Iintsholongwane zitholakala phantse zonke iimeko zendalo zomhlaba - ezi zi-agent ezingenayo iselula ezingabakho kwaye zivelise kuphela kwiiseli eziphilayo. Zichaphazela phantse zonke iintlobo zezinto eziphilayo-ukusuka kwizityalo eziya kubantu. Ukususela ngo-1892 - kunye nokupapashwa kukaDmitry Ivanovsky, uluntu lukhokelela umzabalazo obaluleke ngakumbi kwiintlobo ezahlukeneyo zegciwane.
I-Enteroviruses yinto ehlukeneyo yee-non-cellular agents ezichaphazela i-tractinal tract, kwaye zibangele ukuphazamiseka kokusebenza kwayo. Izibonakaliso zamandla abo zingahluka ngokukodwa, kodwa kuyacaca ukuba nganye ye-enteroviruses ingakhokelela kwisiphumo esibulalayo kunye nenkxalabo ngendlela ye-meningitis.
Ingqwalasela ngokukodwa kwinqaku esiza kuhlawula ngokukhethekileyo kwi-Coxsackie virus kunye no-Esno.
Iintsholongwane zikaCoxsackie kunye no-Yesno
Ngokubhekiselele kubhekiselele kwi-echoviruses, eyona nto ingumngeni weengxaki ezichaphazelekayo-abo abanokuthi izifo ezinama-pathogens zibe khona emzimbeni, kodwa zingabangeli ukubonakaliswa kwesi sifo kubantu abaphilileyo.
Okokuqala, amaxhoba enjengesifo sengculaza ngaba abantwana kunye neentsana - ngenxa yokungakhuselekanga okukhuselekileyo, kwaye abantu abadala bahlushwa yi-Esno.
Kodwa ukuba ubeka ingqalelo kwiinkalo zabantu bakudala, kuyacaca ukuba amadoda ayagula kakhulu. Ukugxekwa kwabantu abadala kukuthandekayo - ukuxhamla kuphela kwimibuzo ye- myocarditis , kodwa iintsana zinomngcipheko ebomini.
Ngexesha elifanayo, igciwane leCoxsackie liloluhlu lwe-enteroviruses. I-Coxsackie kunye no-Yesno banezinto ezifanayo ezifanayo - zikhetheke kuphela kumzimba womntu.
Kukho iintlobo ezingama-30 ze-Coxsackie virus - zidibene ngamacandelo amabini-A ne-B. Ziyinye yezizathu ezibalulekileyo zokuphuhlisa i-aseptic meningitis. Emva kwesifo, umntu uhlakulela isigxina.
Iimpawu zegciwane leCoxsackie
I-Coxsackie iyintsholongwane kubantu abadala, ezinokuhlukaniswa kwiindidi ezimbini ezaziwa.
Coxsackie Intsholongwane
Uhlobo lwe-Coxsackie Intsholongwane ibangela ukugqithisa, kwaye ichaphazela ikakhulu imimbrane. Umntu wenza i-conjunctivitis (i-acute hemorrhagic), kunye nezifo zendlela yokuphefumula. Olu hlobo lwesifo sengculaza lunokubangela ukuphuhliswa kwe-stomatitis (uhlobo lwe-vesicular kunye ne-exanthema), kwakunye ne-herpangina-isifo somqala. I-meningitis ye-Aseptic yinto eyingozi kakhulu ekuphuhlisweni kwale ntsho longwane.
I-Coxsackie Virus
Intsholongwane yeCoxsackie yeB b ithintela isibindi, i-pancreas, intliziyo, i-pleura, kwaye ivuselela i-myocarditis, i-hepatitis ne-pericarditis. Isibindi sinesifo esininzi kunalo hlobo lwegciwane.
Ukuxilongwa kwentsholongwane yeCoxsackie kuqhutyelwa ngokuyinqobo ngokumalunga neempawu:
- umkhuhlane - uqala ngokukrakra, uhamba kunye nokukhula okuthe kratya; ihamba kunye kunye kunye, ukunyuka kwesisu kunye nokuvuvukala ubuso;
- exanthema - kukho ukukhawuleza ngomhla wesi-2 wesi sifo ngohlobo lwamabala, kunye nokunciphisa izinga lokushisa.
Uhlalutyo lwegciwane lesifo seCoxsackie kunye nonyango lwayo
Ukuxilonga ingcinezelo yeCoxsackie, kufuneka udlule ukuhlolwa komchamo. Kubizwa ngokuba "uhlalutyo olwenziwe ngogonyamelo."
Ngaphambi kokunyanga igciwane leCoxsackie, qiniseka ukuba nguye obangela iimpawu. Unyango lweCoxsackie, kunye nezinye iigciwane, luphawu. Isigulane sidinga ukuba sidle ngokubanzi njengokuba kunokwenzeka, ekubeni ukushisa okuphakamileyo umzimba ungadityaniswa.
Ukunciphisa izinga lokushisa elimiselwe i-paracetamol okanye ezinye i-antipyretics. Ukukhulula ama-aches kumalungu, kunye ne-myalgia yonyula i-NSAID imali - umzekelo, uNimesil.
Ukunciphisa ukubonakaliswa kwe-rash, misela izidakamizwa ezichasayo-Allersin, Ketotifen, Suprastin.
Kanye kunye nalokhu, amanyathelo okupheliswa kwamanzi kunye nokususwa kwefuthe eliyingozi yeentsholongwane ziyimfuneko.
Ukuba i- serous meningitis ivela , isigulane sidinga ukulaliswa esibhedlele.