Wake Wake Leso Sizwe Esibi Ngaphambili? Nansi Kungani Cishe Awukwazi Ukugula Embilini Kabili

Impendulo emfushane ithi kulabantu abaningi abanempilo, ukugula nge-mononucleosis ezibonakalisa ngamandla kanti ubangelwa igciwane elifanayo akunakwenzeka kakhulu. Kodwa lokho akusho ukuthi izimpawu ozizwayo azilona iqiniso. Iqiniso liyinkimbinkimbi kancane, futhi umzimba wakho ungase ukhuluma kuwe into ebalulekile. Lesi sihloko sizochaza ukuthi kungani ukuphindeka kwe-mono kungavamile kangaka, sizohlola ukuthi yini engase ibange izimpawu zakho ezifana ne-mono, futhi sikutshele ukuthi nini ngqo kufanele uyeke ukuqagula futhi ubone udokotela.

Impendulo Eqinisekile: Kungani Ukugula Em`bilini Phinde Kungeke Kwenzeke Kakhulu

Ake siye ngqo kusayensi, kodwa sikugcine kulula. Amacala angu-90% we-mononucleosis abangelwa yi-Epstein Barr virus (EBV) umthombo. Uma uhlaselwa yi-EBV okokuqala, uhlelo lwakho lokuzivikela luhlanganisa ukuhlaselwa okukhulu okuphikisayo. Lwenza ama-antibody akhethekile enzelwe ukubona nokulwa naleli gciwane ngqo.

Cabanga ngala ma-antibody njengeqembu lezokuphepha eliqeqeshwe kakhulu eluhlola umzimba wakho impilo yonke. Ngemuva kokululama kule mpilo yokuqala ye-mono, i-Epstein Barr virus (EBV) ayisuki empeleni emzimbeni wakho. Iyaya esikhathini esingenamsebenzi, noma esifihliwe, kwamanye amangqamuzana akho. Uma yenza noma yini ukuzama ukuvuselela, leli qembu lezokuphepha lama-antibody lilungele ukulivala ngokushesha, isikhathi eside ngaphambi kokuba libange izimpawu ezigcwele ze-mono ozikhumbula ngokucacile. Lokhu kuvikelwa impilo yonke yikho kungani impendulo ku-"Uma ngase ngaba ne-mono, ngingayithola futhi?" cishe ihlale ingeyona.

Ngakho, Kanjani Ngoku`vuselelwa Kwama-EBV?

Ungase uzwe ukuthi igciwane lingapho "liphinde livuselelwe." Lokhu kuyiqiniso, kodwa akusabekisi njengoba kubonakala kubantu abaningi. Umbuzo akukhona nje kuphela "ngabe igciwane lingavuselelwa?" kodwa kunalokho, "ngabe i-EBV ingavuselelwa futhi ingigulise futhi?"

Kumuntu onohlelo lokuzivikela oluqinile, i-EBV efihliwe ingavuka ngezikhathi ezithile futhi iphindaphindeke kancane. Ingaze ivele emulilweni wakho ngezikhathi ezithile ngaphandle kokuthi wazi. Iqembu lakho lezokuphepha lama-antibody liyilawula ngokushesha nangokuthula, livimbele noma yiziphi izimpawu ukuthi zingakhuli umthombo. Ngeke uzizwe lutho.

Kodwa-ke, isimo singahluka kulabo abanengculazi kubantu abanozivikelo bomzimba obuthakathaka. Ezimweni ezingajwayelekile, abantu abanokuzivikela komzimba okubhajisiwe (njengabathola izitho ezifakelwe noma labo abane-HIV engaphathwanga kahle) bangase bangakwazi ukulawula igciwane kahle. Uma igciwane liphinde lavuselelwa kulaba bantu, lingadala izimpawu. Lapho izimpawu zokuhlaselwa yi-EBV ziqhubeka noma zibuyela isikhathi esingaphezu kwezinyanga ezintandathu, kungase kutholakale isimo esingajwayelekile esibizwa nge-chronic active EBV infection (CAEBV) umthombo. Lesi yisimo esibi, kodwa akufani nokugula kabili nje i-mono.

Uma Kungewona I-Mono, Khona-ke Yini? Izifo Ezizwakala Njenge-Mono

Ngakho-ke, uma i-mononucleosis iphindeka ingekho, kungani uzizwa sengathi uhlaselwe yinduku futhi? Impendulo engenzeka kakhulu ukuthi unokuhlaselwa okusha kusuka kwenye into eyahlukile ngokuphelele ezokwenzeka ibangela izimpawu ezifanayo.

I-"Mononucleosis" ngokwezobuchwepheshe iyisifo - iqoqo lezimpawu (umkhuhlane, umphimbo obuhlungu, ukukhathala, izindlala ezivuthiwe). Ngenkathi i-EBV iyimbangela eyaziwa kakhulu, ayiyona ukuphela kwayo. Nansi eminye imbangela ye-mono ngaphandle kwe-EBV engase ibange uzizwe ugula:

• Cytomegalovirus (CMV): Igciwane elivamile kakhulu emndenini ofanayo ne-EBV, i-CMV iyigadla eliphambili le-mono, ikakhulukazi kubantu abadala. Ingadala ukukhathala okukhulu okufanayo, umkhuhlane, nomphimbo obuhlungu umthombo.
• Toxoplasmosis: Ukuhlaselwa yizilokotho ezingadala izimpawu ezifana ne-mono.
• Human Immunodeficiency Virus (HIV): Isigaba sokuqala, esibukhali sokuhlaselwa yi-HIV singadala izimpawu ezifana kakhulu ne-mono, okuhlanganisa umkhuhlane, izindlala ezivuthiwe, nokukhathala.
• Hepatitis A, B, noma C: I-Hepatitis ye-viral ingadala ukukhathala, umkhuhlane, nokubuhlungu komzimba, okungahlangana ne-mono.
• Adenovirus: Umndeni ovamile wama-virus ongadala amakhaza, i-bronchitis, kanye - uqinisile - izimpawu ezithatha indawo ye-mono.
• Rubella (Isimungumungwane SaseJalimani): Nakuba ingavamile ngenxa yokugomela, ingadala nomkhuhlane, isikhutha, nezindlala ezivuthiwe.

