Herpangina

I-Herpangina sisifo sentsholongwane esibandakanya izilonda kunye nezilonda (izilonda) ngaphakathi emlonyeni, umqala obuhlungu, kunye nomkhuhlane.

Isandla, unyawo, kunye nesifo somlomo sisihloko esinxulumene noko.

I-Herpangina yinto eqhelekileyo yosulelo lwabantwana. Ihlala ibonwa kubantwana abaneminyaka emi-3 ukuya kweli-10, kodwa inokwenzeka nakweyiphi na iminyaka yobudala.

Idla ngokubangelwa ziintsholongwane zeqela leCoxsackie. Ezi ntsholongwane ziyosulela. Umntwana wakho usemngciphekweni we-herpangina xa umntu esikolweni okanye ekhaya egula.

Iimpawu zingabandakanya:

• Ifiva
• Intloko ebuhlungu
• Ukuphelelwa ngumdla wokutya
• Umqala obuhlungu, okanye ukuginya okubuhlungu
• Izilonda emlonyeni nasemqaleni, kunye nezilonda ezifanayo ezinyaweni, ezandleni nasezimpundu

Izilonda zihlala zinombala omhlophe ube mhlophe kunye nomda obomvu. Banokuba buhlungu kakhulu. Kwiimeko ezininzi, kukho izilonda ezimbalwa.

Uvavanyo aludingeki ukuba lube yimfuneko. Umboneleli wakho wokhathalelo lwempilo uhlala exhaphaza le meko ngokwenza uvavanyo lomzimba kwaye abuze imibuzo malunga neempawu zomntwana kunye nembali yezonyango.

Iimpawu ziphathwa ngokufunekayo:

• Thatha i-acetaminophen (iTylenol) okanye ibuprofen (Motrin) ngomlomo ngenxa yomkhuhlane nokungonwabi njengoko ugqirha ekucebisa.
• Yandisa ukutya okungamanzi, ngakumbi iimveliso zobisi ezibandayo. Gquma ngamanzi apholileyo okanye uzame ukutya iipopu. Gwema iziselo ezishushu kunye neziqhamo ze-citrus.
• Yitya ukutya okungacaphukisi. (Iimveliso zobisi ezibandayo, kubandakanya i-ayisi khrim, zihlala zezona zikhetho zibalaseleyo ngexesha losulelo lwe-herpangina. Iijusi zeziqhamo zinobuchwephese kakhulu kwaye zithande ukucaphukisa izilonda zomlomo.) Kuphephe ukutya okuqhwethayo, okuthosiweyo, okanye okushushu.
• Sebenzisa ii-anesthetics ezingumlomo kumlomo (ezi zinokuba ne-benzocaine okanye i-xylocaine kwaye zihlala zingafuneki).

Ngokuqhelekileyo esi sifo siyaphela emva kweveki.

Ukuphelelwa ngamanzi emzimbeni yeyona nto ixhaphakileyo, kodwa inokunyangwa ngumboneleli wakho.

Fowunela umnikezeli wakho ukuba:

• Umkhuhlane, umqala obuhlungu, okanye izilonda zomlomo zihlala ngaphezulu kweentsuku ezintlanu
• Umntwana wakho unengxaki yokusela utywala okanye ujonge ukoma
• Umkhuhlane uphakama kakhulu okanye awusuki

Ukuhlamba izandla kakuhle kunokunceda ukuthintela ukusasazeka kweentsholongwane ezikhokelela kolu sulelo.

• Umqala womzimba
• Umlomo womzimba

UJames WD, u-Elston DM, nyanga i-JR, i-Rosenbach MA, i-IM ye-Neuhaus. Izifo zentsholongwane. Ku: James WD, Elston DM, Phatha uJR, Rosenbach MA, Neuhaus IM, ii-eds. Izifo zikaAndrews zolusu: Unyango lweKlinikhi. Umhla we-13. IPhiladelphia, PA: Elsevier; 2020: isahluko 19.

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.