Cov ntaub so ntswg sib txuas - endothelial thiab hauv qab xoob, hauv ob sab phlu sib koom ua ke los ntawm sab hauv - qhov no yog cov ntaub so ntswg uas tsim nyob rau sab nraud, nyob rau sab sauv sab sauv thiab sab hauv sab hauv ntawm lub quav thiab villus. Thaum arthroscopy ua tiav, edema, xim thiab vascular qauv raug soj ntsuam, raws li zoo raws li tag nrho cov pathological inclusions nyob rau hauv lub thickness ntawm lub synovium thiab nyob rau saum npoo, qhov loj, zoo, qauv ntawm synovial folds thiab villi raug soj ntsuam. Tag nrho cov no yog qhov tseem ceeb heev hauv kev kuaj mob sib koom ua ke. Lub synovium tuaj yeem ua rau mob. Synovitis yog feem ntau tshwm sim ntawm cov kab mob ntev. Chronic synovitis nyob rau hauv daim nyias nyias qhia thawj o nyob rau hauv kev mob caj dab thiab theem nrab hauv arthrosis uas deforms lub sib koom tes.
Synovitis
Raws li cov ntaub ntawv tshiab tshaj plaws, qhov txuas tseem ceeb hauv kev txhim kho mob caj dab ntev yog cov txheej txheem autoimmune, thaum qhov tsis paub txog kab mob tau lees paub nrog kev pab los ntawm cov tshuaj tiv thaiv kab mob. Secondary synovitis ntawm deforming arthrosis yog txuam nrog tsub zuj zuj ntawm pob txha mos cov khoom nyob rau hauv lub sib koom ua ke - fragments ntawm collagen molecules thiab proteoglycans, daim nyias nyias.chondrocytes thiab lwm yam. Nyob rau hauv lub xeev ib txwm, tsis yog ib lub cell ntawm lub cev tiv thaiv kab mob los mus rau hauv kev sib cuag nrog cov antigens, thiab yog li ntawd lawv tau lees paub tias yog tag nrho cov khoom txawv teb chaws. Qhov no yog dab tsi ua rau hnyav lub cev tiv thaiv kab mob, thiab yog li ntawd yog nrog los ntawm xws li mob o, los ntawm cov synovial membrane raug kev txom nyem. Xws li kev hloov pauv hauv lub hauv caug pob qij txha yog qhov tshwj xeeb. Muaj ntau cov kab mob ntawm cov kab mob synovial, thiab muaj qee qhov kev faib rau lawv.
1. Kab mob nrog articular syndrome yog ib qho mob ntawm cov ntaub so ntswg los ntawm rheumatoid mob caj dab, thaum feem ntau cov pob qij txha me me cuam tshuam. Qhov no yog hom erosive-destructive polyarthritis, thaum lub etiology tsis meej dhau lawm, thiab autoimmune pathogenesis nyuaj.
2. Cov kab mob sib kis, uas cuam tshuam nrog kev muaj kab mob, suav nrog cov kab mob latent. Piv txwv li, lub synovial daim nyias nyias ntawm lub pob qij txha cuam tshuam los ntawm cov kab mob xws li mycoplasma, chlamydia, bacteroids, ureplasma, thiab ntau lwm tus. Qhov no suav nrog septic (bacterial) mob caj dab.
3. Cov kab mob los ntawm cov kab mob metabolic, xws li gout, ochronosis (nws yog tshwm sim los ntawm cov kab mob hauv lub cev - alkaptonuria), pyrophosphate arthropathy.
4. Lub synovial daim nyias nyias ntawm qhov sib koom ua ke yog nquag rau neoplasms - qog thiab qog zoo li kab mob. Cov no yog villezonodular synovitis, synovial chondromatosis, synovioma thiab hemangioma, synovial ganglion.
5. Kev swb ntawm lub synovial membrane ntawm qhov sib koom ua ke raws li hom degenerative-dystrophic thiab deforming arthrosis yog suav tias yog heev.kab mob sib kis. Piv txwv li, ntau tus neeg muaj hnub nyoog plaub caug-tsib xyoos raug kev txom nyem los ntawm cov kab mob degenerative-dystrophic sib koom, thiab qib ntawm qhov txhab tuaj yeem sib txawv.
