Txhim kho tus menyuam txoj kev tiv thaiv kab mob rau qee yam kab mob thiab kis kab mob, txhawm rau npaj nws kom kis tau tus mob, txhaj tshuaj tiv thaiv yog qhov yuav tsum tau ua thoob plaws ntiaj teb. Nws lub hom phiaj yog txhawm rau tiv thaiv kev kis kab mob lossis ua kom txoj kab mob yooj yim dua, npaj lub cev rau lub rooj sib tham nrog kev kis kab mob tshwj xeeb.
Rau qhov no, cov khoom siv tshuaj tiv thaiv tau nkag rau hauv tus menyuam lub cev, uas yog siv raws li:
- qaug zog tab sis muaj sia nyob microbes;
- inactivated (tua) microbes;
- cov khoom siv huv ntawm cov kab mob;
- khoom siv hluavtaws.
Raws li daim ntawv qhia hnub tau pom zoo los ntawm tsab cai, txhaj tshuaj tiv thaiv:
- polio;
- pertussis thiab qhua pias;
- tetanus thiab kab mob siab;
- TB.
x
Tshuaj tiv thaiv contraindications yog kev ua txhaum cai hauv lub xeev ntawm kev noj qab haus huv ntawm tus menyuam, uas qhov kev tsim ntawm kev tiv thaiv ib txwm tsis muaj kev phom sij yog ua tsis taunoj qab haus huv. Tab sis cov tshuaj tiv thaiv kab mob qhua pias, rubella, mumps muaj ob tus qauv.
Tshuaj tiv thaiv kab mob
Cov tshuaj tiv thaiv rau cov tshuaj tiv thaiv yog tus yam ntxwv ntawm tus mob tshwm sim thaum nruab hnub tom qab txhaj tshuaj tiv thaiv thiab tau sau tseg hauv cov lus qhia rau cov tshuaj. Kev mob tshwm sim tsis tu ncua yog suav tias yog ib txwm muaj thiab tsis tas yuav kho. Feem ntau qhov no yog qhov nce ntawm qhov kub thiab txias mus rau 38-39 degrees lossis cov tshuaj tiv thaiv hauv zos (hematomas, abscesses, thiab lwm yam). Cov mob hnyav tom qab txhaj tshuaj tiv thaiv, xws li convulsions, siab (39-40 o C) kub, nrog rau kev poob siab anaphylactic, xav tau kev kho mob.
Kev tshuaj tiv thaiv " qhua pias, rubella, mumps", raws li cov ntaub ntawv raug cai, yog qhov tsis zoo. Tsuas yog tus yam ntxwv dav dav, uas yuav tsum tsis txhob ntshai cov niam txiv. Cov no yog cov tsos mob luv luv:
- pob me me;
- fever;
- Cov tsos mob me me catarrhal.
Cov tshuaj tiv thaiv kab mob siab yog txhais tau zoo, "tsis muaj mob", zoo li tsis tshua muaj reactogenic, thiab tshwm sim nws tus kheej:
- cov tshuaj tiv thaiv me me hauv zos (hauv ob hnub);
- ib ntus ntawm qhov kub thiab txias.
Meanwhile, raws li kev tshawb fawb ntau (tsis yog Western, tab sis peb cov kws kho mob), muaj ntau qhov "pitfalls" txaus ntshai tau pom. Cov tshuaj tiv thaiv nws tus kheej thiab tus kab mob qhua pias-rubella-mumps tau piav qhia tias yog "peb zaug rau lwm tiam."
Measles yog ib yam kab mob nrogkub siab (3-4 hnub), nrog profuse pob thiab photophobia. Tsis xav tau kev kho mob tshwj xeeb. So thiab haus dej ntau yuav kho tus menyuam hauv ib lub lis piam.
