Uyini igciwane Coxsackie? Igciwane eliyi-virus e abadala: izimpawu, nokwelashwa, isithombe

Namuhla siyazi iqembu ezithwala izifo, onegama ezivamile "Coxsackie igciwane." Igciwane eliyi-virus e abadala kungabangela ezihlukahlukene izifo, kuze ebulalayo. alikho Imithi kuwo njengoba umuthi, yakhelwe ukuba abhubhise lwegciwane. izinyathelo Basic zokuvimbela zihlanganisa izandla kanye nesidingo ukumboza umlomo wakho nge iduku noma ngisho isandla namakhala lapho ukhwehlela noma sneezing.

izizathu

ukutheleleka Kuchazwe libhekisela uhlobo lwe enterovirus. Kunamaqembu amabili nezilwanyana ezincane (A no B), ngayinye ihlukaniswe yaba serotypes eziningana. I juice esiswini akuyona okudiliza flora pathogenic ngaphansi kwegama Coxsackie. Igciwane eliyi-virus e abadala kubangela izimpawu izici ezimbalwa ngemva ukungena emzimbeni. Ubungozi enkulu yokutheleleka siyagcinwa ngesonto lokuqala izifo, kodwa ingozi yokutheleleka ukhona, futhi isonto emva izimpawu zinyamalale. Igciwane infests kunazo zonke eziphilayo kwezingane kanye nabantu buthaka omzimba.

ukusabalala

Lesifo ngocansi kumuntu nomuntu. Igciwane elikhona uketshezi futhi uketshezi lomzimba iziguli kanye kungenziwa ukusakaza by ukuxhumana zokuphefumula ipheshana uketshezi. Uma lomuntu onegciwane bazokwenza lokho nakuBafana ekhaleni lakhe (futhi, ngoba isifo libhekene amakhala yisisu) futhi othinta noma iyiphi isihloko, igciwane uhlala phezu into, futhi ngeke ube umthombo ukutheleleka. Umuntu ophilile ngokwanele ukuba uthinte izinto okunobuthi bese emlonyeni noma ekhaleni ukuba bafake isandla ukusabalala kwesifo.

Abantu nge amagciwane abangela isifo samehlo (conjunctivitis) kungathelela abanye nge zilandelana ngokuthinta iso kanye netintfo. Conjunctivitis okhula ngokushesha okukhulu futhi zingavela ngosuku lokuqala ukutheleleka. nezilwanyana ezincane Pathogenic samanje endleni, okuyinto imbangela ukusabalala ukutheleleka kwezingane emkhombeni, lapho zisetshenziselwa namanabukeni.

izimpawu

Okuvame kakhulu ukutheleleka asymptomatic kubangelwa coxsackie lwegciwane. Igciwane eliyi-virus e abadala angabangela ezivamile ukuqubuka abandayo noma isikhumba (ikakhulukazi ezinyangeni zasehlobo). Phakathi izimpawu ezijwayelekile futhi kufanele ukhombise uhudo kanye umphimbo obuhlungu, elifana nalelo ebonwe pharyngitis oyingozi.

Kukhona futhi ukubonakaliswa okukhulu ngaphezulu ukutheleleka, kodwa anizikhokheli njalo. Sikhuluma izimpawu ezinjalo igciwane izifo ezifana meningitis (ukuvuvukala nolwelwesi zobuchopho noma umgogodla), encephalitis (ukuvuvukala kobuchopho), plevralgiyu (ubuhlungu besifuba) kanye myopericarditis (ukuvuvukala inhliziyo). Izimpawu eziyingozi kakhulu ukutheleleka abikwe in izinsana.

nezifo zokuphefumula

Coxsackie igciwane ngokuvamile kubangela ukutheleleka febrile elingenhla ipheshana zokuphefumula ne umphimbo obuhlungu futhi amakhala yisisu. Abanye abantu babe ukukhwehlela ukuthi ngokuvamile kwenzeka ukucinana kwemigudu yokuphefumula. Ngaphansi ngokuvamile, igciwane kubangela i-pneumonia.

ukuqubuka

Ukuqubuka Ungase futhi ukhulume ukutheleleka. Ngokuvamile kuba nonspecific ukuqubuka amaningi bomvu (urticaria) noma amaningi namahlukuzo amancane izindawo bushelelezi abomvu. Ezimweni eziningi, ukuqubuka livela esikhathini yokutakula. Nakuba ukubukeka wazo uvame okusikhumbuza yilanga ukukhanya, akusiyo uyaxebuka eyinqaba.

Small amabhamuza esithambile futhi izindawo ebomvu izintende, amathe ezinyawo futhi emlonyeni kungabuye ukusebenza okubangwa yileli gciwane Coxsackie. Nokho, igciwane e abadala, akuvamile kuthatha leli fomu; Lezizibonakaliso kuvamile ezinganeni ezingaphansi kweminyaka engu-eziyishumi. Lesi isifo kuqhathaniswa omnene ukuthi akudingi ukwelashwa.

