Thaum tus menyuam yug los hauv tsev neeg hluas, tsis yog kev hlub loj nyob hauv nws xwb, tab sis kuj muaj lub luag haujlwm rau kev noj qab haus huv ntawm tus neeg tshiab. Lub sij hawm neonatal muaj qee qhov tshwj xeeb thiab tseem ceeb heev, vim nws yog tom qab yug me nyuam uas tus me nyuam pib hloov mus rau kev ua neej nyob tshiab rau nws tus kheej. Tias yog vim li cas qee tus menyuam mos tuaj yeem tsim cov kab mob atypically. Koj tuaj yeem nyeem ntxiv txog cov kab mob feem ntau ntawm cov menyuam yug tshiab hauv qab no.
Yuav ua li cas cuam tshuam rau tus menyuam noj qab haus huv?
Cov kab mob tseem ceeb ntawm cov menyuam yug tshiab uas tau tshwm sim los ntawm kev tiv thaiv kab mob tsis zoo, vim nws cov yam ntxwv ntawm lub cev thiab lub cev, tuaj yeem ua rau hnyav heev. Ntau yam pathologies tshwm sim hauv tus menyuam thaum lub sijhawm yug menyuam hauv plab, lossis tom qab yug menyuam. Yog li ntawd, kev faib cov kab mob neonatal yog qhov dav heev.
Kev noj qab haus huv ntawm tus menyuam yuav raug cuam tshuam los ntawm cov hauv qab noyam:
- cev xeeb tub;
- Yuav ua li cas thiaj yug tau mus;
- kev noj qab haus huv ntawm poj niam cev xeeb tub;
- xov xwm nyob ib puag ncig tus menyuam mos;
- txoj kev pub mis;
- tshuaj lom hauv plab ntawm tus menyuam hauv plab.
Kev hloov pauv ntawm tus menyuam mus rau qhov chaw nyob txawv txav tuaj yeem ua rau qee qhov kev hloov pauv hauv cov txheej txheem metabolic, nrog rau kev hloov pauv hauv kev ua haujlwm ntawm nws tus kheej lub cev thiab lub cev. Cov me nyuam mos yog cov yam ntxwv ntawm kev hloov pauv kev noj qab haus huv, yog li cov menyuam yaus no xav tau kev kho mob tshwj xeeb. Cov xwm txheej nyob ciam teb tom qab ib ntus tuaj yeem ua rau muaj kev phom sij ntau dua thiab mob hnyav.
Cov teeb meem dab tsi tuaj yeem xav tau kev saib xyuas cov niam txiv thaum thawj zaug tom qab yug menyuam, thiab dab tsi yog cov kab mob ntawm cov menyuam yaus uas muaj hnub nyoog qis dua?
Kev raug mob thaum yug
Qhov no yog kev ua txhaum ntawm kev ncaj ncees ntawm cov pob txha, cov kabmob lossis cov ntaub so ntswg ntawm tus menyuam, uas yog vim muaj cov khoom siv tshuab thaum yug menyuam. Cov kev raug mob no raug kuaj pom hauv kwv yees li 9-10% ntawm cov menyuam mos. Lawv muaj kev cuam tshuam tsis zoo rau kev loj hlob ntawm tus menyuam mos thiab nws lub cev noj qab haus huv.
Nyob ntawm qhov kev ua haujlwm tsis zoo hauv qab thiab qhov chaw ntawm qhov raug mob, cov kev raug mob hauv qab no hauv cov menyuam mos raug paub:
- Cov pob txha thiab pob qij txha: mob epiphyseolysis ntawm cov pob txha pob txha ntawm lub xub pwg nyom, subluxation ntawm cov pob qij txha, pob txha pob txha thiab fissures. Nyob rau hauv cov ntaub ntawv no, tus me nyuam raug soj ntsuam los ntawm ib tug pediatric traumatologist, uas feem ntau sau x-ray. Yog tias cov pob txha tawg lawm, tus menyuam yuav tau ntaub qhwvDeso, rau pob txha ntawm lub duav los yog lub xub pwg nyom, repositioning ntawm cov pob txha ntawm ceg ceg yog qhia, nrog rau daim ntawv thov ntawm plaster.
