kab mob qog noj ntshav yog dab tsi? Qhov no yog qhov mob ntawm cov qog parotid, uas tom qab ntawd kis mus rau lwm cov qog hauv lub cev.
Qhia qhov txawv ntawm cov mumps thiab zoo tib yam, tsis muaj kab mob. Ntxiv nrog rau kev kis kab mob, muaj lwm yam ua rau muaj tus kab mob. Qhov no yog o tawm tsam keeb kwm ntawm cov txheej txheem autoimmune lossis hypothermia. Autoimmune parotitis tshwm sim hauv cov neeg laus. Sarcoidosis, Sjögren's kab mob thiab mob caj dab rheumatoid tuaj yeem ua rau mob qog nqaij hlav hauv tus neeg laus. Tab sis peb tsuas yog saib cov mumps thiab nws cov tsos mob.
mumps lossis qog. Childhood mob
Tus kab mob no cuam tshuam rau cov qog parotid thiab ua rau muaj teeb meem txaus ntshai tshaj plaws ntawm lub paj hlwb. Mob, feem ntau, cov menyuam yaus hnub nyoog pib thiab theem nrab ntawm 6 txog 15 xyoo. Tus me nyuam yog tus neeg kis tus kab mob 2 hnub ua ntej pib qhov tshwm sim thawj zaug thiab lwm 9 hnub. Cov kab mob sib kis tau zoo tshaj plaws hauv cov menyuam yaus hauv thawj 5 hnub. Lub sijhawm no, cov tsos mob ntawm tus kabmob tshwm sim.
Mumps manifests nws tus kheej nrog kub taub hau thiab o ntawm lub puab tsaig. Tias yog vim li cas qee zaum tus kab mob hu ua "mumps" hauv tib neeg. Tom qab ntawd, los ntawm pob ntseg caj pas, qhov mob kis mus rau submandibular, salivary thiab lwm yam. Cov thyroid thiab pancreas tsis tshua muaj kev cuam tshuam. Qee zaum lub hauv nruab nrab lub paj hlwb kuj raug kev txom nyem.
Tag nrho cov tsos mob feem ntau tsis ntev tshaj li ib lub lim tiam. Tom qab 4-5 hnub, tus me nyuam kub taub hau ploj thiab qhov o ntawm lub ntsej muag maj mam ploj.
Nws tsis tuaj yeem xa tus menyuam mus kawm qib kindergarten lossis tsev kawm ntawv uas muaj lub plhu o, txawm tias tsis kub taub hau thiab mob taub hau.
Mumps hauv menyuam yaus thiab neeg laus
Tus kab mob ua rau tus kab mob yog Pneumophilia parotidis, uas yog tsev neeg paramyxovirus. Nws kis tau los ntawm huab cua tee. Yog tias tus neeg nqa khoom kuj raug mob los ntawm tus mob ua pa nyuaj thiab txham, mumps nyob ib puag ncig nws kis tau sai heev. Nws raug nquahu kom cais tus neeg zoo li no. Nws kuj kis tau los ntawm cov khoom siv hauv tsev - cov menyuam yaus cov khoom ua si, cov phuam da dej. Nws muab faib rau cov menyuam yaus hnub nyoog kawm ntawv thiab cov tub hluas. Feem ntau tshwm sim tshwm sim hauv cov tub rog. Tab sis ntawm cov neeg muaj hnub nyoog nruab nrab, mumps tsis tshwm sim lawm.
Nws muaj peev xwm kis tus kab mob no mus rau tus menyuam yug tshiab los ntawm leej niam muaj tus mob. Thaum paramyxovirus nkag mus rau hauv cov mucous daim nyias nyias los ntawm lub qhov ntswg, nws sai sai nrhiav lub hom phiaj ntawm kev tawm tsam qhov twg nws tuaj yeem sib ntxiv. Cov ntaub so ntswg thiab cov qog nqaij hlav tsim nyog rau hom kab mob no.
