Qhov ua rau tus kab mob no tuaj yeem kis tau thiab tsis kis kab mob, thiab txhua tus tuaj yeem mob tau. Txawm li cas los xij, qee pawg neeg nyob hauv "pab pawg pheej hmoo".
Nws suav nrog:
- Cov tub ntxhais kawm nyob hauv tsev so.
- Cov lus qhia.
- Tourists.
- Cov menyuam yaus, cov menyuam kawm ntawv hauv preschool thiab cov menyuam kawm ntawv.
Cov neeg no feem ntau yuav kis tau tus kab mob vim yog kev ua txhaum ntawm kev noj haus, kev ua tsis zoo ntawm nws qhov tsis zoo thiab lwm yam.
tus kab mob no yog dab tsi?
Mob plab hnyuv hauv cov neeg laus (lossis, raws li nws tseem hu ua, mob catarrh ntawm lub plab) yog ib qho mob ntawm lub plab lossis cov hnyuv, uas tshwm sim yam tsis muaj qhov yuav tsum tau ua ua ntej. Feem ntau, qhov mob no kav ntev li ob peb hnub thiab nrog cov tsos mob zoo ib yam li cov zaub mov lom - ntuav, raws plab, thiab lwm yam.
Yog vim li cas
Muaj ntau ntau yam uas tuaj yeem ua rau mob plab hnyuv. Gastroenteritis tuaj yeem tshwm sim los ntawm kev noj cov tshuaj uas cuam tshuam cov hnyuv microflora. Muaj peev xwm kis tau los ntawm lwm tus neeg uas muaj kab mob enterotropic uas cuam tshuam rau txoj hnyuv.
- Feem ntau yog tus kab mob norovirus lossis rotavirus (qhov ua rau mob plab hnyuv loj hauv menyuam yaus).
- Hereditary predisposition.
- Kev tu cev tsis zoo hauv kev ua noj, kev tu tus kheej.
- Irregular diet.
- Kev noj zaub mov tsis zoo, cia tsis raug.
- Food intolerance vim zaub mov tsis haum.
- Tshuaj lom los ntawm tshuaj lom, nceb lossis ntses.
- tus cwj pwm phem kuj yog ib qho ua rau tus kab mob.
- haus luam yeeb thiab haus.
Nco ntsoov qhia tus kws kho mob thaum koj mus ntsib kws kho mob seb yuav ua rau tus kab mob ua rau koj xav li cas.
Symptoms
Cov tsos mob ntawm mob plab hnyuv, raws li txoj cai, tshwm sim hauv lub sijhawm luv luv - txij li ob peb teev mus rau ib hnub txij li lub sijhawm tus kab mob nkag mus rau hauv. Qhov no yog ua ntej los ntawm lub sijhawm incubation (los ntawm 5 hnub).
Ua ntej, ib tug neeg muaj ntuav, thiab tom qab ntawd ntuav. Hauv cov xwm txheej nyuaj, cov txheej txheem no tuaj yeem rov ua dua ntau zaus thiab tediously, nrog rau qhov mob ib ncig ntawm lub plab, rumbling ntawm lub plab. Tom qab zawv plab tshwm, thiab mus txog 10 zaug hauv ib hnub. Cov quav muaj xim daj, ntsuab lossis txiv kab ntxwv nrog cov ntsiab lus ntawm cov zaub mov tsis zoo, tus neeg poob nws qab los noj mov. Raws li kev ua xua, mob plab hnyuv tuaj yeem pib nrog mob plab thiab ntuav. Tsis tas li ntawd, tus mob tam sim ntawd txhim kho. Yog hais tias tus kab mob gastroenteritis yog txuam nrog cov tshuaj lom, tus neeg mob tsis febrile ntev. Kab mob plab hnyuv yuav tshwm sim nrog ntuav thiab cov quav xoob, ua raws li qhov kub ntawm lub cev.
