Isifo somlenze wesandla

Isifo somlomo wesandla-seenyawo sisifo esiqhelekileyo sentsholongwane esihlala siqala emqaleni.

Isifo somlomo wesandla seenyawo (HFMD) sihlala sibangelwa yintsholongwane ebizwa ngokuba yi-coxsackievirus A16.

Abantwana abangaphantsi kweminyaka eli-10 bachaphazeleka kakhulu. Ulutsha kunye nabantu abadala ngamanye amaxesha banokufumana usulelo. I-HFMD ihlala ivela ehlotyeni nasekuqaleni kokuwa.

Intsholongwane ingasasazeka ukusuka kumntu ukuya kumntu ngokusebenzisa amancinci, amaconsi omoya akhutshwa xa umntu ogulayo ethimla, ekhohlela okanye evuthela impumlo. Unokusibamba isifo somlomo weenyawo ukuba:

• Umntu osulelayo uthimla, akhohlele okanye avuthele impumlo kufutshane nawe.
• Uchukumisa impumlo, amehlo, okanye umlomo emva kokuba uchukumise into engcoliswe yintsholongwane, enje ngento yokudlala okanye idolo lomnyango.
• Uchukumisa ilindle okanye ulwelo olusuka kumadyungudyungu omntu osulelekileyo.

Intsholongwane isasazeka ngokulula kwiveki yokuqala umntu onesifo.

Ixesha eliphakathi kokudibana nentsholongwane kunye nokuqala kweempawu zimalunga neentsuku ezi-3 ukuya kwezi-7. Iimpawu zibandakanya:

• Ifiva
• Intloko ebuhlungu
• Ukuphelelwa ngumdla wokutya
• Irash enamadyungudyungu amancinci ezandleni, ezinyaweni, nakwindawo enamathambo enokuba ithenda okanye ibuhlungu xa icinezelwe
• Umqala obuhkungu
• Izilonda emqaleni (kubandakanya iitoni), umlomo kunye nolwimi

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Ngokwesiqhelo, isifo sinokwenziwa ngokubuza malunga neempawu kunye nerhashalala ezandleni nasezinyaweni.

Akukho lunyango oluthile kusulelo ngaphandle kokukhululeka kwempawu.

Amayeza okubulala iintsholongwane awasebenzi kuba usulelo lubangelwa yintsholongwane. (Amayeza okubulala iintsholongwane anyanga usulelo olubangelwa ziintsholongwane, hayi ii-virus.) Ukuthomalalisa iimpawu, olu nyango lwasekhaya lungasetyenziswa:

• Amayeza angaphezulu kwekhawuntareni, anje nge-acetaminophen (iTylenol) okanye ibuprofen anokusetyenziselwa ukunyanga umkhuhlane. I-Aspirin akufuneki inikwe izifo zentsholongwane kubantwana abangaphantsi kweminyaka eyi-18.
• Iityuwa zomlomo wetyuwa yamanzi (i-1/2 itispuni, okanye i-6 gram, ityuwa kwi-1 iglasi yamanzi afudumeleyo) inokuthuthuzela.
• Sela amanzi amaninzi. Olona lwelo lubalaseleyo ziimveliso zobisi olubandayo. Musa ukusela ijusi okanye isoda kuba umxholo weasidi yabo ubangela iintlungu ezivuthayo kwizilonda.

Ukubuyiselwa okupheleleyo kwenzeka kwiintsuku ezi-5 ukuya kwezi-7.

Iingxaki ezinokubakho ezivela kwi-HFMD zibandakanya:

• Ukuphulukana nolwelo lomzimba (ukomisa)
• Ukuxhuzula ngenxa yomkhuhlane omkhulu (ukuxhuzula okungathethekiyo)

Fowunela umboneleli wakho ukuba kukho imiqondiso yeengxaki, ezinjengentlungu entanyeni okanye ezingalweni nasemilenzeni. Iimpawu ezingxamisekileyo zibandakanya ukuxhuzula.

Kuya kufuneka ubize ukuba:

• Iyeza aliwuthobi umkhuhlane omkhulu
• Iimpawu zokuphelelwa ngamanzi emzimbeni ziyenzeka, ezinje ngesikhumba esomileyo kunye neembumba zencindi, ukwehla kobunzima, ukuba nochuku, ukunciphisa ukulumka, ukwehla okanye umchamo omnyama

Gwema ukudibana nabantu abane-HFMD. Hlamba izandla zakho kakuhle kwaye rhoqo, ngakumbi ukuba unxibelelana nabantu abagulayo. Fundisa abantwana ukuba bahlambe izandla zabo kwaye rhoqo.

Coxsackievirus usulelo; Isifo seHFM

• Isifo somlenze wesandla
• Isandla, unyawo, kunye nesifo somlomo kwiinyawo
• Isandla, unyawo, kunye nesifo somlomo esandleni
• Isandla, unyawo, kunye nesifo somlomo elunyaweni
• Isandla, unyawo kunye nesifo somlomo - umlomo
• Isandla, unyawo, kunye nesifo somlomo elunyaweni

IDinulos JGH. Ukuqhuma kunye neziyobisi. Ku: I-Dinulos JGH, ed. Ugqirha wezonyango waseHabif. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 14.

UMessacar K, Abzug MJ. Ii-enteroviruses ezingasebenziyo. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; I-2020: isahluko 277.

URomero JR. Ii-Coxsackievirus, ii-echoviruses, kunye neenombolo ze-enteroviruses (EV-A71, EVD-68, EVD-70). Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahl. 172.