About tus kab mob
Synovitis yog ib tus kab mob sib kis uas txawm tias Asmeskas cov tshuaj tub rog tau txhawj xeeb txog nws, tsis ntev los no ua rau Russia cuam tshuam nrog kev sib tw rau kev sau ntawm RNA thiab cov ntaub so ntswg ntawm cov neeg Lavxias. Qhov no tau piav qhia los ntawm qhov tseeb tias muaj kev pheej hmoo nrhiav kev daws teeb meem hauv kev sib ntaus sib tua kab mob hauv ntiaj teb. Qhov tseeb yog tias cov txheej txheem inflammatory yog nrog los ntawm kev sib xyaw ntawm effusion (kua dej) hauv cov kab noj hniav nws tus kheej, thiab cov pob qij txha hauv caug feem ntau raug kev txom nyem, txawm tias qhov txhab tuaj yeem hla pob taws, lub luj tshib, dab teg, thiab lwm yam kev sib koom tes. Kab mob ntawm synovial membrane tsim, raws li txoj cai, tsuas yog nyob rau hauv ib tug ntawm lawv; ob peb pob qij txha yog heev tsis tshua muaj cuam tshuam. Synovitis tshwm sim los ntawm kev kis kab mob, tom qab raug mob, los ntawm kev ua xua thiab qee cov kab mob ntshav, nrog rau cov kab mob metabolic thiab kab mob endocrine. Kev sib koom ua ke nce hauv ntim, lub synovial membrane yog thickened, mob tshwm, tus neeg xav tias tsis xis nyob thiab tsis muaj zog. Yog hais tias tus kab mob purulent koom nrog, qhov mob yuav muaj zog heev, kev qaug dab peg yuav tshwm sim.
Tom qab kuaj pom cov tsos mob, tom qab kuaj thiab kev tshawb fawb ntawm cov kua dej synovial, kuaj pom. Qhov no yog, piv txwv li, o ntawm lub synovial daim nyias nyias ntawm cov leeg. Kev kho mob yog sau tseg: punctures, immobilization, yog tias tsim nyog - phais lossis tso dej. Muab cov kab mob no, mob synovitis thiab mob synovitis tuaj yeem paub qhov txawv. Mob yog ib txwm nrog edema, plethora thiab thickening ntawm lub synovial membrane. Cov kab noj hniav sib koom ua ke yog ntim nrog effusion - cov kua dej translucent nrog fibrin flakes. Mob synovitis qhia tau hais tias kev loj hlob ntawm fibrous hloov nyob rau hauv lub sib koom capsule. Thaum lub villi loj hlob, fibrinous overlays tshwm, uas dai ncaj qha mus rau hauv cov kab noj hniav. Tsis ntev, cov overlays sib cais thiab tig mus rau hauv "lub cev mov", ntab dawb hauv cov kua dej ntawm cov kab noj hniav sib koom ua ke thiab ua rau muaj kev puas tsuaj rau daim nyias nyias. Raws li hom o ntawm lub synovial membrane thiab qhov tshwm sim ntawm effusion, serous synovitis los yog hemorrhagic, purulent los yog serous-fibrinous yuav txawv.
Kev tshwm sim
Yog tias cov kab mob pathogenic nkag mus rau hauv cov kab noj hniav sib koom, cov kab mob sib kis tshwm sim. Cov kab mob tuaj yeem nkag mus rau hauv lub plhaub nrog cov qhov txhab nkag ntawm qhov sib koom ua ke - los ntawm ib puag ncig sab nraud, nrog rau cov ntaub so ntswg nyob ib puag ncig lub sinoidal daim nyias nyias, yog tias muaj qhov txhab purulent los yog abscesses ze ntawm qhov sib koom ua ke. Txawm tias los ntawm foci nyob deb, tus kab mob tuaj yeem nkag mus rau hauv thaj tsam ntawm cov kab noj hniav sib koom ua ke, ua rau mob ntawm cov ntaub so ntswg ntawm tus neeg, txij li cov ntshav thiab lymphatic hlab ntsha hla txhua qhov chaw. Kab mob nonspecific synovitis yog tshwm sim los ntawm staphylococci, pneumococci, streptococci thiab cov kab mob zoo sib xws. Kev kis kab mob tshwj xeeb yog tshwm sim los ntawm cov kab mob ntawm cov kab mob tshwj xeeb: nrog syphilis - daj ntseg treponema, nrog tuberculosis - tubercle bacillus, thiab lwm yam.zoo ib yam.