Degrees
Qhov tshwm sim rau kev loj hlob ntawm tus kab mob tuaj yeem ua cov kab mob yooj yim tshaj plaws thiab cov kab mob, tsis tshua muaj zaub mov noj. Muaj peb theem kev mob plab hnyuv loj:
- Thawj qib yog nrog los ntawm qhov luv luv ntawm raws plab thiab ntuav, thaum tsis muaj dej thiab lub cev kub yog nyob rau theem siab.
- Qib thib ob tshwm sim nrog cov tsos mob zoo ib yam, tsuas yog tus naj npawb mus ntsib chav dej tuaj yeem ncav cuag 10 zaug hauv ib hnub, kub taub hau txog 38.5 ° C thiab lub cev qhuav dej me ntsis.
- Qhov thib peb (mob) ntawm tus kab mob, mob plab hnyuv mob heev, thiab tus neeg mob yuav tsis tsuas yog lub cev qhuav dej hnyav, qhov txo qis hauv lub cev mus rau 35 ° C, tab sis kuj kub taub hau, clouding ntawm kev nco qab, tsis muaj zog., tachycardia, thiab txo cov ntshav siab.
Diagnosis
Rau qhov kev kuaj mob kom raug ntawm tus mob plab hnyuv, tus neeg mob tau muab tshuaj ntsuam xyuas, uasyuav tso cai tsis tau tsuas yog los txiav txim lub etiology ntawm tus kab mob, tab sis kuj qhov hnyav. Kev kho mob ntxiv yog nyob ntawm qhov tseeb ntawm tus kab mob. Lub cev qhuav dej hnyav (ntau dua 5% poob phaus) yuav tsum tau kho dej.
Tus mob plab mob plab tau kuaj pom tom qab kuaj xyuas uas suav nrog:
- OAK (kuaj ntshav, dav dav). Nrog rau mob raws plab, kev nqus ntawm cov vitamins, hlau thiab kab kawm yog qhov nyuaj, vim tias cov qe ntshav liab thiab hemoglobin txo qis. Cov ntsiab lus ntawm leukocytes hauv OGE nce ntau.
- OAC (coprogram, kev tshuaj xyuas dav dav ntawm cov quav). Qhov no suav nrog macro- thiab microscopic thiab tshuaj ntsuam xyuas cov quav. Macroscopy ntsuam xyuas cov khoom (lub cev) ntawm cov quav, tshwj xeeb tshaj yog muaj cov ntshav / mucus los yog cov kua paug. Microscopy ntsuam xyuas cov khoom siv tshuaj. OGE qhia pom muaj cov epithelium thiab leukocytes. Tshuaj ntsuam xyuas yog tsom rau kev kawm cov tshuaj tiv thaiv alkaline (pH 8-10).
- kuaj kab mob ntawm cov quav thiab ntuav. Tso cai rau koj txheeb xyuas tus neeg sawv cev ntawm tus kab mob (Staphylococcus aureus, clostridia, fungi ntawm genus Candida, thiab lwm yam).
- Kev tshuaj xyuas cov quav kom pom cov qe helminth hauv lawv.
- YEsophagogastroduodenoscopy (EGDS). Nrog kev pab los ntawm ib tug fibroendoscope, kev ntsuam xyuas pom ntawm o ntawm lub plab thiab cov hnyuv me yog ua, nrog rau kev tshem tawm ntawm cov kab mob uas tsis yog tshwj xeeb ulcerative colitis thiab Crohn tus kab mob.
- Contrast irrigoscopy yog ib txoj kev kuaj x-ray ntawm txoj hnyuv loj. Rau txoj kev tshawb no, barium sulfate yog txhaj rau hauv cov hnyuv loj uas siv lub enema (zoo sib xwstshuaj), ua raws li cov x-rays.
