Zvinokonzera Hand, Foot, uye Muromo Matwere
Pano pedo norovirus , coxsackievirus ndiyo imwe yezvirwere zvakanyanya zvikuru zvehutachiona hwausina kumbozvinzwa. Kutanga kuwanikwa muma1940, inoratidziro yeusina poliyo enterovirus. Iri boka remavarirusi rinosanganisirawo echoviruses nezvimwe zvinonzi enteroviruses (chimwe chazvo, enterovirus D68 , chakaita kuti kupararira kwepasi rose kwezvirwere zvekupemha muUnited States zvakabatanidzwa nechirwere chinokonzera kuparara).
Nepo iwe usingazivikanwe ne coxsackievirus, kunyange zvakadaro, kana une mwana kune mukanano wakanaka wekuti iwe unoziva nezvehutachiona uye kuti imwe yematambudziko ayo inokonzera sei ruoko, tsoka, uye chirwere chemuromo (HFMD). Ihwo hutachiwana hutachiona hutachiwana hwehucheche, hunokonzerwa ne coxsackievirus A16.
Pamwe chete, kune makumi maviri makumi maviri nemakumi mashanu emakiromita emazana makumi maviri nemashanu (coxsackievirus) anogona kukonzera zvirwere kuvanhu, kusanganisira:
- Coxsackievirus A2-8, A10, A12, A14, A16 (rudzi rwevanhu Inderovirus A)
- Coxsackievirus A9 (rudzi rwevanhu rinonzi enterovirus B)
- Coxsackievirus B1-6 (rudzi rwevanhu rinonzi enterovirus B)
- Coxsackievirus A1, A11, A13, A17, A19-22, A24 (rudzi rwevanhu rinonzi enterovirus C)
Kubvira muna 2007, coxsackievirus A6 yave ichikonzera maitiro akaoma uye akanganisa eHFMD muUnited States, kusanganisira vanhu vakuru.
Akasiyana Koxsackievirus Infections
Zvakare, HFMD, ine zvipembenene mumuromo wemwana uye blisters pamaoko avo netsoka, ndiyo inowanzozivikanwa zvikuru inokonzerwa nehuwandu hwecoxsackievirus, asi coxsackievirus inosanganiswawo ne:
- Kuberekwa kwehutachiona: hutachiwana mukuzvitakura hwakapararira kumucheche
- neonatal zvirwere: zvisingaiti, asi zvinogona kukonzera matambudziko ekubuda ropa, hepatitis, meningitis, meningoencephalitis, myocarditis, uye sepsis, nezvimwewo, uye inoratidzirwa nekuparara kwenyika yose ye coxsackievirus B1 zvirwere muna 2007
- acute hemorrhagic conjunctivitis: Coxsackievirus A24 inogona kukonzera kuputika kweziso re pink ne subconjunctival hemorrhages
- chirwere chepamuviri chirwere: Coxsackievirus inogona kukonzera hepatitis, dibarteria, kana gastroenteritis , uye HUS.
- herpangina: yakafanana neHFMD, ine zvironda zvemuromo, asi pasina ruswa kana blisters pamakumbo kana pamakumbo emwana
- meningitis
- myopericarditis: kuvhiringidza uye kukanganisa mwoyo musumbu uye sac inopoteredza mwoyo, iyo inogona kukonzerwa neCoxsackievirus B1, B2, uye B5 zvirwere
- myositis: kuputika kwemutsipa, izvo zvinogona kukonzerwa nehoxsackievirus zvirwere
- petechial uye purpuric rashes: kunyanya ne coxsackievirus A9, iyo inogona kuvhiringidzwa naHenoch-Schonlein purpura (HSP)
- chirurodynia: kurwadziwa kwepakarepo kwepfupa kunokonzerwa nokuputika kwechirafu uye kubatanidzwa nehoxsackievirus infection
- kuporesa zvirwere: kazhinji nekukanganiswa kunononoka, mumhino unoyerera, uye maronda uye kunogona kukonzerwa ne coxsackievirus A21 neA24 mukati memwedzi yezhizha
Iko coxsackievirus inogonawo kukonzera zvirwere zvisingaiti zvepabonde uye roseola - sechirwere -fever kwemazuva maviri kusvika matatu achiteverwa nekuputika kwemazuva mashanu kusvika kwemazuva mashanu.
Zvinotoshamisa kuti huwandu hwevanhu vane hutachiona hwecoxsackievirus husina zviratidzo zvachose, uye hapana chirwere, kurapwa, kana kurapwa kwemishonga ye coxsackievirus kunze kwekuchengetedza uye kuchengeta zviratidzo.
Izvo zvinonzwika zvinotyisa, asi nerufaro, inowanzoonekwa nehoxsackievirus zvirwere hazvina kumira.
