Ua Loa ʻOe i kēlā Maʻi ʻĀwāwā Ma Mua? Eia ke kumu ʻAʻole Paha Hiki iā ʻOe ke Loaʻa hou ka Mono

ʻO ka pane pōkole, no ka hapanui o ka poʻe olakino, ʻaʻole hiki ke loaʻa hou ka maʻi mononucleosis symptomatic mai ka maʻi maʻi like. Akā ʻaʻole ia he manaʻo ʻaʻole maoli nā hōʻailona āu e manaʻo nei. ʻOi aku ka paʻakikī o ka ʻoiaʻiʻo, a ke haʻi aku nei paha kou kino i kekahi mea nui iā ʻoe. E wehewehe kēia ʻatikala i ke kumu i kakaʻikahi ai ka hoʻi hou ʻana o ka mono, e ʻimi i ke kumu maoli o kou mau hōʻailona e like me ka mono, a e haʻi aku iā ʻoe i ka wā kūpono e pau ai ke koho kuhi a ʻike aku i ke kauka.

ʻO ka Pane Pōkole: Ke Kumu Kakaʻikahi ai ka Loaʻa Hou ʻana o ka Mono

E hele kāua i ka ʻepekema, akā e maʻalahi nō. ʻOi aku ma mua o 90% o nā hihia mononucleosis i hoʻokumu ʻia e ka virus Epstein Barr (EBV) source. Ke maʻi mua ʻoe i ka EBV, hoʻomaka kou ʻōnaehana pale i kahi pane nui. Hoʻokumu ia i nā antibodies kikoʻī i hoʻolālā ʻia e ʻike a hakakā i kēlā virus kikoʻī.

E noʻonoʻo i kēia mau antibodies ma ke ʻano he hui palekana i hoʻomaʻamaʻa maikaʻi ʻia e mālama nei i kou kino i ke ola. Ma hope o kou hoʻōla ʻana mai kēlā kau mua o ka mono, ʻaʻole maoli ka virus Epstein Barr (EBV) e haʻalele i kou kino. Hele ia i kahi kūlana hiamoe, a i ʻole latent, i loko o kekahi o kou mau hunaola. Inā hoʻāʻo hou ia e hoʻōla hou, ua mākaukau kēlā hui palekana o nā antibodies e hoʻopau koke iā ia, ma mua o kona hiki ke hoʻokumu i nā hōʻailona o ka mono āu e hoʻomanaʻo maopopo ai. ʻO kēia ka pale ola ʻana ke kumu o ka pane i “Inā ua loaʻa mua iaʻu ka mono, hiki iaʻu ke loaʻa hou?” ʻo ia ka mea maʻamau ʻole.

No laila, Pehea ka Hoʻōla hou ʻana o ka EBV?

Ua lohe paha ʻoe hiki i ka virus ke “hoʻōla hou.” ʻOiaʻiʻo kēia, akā ʻaʻole ia he mea weliweli e like me ka lohe ʻana no ka hapa nui o ka poʻe. ʻAʻole ka nīnau wale nō “hiki ke hoʻōla hou ka virus?” akā, “hiki i ka EBV ke hoʻōla hou a hoʻomāʻihi hou iaʻu?”

No ka mea me ka ʻōnaehana pale ikaika, hiki i ka EBV hiamoe ke ala iki a pālua iki. Hiki iā ia ke hōʻike ʻia i kou alelo i kekahi manawa me ka ʻike ʻole. Lawe koke a mālie kāu hui palekana o nā antibodies i kēia, pale i nā hōʻailona mai ka hoʻomohala ʻana source. ʻAʻole ʻoe e manaʻo iki.

Eia naʻe, hiki ke ʻokoʻa ke kūlana no ka mono i ka poʻe me ka ʻōnaehana pale nawaliwali. I nā hihia kakaʻikahi, ʻaʻole hiki i nā poʻe me ka pale nawaliwali (e like me ka poʻe i loaʻa i ka ʻoki ʻana i nā ʻōpū a i ʻole ka poʻe me ka HIV i mālama ʻole ʻia) ke hoʻomalu i ka virus. Inā hoʻōla hou ka virus i kēia poʻe, hiki iā ia ke hoʻokumu i nā hōʻailona. Ke mau nā hōʻailona o ka maʻi EBV a i ʻole hoʻi hou ma mua o ʻeono mahina, hiki ke hoʻomaopopo ʻia ʻo ia he maʻi kakaʻikahi i kapa ʻia ʻo chronic active EBV infection (CAEBV) source. He maʻi koʻikoʻi kēia, akā ʻaʻole ia ka mea like me ka loaʻa wale ʻana o ka mono i ka lua o ka manawa.

