Hoʻopilikia nā maʻi Enterovirus i nā ʻāpana he nui o ke kino a hiki ke hoʻokumu ʻia e nā maʻi like ʻole o nā enterovirus. ʻO nā hōʻailona e hōʻike ana i kahi maʻi enterovirus: ke kuni, ke poʻo, ka maʻi hanu, ka ʻeha ʻāʻī, a i kekahi manawa ka maʻi ʻeha a i ʻole ka ʻūhā. Hoʻokumu ʻia ka ʻike ma ka nānā ʻana i nā hōʻailona a me ka nānā ʻana i ka ʻili a me ka waha. ʻO ka lāʻau lapaʻau no nā maʻi enterovirus e hoʻopau i nā hōʻailona.

He ʻāpana ʻo Enterovirus o ka ʻohana Picornaviridae. Hoʻopili ʻia nā Enteroviruses e hoʻopili ai i ke kanaka i 4 mau pūʻulu: enteroviruses A, B, C a me D. Aia lākou, a me nā mea ʻē aʻe:

• nā maʻi maʻi coxsackie;
• nā echovirus;
• poliovirus.

Hiki i nā maʻi Enterovirus ke hoʻopilikia i nā hui makahiki āpau, akā ʻoi aku ka nui o ka pilikia i nā keiki liʻiliʻi. He maʻi lele loa lākou a pili pinepine i nā poʻe mai ke kaiāulu hoʻokahi. Hiki iā lākou ke hōʻea i nā maʻi ahulau i kekahi manawa.

Laha ʻia nā Enterovirus a puni ka honua. He paʻakikī loa lākou a hiki ke ola no nā pule ma ke kaiapuni. ʻO lākou ke kuleana no nā maʻi like ʻole i nā poʻe he nui i kēlā me kēia makahiki, ʻo ke kauwela a me ka hāʻule. Hiki ke ʻike ʻia nā hihia sporadic a puni ka makahiki.

ʻO nā maʻi ma lalo nei ke kumu wale nō e nā enterovirus:

• ʻO ka maʻi hanu me ka enterovirus D68, i loko o nā keiki e like me ke anu maʻamau;
• ʻO ka maʻi maʻi pleurodynia a i ʻole ka maʻi Bornholm: he mea maʻamau i nā keiki;
• maʻi lima-wāwae-waha;
• herpangina: pili pinepine i nā pēpē a me nā keiki;
• polio;
• post-polio syndrome.

Hiki ke hoʻokumu ʻia nā maʻi ʻē aʻe e nā enterovirus a i ʻole nā ​​microorganism ʻē aʻe, e like me:

• maningitis aseptic a i ʻole maʻi maʻi viral: pili pinepine ia i nā pēpē a me nā keiki. ʻO Enteroviruses ke kumu nui o ka maningitis viral i nā keiki a me nā mākua;
• encephalitis;
• myopericarditis: hiki ke loaʻa i kēlā me kēia makahiki, akā ʻo ka hapa nui o nā kānaka he 20 a 39 mau makahiki;
• hemorrhagic conjunctivitis.

Hiki i nā Enterovirus ke hoʻopōʻino i ka ʻāpana digestive a i kekahi manawa hoʻolaha i nā wahi ʻē aʻe o ke kino ma o ke koko. Aia ma luna o 100 mau serotypes enterovirus e hiki ke hōʻike i nā ʻano like ʻole. ʻAʻole pili wale kēlā me kēia enterovirus serotypes me kahi kiʻi lapaʻau, akā hiki ke hoʻoulu i nā hōʻailona kikoʻī. No ka laʻana, pili pinepine ʻia ka maʻi lima-wāwae-waha a me ka herpangina me nā maʻi maʻi coxsackie hui A, aʻo nā echoviruses ke kuleana pinepine i ka maningitis viral.