- Cov ntaub mos mos: nqaij thiab tawv nqaij raug mob, o, thiab cephalohematoma. Cov qog ploj mus peb hnub tom qab yug tus txheej txheem, thiab nyob rau hauv lub xub ntiag ntawm ib tug dav cephalohematoma, tus me nyuam tau muab x-ray ntawm pob txha taub hau txhawm rau tiv thaiv cov tsos ntawm cov kab nrib pleb.
- Lub cev, thiab los ntshav rau hauv cov qog adrenal thiab daim siab tuaj yeem ua rau muaj kev phom sij tshwj xeeb. Tus me nyuam tau ua X-ray thiab ultrasound ntawm peritoneum thiab qog adrenal. Cov tsos mob lossis hemostatic kho yog siv los kho cov mob no. Qhov kev tshwm sim rau kev raug mob ua rau tus menyuam thaum yug los yuav raug txiav txim los ntawm lawv qhov hnyav thiab qhov twg.
- Nervous system:
- peripheral NS raug mob: diaphragm paresis, tuag tes tuag taw, raug mob lub xub pwg plexus;
- kev raug mob hauv lub cev: intraventricular subarachnoid, subdural lossis epidural los ntshav;
- kev raug mob qaum qaum: pob txha, los ntshav, rupture, thiab compression ntawm tus txha caj qaum; Kev kuaj pom tseeb yog tsim los ntawm tus kws kho mob hlwb, ua haujlwm electromyography, MRI ntawm tus txha nraub qaum, lumbar puncture, thiab kuaj cov kua cerebrospinal.
Txhawm rau kho cov kev raug mob no, tsis tas yuav muaj kev saib xyuas tshwj xeeb. Qhov tshwm sim ntawm qhov raug mob yuav raug txiav txim los ntawm lub xeev ntawm ib lub cev. Piv txwv li, yog tias tus menyuam mos los ntshav rau hauv cov qog adrenal, adrenal tsis txaus yuav tshwm sim tom qab. Txaus ntshai heev yog raug mob ntawm lub paj hlwb thaum yug me nyuam, qhov tshwm sim ntawm uas yuav yognyob ntawm lawv qhov hnyav.
Asphyxia
Qhov no yog ib qho mob hnyav heev ntawm tus menyuam, uas feem ntau tshwm sim los ntawm kev sib pauv roj tsis zoo, ua rau hypoxia.
Tsis tas li ntawd, tus menyuam feem ntau muaj hypercapnia nrog rau cov pa roj carbon dioxide ntau. Kev ua pa thiab metabolic acidosis tuaj yeem txhim kho, cov txheej txheem enzymatic yuav hloov pauv, thiab muaj kev ua txhaum ntawm kev ua haujlwm ntawm lub paj hlwb, lub siab, thiab lub plawv.
Raws li qhov hnyav, cov kws kho mob nco ntsoov qhov mob me, nruab nrab thiab hnyav oxygen deficiency hauv cov menyuam mos. Yog hais tias ib tug me me los yog nruab nrab daim ntawv ntawm tus kab mob no tau sau tseg, tus me nyuam muaj arrhythmic, atypical ua pa, cyanotic daim tawv nqaij, tsis muaj zog lub plawv suab thiab lub plawv dhia, txo reflexes. Tej zaum yuav txo qis cov leeg nqaij.
Nrog kev mob asphyxia hnyav dua, daim tawv nqaij ntawm tus menyuam mos pib maj mam tig daj ntseg, nqhis dej los yog tsis tshua muaj ua pa, cov mucous daim nyias nyias yog cyanotic, mem tes nyuaj rau hnov, tus me nyuam muaj lub plawv muffled. suab, arrhythmia tuaj yeem tsim, nrog rau bradycardia.
