I-Fever ne-malaise zihamba nezifo ezininzi ezithathelwanayo. Ngako oko, kubalulekile ukucacisa ngexesha lokuba i-enterovirus ingene emzimbeni - iimpawu zeli qela lezilwanyana zithe ngqo, ngoko isifo sifumaneka ngokulula. Unyango lwentsholongwane ekuqaleni kwenkqubo yayo iya kunceda ukukhusela ukuphuhliswa kweengxaki ezininzi zegciwane lesisu, kubandakanya ukuphazamiseka okukhulu kwenkqubo ye-nervous central.
Iimpawu zokuqala ze-enterovirus kubantu abadala
Intsapho echazwe yintsholongwane ibandakanya ngaphezulu kwe-100 eyingozi kwi-serotypes yabantu. Bahlulwe ngamaqela amane:
- ECHO iintsholongwane;
- poliovirus;
- Ii-coxsackie virus (A neB);
- i-enteroviruses ye-68-71 uhlobo.
Izibonakaliso zeklinikhi zeentlobo ezahlukeneyo ze-microorganisms ziyahluka, kodwa kukho imiqondiso eqhelekileyo ebonakala ngokukhawuleza kwimeko yesifo:
- umkhuhlane kunye nomkhuhlane;
- izifo zentlungu;
- iziphazamiso ze-catarrhal (impumlo ye-runny, ukukhwehlela);
- i-rashes yolusu kunye neembumba.
Kufuneka kuqatshelwe ukuba kubantu abanomsebenzi oqhelekileyo wamasosha omzimba, i-enteroviruses ingaba yinto engabonakaliyo. Iziganeko ezidweliswe zifumaneka kubantu abanokukhuseleka komzimba, izifo ezingapheliyo, izifo ezingapheliyo, izifo ze-pathologies.
Xa kungabikho unyango, iziganeko zesifo sifana kwaye zanda ngakumbi.
Impawu eziphambili ze-enterovirus kubantu abadala
Ukubonakaliswa kwezilwanyana ezibangelwa ziintsholongwane ezivela kumaqela amane ahlukeneyo. Axhomekeke kuphela kummandla we-immune system, kodwa nangokweminyaka, izifo ezingapheliyo nendlela yokuphila komntu.
Iimpawu eziphambili ze-enteroviruses kwiqela leCoxsackie kunye ne-ECHO:
- pharyngitis;
- emqaleni;
- Umkhuhlane weentsuku ezi-3 okanye iqondo lokushisa lomzimba (ngokuphindaphindiweyo);
- ukugqithisa (i-polymorphic exanthema) elukhumbeni, iintendelezo kunye neenyawo, iimbumba ze-mucous;
- ukukhwehlela okunqabileyo;
- ubomvu nomsindo;
- intlungu ebuhlungu kwimisipha, i-thorax nesisu (myalgia);
- ukuxhamla impumlo kunye nokudibanisa kwamanzi;
- i-conjunctivitis;
- izifo zokutya;
- isifo sohudo;
- isicathulo kunye nesisu;
- ukuhlanza;
- ukubethelwa kwamathumbu;
- uveitis.
Iipolioviruses kunye neenterovirus iintlobo 68-71 zenza iimpawu ezinzima kunye nezifo eziyingozi:
- i hepatitis;
- pericarditis;
- i-serous meningitis;
- polyradiculoneuritis;
- ukukhubazeka okukhulu;
- myocarditis;
- umonakalo kwiintso kunye neengqungquthela ze-adrenal;
- encephalopathy;
- i-neuritis yesibindi somzimba;
- Izifo ze-neonatal ezifana ne-Septic;
- izifo ezingapheliyo.
Zonke ezi meko ziyingozi kakhulu kubomi bezigulane, ngoko ukubonakaliswa kancinci kwemiphumo yentsholongwane-isisombululo sokuya kwiklinikhi ngokukhawuleza.
Iimpawu ze-meningitis kunye nezinye iingxaki ze-enterovirus
Ukuba i-pathologies njenge-hepatitis, i-myocarditis, neuritis kunye nezinye iimpawu zokunyuka kwesulelo zifumaneka kalula ngenxa yekliniki ekhankanyiweyo (intlungu esesibindi, intliziyo, iingcambu zesibindi, iintso), ngoko ke kukho ubunzima ekufumaneni i-meningitis ye-serous. Iimpawu zalo zivame ukubangelwa nguhlobo lwe-enterovirus 71, ngenxa yokuba isisu sinezilwanyana ze-pathogenic ezinqamle ngokukhawuleza zingena kwigazi kunye neembande zeengqondo.
Imiqondiso engumzekelo we-meningitis:
- umkhuhlane omkhulu;
- intloko;
- photophobia;
- ukunganyamezelani kwemisindo enkulu kunye nesandi;
- intlungu eyongeziweyo xa ezama ukuphakamisa umlenze ochanekileyo, elele emhlane wakhe;
- akunakwenzeka ukunyanzela isifuba sakhe esifubeni sakhe;
- zixhala;
- ukunyaniseka nokunganakwa;
- ukungasebenzi kwemisipha ye-oculomotor;
- nystagmus ;
- ukuphazamiseka kwengqondo;
- ukugoba okungenakuzikhethela kwemilenze emadolweni kunye neentambo zokuqhafaza kunye neengcinezelo ezincinci kwi-pubis (uphawu lweBrudzinsky).