Ukuhlolwa kwe-Epstein-Barr Virus (EBV)
-Delile
- Kuyini ukuhlolwa kwegciwane le-Epstein-Barr?
- Udokotela wakho uzoku-oda nini ukuhlolwa?
- Kwenziwa kanjani ukuhlolwa?
- Ziyini izingozi zokuhlolwa kwe-EBV?
- Isho ukuthini imiphumela ejwayelekile?
- Kusho ukuthini imiphumela engajwayelekile?
- Iphathwa kanjani i-EBV?
Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.
Kuyini ukuhlolwa kwegciwane le-Epstein-Barr?
Igciwane le-Epstein-Barr (i-EBV) liyilungu lomndeni wegciwane le-herpes. Ngenye yamagciwane avame kakhulu ukuthelela abantu emhlabeni jikelele.
Ngokusho kwe, iningi labantu lizongenela i-EBV ngesikhathi esithile ezimpilweni zabo.
Leli gciwane ngokuvamile alibangeli zimpawu ezinganeni.Ebusheni nasebantwini abadala, kubangela ukugula okubizwa nge-infectious mononucleosis, noma i-mono, kumaphesenti angama-35 kuye kwangama-50 amacala.
Eyaziwa nangokuthi "isifo sokuqabula," i-EBV ivame ukusabalala ngamathe. Akuvamile kakhulu ukuthi lesi sifo sisakazeke ngegazi noma ngezinye iziphuzo zomzimba.
Ukuhlolwa kwe-EBV kwaziwa nangokuthi "ama-antibody e-EBV." Kuwukuhlolwa kwegazi okusetshenziselwa ukukhomba ukutheleleka kwe-EBV. Ukuhlola kuthola ubukhona bama-antibodies.
Ama-antibody amaphrotheni akhishwa amasosha omzimba wakho ekuphenduleni into eyingozi ebizwa nge-antigen. Ngokuqondile, ukuhlolwa kwe-EBV kusetshenziselwa ukuthola amasosha omzimba kuma-antigen e-EBV. Ukuhlolwa kungathola kokubili ukutheleleka kwamanje nokwedlule.
Udokotela wakho uzoku-oda nini ukuhlolwa?
Udokotela wakho anga-oda lokhu kuhlolwa uma ukhombisa noma yiziphi izimpawu nezimpawu ze-mono. Izimpawu ngokuvamile zihlala isonto elilodwa kuya kwamane, kepha zingahlala izinyanga ezintathu kuya kwezine kwezinye izimo. Kubandakanya:
- imfiva
- Umphimbo obuhlungu
- ama-lymph node avuvukile
- ikhanda
- ukukhathala
- intamo elukhuni
- ukukhulisa ubende
Udokotela wakho angacabangela nobudala bakho nezinye izinto lapho ethatha isinqumo soku-oda ukuhlolwa noma cha. I-Mono ivame kakhulu entsheni nasebekhulile abaphakathi kweminyaka eyi-15 nengama-24.
Kwenziwa kanjani ukuhlolwa?
Ukuhlolwa kwe-EBV ukuhlolwa kwegazi. Ngesikhathi sokuhlolwa, kudonswa igazi ehhovisi likadokotela wakho noma elabhorethri yokugula emtholampilo (noma kwelebhu yesibhedlela). Igazi lidonswa emthanjeni, imvamisa ngaphakathi kwengqiniba yakho. Inqubo ifaka lezi zinyathelo ezilandelayo:
- Indawo yokubhoboza ihlanzwa nge-antiseptic.
- Ibhande lokunwebeka lisongwe engalweni yakho engenhla ukwenza umthambo wakho uvuvukele igazi.
- Inaliti ifakwe ngobumnene emthanjeni wakho ukuqoqa igazi esitsheni noma ithubhu enamathiselwe.
- Ibhande lokunwebeka lisusiwe engalweni yakho.
- Isampuli yegazi ithunyelwa elebhu ukuyohlolwa.
Ama-antibodies amancane kakhulu (noma ngisho no-zero) angatholakala ekuqaleni kokugula. Ngakho-ke, ukuhlolwa kwegazi kungadinga ukuphindwa ezinsukwini eziyi-10 kuye kwezingu-14.
Ziyini izingozi zokuhlolwa kwe-EBV?
