Enterovirus muvana: Zviratidzo neMarapirwo

The nemudumbu mwana ane zvimwe kusiyana kubva gastrointestinal ezvinhu mukuru. Ndiye zvakawanda kugamuchira zvitsva zvinoumba chikafu. In vana, intestinal zvirwere haina kuumbwa kusvikira pakuguma, saka muviri chaizvo inonyatsoziva dzakasiyana-siyana-wanda.

Panguva nyoro zera vanogona kusangana zvakasiyana maviri zvinotapukira hunhu kwezvirwere kukanganisa ura gastrointestinal hurongwa. It rotavirus uye enterovirus hweHIV. Last muvana zvakawanda zvakajairika uye zvinogona irreparable kukuvadzwa flanked nevanhu saibva muviri pasina kurapwa. Yepamusoro kuitika rinowanzova inowira chitubu uye kwematsutso nguva. Chii chakasiyana enterovirus vana? Zviratidzo mapikicha varwere vaduku, uyewo hwakadzama kurapwa zvaiitwa dzinoturwa mune zvinhu ino.

Chii chinonzi enterovirus chirwere?

Pfungwa iyi anosanganisa dzinoverengeka zvirwere, inova zvinopa enteroviruses. Zvikasadaro, dzinonzi intestinal. Pari, vanopfuura 60 marudzi kudzidza pamusoro utachiona izvi. Zvichienderana serotype, vari muzvikamu 4 mapoka: nemavhairasi tinodzokorora, coxsackie, polioviruses uye enteroviruses.

Vachirwara mumwe serotypes mwana anogona kamwe chete hwose. Pashure kurapwa, inobereka simba kutapata. Ukuwo, kuwana mumwe enterovirus. siyana kwakadaro kubva utachiona kwete chete anobvumira masayendisiti kusika zvinobudirira mushonga.

How ngozi entorovirus vana? Kukomba utachiona ndechokuti originators aro zvikuru husingakwanisi nehasha zvimwewo zvinoitika. Vanogona kuvapo kwenguva refu ari nyoro ivhu uye mvura, uye ipapo kupinda muviri kuburikidza chikafu utachiona.

Mukutanga 2008, hombe-pamwero denda pakati pavana rakanyorwa muna China. Chitarisiko Its chagumbura EV71 utachiwana. Inopinda mumuviri womunhu kuburikidza kufema turakiti uye mucous Kamudzira pamusoro zvomudumbu turakiti. Kamwe pakanyenga yose muviri kweropa hurongwa, kukanganisa mapapu uye pfungwa. The chirwere akanga dzakaonekwa muna 15 000 vana, 20 vacho vakafa. It kamwe zvakare zvinopupurira chokwadi kuti enteroviruses muvana uye vakuru vanoda nenguva uye nzwisisika kurapwa.

Zvinokonzera chirwere

Utachiona ikabuda iri activation mapoka ose intestinal nemavhairasi, zvinova zvinokonzera zvimwe zviratidzo. Ivo zvisingapindirani zvinoverengeka nevakawanda zvatariswa. At chinoumba nomumwe chinoumba kweutachiwana chinomiririrwa nucleic asidhi Morekuru. Mune zvimwe zviitiko, zvinoita anoita basa DNA mune dzimwe - RNA. Kunze womukati maumbirwo takapoteredzwa Kamudzira ine unhu. Zvichienderana configuration kuti goko okunze, nemavhairasi Classified kupinda subtypes siyana.

Enterovirus chinopinda mumuviri nokuda inhalation mhepo kana kubudikidza muromo apo vachidya. Pashure utachiona hwakakura ichi migrates kuti node nodes, apo ndiro rinopedza uye inotanga muwande. Its pakuzadzisa, uyewo kwokuomerwa utachiona kunoenderana zvinoverengeka on:

• ari virulence kweutachiwana (kukwanisa kudzivisa muviri kutapata);
• tropism (mano nayo utachiona hweHIV kunokanganisa zvomukati);
• zvakananga mamiriro dziviriro yezvirwere mumuviri.

