Iyini i-herpangina? Eyaziwa nangokuthi i-vesicular stomatitis kanye ne-acry lymphonodular pharyngitis, yi-infection evamile yengane ebangelwa i-enterovirus, ngokuvamile i-A A coxsackievirus . Kufana nalokho, kodwa akuyona into efanayo, esinye isifo esibangelwa i-enterovirus ebizwa ngokuthi isisindo somlenze nomlomo.
I-Herpangina ngokuvamile ibangela umphimbo obuhlungu kanye nezilonda ezibuhlungu (izilonda noma izilonda) ngaphakathi komlomo nomphimbo.
Kuvamile ukuthi ube nezilonda ezinhlanu, noma kunjalo, ungabona abaningi abangu-15 ezimweni ezimbi kakhulu.
I-Herpangina isakazeka kanjani?
Kunezindlela ezimbalwa ezahlukahlukene ukuthi ama-enteroviruses abangela i-herpangina isakazeka, kepha enye yezinto ezivame kakhulu umzila okhuluma ngomlomo. Lokhu kusho ukuthi kuvame ukusabalaliswa ngabantu abagezi izandla zabo ngemuva kokusebenzisa indlu yokugezela noma ukushintsha ama-diapers, ikakhulu uma bephethe ukudla ngemuva kwalokho.
Ukwelashwa okufanelekile nokuhlala ekhaya kungasiza ukunciphisa ingozi yokusakaza lesi sifo uma unezibonakaliso zalesi sifo.
Ubani Ongengozini Ye-Herpangina?
Izingane ezineminyaka engama-3 kuya kwengu-10 ubudala zithinteke kakhulu, kanti abafana namantombazane bahlukunyezwa ngokufanayo. Ngenkathi izingane ezincane zithinteke kakhulu, noma ubani ongenwa igciwane kungakhathaliseki ukuthi uneminyaka engakanani. Izifo zivame kakhulu ezinyangeni zasehlobo noma ezimweni ezishisayo.
Izimpawu
Esikhathini esiningi uma une-herpangina, ungalindela ukugula okuncane.
Nokho, ngezikhathi ezithile izimpawu zingase zibe nzima kakhulu, okuholela ezinkingeni zesistimu yenzwa yomphakathi, ukwehluleka kwenhliziyo nesiphuphu, noma ngisho nokufa. Ukwehla kwamanzi emzimbeni kuyinkimbinkimbi evamile-kodwa khumbula, iphathwa kalula uma nje itholakele ngokushesha. Lapho abesifazane abakhulelwe bethola igciwane le-herpangina baningi amathuba okubelethwa kwezinsana zabo, isana esinesisindo esiphansi noma esincane sokugula.
Uma usulelekile, cishe ngeke ube nezimpawu ezinsukwini ezingu-3 ukuya kwezingu-5 ngenkathi igciwane likhula, noma liqhubekile. Ungaba nesifo sengculaza phakathi nalesi sakhiwo futhi ungazi ukuthi une-herpangina.
Uma une-herpangina ungase uhlangabezane neyodwa noma ngaphezulu yalezi zimpawu ezilandelayo ngobukhulu obuhlukahlukene.
- Fever
- Ukukhathala
- Izilonda ezinjenge-blister ezibuhlungu emlonyeni nasemphinjeni, izilonda ezifanayo zingase zivele ezinyaweni, ezandleni noma emathangeni
- Ubuhlungu obukhulu (pharyngitis)
- Ukunciphisa ukudla
- Kunzima ukugwinya noma ubuhlungu uma ugwinya (odynophagia)
- Izinwele
- I-Backache
- Ukudabuka, ukuhlanza, ubuhlungu besisu
Ezimweni ezingavamile ukutheleleka kwe-enterovirus kungathinta isistimu yenzwa yomphakathi, okwenza izimpawu ezilandelayo:
- Izinwele
- Ukuqina kwentamo
- Ukuzizwa
- Ukukhubazeka
- Ukuphefumula okunzima
- Ubuthakathaka bemisipha
Ukuxilongwa
Izindaba ezinhle ukuthi i-herpangina ngokuvamile ayinzima ukuyihlolisisa. Udokotela wakho uzoqala ngokubukeza umlando wakho wezokwelapha nokwenza ukuhlolwa ngokomzimba. Bazokubuza imibuzo mayelana nezimpawu zakho nokugula kwakho kwamanje.
