezvinhu angada kubudiswa kunze. Kunyange zvazvo Centers for Disease Control (CDC) isingakurudziri kuedza kwemuviri, mazano akawanda achiri kukurudzira kushandisa chirwere ichi kuti abatsire kuziva chikonzero chemono.
Self-Checks
Iwe haungambofungi pakarepo kuti iwe kana mwana wako ane mono nokuti zviratidzo zvepakutanga zvakafanana neaya echando, chirwere, kana strep throat. Zviratidzo zvingangokutumira kuna chiremba zvinoputika lymph nodes mumutsipa, kuvhiringidza toni, fever, uye muviri aches izvo zvakagara kwenguva refu kupfuura mazuva gumi.
Kuwanda kwehutano nezvimwe zvirwere zvinokonzerwa nehutachiona zvinotapira pashure pemazuva manomwe, saka zuva rezuva-gumi chiratidzo chekuti iwe uri kuita chimwe chinhu kunze kwezvirwere izvi zvinogadzirisa. Zviratidzo zvinogona kuva zvinyoro muvana nevana vaduku.
Zvakakosha kuti tisavimba nehutachiona hwemono sezvo zviratidzo zvinogona kunge zviri zvezvirwere zvinoda nzira yakasiyana yekurapa. Iwe unofanirwa kucherechedza nguva yezviratidzo, kusanganisira iwe kana mwana wako paakatanga kutanga kurwara, zviratidzo zvipi zvakagadzirwa, uye nguva yakareba zvakadini. Izvi zvinogona kubatsira chiremba wako kuti aongorore kana zviratidzo zvisingaendi paavo pachavo nezuva 10.
Unofanira kuona chiremba wako pakarepo nechimwe chezviratidzo zvakakomba zvemono. Izvi zvinosanganisira fever yakakura (101,5 degrees kana kupfuura), marwadzo mudumbu, zvakanyanya kuvhuvhuta huro kana toni, kuoma kufema kana kumedza, kushaya simba, kana kuora musoro. Izvi zvinogona kunge zvakakonzerwa ne mono, asi inogonawo kubhadhara kune mamwe mamiriro uye matambudziko.
Labs uye Miedzo
Chiremba wako achatarisa zviratidzo zvako uye makore ako (sezvo vanhu vane utachiona neEBV vanowanzoita mono kana vachiri kuyaruka kana kuti munhu mukuru). Achaita kuongorora kwepanyama paanenge akatarisa kumashure kwehuro wako kune mavara (petechiae), inzwa mutsipa wako nedzimwe nzvimbo umo iwe ungave wakashanduka lymph nodes, uye teerera mapapu ako.
Chiremba wako anowanzotaurira kuwandisa kweropa rakazara (CBC) uye test antibody. Kana uine chirwere chinorwadza, zvinenge zvichiitika kuti kuongorora kwekudzivirira kwekukurumidza kuchaitwa. Mumadzimai ane pamuviri, kuongororwa kwakawanda kwepachirwere kunogona kuitika kuitira kutonga kunze kune zvinokonzera zvimwe kunze kweEBV iyo ine simba rinogona kuchinja kuberekwa.
CBC
Kana iwe uine mono, CBC yako inowanzoratidza huwandu hwemvura yakachena yakawanda (WBC) ine lymphocyte yakawanda kupfuura yakagara, iyo inozivikanwa se lymphocytosis. Izvi zvinonzi lymphocytes zvichaitawo sechimiro chechimiro kana nyanzvi yezvokurapa ichitarisa ropa pasi pe microscope. Lymphocytes chikamu chemuviri wemuviri wako uye zvakasikwa kuti zvikwidziridzwe mune mamwe marudzi ezvirwere. Iwe uchange uinewo mashoma emamwe mhando yakachena yemasero, neutrophils, uye iwe unogona kuva nezasi pasi peplatelet count count.
Antibody Testing
Ropa rako rinogona kuongororwa mu laboratori yezvirwere, kunyange zvazvo muedzo uyu hauna kunyanya kudiwa kuti uongororwe nehutachiona hwemononucleosis. Zvirwere zvepamuviri zvinokonzerwa nemaune masimba ezvirwere kuti urwise utachiona nehutachiona kana zvimwe zvipenyu yako inofunga kuti inotyisa.