Khoom muaj tus kab mob
Tus kab mob no nyob hauv tib neeg lub cev, zoo li qhua pias. Nws tau pom nyob rau xyoo 1934 los ntawm E. Goodpasture thiab K. Johnson. Raws li ICD, tus kab mob kuj muaj nws tus kheej code - B26 - Kab mob parotitis. Thiab ntxiv, mumps pancreatitis, orchitis, thiab lwm yam teeb meem yog coded nyob rau hauv tib tus lej
Tus kab mob ua rau tus kab mob qog noj ntshav tiv taus txias zoo, thiab tuaj yeem khaws nws cov txiaj ntsig txaus ntshai rau lub sijhawm ntev ntawm qhov kub qis dua 20 ° C. Tab sis nws tsis zam qhov kub zoo heev. Yog tias koj sov nws mus rau qhov kub ntawm 50 C thiab siab dua, tus kab mob paramyxovirus tuag. Nws kuj tseem raug puas tsuaj sai heev thaum raug rau cov tshuaj tua kab mob raws li cov lus qhia. Xws li 50% cawv lossis 0.1 formalin tov. Kuj degrades sai heev thaum raug ultraviolet lub teeb.
Kev faib tawm
Mumps hauv menyuam yaus thiab cov neeg laus muaj 2 daim ntawv. Nws tuaj yeem tshwm sim nrog lossis tsis muaj teeb meem. Daim ntawv yooj yim tshaj plaws yog me ntsis o ntawm caj pas ntawm ib sab thiab mob tom qab pob ntseg, kav ntev li ob peb hnub. Cov qog yuav tsis txawm pom. Daim ntawv ntawm parotitis nrog kev hem thawj ntawm cov teeb meem ua rau muaj kev txhawj xeeb ntau dua ntawm cov niam txiv. Nrog rau kev kawm ntev rau 8-10 hnub, cov teeb meem tuaj yeem tshwm sim, thiab ntau lub cev yuav raug kev txom nyem. Nws yog ib qho tsim nyog yuav tsum muaj kev txhawj xeeb hauv cov xwm txheej zoo li no tias tus menyuam tsis hnov lus tsis zoo thiab tsis muaj teeb meem hauv lub plawv, lub paj hlwb hauv nruab nrab lossis qhov chaw mos.
Kuj paub qhov txawv ntawm qhov mob me, nruab nrab thiab hnyav. Kab mob parotitis nyob rau hauv cov neeg laus yog nrog los ntawm ib tug kub ntawm 40 ° C thiab saum toj no, ib tug ntev kev kawm thiab lub plawv puas nyob rau hauv daim ntawv ntawm tachycardia. Nov yog daim ntawv hnyav tshaj plaws.
Cov tsos mob ntawm tus kab mob hauv cov neeg laus
Rau cov uas tsis muaj mumps thaum yau, thaum laustus kab mob phem zuj zus. Qhov kub thiab txias yuav siab dua, qhov mob tom qab pob ntseg yuav muaj zog dua thiab qhov tshwm sim yuav txaus ntshai dua.
Tau kawg, tsis yog txhua tus tsos mob tshwm sim ib txhij ntawm tus neeg mob. Nws tshwm sim tias cov kab mob mumps yog tus du thiab asymptomatic. Tab sis peb yuav muab cov cim qhia ntau tshaj ntawm tus kab mob.
Yog li, yog tias tus neeg mob qog noj ntshav, cov tsos mob yuav ua raws li hauv qab no:
- mob thiab o ntawm cov qog nyob ze ntawm pob ntseg ua ntej, tom qab ntawd qhov o mus rau cov qog ua kua qaub submandibular thiab mus rau caj dab;
- mob taub hau;
- mob thaum zom;
- nkees thiab kub ntawm 38 ° C, tab sis qee zaum txhua yam yog 40 ° C;
- qee zaum koj tsis hnov lus;
- hauv 4% ntawm tus neeg mob, tus kab mob kis mus rau pancreas;
- Hauv 15% ntawm cov txiv neej laus, qhov mob kis mus rau cov qog ntshav (orchitis), thiab hauv 5% ntawm cov poj niam mus rau zes qe menyuam (oophoritis);
- mob ntawm cov qog nqaij hlav inguinal;
- tsis txaus salivation thiab, vim li ntawd, qhov ncauj qhuav tas li;
- mob qee zaum mus rau tus nplaig;
- ntuav thiab mob hauv plab yog mob pancreatitis tshwm sim vim muaj kab mob.
Qee zaum, mumps tsuas cuam tshuam rau cov qog, tab sis nws tshwm sim tias tus kab mob tsuas yog tsom rau cov paj hlwb. Tab sis kuj feem ntau tus kab mob no cuam tshuam rau tib lub sijhawm.