Ukuvivinya i-laboratory ngokuvamile akudingeki kepha igciwane lingatholakala ngokuthatha amasiko avela ekhaleni, esitokisini, emcimbini, egazini noma e-cerebral fluin spinal. Ngaphandle kokuhlola i-laboratory, i-herpangina ingase iphutha ngesinye esinye isifo njengale:
- Isifo sonyawo nomlomo
- I-Herpes simplex
- I-mononucleosis ephathekayo
- I-viral noma i-bacryial pharyngitis
- I-Aphthous stomatitis - izilonda zomlomo ezingenasifo nesifo esingenakunqunu
- Izifo zokuqala ze-HIV ezinokuqala
Ukwelapha
I-Herpangina ingukutheleleka ngegciwane futhi ngakho-ke ayikwazi ukuphiliswa ngokusebenzisa ama-antibiotics. Ukwelashwa kugxile ekulawuleni izimpawu zakho kuze kube yilapho umzimba wakho ulwa nokutheleleka.
Izindaba ezinhle ukuthi izimpawu ngokuvamile zixazulula phakathi nesonto. Izindaba ezimbi ukuthi izilonda zomlomo nezomphimbo ezijwayelekile ze-herpangina ziyaziwa ukuthi zibuhlungu kakhulu. Nazi ezinye izinto ongazenza ukuze unciphise izimpawu zakho, ikakhulukazi ezinganeni.
- Ubuhlungu obuningi bokunciphisa ubuhlungu njengokunciphisa i-acetaminophen ne-ibuprofen kunganciphisa amandla futhi kunciphise umkhuhlane. Akufanele unike izingane i-aspirin ngoba ihlotshaniswa ne-Reye syndrome.
- Phuza okuningi uketshezi futhi udle ama-popsicles ukuze uhlale unamanzi.
- Imikhiqizo yobisi obubandayo, kuhlanganise ne-ayisikhilimu, ingakwazi ukugqoka ngemuva komphimbo futhi ilulaze okuthile.
- Gqoka ngamanzi usawoti
- Ama-lozenges amahloni angasiza ekunciphiseni umkhuhlane wakho.
- Gwema ukudla noma uketshezi okungacasula umphimbo, njengeziphuzo ezishisayo, ukudla okuneziphuzo, noma amajusi wezithelo aqukethe inani eliphakeme le-citric acid enjenge-orange, i-lemonade noma i-tomato ijusi.
- Uma uke wazama izincomo ezibalwe ngenhla futhi izilonda emlonyeni wakho zibuhlungu kakhulu udokotela wakho angakwazi ukuhlinzekela ukuhlinzekwa kwezifo ezinjenge-lidocaine.
Udokotela wakho ngeke anikeze imishanguzo ye-antiviral ye-herpangina ngezizathu eziningana. Ngokuvamile, ama-antiviral ayabiza futhi uma kwenzeka i-herpangina, engasebenzi. Ukusetshenziswa kwama-antiretroviral kubuye kube nemiphumela emibi futhi kungandisa ingozi yama virus anqindile.
Nini Ukuthintana noMnyango Wezokwelapha
Izimpawu ze-herpangina kufanele zihlolwe njalo ngudokotela ukuze ziphephe ezinye izifo ezimbi kakhulu. Ukwengeza, emva kokuthola ukuthi unesifo se-herpangina kufanele ubize udokotela wakho uma:
- Unezibonakaliso zokuphelelwa amandla kwamanzi njengamanzi, akukho izinyembezi emehlweni akho, isikhumba esomile noma izindebe.
- Unomkhuhlane ophezulu noma umkhuhlane ophikelela ngemva kwezinsuku ezingu-5.
- Unemilonda yomlomo noma ubuhlungu bomphimbo ohlala isikhathi eside kunama-5.
- Uhlakulela izimpawu ezinjengokukhubazeka kwamasipha, ukukhubazeka, ukuqina kwentamo, ukuhlukunyezwa noma ukuphefumula ubunzima.
- Unezinye izimpawu eziphathelene.
Khumbula, okukhethwa kukho ukuthatha izinyathelo zokuvimbela i-herpangina, futhi uma usulelekile ulandela amathiphu angenhla ukuze unciphise izimpawu ngenkathi usebenza nodokotela wakho.
> Imithombo:
> Abzug, MJ. (2016). UNelson Bookbook of Pediatrics. 20 th . Elsevier. 1561-1568e1.
> Fort, GG. (2017). UFerri's Clinical Advisor 2017: I-Herpangina. Elsevier. 583.