hnoos hawb pob yog ib yam kab mob uas tshwm sim los ntawm kev nkag mus ntawm cov kab mob pathogen rau hauv lub cev los ntawm cov tee hauv huab cua.
Kev kuaj hnoos hawb pob qhia tau dab tsi? Hauv cov menyuam yaus uas hnoos hawb pob, theem ntawm leukocytes hauv cov ntshav nce (2-7x10 9/ l), thiab cov mis leukocyte muaj feem ntau cov lymphocytes. Raws li tus kab mob no zuj zus, theem ntawm leukocytes nce. Hauv cov menyuam yaus uas muaj lub cev tsis muaj zog tiv thaiv kab mob, txhaj tshuaj tiv thaiv thiab cov neeg uas muaj cov tsos mob hnoos hawb pob, tsis muaj qhov hloov pauv hauv kev tshuaj xyuas. erythrocyte sedimentation tus nqi yog nruab nrab los yog me ntsis qis. Deviations nyob rau hauv cov ntshav daim duab yog pom tsuas yog nyob rau hauv lub catarrhal theem ntawm tus kab mob.
Cov tsos mob ntawm tus hnoos hawb pob hauv menyuam yaus
Cov tsos mob ntawm tus hnoos hawb pob yog dab tsi? Tus kab mob no zoo li cas? Nyob rau hauv thawj theem, tus kab mob no tshwm sim nyob rau hauv cov me nyuam tsis muaj ib tug tshwj xeeb tshwm sim. Lub cev kub tuaj yeem nce mus txog 38 degrees, muaj qhov hnoos qeev, hnoos tsis tshua muaj thiab qhuav. Thaum lub sij hawm tus kab mob no, hnoos hawb pob yog qhov txaus ntshai tshaj plaws rau cov neeg nyob ib puag ncig. Feem ntau, cov tsos mob zoo ib yam li mob ua pa nyuaj. Mob khaub thuas thaum lub sijhawm norov tsim dua tshiab raws li qhov ua tau, thaum nws tso tawm cov tshuaj lom.
Nyob rau theem tom ntej ntawm tus kab mob, uas tshwm sim tom qab 2 lub lis piam, tus me nyuam tus mob yuav hnyav heev. Muaj ib qho hnoos spasmodic tshwj xeeb. Txhua qhov kev thawb ntawm hnoos yog nrog los ntawm xuav thiab ua pa tob. Nrog xws li hnoos, tus me nyuam muaj peev xwm protrude tus nplaig, ua rau nws. Lub ntsej muag thiab caj dab tej zaum yuav tig xiav, qee zaum muaj kev ua pa tsis ua pa. Thaum kawg ntawm kev tawm tsam, hnoos qeev tawm, thiab qee zaum ntuav. Raws li qhov nyuaj ntawm tus kab mob, tus naj npawb ntawm kev tawm tsam tuaj yeem ncav cuag 50 ib hnub.
Tom qab 20-30 hnub, tus kab mob hloov mus rau theem tom ntej. Spasmodic hnoos yog hloov los ntawm ib qho hnoos tsis tu ncua. Tus me nyuam zoo siab heev, qhov kub thiab txias rov qab los. Cov theem no txuas ntxiv mus txog 3 lub lis piam.
Tus hnoos hawb pob tshwm sim hauv cov neeg laus li cas? Tus kab mob tsis kaj siab no ua li cas? Cov tsos mob hauv cov neeg laus zoo ib yam li cov menyuam yaus, nrog rau qhov sib txawv tsuas yog tias tsis muaj ib thaj tsam ntawm cov theem ntawm tus kab mob. Nyob rau tib lub sij hawm, hnoos heev pronounced, crease, nce thaum hmo ntuj.
Tus yam ntxwv ntawm tus hnoos hawb pob hauv cov menyuam yaus
Lub sij hawm incubation thiab preconvulsive txo mus rau 1-2 hnub, thiab convulsive hnoos tau nce mus rau 6-8 lub lis piam.
