Usulelo lwe-Enterovirus lunye lwesifo esiyinkimbinkimbi nesona sengozi ebuntwaneni. Kubaluleke kakhulu kubazali ukuba baqonde iimpawu zeklinikhi yokusuleleka kwi-enterovirus kubantwana ukuze baqaphele ukuqala kwesi sifo ngexesha elifanelekileyo kwaye banikeze umntwana ngoncedo olwaneleyo kunye nexesha elifanelekileyo. Kule nqaku, siza kujonga impawu zentsholongwane ye-enterovirus kubantwana.
I-Enterovirus: iimpawu zokuqala kubantwana
Ngokuxhomekeke kwimiboniso ephilileyo yekliniki, iintlobo ezininzi zesifo ziyaziwa: i-angina ye-herpe, i-meningitis ye-serous, i-Coxsackie kunye ne-ECHO, i-myalgia, i-myalgia, i-Coxsackie kunye ne-ECHO exanthema, ifomu yokukhubazeka, i-neonatal encephalomyocarditis, i-enterovirus uveitis, i-myocarditis kunye nabanye. Ngolunye lwezi ntlobo zinokudibaniswa okanye ziphuhlise ngokwahlukileyo.
Zonke iintlobo zesifo eso zibonakalisa iimpawu eziqhelekileyo. Ixesha lokuxubusha lihlala lisusela kwiintsuku ezi-2 ukuya kwezi-5, kodwa kwiimeko ezinqabileyo zingakwazi ukufikelela kwiintsuku eziyi-8-10. Ukuqala kwesi sifo kunzima, ukushisa nge-enterovirus isifo siphume ngokukhawuleza ukuya kwi-39-40 ° C. Isigulane sibonisa iimpawu zetyhefu (utywala ngokubanzi): intloko, isisulu sokuncwina, kuze kube yilapho kuhlanza, utyumbe, ubuthathaka, ukuphazamiseka kokulala. Ulusu ebusweni nasentanyeni (kwaye ngokubanzi kwinqanaba eliphezulu lomzimba) litshisa kakhulu kwaye libuyisa. I-Rash ne-infection ye-enterovirus iyenzeka ngokuthe ngqo ngenxa yesikhumba se-hyperthermia. Ukuphazamiseka ngentsholongwane ye-enterovirus ingaba yomelele kangangokuba ijika ibe yindawo ephakamileyo ye-trunk, ekhona kwintsimi ephezulu, kuquka intamo kunye nobuso ngendlela yohlobo lweendawo ezahlukeneyo.
I-lymph nodes entanyeni inokwandiswa kancinci, kodwa ihlala ibuhlungu.
Ukutshatyalaliswa kwintsholongwane ye-enterovirus, iilwimi zibonakalisa i-plaque.
Kwezinye iimeko, isifo se-enterovirus sihamba kunye nokuqunjelwa.
Uphuhliso oluqhubekayo lwesifo
Inkambo yesi sifo, kunye nobude bayo, kunye nesiphumo, kuxhomekeka kwifom kunye nobukhulu besifo.
Ifomu eqhelekileyo yesifo se-enteroviral yi-ECHO- neCoxsackie-fever.
Ngale fomu, ixesha le-febrile lingadlulela kwiveki kunye nesiqingatha, kwaye kwezinye iimeko, ukwanda kunye nokuwa kwamaqondo okushisa komzimba ngamagagasi akhethekileyo. Ukongeza kwiimpawu eziqhelekileyo ze-enterovirus, zonke i-lymph node zandisiwe (azibuhlungu), kunye nokwanda kweseyile nesibindi.
Nge- angina ye-herpetic, ukunyuka okubalulekileyo kokushisa kwimihla yokuqala kuthathelwa ukuhla kwehla (malunga neentsuku ezingama-2-5 emva kokuqala kwesi sifo). Into ehlukileyo yomlomo oyimpumlo yenyongo ibonakala ngathi ihotele ebomvu yamaphepha emlonyeni womlomo nomlenze womntwana. Emva kwexesha elithile, iipilisi zijika zibe yi-vesicles - vesicles, ize zibe zilonda ezincinci ezinobomvu obomvu. Ukukhawuleza kwi-mucosa yomlomo inokuba yanele ngokwaneleyo, kodwa ayizange idibanise.
I-meningitis ye-Serous iphinda ikhule ngokukhawuleza, ngelixa isigulane siziphatha ngokuvuyisa, singenasiphelo. Ngokuqhelekileyo, imeko yomntwana iqhutyelwa intlungu kwiimisipha, isisu, umva, intamo. Isigulana siphelelwa ngumkhuhlane, izihlunu zinokunciphisa ukuxhamla. Ukususela kwiintsuku zokuqala kubalulekile ukuvela kubantwana besigqirha, njengoko ugqirha uya kuba nako ukuchonga ngokukhawuleza iimpawu ze-meningitis: i-syndromes ye-Brudzinsky ne-Kernig, kwakunye nokunciphisa i-reflexes yesisu kunye nentamo eqinile. Ngamanye amaxesha iimpawu zengqondo zingabonakaliswa ngokupheleleyo, okanye kungenjalo.
Into ehlukile yentsholongwane ye-myalgia yintlungu ebuhlungu kwimisipha (esoloko isesifubeni okanye isisu, ingaphantsi kancinci kwimilenze okanye ngasemva). Intlungu iqinisa i-paroxysmally kwaye ikhula kakhulu xa ihamba. Ubungakanani bokuhlaselwa kweentlungu ukusuka kumasekhondi angu-30 ukuya kumibini okanye emithathu imizuzu. Ngethuba elifanayo umntwana uhamba, aphefumula, ukuphefumula kuyaba phakathi kwaye kungenangqondo.
Ngoko, khumbula iimpawu eziphambili zentsholongwane ye-enterovirus kubantwana: ukushisa kwe-39-40 ° C, ukugqithisa nokubomvu kwesikhumba, ubuthathaka, isisongela kunye nokuhlanza, intloko yesisu kunye noxinzelelo, ukuphazamiseka kokulala.
Ukuba ubona iimpawu ezinjalo kumntwana wakho-khawuleza uthintane nodokotela wezingane.