The incubation nguva kwazvinogumira zvikuru? Enterovirus mune vana varege kuratidza kwekunze zviratidzo 1 kusvika 12 mazuva. Kazhinji, asi incubation nguva mazuva mashanu. mharidzo Clinical kunobva zvikurukuru chirwere zvakananga kubva serotype utachiona hwakakura. Enterovirus kakawanda kusashanda ari chitubu uye kwematsutso. Pane dzimwe nguva, kuitika dererei zvikuru.

kufamba nzira

The enterovirus anogona chinopfuudzwa kubva munhu anorwara kuti dzakawanda nzira utano: kuburikidza kuenda neherikoputa mumate, ari fecal-nemumuromo nzira, kuonana. The mashandiro zvirwere dzinoratidzwa siyana. Enterovirus vana zvitange ainyanya kuburikidza yakatsvuka mvura kana matoyi. Utachiona chirwere kwenguva refu anogona kuva chinhu chine musoro ezvinhu ari mutsvina yadzo, ivhu, uye mvura. Kunyange kuoma nechando muitiro hakusi dzinouraya kwavari. Utachiona hwakakura vakaurayiwa kuitwa mishonga yokuuraya utachiona chete kana zvakajeka akacherechedza panguva kugadzira.

Enterovirus muvana pasi gore rimwe ane zvikonzero zvakafanana nokuti chiitiko. Zvisinei, vana vari breastfed nokuda serotypes vakawanda ane chokuziva kutapata. Ukuwo, mwana anogona kunhonga chirwere pakarepo mushure kunwa mukaka.

zvekuchipatara mufananidzo

Step incubation nguva iri kazhinji hapana zviratidzo. Panguva ino, nemavhairasi vari rakachengetedzwa pamusoro mucous membranes uye kupinda nhengo dzinobudisa hurongwa, apo vanotanga nokushingaira kuwanda.

Zvadaro vanotsika pedyo chirwere zvakananga. Zviratidzo enterovirus muvana vanotanga kuratidza rakapinza kuwedzera tembiricha iyo rinosvika yakaoma iyi uye zvakachengetwa kwemazuva mashanu. Mwana muduku unotii uye anorara chaizvo. Mazuva okutanga mushure chirwere zvinogona pamwe zvikuru kurutsa uye nomusoro. Kamwe inowanzotorwa tembiricha, vose chokuita zviratidzo.

Dzimwe nguva vana zvimba node nodes, kunyanya remuromo uye submandibular. Chimwe chiratidzo chinhu nekumhanyirira. Rashes kuoneka panguva imwe chete mumusoro, chipfuva uye maoko. Vane muchimiro tsvuku makwapa. Mushure Kutsakatika kwavo mumuviri zvidiki pigmented mavanga, vari pachavo kuenda kuburikidza mashoma.

Kuwanda kunotoda mufananidzo kunoenderana mamiriro kutapata mwana akagamuchira "mugove" pakati utachiona, uye zvimwe zvinhu rwayo.

Kakawanda chimiro enterovirus chirwere

Zivo yakakwana kupatsanura inowanzopiwa haamanikidzwi. Vabereki vanofanira kugona vakawanda chimiro enterovirus chirwere, kuti nenguva kuziva zvokurwara uye chiremba.