Nrog aseptic synovitis, cov kab mob pathogenic tsis tau pom nyob rau hauv cov kab noj hniav sib koom ua ke, thiab qhov mob ua rau muaj zog. Qhov no tshwm sim yog tias cov neeg kho tshuab raug mob - bruises ntawm lub pob qij txha, intra-articular fractures, kev puas tsuaj rau lub meniscus, thaum lub synovial membrane ntawm lub hauv caug ob leeg raug kev txom nyem, ligament ruptures thiab ntau yam ntxiv yog vim li cas. Nyob rau hauv tib txoj kev, aseptic synovitis tshwm sim thaum irritated los ntawm dawb articular lub cev, raws li zoo raws li yav tas los puas qauv - ib tug torn meniscus, puas pob txha mos, thiab lwm yam. Lwm yam ua rau aseptic synovitis tuaj yeem yog cov kab mob endocrine, hemophilia thiab cov metabolism tsis zoo. Thaum ib tus neeg ua xua tuaj rau hauv kev sib cuag nrog ib qho allergen, allergic synovitis tshwm sim. Kev kho mob ntawm cov kab mob synovial nyob rau hauv cov ntaub ntawv no yog xav tau tom qab kev tshem tawm ntawm qhov cuam tshuam ntawm cov allergen ntawm tus neeg mob lub cev.
Symptoms
Y Nyob rau hauv nonspecific mob serous synovitis, lub synovial membrane yog thickened, lub sib koom ua ke yog loj nyob rau hauv ntim. Nws cov contours yog smoothed, txawm tias ib qho kev xav tshwm sim. Qhov mob syndrome tsis tau hais ntau, lossis tsis tuaj. Txawm li cas los xij, kev txav ntawm kev sib koom tes yog txwv, nrog palpation, mob me lossis mob me. Malaise yog ua tau, hauv zos thiab dav dav kub nce me ntsis. Palpation qhia qhov hloov pauv. Tus kws phais yuav tsum ua cov kev ntsuam xyuas hauv qab no: npog qhov sib txawv ntawm qhov sib koom tes nrog tus ntiv tes ntawm ob txhais tes thiab maj mam nias ntawm ob sab. Yog tias lwm txhais tes hnov dua, ces qhov sib koom ua ke muaj cov kua dej. SynovialLub plhaub ntawm lub hauv caug sib koom yog kuaj los ntawm kev pov npav ntawm patella. Thaum nias, nws plunges rau hauv pob txha kom txog thaum nws nres, ces, thaum lub siab nres, nws zoo li ntab. Tsis zoo li purulent mob synovitis, tsis muaj cov tsos mob tshwm sim ntawm no.
Thiab mob purulent synovitis yog ib txwm pom, txij li tus neeg mob tus mob tsis zoo zuj zus tuaj, cov tsos mob ntawm kev qaug cawv tshwm sim: ua kom txias txias, tsis muaj zog, kub taub hau, txawm tias delirium yog ua tau. Cov tsos mob ntawm tus mob yog pronounced, kev sib koom ua ke nrog edema nyob rau hauv ntim yog loj heev, nrog hyperemic daim tawv nqaij saum nws. Txhua qhov kev txav mus los yog qhov mob hnyav heev, qee qhov kev cog lus ntawm kev sib koom ua ke tsim, thiab cov kab mob lymphadenitis hauv cheeb tsam kuj tseem tuaj yeem ua tau (ze li cov qog ntshav hauv ze). Mob synovitis tuaj yeem ua rau serous, tab sis daim ntawv tau pom feem ntau sib xyaw: vilenohemorrhagic, serofibrinoid, thiab lwm yam. Hauv cov xwm txheej no, cov tsos mob ntawm kev kho mob tsis zoo, tshwj xeeb tshaj yog nyob rau hauv cov theem ntxov tshaj plaws: mob mob, pob qij txha tau nkees sai. Nyob rau hauv mob ntev thiab mob aseptic synovitis, effusion yuav kis tau tus kab mob, ua raws li kev kis mob hnyav dua. Qhov no yog vim li cas txoj kev kawm ntawm RNA thiab cov synovial membrane yog qhov tseem ceeb.