Nyob rau hauv cov menyuam yug tshiab, es tsis txhob hnoos ib txwm, cov tsos mob sib npaug tau pom: txham, tsis tsim nyog quaj, qw. Cov kab mob hemorrhagic raug kuaj pom: los ntshav nyob rau hauv nruab nrab lub paj hlwb, qee zaum nyob rau hauv daim nyias nyias ntawm lub qhov muag thiab daim tawv nqaij.npog. Cov mob ntawm cov neeg mob thaum lub sij hawm nruab nrab ntawm lub sij hawm tsis zoo: cov me nyuam muaj kev puas tsuaj, lawv poob cov kev txawj ntse uas tau tsim ua ntej tus kab mob. Feem ntau muaj cov exacerbations tshwj xeeb, uas tej zaum yuav ua rau muaj kev hem thawj rau lub neej, ntawm lawv: apnea, deviations los ntawm cov ntshav khiav ntawm lub hlwb. Kev cuam tshuam hauv kev ua pa, mus txog qhov nres ib ntus, tuaj yeem tshwm sim yam tsis muaj hnoos tawm tsam, piv txwv li, thaum pw tsaug zog, lossis tom qab noj mov. Ntawm cov exacerbations tsis tshwj xeeb, pneumonia feem ntau kuaj pom. Cov neeg tuag tau tshaj tawm.
Tus yam ntxwv ntawm tus hnoos hawb pob hauv cov menyuam yaus uas tau txhaj tshuaj
Cov menyuam yaus uas tau txhaj tshuaj tiv thaiv kab mob hnoos hawb pob muaj feem kis tau tus mob vim tsis muaj zog tiv thaiv kab mob lossis ua rau nws nruj heev. Feem ntau, cov qauv yooj yim thiab nruab nrab tau kuaj pom tus kab mob, cov mob hnyav tsis zoo. Cov teeb meem tshwj xeeb tshwm sim tsis tshua muaj, thiab tib lub sijhawm lawv tsis ua rau muaj kev hem thawj rau lub neej, yog li cov neeg tuag tsis tshwm sim. Feem ntau, atypical hom hnoos hawb pob raug ntsib. Lub sij hawm incubation thiab preconvulsive nce mus txog 2 lub lis piam, thiab lub sij hawm hnoos spasmodic txo mus rau 2 lub lis piam.
kuaj mob
Kuv yuav ua li cas kuaj mob hnoos hawb pob? Txhawm rau txhawm rau txheeb xyuas qhov ua tau tshwm sim, kev kuaj zis dav dav thiab kuaj ntshav biochemical tau ua tiav. Nyob rau hauv cov ntaub ntawv ntawm ib txwm tus kab mob, lawv tsis hloov.
Kev tshuaj xyuas cov hnoos qeev dav dav ua rau nws tuaj yeem tshem tawm bronchial hawb pob, tuberculosis thiab mob khaub thuas. Nrog hnoos hawb pob, hnoos qeev yog mucous, nrog rau cov tsos mob ntawm concomitant pneumoniaNws hloov mus ua mucopurulent los yog purulent.
Cov txheej txheem bacteriological ntawm kev tshuaj xyuas - kev cog qoob loo ntawm cov kab mob ntawm cov khoom noj khoom haus - yog qhov txiaj ntsig zoo rau tus kws kho mob hauv kev txiav txim siab qhov kev kuaj mob, tshwj xeeb tshaj yog thaum pib ntawm tus kab mob. Rau lub sijhawm ntev, "cov paib hnoos" uas tau pom zoo los ntawm Mauritzen tau siv los txiav txim siab cov kab mob hnoos hawb pob. Thaum lub sij hawm tom ntej ntawm kev hnoos hnoos, qhib Petri tais nrog cov khoom noj nruab nrab yog muab tso rau ntawm qhov deb ntawm 5-8 cm los ntawm tus menyuam. Microscopic droplets ntawm mucus, nyob rau hauv uas tus kab mob hnoos hawb pob nyob, ya tawm ntawm lub qhov ncauj thiab nyob rau ntawm nws. Tom qab 2-4 hnub, raws li kev loj hlob kab lis kev cai, kev kuaj mob yog tsim. Hom kev kuaj mob no muaj ib qho tsis zoo - nws yuav siv tsis tau rau cov menyuam yaus uas hnoos tsis txaus, thiab cov uas tsis hnoos.
Muaj ib txoj kev tsis ntev los no los nrhiav qhov ua rau hnoos hawb pob - kab lis kev cai ntawm cov kab mob los ntawm nasopharynx thiab hauv qab tus nplaig. Txoj kev kuaj mob no yog suav tias yog qhov ua tau zoo tshaj plaws, tab sis 4-5 lub lis piam tom qab pib tus kab mob, nws tsis pom zoo kom nqa tawm, vim tias cov kab mob tsis tuaj yeem raug cais tawm. Kev siv tshuaj tua kab mob ntxov ntxov kuj tseem txo tau txoj hauv kev ntawm kev sib cais hnoos hawb pob.
