Txhua yam txheej txheem tshwm sim hauv lub cev yog sib cuam tshuam. Qhov no kuj siv tau rau cov mob pathological. Cov tshuaj tiv thaiv xws li kub taub hau, liab thiab o ntawm daim tawv nqaij, mob, tsis tshwm sim los ntawm lub caij nyoog. Txhua tus ntawm lawv muaj kev tiv thaiv kev tiv thaiv thiab pab tiv thaiv tus kab mob. Tsis tas li ntawd, qhov xwm txheej ntawm cov tshuaj tiv thaiv no yuav yog qhov tseem ceeb hauv kev kuaj mob, thiab tseem txiav txim siab txog kev kho mob. Piv txwv li, qee hom kub taub hau tsuas yog tshwm sim hauv qee yam pathologies. Hauv qhov no, tus kws kho mob koom nrog ua npaws thiab lwm yam tsos mob, thiab tom qab ntawd tsim kev kuaj mob. Qhov no yuav pab kho cov kev kho mob uas xav tau rau tus kab mob no.
Hom kub taub hau: kev xaiv ntawm daim duab
Ua npaws yog ib yam kab mob pathological uas qhov sib npaug ntawm kev tsim khoom thiab kub poob raug cuam tshuam. Feem ntau, nws yog ib feem ntawm cov txheej txheem inflammatory. Thaum soj ntsuam thiab kho cov neeg mob ua npaws, ntsuas qhov ntsuas kub tau kos. Nws muaj peb ntu. Thawj yog qhov nce hauv lub cev kub. Nyob rau hauv rooj plaub no, kab ntawm daim ntawv rushes. Qhov nkhaus qhia txog qhov dependence ntawm kub raws sijhawm. Cov kab nce nrawm nrawm (hauv ob peb feeb) lossis ntev ntev - hauv ib teev.
Cov khoom ua npaws tom ntej yog qhov sawv ntawm lub cev kub hauv ib qho nqi. Nws yog qhia los ntawm kab rov tav ntawm daim duab. Qhov kawg ntawm kev ua npaws yog qhov kub thiab txias. Zoo li qhov nce, nws tuaj yeem tshwm sim sai sai (hauv feeb) thiab maj mam (tom qab ib hnub). Qhia los ntawm ib txoj kab nqes mus. Txhua hom kub taub hau muaj cov duab sib txawv. Lawv tuaj yeem siv los txiav txim rau lub sijhawm uas qhov kub thiab txias tau qis, txhawm rau taug qab ntev npaum li cas.
Fever: hom, hom duab
Muaj 7 hom kub taub hau, txhua qhov tshwm sim hauv qee yam kab mob. Nyob ntawm qhov no, qhov kub thiab txias nkhaus yog tsim. Nws suav nrog cov duab kos duab ua npaws. Kev faib tawm yog nyob ntawm qhov ntsuas kub thiab lub sijhawm nws nce:
- mob npaws. Nws yog tus cwj pwm los ntawm lub sijhawm kawm (ob peb hnub). Nyob rau tib lub sijhawm, qhov ntsuas kub hloov pauv txhua hnub me me (txog 1 degree) lossis tsis tuaj.
- Ua npaws laxative hom. Nws txawv nyob rau hauv ib tug ntau maj mam, amenable rau cov teebmeem ntawm antipyretic tshuaj. Qhov kub thiab txias hloov siab tshaj 1 degree, tab sis tsis ncav cuag tus nqi ib txwm.
- Ua npaws yam tsis sib xws. Cov yam ntxwv los ntawm qhov kub hloov pauv loj. Nyob rau tib lub sij hawm, thaum sawv ntxov teev, nws ntog rautus nqi ib txwm thiab hauv qab no. Thaum yav tsaus ntuj, qhov kub nce mus txog tus lej siab.
- mob kub taub hau (nkim). Kev hloov pauv txhua hnub nyob ntawm 3 txog 4 degrees. Tus neeg mob kam rau siab heev.
- Rov qab hom kub taub hau. Tus cwj pwm los ntawm ntu ntawm lub cev kub ib txwm tuaj yeem kav ntev li ob peb hnub.
- Atypical ua npaws. Kev hloov pauv txhua hnub yog qhov tsis txaus ntseeg thiab chaotic.
- Ib yam ua npaws. Qhov kub nce thaum sawv ntxov thiab rov zoo li qub thaum yav tsaus ntuj.
Ua npaws yog dab tsi?
Nyob ntawm qhov ntsuas kub nce, muaj ntau hom kub taub hau. Kev faib tawm kuj yog nyob ntawm lub sijhawm ntawm lub xeev no. Hom kub taub hau hauv qab no yog qhov txawv:
- Subfebrile. Cov yam ntxwv kub yog 37.0-37.9 degrees. Nws tau pom nyob rau hauv ntau yam kab mob sib kis thiab kis kab mob hauv qhov hnyav me. Qee zaum, nws muaj cov chav kawm ntev (nrog rau cov kab mob pathologies, oncology).
- Febrile (moderate) kub taub hau. Lub cev kub yog 38.0-39.5 degrees. Nws raug pom nyob rau hauv ib qho kev kis kab mob nyob rau theem siab tshaj.
- kub taub hau. Lub cev kub nce mus txog 39.6-40.9 degrees. Nws muaj tsawg dua li lwm hom. Nws muaj ntau dua hauv cov menyuam yaus thiab cov neeg uas muaj lub cev tsis muaj zog.
- Hyperpyretic fever. Qhov kub yog 41.0 degrees lossis ntau dua. Pom muaj kab mob purulent meningitis thiab kab mob tetanus.
Kev sib koom ntawm tus kab mob nrog hom kub taub hau
Qee hom kub taub hau tuaj yeem ua taucuam tshuam nrog cov kab mob tshwj xeeb. Piv txwv li, rau feem ntau cov txheej txheem tsis tshwj xeeb ntawm cov kab mob ua pa sab saud (tonsillitis, SARS), qhov kub thiab txias yog yam ntxwv. Ua npaws tsis tu ncua tshwm sim nrog typhus thiab lobar pneumonia. Ib qho kev sib cuam tshuam ntawm qhov kub nce yog pom nyob rau hauv cov neeg mob tuberculosis, oncological txheej txheem, kab mob pathologies (SLE, rheumatoid mob caj dab). Relapsing kub taub hau feem ntau pom muaj nyob rau hauv malaria, typhoid, lymphogranulomatosis. Txawm hais tias kev hloov pauv ntawm qhov kub thiab txias tsis yog ib txwm muaj, nws pab qhia tias tus neeg mob muaj tus kab mob dab tsi.
Sepsis: kuaj mob ua npaws
Sepsis yog ib yam kab mob uas tshwm sim los ntawm cov kab mob nkag mus rau hauv cov hlab ntsha. Txhua qhov mob tuaj yeem ua rau nws nyob rau hauv lub xub ntiag ntawm kev tsom mus rau kev kis kab mob thiab txo kev tiv thaiv. Nws yog qhov tsis yooj yim sua kom teb cov lus nug ntawm hom kub taub hau yog tus yam ntxwv ntawm sepsis. Nws paub tias tus kab mob no yog tus yam ntxwv los ntawm qhov kub thiab txias, uas tsis yooj yim rau coj los. Hom kab mob sepsis feem ntau yog ib qho mob ua npaws thiab atypical ua npaws.
