Ngaba umntwana wakho uneempumlo ezibomvu nezibuhlungu ezintendeni zakhe, ezintendeni, nangaphakathi emlonyeni wakhe, kunye nomkhuhlane? Okanye umphimbo wakhe ubuhlungu kwaye wenza kube nzima ukuginya? Usenokuba ukhe weva ngeSifo sesandla, iinyawo, kunye nomlomo (HFMD), esisasazeka phakathi kwabantwana abancinci kwaye ngamanye amaxesha abantu abadala kwilizwe lethu kule mihla. Intsholongwane ephambili ebangela oku yiCoxsackievirus. Ungakhathazeki, siza kuthetha ngayo yonke into ngokulula namhlanje.
Yintoni kanye kanye iCoxsackievirus?
Ngamafutshane, intsholongwane yeCoxsackie lilungu losapho lweentsholongwane ze -Enterovirus . Cinga ngeentsholongwane njengosapho olukhulu. Ii-Enterovirus liqela elinye losapho. I-Coxsackie ikwalilungu lelo qela. Ulwazi lwemfuza lwale ntsholongwane lwenziwe ngento ebizwa ngokuba yi-ribonucleic acid (RNA). Igama layo livela kwidolophu yaseCoxsackie, eNew York, apho le ntsholongwane yaqala ukubonwa khona.
Le ntsholongwane yiyo ebangela izifo esizaziyo sonke njengesifo sesandla, unyawo, nomlomo (HFMD), umphimbo obuhlungu (Herpangina), usulelo lwemisipha, usulelo lwentliziyo, kwaye ngamanye amaxesha i-meningitis.
Ngubani onokuthi afumane esi sifo?
Usulelo lwentsholongwane yeCoxsackie ludla ngokuxhaphaka kakhulu kubantwana abancinci nakwiintsana . Kodwa oko akuthethi ukuba abantu abadala abanakuzifumana. Nabani na oneminyaka emininzi unokosulelwa yile ntsholongwane.
Kuthekani ukuba oko kwenzeka kubantu abadala?
Xa abantu abadala bosulelwe yile ntsholongwane, ngamanye amaxesha banokuba nesifo sezandla, unyawo, nomlomo, njengabantwana. Nangona kunjalo, abantu abadala basengozini enkulu yokufumana usulelo lwentliziyo kunabantwana.
Kubantu abadala abasempilweni, umngcipheko weengxaki uphantsi. Nangona kunjalo, kubantu abaneenkqubo zomzimba ezibuthathaka , njengabantu abadala, abantu abanezifo ezifana nomhlaza, kunye nabo imizimba yabo ingakwaziyo ukulawula izifo zabo ngenxa yezinye izifo, olu sulelo lunokuba nzima kakhulu. Ukuba umama okhulelweyo wosulelwe yile ntsholongwane, nangona kunqabile kakhulu, kukho umngcipheko wokuzalwa eswelekile. Kwakhona, usana lunosulelwa yile ntsholongwane nokuba umama akanazo iimpawu kwisiqingatha sokugqibela sokukhulelwa.
Iziphumo kwiintsana nakubantwana abancinci
Iintsana ezisandul’ ukuzalwa kunye nabantwana abancinci basengozini enkulu yosulelo. Iintsana zihlala zifumana umkhuhlane kuphela xa ziwufumana. Uqheleke kakhulu ehlotyeni okanye ekuqaleni kwekwindla.
Ngamanye amaxesha, usulelo lunokusasazeka luye entliziyweni, nto leyo ebangela ukungasebenzi kwentliziyo okanye ukufa ngequbuliso. Kodwa oku kunqabile kakhulu.Kubalulekile ukukhumbula ukuba ukuba umntwana wosulelwe yile ntsholongwane kwiiveki ezimbini zokuqala zokuzalwa, inokuba nzima kakhulu kwaye ikhokelele kwiimeko ezibulalayo ezifana nokungasebenzi kwesibindi kunye nokopha ngaphakathi.
