Parapertussis yog dab tsi? Cov tsos mob ntawm cov menyuam yaus, kev kho mob ntawm tus kab mob no thiab ua rau nws tshwm sim yuav raug nthuav tawm hauv qab no. Peb kuj tseem yuav qhia rau koj txog qhov yuav tsum tau ua kom tsis txhob muaj tus kab mob no.
Cov ntaub ntawv tseem ceeb
Parawhooping hnoos nyob rau hauv cov menyuam yaus yog ib qho kev sib kis zoo heev. Txawm li cas los xij, hauv kev ncaj ncees, nws yuav tsum tau muab sau tseg tias tus kab mob no tshwm sim tsawg dua li qhov hnoos hawb pob. Cov kab mob zoo li no tsis cuam tshuam rau ib leeg. Feem ntau, hnoos parawhooping cuam tshuam rau cov menyuam yaus hnub nyoog 3-6 xyoo thiab tsis tshua muaj menyuam yaus hnub nyoog qis dua 1 xyoos thiab cov hluas.
Dab tsi yog parapertussis?
Cov tsos mob ntawm cov menyuam yaus, kev kho mob ntawm tus kab mob no tsuas yog txiav txim siab los ntawm tus kws kho menyuam yaus uas paub txog.
Para hawb pob yog ib yam kab mob ntawm qhov mob hnyav thiab kis kab mob. Nws yog tus cwj pwm los ntawm kev pheej hmoo, qhuav thiab hnoos paroxysmal, nrog rau qhov tshwm sim ntawm tracheobronchitis.
Cov cim qhia ntawm tus kab mob hauv nqe lus nug zoo ib yam li daim duab kho mob ntawm tus mob hnoos hawb pob. Feem ntau, tom qab muaj tus kab mob, tus neeg muaj kev ruaj khov thiab hom kev tiv thaiv kab mob. Kev kis tsis tau rov qab los yog qhov kev pheej hmoo tsawg.
Txoj kev sib kis thiab ua rau muaj kab mob
Tus neeg sawv cev ntawm tus kab mob hauv nqe lus nug yog Bordetella parapertussis. Qhov no yog tus kab mob parapertussis bacillus, uas muaj cov kab mob zoo ib yam li cov kab mob hnoos hawb pob. Nws yuav tsum raug sau tseg tias nws txawv ntawm qee yam kab lis kev cai thiab biochemical yam ntxwv.
Tus kab mob parapertussis kis tau li cas (cov tsos mob ntawm cov menyuam yaus, kev kho mob yuav tham hauv qab no)? Lub hauv paus ntawm tus kab mob yog tus menyuam muaj mob, thiab qee zaum muaj kab mob bacteriocarrier. Tus kab mob kis tau los ntawm cov tee dej.
Tus kab mob hauv nqe lus nug yog qhov tshwm sim ntawm qhov tshwm sim ib ntus, nrog rau kev sib kis ntawm cov menyuam yaus thiab tsev kawm ntawv.
Cov kab mob sib kis
Cov kab mob zoo li cas yog hnoos parawhooping? Cov tsos mob ntawm tus me nyuam, kev kho mob ntawm tus kab mob no nyob ntawm seb hom kev tsim pathology. Cov kws tshaj lij paub qhov txawv ntawm ntau hom kab mob parapertussis:
- typical;
- atypical (asymptomatic, kab mob cab, tshem tawm daim ntawv).
Nws tseem yuav tsum tau sau tseg tias tus kab mob no tuaj yeem ua tau:
- medium;
- easy form.
Nyob ntawm qhov teeb meem, tus kab mob hauv nqe lus nug tau muab faib ua:
- rau qhov tsis yooj yim (nrog kev kawm zoo);
- nyuaj (nrog qhov sib ntxiv ntawm kev kis tus kabmob thib ob lossis ua rau muaj kab mob hnyav dua).
Cov tsos mob Parapertussis hauv menyuam yaus
Kev kho mob, tawm tswv yim thiab lus qhia txog kev tiv thaiv tus kab mob no yuav raug txiav txim siabhauv qab no.
