ʻO ka hua'ōlelo Epstein-Barr he hōʻailona herpes kanaka i kaʻano 4. Ua kapaʻia ma hope o ka mea kākau'ōlelo Pelekāniaʻo Michael Epstein a me Yvonne Barre, ka mea nāna i wehe mua i kēiaʻano maʻi mai nā mea hana o lymphoma maʻi, iʻikeʻia ma kekahi mau'āina oʻAmelika.
Pehea e weheweheʻia ai ka maʻi Epstein-Barr?
ʻO ka maʻi Epstein-Barr kekahi o nā maʻi viral kūlohelohe loa, no ka mea, he maʻalahi loa iā lākou ke lilo i ka maʻi. Manaʻoʻia he 90% o nā kānaka e halihali ana i kēia maʻi, a he mau lāʻau hoʻoulu i loko o ko lākou koko e hōʻike ana i ka maʻi i hoʻololiʻia i ka wā kamaliʻi.
ʻO ka hapanui pinepine, he maʻi ka hopena ma ke ea eaʻole ma ke ala o ka home, i ka nuiʻole - ma ke kaheʻana o ke koko a iʻole ka moekolohe. Hoʻopili ka maʻi i ka maʻi a hiki ke lilo i kumu o ka maʻi i loko o 18 mau mahina ma hope o ka maʻi. ʻO nā maʻi me ka mononucleosis pīpī i ka wā lōʻihiʻo ka hopena mau o ka maʻi.
Nā hōʻailona o ka maʻi Epstein-Barr
I ke kumu o ka maʻi mua,ʻaʻole hiki keʻikeʻia nā hōʻailona o ka maʻi Epstein-Barr (asymptomatic course) a hōʻikeʻia paha e like me ka maʻi hanu. ʻO ka hapanui pinepine,ʻo ia ka hopena o ke mononucleosis. ʻO ka manawa kū'ē o ka maʻi mai 3 a 8 mau pule.
ʻO nā hōʻailona ma keʻano kikowaena like me kekahi ARVI:
- piʻi ka mahana;
- angina;
- nā pūniu;
- i kaʻeha i loko o nā'ōpū.
No nā hōʻailona likeʻole eʻike ana i ka maʻi i hanaʻia e ka maʻi Epstein-Barr mai kahi SARS, hiki iā ia ke haʻi aku:
- ka piʻiʻana o nā puka lymphoid;
- ka hoʻonuiʻana i ke ake a hoʻonui;
- ka hōʻeha o kaʻili me kona maʻi simplic virus;
- ka piʻiʻana i ke koko o nā lymphocytes a me nā monocytes.
I ka hapanui o nā hihia,ʻaʻole e koiʻia kahi maʻamau maʻamau, kahi maʻamau e like me ka maʻi maʻamau.
ʻO ka pinepine o ka maʻi me ka maʻi Epstein-Barr me ka hopenaʻole o ka hopena, hiki i ka mea maʻi ke ho'ōla a lilo paha i mea lawe lima o ka maʻi. Eia nō naʻe, hiki i ka maʻi ke ulu i loko o ka hōʻailona o ka lolo a me ka lolo. I nā mea koʻikoʻi, hiki iā ia ke lanakila i ka pūnaewele hilahila, ka uluʻana o ka jade, ka maʻi hīpī.
He aha ka maʻiʻeha a Epstein-Barra?
Ma muli o ke kaulike o ka hoʻolahaʻana, aʻo ka nui loa o nā kānaka e hoʻomanawanui i kēia maʻi i ka wā'ōpiopio me kaʻikeʻole, hiki i ka nīnau:ʻo ka Epstein-Barr ka maʻi weliweli loa a he aha ke kumu o ka makemake o nā kauka.
ʻO ka meaʻoiaʻiʻo,ʻoiaiʻo ka maʻi pono'ī e hiki ke noʻonoʻoʻia he meaʻinoʻole aʻaʻohe hopena,ʻo ia kēia huakaʻi e pili ana i ka uluʻana o nā maʻi kūlohelohe. ʻOiai i loko o ka nui o ka manawa e ho'ōla ana ka mea maʻi, akā, he hana maʻi hoʻopunipuni nui ke kumu o ke uluʻana:
- ka mononucleosis kahepili maʻamau;
- ka maʻi hoʻomaha mau loa ;
- ka uluʻana i nā maʻi maʻi pūnāpili;
- ke kūkuluʻana i nā hana hana hoʻonaʻauao.
Ma muli o ka loiloiʻana o ka uluʻana o kekahi o nā maʻi maʻi i kēia huakaʻi, e nānāʻole i nā hōʻailona o ka maʻi a hiki ke pilikia.
ʻO kaʻike o ka maʻi Epstein-Barr
ʻO ka mea maʻamau,ʻo ka hōʻoiaʻana he mea e pono ai i ka uluʻana o nā maʻi maʻamau o ka maʻi me ka hōʻeha o nā pilikia, a me ka hoʻolālāʻana i ka'ōpū.
I nā kānana hoʻopiliʻiliʻi, hiki ke hōʻike iā Epstein-Barr a me kekahi maʻi'ē aʻe, e komo pū me:
- Ka ho'āʻo holoʻokoʻa nui. Aia kahi leukocytosi liʻiliʻi, lymphomonocytosis me nā mononucleic atypical, ma kekahi mauʻano - ka anemia haemolytic, ka thrombocytopenia a me ka thrombocytosis.
- Ke ho'āʻoʻana i ka lāʻau biochemical . Hoʻonuiʻia ka piʻiʻana o ka transaminases, LDH, a me nā mea enzymes a me nā protein o ka lālā ākea.
No ka hoʻoholoʻana i ke kiko'ī maʻamau i mua o nā mea hōʻailona, ua hanaʻia kahi hopena'elepili e pili ana i ka'ānzyme no ka maʻi Epstein-Barr.