Ziziphi iintlobo zezifo ezibangelwa yintsholongwane yeCoxsackie?
Uhlobo lwentsholongwane yeCoxsackie onayo luya kuchaphazela ubukhali beempawu zakho. Le ntsholongwane yahlulwe kakhulu yaba ziintlobo ezimbini: u-A no-B.
| Uhlobo lwentsholongwane | Izifo ezenzekayo | Ingcaciso elula |
|---|---|---|
| Uhlobo A | I-Herpangina Isifo sezandla, iinyawo kunye nomlomo (HFMD) | Izilonda ezibuhlungu emqaleni nasemlonyeni. Amadyungudyungu ezintendeni zezandla, ezinyaweni, nasemlonyeni. |
| Uhlobo B | Usulelo lweMisipha Ifiva | Ukuqina ngequbuliso kwemisipha esiswini nasesifubeni (ukuqaqamba). Ukubakho komkhuhlane kuphela ngaphandle kwezinye iimpawu. |
| Zombini u-A no-B | I-Meningitis I-Myopericarditis I-Encephalitis | Usulelo lwee-membrane ezigubungela ingqondo kunye nomqolo. Ukudumba kwemisipha yentliziyo kunye nesigqubuthelo esijikeleze intliziyo. Ukudumba/ukudumba kobuchopho. |
Zithini iimpawu? Idluliselwa njani?
Okumangalisayo kukuba, ama-90% osulelo lweCoxsackie alubonisi zimpawu, okanye lubonakalisa umkhuhlane kuphela. Ukuba iimpawu ziyenzeka, ziyahluka ngokuxhomekeke kwisifo esibangela oko.
- Isifo sezandla, iinyawo nomlomo (HFMD):Kuvela amadyungudyungu abuhlungu emlonyeni, ezintendeni zezandla, nasezinyaweni. Le meko iyaziphilisa ngokwayo kwiintsuku ezimbalwa. Nangona kunjalo, iingxaki zinokubakho ukuba umntwana akakwazi ukutya okanye ukusela ngenxa yezilonda emlonyeni.
- I-Herpangina: Ibangela umphimbo obuhlungu, umkhuhlane ophezulu, kunye nentloko ebuhlungu.
- Ukuqaqamba kwemisipha: Ukuqaqamba kwemisipha okubukhali nokubuhlungu okuhlala imizuzu eli-15-30 kwenzeka phakathi kweembambo nakwisisu esingaphezulu.
- I-Meningitis: Iimpawu ziquka ukuqina kwentamo, intloko ebuhlungu, ukuhlanza, kunye nobunzima bokujonga izibane ezikhanyayo.
- Usulelo lwentliziyo: Iintlungu zesifuba, ukuphefumla okunzima, kunye nokuphazamiseka kwesantya sentliziyo kunokwenzeka.
Ingaba esi sifo siyasulela?
Ewe, ngokuqinisekileyo. Intsholongwane yeCoxsackie sisifo esosulelayo kakhulu.
Ingasasazeka ngamathontsi amathe angena emoyeni xa umntu onayo intsholongwane ekhohlela okanye ethimla, ngokuchukumisa izinto ezifana neethoyi okanye izibambo zomnyango ezingcoliswe yintsholongwane aze emva koko achukumise impumlo okanye umlomo wakhe, okanye ngendle equlethe intsholongwane (umzekelo, ukungahlambi izandla zakhe kakuhle emva kokutshintsha inabukeni yomntwana).
Eyona nto ingcono onokuyenza ukuthintela ukusasazeka kwale nto kukuhlamba izandla zakho rhoqo ngesepha namanzi . Kufuneka uhlambe izandla zakho ingakumbi emva kokutshintsha inabukeni yomntwana, ngaphambi kokutya, nasemva kokusebenzisa indlu yangasese. Kubaluleke kakhulu ukuba abantwana kunye nabantu abadala abaneempawu bahlale ekhaya bengayi esikolweni okanye basebenze ubuncinane iintsuku ezimbalwa de iimpawu zabo ziphele.