Kev nyuaj siab
Cov txheej txheem kis tau tuaj yeem kis tau deb dhau ntawm kev sib koom ua ke thiab nws daim nyias nyias, txav mus rau hauv daim nyias nyias, uas ua rau qhov pib ntawm kev mob caj dab purulent. Kev sib koom ua ke yog muab los ntawm lub xeev ntawm cov ntaub so ntswg synovial thiab ribonucleic acid, uas siv cov caj ces.cov ntaub ntawv hais txog tus neeg. Cov txheej txheem kis mus ntxiv: phlegmon lossis periarthritis tshwm sim ntawm cov ntaub so ntswg ib puag ncig. Qhov teeb meem loj tshaj plaws ntawm kev sib kis kab mob yog panarthritis, thaum cov txheej txheem purulent npog tag nrho cov qauv uas muaj kev koom tes hauv kev tsim cov leeg - tag nrho cov pob txha, ligaments thiab pob txha mos. Muaj cov xwm txheej uas sepsis dhau los ua qhov tshwm sim ntawm cov txheej txheem purulent. Yog hais tias mob aseptic synovitis tshwm sim nyob rau hauv cov qauv sib koom ua ke ntev, muaj ntau yam teeb meem tsis kaj siab tshwm sim.
Kev sib koom ua ke maj mam, tab sis tas li, nce nws qhov ntim, vim tias cov ntaub so ntswg ntawm lub duav pob qij txha, hauv caug lossis lub xub pwg nyom tsis muaj sijhawm los nqus cov kua dej ntau dhau rov qab. Yog tias tsis muaj kev kho mob rau cov kab mob ntev li no, kev sib koom ua ke (hydrarthrosis) tuaj yeem txhim kho zoo. Thiab yog hais tias muaj te nyob rau hauv lub sib koom ua ke rau ib ntev lub sij hawm, lub pob qij txha yuav xoob, ligaments tsis ua kom tiav lawv cov hauj lwm, raws li lawv tsis muaj zog. Hauv cov xwm txheej no, tsis yog tsuas yog subluxation ntawm kev sib koom ua ke, tab sis kuj muaj qhov ua tiav tag nrho feem ntau tshwm sim.
Diagnosis
Tom qab soj ntsuam cov tsos mob uas tau txais tom qab kev tshawb fawb thiab kev kuaj mob, kev kuaj mob tau tsim. Qhov no qhia tsis tau tsuas yog lub xub ntiag ntawm synovitis, tab sis qhov ua rau ntawm nws cov tsos yuav tsum raug txheeb xyuas, thiab qhov no yog ib tug ntau nyuaj txoj hauj lwm. Txhawm rau kom paub meej qhov kev kuaj mob ntawm tus kab mob hauv cov mob thiab mob mob synovitis, artropneumography thiab arthroscopy raug sau tseg. Tej zaum yuav tsum tau kuaj biopsy thiab cytology. Yog tias muaj qhov tsis txaus ntseeg ntawm hemophilia, metabolic lossis endocrine ntshawv siab, nws yog qhov tsim nyog.teem caij xeem kom tsim nyog. Yog tias xav tias muaj kev tsis haum xeeb ntawm kev mob ntawm cov kab mob synovial, kev kuaj ntshav yuav tsum tau ua. Cov ntaub ntawv tshaj plaws yog kev kawm txog cov kua dej uas tau txais nrog kev pab los ntawm kev kuaj mob puncture - punctate. Nyob rau hauv daim ntawv mob aseptic ntawm synovitis kis tau los ntawm kev raug mob, txoj kev tshawb no yuav pom cov protein ntau, uas yog pov thawj ntawm vascular permeability.
Txo tag nrho cov nyiaj ntawm hyaluronic acid kuj txo cov viscosity ntawm effusion, uas ua rau qhov tsis muaj lub xeev ntawm cov kua dej synovial. Cov txheej txheem mob ntev qhia tau tias muaj kev nce ntxiv ntawm hyaluronidases, chondroproteins, lysozyme thiab lwm yam enzymes, nyob rau hauv cov ntaub ntawv no disorganization thiab ceev kev puas tsuaj ntawm pob txha mos pib. Yog hais tias muaj kua paug nyob rau hauv cov kua synovial, qhov no qhia tau hais tias tus txheej txheem ntawm purulent synovitis, uas yuav tsum tau soj ntsuam los ntawm ib tug bacterioscopic los yog bacteriological txoj kev, uas yuav ua rau nws muaj peev xwm mus tsim ib tug tshwj xeeb hom ntawm pathogenic microorganisms uas ua rau o, thiab ces xaiv cov feem ntau. cov tshuaj tua kab mob zoo. Kev kuaj ntshav yuav tsum tau kuaj pom qhov nce hauv ESR, nrog rau kev nce ntawm cov leukocytes thiab stab neutrophils. Yog xav tias sepsis, yuav tsum tau kuaj ntshav ntxiv.
