Chii Coxsackie utachiwana? Utachiona nedzevakuru: zviratidzo, dziviriro uye kurapwa, pikicha

Nhasi tinoziva boka zvinotapuriranwa vamiririri, nezita zvinowanzovapo "Coxsackie utachiwana." Utachiona nedzevakuru kunogona kukonzera siyana zvirwere, kusvikira inouraya. Yokudzivirira kubva haapo somunhu mushonga, rakagadzirirwa kuparadza nayo utachiona. Basic matanho anosanganisira kugeza maoko uye kudiwa kufukidza muromo wako wekumeso kana kunyange ruoko apo vangakosora kana sneezing.

zvikonzero

Zvinorondedzerwa hweHIV zvinoreva enterovirus genus. Kune mapoka maviri zvigare (A uye B), mumwe rakakamurwa serotypes akawanda. The gastric muto haasi kukwanisa kuparadza pathogenic kasvisto pasi zita Coxsackie. Utachiona nedzevakuru kunokonzera unhu zviratidzo mune pezvizuva pashure kupinda mumuviri. Mukana mukuru chirwere anodzokororwa vhiki yokutanga yokurwara, asi mukana wokutapukirwa ariko, uye vhiki pashure zviratidzo zvachose. Utachiona infests wakarebesa iri zvinenge vana uye vanhu vane simba zvirwere.

waridza

Utachiona iri chakasvitswa pamunhu nomunhu. The utachiwana aripo ari secretions uye muviri zvinwiwa wevarwere uye zvinogona kuparadzirwa neZvapupu kufema turakiti secretions. Kana munhu ane HIV rubs mhino yake (uye, nokuti chirwere kunoratidzwa runny mhino) uye anobata chero nyaya, utachiona anoramba pamusoro pemvura chinhu, uye ichava kunobva chirwere. Healthy munhu zvakakwana kubata utachiona zvinhu uye muromo kana mhino kuti zvinokonzera kupararira kwechirwere chacho.

Vanhu vane ziso chirwere (conjunctivitis) anogona kuzadza vamwe kuburikidza successively anobata ziso uye zvinhu. Conjunctivitis ari kugadzira nokukurumidza uye kuonekwe nezuva chirwere rokutanga. Pathogenic tusingaoneki ndiripo mutsvina yadzo, ndicho chikonzero kupararira chirwere pakati pavana muchidyiro, apo manapukeni anoshandiswa.

zviratidzo

Rakajairika asymptomatic chirwere kunokonzerwa coxsackie utachiona hwakakura. Utachiona nedzevakuru kunogona kukonzera vanhuwo chando kana ganda rashes (kunyanya mumwedzi yezhizha). Pakati pfupi zvakajairika zviratidzo anofanirawo inoratidza manyoka uye hosha huro, zvakafanana kuti kuchengetwa rikwanise pharyngitis.

Kunewo zvikuru zvinoratidza chirwere, asi zvaitika ndoda kakawanda. Tiri kutaura pamusoro zviratidzo zvakadai utachiona zvirwere zvakadai yomumuzongoza (kuzvimba membranes uropi kana musana), encephalitis (kuzvimba uropi), plevralgiyu (chipfuva marwadzo) uye myopericarditis (kuzvimba mwoyo). Zviratidzo chirwere zvikuru ngozi dzave inotaurwa vacheche.

respiratoria chirwere

Coxsackie Utachiona Kazhinji kunokonzera febrile noutachiona rokumusoro kufema turakiti pamwe kwazvo huro uye runny mhino. Vamwe vanhu vane chikosoro kuti kazhinji unowanikwa bronchitis. Zvishoma kacho, utachiona hunokonzera nemabayo.

upundu

Skin rashes kunogonawo kutaura pamusoro chirwere. Kakawanda iri nonspecific vakawanda dzvuku mapundu (urticaria) kana zvisumbu duku mvere tsvuku makwapa. Kazhinji, asi mapundu iri pakupora nguva. Kunyange zvazvo pakuonekwa kazhinji nowenyika chiedza sunburn, hazvina chaiyo peeling.

Small Maronda akasiyana nyoro uye tsvuku makwapa nembama, inotsikwa netsoka uye mumuromo inogona anokonzerwa Coxsackie utachiwana. Zvisinei, A hutachiwana vakuru, kashoma anotora chimiro ichi; Zviratidzo izvi ndiwo zvakawanda mune vana pasi pemakore gumi. Uyu chirwere yakati nyoro kuti haatarisiri kurapwa.