Ihlala ixesha elingakanani le sifo?
Iimpawu ziqala ukubonakala phakathi kweentsuku ezi-3 nezi-6 emva kokuba intsholongwane ingene emzimbeni.
- Umkhuhlane: Ngokwesiqhelo uhlala malunga neentsuku ezi-2-3.
- Izilonda zomlomo: zingathatha ixesha elide, malunga neentsuku ezisi-7.
- Amaqhuqhuva ezandleni nasezinyaweni: La ahlala ixesha elide. Ahlala ephela emva kweentsuku ezili-10. Ngamanye amaxesha ungabona ulusu luphuma kwezo ndawo ngaphambi kokuba luphele.
Xa umkhuhlane womntwana wakho uphelile ngokupheleleyo, angabuyela esikolweni. Nangona kunjalo, ukuba kukho amadyungudyungu amaninzi, kuya kufuneka alinde ixesha elithile ukuze ome.
Inyangwa njani? Ndingambona nini ugqirha?
Akukho nyango okanye ugonyo oluthile lweCoxsackievirus ngokwayo. Unyango luneempawu kuphela. Ugqirha wakho uza kukunika amayeza okudambisa iintlungu kunye namayeza okunciphisa umkhuhlane (umz. iparacetamol) ukunciphisa iintlungu kunye nomkhuhlane.
Unyango olufana ne-intravenous immune globulin (IVIG) luyaphandwa kubantu abane-immune system ebuthathaka kakhulu, ingakumbi xa usulelo lusasazeke engqondweni okanye entliziyweni, kodwa alusetyenziswa kakhulu.
Ixesha lokubona ugqirha ngoko nangoko
Nangona esi sifo sidla ngokuba singesosifo sibi kakhulu, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngokukhawuleza ukuba wena okanye umntwana wakho nineempawu ezilandelayo:
- Ukuqina kwentamo okanye intlungu yentamo (kusenokuba luphawu lwe-meningitis).
- Intlungu esifubeni okanye ubunzima bokuphefumla (kusenokuba luphawu losulelo lwentliziyo).
- Umkhuhlane womntwana uhlala ixesha elingaphezulu kweeyure ezingama-24.
- Ukungakwazi ukusela naluphi na ulwelo ngenxa yentlungu evela kwizilonda zomlomo kunye nokubonisa iimpawu zokuphelelwa ngamanzi emzimbeni (umz., ukuncipha komchamo, umlomo owomileyo).
- Umntwana ulele kakhulu okanye akaphili.
- Ukuxhuzula (ukudibana).
Ukuba uneempawu ezinzima ezifana nezi, kungcono ukukusa kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Umyalezo Wokuya Ekhaya
- Isifo sezandla, iinyawo, nomlomo (HFMD), esibangelwa yiCoxsackievirus, sixhaphake kakhulu kubantwana abancinci.
- Ngenxa yokuba esi sisifo esosulelayo kakhulu, kubaluleke kakhulu ukulandela imikhwa yococeko, njengokuhlamba izandla rhoqo.
- Kwiimeko ezininzi, esi asisosifo sinzima kwaye siya kuphelela ngokwaso kwiintsuku ezisi-7-10.
- Ekubeni kungekho nyango luthile lwentsholongwane, unyango lujolise ekulawuleni umkhuhlane kunye nentlungu.
- Ukuba umntwana wakho unengxaki yokutya okanye yokusela, mkhuthaze ukuba akunike amanzi angakumbi.
- Ukuba kuvela iimpawu eziqatha (intloko ebuhlungu, intamo eqinileyo, ubunzima bokuphefumla), bona ugqirha ngokukhawuleza.
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