Hand, Foot and Mouth Disease
Sumber yang dirujuk
Artikel ini adalah kandungan pendidikan pesakit asli.
- WHO—Health topics A–Z(2024)
- NHS—Health A to Z(2024)
- CDC—Health topics(2024)
Berdasarkan garis panduan klinikal antarabangsa
Gambaran keseluruhan
Hand, foot and mouth disease is a common viral illness that usually affects young children. It causes a rash with blisters on the hands, feet, and inside the mouth. The illness is usually mild and clears up on its own within a week to 10 days.
Fakta utama
- It is caused by a virus, most often the coxsackievirus.
- It spreads easily through coughs, sneezes, and contact with fluid from blisters or infected poo.
- Most children recover without needing any treatment.
Yes, hand, foot and mouth disease is very common, especially in young children who go to nursery, preschool, or other childcare settings.
It mainly affects children under 5 years old, but older children, teenagers, and adults can also get it.
Gejala
- Seizures (fits)
- Trouble breathing or rapid breathing
- Signs of dehydration: dry mouth, no urine for 8 hours, sunken eyes, or very sleepy and hard to wake
- High fever that does not come down with paracetamol or ibuprofen (ask your doctor or pharmacist for correct dosing)
- ⚠Child is in severe pain, especially when swallowing
- ⚠Not drinking enough fluids to stay hydrated
- ⚠Blisters look infected – they are red, swollen, or oozing pus
Gejala biasa
- Fever
- Sore throat
- Feeling tired and irritable
- Loss of appetite
- A rash of small, red spots on the palms of the hands and soles of the feet that may turn into blisters
- Painful sores or blisters inside the mouth (on the tongue, gums, and inside the cheeks)
Gejala pada kanak-kanak
- Fussiness and crying more than usual
- Drooling because it hurts to swallow
- Refusing to eat or drink
- Trouble sleeping
Gejala pada orang dewasa yang lebih tua
- Same symptoms as children, but often more severe sore throat and tiredness
- Rash may be less noticeable or appear as red spots without blisters
- Sometimes joint pain
Punca
Punca utama
- Infection with a virus from the enterovirus group, most commonly coxsackievirus A16
- The virus spreads through contact with infected droplets from coughs or sneezes, fluid from blisters, or infected poo
Faktor risiko
- Attending daycare, nursery, or preschool where children are in close contact
- Not washing hands often enough
- Living in a large family or crowded setting
- Weakened immune system (rare, but can increase risk of severe illness)
Bila perlu berjumpa doktor
Jumpa doktor dengan segera jika:
- If your child shows signs of dehydration (dry mouth, no tears, not peeing as much as usual)
- If fever lasts more than 3 days despite using fever-reducing medicines
- If your child is very drowsy, confused, or has a stiff neck
Buat temujanji rutin jika:
- If you are not sure whether it is hand, foot and mouth disease or something else
- If symptoms are getting worse instead of better after a few days
- For advice on managing pain and keeping your child comfortable
Diagnosis
Doctors usually diagnose hand, foot and mouth disease by looking at the rash and sores and asking about symptoms. No special tests are needed for most cases.
Ujian yang mungkin dilakukan
- In rare or unclear cases, a doctor may take a swab from the throat or a blister to send to a lab for testing.
- Blood tests are not usually needed unless there are concerns about other illnesses.
Apa yang diharapkan semasa temujanji anda
The doctor will examine your child – looking at the rash, inside the mouth, and checking temperature and signs of dehydration. They will ask about symptoms and how your child is feeling.
Rawatan
There is no specific medicine to cure hand, foot and mouth disease. Treatment focuses on relieving symptoms and making sure your child stays hydrated and comfortable until the virus clears.
Penjagaan diri di rumah
- Offer plenty of fluids: water, milk, cool soft drinks, ice lollies, and soup. Avoid acidic drinks like orange juice that can sting.
- Provide soft, cool foods like yoghurt, mashed potatoes, and smoothies. Avoid salty or spicy foods.
- Give paracetamol or ibuprofen (check the correct dose for your child's age and weight with your pharmacist or doctor) to reduce fever and pain.
- Let your child rest as much as they need.
- Keep blisters clean and dry to prevent infection. Do not pop them.
Rawatan perubatan
For severe mouth pain, a doctor may recommend a mouthwash or gel that numbs the area. In hospital, if a child becomes very dehydrated, they may be given fluids through a drip.
Hidup dengan keadaan ini
Keep your child at home away from nursery, school, or play dates until the blisters have dried up and they feel better (usually about a week). Wash hands often and clean toys and surfaces to stop the virus spreading to others in the house.
Tip gaya hidup
- Practice good hand hygiene – wash hands with soap and water after changing nappies, after using the toilet, and before eating.
- Avoid close contact like kissing or hugging while the rash is present.
- Disinfect shared items like cups, utensils, and towels.
Diet dan senaman
Offer small, frequent sips of cool fluids. Soft, bland foods are best. Avoid hard, crunchy, or acidic foods. Gentle play is fine if your child feels up to it, but rest is important.
Kesihatan mental dan kesejahteraan emosi
The illness can be uncomfortable and upsetting for children because of the mouth sores and feeling unwell. Offer extra cuddles, distract with stories or quiet games, and be patient. Most children feel better within a few days.
Pencegahan
You can reduce the risk by washing hands regularly with soap and water, especially after changing nappies or contact with an infected person. Clean shared toys and surfaces often. Avoid sharing cups, utensils, and towels. There is no way to completely prevent it because it spreads easily.
Komplikasi
Jika tidak dirawat
- Dehydration – if a child refuses to drink because of mouth pain, they may become dehydrated.
- Viral meningitis – very rarely, the virus can cause inflammation of the lining around the brain and spinal cord. This usually resolves on its own without lasting problems.
- Secondary bacterial infection – if blisters get scratched and become infected, they may need antibiotic treatment.
Pandangan jangka panjang
Hand, foot and mouth disease is almost always a mild illness that goes away on its own. Children recover fully within 7 to 10 days. Serious complications are very rare, and a full recovery is the expected outcome.
Cari sokongan
Organisasi antarabangsa
Organisasi tempatan
- NHS (UK) ↗ · United Kingdom
- Healthline (US) ↗ · United States
Talian bantuan
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Sentiasa sahkan dengan doktor anda
Garis panduan kesihatan berbeza mengikut negara dan wilayah. Maklumat dalam artikel ini adalah berdasarkan garis panduan klinikal antarabangsa tetapi mungkin tidak mencerminkan garis panduan, ubat-ubatan, atau amalan khusus di negara anda. Sentiasa bincangkan kebimbangan kesihatan anda dengan doktor atau penyedia penjagaan kesihatan anda sendiri, dan rujuk garis panduan kesihatan nasional tempatan anda jika ada.
Notis penting Maklumat ini adalah untuk tujuan pendidikan sahaja. Ia tidak menggantikan nasihat perubatan, diagnosis, atau rawatan profesional. Sentiasa berunding dengan penyedia penjagaan kesihatan yang berkelayakan tentang situasi khusus anda. Jika anda mengalami kecemasan perubatan, hubungi perkhidmatan kecemasan tempatan anda dengan segera.