Nws yog ib qho tseem ceeb tias thaum muaj cov asphyxia dawb, yuav luag 50% ntawm cov menyuam mos tuaj yeem tuag ua ntej lub sijhawm yug lossis thawj lub limtiam tom qab lawv. Cov me nyuam muaj sia nyob raug kev txom nyem los ntawm ntau yam kev loj hlob tsis zoo, nquag mob ntsws ntsws.
kho mob asphyxia
Kev kho mob asphyxia yog ua raws li kev tshem tawm cov pa tsis txaus, rov ua kom tag nrho ua pa, txhim khocuam tshuam cov metabolism, nrog rau kev tshem tawm cov kab mob uas twb muaj lawm. Yog li, cov kws kho mob yuav tsum nqus cov ntshav hauv cov hlab ntsha, nrog rau cov kua dej amniotic thiab cov hnoos qeev, nrog lub catheter sai li sai tau.
Tom qab ntawd, nyob rau hauv cov ntaub ntawv me me ntawm cov pa oxygen tsis txaus, tus menyuam tau muab cov helium-oxygen sib xyaw, thiab hauv daim ntawv kawg thiab feem ntau nyuaj ntawm asphyxia, qhov cua kub ceev tau ua. Rau qhov no, siv lub cuab yeej tshwj xeeb.
Kev ua pa tawm ua pa kom txog thaum tus menyuam ua pa ua pa. Tom qab ntawd cov pa oxygen yog nqa tawm los ntawm kev siv ib qho tshwj xeeb nasopharyngeal catheter, lawv tas li nyob rau hauv tshwj xeeb oxygen incubators. Tsis ntev los no, hyperbaric oxygen therapy, ua nyob rau hauv lub siab chamber, tau siv heev nquag.
Thaum resuscitating cov menyuam mos uas yug hauv asphyxia hnyav, craniocerebral hypothermia feem ntau yog siv: tus menyuam lub taub hau txias, qhov o ntawm meninges raug tshem tawm, qhov xav tau oxygen rau lub hlwb yog txo, thiab cov txheej txheem microcirculation hauv cov hlab ntsha ntawm lub hlwb rov qab los.
Ib qhov chaw tseem ceeb ntawm cov tseem ceeb thiab qhov tshwm sim ntawm kev tuag ntawm cov menyuam yug tshiab yog nyob los ntawm qhov paub zoo txog kev ua pa nyuaj siab, uas feem ntau pom hauv cov menyuam mos yug ntxov me ntsis. Qhov ua rau mob ntawm tus menyuam yug tshiab yog hu ua pneumopathy.
Kev kho mob tom qab kev kawm ntau heevmuaj peev xwm tsim kom muaj kev sib txuas ntawm tus mob no thiab pathological kev yug me nyuam, kev yug me nyuam nyuaj thiab cov kab mob uas twb muaj lawm hauv tus poj niam nws tus kheej. Yog li, pawg no suav nrog uterine hemorrhages, kab mob endocrine, nrog rau kev tso tawm ntxov ntawm amniotic kua, mob toxicosis thaum cev xeeb tub, thiab lwm yam.
Qhov hnyav ntawm tus niam anamnesis tsis tseem ceeb. Cov yam tsis zoo no, uas tuaj yeem ua ke, ua rau yug ntxov ntxov, nrog rau kev txhim kho ntawm cov kab mob pathological thiab lub cev hloov pauv hauv tus menyuam mos: kev hloov pauv roj, tus menyuam mos asphyxia, metabolic ntshawv siab, kev ua haujlwm tsis zoo ntawm lub vascular system.
Thawj cov tsos mob ntawm kev ua pa tsis zoo hauv tus menyuam mos tshwm sim tam sim tom qab yug menyuam. Tom qab kwv yees li ob teev, cov tsos mob ntawm tus kab mob ua pa nyuaj tuaj yeem txhim kho tag nrho: ua pa nrawm, ua pa tawm, ua pa luv, hloov pauv ntawm cov duab ntawm lub sternum, thiab cyanosis ntawm daim tawv nqaij tshwm.
Nyob rau hauv tus menyuam mos, qhov ua pa tuaj yeem hloov pauv, tus kws kho mob tuaj yeem mloog cov npuas zoo nkauj, uas, txawm li cas los xij, tsis xwm yeem. Lub suab lub plawv feem ntau yog nruj thiab tsis hnov qab vim lub suab nrov nrov.
