Enterovirus ana: Zizindikiro ndi Chithandizo

Thirakiti m'mimba wa mwana ali kusiyana kwa dongosolo m'mimba munthu wamkulu. Iye ndi chidwi kwambiri zigawo latsopano chakudya. Ana, ndi chitetezo matumbo sichinayambe anapanga mpaka mapeto, thupi ndi yovuta kwambiri zosiyanasiyana mavairasi.

Pa wamng'ono angayang'ane yofanana awiri a chikhalidwe opatsirana matenda okhudza matumbo ndi dongosolo m'mimba. Iwo rotavirus ndi enterovirus matenda. Last ana ndi ambiri ndipo amakhala kuwonongeka mpaka kalekale lazunguliridwa ndi thupi mwana popanda mankhwalawa. Pachimake zochitika zambiri imagwera pa nyengo kasupe ndi yophukira. ndi enterovirus osiyana ana chiyani? Zizindikiro zithunzi za achinyamata amene akudwala, komanso yatsatanetsatane chithandizo kamwedwe ndi kuperekedwa mu zipangizo za nkhaniyi.

matenda enterovirus ndi chiyani?

Mfundo imeneyi Chili angapo matenda, ndiwo magwero a enteroviruses. Kupanda kutero, amatchedwa matumbo. Panopa zoposa 60 mitundu anaphunzira tizilombo toyambitsa matenda amenewa. Malinga serotype, iwo anawagawa 4 magulu: mavairasi ZIMACHITIRA, coxsackie, polioviruses ndi enteroviruses.

Kudwala limodzi la serotypes wa mwana kamodzi kokha moyo. Pambuyo mankhwala, amabala chitetezo chokwanira amphamvu. Komano, iye akhoza kuzitenga enterovirus wina. Chotero zosiyanasiyana tizilombo toyambitsa matenda osati zimathandiza asayansi kulenga katemera ogwira.

Koopsa entorovirus ana? Kuopsa kwa nthenda n'chakuti oyambitsa ake ndi kugonjetsedwa kwambiri kuti zinthu aukali kunja. Iwo akhoza kukhalapo kwa nthawi yaitali mu nthaka yonyowa ndi madzi, ndipo ndiye kulowa m'thupi la munthu kudzera chakudya zakhudzana.

Mu 2008, ndi zikuluzikulu mliri pakati pa ana chinalembedwa mu China. chikuoneka chikwiyire EV71 HIV. Lifikira thupi kupyolera thirakiti kupuma ndi mucous nembanemba pa mundawo m'mimba. Kamodzi zimafalikira mu dongosolo thupi magazi okhudza mapapo ndi ubongo. The matenda anali atazindikira mwa 15 000 ana, 20 amene anafa. Iwo kamodzinso umboni kuti enteroviruses ana ndi akulu ayenera yake ndi mabuku chithandizo.

Zimayambitsa matenda

The matenda akufotokozera mu kutsegula a magulu a mavairasi m'mimba, omwe ndi chifukwa zizindikiro zina. Iwo amasiyana chiwerengero cha makhalidwe ofanana. Pa maziko a lililonse maziko a HIV ukufanizidwa ndi mkati asidi molekyulu. Mu zina, amachita ntchito ya DNA mu zina - RNA. Kunja kapangidwe mkati atazunguliridwa ndi kapisolo kuti ali ndi makhalidwe. Malinga kasinthidwe wa zinthu chipolopolo, mavairasi zimagawidwa m'magulu subtypes osiyana.

Enterovirus likulowerera mu thupi mwa inhalation ya mpweya kapena kudzera pakamwa pamene mukudya. Pambuyo tizilomboto izi zimachokera kwa mwanabele, pamene izo zikukhazikitsa n'kuyamba kuchulukana. chitukuko zina, komanso kuopsa kwa matenda kumatengera zifukwa zingapo:

• ndi virulence wa HIV (mphamvu kukana chitetezo chokwanira thupi);
• tropism (mphamvu matenda tizilomboto amakhudza ziwalo);
• mwachindunji ndi boma la chitetezo cha m'thupi.