Kev nyuaj siab
Dab tsi yog qhov phom sij ntawm paramyxovirus? Cov teeb meem ntawm mumps yog tshwm sim nyob rau hauv feem ntau ntawm cov tub hluas. Yuav luag 50% lub caij nyoog uas, tau mob mumps, tus tub yuav tsis muaj peev xwm muaj menyuam. Hauv 35% ntawm cov xwm txheejib lub noob qes raug cuam tshuam thiab txoj hauv kev los ua leej txiv tseem nyob, tab sis tsis zoo. Tseem muaj lwm yam teeb meem. Cov kab mob qee zaum cuam tshuam rau cov txiav txiav thiab cov kab mob ntawm lub paj hlwb. Nws tshwm sim tias qhov hnov mob ploj tom qab mob, thiab ib tug neeg tseem lag ntseg mus tas nws lub neej.
Txhawm rau pab txhawb kev ua haujlwm ntawm txiav txiav thaum lub sijhawm muaj mob, koj tsis tuaj yeem muab cov menyuam rog rog, kib zaub mov rau lub sijhawm no, txwv kev haus luam yeeb. Yog tias niam txiv pom tias muaj teeb meem tshwm sim thiab tus menyuam ntuav, nws yws yws txog qhov mob ntawm nws sab, ces koj yuav tsum hu rau lub tsheb thauj neeg mob.
Ib tug me nyuam hnub nyoog qis dua 8 xyoos yog qhov yooj yim rau tus kab mob thiab tej zaum yuav tshwm sim tias meningoencephalitis yuav ua rau muaj teeb meem. Thawj thawj zaug hu yog mob taub hau unbearable. Thiab nyob rau hauv cov ntaub ntawv no, ncua hem nws lub neej. Tom qab kho los ntawm meningitis los yog meningoencephalitis, asthenic manifestations tau soj ntsuam li 2-3 lub hlis, thiab qhov no yog ib txwm.
Feem ntau, kev kwv yees tau zoo heev. Tus kab mob teb zoo rau kev kho mob. Kev tuag yog qhov tsawg kawg nkaus, tsuas yog qhov kub "dov" thiab lub cev tsis tuaj yeem sawv. Cov teeb meem yog qhov zoo tshaj plaws tiv thaiv ua ntej los ntawm kev saib xyuas tus neeg mob kom raug.
Nws kuaj tau li cas
Mumps nyob rau hauv cov me nyuam manifests nws tus kheej nyob rau hauv ntau txoj kev. Yog tias cov tsos mob pom zoo, lawv raug kuaj raws li cov cim pom tseeb - mob taub hau, ua npaws, thiab o nyob ze ntawm pob ntseg.
Tab sis yog tsis yog, koj yuav tsum tau kuaj ntshav. Leukocytes yuav txo qis hauv cov ntshav. Qhov kev ntsuam xyuas tseem ceeb kom paub meej tias kab mob qog noj ntshav yogib qho enzyme immunoassay test uas paub meej tias muaj cov tshuaj tiv thaiv kab mob tshwj xeeb rau cov kab mob qog noj ntshav. Qhov no yog cov ntaub ntawv tseem ceeb thaum cov niam txiv tsis tuaj yeem soj ntsuam cov qog hauv cov kab mob subclinical (smoothed) ntawm tus kab mob thiab tsis paub tias vim li cas tus me nyuam kub taub hau.
Cov tshuaj tiv thaiv hauv cov ntshav
Hauv chav kuaj, ob lub tshuaj tiv thaiv kab mob tseem ceeb tau tshawb nrhiav hauv cov qog ua qog: LgM thiab LgG. Yog tias tsuas yog kuaj pom cov tshuaj tiv thaiv LgM, ces tus kab mob tau pib, thiab kav ntev li 1-2 hnub. Tab sis, yog tias ob qho tib si raug nthuav tawm, ces tus neeg ntawd twb rov zoo lawm thiab txij li lub sijhawm nws kho, qhov kev tiv thaiv no yuav kav ntev li 6 lub lis piam hauv cov ntshav.