Ntxiv rau qhov no, lawv tab tom kawm keeb kwm ntawm mob plab hnyuv, nws cov chav kawm hauv tus neeg mob:
- sib sau ua ke ntawm anamnesis ntawm tus neeg mob lub neej;
- kuaj lub plab anterior plab kab noj hniav (palpation ntawm phab ntsa anterior);
- lub cev kub thiab ntshav ntsuas;
- txoj kev ntawm daim tawv nqaij tab tom kawm;
- kev soj ntsuam ntxaws ntxaws ntawm tus neeg mob tau ua tiav txhawm rau txhawm rau txheeb xyuas qhov xwm txheej ntawm cov tsos mob hnyav, uas yuav ua rau nws tuaj yeem txiav txim siab qhov hnyav ntawm tus kab mob.
kev kho mob
Enterosorbents yog tsim los tshem tawm toxins los ntawm lub cev. Lawv yog siv nyob rau hauv kev loj hlob ntawm gastroenteritis txuam nrog lom los yog ib tug tsis haum tshuaj. Cov khoom me me adsorb cov khoom tsis zoo ntawm lawv tus kheej thiab tshem tawm ntawm lub cev.
Cov no suav nrog:
- activated carbon;
- "Enterofuril".
Means rau normalization ntawm dej thiab electrolyte tshuav
Kev kho mob plab hnyuv loj rau cov neeg laus yog noj cov tshuaj uas normalize dej thiab electrolyte tshuav:
- "Rehydron";
- "Oralit";
- "Normohydron".
Tshuaj yuav tso cai rau koj los ntxiv cov dej uas ploj lawm uas tsim nyog rau lub cev. Nyob rau hauv cov mob hnyav dua ntawm gastroenteritis, ib qho tshuaj infusion ntawm saline los yog kua qabzib hauv cov hlab ntsha.
Tshuaj uas txo qhov spasm thiab muaj cov nyhuv analgesic:
- "Tab sis-shpa";
- "Buscopan".
Tshuaj nres cov kab mob sib kis ntawm cov leeg nqaij leeg, tig mus, txo qhov spasms uas ua rau mob.
Kev npaj Enzymatic, uas suav nrog:
- "Pancreatin";
- "Panzinorm";
- "Mezim".
Feem ntau tau sau tseg kom normalize kev ua haujlwm ntawm lub plab zom mov, pab txhawb kev zom zaub mov, thiab tseem ua kom rov ua kom txo qis kev ua haujlwm ntawm txiav txiav.
Kev npaj ua kom rov ua kom lub plab hnyuv mucosa, muaj cov khoom tiv thaiv kab mob thiab cov tshuaj astringent ("De-nol", bismuth nitrate).
Probiotics ("Bifidumbacterin", "Linex") yog tsim los rau normalize plab hnyuv microflora.
Cov tshuaj tua kab mob yog siv tsis tshua muaj nyob rau theem mob hnyav lossis hauv kev txhim kho cov kab mob. Kev siv tshuaj tua kab mob tsuas yog muab los ntawm tus kws kho mob uas tuaj koom, raws li cov kev sim.
Cov tshuaj hauv qab no tau siv dav tshaj plaws: "Amoxicillin", "Ceftriaxone". Cov tshuaj noj tshuaj (antipyretics, tiv thaiv ntuav) raug tshuaj raws li qhov tshwm sim ntawm tus kab mob, txhawm rau txo tus mob.
Txoj hauv kev tiv thaiv kab mob
Kab mob plab tsis tuaj yeem kho tau hauv ib lub lis piam, txawm tias nws yog tshuaj lossis kev kho mob hauv tsev (siv cov zaub mov txawv nrog tinctures, decoctions). Txawm li cas los xij,Cov neeg mob xav, yog tias tsis kho tag nrho ntawm plab hnyuv, ces tsawg kawg ib nrab txo nws cov tsos mob nrog kev pab ntawm lwm txoj kev kho mob.
Cov zaub mov txawv ntawm pej xeem tshuaj ntsuab decoctions tuaj yeem muaj txiaj ntsig zoo rau tus neeg mob, tab sis ua ntej koj pib noj cov tshuaj decoction, koj yuav tsum sab laj nrog koj tus kws kho mob thiab xyuas kom meej tias tsis muaj contraindications rau kev kho mob. Yog vim li cas tsis kam txais lwm txoj kev kho mob tej zaum yuav intolerance rau ib yam ntawm cov tshuaj, theem complexity ntawm tus kab mob.