Lub sij hawm incubation ntawm tus kab mob no kav 4-14 hnub. Daim duab kho mob ntawm tus kab mob parapertussis yog tus cwj pwm los ntawm qhov muaj peb lub sijhawm ntawm kev loj hlob ntawm cov kab mob pathological. Thawj cov tsos mob, lossis lub sijhawm hu ua catarrhal, tuaj yeem tsis meej pem nrog kev tshwm sim ntawm tus mob khaub thuas lossis mob ua pa nyuaj:
- khaus thiab mob caj pas;
- hnoos qhuav;
- mob rhinitis.
Lub sijhawm no kav 3-5 hnub. Tom qab ntawd los lub sij hawm spasmodic. Nws yog tus yam ntxwv los ntawm cov yam ntxwv hauv qab no:
- nrog rau daim ntawv atypical, hnoos thiab obsessive hnoos nrog hnoos qeev tshwm sim;
- nrog hnoos hawb pob, tus neeg mob muaj hnoos paroxysmal, uas xaus nrog hawb pob lossis ntuav (kev tawm tsam tsis pub tshaj 7 zaug hauv ib hnub).
Raws li cov kws kho mob, hnoos fits tshwm sim los ntawm cov neeg kho tshuab stimuli, kev ua haujlwm ntau dhau los lossis kev ntxhov siab.
Feem ntau, lub sijhawm ntawm lub sijhawm spasmodic tsis pub dhau ob lub lis piam.
Thaum tus kab mob rov qab los, hnoos tsis muaj zog, thiab tom qab ntawd ploj tag nrho (hauv 3 hnub). Nyob rau tib lub sijhawm, qhov kub ntawm tus menyuam tseem nyob li qub. Raws li rau lub sijhawm catarrhal thiab spasmodic, tom qab ntawd nrog lawv tus menyuam yuav muaj tus mob subfebrile.
Kev nyuaj siab
Cov teeb meem dab tsi tuaj yeem ua rau parapertussis? Cov tsos mob (thiab kev kho mob) hauv cov menyuam yaus ntawm tus kab mob no paub rau txhua tus. Pediatrician, thiab pathology yuav tsum tau kuaj xyuas lub sijhawm. Qhov no yog vim qhov tseeb tias tus kab mob hauv nqe lus nug tuaj yeem ua rau muaj teeb meem loj cuam tshuam nrog kev sib ntxiv ntawm tus kab mob thib ob.
Feem ntau, hnoos parawhooping tsim cov kab mob ua pa, suav nrog pleurisy, mob ntsws thiab mob ntsws. Kuj tseem muaj teeb meem xws li pneumothorax, emphysema, thiab qhov quav prolapse.
Nws kuaj tau li cas?
Yog koj tus menyuam hnoos qhuav heev thiab tsis kub taub hau, koj yuav tsum hu rau tus kws kho mob tam sim ntawd (ENT, pulmonologist, pediatrician lossis tus kws kho mob tshwj xeeb).
Hauv kev kuaj xyuas kom raug, cov ntaub ntawv hais txog tus menyuam zaum kawg nrog tus neeg mob yog qhov tseem ceeb heev. Tsis tas li ntawd, tus me nyuam raug pom zoo kom kuaj mob hnoos hawb pob thiab parapertussis.
Cov menyuam yaus raug kuaj hauv qab no kom paub meej qhov kev kuaj mob:
- kab mob kab mob ntawm cov smear coj los ntawm phab ntsa pharyngeal tom qab;
- x-ray;
- kuaj ntshav kom pom muaj cov tshuaj tiv thaiv kab mob parapertussis.
txheej txheem kho
Yuav ua li cas kho tus kab mob parapertussis hauv menyuam yaus? Tus kws kho mob yuav qhia rau koj paub meej txog qhov no. Feem ntau, kev kho mob ntawm tus kab mob no yog ua los ntawm tus neeg mob sab nraud. Txawm li cas los xij, qee qhov xwm txheej, tus menyuam tseem nyob hauv tsev kho mob. Raws li txoj cai, qhov no tshwm sim yog tias tus menyuam tseem tsis tau muaj peb xyoos lossis tus kab mob hnyav heev. Tsis tas li ntawd, tus me nyuam tsuas pom nyob hauv tsev kho mob yog tias nws muajmuaj teeb meem loj.