Inā ʻAʻole ʻO Mono Ia, No He Aha La? Nā Maʻi e Manaʻo ʻia e like me Mono

No laila, inā ʻaʻole hiki ke hoʻi hou ka mononucleosis, no ke aha ʻoe e manaʻo nei ua pā ʻoe e ke kaʻaahi hou? ʻO ka pane maʻalahi loa ʻo ia ka mea āu e loaʻa nei he maʻi hou mai kahi mea ʻē loa mai ka maʻi maʻi e hoʻokumu ana i nā hōʻailona like.

“Mononucleosis” ʻo ia hoʻi he syndrome—he hui o nā hōʻailona (feva, ʻeha ʻeha, luhi, nā ʻōpū pehu). ʻOiai ʻo EBV ka mea kaulana loa, ʻaʻole ia ka mea wale nō. Eia kekahi mau kumu o ka mono ma waho o EBV i hiki ke hoʻomāʻihi iā ʻoe:

• Cytomegalovirus (CMV): He virus maʻamau loa ia i loko o ka ʻohana like me EBV, ʻo CMV kahi mea hoʻopunipuni maikaʻi loa o ka mono, ʻoi aku i nā mākua. Hiki iā ia ke hoʻokumu i ka luhi nui, feva, a me ka ʻeha ʻeha source.
• Toxoplasmosis: He maʻi parasitic ia e hiki ke hōʻike pū me nā hōʻailona e like me ka mono.
• Human Immunodeficiency Virus (HIV): Hiki i ka pae mua, maʻi maʻi o ka maʻi HIV ke hoʻokumu i nā hōʻailona i like loa me ka mono, me ka feva, nā ʻōpū pehu, a me ka luhi.
• Hepatitis A, B, a i ʻole C: Hiki i ka viral hepatitis ke hoʻokumu i ka luhi, feva, a me nā ʻeha kino, i hiki ke hui me ka mono.
• Adenovirus: He ʻohana maʻamau o nā viruses e hiki ke hoʻokumu i ke anuanu, bronchitis, a—ʻaʻole ʻoe e koho—nā hōʻailona e hoʻopunipuni ana i ka mono.
• Rubella (German Measles): ʻOiai ʻaʻole maʻamau ma muli o ka lāʻau lapaʻau, hiki iā ia ke hoʻokumu i ka feva, ka ʻili, a me nā ʻōpū pehu.

No laila, ʻoiai ʻoe e nīnau ana, “hiki paha ke loaʻa ka mono ma mua o hoʻokahi manawa?” ʻo ka nīnau pololei paha, “He aha kekahi mea e hiki ke hoʻokumu i kēia?”

Nā Maʻi Maʻamau i Hoʻohilahila ʻia me Mono

Ma waho aʻe o nā viruses e hoʻokumu i kahi maʻi maoli e like me ka mono, hiki i nā maʻi maʻamau ʻē aʻe ke hoʻohilahila iā ʻoe i ka manaʻo ua hoʻi hou ka mono.