Tsis pom zoo tag nrho cov tsos mob ntawm tus mob no yog daim siab loj, ua pa qeeb, tshwm sim ntawm kev tsis nco qab, tus me nyuam mos feem ntau muaj cov leeg nqaij hypotension, edema, hypo- thiab areflexia, thiab bradycardia.
Kev kho mob
Kev kho mob rau tus mob no hauv cov menyuam mos muajTxhim kho qhov ua pa ntawm lub ntsws, kho cov txheej txheem metabolic, nrog rau kev txhim kho ntawm cov hlab ntsha thiab lub plawv.
Txhawm rau tiv thaiv kev txhim kho mob ntsws hauv tus menyuam yug tshiab, nws yog ib qho tseem ceeb uas yuav tsum ua raws li cov kev ntsuas los tiv thaiv toxicosis ntawm cov poj niam cev xeeb tub, ntxov ntxov, intrauterine asphyxia thiab kev kis tus kab mob ntxov ntawm tus menyuam hauv plab.
YHemolytic disease
Cov lus pom zoo kho mob rau cov kab mob hemolytic ntawm tus menyuam yug tshiab nyob ntawm nws daim ntawv. Tus kab mob no cuam tshuam rau cov me nyuam mos tsawg heev - kwv yees li 0.5% ntawm tag nrho cov menyuam yug los. Tus kab mob no tshwm sim hauv tus menyuam feem ntau nrog Rhesus tsis sib haum lossis tsis sib haum xeeb ntawm ABO system. Qhov no yog feem ntau ua rau tus kab mob hemolytic ntawm tus menyuam mos.
Feem ntau, tus kab mob no tshwm sim nws tus kheej hauv cov menyuam mos hauv peb hom:
- Anemic - txhim kho vim qhov ua haujlwm luv luv ntawm isoantibodies secreted los ntawm leej niam. Kev puas tsuaj rau fetal yog tsawg heev. Anemia feem ntau tshwm sim tom qab thawj lub lim tiam ntawm tus menyuam lub neej vim tias tus menyuam lub qe ntshav liab thiab hemoglobin txo qis, tus po, ob lub raum, thiab daim siab loj, thiab erythroblastosis, polychromasia, thiab anisocytosis tuaj yeem tsim.
- Icteric - tshwm sim vim raug tus menyuam yug tshiab isoantibodies. Tus me nyuam mos yuav pom cov tsos mob ntawm daj ntseg thiab ntshav liab, thiab tej zaum yuav muaj cov qog nqaij hlav o, daim siab, thiab lub plawv. Tsis tas li ntawd, tus me nyuam yuav muaj kev loj hlob qeeb me ntsis. Vim muaj kev tiv thaiv ntawm lub cev tiv thaiv kab mob, cov me nyuam thaum lub sij hawmthawj xyoo ntawm lub neej feem ntau raug mob sepsis, omphalitis thiab mob ntsws.
- Edematous - tshwm sim vim lub sijhawm ntev ntawm tus poj niam cev xeeb tub rau isoantibodies. Nyob rau hauv cov ntaub ntawv no, tus me nyuam hauv plab yuav loj hlob ntxiv, txij li thaum tag nrho cov khoom lom yuav raug tso tawm los ntawm cov placenta. Txawm li cas los xij, nws tus po, lub plawv thiab daim siab tuaj yeem nce ntxiv, cov ntshav tawm hauv lub cev tuaj yeem tsim tau, kev ua haujlwm ntawm cov protein raug cuam tshuam, vascular permeability tau sau tseg, thiab hypoalbuminemia tshwm sim. Cov kab mob metabolic hauv qee kis tuaj yeem ua rau fetal tuag.
YPathology Therapy
Cov lus pom zoo kho mob rau tus kab mob hemolytic ntawm tus menyuam mos yuav ua raws li hauv qab no. Yog tias tus menyuam muaj daim ntawv hnyav, nws yuav tsum tau muab cov ntshav kom sai li sai tau. Tom qab ntawd, kev kho mob detoxification yog nqa tawm: ib tug loj npaum li cas ntawm cov kua yog txhaj rau hauv tus me nyuam, ib tug intravenously hloov cov ntshav thiab qabzib. Nws feem ntau hu ua kab mob tshwm sim ntawm tus menyuam yug tshiab.
