Sababaha Cudurka, Cagaha, iyo Cudur
Marka laga soo tago norovirus , johluacker virus waxaa laga yaabaa inuu yahay mid ka mid ah cudurrada fayraska ah ee ugu badan ee aanad marnaba maqlin. Markii ugu horeysay ee la ogaado 1940-kii, waa nooc ka mid ah giraanta non-polio enterovirus. Kooxdan fayrasyada ah waxa kale oo ka mid ah fayraska iyo enterovirus-yada kale (mid ka mid ah, enterovirus D68 , wuxuu sababay cudur qaran oo ka dilaacay cudurada wadnaha ee dalka Mareykanka kaas oo la xiriiray curyaannimo).
Inkastoo aanad aqoon u lahayn coxsackievirus, inkastoo, haddii aad leedahay ilmo waxaa jira fursad wanaagsan oo aad ka ogtahay infekshanka iyo sida mid ka mid ah muruqyada uu sababo cududaha, cagaha, iyo afka afka (HFMD). Waa cudur faafa oo caadi ah ee carruurnimada hore, oo ay keento coxsackievirus A16.
Wadar ahaan, waxaa jira 29 serotypes of coxsackievirus kuwaas oo keeni kara infekshan dadka, oo ay ku jiraan:
- Coxsackievirus A2-8, A10, A12, A14, A16 (nooc ka mid ah giraanta dadku A)
- Coxsackievirus A9 (nooc ka mid ah enterovirus B)
- Coxsackievirus B1-6 (nooc ka mid ah enterovirus B)
- Coxsackievirus A1, A11, A13, A17, A19-22, A24 (nooca C Enterovirus C)
Laga soo bilaabo 2007, coxsackievirus A6 waxay sababtay dhacdooyin aad u daran oo aan haysanin HFMD ee Maraykanka, oo ay ku jiraan dadka waaweyn.
Infakshannada Coxsackievirus ee kala duwan
Mar labaad, HFMD, oo leh boogaha afka ilmo-galeenka iyo gacmaha iyo lugaha, ayaa caadi ahaan ah cudurka ugu caansan ee uu keeno coxsackievirus, laakiin coxsackievirus ayaa sidoo kale lala xiriiriyaa:
- infakshanka ku dhasha: cudurada ku dhaca uurka oo ku faafaya ilmaha caloosha
- infakshanka dhalida: dhif ah, laakiin wuxuu sababi karaa dhibaatooyin dhiig-baxa, cagaarshow, meningitis, meningoensephalitis, myocarditis, iyo sepsis, iwm, waxaana lagu muujiyay cudurada kudhaca cudurada coxsackievirus B1 sanadka 2007
- Cudurka 'Coxsackievirus A24' wuxuu sababi karaa dillaac indhaha oo casaan ah oo leh dhiig baxa 'subconsciousal'
- Cudurka kaadimareenka: Coxsackievirus wuxuu sababi karaa cagaarshow, shuban aan lahayn, ama gastroenteritis , iyo HUS.
- herpangina: oo la mid ah HFMD, oo leh boogo afka ah, laakiin aan lahayn finan ama finan ku yaal gacmaha ama cagaha ilmaha
- qoorgooyaha
- Myopericarditis: caabuq iyo dhaawaca murqaha wadnaha iyo sac ku wareegsan wadnaha, taas oo ay sababi karto jeermisackievirus B1, B2, iyo infakshanka B5
- oosositis: caabuqa muruq, taas oo ay sababi karto caabuqyada coxsackievirus
- malqacadaha iyo finanka finanka: gaar ahaan coxsackievirus A9, oo laga yaabo inay ku wareeraan Henoch-Schonlein purpura (HSP)
- pleurodynia: si lama filaan ah uga soo baxa laabta laabta oo ay keento caabuq ka yimaada diaphragm oo ku xiran infekshanka
- Cudurrada neefsashada: badanaa leh qufac fudud, sanka oo duufsan, iyo dhuun xanuun iyo waxa keeni kara coxsackievirus A21 iyo A24 inta lagu jiro bilaha xagaaga
Dhiigga xuubka ayaa sidoo kale sababi kara cudurro xummo leh iyo jirro xummad oo kale ah-qandho ah ilaa laba illaa saddex maalmood kaddibna waxaa ku xiga fowdo muddo hal ilaa shan maalmood ah.
Waxaa la yaab leh, inta badan dadka qaba infakshanka coxsackievirus wax calaamado ah ma laha, mana jiraan tallaal, daaweyn, ama daaweyn cudurada coxsackievirus marka laga reebo daryeelka taageerada iyo astaamaha daaweynta.
Taasi waxay u muuqataa mid walaac leh, laakiin nasiib wanaag, infekshanada ugu badan ee coxsackievirus ma ahan mid halis ah.
Helitaanka iyo Ka Fogaanshaha Caabuqyada Coxsackievirus
Carruurtu waxay jiran karaan illaa saddex ilaa lix maalmood ka dib markii ay ku dhacaan qof qaba infekshanka 'coxsackievirus' ( muddada kaboojinta ). Sidee ayay u helaan fayraskan?
Sida cudurrada fayraska ah ee badan, koxsackievirus ayaa ku faafa labadaba saxaaxa (taabasho toos ah ama aan toos ahayn saxarada) iyo gudbinta neefsiga (qof ku qufaco ama hindhiso). Waxay sidoo kale ku qaadi karaan infakshannada iyaga oo taabanaya shay ay wasakheysan yihiin (fomit).