Ngakho-ke, ngenkathi ungase uzibuza, "kungenzeka yini ukugula em`bilini kakhulu kunokukodwa?" umbuzo oqondile ungase ube, "Yini enye engase ibange lokhu?"

Izifo Ezivamile Ezivame Ukudideka Njenge-Mono

Ngaphandle kwama-virus abangela isifo esifana ne-mono, ezinye izifo ezivamile zingakwenza ucabange ukuthi i-mono yakho ibuyile.

• I-Strep Throat: Lena into enkulu kakhulu. Ingxabano ye-strep throat vs mono ijwayelekile emakhaya odokotela. Zombili zibanga umphimbo obuhlungu kakhulu nezindlala ezivuthiwe. Umehluko obalulekile ukuthi i-strep yisifo samagciwane (ibangelwa yi-Streptococcus) futhi ngokuvamile ibonakala ngamachashaza amhlophe ahlukile emithanjeni kanye nokungabi khona kokukhathala okukhulu komzimba wonke okuchaza i-mono umthombo.
• Influenza (I-Flu): I-flu ingakukhipha embhedeni ngomkhuhlane, ukubuhlungu komzimba, nokukhathala. Kodwa-ke, i-flu ngokuvamile iza nezimpawu eziningi zokuphefumula, njengokukhwehlela, ikhala eligijima, noma ukuqina esifubeni, okungabonakali kakhulu ku-mono yakudala.
• Chronic Fatigue Syndrome (Myalgic Encephalomyelitis/CFS): Kwabanye abantu, ukuhlaselwa okuqala kwe-EBV kukholakala ukuthi ku`vusa ukuqala kwe-CFS. Lesi simo sihlanganisa ukukhathala okubi, okukhubazayo okungathuthuki ngokuphumula futhi kuhlala izinyanga eziyisithupha noma ngaphezulu. Uma izimpawu zakho ze-"mono", ikakhulukazi ukukhathala, zingazange zidlule ngempela, lokhu kungaba yinto ongayixoxa nodokotela wakho umthombo.

Lapho Udinga Ngempela Ukubona Udokotela

I-inthanethi iyithuluzi elihle lolwazi, kodwa iyodokotela omubi. Ukuzithola wena uwudokotela kuyingozi, ikakhulukazi lapho izifo eziningi ezahlukene zihlanganyela izimpawu ezifanayo. Uma uzizwa ugula futhi uzibuza, "Uma ngase ngaba ne-mono, ngingayithola futhi?", kuwuphawu olucacile lokuthi udinga iseluleko sezokwelapha esichwepheshile.

Hlela ukuvakashela udokotela wakho uma uzizwa nganye yezimpawu zakudala ze-symptoms of mono:

• Ukukhathala okwedlulele, okuqhubekayo
• Umphimbo obuhlungu kakhulu
• Umkhuhlane
• Izindlala ezivuthiwe emqaleni wakho nasemakhwapheni akho
• Ukubuhlungu komzimba noma amakhanda
• Isikhutha

Funa usizo lwezokwelapha ngokushesha uma uzothola noma yiziphi izimpawu "ezibomvu", ezingase zikhombise inkinga ebi kakhulu:

• Ubunzima bokuphefumula noma bokugwinya
• Umkhuhlane ophakeme, oqhubekayo
• Ikhanda elibuhlungu kakhulu noma intamo eqinile
• Ukucanasa noma ukuquleka
• Ubuhlungu obubukhali, obuqinile ohlangothini oluphezulu lwesobunxele lwesisu sakho (lokhu kungase kube uphawu lenkinga nge-spleen yakho, engavuvuka ne-mono) umthombo.

Igama Lokugcina: Yeka Ukuqagula Futhi Uhlolwe

Ngakho-ke, ungagula em`bilini kabili? Kwabaningi abantu, impendulo iyiyona ethi cha, okuqinisayo. Uhlelo lwakho lokuzivikela lwakhe ukuzivikela okuhlala njalo ngokumelene ne-Epstein Barr virus eyabangela ukuhlaselwa kwakho kokuqala.

Kungenzeka kakhulu ukuthi izimpawu zakho zamanje zibangelwa enye yezinye izifo eziningi ezizwakala njenge-mono noma enye inkinga evamile njenge-strep throat noma i-flu. Ngenkathi kuyiduduzo ukwazi ukuthi i-mononucleosis ephindeka ngempela ayinakwenzeka kakhulu, kubalulekile ukungakudluli lokho umzimba wakho okukutshelayo.

Ungalahliki ku-spiral ye-inthanethi yasebusuku. Indlela eyodwa kuphela yokwazi ngokuqiniseka ukuthi kwenzakalani nokuthola ukwelashwa okulungile ukubona ochwepheshe bezempilo. Bangenza izivivinyo ezifanele, bakunikeze ukutholwa okunembile, futhi bakuqalele indlela yokuphila kahle.