Tseem siv tau yog txoj kev yees duab, uas bilirubin yog oxidized nyob rau hauv lub teeb, tig mus rau hauv biliverdin, nrog rau cov tshuaj tsis muaj tshuaj lom. Tus menyuam daim tawv nqaij yog irradiated nrog lub teeb xiav tshwj xeeb rau li 15 teev ib hnub rau ob mus rau rau hnub.
Phenobarbital pab qhib tus menyuam lub siab glucuronyltransferase. Txhawm rau txhim kho kev ua haujlwm ntawm daim siab, cov kws kho mob tuaj yeem sau npe siv methionine, adenositrophosphoric thiab ascorbic acid, cyanocobalamin, tocopherol thiab pyridoxine, thiab txhim kho. Cov kua tsib tso tawm, cov tshuaj magnesium ntawm 25% concentration yog ntaus nqi.
Sepsis
Qhov no yog ib yam mob thiab txaus ntshai heev ntawm tus menyuam mos yog tias nws tsis pom nyob rau lub sijhawm, uas feem ntau yog tshwm sim los ntawm kev nkag mus ntawm cov kab mob tsis zoo los ntawm qhov uas twb muaj lawm los yog kis mus rau hauv tus menyuam cov ntshav. Nws feem ntau hu ua kab mob ntawm cov menyuam mos yug ntxov ntxov.
Nws yog ib qho tseem ceeb uas tus kab mob staphylococcal tau tshwm sim ntau tshaj plaws tsis ntev los no. Nws cov pathogenicity nyob rau hauv lub peev xwm ntawm nws tus kheej tsim enterotoxins, dermonecrotoxins, hemotoxins thiab leukocidins, nrog rau coagulase, hyaluronidase thiab fibrinolysin, uas rhuav tshem colloidal hais..
Ntau yam kab mob ntawm tus poj niam cev xeeb tub tuaj yeem ua rau muaj kev phom sij heev rau tus menyuam, vim qhov no, tus menyuam hauv plab kev tiv thaiv tsis muaj zog, nrog rau nws cov kab mob hauv plab. Tab sis yog hais tias lub placental barrier puas lawm, kev kis tus me nyuam tuaj yeem tshwm sim, thiab nws kuj tuaj yeem tshwm sim thaum nws ua tiav thaum lub sij hawm yug me nyuam.
Lub rooj vag nkag mus rau hauv lub cev ntawm tus menyuam mos kis kab mob feem ntau hu ua daim tawv nqaij puas, kab mob ntawm lub plab hauv cov menyuam mos, cov hlab ntsha ntawm lub plab, qhov muag ntawm lub qhov muag, cov mucous membranes ntawm lub digestive apparatus thiab ua pa ib ntsuj av. Raws li qhov tshwm sim, tus me nyuam tsim o nrog kev tso tawm ntawm cov kua paug: conjunctivitis, pyoderma, omphalitis, otitis media, thiab lwm yam. Sepsis tuaj yeem ua rau otogenic cutaneous lossis umbilical.
Kuaj mob sepsis tom qab tau txaiscov txiaj ntsig ntawm kev kuaj mob thiab kuaj kab mob bacteriological ntawm tus menyuam, nrog rau cov kev kuaj pom pom tseeb. Pathogenic staphylococcus feem ntau yog sown los ntawm lub pharynx thiab lub qhov ntswg, qhov txhab ntawm lub plab, pustules ntawm daim tawv nqaij, los yog txawm los ntawm cov ntshav. Tab sis cov txiaj ntsig tsis zoo tsis tuaj yeem txiav txim siab 100% qhov muaj sepsis, tshwj xeeb tshaj yog tias nws muaj cov tsos mob tshwm sim.
Cov tsos mob tseem ceeb ntawm tus menyuam mos uas muaj tus kab mob sepsis yog cov hauv qab no: lub sijhawm quaj ntawm lub plab, lub plab poob qis, nquag regurgitation, pustules ntawm daim tawv nqaij, qhov hnyav tsis txaus. Kev sib xyaw ua ke ntawm cov tsos mob yuav tsum muaj qhov tsis txaus ntseeg.