Conjunctivitis (ukuvuvukala conjunctiva)

Acute oluhambisana conjunctivitis kubangela amehlo ukuvuvukala ukopha amaprotheni. Ngokuvamile, le ukutheleleka ihlasela abesilisa isitho ezibukwayo. iziguli Conjunctivitis esekhala umuzwa into angaphandle esweni noma ubuhlungu ohangulayo. Izimpawu zinyamalale esikhathini esingaphansi kwesonto.

meningitis

meningitis okunobuthi - ukuvuvukala nolwelwesi zobuchopho noma umgogodla - kungadalwa ezithile ukutheleleka enixoxa ngalo. Coxsackie igciwane abadala kungase kubangele ukuthuthukiswa okuthiwa meningitis aseptic, njengoba isiko amaseli cerebrospinal fluid Akabonisanga yokwanda kwenani lama-bacterium awusizo (kwenzeka kuphela ngoba isiko ucwaningo neqhaza ukuhlonza kwamagciwane, hhayi amagciwane). Iziguli lesi sifo baye ngobuhlungu bekhanda futhi imfiva, ephelezelwa Intamo yayo iqina. Angavela ukuqubuka kwesikhumba. ukuquleka Febrile kuvamile ezinganeni kunakubantu abadala, kodwa lona okugcinwe ngokuvamile uhlushwa ukukhathala ehlala amasonto emva yokutakula.

Ezimweni ezingavamile, igciwane kubangela kokubili ukuvuvukala kobuchopho (meningoencephalitis). Iziguli balahlekelwe umuzwa ukuma ngesikhathi nendawo, angase awele ukucobeka. Sici uphawu kuba imfiva.

Ubuthakathaka nokukhubazeka

"Coxsackie" - igciwane e abadala, izimpawu zazo zifaka yokuphazamiseka kwemikhuba ezingavamile, njengoba ubuthakathaka ezingalweni nasemilenzeni ephezulu noma ephansi, futhi ngisho ukukhubazeka esinqunyiwe. Lezi zimpawu yilezi ifaniswe izimpawu uvendle, Nokho, avele kude kancane uye wakwenza ngokuzimisela. Ukukhubazeka noma ubuthakathaka angalandela iziqubu zokuba acute oluhambisana conjunctivitis noma avele njengoba izimpawu ahlukene okutheleleka. Okubalulekile! Uhlobo enteroviruses musa kubangele ukukhubazeka unomphela kanye ubuthakathaka.

costalgia

Costalgia - i nokuvuvukala kwemisipha esifubeni. Lihlobene nokubhekana ubuso plevralgiey - ukuqala ngokuzumayo acute esifubeni ubuhlungu saba sibi ngokuphefumulelwa ezijulile. Ubuhlungu syndrome zingase futhi isebenze ngaphakathi komgodi ongaphakathi kwamathumbu. Imizwa ukusithatha ubunjalo amagagasi noma zibe. Costalgia ngokuvamile uziphetha cishe ngo ezinhlanu izinsuku, kodwa ukuhlaselwa kungase kwenzeke ezinsukwini 7-14.

myopericarditis

Myopericarditis phakathi izimpawu eziyingozi kakhulu yokutheleleka, agent causative of Coxsackie. Igciwane eliyi-virus e abadala (izimpawu ukuthi zenzeka kaningi kakhulu ahlelwe ngenhla), ngenhlanhla, izimbangela ezingavamile kakhulu komgomo ezinjalo. Myopericarditis - yisishiso inhliziyo futhi ulwelwesi lwalo kanye isimo lesiguli kungaba kokubili lula futhi kunzima. Kulo mBhalo, lesi sifo kungaholela ukuhluleka kwenhliziyo, isifo senhliziyo noma ukufa. Ngokuvamile myopericarditis ebonwe iziguli abasebasha, okuholela yokuphila asebenzayo. Izimpawu zihlanganisa iphika, ubuhlungu besifuba, ukukhathala zokuzikhukhumeza imilenze. Ukulimala inhliziyo ingaba ezingelapheki.

ukuhlola

Uma uphethwe ezinye izifo udokotela uthola Coxsackie ukutheleleka (igciwane), ukwelashwa abantu abadala bajwayele Awudingi ngisho, ikakhulukazi uma lokhu yinto asymptomatic. Uma Nokho, uphawu kuphela ke - ukuqubuka abandayo noma isikhumba, ochwepheshe ngokuvamile ayibeki umncele sivivinyo seluhlololucwaningo. Phezu ukuthola conjunctivitis udokotela cishe ziyoba uhlole amehlo akho nge ophthalmoscope ngesandla ukuze uqinisekise uphethwe presumptive. Uma isiguli sine-umphimbo obuhlungu, kudingeka uthathe swab ukuhlola kwehlukana ka pharyngitis oyingozi.

