Yintoni intsholongwane Coxsackie? A intsholongwane abadala: iimpawu, kuthintelo nonyango, photo

Namhlanje siyazi iqela izinto ezosulelayo, sithwele igama eliqhelekileyo "Coxsackie yintsholongwane." A intsholongwane abadala kunokubangela iintlobo zezifo, ukuya ku ezibulalayo. Izitofu kuyo ayisekho njengoko ichiza, ukuba yenzelwe ukuba atshabalalise gciwane. amanyathelo Basic othintelo ziquka ukuhlamba izandla kunye nemfuneko ukuquka umlomo wakho itshefu okanye ngesandla xa ukhohlela okanye uthimla.

izizathu

usulelo ochazwe ibhekisa sodidi enterovirus. Kukho amaqela amabini ezincinane (A and B), nganye iqulathe serotypes ezininzi. Ijusi esiswini ayikho unako ukutshabalalisa flora yayintsholongwane eyosulela phantsi igama Coxsackie. A intsholongwane abadala ebangela iimpawu uphawu kwi iintsuku ezimbalwa emva kokuba iifom zokungenela emzimbeni. Ingozi enkulu yosulelo olupheleleyo kwiveki yokuqala ukugula, kodwa ke ingozi yosulelo ukho, yaye kwiveki emva kokuba iimpawu shwaka. Le ntsholongwane infests mde kuleyo izinto abantwana kunye nabantu kunye neenkqubo omzimba buthathaka.

ukwanda

Usuleleko luyasuka ukusuka komnye umntu ukuya komnye. Le ntsholongwane eqhutywa netuwa kunye neencindi zomzimba izigulane kwaye isasazeka ngokuthi ukunxibelelana netuwa phecana sokuphefumla. Ukuba umntu onesifo likhuhla impumlo yakhe (kwaye, kuba isifo luphawulwa impumlo esihambisayo) kwaye ochukumisa nayiphi na isifundo, intsholongwane ihlala phezu kwento, yaye iya kuba ngumthombo usulelo. onempilo kwanele ukuba bachukumise izinto ezimdaka kunye koko umlomo okanye impumlo ukuba negalelo ekusasazweni kwesi sifo.

Abantu abosuleleke eye (conjunctivitis) isenokubosulela abanye yi ngokulandelelana uchukumisa iliso kunye izinto. Conjunctivitis okhula ngokukhawuleza kakhulu yaye zingavela ngosuku lokuqala usulelo. amagciwane izifo ezikhoyo endleni, nto leyo unobangela ukosuleleka phakathi kwabantwana emkhumbini wesitali, apho kusetyenziswa amanabukeni.

iimpawu

Usuleleko nazimpawu ixhaphakileyo okubangelwa coxsackie gciwane. A intsholongwane abadala kunokubangela i irhashalala umkhuhlane okanye kwesikhumba (ingakumbi kwiinyanga zasehlotyeni). Olunye lweempawu ezixhaphakileyo noko kufuneka ibonise urhudo kunye nomqala obuhlungu, efana naleyo iqatshelwe pharyngitis oyingozi.

Kukwakho ke ibonwa kakhulu ngakumbi usulelo, kodwa kwenzeka alufane. Sithetha iimpawu ezifana izifo intsholongwane ezifana meningitis (ukudumba inwebu yobuchopho okanye umnqonqo), kobuchopho (ukudumba ubuchopho), plevralgiyu (iintlungu esifubeni) kunye myopericarditis (ukudumba kwentliziyo). Iimpawu ingozi yosulelo ziye ingxelo kwiintsana.

isifo zemigudu

Coxsackie intsholongwane ngokuqhelekileyo ebangela usuleleko febrile ye phecana ephezulu wokuphefumla kunye umqala obuhlungu kunye nempumlo esihambisayo. Abanye abantu babe khohlo ukuba ngokuqhelekileyo eyenzeka yomoya. Ngokuqhelekileyo, intsholongwane ebangela i-pneumonia.

ufunga

irhashalala nako ukuthetha malunga usulelo. Kaninzi iba amaqhakuvana nonspecific ezininzi obomvu (urticaria) okanye amaqela amancinane amabala agudileyo abomvu. Kwiimeko ezininzi, yabangxamayo libonakala sokubuyisa ixesha ekuphulukenwe nalo. Nangona zibonakala badla embhoxo a tikaka ukukhanya, akukho yokuzikhwebula yinqobo kuye.

namadyungudyungu ezincinane ezithambileyo kunye amabala abomvu ezintendeni, ekuncothukeni kweentende zeenyawo kunye emlonyeni nako zisenokubangelwa yintsholongwane Coxsackie. A intsholongwane abadala, Noko ke, akufane uthatha le fomu; Ezi mpawu zixhaphakile kakhulu kubantwana abangaphantsi kweminyaka elishumi. Esi sisifo wobulali noko engayi kufuna unyango.