Cov tshuaj tiv thaiv kub ntawm tus menyuam yug tshiab nrog sepsis tuaj yeem pib nce mus rau 39 0 С, tom qab ntawd qhov kub poob rau subfebrile. Kwv yees li ntawm peb hnub, tus me nyuam muaj cov tsos mob ntawm toxicosis: lub plawv suab yog muffled, daim tawv nqaij ua grayish-daj xim, hyporeflexia thiab hypotension.
Cov menyuam mos feem ntau muaj ntuav ntuav, tsis muaj zog, thiab dyspepsia. Tom qab lub lim tiam thib ob ntawm tus kab mob no, tus po thiab daim siab feem ntau loj tuaj, qhov hnyav nce yuav maj mam nce lossis txawm nres.
YSepsis therapy
Kev kho yuav tsum yog txhawm rau tshem tawm cov kab mob, kho cov kab mob metabolic, ua kom tus menyuam tiv thaiv kab mob, thiab ua kom huv huv ntawm qhov chaw uas muaj purulent.
Los ntawm cov tshuaj tua kab mob, cov kws kho mob muab cov tshuaj tua kab mob xws li "Methicillin", "Oxacillin" thiab"Ampicillin". Txhawm rau tiv thaiv kev txhim kho ntawm dysbacteriosis thiab candidiasis hauv tus menyuam mos, nws raug nquahu kom muab tshuaj tua kab mob nrog levorin, nystatin thiab bifidumbacterin.
Yog hais tias muaj ntshav tsis txaus, tus menyuam yuav tau txhaj ntshav thaum muaj xwm ceev. Qhov zoo tshaj plaws, tus neeg pub ntshav yuav tsum tau txhaj tshuaj tiv thaiv kab mob tshwj xeeb. Txhawm rau kho cov kab mob metabolic, tus menyuam yug tshiab yuav raug tshuaj cocarboxylase thiab glutamic acid, thiab yog tias hypokalemia tshwm sim (hauv plab paresis, tachycardia, ntuav, regurgitation), potassium acetate. Yog tias tus menyuam mos hypohydrated hnyav, qhia txog qee cov tshuaj saline.
Nws yog ntshaw kom suav nrog hauv kev kho mob kev siv tshuaj tiv thaiv kab mob, uas yuav tsum tau hloov cov chav kawm: Pipolfen, Suprastin thiab Dimedrol. Nrog purulent thiab septic foci, yuav tsum muaj kev cuam tshuam kev phais.
Zaum
Jaundice yog qhov pom kev pom ntawm qhov nce ntawm bilirubin hauv cov ntshav. Nws tsim nyog kawm txog qhov ua rau thiab qhov tshwm sim ntawm jaundice hauv cov menyuam yug tshiab. Kev nce hauv bilirubin tshwm sim nyob rau hauv tag nrho cov me nyuam mos nyob rau hauv thawj hnub ntawm lub neej, thaum yellowness ntawm daim tawv nqaij yog qhia tsuas yog nyob rau hauv 60-70%. Jaundice feem ntau tshwm sim hauv cov menyuam yaus uas muaj meconium lig, yoo mov thiab hypothermia.
Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tau muab tus me nyuam tso rau hauv lub mis kom ntxov thiab ntau zaus, uas yuav ua rau muaj kev tso tawm ntawm meconium, thiab tsis txhob cia tus me nyuam ua rau hypothermic.
Yog daj daj heevtshwm sim los yog tshwm sim tom qab hnub xya tom qab yug me nyuam, los yog txuas ntxiv nce tom qab hnub thib tsib thiab kav ntev tshaj peb lub lis piam, ces nws yog ib qho tsim nyog los txiav txim siab txog qib ntawm bilirubin hauv tus menyuam cov ntshav. Thaum qib siab dua 200 µmol / l, yuav tsum tau kuaj ntxiv kom tsis suav nrog cov kab mob jaundice. Raws li koj tuaj yeem pom, qhov ua rau thiab qhov tshwm sim ntawm jaundice hauv cov menyuam yug tshiab yuav tsum tau saib xyuas tam sim.
kev kho mob daj ntseg
Yog tias qhov kev ntsuam xyuas qhia pom qhov mob ntawm tus mob jaundice (thiab nws cov laj thawj tuaj yeem sib txawv), kev kho kom tsim nyog tau ua tiav. Thiab ua ntej ntawm tag nrho cov, "Ursofalk" yog tshuaj rau cov me nyuam mos los ntawm jaundice, kev tshuaj xyuas ntawm uas tam sim no tsuas zoo. Nws raug pom zoo siv rau txhua lub hnub nyoog.