Tusaale ahaan, CDC waxay sheegaysaa in "aad ku qaadi kartid dhunkasho qof leh cudud gacanta, lugta, iyo afka ama adigoo taabanaya hannaanka fayraska ee fayruusyada, ka dibna taabashada indhaha, afka, ama sanka."
Weli, sababtoo ah caruurtu waxay daadin karaan saxarada iyo xakamaynta neef-mareenka (candhuuf iyo sanka sanka) toddobaadyo ka dib markii calaamadaha ay baxeen ama xitaa aysan lahayn calaamado, dillaaca way adagtahay in la xakameeyo ama laga fogaado.
Taasi waa sababta ay u badan tahay inaysan jirin xeerar adag oo lagu xanaaneeyo caruurta ka baxsan dugsiga iyo xanaanada marka ay qabaan HFMD. Tusaale ahaan, CDC, ayaa sheegaya in "Waa inaad joogtaa guriga inta aad jiran tahay gacanta, lugta, iyo afka," iyo inaanad joogin guriga markaad haysato HFMD. Iyo Texas, Waaxda Caafimaadka ayaa sheegaysa in caruurta HFMD ay aadi karaan dugsi iyo xannaano maalmeed illaa inta aanay haysan qandho.
Iyadoo aan loo eegin, gacmo-dhaqashada, ka ilaalinta dheecaanka neefsashada, iyo jeermisyada dusha sare ee wasakhaysan waxay ka muhiimsan yihiin weligoodba si looga caawiyo in ay iska ilaaliyaan jirrooyinka iyo faafitaanka cuduradaan.
Xaqiiqda ah in la ogaado Coxsackievirus
Waxyaabaha kale ee lagu yaqaanno infekshanada coxsackievirus waxaa ka mid ah:
- Dalalka kale waxay mararka qaarkood arkaan xaalado daran oo HFMD ah, oo badanaa keena enterovirus 71.
- Coxsackievirus looma tixgelinayo halis weyn inta uurka, maaha sida cudurka Fifth-ka, inkastoo ay tahay inaad qaadato tallaabooyin taxaddar ah oo aad iska ilaaliso qof kasta oo qaba HFMD ama infekshanka kale ee coxsackievirus haddii aad uur leedahay.
- In kasta oo khilaafka, khubarada qaarkood waxay u maleynayaan in nooca 1aad ee sonkorowga noocyadda nooca 1-aad uu ku xiran yahay infekshannada noocyada hore ee coxsackievirus B.
- Maqaarka loo feero gacmaha iyo cagaha iyo dystrophies ayaa dhici karta ka dib marka infekshanada coxsackievirus, gaar ahaan coxsackievirus A6. Cadaadiska ciddida waxaa uu u dhexeeyaa khadadka Beau (qotodheerta hoose ee ciddiyaha ciddiyaha ilmaha), ciddida jebinta, si dhab ah looga lumiyo hal ama dhowr ciddiyo iyo dhacdaa hal ilaa laba bilood ka dib infekshanka asaasiga ah.
- Baaritaanka waxaa loo samayn karaa noocyada kala duwan ee coxsackievirus, oo ay ku jirto isbedelka dib-u-celinta-polymerase-polymerase (PCR), laakiin ma aha wax si joogto ah ama si deg-deg ah u qaban kara xafiiska dhakhtarka caruurta. Sida caadiga ah lagama maarmaan maahan.
- Caabuqyada infakshanada coxsackievirus waxay u muuqdaan inay ku dhacaan wareegyo saddex ilaa shan sano ah, halka kuwa kale ay ku wareegaan heerar hooseeya sannad walba, gaar ahaan cimilada kulaylaha. Qaybaha kale ee adduunka, oo ay ku jiraan Maraykanka, infekshanada coxsackievirus ayaa ka badan inta lagu jiro xagaaga iyo xilliga dayrta.
- Qaadashada infakshanka xaydhka ah ee serotype ayaa ku siinaya difaac midkale oo kale ah, sidaas darteed waxaad u dhigi kartaa, oo laga yaabo, inuu ku dhaco infakshanada coxsackievirus dhowr jeer noloshaada. Xakameynta iskudhexaha u dhexeeya serotypes ayaa laga yaabaa inay bixiyaan difaac yar, inkastoo.
Ilaha:
Kordhinta Cudurrada iyo Cudurka Dhallaanka ee Dumarka ah ee La Xiriira Coxsackievirus B1 Infekshanka. Mareykanka. 2007. MMWR. May 23, 2008/57 (20), 553-556.
Mandell, Douglas, iyo Bennett Mabaadii'da iyo Tababarka Cudurrada Cudurrada leh. Somali Edition.
McIntyre MG, et al. Xogta ka timid Goobta: Cudurka Hagaagsan, Cagaha, iyo Cudurada Qaaxada ee kuxiran Coxsackievirus A6 - Alabama, Connecticut, California, iyo Nevada, Noofambar 2011-Febraayo 2012. MMWR. Maarso 30, 2012/61 (12) 213-214.
Oberste MS, Gerber SI. Enteroviruses iyo parechoviruses. 2014. In: Cudurada Viral ee Dadka, 5th ed .; Kaslow RA, Stanberry LR, LeDuc JW, eds. Duufaan, New York; pp 225-252.
Red Book: 2015 Warbixinta Guddiga Cudurrada faafa. Qaadashada LK, ed. 30th ed. Elk Grove Village, IL: Akademiyada Maraykanka ee Cudurada Carruurta; 2015.
Stewart, et al. Coxsackievirus A6-Cudurka Cudurka-Cudurka-Cudurka. JAMA Dermatol . 2013; 149 (12): 1419-1421.