M'banja la enteroviruses ya RNA pali gulu lalikulu la tizilombo toyambitsa matenda lotchedwa Coxsackie virus. Akatswiri amadziwika kuti makumi asanu ndi awiri (30) a serotypes, omwe ali a 2 nd mitundu - A ndi B.
Matendawa amapezeka kwambiri kwa ana, chifukwa chitetezo cha chitetezo cha thupi chimateteza thupi. Kachilombo ka Coxsackie kawirikawiri kawirikawiri, koma ndi yoipa kwambiri kuposa adakali aang'ono. Pamaso pa matenda aakulu, enterovirus ikhoza kuyambitsa mavuto ena omwe akuwopsya moyo.
Zizindikiro za kachilombo ka Coxsackie mwa akuluakulu
Zizindikiro za matendawa zimadalira mtundu wake.
Ngati pali kachilombo koyambitsa matenda a Coxsackie mtundu A, ndipo chitetezo cha m'thupi ndi choyenera, matendawa nthawi zambiri amakhala osakwanira. Nthawi zina zizindikiro zotsatirazi zimachitika:
- Kufiira kwa malo ena a khungu;
- kamphanga kakang'ono ka mtundu wa mtundu wa pinki;
- malungo afupikitsa.
Matendawa amatha msanga popanda chithandizo. Kwenikweni masiku 3-6 chikhalidwe cha munthu wodwalayo chikubwera.
Zovuta zimakhala zovuta kwambiri ngati zili ndi mtundu wa B wa microorganism. Muzochitika izi, zizindikiro za chizindikiro zimakhala ndi khalidwe lodziwika bwino:
- kutentha kwakukulu kwa thupi;
- ziwalo m'thupi, mafupa ndi ziwalo;
- kupweteka kwa minofu;
- Kuthamanga thupi, kuphatikizapo mapazi ndi kanjedza;
- maonekedwe a tizilombo tating'onoting'ono tating'onoting'ono timene timakhala ndi madzi pamatumbo (mmero, mkamwa);
- ululu pamimba.
Pambuyo pa matendawa ndi kachilombo ka mtundu wa Coxsackie, wamkulu amakhala ndi kusanza, kutsegula m'mimba, kupweteka, komanso matenda ena. Mawonetseredwe awa a chipatala akufotokozedwa ndi kuti maselo odwala amayamba kuchulukana ndikupita mwathunthu m'matumbo, kufalikira kuchokera mthupi lonse.
Chithandizo cha zifukwa ndi zizindikiro za kachirombo ka Coxsackie kwa akuluakulu
Pamene matendawa amapezeka mu maola 72 oyambirira, ndizomveka kutenga mankhwala ochepetsa tizilombo towopsa:
- Rimantadine;
- Amizon;
- Tamiflu;
- Relenza;
- Lavomax;
- Arbidol;
- Kagocel;
- Amiksin;
- Chiti;
- Ingavirin ndi ena.
Ngati matendawa akupitirira masiku atatu, ndiye kuti ndizofunika mankhwala okhaokha:
- Kugwirizana ndi kupuma kwa bedi. Ndibwino kuti tigone maola 10 pa tsiku, osataya nkhawa ndi thupi, kutenga tsamba lakudwala kuntchito.
- Chakumwa chofunda. Kuchepetsa kuledzeretsa kwa thupi, komanso kubwezeretsa madzi okwanira ndi kuteteza kuchepa kwa madzi m'thupi, kungakhale mwa kudya mobwerezabwereza kwa teas, zakumwa za zipatso, compotes.
- Zakudya. Musati muwonjezere katundu wokhudzana ndi kugaya. Pa nthawi ya matenda ndi bwino kudya chakudya chochepa, mafuta ochepa. Ndi bwino kudya masamba ndi zipatso muzophika kapena zowonjezera.
Kuchiza kwapadera kwa anthu achikulire omwe ali ndi kachilombo ka Coxsackie sikuti, nthawi zambiri sikumayambitsa vuto lililonse. Pazimenezi nthawi zambiri, madokotala amati amalandira antihistamines (Suprastin, Cetrin, Zodak ndi zina zotero).
Kulimbana ndi malungo, nawonso, sikofunikira. Ngati thermometer siikwera pamwamba pa 38.5, thupi liyenera kuloledwa kulimbana ndi matenda okha. Kutentha kwakukulu kumaloledwa kugwidwa ndi mankhwala odana ndi kutupa ndi antipyretic effect, mwachitsanzo, Paracetamol kapena Ibuprofen.
Kodi mungapeze bwanji zotsatira za kachilombo ka Coxsackie anthu akuluakulu?
Zomwe zimagwirizanitsa ndi matendawa:
- aseptic meningitis ;
- kupweteka;
- chiwindi;
- myocarditis;
- kupunduka;
- hemorrhagic conjunctivitis;
- encephalitis;
- chithandizo;
- kupweteka kwa pakhosi ;
- mphunzitsi;
- matenda a shuga (mtundu 1).
Popeza kuti matendawa ndi owopsa komanso owopsa, musayesetse kuwasamalira. Kuchiza ndikofunika kukaonana ndi dokotala.