1. Herpangina. Izvi catarrhal kuratidzwa enterovirus. Herpangina Kazhinji kunoitika muna vana pakati matatu negumi. Kuratidza Its chikuru vane fivhiri, kwazvo huro uye vesicles necheseri pamadziro pharynx. The matema hombodo uye chimiro maronda. Huru utachiona vanoonekwa Coxsackie mavhairasi A uye B.
2. Mapundu. Ichi chimwe chezvinhu zvakafanana mienzaniso, sei kuratidza enterovirus. In vana, mapundu ane vakasiyana nemarudzi maviri: krasnouhopodobny uye roseolous. Chimbi kuonekwe pazuva rokutanga kana repiri pashure chirwere. Kwemakomo musiwa chiso, muviri utore muchimiro duku dzvuku makwapa. Dzimwe nguva batanidza pamwe nemumwe. Muchirwisa colour tsvuku mapundu uye Hemorrhagic zvinhu zvinogona kuonekwa. Enterovirus exanthema vari tichikurumidza vana makore matanhatu.
3. Flu-kufanana zviratidzo. chimiro ichi enterovirus chirwere kunoratidzwa zviratidzo runowanzoitika yokuSpain kana SARS. Vana vakacherechedza catarrhal mananara (runny mhino, kuzvimba, nasal kuzara), fivha, utera, tsandanyama marwadzo. Typical nokuti chirwere zviratidzo kuti kusiyanisa kubva zvavo dzihwa, unogona kusarudza nechigaro agumbuka uye kurutsa.
4. Intestinal chimiro. Ichi chimwe chezvinhu ngozi musiyano pakati enterovirus hweHIV. Achiperekedzwa usinganyanyi kuwedzera kupisa, mvura manyoka, bloating uye flatulence. The chikuru ngozi yacho intestinal chimiro anoonekwa kuva mukuru mikana zvokusava nemvura, zvichiita kuti zviome kutaura zvishoma murwere. chirwere ichi zvinoda kuramba zvichiongororwa kuvarapi uye nechimbichimbi nzvimbo.

Ose zvirwere zvinogona kuitika pamusoro randinenge / atypical kunotoda mufananidzo. Zvichienderana mhando zvokurwara chiremba anosarudza pane mushonga enterovirus vana.

Rare siyana chirwere

Mune zvimwe zviitiko, enterovirus chirwere kunoratidzwa munhu yakaoma kosi. Chinonziwo semhosva dzokufananidzira, asi unobatanidzwa. Varwere muduku zvinoda kunzwisisa uye kupfuura kunzwisisa kurapwa.

1. Hemorrhagic conjunctivitis. Iri zvakajairika muchimiro enterovirus hweHIV. Zviratidzo Her anotanga kurwadziwa muziso, kukwana kurasikirwa chiratidzo uye yakawedzera lacrimation. Dzimwe nguva pane hemorrhages ari the retina.
2. Myocarditis / pericarditis. Apo chirwere ichi achinyanya chinobata vamwe hurongwa mwoyo. Tikafunga myocardial kukuvara kwakakanganiswa ari contractile basa huru tsandanyama dzomuviri. Kubatanidzwa of pericardium kunoratidzwa nokuchinja ropa wedzerai kwacho.
3. Yomumuzongoza uye encephalitis. Ndiwo chinonetsa uye ngozi panguva imwe chete siyana enterovirus hweHIV. Ivo kutanga tembiricha kuwedzera kusvika pamwero 40 inegumi. Zuva rakatevera pane sokusingatsungiririki nemusoro, zvikuru kurutsa asina chokuita nezvokudya yaunodya. Common zviratidzo zviri abdominal kurwadziwa, cramping, Hemorrhagic nekumhanyirira.

Atypical dzakasiyana vanoonekwa ne asymptomatic noutachiona uye zvakavanzika dzenzvimbo. Clinical chirwere zvinogoneka chete pana pachena yematambudziko.

Enterovirus chirwere muvana dzinoratidzwa siyana dzenzvimbo. Naizvozvo, zvakakosha kuti nguva kuona chiremba nechinangwa nepamahofisi chirwere kuongorora. Kunoita kusiyanisa chirwere kubva zvakafanana zvirwere zvokufema, pachepfu uye matambudziko dermatological.

Medical ongororo

Zviratidzo enterovirus chirwere muvarwere vaduku kazhinji kuratidza serous yomumuzongoza uye herpes angina. Group panomuka kazhinji wakaiswa pakati pre-kuchikoro masangano ari inodziya mwedzi. The chikuru mashandiro ose yedzimudzangara ndiyo fecal-nemumuromo.