Qhov tsuas muaj LgG qhia tias tus menyuam tau txhaj tshuaj tiv thaiv thiab muaj cov tshuaj tiv thaiv hauv lub cev, tab sis yog tias lawv tsis muaj zog, yuav tsum tau txhaj tshuaj tiv thaiv ntxiv. Qhov tsis muaj ob qho tshuaj tiv thaiv kab mob hauv cov ntshav txhais tau tias tsis muaj qog nqaij hlav thiab tus menyuam tsis tau txhaj tshuaj.
Kev kis tus kab mob siab npaum li cas?
Txij thaum lub sij hawm incubation yog ntev heev, los ntawm 13 mus rau 20 hnub, thiab muaj ntau yam asymptomatic, nyob rau hauv thiaj li hu ua subclinical daim ntawv, 98 -100% ntawm pab pawg neeg kis tau tus mob. Kev kis mob hauv tsev kawm ntawv tuaj yeem kav yuav luag 100 hnub. Yog tias cov tub ntxhais kawm qib 1 tsis tau txhaj tshuaj tiv thaiv tam sim ntawd, raws li qhov xav tau, thaum muaj hnub nyoog 6 lossis 7 xyoo, thaum muaj 1 kis, nyob hauv cheeb tsam, lawv txhua tus yuav kis tus kab mob.
Mumps. Kev txhaj tshuaj
Kev txhaj tshuaj tau pib xyoo 1977, thiab txij li ntawd los cov menyuam yaus cuam tshuam los ntawm tus kabmob tau poob qis heev.
Cov menyuam yaus yuav tsum tau txhaj 2 koob tshuaj raws li lub sijhawm. Thawj yog ua tiav ntawm 1 xyoo, qhov thib ob ntawm 7 xyoo. Yog tus me nyuam lawmpoob mob mumps ua ntej nws muaj 7 xyoos, nws tsis tas yuav txhaj tshuaj tiv thaiv, vim lub cev txhim kho kev tiv thaiv mus ib txhis.
Cov teeb meem tom qab txhaj tshuaj tiv thaiv menyuam yaus tshwm sim, tab sis tsis tshua muaj. Tsis pub dhau 12 hnub, qhov kub thiab txias tuaj yeem nce thiab qhov tsis muaj zog tuaj yeem hnov hauv thawj 2-4 hnub. Tab sis tag nrho cov tsos mob no tsis muaj teeb meem kiag li piv rau qhov txaus ntshai tshwm sim los ntawm tus kab mob nyob nws tus kheej.
Contraindications rau txhaj tshuaj tiv thaiv
Qee zaum, nws yog contraindicated los txhaj tshuaj tiv thaiv tus menyuam. Cov no yog kuaj mob vwm, immunodeficiency thiab tuberculosis. Tseeb tiag, tawm tsam keeb kwm ntawm tuberculosis, mumps feem ntau tshwm sim nws tus kheej.
Cov neeg laus yuav tsum tsis txhob txhaj tshuaj tiv thaiv ntxiv. Yog tias koj tau txais ob koob tshuaj tiv thaiv thaum menyuam yaus, tsis muaj kev pheej hmoo. Tab sis, yog tias vim li cas ib qho ntawm lawv tsis tuaj, ces nws tsim nyog rov kho koj tus kheej zaum ob. Ntxiv dua thiab, yog tias tsis muaj npe contraindications.
kho mumps tom tsev
Kev kho mob nkaus xwb yog siv tshuaj tua kab mob, uas pab me ntsis ua npaws thiab lwm yam tsos mob tsis zoo. Txoj cai tseem ceeb rau kab mob qog noj ntshav yog tias kev kho mob yuav tsum tsim nyog. Tsis txhob muab tshuaj tua kab mob tam sim rau tus menyuam.
xav tau lub txaj so. So, kev sov so hauv zos thiab kev ua raws li kev noj haus mus ntev rau kev txo qis kev pheej hmoo ntawm cov teeb meem.
Cov neeg laus raug tshuaj tua kab mob ntawm qhov kub - "Paracetamol", "Nurofen". "Panadol" yog qhov tsim nyog rau cov menyuam yaus thiab, ntxiv rau, cov menyuam yaus tau txais cov vitamin complexes uas pablub cev tiv nrog tshav kub. Raws li qhov xav tau, koj tus kws kho mob kuj tuaj yeem sau tshuaj tiv thaiv kab mob.
Thaum tus kab mob qog nqaij hlav hnyav, thiab lub cev raug cuam tshuam los ntawm cov kab mob microbial, lawv yuav tsum tau coj mus rau tsev kho mob thiab ntxuav tawm.