Thiab yog tias nws tau lees paub tias tus kab mob jaundice yog lub cev, tab sis ntev, kev kho mob yog nqa tawm nrog lub teeb tshwj xeeb. Nyob rau lub sijhawm tam sim no, qhov no yog txoj hauv kev zoo tshaj plaws thiab tsis muaj teeb meem los kho jaundice. Lub essence ntawm kev kho mob yog nyob rau hauv cov nyhuv ntawm daim tawv nqaij ntawm lub teeb nrog ib tug tshwj xeeb wavelength, uas zom cov xim thiab txhawb nws excretion nrog quav thiab zis.
Ntxiv rau, nws raug tso cai los sau ursodeoxycholic acid, uas ua rau cov kua tsib thiab ua kom nws txo qis. Piv txwv li, Ursofalk yog siv rau cov menyuam yug tshiab los ntawm daj ntseg. Kev tshuaj xyuas txog kev kho tus kab mob nrog cov tshuaj no tsuas yog qhov zoo. Thiab yog li nws tuaj yeem siv tau zoo los ntawm cov kab mob no.
Kev muab dej, qabzib, lossis hluav taws xob hluav taws xob rau tus menyuam, raws li kev tshawb fawb tsis ntev los no, tsis suav tias ua tau zoo.
Pemphigus
Pemphigus yog ib tus kab mob ntawm tus menyuam yug tshiab los ntawm cov kab mob sib kis ntawm daim tawv nqaij mob, uas tshwm sim los ntawm qhov tshwm sim ntawm cov hlwv nrog cov kab mob serous, nrog rau kev ua rau muaj kev cuam tshuam sai ntawm cov txheej txheem mus rau thaj chaw noj qab haus huv ntawm daim tawv nqaij thiab qhov ncauj mucosa. Tus kab mob no yog kab mob nyob rau hauv cov xwm thiab yog tshwm sim los ntawm staphylococcus, tsis tshua muaj streptococcus. tshwm sim, raws li txoj cai, nyob rau hauv thawj lub lis piam ntawm tus me nyuam lub neej. Qhov ua rau tus kab mob no suav tias yog: cov neeg saib xyuas tus menyuam, leej niam ntawm tus menyuam yug tshiab, cov tswvcuab ntawm nws tsev neeg uas muaj mob lossis muaj kab mob purulent. Qee zaum, txoj hlab ntaws yog suav tias yog lub hauv paus ntawm kev kis kab mob. Nws yuav tsum tau muab sau tseg tias tej yam xws li tsis muaj kev tiv thaiv ntawm daim tawv nqaij, nws anatomical thiab lub cev nta, thiab kev tu cev tsis txaus ntawm cov me nyuam kuj ua rau muaj kev tshwm sim ntawm tus kab mob nyob rau hauv tus me nyuam mos.
YCandidiasis
Cov me nyuam mos tuaj yeem muaj ntau yam kab mob. Nws yog tsim nyog hais txog lwm tus kab mob, lossis theej, kev kho mob ntawm ib hom kab mob candidiasis hauv cov menyuam mos. Hauv qhov no, txhua qhov chaw raug kho nrog kev daws teeb meem tshwj xeeb. Feem ntau, nws raug txiav txim hauv lub tsev muag tshuaj.
Nws yog ib qho tseem ceeb heev uas yuav tsum txheeb xyuas lawv kom raug thiab raws sijhawm kom tshem tawm txhua yam tsos mob sai li sai tau! Peb thov kev noj qab haus huv rau tus menyuam thiab kev zoo siab rau niam txiv!