Rau cov neeg mob uas tsis tau raug txwv los ntawm lawv tus kws kho mob los ntawm kev siv lwm txoj kev kho mob, cov lus pom zoo hauv qab no tuaj yeem pab:
- Siv cov tshiab decoctions thiab tinctures.
- Steam tshuaj nyob rau hauv ib lub tais huv si, enameled, tsis nti.
- Siv tshuaj ntsuab tshiab.
- Tsis txhob tuaj nrog koj tus kheej cov zaub mov yam tsis tau kawm txog tshuaj ntsuab kev sib raug zoo.
- Tsis txhob tso siab rau cov kws kho mob ib txwm muaj, tsom mus rau cov txiaj ntsig loj thiab yuav tsum tau ua los ntawm tus neeg mob.
Decoctions uas zoo tshaj plaws hauv kev kho mob plab:
- Tincture on mint nplooj - ib khob ntawm nplooj qhuav yog nchuav nrog boiling dej kom lawv tag nrho cov boiling dej. Insist 35 feeb. Lim, haus cov decoction hauv me me ua ntej noj mov. Kev noj ib zaug yog 60 ml.
- Oatmeal - Ncuav dej npau npau hla ib feem ntawm oatmeal kom cov dej yog ob ntiv tes saum lub porridge. Cia nws brew rau tsawg kawg 40 feeb nyob rau hauv ib lub hau kaw nruj nreem. Cov kua tuaj yeem qaug cawvthiab porridge yuav tsum tau noj ntawm lub plab khoob txhua hnub.
- Oatmeal boiled los yog coj mus rau boil muaj lwm yam khoom uas txawv ntawm cov porridge steamed tsuas yog boiling dej muaj. Tus nqi ntawm porridge rau ib qho kev pabcuam yog 30 grams.
- Cranberries - 20 gr. cov nroj tsuag yog nchuav nrog 500 ml ntawm cov dej boiled tsis ntev los no (uas tau txias rau 80-90 degrees). Boil on ib chav da dej rau 15 feeb, lim. Lub decoction yog qaug dej qaug cawv 4 zaug ib hnub twg, 80 mg txhua.
- Chernogolovka - ncuav cov khoom nyoos crushed rau hauv lub thermos, ncuav ib khob dej rau hauv nws, kaw lub thawv kom nruj nrog lub hau. Infuse rau ob teev, lim. Blackhead tincture yog qaug dej qaug cawv hauv me me, 2 teaspoons ua ntej noj mov. Thaum nruab hnub, lub decoction tuaj yeem noj tsis pub ntau tshaj 5 zaug.
Kab mob sib kis
Cov teeb meem ntawm mob plab hnyuv, cov tsos mob thiab kev kho mob uas nyob ntawm qhov hnyav, tuaj yeem nrog ntau yam teeb meem:
- Shock - toxic lossis hypovolemic.
- Collapse.
- 1 Los ntshav hauv plab thiab plab hnyuv.
- Kev txhim kho ntawm peritonitis hauv txoj hnyuv.
- Txoj kev puas tsuaj rau daim siab, raum, lub siab.
- Kev txhim kho ntawm daim ntawv mob plab mob plab.
- plab hnyuv dysbacteriosis.
Cov tsos mob tshwm sim:
- Dehydration - palpitations, tsis nco qab, tsis muaj zog mem tes, tejzaum nws tuag.
- Edema ntawm lub hlwb - tshwm sim vim muaj tshuaj lom, thaum lub cev tshem tawm cov tshuaj lom los ntawm cov kua dej, ua raws li lub cev qhuav dej, qaug dej qaug cawv, tsis ua haujlwm ntawm lub hlwb, vim tias cov kua dej ntau hauv lub hlwb. Ntxiv cerebral edema thiab tuag tausExodus.
