Isifo somlomo wezinyawo

Isifo somlomo wezinyawo yisifo esivamile segciwane esivame ukuqala emphinjeni.

Isifo somlomo wezinyawo (HFMD) sivame ukubangelwa igciwane elibizwa nge-coxsackievirus A16.

Izingane ezingaphansi kweminyaka eyishumi zithinteka kakhulu. Intsha nabantu abadala kwesinye isikhathi bangathola ukutheleleka. I-HFMD ivame ukuvela ehlobo nasekuqaleni kokuwa.

Leli gciwane lingasakazeka lisuke kumuntu liye kumuntu ngamaconsi amancane, omoya akhishwa lapho ogulayo ethimula, ekhwehlela noma eshaya amakhala. Ungasibamba isifo somlomo wezinyawo uma:

• Umuntu onesifo uthimula, akhwehlele, noma ashaye amakhala eduze kwakho.
• Uthinta ikhala lakho, amehlo, noma umlomo ngemuva kokuthinta okuthile okungcoliswe yigciwane, njengethoyizi noma induku yomnyango.
• Uthinta indle noma uketshezi oluvela kumabhamuza omuntu onegciwane.

Leli gciwane lisakazeka kalula ngesonto lokuqala lapho umuntu enalesi sifo.

Isikhathi phakathi kokuthintana negciwane kanye nokuqala kwezimpawu cishe izinsuku ezingama-3 kuya kwezi-7. Izimpawu zifaka:

• Imfiva
• Ubuhlungu bekhanda
• Ukuphelelwa isifiso sokudla
• I-Rash enamabhamuza amancane kakhulu ezandleni, ezinyaweni, nasendaweni ye-diaper engahle ibe nethenda noma ibuhlungu lapho icindezelwa
• Umphimbo obuhlungu
• Izilonda emphinjeni (kufaka phakathi amalaka), umlomo nolimi

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Imvamisa, ukuxilongwa kungenziwa ngokubuza ngezimpawu nokuqubuka ezandleni nasezinyaweni.

Akukho ukwelashwa okuqondile kokutheleleka ngaphandle kokukhululeka kwezimpawu.

Ama-antibiotic awasebenzi ngoba ukutheleleka kubangelwa igciwane. (Imithi elwa namagciwane ilapha izifo ezibangelwa amagciwane, hhayi amagciwane.) Ukwehlisa izimpawu, ukunakekelwa kwasekhaya okulandelayo kungasetshenziswa:

• Imithi ethengiswayo, efana ne-acetaminophen (Tylenol) noma ibuprofen ingasetshenziselwa ukwelapha umkhuhlane. I-Aspirin akufanele inikezwe izifo ezibangelwa amagciwane ezinganeni ezingaphansi kweminyaka engu-18.
• Ukuhlanza umlomo wamanzi anosawoti (1/2 ithisipuni, noma u-6 amagremu, kasawoti engilazini eyodwa yamanzi afudumele) kungaduduza.
• Phuza uketshezi oluningi. Uketshezi oluhamba phambili yimikhiqizo yobisi olubandayo. Ungaphuzi ijusi noma isoda ngoba okuqukethwe kwabo i-asidi kubangela izinhlungu ezivuthayo ezilondeni.

Ukubuyiselwa okuphelele kwenzeka ezinsukwini ezi-5 kuya kwezi-7.

Izinkinga ezingenzeka ezingavela ku-HFMD zifaka:

• Ukulahlekelwa uketshezi lomzimba (ukoma)
• Ukuquleka ngenxa yomkhuhlane omkhulu (ukuqubuka okuncane)

Shayela umhlinzeki wakho uma kunezimpawu zezinkinga, ezinjengobuhlungu entanyeni noma ezingalweni nasemilenzeni. Izimpawu zezimo eziphuthumayo zifaka ukudlikizela.

Kufanele futhi ushayele uma:

• Imithi ayinciphisi umkhuhlane omkhulu
• Izimpawu zokuphela kwamanzi emzimbeni zenzeka, njengesikhumba esomile nolwelwesi lwamafinyila, ukwehla kwesisindo, ukucasulwa, ukwehla kokuqwashisa, ukwehla noma umchamo omnyama

Gwema ukuxhumana nabantu abane-HFMD. Geza izandla zakho kahle futhi kaningi, ikakhulukazi uma uxhumana nabantu abagulayo. Futhi fundisa izingane ukugeza izandla kahle futhi kaningi.

Ukutheleleka kweCoxsackievirus; Isifo se-HFM

• Isifo somlomo wezinyawo
• Isifo sesandla, unyawo nomlomo ematheni
• Isifo sesandla, sonyawo, nomlomo esandleni
• Isandla, unyawo, nesifo somlomo onyaweni
• Isandla, unyawo, nesifo somlomo - umlomo
• Isandla, unyawo, nesifo somlomo onyaweni

I-Dinulos JGH. Ukuqhuma kwezidakamizwa nokuqhuma kwezidakamizwa. Ku: I-Dinulos JGH, ed. IHabif's Clinical Dermatology. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 14.

UMessacar K, Abzug MJ. Ama-nonpolio enteroviruses. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 277.

URomero JR. Ama-Coxsackievirus, ama-echoviruses, nama-enteroviruses anezinombolo (EV-A71, EVD-68, EVD-70). Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 172.