Nthawi makulitsidwe kumatenga kwambiri? Enterovirus ana akhoza kusonyeza zizindikiro kunja kwa masiku 1 mpaka 12. Childs, nthawi makulitsidwe masiku asanu. Chipatala ulaliki zimadalira matenda makamaka mwachindunji ku serotype tizilomboto. Enterovirus nthawi adamulowetsa mu kasupe ndi yophukira. Nthawi zina kufala kwambiri m'munsi.

kufala njira

The enterovirus akhoza kuchoka odwala ndi njira zingapo wathanzi: kudzera m'malovu airborne, njira fecal-m'kamwa, kukhudzana. Limagwirira matenda yodziwika ndi anthu ochokera kwambiri. Enterovirus ana opatsirana makamaka mwa madzi yaiwisi kapena zidole. Toyambitsa matenda kwa nthawi yaitali kungakhale mu chikhalidwe yotheka mu chimbudzi, nthaka ndi madzi. Ngakhale ndondomeko kuzizira si chakupha iwo. tizilomboto The waphedwa ndi zochita za disinfectants pokhapokha ngati bwino anaona pa processing.

Enterovirus ana pansi chaka chimodzi ali zifukwa ngati yatsoka ndi. Komabe, ana amene breastfed kwa serotypes ambiri ali chitetezo chokwanira titadziwa. Komano, mwana kunyamula matenda yomweyo pambuyo kumwa mkaka wa m'mawere.

chithunzi matenda

Gawo makulitsidwe nthawi zambiri popanda zizindikiro. Panthawi imeneyi, mavairasi ndi anakaika pa nembanemba wa mucous ndi kulowa dongosolo lymphatic, pamene iwo anayamba mwachangu zikuchulukirachulukira.

Ndiyeno mwatsatane mwachindunji ndi matenda. Zizindikiro za enterovirus ana amayamba kudziwonetsa kuwonjezeka lakuthwa kutentha imene imafikira mfundo yovuta ndi kusungidwa kwa masiku asanu. Mwana chimachititsanso pang'ono ndipo amagona kwambiri. The masiku oyamba pambuyo matenda Angagwiritsidwenso limodzi ndi kusanza kwambiri ndi mutu. Pamene kutentha yachibadwa, ndi zizindikiro zonse zokhudzana.

Nthawi zina ana adzatupa lymph mfundo, makamaka khomo lachiberekero ndi submandibular. chizindikiro china ndi totupa. Totupa kuoneka imodzi pa mutu, chifuwa ndi manja. Ali mawonekedwe a mawanga ofiira. Pambuyo mofulumira awo mu thupi ang'ono zizindikiro inki, ali okha kudutsa masiku angapo.

Mphamvu ya chithunzi matenda zimadalira boma la chitetezo chokwanira kwa mwana analandira "gawo" a HIV, ndi zina zimene zili mtundu wake.

Pafupipafupi mawonekedwe a matenda enterovirus

Chidziwitso cha gulu lathunthu nthawi safunikira. Makolo ayenera kuzindikira yofala kwambiri matenda enterovirus, kuti panthawi yake kudziwa kudwala ndi dokotala.

