I-fever ne-malaise zihamba nezifo eziningi ezithathelwanayo. Ngakho-ke, kubalulekile ukucacisa ngesikhathi lapho i-enterovirus ingene emzimbeni - izimpawu zalesi sigaba se-pathologies zicacile, ngakho-ke lesi sifo siyatholakala kalula. Ukwelashwa kokutheleleka ekuqaleni kokuqhubeka kwawo kuzosiza ekuvimbeleni ukuthuthukiswa kwezinkinga eziningi zegciwane lesisu, kuhlanganise nokuphazamiseka okukhulu kwesimiso sezinzwa eziphakathi.
Izimpawu zokuqala ze-enterovirus kubantu abadala
Umndeni ochazwe ngamagciwane ubala okungaphezu kwengu-100 eyingozi kuma-serotypes abantu. Bahlukaniswe ngamaqembu amane:
- I-ECHO amagciwane;
- i-poliovirus;
- Ama-coxsackie virus (A no-B);
- ama-enteroviruses of 68-71 uhlobo.
Ukubonakaliswa kwemitholampilo yezinhlobonhlobo zezinambuzane ezincane ze-pathogenic kuhlukile, kodwa kunezibonakaliso ezivamile ezivela ngokushesha emkhakheni wokutheleleka:
- umkhuhlane nomkhuhlane;
- ukuphazamiseka kwesifo;
- izifo ze-catarrhal (impumu egijima, ukukhwehlela);
- iqhuma esikhunjeni nasezingxenyeni zomuncu.
Kumele kuqashelwe ukuthi kubantu abanemisebenzi evamile yesimiso somzimba sokuzivikela omzimba, i-enteroviruses ingase ibe yinto engavamile. Izinto ezibalwe ohlwini zitholakala kubantu abanokuvikelwa komzimba okubuthakathaka, izifo eziningi ezingapheliyo, izifo ezingekho emzimbeni, izifo ze-pathologies ezingokwemvelo.
Uma kungabikho ukwelashwa, izici zesici sezikhuphuka futhi zikhulunywa kakhulu.
Izimpawu ezisemqoka ze-enterovirus kubantu abadala
Ukubonakaliswa kwama-pathologies okubangelwa amagciwane avela kuzo zonke amaqembu angu-4 ahlukene kakhulu. Abaxhomeke kuphela esimweni sesimiso somzimba sokuzivikela, kodwa nangokweminyaka, izifo ezingapheli nendlela yokuphila komuntu.
Izimpawu ezisemqoka ze-enteroviruses eqenjini leCoxsackie ne-ECHO:
- i-pharyngitis ye-vesicular;
- umphimbo wesisu omuncu;
- Ukushisa kwelanga lesithathu noma ukushisa komzimba okuncane (kaningi kaningi);
- ukushisa (i-polymorphic exanthema) esikhumbeni, izintende zezandla nezinyawo, izitho zangasese;
- ukukhwehlela owomile;
- ukuthukuthela nokuphunga komphimbo;
- ubuhlungu obunzima emisipha, i-thorax nesisu (myalgia);
- ukuphefumula kwempumphu kanye nesisindo somzimba;
- conjunctivitis ezithathelwanayo;
- ukuphazamiseka kokugaya ukudla;
- isifo sohudo;
- isiyaluyalu nosizi;
- ukuhlanza;
- ukubhoboza emathunjini;
- uveitis.
Izinhlobo ze-Poliovirus nezinhlobo ze-enterovirus 68-71 zenza izimpawu ezinzima nezifo eziyingozi:
- i-hepatitis;
- i-pericarditis;
- i-serous meningitis;
- i-polyradiculoneuritis;
- ukukhubazeka okukhulu;
- i-myocarditis;
- ukulimala izinso kanye nezigulane eziyingozi;
- ukukhathazeka;
- i-neuritis ye-nerve facial;
- Izifo ze-neonatal ezifana ne-Septic;
- izifo ezingapheliyo.
Yonke le mibandela iyingozi kakhulu empilweni yeziguli, ngakho-ke ukubonakaliswa okuncane kakhulu kwemiphumela yokutheleleka ngegciwane - yisizathu sokuya ngokushesha emtholampilo.
Izimpawu ze-meningitis nezinye izinkinga ze-enterovirus
Uma izifo ezinjenge-hepatitis, myocarditis, neuritis nezinye izibonakaliso zokuqhubeka nokutheleleka zitholakala kalula ngenxa yomtholampilo owaziwayo (ubuhlungu besibindi, inhliziyo, izimpande zesibindi, izinso), khona-ke ngokuvamile kunzima ukuthola i-serous meningitis. Izimpawu zalo ngokuvamile zibangelwa uhlobo lwe-enterovirus uhlobo 71, ngoba kusukela emathunjini lezi zinhlobo ze-pathogenic microorganism ziyangena ngokushesha egazini nasezingxenyeni zobuchopho.
Izibonakaliso ezijwayelekile ze-meningitis:
- umkhuhlane omkhulu;
- ikhanda;
- i-photophobia;
- ukubekezelelana kwemisindo enkulu nomsindo;
- ubuhlungu obukhulu lapho bezama ukuphakamisa umlenze oqondile, elele emhlane;
- akunakwenzeka ukucindezela isifuba sakhe esifubeni sakhe;
- ukuxubha;
- ukwethembeka nokunganaki;
- ukungasebenzi kwemisipha ye-oculomotor;
- i-nystagmus ;
- ukuphazamiseka kokuqonda;
- ukugoqa okungahambi kahle kwemilenze emadolweni nasezingxenyeni zezinyosi ngokucindezela okuncane kwi-pubis (isibonakaliso sikaBrudzinsky).