Hatina dudza chii zviratidzo nokuda enterovirus inozivikanwa. Photos (VANA) kuti siyana rokuratidzwa zvayo anogona kuwanikwa unyanzvi zvinyorwa. Vanobatsira kuona kurwara uye kutsvaka zano zvokurapa. Pari zvino pane ina dzinokosha nzira kuziva miedzo utachiona hwakakura chirwere:

• Serological (kuonekwa kweutachiwana muropa serum). Pakazosvika mangwanani zvezvinangwa zvirwere zviri IgA uye IgM. Zvinokoshawo kuti chirwere ichaongororwa kuwedzera titer of 4-muchirugu tsika.
• Virological (vakatsunga zvinotapukira mutumwa ari cerebrospinal fluid mutsvina yadzo, ropa). The zvituru vakaedzwa kuti kare kwevhiki mbiri.
• Immunohistochemical (kuziva miedzo maantigen muropa enterovirus).
• Molecular utachiona nzira (Yechidzidzo enterovirus RNA zvimedu).

Cherechedzai vanachiremba kubhadhara differential kuongorora chirwere. Enterovirus vana kwakasiyana-siyana kunokosha kusiyanisa kubva herpes, SARS, neutachiona. Unofanirawo kutarisa aikanganiswa kuitwa antibacterial zvinodhaka. With yanhasi yepamusoro zvidukuduku Diagnostics asingadi kuipa chero matambudziko. With nenguva kuonekwa chirwere kunogona kuva manyuko mushonga nekaupenyu kutsanya mwana chero zera.

zvinodhaka kurapa

How kubata enterovirus kuvana? Ndizvo nyaya vakarerwa nevabereki vakawanda, kunzwa zviratidzo. In chirwere zvishoma kwazvo zvingava zvishoma murwere varambe pamba. The zvairatidza kukurumidza muchipatara ndedzinotevera ezvinhu: CNS, mwoyo, nefivha yakasimba.

mushonga Modern haagoni kupa chimwe yezvisikwa chishandiso pazvirwere. Mugore chenjera nguva varwere duku vanokurudzira mubhedha zororo, rakakomberedzwa kudya uye kunwa zvinwiwa zvakawanda. The enterovirus vaitire vana?

Kana maperembudzi pamwe nefivha, kutemwa uye tsandanyama marwadzo, vaiona analgesics zvakakodzera uye antipyretics ( "Nurofen", "paracetamol"). Manyoka varayire mishonga kuti normalize mvura-munyu mwero ( "Regidron"). Mishonga anoshandiswa chete chiitiko pamusoro accession kwemabhakitiriya zvirwere.

Kuti tibatsire muviri kutsungirira enterovirus, vana ushandiswe mainterferon ( "Viferon", "TSikloferon", "Neovir"). Vanopinda muchikwata vasiri dzakananga antiviral yomuchipatara kuti tunodzivisa ari chokuwanziridza pamusoro nemavhairasi uye inotokonya zvirwere.

Treatment anofanira kupiwa nachiremba pashure misoro kuzviongorora murwere duku. Chete nyanzvi anogona zvakakodzera kuziva zviratidzo uye vanofungidzirwa enterovirus. Chirwere muvana kunowanzoguma maronda ari nechepakati tsinga, maziso, neitsvo. Panyaya iyi, mwana, kuwedzera zvinodhaka kurapa inoratidzwa kuti kutarisira nachiremba kwemwedzi inoverengeka. Dzimwe nguva zvinogona kutora makore akawanda.

Mazano kudya

Diet nokuti enteroviruses mune vana inoita basa rinokosha, sezvo basa zvomudumbu turakiti raputsika. Pakutanga inoreva yakawanda yokunwa. Kushandiswa kwakajairika isiri carbonated mvura yakawanda kunobatsira kubvisa tsvina kubva mumuviri, ndiye kudzivirirwa zvokusava nemvura.

