Tus kab mob ua pa nyuaj (SARS lossis mob khaub thuas) muaj ntau thoob plaws ntiaj teb. Ntau lab tus tib neeg raug kev txom nyem los ntawm lawv txhua xyoo. Raws li kev txheeb cais, kwv yees li 20% ntawm cov neeg laus thiab 10% ntawm cov menyuam yaus mob khaub thuas ib leeg txhua xyoo. Tag nrho qhov kev nthuav dav ntawm SARS yog ntau dua.
Qhov nruab nrab, cov menyuam yaus muaj 6-8 khaub thuas, thiab cov laus muaj 2-4 khaub thuas ib xyoos.
ua rau ntawm pathology
Raws li txoj cai, kis tau los ntawm kev sib cuag nrog tus neeg mob. Tus kab mob kis tau los ntawm huab cua los ntawm cov tee dej. Nyob rau tib lub sijhawm, qhov cuam tshuam ntawm lub cev ntawm ntau tus neeg yog qhov siab heev. Cov kab mob uas ua rau mob khaub thuas muaj peev xwm nkag mus rau hauv lub ntsws thiab, sib sau ua ke hauv cov kab mob, kis mus rau cov ntaub so ntswg. Kev nkag mus ntawm cov kab mob mus rau hauv cov hlwb thiab tso tawm ntawm lawv cov khoom metabolic provokes cov tshuaj tiv thaiv kab mob. Intoxication syndrome tau sau tseg raws li cov tshuaj tiv thaiv hauv zos ntawm lub cev, catarrh ntawm cov kab mob ua pa yog pom hauv zos. Cov kab mob loj heev ua rau lub cev tsis muaj zogteb. Hauv qhov no, nrog rau mob khaub thuas, kev pheej hmoo ntawm kev tsim cov teeb meem yog siab. Raws li txoj cai, qhov tshwm sim yog vim qhov sib ntxiv ntawm cov kab mob ntawm cov kab mob ENT thiab cov kab mob ua pa.
Tshwj xeeb, mob ntsws, phlebitis, otitis thiab lwm yam tuaj yeem tshwm sim. Cov nyhuv uas cov tshuaj txias muaj yog txhawm rau ua kom lub cev tsis muaj kev tiv thaiv, tshem tawm cov kab mob. Raws li qhov txiaj ntsig ntawm kev ntsuas tau raug xaiv, kev cuam tshuam thiab cov qauv tsim tau rov qab los, rov pib dua.
Cov cim tseem ceeb ntawm tus kab mob
Intoxication syndrome yog suav tias yog qhov tshwm sim tseem ceeb nrog SARS. Cov tsos mob no tshwm sim los ntawm cov tshuaj lom ntawm cov khoom lwj ntawm cov hlwb thiab cov kab mob. Vim nws cov microscopic loj, cov kab mob yooj yim nkag mus rau hauv lub paj hlwb, muaj cov nyhuv cytopathic nyob ntawd. Intoxication Syndrome yog feem ntau hais nrog tus mob khaub thuas.
Cov hom mob khaub thuas tsis sib xws yog cov yam ntxwv ntawm kev ua haujlwm zoo. Lawv kuj tau nrog intoxication, tab sis tus mob no tsis yog li hais. Nyob rau hauv cov ntaub ntawv no, muaj ib tug lesion feem ntau ntawm lub Upper pa ib ntsuj av. Localization nyob ntawm seb hom kab mob. Yog li, tus kab mob rhinovirus yog tshwm sim los ntawm qhov ntswg qhov ntswg (tsuas yog), parainfluenza - kev puas tsuaj rau lub ntsws, kab mob ua pa syncytial - kab mob ntawm bronchi.
Yuav ua li cas muab tshuaj rau khaub thuas
Ua ntej tham txog cov tshuaj uas tau sau tsegnyob rau hauv kev kho mob ntawm tus mob ua pa kab mob, nws yuav tsum tau muab sau tseg tias ua ntej noj cov tshuaj, koj yuav tsum mus ntsib kws kho mob. Nws raug pom zoo kom tsis txhob koom nrog kev xaiv tus kheej ntawm cov nyiaj. Ntawm ntau yam tshuaj, nws nyuaj rau xaiv cov tshuaj txias zoo tshaj plaws.
Txhua yam tshuaj tau muab faib ua ntau pawg.