Kev txhaj tshuaj tiv thaiv yog qhov tsim nyog vim nws pom tias yog ib qho kev ntsuas los tiv thaiv qhov tshwm sim ntawm qhua pias encephalitis, uas tuaj yeem tshwm sim hauv ib kis ntawm ib txhiab. Kev pheej hmoo yog cov menyuam yaus nyob hauv kev txom nyem thiab tshaib plab. Hauv cov teb chaws vam meej, encephalitis tshwm sim hauv 1 ntawm 100,000 tus neeg mob. Tab sis nyob rau tib lub teb chaws no, cov tshuaj tiv thaiv ua rau encephalopathy nrog cov teeb meem xws li:
- subacute sclerosing panencephalitis - ua rau lub hlwb puas tsuaj;
- kev tsis sib haum xeeb ntawm cov leeg;
- kev puas hlwb;
- ib nrab lub cev tuag tes tuag taw thiab aseptic meningitis.
Tsis tas li ntawd, cov teeb meem cuam tshuam txog kev txhaj tshuaj thib ob tuaj yeem suav nrog:
- ncephalitis;
- menyuam yaus mob ntshav qab zib;
- ntau tus kab mob sclerosis.
Qee yam muaj nyob rau hauv tag nrho cov tshuaj tiv thaiv nyob, suav nrog tus mob qhua pias, nkaum hauv tib neeg cov ntaub so ntswg tau ntau xyoo thiab, thaum tshwm sim, tuaj yeem ua rau mob qog noj ntshav.
Los ntawm txoj kev, raws li kev tshawb fawb (raws li WHO), ntau tshaj li ib nrab ntawm cov menyuam yaus uas mob qhua pias tau txhaj tshuaj tiv thaiv.
Rubella
tshwm sim los ntawm kub taub hau thiab ua kua ntswg, tsuas yog pob liab liab ntawm lub cev qhia tias muaj tus kab mob no, thiab tsis yog mob khaub thuas. Tsis xav tau kev kho mob, tsuas yog haus dej kom ntau thiab so.
Kev txhaj tshuaj tiv thaiv yog vim muaj peev xwm tsim cov kab mob hauv tus menyuam hauv plab thaum tus poj niam cev xeeb tub kis mobhauv thawj peb lub hlis twg.
Kev txhaj tshuaj yog lub hom phiaj zoo, tab sis nws qhov kev ua tsis txaus. Cov tshuaj tiv thaiv tuaj yeem ua rau:
- mob caj dab thiab mob caj dab (mob pob qij txha);
- polyneuritis (mob lossis loog ntawm cov hlab ntsha peripheral)
Raws li koj tuaj yeem pom, cov tshuaj tiv thaiv "mob qhua pias, rubella" tsis muaj teeb meem raws li tau sau tseg hauv cov lus qhia.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws
Ib tug kab mob kis tau rau thaum yau, tsis muaj mob. Nws yog manifested los ntawm o ntawm salivary qog, uas ploj nyob rau hauv ib lub lim tiam. Tsis xav tau kev kho mob tshwj xeeb. Txaus txaj pw thiab zaub mov mos. Kev txhaj tshuaj tiv thaiv, raws li cov kws tshaj lij, muab kev tiv thaiv mus ib txhis.
Lub hauv paus rau kev txhaj tshuaj tiv thaiv yog kev loj hlob ntawm orchitis (mob ntawm cov noob qes) hauv cov menyuam yaus uas tsis tau txhaj tshuaj tiv thaiv kab mob thaum hluas los yog neeg laus, uas tuaj yeem ua rau muaj menyuam. Txawm hais tias feem ntau nrog orchitis ib lub noob qes raug cuam tshuam, thiab qhov thib ob tuaj yeem ua tiav cov phev los tswj cov xwm txheej hauv lub tebchaws. Tab sis cov tshuaj tiv thaiv rau cov tshuaj tiv thaiv yog tag nrho ntawm cov kev mob tshwm sim:
- kev puas tsuaj rau lub paj hlwb - fibral convulsions;
- tshuaj tsis haum - khaus, pob khaus, bruising.
Cov tshuaj tiv thaiv "mob qhua pias, rubella, mumps" yog qhov zoo heev thiab muab rau niam txiv txhua qhov laj thawj kom muaj cai txiav txim siab ntawm tus kheej cov lus nug "yuav tsum tau txhaj tshuaj tiv thaiv". Tsis tas li ntawd, muaj txoj cai lij choj "nyob rau hauv kev tiv thaiv kab mob ntawm cov kab mob sib kis", uas ua rau cov niam txiv raug cai.txoj cai xaiv.