Iyo monospot (heterophile antibody test) ndiyo yekare yakaedzwa iyo inowanzoshandiswa kuita mono kuongorora. Kuongororwa kwakaitwa monospot pamwe chete nezviratidzo zvemono kunobatsira kugadzirisa kuongororwa kwehutachiona hwemononucleosis. Zvisinei, CDC inoti kuongorora kwemukoko hakugoni kurumbidzwa nokuti inobereka mhinduro dzakawanda dzakawanda.
Kuongorora kweMonospot kunogona kuva kwenhema-yakanaka pamusoro pe10 muzana kusvika 15 muzana yenguva, kunyanya pamatanho ekutanga kwechirwere chacho. Iwe unomira anenge 25 muzana mukana wekutora mhedzisiro yezvakaipa-mhinduro kana iwe ukaedzwa mukati mevhiki yekutanga yezviratidzo zvinotanga. Izvi zvinogonawo kuitika kana iwe wakamirira kwenguva yakareba kuti uone chiremba, nokuti heterophile antibodies inoderera nokukurumidza mushure mekunge mave nekutapukira kwemavhiki mana. Futhermore, kana iwe une mono kubva kune utachiona hwakasiyana pane EBV, yakadai se CMV, monospot haigoni kuiona.
Kana chiratidzo chako chemuviri chisina kunaka asi iwe unayo zviratidzo zvemono, chiremba wako angangodzokorora chiyero asati aita mamwe mazamu akaenzana evanhu. Iyi miedzo inogona kuitwa kana zviratidzo zvirwere zvisingaiti zvemononucleosis kana wakarwara kwemavhiki mana. Iwe unogona kuongororwa ne cytomegalovirus kana kuti Toxoplasma antibodies. Mimwe miedzo chaiyo yeEBV inosanganisira:
- Viral capsid antigen (VCA)
- Early antigen (EA)
- EBV nuclear antigen (EBNA) miedzo
Kusiyanisa Kuziva
Hora, maronda, uye glands zvinoputika zvinowanikwa mumono zvinogona kuonekwa zvakafanana nezviratidzo zve strep throat. Kushandiswa kwechirongwa chekurumidza kana huro hwemutsipa kunogona kubatsira kusiyanisa izvi. Strep throat kazhinji inopindura nokukurumidzira kumishonga inorwisa mabhakitiriya, asi iyo isina mhizha mono.
Fluenza inogonawo kufanana nezvimwe zviratidzo zvemono asi kazhinji hazviiti kuti zviputi zviputike. Fluenza inowanzova nani mumavhiki mashoma.
Mono-like zviratidzo zvinogona kuonekwa mune zvirwere kunze kweEpstein-Barr virus. Zvimwe zvinoshanda zvinogona kubudisa zviratidzo izvi zvinosanganisira cytomegalovirus (CMV), adenovirus, human immunodeficiency virus (HIV), rubella, hepatitis A, human herpesvirus-6, uye chirwere cheshuga Toxoplasma gondii.
Kurwara nevamwe vevashandi ava, kunyanya CMV uye Toxoplasma gondii , inogona kusarudzwa sehosha inotapukisa mononucleosis kana kuti inonzi chirwere chinonzi mono-like. Sezvo neEBV mono, chirwere chinotsigira chete chinokurudzirwa. Zvisinei, zvirwere izvi zvinogona kukonzera kubata pamuviri, saka zvirwere zvakanyanya kuziva kuti chikonzero chechirwere chinokurudzirwai kuti vaite.
Kana chiremba achishandisa chirwere chemukoko, chinogona kuva chechokwadi kana murwere ane mamiriro ezvinhu anosanganisira hepatitis, leukemia, lymphoma, rubella, systemic lupus erythematosus, uye toxoplasmosis. Chiremba anofanira kushandisa zviratidzo zvemurwere uye zvimwe zviedzo kuti aone kusiyana kwemamiriro aya.
Kunobva:
> Aronson MD, Auwaerter PG. Zvinokonzera Kutapukisa Mononucleosis muVakuru nevana Vachiri kuyaruka. Kusvika pari zvino. http://www.uptodate.com.
> Epstein-Barr Virus uye Infectious Mononucleosis. CDC. https://www.cdc.gov/epstein-barr/reboratory-testing.html
> Chernecky, CC & Berger, BJ. (2013). Miedzo yekurapa uye nzira dzekuongorora. 6th ed. Philadelphia: WB Saunders.
> White J. Mononucleosis Syndromes. Zvirwere Zvinotapukira Mazano. https://www.infectiousdiseaseadvisor.com/infectious-diseases/mononucleosis-syndromes/article/609813/.