Kev kho mob
Tus neeg mob xav tau kev so, txwv qhov siab tshaj plaws ntawm kev txav ntawm kev sib koom tes, tshwj xeeb tshaj yog thaum muaj kev mob hnyav. Externally thiab internally muabCov tshuaj tiv thaiv kab mob - "Nimesil", "Voltaren" thiab lwm yam. Yog hais tias tus synovitis yog pronounced, txhaj tshuaj, uas ces tig mus rau hauv ntsiav tshuaj cov ntaub ntawv kho mob. Yog tias muaj cov kua dej sib xyaw tseem ceeb hauv kev sib koom ua ke, kev sib tsoo yog qhia, uas, ntxiv rau kev kuaj mob, muaj txiaj ntsig kho. Kev kuaj mob yog raws li nram no: purulent mob caj dab thiab hemarthrosis (ntshav nyob rau hauv lub sib koom kab noj hniav) yog txawv, ib tug cytological kuaj (tshwj xeeb tshaj yog nrog crystalline mob caj dab) ntawm cov kua dej sib koom ua ke. Thaum lub sij hawm puncture, ib tug yellowish kua yog tau nyob rau hauv ib tug loj npaum li cas (tshwj xeeb tshaj yog nrog o ntawm lub synovial daim nyias nyias ntawm lub hauv caug ob leeg - ntau tshaj ib puas milligrams). Tom qab tshem tawm cov kua, cov tshuaj tiv thaiv kab mob yog txhaj nrog tib rab koob - kenalog lossis diprospan.
Yog tias qhov ua rau tus kab mob raug tsim thiab cov kua dej hauv qhov sib koom ua ke tsis tseem ceeb, tus neeg mob yuav raug kho raws li tus neeg mob sab nraud. Yog hais tias o ntawm lub synovial membrane tshwm sim los ntawm kev raug mob, tus neeg mob raug xa mus rau chav kho mob ceev. Cov tsos mob synovitis ntawm cov phiaj xwm thib ob yuav tsum tau kho los ntawm cov kws kho mob tshwj xeeb - endocrinologist, hematologists, thiab lwm yam. Yog hais tias tus nqi ntawm effusion yog loj, thiab tus kab mob yog mob, qhov no yog ib qho qhia rau mus pw hauv tsev kho mob. Cov neeg mob uas raug mob synovitis raug kho nyob rau hauv lub traumatology department, nrog purulent synovitis - nyob rau hauv phais, thiab hais txog - raws li qhov profile ntawm tus kab mob. Aseptic synovitis nrog me ntsis effusion cuam tshuam nrog cov ntaub qhwv nruj ntawm kev sib koom ua ke, nce siab, thiab immobilization ntawm tag nrho cov ceg. Cov neeg mob raug xa mus rau UHF, UV irradiation, electrophoresis nrog novocaine. Cov kua dej ntau hauv kev sib koom ua ke qhia kev kho mob punctures, electrophoresis nrog hyaluronidase, potassium iodide thiab phonophoresis nrog hydrocortisone.
Mob purulent synovitis yuav tsum tau immobilization nrog rau txoj haujlwm siab ntawm tus ceg. Yog hais tias tus kab mob no tsis loj heev, cov kua paug tawm ntawm qhov sib koom ua ke los ntawm puncture. Yog hais tias tus txheej txheem purulent ntawm qhov mob hnyav tshwm sim, txuas ntxiv thiab mus sij hawm ntev-ntev-aspiration lavage nrog tshuaj tua kab mob ntawm tag nrho cov kab noj hniav sib koom yuav tsum tau ua. Yog tias tus kab mob hnyav heev, qhov sib koom ua ke yog qhib thiab ntws tawm. Mob aseptic synovitis yog kho los ntawm kev kho cov kab mob hauv qab, tactically txoj kev kho mob yog teem rau tus kheej, coj mus rau hauv tus account qhov hnyav ntawm tus kab mob, tsis muaj los yog muaj kev hloov pauv nyob rau hauv lub synovial membrane thiab sib koom tes, punctures yog ua thiab kev thaj yeeb yog. muaj.