1. Herpangina. Zinaonekera catarrhal wa enterovirus. Herpangina zambiri amapezeka ana pakati pa zaka zitatu ndi khumi. mawonetseredwe Aika ndi malungo, zilonda zapakhosi ndi vesicles pa kumbuyo khoma la pharynx ndi. thovu zinatseguka ndi zilonda mawonekedwe. The tizilombo toyambitsa matenda waukulu amaonedwa Coxsackie mavairasi A ndi B.
2. Totupa. Ichi ndi chimodzi mwa zitsanzo ambiri, mmene angasonyeze enterovirus. Mu ana, zidzolo ali mitundu iwiri osiyana: krasnouhopodobny ndi roseolous. Totupa uonekere pa tsiku loyamba kapena wachiwiri pambuyo matenda. Kuphulika zimachitika pa nkhope ndi thupi ndi kutenga maonekedwe a mawanga laling'ono lofiira. Nthawi zina kuphatikiza ndi mzake. Motsutsa likhale wofiira totupa ndi hemorrhagic zinthu akhoza kuoneka. Enterovirus exanthema zambiri sachedwa ana kwa zaka zisanu ndi chimodzi.
3. Chimfine zizindikiro. Izi mawonekedwe a matenda enterovirus amakhala ndi zizindikiro zikusonyeza fuluwenza kapena SARS. ana anaona catarrhal zochitika (chimfine, kutupa, amphuno kuchulukana), malungo, kufooka, kupweteka kwa minofu. Chitsanzo kwa matenda zizindikiro kuti kuwasiyanitsa ndi chimfine wamba, mukhoza kusankha mpando kukhumudwa ndi kusanza.
4. Matumbo mawonekedwe. Ichi ndi chimodzi mwa zosinthika owopsa matenda enterovirus. Limodzi ndi kuwuka zolimbitsa kutentha, m'mimba madzi, bloating ndi flatulence. Kuopsa waukulu mawonekedwe matumbo imatengedwa kuti ndi mkulu imabwera madzi m'thupi, zikhale zovuta kunena wodwala pang'ono. matenda amafuna polojekiti zonse madokotala ndi chipinda mwadzidzidzi.

Mitundu yonse ya matenda angayambe pa lililonse / atypical chithunzi matenda. Malinga mtundu wa kudwala dokotala amasankha kuposa kuchiza enterovirus ana.

Kawirikawiri mitundu ya matenda

Nthawi zina matenda enterovirus amakhala ndi njira yovuta. Komanso zimagawidwa monga lililonse, koma pamodzi. odwala wamng'ono amafunika zovuta zina mankhwala.

1. Hemorrhagic conjunctivitis. Umenewu ndi zofala matenda enterovirus. Zizindikiro ake kuyamba ndi kupweteka kwambiri diso, imfa tsankho la masomphenya ndi kuchuluka lacrimation. Nthawi zina pali kukha magazi mu diso.
2. Myocarditis / pericarditis. Pamene matenda makamaka umakhudza nyumba zina za mtima. Against maziko a choipa m'mnyewa wamtima akusokoneza ndi contractile ntchito ya minofu chachikulu cha thupi. NAWO wa pericardium a amakhala ndi kusintha kotunga magazi kuti ndondomekoyi.
3. Bongo ndi encephalitis. Izi ndi zovuta kwambiri ndi choopsa njira yomweyo matenda enterovirus. Iwo amayamba ndi kuwonjezeka kutentha kwa mlingo wa madigiri 40. Tsiku lotsatira pali mutu mumamva, aakulu kusanza kuti si kugwirizana ndi kudya chakudya. zizindikiro zofanana ululu m'mimba, cramping, hemorrhagic totupa.

mitundu atypical yodziwika ndi matenda asymptomatic ndi mafunde kubisika. matenda matenda n'chotheka mu nkhani ya mavuto chenicheni.

Enterovirus matenda ana yodziwika ndi mafunde osiyanasiyana. Choncho, n'kofunika nthawi kuwona dotolo cholinga cha kudutsa kuona matenda. Kumatithandiza kusiyanitsa matenda matenda wamba kupuma, poisonings ndi mavuto dermatological.

Kupenda Medical

Zizindikiro za enterovirus matenda odwala aang'ono nthawi zambiri kumawonetsera meninjaitisi serous ndi nsungu angina. kubuka Gulu zambiri anakonza mabungwe chisanadze sukulu mu miyezi yotentha. Limagwirira chachikulu cha HIV ndi fecal-m'kamwa.