Kuwana nekudzivisa Coxsackievirus Zvirwere
Vana vanogona kurwara kwemazuva matatu kusvika matanhatu mushure mekunge vasangana kune mumwe munhu ane chirwere che coxsackievirus ( incubation period ). Vanowana sei chirwere ichi?
Kufanana nehutachiona hwehutachiona hwakawanda, iyo coxsackievirus inoparadzirwa neyese ye-fecal-muromo (zvakananga kana kuti zvisina kufanira kusangana neshesi) uye kupfurikidza kutapurika (mumwe munhu anokunda kana kuti anotsvaira pamusoro pako). Vanogonawo kuwana zvirwere izvi kuburikidza nekubata chinhu chakasvibiswa (fomite).
Somuenzaniso, CDC inotaura kuti "iwe unogona kutapukirwa nekutsvoda mumwe munhu ane ruoko, tsoka, uye muromo wemuromo kana nekubata bharuti ine mavairasi mairi, zvino kugunzva meso ako, muromo, kana mumhino."
Kunyange zvakadaro, nokuti vana vanogona kukonzera coxsackievirus muzvigaro zvavo uye kuporesa maitiro ekudzivirira (saliva uye mumashure mashoma) kwemavhiki mushure mekunge zviratidzo zvavo zvaenda kana kunyange pasina zviratidzo, kuputika kunogona kuva kwakaoma kuzvidzivirira kana kudzivisa.
Zvichida nei zvisingawanzove zvakanyatsorongeka kuti uchengete vana kunze kwechikoro uye zuvacare kana vane HFMD. Iko CDC, somuenzaniso, inotaura kuti "Unofanira kugara kumba iwe uchirwara nemaoko, tsoka, uye murwere wemuromo," uye kwete kuti iwe unofanira kugara kumba iwe uine HFMD. Uye muTexas, Dhipatimendi reHutano rinoti vana vane HFMD vanogona kuenda kuchikoro nekuchengetwa kwemasikati chero bedzi vasina fivhiri.
Pasinei, kushambadza maoko, kudzivisa kuporesa, nekudzivirira zvirwere zvakasvibiswa zvakakosha kudarika kare kubatsira kubvisa kurwara nokuparadzira zvirwere izvi.
Chokwadi Chokuziva Nezve Coxsackievirus
Zvimwe zvinhu zvekuziva nezvehutachiona hwecoxsackievirus zvinosanganisira:
- Dzimwe nyika dzimwe nguva dzinoona matambudziko akaoma eHFMD, anowanzokonzerwa ne enterovirus 71.
- Coxsackievirus haifaniri kuonekwa sekukuvadza kukuru panguva yekuzvitakura, kwete seFifth chirwere, kunyange iwe uchifanira kutora matanho akachengeteka uye uchidzivisa chero munhu ane HFMD kana imwe hutachiona hwekushaya mari kana iwe uri nepamuviri.
- Kunyange zvazvo kukakavadzana, dzimwe nyanzvi dzinofunga kuti rudzi rwechirwere cheshuga runogona kubatanidzwa kune yakapfuura coxsackievirus rudzi rwepabonde B.
- Ganda rinotarisana nemaoko nemakumbo uye nail dystrophies zvinogona kuitika mushure mekukanganisa kwe coxsackievirus, kunyanya coxsackievirus A6. Dystrophy yemisipiresi inotanga kubva pakugadzira mitsara yeBeau (yakadzika, inogadziriswa mumakumbo emwana), kusungirirwa kwembambo, kuputsira zvachose misodzi miviri uye kunoitika mwedzi miviri kusvika kumwedzi mushure mekutanga kwehutachiona.
- Kuedza kunogona kuitwa kune marudzi mazhinji ecoxsackievirus, kusanganisira reverse transcriptase-polymerase chain reaction (PCR) kuedza uye tsika, asi hachisi chinhu chinogona kuitika nguva dzose kana kukurumidza kuitwa muhofisi yevana. Icho hachisi kudiwa kana.
- Kuparara kwevamwe coxsackievirus zvirwere zvinowanzoitika mumitambo yemakore matatu kusvika mashanu, asi dzimwe dzinopararira pamadhora mashoma gore roga roga, kunyanya munzvimbo dzinotonhora. Mune dzimwe nzvimbo dzenyika, kusanganisira US, coxsackievirus zvirwere zvinowanzoonekwa muzhizha uye mumwedzi unopera.
- Kuva nehutachiona neye coxsackievirus serotype haisi kukupa hutachiona kune imwe yevamwe, saka iwe unogona, uye zvichida uchatora zvirwere zve coxsackievirus kakawanda muupenyu hwako. Muchinjikwa-reactivity pakati pe-serotypes inogona kupa chidziviriro, kunyange zvakadaro.
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