Hauv kev teem sijhawm muaj cov tshuaj tiv thaiv kab mob, glucocorticoids, salicylates, chymotrypsin thiab pob txha mos extract. Tom qab peb lossis plaub hnub, tus neeg mob raug xa mus rau paraffin, ozocerite, magnetotherapy, UHF, phonophoresis lossis lwm cov txheej txheem physiotherapeutic. Yog tias muaj qhov cuam tshuam tseem ceeb thiab rov ua dua tshiab, aprotinin raug txhaj rau hauv qhov sib koom ua ke. Mob synovitis nrog irreversible hloov nyob rau hauv lub synovial membrane, nws stubbornly recurring ntaub ntawv yuav tsum tau kev phais - ua kom tiav los yog ib feem ntawm lub synovial membrane. Lub sij hawm postoperative yog devotedKev kho mob rov qab, uas suav nrog immobilization, tshuaj tiv thaiv kab mob, tshuaj tua kab mob thiab kho lub cev.
Huab cua
Kev kuaj mob feem ntau zoo rau kev ua xua thiab aseptic synovitis. Yog hais tias txoj kev kho tau ua tiav txaus, tag nrho cov inflammatory phenomena yuav luag tag nrho tshem tawm, lub effusion disappears nyob rau hauv lub sib koom tes, thiab tam sim no tus neeg mob tuaj yeem txav mus rau hauv ib lub ntim. Yog tias daim ntawv ntawm tus kab mob yog purulent, cov teeb meem feem ntau tshwm sim, contractures daim ntawv. Tej zaum yuav muaj kev phom sij rau tus neeg mob lub neej. Kev mob aseptic synovitis feem ntau yog nrog kev nruj, thiab nyob rau hauv ib tug xov tooj ntawm cov neeg mob, relapses tshwm sim, contractures tsim tom qab synovectomy. Nws yuav tsum tau muab sau tseg tias synovitis yuav luag ib txwm nrog cov kab mob nyob rau hauv cov pob qij txha, thiab yog li ntawd relapses yog ua tau.
txhawm rau txo cov txheej txheem inflammatory uas tshwm sim hauv cov txheej txheem synovial, cov txheej txheem ntawm kev txhaj tshuaj tiv thaiv kab mob yog ua tiav, nrog rau kev qhia txog glucocorticosteroids rau hauv cov pob qij txha puas yog tias tsis muaj cov kab mob hauv lub hauv paus ntawm kev sib koom tes (qee zaum, txawm tias muaj kev hloov pauv pathological, kuaj mob arthroscopy thiab kho kom tsim nyog tau ua). Qhov no relieves mob, thiab kev sib koom tes maj mam pib ua hauj lwm zoo dua. Qhov tseem ceeb tshaj plaws yog kom tshem tawm cov laj thawj tseem ceeb ntawm synovitis, thiab yog tias koj tshem tawm qhov cuam tshuam ntawm cov kab mob synovial, qhov no yuav ua rau muaj txiaj ntsig zoo. Qhov kev kwv yees tsis yog qhov phem rau qhov tshwm sim ntawm kev phais.
Txhais tau
Muaj xwm txheej tshwm sim ntau zausua kom rov qab ua tiav nrog kev rov ua haujlwm ntawm kev sib koom ua ke. Kev poob haujlwm tsuas yog tshwm sim nyob rau hauv cov ntaub ntawv hnyav ntawm cov kab mob purulent ntawm synovitis, thiab cov mob no qee zaum txawm ua rau tus neeg mob tuag los ntawm ntshav lom. Tus kab mob no yuav tsum tsis txhob maj maj. Cov menyuam yaus feem ntau mob rau ib lub lim tiam lossis ob zaug, txhua yam yuav xaus yam tsis muaj kev phom sij. Hauv cov neeg laus, nws txawv, txij li feem ntau cov keeb kwm ntawm tus kab mob tsis raug mob. Tsis muaj leej twg muaj peev xwm cia siab rau kev kho tus kheej, vim tias muaj kab mob sepsis thiab kev tuag tuaj yeem tshwm sim.
Yuav kom tus kab mob no dhau mus, koj yuav tsum kho txhua yam kab mob sib kis raws sij hawm, thiab tawm dag zog kom tsawg. Thaum muaj kev tsis xis nyob, tam sim ntawd muab cov pob qij txha so, yog tias qhov tsis xis nyob tsis tso tseg, mus ntsib kws kho mob. Cov ntaub ntawv khiav ua rau muaj kev cuam tshuam rau kev phais, txawm hais tias cov xwm txheej ntawm kev tsis taus no tsis tshua muaj heev.