Non-steroidal tshuaj tiv thaiv kab mob
Aspirin thiab nws cov derivatives yog suav tias yog cov neeg nyiam tshaj plaws hauv pawg no. Nyob rau tib lub sijhawm, cov kws tshaj lij ceeb toom tias qhov mob khaub thuas yog qhov tshwm sim, ntawm lwm yam, los ntawm kev puas tsuaj rau cov hlab ntsha. Cov nyhuv antiplatelet ntawm acetylsalicylic acid thaum kho tuaj yeem ua rau muaj teeb meem. Cov khoom muaj txiaj ntsig zoo uas muaj cov tshuaj paracetamol. Cov tshuaj txias no yog muab rau cov neeg laus thiab menyuam yaus. Cov tshuaj muaj feem ntau analgesic thiab antipyretic nyhuv. Cov tshuaj "Paracetamol" tuaj yeem thaiv kev ua haujlwm ntawm cov neeg kho mob inflammatory.
nyiaj txiag sib koom
Cov tshuaj txias txias no tau dhau los ua neeg nyiam. Lawv muaj ntau yam khoom, suav nrog paracetamol. Tsis tas li ntawd, ntau ntawm lawv muaj ascorbic acid, uas tiv thaiv kev tso tawm ntawm histamine, txhawb kev tsim ntawm interferon thiab cov tshuaj tiv thaiv, thiab activates phagocytosis. Ua tsaug rau qhov kev txiav txim ntawm cov tshuaj no, lub cev tsis muaj zog tiv thaiv kab mob nce ntxiv. Caffeine yog lwm cov khoom xyaw uas qee cov tshuaj txias ua ke muaj. Nws amplifiesKev txiav txim ntawm paracetamol, muaj kev txhawb nqa dav dav thiab vasoconstrictive nyhuv. Nyob rau hauv lub hauv paus ntawm ARVI, ib tug inflammatory txheej txheem tshwm sim, nyob rau hauv txoj kev loj hlob ntawm uas histamine koom nrog. Hauv qhov no, cov neeg sawv cev feem ntau tau sau tseg uas muaj cov khoom thaiv kev ua haujlwm ntawm tus neeg nruab nrab no.
Ntawm cov tshuaj "Pheniramine maleate", piv txwv li. Vim qhov kev txiav txim ntawm cov tshuaj tiv thaiv kab mob, o ntawm qhov ntswg mucosa txo, ua pa yooj yim, thiab lacrimation txo. Adrenomimetics muaj cov nyhuv vasoconstrictive (Phenylephrine, piv txwv li). Vim lawv cov dej num, o ntawm bronchial mucosa txo. Ntawm cov NSAIDs ua ke, cov kws kho mob tshwj xeeb tau saib xyuas tshwj xeeb rau cov tshuaj xws li Amizon. Qhov kev kho no, ntxiv rau cov lus hais tawm analgesic, antipyretic thiab anti-inflammatory effect, muaj kev ua haujlwm interferonogenic.
tshuaj kho mob Rhinitis
Rhinitis yuav luag txhua zaus nrog khaub thuas. Nws yog ib qho tseem ceeb heev los xaiv txoj kev kho mob rau qhov no. Yeej, pawg tshuaj rau cov mob khaub thuas yog sawv cev los ntawm cov neeg ua haujlwm uas txhawb nqa alpha-adrenergic receptors. Ntawm cov tshuaj no yog "Oxymetazoline", "Nafazolin" thiab lwm yam. Thaum siv tshuaj pleev ib ce, cov tshuaj txo qis hyperemia thiab o ntawm qhov ntswg mucosa, txo qhov ntim ntawm cov hnoos qeev, yog li ua kom ua pa zoo. Tsis tas li ntawd, cov khoom lag luam raws li cov roj tseem ceeb ntawm cedar, mint, thiab eucalyptus yog nrov rau kev tshem tawm cov mob khaub thuas. Cov tshuaj no yog tsim los ntawm ntau hom tshuaj.
tshuaj hnoos
Txhawm rau pab txhawb kev sib cais ntawm cov hnoos qeev, uas yog tsim nyob rau hauv lub bronchi thaum lub sij hawm txoj kev loj hlob ntawm mob khaub thuas, expectorants yog sau. Lawv txawv raws li lub mechanism ntawm kev txiav txim. Cov tshuaj nrog kev ua haujlwm reflex, piv txwv li, ua rau mob plab receptors, vim tias qhov chaw hauv lub paj hlwb ntawm medulla oblongata zoo siab. Ua tsaug rau qhov kev ua no, qhov tso tawm ntawm cov qog bronchial nce, hnoos qeev liquefies, thiab peristalsis ntawm cov leeg ua pa nce.