Conjunctivitis (kuzvimba conjunctiva)

Chenjera Hemorrhagic conjunctivitis kunokonzera meso kuzvimba uye nekudeura ropa ari puroteni. Kazhinji, utachiona zvakunoita zvose kuona nhengo. Conjunctivitis varwere vanotsutsumwa unonzwa yokumwe chinhu muziso kana searing marwadzo. Zviratidzo inonyangarika mukati pavhiki.

yomumuzongoza

Nemavhairasi yomumuzongoza - kuzvimba membranes uropi kana musana - zvinogona kukonzerwa mamwe chirwere pasi kukurukurwa. Coxsackie utachiwana nedzevakuru kungamutsawo kukura dzinonzi aseptic yomumuzongoza, sezvo tsika Urume masero cerebrospinal akaratidza haana kuwedzera nhamba utachiona (zvinoitika chete nokuti kutsvakurudza tsika pave kuziviswa mabhakitiriya, kwete utachiona). Varwere nyonganyonga iyi chema nemusoro uye fivha, achiperekedzwa nomutsipa mukukutu. Kuonekwe uye ganda nekumhanyirira. Febrile pfari vanonyanya mune vana kupfuura vanhu vakuru, asi vapedzisira kazhinji vanotambura kuneta kunotora kwemavhiki pashure kupora.

Mune zvisingawanzoitiki Muzviitiko, utachiona hunokonzera zvose kuzvimba uropi (meningoencephalitis). Varwere nepfungwa yavo zvevhiki munguva uye nzvimbo, vangapinda lethargy. A maitiro chiratidzo ndiyo fivhiri.

Kuneta uye kuremara

"Coxsackie" - utachiona nedzevakuru, zviratidzo izvo zvinosanganisira zvisingawanzoitiki zvinetso zvakadai, sezvo simba iri repamusoro kana yakaderera maoko nemakumbo, uye kunyange kukwana dzomuviri. Zviratidzo izvi ndiwo anoenzanirana zviratidzo poriyo, zvisinei, kuonekwa kure zvishoma kuzviita. Kuoma kana simba anogona kutevera munhu kwenguva pfupi rikwanise Hemorrhagic conjunctivitis kana kuonekwa sezvo yoga zviratidzo chirwere. Kunokosha! The mhando enteroviruses regai kukonzera zvachose rutivi rwomuviri uye kushaya simba.

costalgia

Costalgia - ane kuzvimba tsandanyama ari pachipfuva. Rinobatanidzwa plevralgiey - kamwe kutanga rikwanise muchipfuva marwadzo akarwarisa nevanhu zvakadzama achifuridzirwa. Marwadzo chirwere rinogonawo vemunyika mune abdominal mhango. Manzwiro kutora chimiro nemafungu kana kurwadza kwacho. Costalgia Kazhinji inotsidza mumwoyo pacharo munenge mashanu mazuva asi kurwisa anogona recur mumazuva 7-14.

myopericarditis

Myopericarditis pakati zviratidzo chirwere chakaipa kwazvo, ari causative mumiririri Coxsackie. Utachiona nedzevakuru (zviratidzo kuitika kazhinji zviri pamusoro apa), sezvinei, apo neapo zvinokonzera kutyorwa akadaro. Myopericarditis - ane kuzvimba mumwoyo uye ayo membranes, uye murwere nemamiriro ingava nyore uye zvakaoma. Mukupera nyaya, chirwere kunogona kutungamirira mwoyo kutadza, chomwoyo kana rufu. Kakawanda myopericarditis kuchengetwa varwere vaduku, achitungamirira kushingaira mararamiro. Zviratidzo zvinosanganisira kupfupika mweya, muchipfuva kurwadziwa, kurukutika uye mumatenhere makumbo. Kuvadza mwoyo ungava chisingarapiki.

Diagnostics

Kana chirwere vamwe zvirwere chiremba anowana Coxsackie hweHIV (utachiona), kurapwa mune vakuru vasingawanzotauri kunyange havo, kunyanya kana ichi chiri asymptomatic. Kana, zvisinei, chiratidzo chete nawo - chando kana ganda rashes, nyanzvi kazhinji regai taurira chirwere nemiedzo. Pamusoro kuziva miedzo conjunctivitis chiremba chingangova kuongorora nameso ako ophthalmoscope ruoko-rakaitirwa kuti kuzosimbisa presumptive zvawanikwa. Kana murwere ane hosha huro, tinofanira kutora swab yokuedza kuti Kusiyanisa kuti rikwanise pharyngitis.