Kubva kudya kuti asava pediatricians vanokurudzira grilled uye rakapfungaira nezvirongo, vose zvihwitsi uye pastries. Zvakakosha kuti tizvidzore kudyiwa mukaka yose, ruomba, mazai. The kurambidzwa vachawa muto, nzungu, bhinzi uye chingwa. Food inofanira steamed kana chakabikwa muchoto.

Chii unogona kudya? Zvokudya kunofanira michero nemiriwo, kupisa zvakaipa. Yakavira mukaka zvigadzirwa vanobvumirwa (biokefir, yakaderera-mafuta koteji chizi). Unogona kudya rakaonda nyama, hove. mwana wavo ari zvakanakisisa akashanda ari pasi kana kunyange shabby. Kazhinji, zvokudya zvinofanira fractional. Varumbidzwa kudya kakawanda asi zvikamu zviduku. Kana mwana akaramba kudya, hazvifaniri kumanikidzwa kana simba-chikafu.

Zvokuita kana rikwanise manyoka ari pamwe enterovirus? Treatment vana chikoro zera iri nyaya yokuti ari kumbomira dzinonzi nenzara. Zvinobatsira skip imwe kana mbiri zvokudya. Nzara Kumbomira mu vacheche hazvibvumirwi. Ipapo varwere duku basa vaitofanira kudya.

Pazuva rokutanga unogona kudya Porridge pamusoro pemvura uye akabika maapuro. With kuvandudzika ari mukuru mamiriro mwana ari kudya anofanira akasuma nomukaka zvigadzirwa, muriwo soups. Kanenge atsunga madhishi nyama uye hove.

Matambudziko enterovirus chirwere

Enteroviruses muvana zviratidzo uye kurapwa zvange inorondedzerwa kare, rinokwanisa kusvika nhengo dzose uye munyama. Izvi anotsanangura vakawanda kuonekwa. Kazhinji, mwana anokwanisa kupona chirwere pasina zvakakomba yematambudziko kuti utano hwako. Nokuda kusimba rokuzvidzivirira kana kuvapo comorbidities Migumisiro vanogona kuitika. Kazhinji, vanachiremba rokuongorora yomumuzongoza uye encephalitis.

zvirwere izvi sei uropi murwere duku, izvo zvingaita kuti nepfari, rutivi rwomuviri kana rufu. zviitiko accession ane chirwere yechipiri inonziwo kuti zvinoda rumwe kurapwa. Fatalities kazhinji kunokonzerwa chakasimba cardiac kana pulmonary insufficiency. Kana nzwisisika kuongorora kunoratidza Enterovirus, kurapwa mune vana vanofanira kugadza wevana. Kuedza kukurira chirwere iri zvachose wairambidza. Vabereki vanogona kuisa mwana wacho utano irreparable kukuvadza.

dziviriro nzira

Dzakananga Kudzivirira enterovirus haina kugadzirirwa vana. Zvisinei, migumisiro yakanaka inoratidza inoculations pamusoro poriyo uye meningococcemia. Munyika dzakawanda dzokuEurope, izvozvo zviri kuiswa kubaya pamusoro vakawanda utachiona ose enterovirus hweHIV. Zvisinei, dziviriro yakadaro haisi zvachose vimbiso venyasha zhinji nokuda wanda. Research uye miedzo zvekuchipatara panyaya vari kuramba.

Kuti hutachiwana munhu utachiona mwana mhuri, zvinofanira insulated. Zvakakodzera fefetedza mukamuri kakawanda, zuva akanyorova kuchenesa pamwe mishonga yokuuraya utachiona. Nonspecific kudzivirira anotora kuti dzinokosha nemitemo utsanana, kushandiswa mainterferon ( "Laferon", "Nazoferon", "Viferon").

Zvino kuti munoziva mutsauko pakati enterovirus pakati pavana. Zviratidzo uye kurapwa zvirwere, iyo anoita seinokonzera nayo utachiona kunoda ruzivo kusvika kudivi nyanzvi. Kana musingadi kubvisa kushanyira chiremba anogona kutadzisa panowanikwa yematambudziko zvinouraya. Stay utano!