Hoʻokuʻu ʻia nā Enterovirus i loko o nā mea huna hanu a me nā ʻōpū, a i kekahi manawa aia i loko o ke koko a me ka wai cerebrospinal o nā maʻi maʻi. No laila hiki ke hoʻouna ʻia ma o ka hoʻopili pololei ʻana a i ʻole nā ​​kumu kūlohelohe i hoʻohaumia ʻia:

• ma ka ʻai ʻana i ka meaʻai a i ʻole ka wai i haumia i ka ʻili o ka mea maʻi, kahi e mau ai ka maʻi maʻi no kekahi mau pule a i ʻole mau mahina;
• e kau ana i ko lakou mau lima ma ko lakou waha ma hope o ka hoopa ana i ka lepo i haumia i ka kohu o ke kanaka mai, a i ole na kulu i kipakuia i ka wa e kihe ai ka ma'i a i ka mai;
• ma ka hoʻohāhā ʻana i nā kulu lele lele. ʻO ka hoʻokahe ʻana i nā maʻi maʻi i loko o nā mea huna hanu he mau 1 a 3 mau pule;
• ma ka ʻāʻī;
• i ka hoʻopili ʻana me nā ʻili ʻili i ka hihia o ka maʻi wāwae-lima-waha;
• ma o ka lawe ʻana o ka makuahine-fetal i ka wā hānau.

ʻO ka manawa incubation mai 3 a 6 mau lā. ʻOi aku ka nui o ka manawa o ka maʻi maʻi i ka wā o ka maʻi.

ʻOiai hiki i ka maʻi maʻi ke hōʻea i nā ʻāpana like ʻole a ʻo nā hōʻailona a me ke koʻikoʻi o ka maʻi e pili ana i ke kino e pili ana, ʻo ka hapa nui o nā maʻi enterovirus he asymptomatic a i ʻole ke kumu o nā hōʻailona maʻalahi a ʻaʻole kikoʻī paha e like me:

• kuni;
• ka maʻi o ka ʻōpū hanu luna;
• ʻeha poʻo poʻo;
• pāhoehoe;
• conjunctivitis;
• he maʻi maʻamau, ʻaʻohe ʻeha;
• ʻeha ma ka waha.

Ke kamaʻilio pinepine nei mākou e pili ana i ka "flu kauwela", ʻoiai ʻaʻole ia ka maʻi maʻi. ʻO ka maʻi maʻi me ka immunosuppression humoral a i ʻole ma lalo o kekahi mau lāʻau immunosuppressive. 

Hoʻopau maʻamau nā hōʻailona i loko o 10 mau lā.

No ka ʻike ʻana i nā maʻi enterovirus, ʻimi nā kauka i nā ʻōpala a i ʻole nā ​​​​ʻeha ma ka ʻili. Hiki iā lākou ke hana i nā hoʻāʻo koko a i ʻole e hoʻouna i nā laʻana o nā mea i lawe ʻia mai ka ʻāʻī, ka ʻāʻī a i ʻole ka wai cerebrospinal i kahi keʻena hana e hoʻomaʻamaʻa ʻia a nānā ʻia.

ʻAʻohe lāʻau. ʻO ka mālama ʻana i nā maʻi enterovirus e hoʻopau i nā hōʻailona. Aia ma luna o:

• antipyretics no ke kuni;
• nā mea hōʻeha ʻeha;
• hydration a me ka hoʻololi electrolyte.

I ka hui ʻana o ka poʻe maʻi, ʻo ka hoʻoikaika ʻana i nā lula o ka ʻohana a / a i ʻole ka maʻemaʻe hui - ʻoi aku ka holoi lima - he mea nui ia i mea e kaupalena ʻia ai ka hoʻoili ʻia ʻana o ka maʻi, i ka poʻe immunocompromised a i nā wahine hāpai.

ʻO ka maʻamau, hoʻopau loa nā maʻi enterovirus, akā hiki ke make i ka puʻuwai a i ʻole nā ​​​​pūnaewele pūpū i kekahi manawa. ʻO ia ke kumu e hōʻike ai kekahi hōʻailona febrile e pili ana i kahi hōʻailona neurological e hōʻike i ka hōʻailona o ka maʻi enterovirus a koi i kahi kūkākūkā olakino.