Conjunctivitis (ukudumba conjunctiva)

Acute sophele conjunctivitis kubangela amehlo ukudumba, ukopha kwiproteni. Ngokwesiqhelo, le usuleleko ichaphazela zombini organ olubonakalayo. izigulane Conjunctivitis ezikhala imvakalelo into angaphandle emehlweni okanye intlungu searing. Iimpawu zinyamalale kwisithuba seveki.

meningitis

meningitis Viral - ukudumba inwebu yobuchopho okanye umnqonqo - ungenza unokubangwa ziintlobo ezithile yosulelo ethathelwa ingqalelo. Coxsackie gciwane abadala engabangela uphuhliso ekuthiwa aseptic meningitis, njengoko inkcubeko iiseli kulwelo lwe- cerebrospinal wabonisa akukho ukwanda kwenani iintsholongwane (yenzeka kuphela ngenxa yokuba inkcubeko yophando negalelo ukuchongwa iintsholongwane, hayi iintsholongwane). Izigulane nalo disorder ziye zikhalazo ebuhlungu kunye nomkhuhlane, ekhatshwa intamo. Ngamana abonakale irhashalala. ukuxhuzula Febrile zixhaphake kakhulu ebantwaneni ngaphezu kubantu abadala, kodwa le yokugqibela ubunzima ukusuka ukudinwa olungapheliyo iiveki emva achache.

Kwiimeko ezinqabe kakhulu, intsholongwane ebangela zombini ukudumba yobuchopho (meningoencephalitis). Izigulane ikhono labo yokuqhelaniswa nezifundo ngexesha kunye nendawo, nagaxeleka ezilingweni silale. A uphawu Uphawu kuba nomkhuhlane.

Ubuthakathaka nokukhubazeka

"Coxsackie" - yintsholongwane abadala, iimpawu eziquka onokugula okunjalo ezinqabileyo, njengoko ubuthathaka imilenze oluphezulu okanye olusezansti, kunye nokukhubazeka buso. Ezi mpawu ayalingana iimpawu sepoliyo, Noko ke, kubonakala ngaphantsi kude ngokuzimisela. Ukukhubazeka okanye ubuthathaka unokulandela kwinkxalabo ahlekise ukopha conjunctivitis okanye kuvela iimpawu ezahlukeneyo osulelo. Okubalulekileyo! Uhlobo enteroviruses musa ukukhubazeka isigxina kunye nobuthathaka.

costalgia

Costalgia - kukukrala izihlunu esifubeni. It inxulunyaniswa plevralgiey - kuqala ngesiquphe iintlungu esifubeni ahlekise kuwenza ngempefumlelo enzulu. Iintlungu syndrome kwakhona eyendayo kwisisu. Iimvakalelo ukuthatha isimilo ngamaza okanye aqaqambayo. Costalgia ngokuqhelekileyo isigqibo ngokwayo malunga ezintlanu iintsuku, kodwa uhlaselo ukuze ziphinde zenzeke ngeentsuku 7-14.

myopericarditis

Myopericarditis phakathi mpawu ingozi yosulelo, i-arhente causative ka Coxsackie. A intsholongwane abadala (iimpawu zenzeka rhoqo zidweliswe apha ngentla), ngethamsanqa, izinto ezinqabe kakhulu ezinjalo ukwaphulwa. Myopericarditis - kukukrala entliziyweni imifinya zayo, yaye imeko yomguli kunokuba zombini lula kwaye kunzima. Kwimeko yokugqibela, esi sifo kunokukhokelela ukusilela intliziyo, isifo sentliziyo okanye ukufa. Amaninzi myopericarditis iqatshelwe izigulane abancinane, aphile yokuphila esebenzayo. Impawu ziquka ukuphelelwa umoya, iintlungu esifubeni, lidiniwe ekweneni imilenze. Ukonakala intliziyo inokuba esinganyangekiyo.

ekuxilongweni

Ukuba une nezinye izifo ugqirha ubhaqa Coxsackie usulelo (intsholongwane), unyango abadala badla musa nokuba mfuneko, ngakumbi xa le meko nazimpawu. Ukuba, ke, umqondiso kuphela kwayo - irhashalala abandayo okanye ulusu, iingcali zidla musa alikwazi ukugunyazisa diagnostic tests. Xa efumanise conjunctivitis ugqirha mhlawumbi uhlole amehlo akho nge ophthalmoscope ngesandla ikho ukuze uqinisekise uxilongo presumptive. Ukuba ogulayo umqala obuhlungu, kufuneka athathe isampuli yezinkcwe ukuvavanya ukuba umahluko of pharyngitis ahlekise.

