Zvirwere zveEnterovirus zvinokanganisa zvikamu zvakawanda zvemuviri uye zvinogona kukonzerwa nemhando dzakasiyana-siyana dze enteroviruses. Zviratidzo zvinogona kuratidza hutachiona hwe enterovirus zvinosanganisira: fivha, kutemwa nemusoro, chirwere chekufema, kurwadziwa kwehuro, uye dzimwe nguva maronda kana kuputika. Kuongororwa kunobva pakucherechedza zviratidzo uye kuongorora ganda nemuromo. Kurapa kwezvirwere zve enterovirus kune chinangwa chekubvisa zviratidzo.

Enteroviruses chikamu chemhuri yePicornaviridae. Enteroviruses inotapukira vanhu inoiswa mumapoka mana: enteroviruses A, B, C uye D. Zvinosanganisira, pakati pezvimwe:

• Les virus Coxsackie;
• echoviruses;
• polioviruses.

Zvirwere zveEnterovirus zvinogona kukanganisa mapoka ose ezera, asi njodzi yakakura muvana vaduku. Zvinotapurirana zvakanyanya uye zvinowanzobata vanhu vanobva munharaunda imwe chete. Dzimwe nguva vanogona kusvika pachiyero chedenda.

Enteroviruses akapararira pasi rose. Dzakasimba zvikuru uye dzinogona kurarama kwemavhiki mumhoteredzo. Ivo vane mhosva yezvirwere zvakasiyana muvanhu vazhinji gore rega rega, kunyanya muzhizha nekudonha. Sporadic kesi zvakadaro zvinogona kucherechedzwa mukati megore.

Zvirwere zvinotevera zvinongokonzerwa chete ne enteroviruses:

• Chirwere chekufema ne enterovirus D68, iyo muvana yakafanana nechando;
• epidemic pleurodynia kana Bornholm chirwere: inowanzoitika muvana;
• ruoko-tsoka-muromo syndrome;
• herpangina: inowanzobata vacheche nevana;
• poriyo;
• post-poriyo syndrome.

Zvimwe zvirwere zvinogona kukonzerwa ne enteroviruses kana mamwe ma microorganisms, akadai se:

• aseptic meningitis kana viral meningitis: inowanzobata vacheche nevana. Enteroviruses ndiyo inonyanya kukonzera hutachiona hwemeningitis muvana nevakuru;
• encephalitis;
• myopericarditis: inogona kuitika chero zera, asi vanhu vazhinji vane makore makumi maviri kusvika makumi matatu nemapfumbamwe;
• hemorrhagic conjunctivitis.

Enteroviruses inokwanisa kukanganisa nzira yekudya uye dzimwe nguva inopararira kune imwe nzvimbo mumuviri kuburikidza neropa. Kune anopfuura 100 akasiyana enterovirus serotypes anogona kupa nenzira dzakasiyana. Imwe neimwe ye enterovirus serotypes haina kubatanidzwa chete nekiriniki mufananidzo, asi inogona kukonzera chaiyo zviratidzo. Semuenzaniso, hand-foot-mouth syndrome uye herpangina inowanzobatanidzwa neboka A coxsackie viruses, nepo echoviruses inowanzokonzera hutachiona hwemeningitis.

Enteroviruses inobudiswa mumhepo yekufema uye zvigaro, uye dzimwe nguva inowanikwa muropa uye cerebrospinal fluid yevarwere vane utachiona. Ivo saka vanogona kutapurirana nekusangana kwakananga kana neyakasvibiswa nharaunda masosi:

• nekudya zvokudya kana mvura yakasvibiswa nechituru chemunhu ane utachiona, umo utachiona hunogona kuramba huripo kwevhiki dzinoverengeka kana kuti kunyange mwedzi;
• kuisa maoko avo kumuromo mushure mekubata nzvimbo ine mate emunhu ane utachiona, kana madonhwe anobuda kana munhu ane utachiona akahotsira kana kukosora;
• nekufema madonhwe emhepo ane utachiona. Kubuda kwehutachiwana mukudzivirira kwekufema kunowanzotora vhiki 1 kusvika ku3;
• kuburikidza nemate;
• mukubatana nemaronda eganda munyaya yetsoka-hand-mouth syndrome;
• kuburikidza nekutapurirwa kwemwana kubva kuna amai panguva yekusununguka.

Iyo incubation nguva inotora kubva pa3 kusvika kumazuva matanhatu. Nguva yekutapukira yakakura panguva yakaoma yechirwere.

Nepo hutachiona huchikwanisa kusvika kunhengo dzakasiyana uye zviratidzo nekuoma kwechirwere zvinoenderana nenhengo inobatanidzwa, ruzhinji rwehutachiona hwe enterovirus hahuna zviratidzo kana hunokonzera zvinyoro kana zvisina kujeka zviratidzo senge:

• kupindwa nechando ;
• chirwere chepamusoro chekufema;
• musoro;
• manyoka;
• conjunctivitis;
• kuputika kukuru, kusina kukwenya;
• maronda (canker sores) mumuromo.

Isu tinowanzo kutaura nezve "furuwenza yezhizha", kunyangwe isiri furuwenza. Kosi yacho kazhinji haina kunaka, kunze kwemucheche achangozvarwa anogona kuita hutachiona hunogona kuuraya systemic uye muvarwere vane humoral immunosuppression kana pasi pemamwe marapirwo ekudzivirira. 

Zviratidzo zvinowanzopera mukati memazuva gumi.

Kuti uongorore zvirwere zve enterovirus, vanachiremba vanotarisa chero zviputi kana zvipembenene paganda. Vanogona zvakare kuongorora ropa kana kutumira samples dzezvinhu zvakatorwa kubva pahuro, stool kana cerebrospinal fluid kurabhoritari uko zvinozogadzirwa nekuongororwa.

Hapana mushonga. Kurapa kwezvirwere zve enterovirus kune chinangwa chekubvisa zviratidzo. Inobva pa:

• antipyretics nokuda kwefivha;
• zvinoderedza marwadzo;
• hydration uye electrolyte kutsiva.

Mukukurudzira kwevarwere, kusimbisa mitemo yemhuri uye / kana hutsanana hwakaungana - kunyanya kugeza maoko - kwakakosha kuitira kudzikisira kutapurirana kwehutachiona, kunyanya kune vanhu vasina hutachiona kana vakadzi vane pamuviri.

Kazhinji, hutachiona hwe enterovirus hunogadzirisa zvachose, asi kukanganisa kwemoyo kana yepakati tsinga dzimwe nguva kunogona kuuraya. Ichi ndicho chikonzero chero febrile symptomatology inobatanidza neurological symptomatology inofanira kuratidza kuongororwa kwehutachiona hwe enterovirus uye inoda kubvunzurudzwa kwechiremba.