Npaj theem ua ntej kev kawm
Cov tsos mob tseem ceeb ntawm tus mob hnoos hawb pob yog suav tias yog qhov mob hnyav ntawm hnoos hnoos, uas qee zaum nrog ntuav, tshwj xeeb tshaj yog mob hnyav, qhov kev tawm tsam no yooj yim heev, piv txwv li, thaum lub sijhawm noj. ib qho qauv rau kev kuaj xyuas. Lub sijhawm ntawd, niamkoj yuav tsum tau npaj kom tus me nyuam xav tau kev pab.
Cov txheej txheem npaj yog qhov zoo tshaj plaws rau kev tshuaj ntsuam xyuas thaum ntxov, vim tias muaj cov hnoos qeev ntau dhau los, uas muaj cov kab mob loj heev. Nws yog qhov zoo tshaj rau kev kuaj mob hnoos hawb pob ua ntej noj tshais thiab tsis txhob txhuam koj cov hniav. Txwv tsis pub, cov hnoos qeev ntau yuav ploj.
Txoj kev tshuaj ntsuam rau tus hnoos hawb pob
Kev tshuaj xyuas yog ua tiav nrog cov txiaj ntsig ntawm kev tsim cov tshuaj tiv thaiv ntawm lwm cov chav kawm (IgM, IgA)
| Bordetella pertussis (Bordet-Jangou kab mob) | |||
| IgG | IgM | IgA | Transcript of results |
| negative | negative | negative | Exciter ploj lawm |
| negative or positive | negative | negative or positive | Qhia txog kab mob |
| negative or positive | negative | zoo | Hais txog kev muaj tus kab mob tsis ntev los no |
| zoo | negative | negative | Hais txog tus kab mob tsis ntev los no lossis yav dhau los, lossisKev txhaj tshuaj yav dhau los |
Kuv tuaj yeem kuaj tus hnoos hawb pob nyob qhov twg?
Qhov twg thiaj kuaj tau tus hnoos hawb pob? Hom kev tshawb fawb no yog ua nyob rau hauv cov chaw kuaj mob thiab cov chaw kuaj mob. Feem ntau lawv muaj nyob ntawm qhov chaw nyob. Qhov kev kuaj xyuas tsim nyog thiab qhov chaw ntawm nws qhov kev coj ua yog txiav txim los ntawm tus kws kho mob.
Hom kev kuaj hnoos hawb pob yog txiav txim siab raws li cov tsos mob, kab mob, thiab hnub nyoog ntawm cov neeg mob.
Cov kws kho mob tau hais kom muab ntshav rau tus hnoos hawb pob thawj qhov chaw, vim tias hom kev tshuaj ntsuam no muaj ntau cov ntaub ntawv.
Muaj Teeb Meem
Cov tshwj xeeb suav nrog:
- pulmonary emphysema;
- emphysema ntawm mediastinum thiab subcutaneous hlwb;
- atelectasis;
- pertussis pneumonia;
- cuam tshuam hauv kev ua pa (kev ncua ntawm kev ua pa - apnea mus txog 30 vib nas this, nres - apnea tshaj 30 vib nas this);
- kev tsis zoo ntawm cov ntshav ntws hauv hlwb;
- hemorrhages (los ntawm lub qhov ntswg, tom qab lub pharynx, bronchi, sab nraud auditory txoj kev; mus rau hauv daim tawv nqaij thiab mucous daim nyias nyias, sclera thiab retina, hlwb thiab qaum qaum);
- tshwm sim ntawm umbilical lossis inguinal hernia;
- prolapse ntawm qhov quav mucosa;
- kev puas tsuaj rau lub pob ntseg thiab diaphragm.
Tsuas yog cov teeb meem tshwm sim los ntawm kev sib sau ntawm cov kab mob me me xws li:
- pneumonia;
- bronchitis;
- angina;
- lymphadenitis;
- otitis media
kho hnoos hnoos
Txoj kev kho mob tsuas yog ua mus tas li. Cov menyuam mos yug tshiab raug sim muab tso rau hauv qhov chaw ntsiag to dimly teeb kom txo qis qhov ua kom khaus khaus, vim lawv tuaj yeem ua rau muaj kev mob hnyav hauv daim ntawv hnoos. Cov menyuam yaus uas muaj cov kab mob yooj yim tsis tas yuav pw tsaug zog.
Kev saib xyuas tshwj xeeb yog them rau khoom noj khoom haus, pub mis me me. Cov me nyuam yug tshiab yuav tsum tau tso tawm cov hnoos qeev los ntawm lub pharynx raws sijhawm. Rau cov menyuam yaus, kev kho oxygen yog siv dav.
