<prompt> Fingqa isihloko: Igciwane eliqala njengomkhuhlane ovamile lingase libangele ukuba izingane ezingaphezu kweziyikhulu zibe nesifo sokukhubazeka. Ehlobo eledlule, izingane nentsha engaphezu kuka-1 000 ezweni lonke zafakwa esibhedlela ngenxa yezimpawu ezazibonakala zibangelwa uhlobo oluthile lwe-enterovirus olubi kakhulu. Nakuba ezinye zezingane zabonisa izimpawu ezincane kuphela zaleli gciwane - njengokusuka kwempumulo, ukuthimula nokukhwehlela - ezinye zabhekana nobuthakathaka bezitho zomzimba okwaholela ekhubazekeni okuphelele. Odokotela ababenakekela izingane ezigulayo baqala ukuhlobanisa lesi sifo ne-pathogen ebizwa ngokuthi i-enterovirus D-68. Ucwaningo olusha olushicilelwe ngoMsombuluko luye lwaqinisa ukuxhumana phakathi kwe-enterovirus D68 kanye nokukhubazeka okungazelelwe kwezingane ezingaphezu kuka-100 ngonyaka odlule. Ucwaningo olusha olwanyatheliswa ngoMsombuluko ephephabhukwini i - Lancet Infectious Diseases luye lwasekela leyo mibono yokuqala, ngemva kokulandela intuthuko yezingane ezingu - 25 eCalifornia naseColorado ezaba nesifo sokukhubazeka. Ama-enterovirus awuhlobo lwegciwane elisebenzisa i-RNA eyodwa ukuze liziphindaphinde ngaphakathi kwamangqamuzana ezilwane ezincelisayo. Phakathi kwamanye ama - enterovirus kukhona i - polio, igciwane elibangela isifo se - Hand Foot and Mouth kanye namanye abangela izifo ezihlukahlukene zokuphefumula. I-enterovirus D-68 iphakathi kwama-enterovirus asanda kutholakala futhi yabonwa okokuqala eCalifornia ngo-1962. Kungabangela izifo zokuphefumula ezincane noma ezinzima futhi kungenzeka zisakazeke ngokungenisa izinhlayiya zegciwane lapho umuntu onegciwane ekhwehlela, ethimula, noma ethinta okuthile. Eminyakeni eyedlule kuye kwabikwa inani elincane kuphela lokutheleleka nge-EV-D68, kodwa lokho kuye kwanda phakathi no-2014, ngokusho kwe-US Center for Disease Control and Prevention. Kuye kwabangela ukugula okukhulu ezinganeni eziningi futhi kuye kwabangela ngisho nokufa kwezinye. Izinga lokutheleleka selehlile kakhulu kusukela ngo-Okthoba kodwa izikhulu zezempilo zomphakathi zixwayisa ngokuthi ukutheleleka kubonakala sengathi kuyanda ngasekupheleni kwehlobo nasekwindla. Abacwaningi manje basikisela ukuthi lezi zingane zazitheleleke ngohlobo oluguqukile lwe-D-68, olwaqala ukuvela eminyakeni emine edlule. I-B1 inezinhlanu...  <response>: Abacwaningi manje bakholelwa ukuthi uhlobo oluguqukile lwe - enterovirus D-68 lwabangela ukuba izingane ezingaphezu kwekhulu zibe nokukhubazeka okungazelelwe ngonyaka odlule. Uhlobo lwe - B1 lwaqala ukuvela eminyakeni emine edlule futhi lunokwehluka kokubhala okuyenza ifane nepholiyo. Akekho kubantwana ababhekwe ocwaningweni olusha oseluleme ngokuphelele - okusikisela ukuthi ukukhubazeka kungokungapheli. 