Ukukhathala Okuqhubekayo Kungenzeka Kungenxa Yezinye Izimbangela
I-mononucleosis (noma i-mono) ephathekayo iyisifo esithathelwanayo esingaba nesifo esingaba nomphumela wokukhathala noma ukukhathala okukhulu, kodwa ukukhathala ngokuvamile kuvame kangakanani? Yini enye engase ibangele ukukhathala okuqhubekayo? Ingabe kungenxa yokugula okungapheli kwesifo? Funda ukuthi i-mono inikeza kanjani ukukhathala nokuthi yiziphi ezinye izimo nezinkinga zokulala ezifana ne-apnea yokulala ukucabangela uma ukukhathala kungaphumeleli.
Yini eyenza i-Mononucleosis noma i-Mono?
I-Mononucleosis ayiyona inkinga yokulala ngayinye, kodwa ngenxa yokuthi ivame kakhulu futhi ukukhathala kungabangela ukukhubaza kakhulu, kubalulekile ukuhlolisisa. Ngezinye izikhathi ibizwa ngokuthi "isifo sokubanga" ngenxa yokudlulisela kalula nge-saliva. I-Mono ibhekene nomkhuhlane, ukutheleleka kwamathoni noma umphimbo, nokuvuvukala kwama- lymph nodes .
I-Mono ibangelwa igciwane le- Epstein-Barr (i-EBV), elivame kakhulu, ekugcineni lihlasela amaphesenti angu-90 kuya kwangu-95 kubo bonke abantu abadala. Le gciwane lisakazwa oxhumana naye siqu. I-Mono ingabangelwa futhi yi-cytomegalovirus (CMV). Izifo ze-Mono zivame kakhulu phakathi kwentsha kanye nabantu abadala, ikakhulukazi labo abahlala esondlini, njengamabhishobhi emakolishi ekolishi.
Njengengxenye yalokhu kugula, abantu bavame ukubhekana nokukhathala okungase kube nokuphikisana. Ekucwaningweni kweziguli ezingu-150, ukukhathala kwaxazulula kancane futhi kwakusesekhona ngamaphesenti angu-13 abantu ezinyangeni eziyisithupha.
Kubonakala sengathi ivame kakhulu futhi kunzima kubantu besifazane uma kuqhathaniswa namadoda, ikakhulukazi kubafundi basekolishi.
Izimpawu Ezivelele Ezihlobene noMono
Ezimweni ezimbi kakhulu, i-mononucleosis ingabangela ezinye izimpawu ze-neurologic ezithinta isimiso sezinzwa. Lezi zingabandakanya i-meningitis ne-encephalitis, enezifo zobuchopho, noma izicubu ezungeze ubuchopho nomgogodla okuthiwa yi-meninges.
Uma sikhona, lesi sifo esinamandla kakhulu singabangela izimpawu ezengeziwe, kufaka phakathi:
- Ukudideka
- Inhloko ekhanda
- Ukugubha okukhulu
- I-Coma
Lezi zinkinga zenzeka kakhulu kakhulu. Uma kukhona, ukwelashwa okwengeziwe kungadingeka kuze kube yilapho isimo sithuthukisa noma sixazulula. Lokhu kungaholela ezinsukwini zokuhlala ezihlala esibhedlela kuze kube amasonto.
Okufanele Ukwenze Uma Ukukhathala Kungakuthuthuki
Ngokuvamile, izimpawu zokukhathala ezihambisana ne-mono zizoxazululwa kancane kancane esikhathini esingamasonto kuya ezinyangeni. Njengoba kuphawuliwe, kubantu abambalwa, ukukhathala kungase kube khona izinyanga eziyisithupha emva kokutheleleka kokuqala. Kulabo bantu ngabanye, ukuhlolwa okungaphezulu kungadingeka.
Uma ukukhathala kuqhubeka isikhathi esingaphezu kwezinyanga eziyisithupha, isimo esibizwa ngokuthi isifo esingapheliyo sokukhathala singase sijabule, njengoba i-EBV ibhekwa njengesizathu esiyimbangela yalesi sifo. Nakuba kungaqondakali ngokugcwele, kungase kubhekane nemithelela emide yokutheleleka kokuqala.
Kungase kubalulekile futhi ukubheka ezinye izifo zokulala ezingabangela ukulala nokukhathala, kuhlanganise ne- obstructive sleep apnea nokuntula ukulala . Lezi zimo zivame ukubangela ubuthongo obunzima futhi zivamile kakhulu. Njengoba zingase ziphathwe ngendlela ehlukile, akufanele zishaywa indiva njengokuba nenendima ebonakalayo ezimpawu eziqhubekayo.
Izwi elivela
Uma unenkinga yokukhathala noma ukukhathala, khuluma nodokotela wakho ngesidingo sokuhlola okuqhubekayo, kuhlanganise nokuhlolwa okuvamile kwesikhumba se-hypothyroidism, i-anemia, nokulala. Uma kunesidingo, ukudluliselwa kudokotela obuthongo obuthongowe obhodini kungavumela isifundo sokulala ukuthi senzeke ukuze sibone abanye abanikezelayo ukuvuselela ukulala.
Uma i-apnea yokulala ikhonjisiwe, ukwelashwa ngokuqhubekayo kokusebenza komshini we-airway (CPAP) noma ukusetshenziswa komlenze womlomo kungahlinzeka ukukhululeka. Kukhona nezinye izindlela zokwelapha ezitholakalayo zokuthola izinkinga zokulala futhi lokhu kungakusiza uzizwe futhi usebenze ngokusemandleni akho.
Ezimweni ezingavamile, ukusetshenziswa kwemithi evuselelayo kungadingeka ukuxazulula ukukhathala okuqhubekayo.
> Imithombo:
> Hickie, I et al . "Ama-syndromes aphethwe yi-Post-infective futhi angapheli aphethwe yizifo eziphilayo ezingenayo igciwane. BMJ . 2006; 333 (7568): 575.
> Macsween, KF et al . "Izifo ezithathelwanayo ezithathelwanayo ezifundweni zaseyunivesithi e-United Kingdom: ukuhlolwa kwezici zemitholampilo nemiphumela yesifo." I-Dis Infect Dis. 2010; 50 (5): 699-706.
> Rea, TD et al . "Ukutadisha ngokuqondile ngomlando wemvelo we-mononucleosis osulelekile obangelwa igciwane le-Epstein-Barr." J Am Board Fam Pract. 2001; 14 (4): 234-42.
> Schellinger, PD et al . "I-Epstein-Barr virus meningoencephalitis enempendulo efana ne-lymphoma kumuntu ongenawo amandla wokuzivikela." Ann Neurol . 1999; 45 (5): 659-62.
> White, PD. "Yini Ebangela Ukukhathala Okude Ngemva Kwengculaza Yesifo Esithathelwanayo futhi Ingabe Usitshela Noma Yini Ngokuphathelene Nokukhathala Okungapheli?" I-Disfect Dis Dis . 2007; 196 (1): 4-5.