• Strep Throat: He mea nui kēia. ʻO ke kūkākūkā o strep throat vs mono he mea maʻamau i nā keʻena kauka. ʻOki ʻelua i ka ʻeha ʻeha a me nā ʻōpū pehu. ʻO ka ʻokoʻa nui ʻo ka strep ka maʻi bacteria (i hoʻokumu ʻia e Streptococcus) a ʻoi aku ka nui o nā ʻāpana keʻokeʻo ma nā tonsils a ʻaʻohe ka luhi nui o ke kino holoʻokoʻa e wehewehe ana i ka mono source.
• Influenza (The Flu): Hiki i ka flu ke hoʻokuʻi iā ʻoe me ka feva, nā ʻeha kino, a me ka luhi. Eia naʻe, ka flu maʻamau me nā hōʻailona hanu hou aku, e like me ka ʻū, ihu piha, a i ʻole ka ʻeha o ka umauma, ʻaʻole ia he mea nui i ka mono maʻamau.
• Chronic Fatigue Syndrome (Myalgic Encephalomyelitis/CFS): I kekahi mau kānaka, manaʻo ʻia ka maʻi EBV mua e hoʻoulu i ka hoʻomaka ʻana o CFS. Hoʻopili kēia maʻi i ka luhi nui, hoʻopōʻino ʻaʻole hoʻomaikaʻi me ka hoʻomaha a mau no ʻeono mahina a ʻoi aku paha. Inā ʻaʻole i maikaʻi loa kou mau hōʻailona “mono”, ʻoi aku ka luhi, hiki paha kēia ka mea e kūkākūkā ai me kāu kauka source.

Ke Manawa Pono ʻoe e ʻIke aku i ke Kauka

ʻO ka pūnaewele ka mea hana maikaʻi no ka ʻike, akā he kauka weliweli ia. ʻO ka hoʻomaopopo ʻana iā ʻoe iho he pāʻani weliweli, ʻoi aku ka nui o nā maʻi like ʻole e kaʻana like ana i nā hōʻailona like. Inā ʻoe e maʻi ana a nīnau iā ʻoe iho, “Inā ua loaʻa mua iaʻu ka mono, hiki iaʻu ke loaʻa hou?”, he hōʻailona maopopo ia e pono ai ʻoe i ka ʻōlelo aʻoaʻo olakino.

E hoʻopaʻa manawa me kāu kauka inā ʻoe e ʻike nei i kekahi o nā hōʻailona o ka mono:

• Luhi nui, mau loa
• ʻEha ʻeha nui
• Feva
• Nā ʻōpū pehu i kou ʻāʻī a me kou mau lima
• Nā ʻeha kino a poʻo paha
• Ka ʻili

E ʻimi koke i ke kōkua olakino inā ʻoe e hoʻomohala i kekahi mau hōʻailona “red flag”, ʻo ia paha ka mea e hōʻike ana i kahi pilikia koʻikoʻi:

• Paʻakikī i ka hanu ʻana a i ʻole ka ale ʻana
• Feva kiʻekiʻe, mau loa
• Poʻo ʻeha nui a ʻāʻī paʻa paha
• Huikau a heleleʻi paha
• Ka ʻeha koke, ʻoi loa ma ka ʻaoʻao hema luna o kou ʻōpū (hiki i kēia ke hōʻailona i kahi pilikia me kou ʻōpū, hiki ke pehu me ka mono) source.

ʻO ka Hua hope: E Hōʻoki i ke Koho Kuhi a E Nānā ʻia

No laila, hiki paha ke loaʻa ka mono ʻelua? No ka hapanui o ka poʻe, ʻo ka pane he ʻae ʻole. Ua kūkulu kou ʻōnaehana pale i ka pale ola holoʻokoʻa i ka virus Epstein Barr i hoʻokumu i kou maʻi mua.

ʻOi aku ka nui o kou mau hōʻailona i kēia manawa i hoʻokumu ʻia e kekahi o nā maʻi he nui e like me ka mono a i ʻole kekahi maʻi maʻamau ʻē aʻe e like me ka strep throat a i ʻole ka flu. ʻOiai he mea hōʻoluʻolu ka ʻike ʻana ʻaʻole hiki ke hoʻi hou ka mononucleosis recur, he mea nui ʻaʻole e mālama ʻole i kā kou kino e haʻi nei iā ʻoe.

Mai nalowale i ka pōʻai pūnaewele o ka pō hope. ʻO ke ala wale nō e ʻike ai i ke ʻano o ka mea e hana nei a loaʻa ka lāʻau kūpono, ʻo ia ka ʻike ʻana i kahi ʻoihana olakino. Hiki iā lākou ke hana i nā hoʻokolohua kūpono, hāʻawi iā ʻoe i ka ʻike pololei, a hoʻomaka iā ʻoe ma ke ala e manaʻo maikaʻi ai.