Takambirana kale adawafotokozera zizindikiro yodziwika ndi enterovirus. Photos (ana) mitundu yosiyanasiyana ya mawonetseredwe ake tingawapeze magwero apadera. Amathandiza zindikirani matenda ndi pitani kuchipatala. Panopa, pali anayi njira zoyambirira za kudziwika matenda tizilomboto:

• Serological (kudziwika kwa kachilombo mu seramu magazi). Ndi zolembera oyambirira a matenda IgA ndi IgM. N'kofunikanso kuti matenda imatengedwa kuonjezera titer amatsogoza 4-khola.
• Virological (motsimikiza nthumwi opatsirana mu madzimadzi cerebrospinal, ndowe, magazi). Manyi aja anawayesa kwa masabata awiri zapitazi.
• Immunohistochemical (kudziwika antigens mu enterovirus magazi).
• njira maselo kwachilengedwenso (Phunziro enterovirus RNA zidutswa).

Makamaka tcheru madokotala kulipira matenda masiyanidwe. Enterovirus ana kosiyanasiyana n'kofunika kusiyanitsa ku nsungu, SARS, thupi lawo siligwirizana. Muyeneranso fufuzani kudziwa zochita za mankhwala antibacterial. Ndi diagnostics lero apamwamba tizilombo tosaoneka ndi maso si angabweretse mavuto alionse. Ndi kudziwika yake ya matenda gwero la zimakhalanso zolimba mankhwala mwana wa msinkhu uliwonse.

mankhwala

Kodi kuchitira enterovirus ana? Kuti ndi nkhani makolo ambiri adamva matenda. Mu matenda zochepa aakulu mwina wodwala pang'ono kukhala kunyumba. The zikuonetsa kuti hospitalization mwamsanga ndi zinthu zotsatirazi: CNS, mtima, mkulu malungo.

mankhwala amakono sangathe kupereka limodzi chilengedwe chida matenda. Mu nthawi pachimake cha odwala pang'ono amalangiza bedi zina, zakudya mipanda yolimba kwambiri ndi kumwa wambiri madzi. The enterovirus azichitira ana?

Ngati nthendayo limodzi ndi malungo, kupweteka ululu minofu, ankaona analgesics zoyenera ndi antipyretics ( "Nurofen", "Paracetamol"). M'mimba mankhwala matenda madzi amchere bwino ( "Regidron"). Maantibayotiki akagwiritsidwa ntchito kokha mu chochitika wa inalowa matenda bakiteriya.

Kuthandiza thupi kulimbana ndi enterovirus, ana Kwalamulidwa interferon ( "Viferon", "TSikloferon", "Neovir"). Iwo ali gulu la wothandizila si yeniyeni mavairasi oyambitsa kuti ziletsa chulutsa mavairasi ndi yotithandiza chitetezo cha m'thupi.

Chithandizo ayenera zotchulidwa dokotala ndikatha kumfunsafunsa mwatsatanetsatane za mtima yaing'ono. Only katswiri umatha kuzindikira zizindikiro ndi amaganiziridwa enterovirus. Infection ana nthawi zambiri limodzi ndi zotupa za chapakati mantha dongosolo, maso ndi impso. Pankhaniyi, mwana, kuwonjezera mankhwala asonyeza kuti kuyang'aniridwa ndi dokotala kwa miyezi ingapo. Nthawi zina zimatenga zaka zingapo.

Malangizo pa zakudya

Kudya enteroviruses ana amagwira ntchito yofunika, popeza ntchito pa mundawo m'mimba wathyoka. Mu malo oyamba amasonyeza chakumwa lambiri. Ntchito ochiritsira madzi sanali enaake lalikulu zedi amathandiza kuthetsa poizoni m'thupi, ndi kupewa madzi m'thupi.