Aseptic meningitis, ugqirha uza isampuli ulwelo fluid (yinkqubo ezifana empontshwa.) Uninzi izigulane kunye sifo kubonakele ukwanda kwenani iiseli ezimhlophe kwi biomaterial kunye namanqanaba yesiqhelo iswekile kunye namanqanaba eqhelekileyo okanye eziphakamileyo ephezulwana protini. Ezi utshintsho ekwakhiweni yamanzi, tsakisi, kodwa hayi Kuyingozi iimpawu kwegciwane meningitis. CSF isampulu kuvavanywa ubukho kuyo le pathogen usuleleko coxsackievirus. Virus (unyango yabantu abadala kulo mzekelo ngokuyimfuneko lweengcali eyabelwe) nako andibhaqwa nkqi polymerase chain reaction. Le ndlela lwabonisa 66-90 ekhulwini zizifo.

Myopericarditis yimeko eyingozi kwaye ifuna ukuxilongwa ngokusebenzisa i electrocardiogram (ECG) kunye nophando intliziyo ultrasound (echocardiogram). Electrocardiogram ubonisa ukuphazamiseka isingqisho okubangelwa ngentliziyo enkulu, kwaye ibhexesha ukuphawulwa inkqubo arhabaxa. An echocardiogram ubonisa ngokobukhulu ethile kwaye ibonisa nezikhombisi umgangatho nokusebenza kwayo. Ukongeza, iziphumo zolu phononongo akwazi ukufumanisa ukuba ngaba kukho fluid ngeenxa intliziyo. Ukuvavanya imeko namanye amalungu yangaphakathi zithathelwa iimvavanyo zegazi.

unyango

Nangona usulelo ixhaphake kakhulu kubantwana abaselula, oogqirha ukuxilonga Coxsackie yentsholongwane abadala. Iimpawu kunye nonyango kwesi sifo kwezinye iimeko, ezifanayo iimpawu kunye nonyango losulelo ebantwaneni. Ngelishwa, ngalo mzuzwana akukho amachiza ezithile sineenjongo ezingatshabalalisa kule eziphilayo ezithile izifo. Kwelinye icala, inkqubo yomzimba yokuzikhusela phantse lonk unako ukutshabalalisa intsholongwane self-Coxsackie. Kuthintelo nonyango abadala kuluncedo kuphela kwiimeko xa kufikwa yokulimala umzimba. Ngelishwa, izigulo ezinzulu, oogqirha ukunikela lokuphelisa neziphumo usulelo kuphela - besilwa ngqo intsholongwane kuloo amayeza zovavanyo. Ngoko ke, ngokutsho kwezinye izifundo, imeko izigulana 'kuphucula emva immunoglobulin efakwa akhutshwa serum igazi lomntu antibodies equlethe.

Ngenxa yoko, iimpawu kunye neziphumo losulelo baphathwa kuxhomekeke iimpawu ezithile zesi sifo. Myopericarditis, umzekelo, sikhatshwa ukwehla ekusebenzeni wentliziyo, ngaloo ndlela yandisa uxinzelelo lwegazi - nto leyo esisizathu sokuba kule urhulumente kufuneka athathe amayeza afanelekileyo ukuze normalizing uxinzelelo lwegazi. Kwiimeko ezingxamisekileyo, ubonisa esinye intliziyo.

Treatment ekhaya

Xa usulelo odangeleyo nasekhaya kusenokwenzeka ukuba ukunyanga abantu abadala coxsackievirus. Ngaphezu ukunyanga esi sifo? Ukuze bahlukane intlungu nangecesina, uthabathe "acetaminophen", "ibuprofen", kunye neziyobisi ezifanayo. Umntu unako ukusebenzisa nayiphi na amayeza non kagqirha, ukuba lula iimpawu ebandayo (ukuxinana okanye isiraphu khohlo), kodwa ungambuyiseli ukuchacha kwaye kunokubangela iziphumo ezingalindelekanga, ezifana ukozela umlomo owomileyo.

ukuvimbela

Yintoni ekufuneka yenziwe ukwenzela ukuba banokuyifumana intsholongwane Coxsackie? Prophylaxis abadala kuquka ukuhlamba izandla rhoqo - oku kusebenza kuzo zombini izigulane kunye nabantu besempilweni. Akuyomfuneko ukusebenzisa ziwe ezizodwa eziqulathe utywala - amanzi plain kunye nesepha kuphela. Xa uthimla okanye ukhohlela kufuneka kukugubungela umlomo wabo ngesandla sakhe, kodwa kungcono - itshefu. Amanabukeni kunye nemixholo yawo phinda ngononophelo ngokukhawuleza kangangoko kunokwenzeka ukuze ulahle kude. Surface (umz ifenitshala) kufuneka igcinwe icocekile. izinto yonakaliswe Kucetyiswa ukusingatha zintsholongwane. Ukulungiselela le njongo, ezifanelekileyo iblitshi eqhelekileyo yasekhaya - omnye icephe lwento leyo exutywe beekomityi ezine yamanzi. Coxsackie gciwane abadala (umfanekiso obonisa iimpawu zesifo, zithiwe thaca kwiphepha) kungaba lula ingathintelwa ukuba ulandele amanyathelo othintelo ikhankanywe apha ngasentla.