Njenganoma yikuphi ukuhlolwa kwegazi, kunengozi encane yokopha, ukulinyazwa, noma ukutheleleka endaweni yokubhoboza. Ungase uzwe ubuhlungu obulinganiselayo noma ukubhoboza okubukhali lapho inaliti ifakiwe. Abanye abantu bazizwa bephethwe amakhanda noma bequlekile ngemuva kokudonswa igazi labo.
Isho ukuthini imiphumela ejwayelekile?
Umphumela ojwayelekile usho ukuthi awekho amasosha omzimba e-EBV abekhona kusampula segazi lakho. Lokhu kukhombisa ukuthi awukaze utheleleke nge-EBV futhi awunayo i-mono. Noma kunjalo, usengayithola nganoma yisiphi isikhathi ngokuzayo.
Kusho ukuthini imiphumela engajwayelekile?
Umphumela ongajwayelekile usho ukuthi ukuhlolwa kuthole amasosha omzimba e-EBV. Lokhu kukhombisa ukuthi njengamanje utheleleke nge-EBV noma usutheleleke ngegciwane esikhathini esedlule. Udokotela wakho angatshela umehluko phakathi kokwedlule nokutheleleka kwamanje ngokuya ngobukhona noma ukungabikho kwama-antibodies alwa nama-antigen amathathu athile.
Ama-antibodies amathathu ukuhlolwa okubhekwayo angamasosha omzimba ku-virus capsid antigen (VCA) IgG, VCA IgM, ne-Epstein-Barr nuclear antigen (EBNA). Izinga le-antibody elitholwe egazini, elibizwa ngokuthi i-titer, alinawo umthelela ekutheni usenesifo esingakanani noma ukuthi sinzima kangakanani lesi sifo.
- Ukuba khona kwama-antibodies e-VCA IgG kukhombisa ukuthi ukutheleleka nge-EBV kwenzeke ngesikhathi esithile muva nje noma esikhathini esedlule.
- Ukuba khona kwama-antibodies e-VCA IgM kanye nokungabikho kwama-antibody ku-EBNA kusho ukuthi ukutheleleka kwenzeke muva nje.
- Ukuba khona kwama-antibodies ku-EBNA kusho ukuthi ukutheleleka kwenzeka esikhathini esedlule. Ama-antibody e-EBNA akhula amasonto ayisithupha kuya kwayisishiyagalombili ngemuva kwesikhathi sokutheleleka futhi akhona impilo yonke.
Njenganoma iluphi olunye uvivinyo, imiphumela engeyamanga neyiqiniso engelona iqiniso iyenzeka. Umphumela wokuhlolwa okungelona iqiniso ukhombisa ukuthi unesifo kanti empeleni awunaso. Umphumela wokuhlolwa okungelona iqiniso ukhombisa ukuthi awunaso isifo uma unjalo. Buza udokotela wakho nganoma yiziphi izinqubo noma izinyathelo zokulandelela ezingasiza ukuqinisekisa ukuthi imiphumela yakho yokuhlola inembile.
Iphathwa kanjani i-EBV?
Azikho izindlela zokwelapha ezaziwayo, imishanguzo yokulwa namagciwane, noma imigomo etholakalela i-mono. Kodwa-ke, kunezinto ongazenza ukunciphisa izimpawu zakho:
- Hlala unamanzi futhi uphuze uketshezi oluningi.
- Phumula ngokwanele futhi ugweme imidlalo ejulile.
- Thatha ukudambisa izinhlungu okuthengwa ekhawunteni, njenge-ibuprofen (Advil) noma i-acetaminophen (iTylenol).
Igciwane kungaba nzima ukulelapha, kepha izimpawu zivame ukuzixazulula zodwa enyangeni eyodwa kuya kwezimbili.
Ngemuva kokululama, i-EBV izohlala ilele kumaseli akho egazi impilo yakho yonke.
Lokhu kusho ukuthi izimpawu zakho zizophela, kepha igciwane lizohlala emzimbeni wakho futhi ngezikhathi ezithile lingaqala lisebenze ngaphandle kokubangela izimpawu. Kungenzeka ukusabalalisa igciwane kwabanye ngokuxhumana ngomlomo nomlomo ngalesi sikhathi.