Thaum los ntshav tshwm sim hauv cov hnyuv, tus neeg mob muaj mob taub hau, pallor, tachycardia, thiab ntshav siab poob.
tiv thaiv kab mob
Cov tsos mob ntawm tus mob plab hnyuv loj hauv cov menyuam yaus thiab cov neeg laus nyob ntawm theem ntawm kev tiv thaiv kab mob thiab cov co toxins hauv lub cev hnyav npaum li cas.
Tus kab mob no yog tus yam ntxwv ntawm cov tsos mob xws li xeev siab, ntuav, raws plab thiab tsis qab los noj mov, qee zaum cov ntshav thiab hnoos qeev tuaj yeem pom hauv cov zis, yog tias koj pom cov tsos mob ntawm koj tus kheej, koj yuav tsum mus ntsib kws kho mob tam sim..
Txhawm rau tiv thaiv tus kab mob, koj yuav tsum ua raws li kev noj zaub mov uas muaj cov rog zoo thiab cov proteins ntawm cov tsiaj keeb kwm - qe, nqaij qaib, ntses, tsev cheese, thiab lwm yam. Tib lub sijhawm, koj yuav tsum txwv cov fiber ntau, uas. yog, spinach, lettuce, bran, thiab lwm yam e. Koj yuav tsum tsis txhob tsim txom cov dej qab zib, qab zib thiab citrus txiv hmab txiv ntoo. Cov zaub mov yuav tsum yog feem ntau, 5-6 zaug hauv ib hnub, thiab kua zaub yuav tsum suav nrog hauv cov ntawv qhia zaub mov. Rau kev tiv thaiv, nws yog qhov zoo tshaj plaws los coj kev noj qab haus huv, kev ua neej nyob, yog tias nws tsis tuaj yeem ua haujlwm tsis tu ncua, ces tsawg kawg ua kev tawm dag zog thaum sawv ntxov thiab mus taug kev ua ntej pw. Nws raug nquahu kom mus kuaj tag nrho nrog tus kws kho mob ib zaug txhua rau lub hlis.
Kev noj zaub mov kom mob plab
Gastroenteritis tshwm sim vim kev tsim tawm hauv plab hnyuv ntawm qee yam kab mob, kev noj haus ua lub luag haujlwm tseem ceeb hauv kev rov zoo.
Thaum thawj lub lim tiam, cov kws kho mob pom zoo ua raws li kev noj haus no:
- Thawj hnub: tsis txhob noj, nyiam haus dej huv kom ntau thiabherbal decoctions uas tau txias rau lub cev kub. Haus hauv me me sips, maj mam.
- Hnub Ob. Koj tuaj yeem ntxiv cov khob cij qhuav, tab sis nws yuav tsum tau zom kom huv.
- Nyob rau hnub peb, steamed mov yog ntxiv rau noj.
- Hnub plaub. Lean nqaij qaib broth, koj muaj peev xwm ntxiv boiled carrots los yog qos yaj ywm rau cov zaub mov. Txiv hmab txiv ntoo tuaj yeem ua tau txiv tsawb lossis txiv apple.
- Hnub thib tsib, cov khoom noj tuaj yeem nce me ntsis, cov kua zaub tuaj yeem ua kom nplua nuj.
- Thaum kawg ntawm lub thib rau thiab pib ntawm hnub xya, koj tuaj yeem rov qab noj zaub mov zoo, tab sis txwv tsis pub rog, khoom noj siv mis thiab khoom qab zib.
yav tom ntej, nws raug nquahu kom ua raws li kev noj zaub mov 4, uas muaj cov protein thiab cov rog uas zom tau yooj yim (ntses, nqaij qaib, qe, tsev cheese, nqaij nyuj), mashed soups, cereals.. Steamed zaub mov raug pom zoo. Cov zaub mov yuav tsum tau noj 5 zaug hauv ib hnub, hauv me me. Nrog gastroenteritis, kev siv cov qhob noom xim kasfes, nqaij npuas thiab yaj, lard yog txwv tsis pub. Nrog kev ceev faj, koj yuav tsum noj cov zaub mov uas muaj fiber ntau, thiab figs, prunes thiab cov khoom noj tshiab kuj raug txwv.