Tshuaj tua kab mob yog siv rau cov menyuam yaus thaum ntxov uas muaj ntau hom kab mob hnyav. Nyob rau theem catarrhal, kev siv "Erythromycin" yog qhov nyiam.
Tshwj xeeb gamma globulin rau hnoos hawb pob feem ntau yog siv, txhaj tshuaj intramuscularly ntawm 3 ml txhua hnub rau 3 hnub.
Cov tshuaj hnoos hnoos tsis tshua siv, lawv tau mus nrog ceev faj heev, vim tias cov tshuaj zoo li no suav tias yog qhov tsis ntseeg. Nws yog ib qho tsim nyog kom tsis txhob siv cov khoom xws li mustard plasters thiab cov tsev txhab nyiaj, uas tuaj yeem ua rau hnoos haum.
tshuaj tiv thaiv hnoos hawb pob
lub sijhawm txhaj tshuaj tiv thaiv yog tsim los ntawm daim ntawv teev npe tshuaj tiv thaiv hauv tebchaws. Ua kom muaj kev tiv thaiv kab mob pertussis nrog kev pab los ntawm DTP ("Tetracoc", "Infanrix") - nqa tawm ntawm 3, 4 thiab 5 lub hlis. Tom qab ntawd, txhaj tshuaj tiv thaiv kab mob hnoos hawb pob zaum ob ntawm 18 lub hlis.
DTP txhaj rau hauv cov leeg, rau cov menyuam yaus hnub nyoog qis dua 1.5 xyoos nyob rau hauv pem hauv ntej tus ncej puab, thiab rau cov menyuam loj dua li ntawdhnub nyoog - nyob rau hauv cov leeg deltoid. Ua raws li kev qhia txog cov tshuaj no, feem ntau vim yog txhaj tshuaj tiv thaiv kab mob ntawm tes tag nrho, thaum thawj 3 hnub, tus menyuam tuaj yeem tsim cov tshuaj tiv thaiv tiv thaiv, ob qho tib si hauv zos thiab dav. Hauv 8-9 kis ntawm 10, cov txheej txheem zoo li no tuaj yeem pom tau ob peb teev tom qab txhaj tshuaj. Cov tshuaj tiv thaiv no suav tias yog qhov tshwm sim ib txwm muaj thiab tsis suav tias yog teeb meem.
Kev Tiv Thaiv thiab Kho Mob
Cov neeg mob hnoos hawb pob yuav tsum raug cais tawm 25 hnub txij li lub sijhawm kis tus kabmob, thaum kev kho mob yuav tsum muaj kev xav thiab tsom nruj rau kev tshem tawm qhov ua rau muaj tus kabmob pib.
Cov menyuam yaus uas tau txhaj tshuaj tiv thaiv thiab tsis tau txhaj tshuaj tiv thaiv tau raug cais tawm 2 lub lis piam txij li pib cais tus neeg mob. Lub sij hawm mus xyuas cov me nyuam yog nruj me ntsis txwv, cov sij hawm ntawm cov chav kawm thiab taug kev yog hloov.
txhawm rau kuaj pom tus hnoos hawb pob thaum ntxov, kev kuaj mob txhua hnub ntawm cov menyuam yaus thiab cov neeg laus thiab kev kuaj kab mob ib zaug tau ua nyob rau thaj tsam hnoos hawb pob.
Yuav ua li cas kom tsis txhob muaj kab mob xws li hnoos hawb pob? Lub cev tiv thaiv kab mob yuav tsum muaj zog, nws yuav tsum tau ua kom muaj zog tas li, tom qab ntawd nws yuav ua tau kom tsis txhob muaj ntau yam kab mob, tsis tsuas yog hnoos hawb pob. Thiab ntawm chav kawm, tsis txhob hnov qab txog kev txhaj tshuaj.
txhawm rau nrhiav thiab tshem tawm qhov chaw ntawm tus kab mob hnoos hawb pob, rau txhua tus menyuam yaus thiab cov neeg laus, nws raug nquahu kom noj "Erythromycin", "Rulid" lossis "Sumamed" rau ib lub lis piam ntawm kev noj tshuaj muaj hnub nyoog.
Hu rau cov menyuam mos uas muaj hnub nyoog qis dua 1 xyoos thiab tsis yogtxhaj tshuaj tiv thaiv (txog li 2 xyoos) raug caw los tswj tus neeg mob immunoglobulin - 2-4 koob (1-2 koob tshuaj txhua hnub).