Zakudya kuti achotse madokotala amalangiza mbale kukazinga ndi kusuta, maswiti onse ndi mitanda. Nkofunika kuti achepetse kumwa mkaka wonse, batala, mazira. Chiletso Komanso kugwa msuzi, mtedza, nyemba ndi mkate. Food ayenera steamed kapena yophikidwa mu uvuni.

Kodi inu kudya? The zakudya ayenera zigwirizana wa zipatso ndi ndiwo zamasamba, kutentha ankachitira. mkaka mankhwala thovu saloledwa (biokefir, otsika-mafuta kanyumba tchizi). Mukhoza kudya nyama zowonda nsomba. mwana wawo yabwino anatumikira mu nthaka kapena ngakhale shabby. Ambiri, chakudya ayenera kukhala fractional. Analimbikitsa kudya kawirikawiri koma chakudya chochepa. Ngati mwana akukana kudya, sayenera kukakamizidwa kapena kuti mphamvu-chakudya.

Kodi kuchita pamene m'mimba pachimake limodzi ndi enterovirus? Chithandizo cha ana a zaka sukulu Pankhaniyi mwayika otchedwa njala mozama. Imathandiza kuti mwadya chakudya chimodzi kapena ziwiri. Njala kaye makanda si analola. Ndiye odwala yaing'ono anatuma zakudya kwambiri.

Pa tsiku loyamba mungathe kudya phala pa madzi ndi maapulo anaphika. Ndi kusintha kwa chikhalidwe ambiri a mwanayo zakudya ayenera anayambitsa mkaka, masamba soups. Osachepera anatsimikiza mbale ya nyama ndi nsomba.

Zovuta za matenda enterovirus

Enteroviruses mu zizindikiro ana ndi mankhwala amene kale anafotokoza, amatha kulowa ziwalo zonse ndipo zimakhala. Ikufotokoza kuchuluka kwa mawonetseredwe ake. Nthawi zambiri mwanayo amalowerera kupulumuka matenda popanda mavuto aakulu kwa thanzi lanu. Chifukwa dongosolo chofooka m'thupi kapena pamaso pa comorbidities mavuto akadali angayambe. Kawirikawiri, madokotala matenda ogwira bongo ndi encephalitis.

matenda zimenezi zimakhudza ubongo wodwala pang'ono, tingayambe khunyu, ziwalo kapena imfa. milandu inalowa wa matenda a sekondale imatchedwanso kuti amafuna chithandizo zina. Kuphetsa zambiri chifukwa cha pachimake mtima kapena m'mapapo mwanga insufficiency. Ngati kafukufuku mabuku akutsimikiza Enterovirus, chithandizo ana ayenera kusankha dokotala. Pofuna kuthetsa matenda ndi koletsedwa. Makolo angathe kuika mwana thanzi mpaka kalekale zoipa.

njira zopewera

Specific kupewa enterovirus si choti ana. Komabe, zotsatira zabwino kusonyeza inoculations ndi poliyo ndipo meningococcemia. M'mayiko ambiri ku Ulaya, izo tsopano ntchito katemera motsutsana ndi tizilombo toyambitsa matenda ambiri matenda enterovirus. Komabe, kupewa si chitsimikizo okwana zobwezedwa chifukwa mavairasi. Research ndi mayesero matenda nkhani zikupitirirabe.

Popewa matenda munthu kachilombo banja mwana, ayenera insulated. M'pofunika ventilate chipinda nthawi zambiri, tsiku chonyowa kuyeretsa ndi disinfectants. Nonspecific kupewa amaganiza kuti malamulo aukhondo munthu, ntchito interferon ( "Laferon", "Nazoferon", "Viferon").

Tsopano inu kudziwa kusiyana enterovirus mwa ana. Zizindikiro ndi mankhwala a matenda, amene amachita monga gwero la tizilomboto amafuna njira woyenera pa gawo la akatswiri. Ngati mulibe kuvula kudzacheza kwa dokotala chingalepheretse pakutchulidwa matendawo moyo pachiswe. Khalani wathanzi!