Emndenini we-enteroviruses ene-RNA kuneqembu elikhulu lama-microorganisms okuthiwa i-Coxsackie virus. Abachwepheshe bazi ama-serotypes angu-30, okuyizinhlobo ezimbili zezinhlobo ze-A-no-B.
Lesi sifo sithinteke kakhulu ezinganeni, ngoba isimiso somzimba sokuzivikela esasanda kuvela asikakulungeli ukuvikela umzimba. Igciwane le-Coxsackie elingajwayelekile kakhulu kubantu abadala, kodwa libi nakakhulu kunasebancane. Lapho kunezifo ezingapheliyo, i-enterovirus ingabangela ngisho nezinye izinkinga ezisongela ukuphila.
Izimpawu zegciwane le-Coxsackie kubantu abadala
Ukubonakaliswa kwemitholampilo yesifo kuxhomeke kohlobo lwayo.
Uma kukhona ukutheleleka nge-Coxsackie igciwane A, futhi isimiso somzimba sokuzivikela sisilungile, ukutheleleka kuvame ukungabi nhlobo. Ngezinye izikhathi izimpawu ezilandelayo ziyabonakala:
- ukubomvu kwezinye izindawo zesikhumba;
- ukuqhuma okuncane kwamaphepha ombala obomvana;
- i-short-term fever.
Lesi sifo sidlula ngokushesha ngaphandle kokwelashwa okuqondile. Ngempela ezinsukwini ezingu-3-6 isimo somuntu onesifo sifika ukujwayelekile.
Izinkinga ziningi uma zithelelekile ngohlobo B lwezinyunyana ezibuzwayo. Kulesi simo, i-symptomatology inomlingiswa ocacile:
- ukushisa komzimba kakhulu;
- amafutha emzimbeni, amathambo namalungu;
- ubuhlungu besisu;
- ukuphuza emzimbeni, kuhlanganise nezinyawo nezindwangu;
- ukubonakala kwe-vesicles encane ebomvu elinamanzi emagqumeni amancane (umphimbo, umlomo);
- ubuhlungu esiswini.
Ngemuva kokutheleleka ngegciwane le-Coxsackie uhlobo B, umuntu omdala unesifo sokuhlanza, isifo sohudo, u-flatulence, nezinye izinkinga zesifo se-dyspeptic. Lezi zibonakaliso zemitholampilo zichazwa ukuthi amangqamuzana e-pathological aqala ukwanda futhi athuthuke kahle emathunjini, asakazeka esuka kuwo wonke umzimba.
Ukwelashwa kwezimbangela nezimpawu zegciwane le-Coxsackie kubantu abadala
Uma ukutheleleka kutholakala emahoreni angu-72 okuqala, kunengqondo ukuthatha izidakamizwa ezinamandla wokulwa namagciwane:
- Rimantadine;
- Amizon;
- Tamiflu;
- Relenza;
- I-Lavomax;
- I-Arbidol;
- Kagocel;
- Amiksin;
- ITyloron;
- Ingavirin nabanye.
Uma lesi sifo siqhubeka izinsuku ezingaphezu kwezingu-3, kuyadingeka ukwelashwa okuphawulekayo kuphela:
- Ukuhambisana nokuphumula kombhede. Kunconywa ukuba ulale okungenani amahora angu-10 ngosuku, ungafaki ukucindezeleka ngokomzimba nangokwengqondo, thatha ishidi lokushiya lokugula emsebenzini.
- Isiphuzo esifudumele. Ukunciphisa ubuhlungu bokudakwa komzimba, futhi ugcwalise ukulinganisela okuketshezi nokuvimbela ukuphelelwa amandla kwamanzi, kungenziwa ngokudla okuvamile kwama teas, iziphuzo zezithelo, ama-compotes.
- Ukudla. Ungadluli ngokweqile umgudu wokugaya okuthintekile. Ngesikhathi sokugula kungcono ukudla ukukhanya, ukudla okuphansi kwamafutha. Kungcono ukudla imifino nezithelo ngendlela efakwe ngamanzi abilisiwe.
Ukwelashwa okucacile kwezidakamizwa kubantu abadala abanegciwane le-Coxsackie akulona, ngokuvamile akubangeli ukukhathazeka. Kulezo zimo ezingavamile lapho uhla lwezinsalela, odokotela batusa ukuthatha ama-antihistamines (i-Suprastin, i-Cetrin, i-Zodak nokunye okunjalo).
Ukulwa nomkhuhlane, futhi, ngokuvamile akudingeki. Uma i-thermometer ingahlali ngaphezu kuka-38.5, umzimba kufanele uvunyelwe ukulwa nokutheleleka ngokwakho. Ukushisa okunamandla kuvunyelwe ukuba kugwetshwe izidakamizwa ezilwa nokuvuvukala nge-antipyretic effect, isibonelo, iParacetamol noma i-Ibuprofen.
Indlela yokuphatha imiphumela yegciwane le-Coxsackie kubantu abadala?
Izinkinga ezivamile ze-pathology echazwe:
- aseptic meningitis ;
- i-pericarditis;
- i-hepatitis;
- i-myocarditis;
- ukukhubazeka;
- i-conjunctivitis ene-hemorrhagic;
- i-encephalitis;
- isikhala semibala
- umphimbo wesisu omuncu ;
- i-exanthema;
- isifo sikashukela (uhlobo 1).
Njengoba kunikezwe ubunzima kanye nobungozi balezi zifo, akufanele uzame ukuziphatha ngokuzimela. Ukwelashwa kubalulekile ukubonana nodokotela.