Matenda a enterovirus amakhudza mbali zambiri za thupi ndipo amatha kuyambitsidwa ndi mitundu yosiyanasiyana ya enteroviruses. Zizindikiro zomwe zingasonyeze matenda a enterovirus ndi: kutentha thupi, mutu, matenda opuma, zilonda zapakhosi, ndipo nthawi zina zilonda zam'mimba kapena zotupa. Matendawa amachokera pakuwona zizindikiro ndi kufufuza khungu ndi pakamwa. Chithandizo cha matenda a enterovirus ndi cholinga chochepetsa zizindikiro.

Enteroviruses ndi gawo la banja la Picornaviridae. Ma enterovirus omwe amapatsira anthu amagawidwa m'magulu anayi: ma enteroviruses A, B, C ndi D. Akuphatikizapo, pakati pa ena:

• kachilombo ka Coxsackie;
• echoviruses;
• matenda a polio.

Matenda a enterovirus angakhudze magulu onse azaka, koma chiopsezo chimakhala chachikulu mwa ana aang'ono. Amapatsirana kwambiri ndipo nthawi zambiri amakhudza anthu amdera limodzi. Nthawi zina amatha kufikira mliri.

Matenda a enterovirus afalikira padziko lonse lapansi. Iwo ndi olimba kwambiri ndipo amatha kukhala ndi moyo kwa milungu ingapo m'chilengedwe. Iwo ali ndi udindo wa matenda osiyanasiyana mwa anthu ambiri chaka chilichonse, makamaka m'chilimwe ndi kugwa. Koma milandu yaposachedwa imatha kuwonedwa chaka chonse.

Matenda otsatirawa amayamba chifukwa cha enteroviruses:

• Matenda opumira ndi enterovirus D68, omwe mwa ana amafanana ndi chimfine;
• Epidemic pleurodynia kapena Bornholm matenda: amapezeka kwambiri ana;
• mkono-phazi-pakamwa syndrome;
• herpangina: kawirikawiri amakhudza makanda ndi ana;
• poliyo;
• postpoliyo syndrome.

Matenda ena amayamba chifukwa cha enteroviruses kapena tizilombo toyambitsa matenda, monga:

• aseptic meningitis kapena viral meningitis: nthawi zambiri imakhudza makanda ndi ana. Matenda a Enterovirus ndi omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tina ndi akuluakulu;
• encephalitis;
• myopericarditis: ikhoza kuchitika pa msinkhu uliwonse, koma anthu ambiri ali ndi zaka 20 mpaka 39;
• hemorrhagic conjunctivitis.

Ma Enteroviruses amatha kupatsira m'mimba thirakiti ndipo nthawi zina amafalikira kwina kulikonse m'thupi kudzera m'magazi. Pali mitundu yopitilira 100 ya ma serotypes a enterovirus omwe amatha kuwoneka m'njira zosiyanasiyana. Chilichonse mwa serotypes za enterovirus sichimagwirizanitsidwa ndi chithunzi chachipatala, koma chingayambitse zizindikiro zenizeni. Mwachitsanzo, hand-foot-mouth syndrome ndi herpangina nthawi zambiri zimagwirizanitsidwa ndi gulu A coxsackie mavairasi, pamene echoviruses nthawi zambiri amachititsa tizilombo toyambitsa matenda.

Enteroviruses ndi excreted mu kupuma secretions ndi chimbudzi, ndipo nthawi zina amapezeka magazi ndi cerebrospinal madzimadzi odwala matenda. Chifukwa chake amatha kupatsirana mwachindunji kapena ndi malo okhudzidwa ndi chilengedwe:

• mwa kumeza chakudya kapena madzi okhudzidwa ndi chopondapo cha munthu yemwe ali ndi kachilomboka, momwe kachilomboka kamatha kupitilira kwa milungu ingapo kapena miyezi ingapo;
• kuika manja pakamwa pawo atagwira malo oipitsidwa ndi malovu a munthu amene ali ndi kachilomboka, kapena madontho otuluka pamene wodwala ayetsemula kapena akutsokomola;
• pokoka madontho oipitsidwa ndi mpweya. Kukhetsa kwa ma virus m'mitsempha ya kupuma nthawi zambiri kumatenga masabata 1 mpaka 3;
• kudzera m'malovu;
• pokhudzana ndi zotupa pakhungu pakakhala matenda a phazi-m'kamwa;
• kudzera m'mapatsirana a mayi ndi mwana panthawi yobereka.

Kutalika kwa makulitsidwe kumatenga masiku atatu mpaka 3. Nthawi yopatsirana imakhala yayikulu kwambiri pachimake cha matendawa.

Ngakhale kuti kachilomboka kamatha kufika ku ziwalo zosiyanasiyana ndipo zizindikiro ndi kuopsa kwa matendawa zimadalira chiwalo chomwe chikukhudzidwa, matenda ambiri a enterovirus amakhala opanda zizindikiro kapena amachititsa zizindikiro zochepa kapena zosadziŵika bwino monga:

• malungo ;
• matenda chapamwamba kupuma thirakiti;
• mutu;
• kutsegula m'mimba;
• conjunctivitis;
• zidzolo zonse, zosayabwa;
• zilonda za m'kamwa.

Nthawi zambiri timalankhula za "chimfine chachilimwe", ngakhale si chimfine. Maphunzirowa nthawi zambiri amakhala abwino, kupatula makanda omwe amatha kukhala ndi kachilombo koyambitsa matenda oopsa komanso odwala omwe ali ndi vuto la humoral immunosuppression kapena kulandira chithandizo chamankhwala. 

Zizindikiro nthawi zambiri zimatha mkati mwa masiku khumi.

Kuti azindikire matenda a enterovirus, madokotala amayang'ana zotupa kapena zotupa pakhungu. Akhozanso kuyezetsa magazi kapena kutumiza zitsanzo za zinthu zomwe zatengedwa pakhosi, ndowe kapena cerebrospinal fluid ku labotale komwe zingapangidwe ndikuwunikiridwa.

Palibe mankhwala. Chithandizo cha matenda a enterovirus ndi cholinga chochepetsa zizindikiro. Zachokera pa:

• antipyretics kwa malungo;
• kuchepetsa ululu;
• hydration ndi electrolyte m'malo.

Pagulu la odwala, kulimbikitsa malamulo am'banja komanso / kapena ukhondo - makamaka kusamba m'manja - ndikofunikira kuti muchepetse kufala kwa kachiromboka, makamaka kwa anthu omwe alibe chitetezo chamthupi kapena amayi apakati.

Nthawi zambiri, matenda a enterovirus amatha kwathunthu, koma kuwonongeka kwa mtima kapena dongosolo lapakati la mitsempha nthawi zina kumatha kupha. Ichi ndichifukwa chake zizindikiro zilizonse za febrile zomwe zimagwirizanitsidwa ndi minyewa yam'mitsempha ziyenera kuwonetsa matenda a enterovirus ndipo zimafunikira kukaonana ndi dokotala.