Aseptic meningitis, udokotela kuzothatha isampula cerebrospinal fluid (ngumuntu inqubo efana lumbar wokubhoboza.) Iningi iziguli lesi sifo itholwa yokwanda kwenani amangqamuzana amhlophe ku biomaterial kanye amazinga kashukela evamile futhi amazinga evamile noma kancane aphakeme amaprotheni. Lezi zinguquko lichaza ekwakheni ketshezi, nakuba ezingemnandi, kodwa ingozi njengoba izimpawu webhaktheriya meningitis. CSF isampula wahlola ngokuba khona kuyo we lwegciwane ukutheleleka coxsackievirus. Virus (ekwelapheni abadala kuleli cala ngempela Uchwepheshe kunikezelwe) kungabuye Kutholwe ngokushesha polymerase chain reaction. Le ndlela wembula amaphesenti 66-90 izifo.

Myopericarditis yisimo esiyingozi futhi kudinga ukuxilongwa ngokusebenzisa electrocardiogram (ECG) futhi inhliziyo ultrasound uphenyo (echocardiogram). Electrocardiogram sikhombisa ukuphazamiseka isigqi kubangelwa inhliziyo ivuvukale, futhi kusiza ukuhlonza ukuvuvukala. Kuvele echocardiogram sikhombisa usayizi umzimba ethize futhi likhomba izinkomba izinga emsebenzini wayo. Ngaphezu kwalokho, imiphumela yalolu cwaningo kungacacisa ukuthi noma ngabe kukhona uketshezi emhlabeni inhliziyo. Ukuze ukuhlola isimo ezinye izitho zangaphakathi zithathwa ukuhlolwa igazi.

ukwelashwa

Nakuba lesi sifo zivame kakhulu ezinganeni ezincane, odokotela bavame ukuxilonga Coxsackie igciwane kwabadala. Izimpawu kanye nokwelashwa isifo kwezinye izimo, iyefana izimpawu kanye nokwelashwa kwezifo ezinganeni. Ngeshwa, ngaleso sikhathi azikho izidakamizwa ezithile ezihlose ekubhujisweni kwalesi eziphilayo ethile pathogenic. Ngakolunye uhlangothi, isimiso umuntu sokuzivikela cishe njalo okudiliza igciwane self-Coxsackie. Nokwelashwa e abadala izuzisa kuphela ezimweni lapho kuziwa ukulimala kabi komzimba. Ngeshwa, eziyingozi, odokotela bangathola ukuthi kuphela ukunikela nokuqedwa ngemiphumela ukutheleleka - elwa ngqo igciwane namanje ku imithi zokuhlola. Ngakho, ngokwale ndlela ezinye izifundo, isimo zeziguli kuthuthukisa ngemva immunoglobulin emthanjeni ikhiqizwa womuntu igazi serum equkethe amasosha omzimba.

Ngakho, izimpawu kanye nemiphumela ukutheleleka ziphathwa kuncike izimpawu ezithile zalesi sifo. Myopericarditis, isibonelo, kuhambisana Ukuwohloka ekusebenzeni inhliziyo, kanjalo ukwehlisa umfutho wegazi - yingakho ngalesi Umbuso kumele uthathe imithi ezifanele for normalizing wegazi. Ezimweni esiphuthumayo, libonisa ukufakelwa inhliziyo.

Ikhaya Ukwelashwa

Lapho igciwane indolent ngisho ekhaya kungenzeka ukwelapha abadala coxsackievirus. Kuka ukwelapha lesi sifo? Ukuze balahle ubuhlungu futhi imfiva, thatha "Acetaminophen", "ibuprofen", nezidakamizwa efanayo. Omunye angasebenzisa noma iyiphi imithi non-kadokotela, uma bephethwe umkhuhlane (yokuvula amakhala noma ukukhwehlela isiraphu) lula, kodwa musa ulethe yokutakula futhi kungabangela imiphumela emibi, efana ukozela nomlomo owomile.

zokuvimbela

Yini okufanele kwenziwe kanjalo ngeke ukubamba igciwane Coxsackie? Prophylaxis e abadala kuhilela njalo ukugeza izandla - lokhu kusebenza kuzo zombili iziguli kanye nabantu enempilo. Akukho sidingo ukusebenzisa gel ekhethekile eziqukethe utshwala - nje amanzi ethafeni nensipho. Lapho sneezing noma ukukhwehlela kufanele amboze umlomo wabo ngesandla sakhe, kodwa okungcono - uthi ngeduku. Namanabukeni kanye okuqukethwe kwabo ngobumnene phinda ngokushesha ngangokunokwenzeka sokuntshinga. Okusobala (isib ifenisha) okufanele kuhlale kuhlanzekile kugcinelwe. izinto enobuthi Kunconywa ukusingatha magciwane. Ngenxa yale njongo, efanelekayo abavamile yasendlini bleach - omunye isipuni ketshezi buhlanjululwe ngo ezine izinkomishi zamanzi. Coxsackie igciwane abadala (isithombe ukubonisa izimpawu zesifo i-, ethulwa ekhasini) ingavinjelwa kalula uma ulandela izinyathelo ezibalwe ngenhla izifo.