Thaum cov tub hluas pom cov tsos mob ntawm tus mob meningitis lossis orchitis, corticosteroids raug tshuaj. Kev kho mob nrog cov tshuaj no yog 5-7 hnub. Txawm li cas los xij, nws yog qhov zoo dua los hu lub tsheb thauj neeg mob thiab tau txais kev kho mob hauv tsev kho mob.
Tab sis thaum tus neeg mob pib kho sai dua, lub sijhawm mob yuav dhau mus yooj yim dua. Lub sijhawm no, xav tau dej haus sov ntxiv. Nws yog qhov zoo dua los muab rosehip broth los yog dej huv xwb. Koj tsis tas yuav tshuaj yej ntau, tsis dub lossis ntsuab.
Los ntawm cov zaub mov koj tuaj yeem muab cov paj npleg, yogurts, tab sis tsis rog dhau. Nyob rau lub sijhawm no, zaub mov muaj txiaj ntsig. Nws yog ib qho tsim nyog los txo lossis tshem tawm los ntawm kev noj zaub mov tag nrho cov khoom siv hmoov nplej, fatty broths thiab pickles. Thiab, yog tias qhov mob ntawm lub puab tsaig thiab caj pas tiv thaiv kev zom thiab nqos cov zaub mov, nws raug nquahu kom boil cov zaub thiab zom lawv nrog rab riam los ua cov qos yaj ywm mashed.
Kev kho mob rau cov mumps
Koj tuaj yeem pab tsis tau tsuas yog nrog tshuaj, tab sis kuj nrog kev pab ntawm tshuaj ntsuab decoctions. Nws yog ib qho tseem ceeb rau cov neeg mob yaug qhov ncauj thiab caj pas ob peb zaug ib hnub twg nrog ib tug sov so decoction ntawm sage. Cov nroj tsuag no muaj cov nyhuv antiseptic zoo heev thiab cov txheej txheem kuj pom zoo rau kev mob caj pas ntev. Raws li daim ntawv qhia rau 2 tbsp. spoons ntawm qhuav nyom mus 2 khob ntawm boiling dej. Qhov sib tov yog infused rau tsawg kawg ib teev, thiab lim ua ntej yaug. Siv 3 los yog 4 zaug ib hnub twg ntawm ib ntuslub sij hawm.
Lwm txoj kev siv tau yog crushed aloe nplooj. Los ntawm cov gruel uas yuav tig tawm, ib tug compress yog tsim, thov mus rau lub puab tsaig o. Es tsis txhob aloe, pounded Ginger paus kuj yog siv. Zoo li ntau lwm yam txuj lom, qhiav muaj peev xwm ua kom puas cov kab mob.
Txoj kev tiv thaiv kab mob
Yog li ntawd, peb tau txheeb xyuas seb tus mumps yog dab tsi. Kev tiv thaiv tus kab mob yuav tsum nyob rau theem siab tshaj plaws hauv cov menyuam yaus cov tsev kawm ntawv. Kev tiv thaiv zoo tshaj plaws yog kev txhaj tshuaj. Tom qab tag nrho, peb tsis tuaj yeem paub tus neeg nyob ib puag ncig peb yog tus kabmob kis tus kabmob, thiab nws tsis tuaj yeem tswj xyuas menyuam yaus 24 teev hauv ib hnub. Tshwj xeeb yog lawv twb kawm ntawv lawm.
Yog tias pom tus kab mob mumps hauv lub vaj lossis tsev kawm ntawv, kev cais tawm yuav tsum txuas ntxiv mus ntev li 3 lub lis piam. Cov neeg mob raug cais tawm ib ntus tsawg kawg 9 hnub, txawm tias cov tsos mob tshwm sim tuaj yeem ploj mus sai li 6-7 hnub.
Txhua yam kov tus menyuam mob lossis tus neeg laus yuav tsum tau muab tshuaj tua kab mob. Yog tias cov no yog cov khoom ua si mos, lawv yuav tsum tau ntxuav thiab boil rau tsawg kawg 20 feeb. Nws yog qhov tsim nyog los kho tag nrho cov chav tsev nrog cov tshuaj tshwj xeeb uas yuav tua cov kab mob uas tseem tshuav ntawm cov khoom thiab rooj tog.