Raws li cov lus ntawm cov kws paub txog kev paub dhau los, tsis muaj kev kho tshwj xeeb rau tus kab mob no. Txawm li cas los xij, txhawm rau txo cov tsos mob tsis zoo, cov kws kho mob pom zoo cov haujlwm hauv qab no:
- vitamin kho, kho qhov muag;
- muab qhov pom kev microclimate hauv chav uas tus neeg mob nyob, uas yog, huab cua ntub thiab txias;
- oxygenobarotherapy, tsis tu ncua nqus pa ntawm huab cua los ntawm nebulizer;
- nquag taug kev hauv huab cua ntshiab (zoo dua nyob deb ntawm txoj kev loj).
kev kho mob
Raws li tau hais los saum toj no, tsis muaj kev kho tshwj xeeb rau parapertussis hauv menyuam yaus. Txawm li cas los xij, cov kws kho mob tseem sau qee yam tshuaj rau cov menyuam mos.
Los ntawm cov tshuaj uas kws kho mob tau sau tseg, cov menyuam muaj mob tuaj yeem siv:
- sedatives;
- "Tussin Plus" lossis "Bronholitin" (tshwj xeeb yog lub sijhawm catarrhal);
- tshuaj tiv thaiv kab mob (macrolides) yog tias muaj cov kab mob nyuaj (tsuas yog rau cov menyuam yaus hnub nyoog qis dua ib xyoos).
Nws tsis tuaj yeem hais tau tias cov txheej txheem hauv qab no tau siv rau kev hnoos parawhooping:
- kub;
- kho lub cev.
Cov kws tshaj lij hais tias thaum lub sijhawm muaj tus kabmob no, nws tseem ceeb heev uas yuav tsum tsis txhob noj cov khoom noj uas muaj cov ncuav qab zib, crackers, txiv hmab txiv ntoo thiab zaub. Koj yuav tsum tsis txhob ua haujlwm thiab ua si,uas yuav ua rau muaj kev loj hlob ntawm hnoos paroxysmal.
ntsuas kev tiv thaiv
Tam sim no koj paub tias tus hnoos hawb pob thiab hnoos parawhooping yog dab tsi. Qhov sib txawv ntawm cov me nyuam tau nthuav tawm me ntsis siab dua.
Raws li kev kho mob, tsis muaj kev tiv thaiv tshwj xeeb rau tus kab mob no. Kev tiv thaiv yuav tsum yog txhawm rau tiv thaiv kev kis tus kab mob hauv pab pawg menyuam yaus. Rau tus menyuam mob no, lawv raug cais tawm rau 25 hnub txij li qhov pib muaj tus kabmob. Tib lub sijhawm, cov neeg tiv tauj tau kuaj kab mob tsawg kawg ob zaug.
Yog tias muaj tus kab mob tshwm sim hauv kindergartens lossis tsev kawm ntawv, lawv raug cais tawm rau ob lub lis piam.
Cov lus qhia tshwj xeeb thiab tshuaj xyuas
Yuav kom tsis txhob kis tau rau lwm tus menyuam yaus uas hnoos parawhooping, nws yog txwv tsis pub tiv tauj lawv thaum taug kev nrog tus menyuam mob.
Raws li kws kho mob, tshuaj tiv thaiv kab mob hnoos hawb pob tsis muaj dab tsi los tiv thaiv tus menyuam ntawm tus kab mob parapertussis.
Txhawm rau kom huab cua nyob hauv chav uas tus neeg mob nyob, cia li qhib lub qhov rais thiab dai cov phuam ntub dej lossis cov ntaub ntawv. Nyob rau hauv cov xwm txheej zoo li no, nws yuav yooj yim dua rau kev hloov tus kab mob, tshwj xeeb yog hnoos paroxysmal.
Cov kws tshaj lij tsis qhia cov niam txiv kom tso cov menyuam hnoos yam tsis tau saib xyuas kom raug. Tom qab tag nrho, nws yog cov tsos mob no uas feem ntau qhia txog kev loj hlob ntawm cov kab mob loj thiab mob hnyav. Nyob rau thawj lub cim ntawm tus me nyuam tsis xis nyob, nws yog ib qho tsim nyog yuav tsum tau qhia rau tus kws kho mob tam sim ntawd los yog lwm tus kws kho mob nqaim.cov lus qhia txhawm rau zam kev kis tus kab mob thiab txhim kho ntau yam teeb meem.