Aseptic yomumuzongoza, chiremba achatora nzwisa cerebrospinal mvura (by nzira dzakadai lumbar ponji.) Ruzhinji rwevanhu varwere vane chirwere iri kuona kuwedzera nhamba masero machena ari biomaterial pamwe kwomuzvarirwo shuga yomuropa uye kuipa kana zvishoma akakwidziridzwa siyana mapuroteni. ndachinja murwiyo nemvura, kunyange kusingafadzi, asi kwete ngozi sezviratidzo kwemabhakitiriya yomumuzongoza. CSF yokuenzanisira akanga amutsvaka kuvapo imomo nayo utachiona coxsackievirus utachiona. Virus (mabatiro vakuru iyi nyaya hazvo basa nyanzvi) rinogonawo kuonekwa zvakasimba polymerase cheni kuita. Nzira iyi yakaratidza 66-90 muzana zvirwere.

Myopericarditis chinhu mumugariro ngozi uye kunoda chirwere nokushandisa unonzi, electrocardiograph (ECG) uye mwoyo Ultrasound kuongorora (echocardiogram). Electrocardiogram inoratidza mutinhimira nyonganyonga anokonzerwa mwoyo wakakurisa, uye hwezvekukurukurirana ari kuziva kushoma. An echocardiogram inoratidza yakananga muviri saizi uye anopa rairatidza unhu zviratidzi unoshanda. Mukuwedzera, migumisiro chidzidzo ichi vanogona kusarudza pane mvura kunhivi mwoyo. Kuongorora mamiriro dzimwe nhengo dzomukati vanotorwa miedzo ropa.

mabatiro

Kunyange zvazvo chirwere chinonyanya nevakawanda vana vaduku, vanachiremba kazhinji rokuongorora Coxsackie utachiwana nedzevakuru. Zviratidzo uye pakurapa chirwere mune zvimwe zviitiko, akafanana zviratidzo uye kurapwa kutapukirwa muvana. Zvinosuruvarisa, panguva hapana mishonga chaiyo zvainanga kuparadzwa ichi chidimbu pathogenic zvinenge. Ukuwo, munhu zvirwere rinenge nguva anogona kuparadza kuzvipira Coxsackie utachiwana. Madzivirirwe kurapwa mune vakuru anokosha chete muzviitiko kana toreva zvakakomba makuvaro muviri. Zvinosuruvarisa zvakakomba matambudziko, vanachiremba vanogona chete kupa kubviswa migumisiro chirwere - kurwisa zvakananga utachiwana achiri experimental mushonga. Saka, maererano nedzimwe ongororo, varwere 'mamiriro anovandudza pashure intravenous immunoglobulin anobudiswa kubva kwevanhu ropa serum chine antibodies.

Saka, zviratidzo uye migumisiro chirwere vabatwe zvichienderana chaizvo zviratidzo chirwere. Myopericarditis Somuenzaniso, ari pamwe chete kudzikira mune kushanda mwoyo, nokudaro BP - ndokusaka ari mamiriro ichi anofanira kutora mishonga yakakodzera nokuda normalizing kweropa. In kwokukurumidzira kacho, rinoratidza mwoyo nokuisazve.

Home Treatment

Kana usimbe chirwere kunyange pamba ingangodaro kurapa coxsackievirus vakura. Pane kurapa chirwere ichi? Kuti kubvisa marwadzo uye nefivhiri, tora "Acetaminophen", "Ibuprofen", uye zvinodhaka zvakafanana. Mumwe anogona kushandisa chero asiri inonyorwa mishonga, kana ivo aivabatsira zviratidzo inotonhora (decongestants kana chikosoro manyuchi), asi havadi kuuya kupora uye zvinogona kukonzera marwadzo, akadai hope uye muromo yakaoma.

dziviriro

Chii chinofanira kuitwa kuti varege kubata utachiwana Coxsackie? Prophylaxis nedzevakuru kunosanganisira kakawanda Washing ruoko - ichi rinoshanda kune vose kuvarwere uye vanhu hwakanaka. Not zvakakodzera kushandisa chaiwo gels kuti ane doro - chete pachena mvura uye sipo. Kana sneezing kana vangakosora anofanira kufukidza muromo yavo rwake, asi zviri nani - wekumeso. Manapukeni pamwe mukati yavo zvinyoronyoro peta nekukurumidza kurasa. Pamusoro (eg fenicha) inofanira kuchengetwa yakachena. Yakasviba zvinhu inokurudzirwa kubata disinfectant. Nokuti chinangwa ichi, zvakakodzera vanhuwo mhuri chibi - mumwe spoon of pfuma rakasanganiswa mu nemakapu mana mvura. Coxsackie hutachiwana vakuru (mufananidzo kuratidza chirwere, dzinoturwa papeji) inogona nyore kudziviswa kana ukatevera ichangobva kutaurwa matanho.