duab
Qhia Los Ntawm:
Kab mob Pertussis: Nkag Siab Txog Kab Mob Hnoos Qhuav
Introduction
Kab mob Pertussis, feem ntau hu ua kab mob hnoos qeev, yog ib yam kab mob sib kis tau yooj yim heev uas tshwm sim los ntawm tus kab mob Bordetella pertussis . Nws yog tus yam ntxwv los ntawm kev hnoos hnyav uas tuaj yeem ua rau ua pa nyuaj, ntuav, thiab qaug zog. Kab mob Pertussis tseem ceeb tsis yog vim nws qhov mob hnyav xwb, tshwj xeeb tshaj yog rau cov menyuam mos thiab cov menyuam yaus, tab sis kuj vim tias nws tuaj yeem ua rau muaj teeb meem loj yog tias tsis kho. Kev nkag siab txog kab mob pertussis yog qhov tseem ceeb rau kev tiv thaiv thiab kev tswj hwm zoo, tshwj xeeb tshaj yog rau cov pej xeem uas tsis muaj zog.
Lus txhais
Kab mob Pertussis yog ib yam kab mob sib kis uas tshwm sim los ntawm cov kab mob Bordetella pertussis . Nws feem ntau cuam tshuam rau lub cev ua pa thiab paub txog nws txoj kev hnoos, uas feem ntau suab zoo li "whoop" thaum tus neeg ua pa tom qab hnoos. Tus kab mob no tuaj yeem cuam tshuam rau txhua tus neeg txhua lub hnub nyoog, tab sis nws muaj kev phom sij tshwj xeeb rau cov menyuam mos uas tseem hluas dhau los txhaj tshuaj tiv thaiv kab mob tag nrho.
Ua rau thiab Risk Factors
Kab mob/ib puag ncig ua rau
Kab mob Pertussis yog tshwm sim los ntawm cov kab mob Bordetella pertussis , uas kis tau los ntawm cov tee dej uas ntws los ntawm cov pa thaum tus neeg mob hnoos lossis txham. Tej yam ib puag ncig xws li qhov chaw muaj neeg coob coob tuaj yeem ua rau muaj kev pheej hmoo ntawm kev sib kis.
Genetic/autoimmune ua rau
Tam sim no, tsis muaj kev paub tias yog vim caj ces lossis yog vim lawv lub cev tiv thaiv kab mob ua rau mob pertussis. Tus kab mob no feem ntau yog kis tau yooj yim, thiab txawm hais tias qee tus neeg yuav muaj caj ces ua rau mob ua pa, qhov no tsis yog ua rau mob pertussis ncaj qha.
Txoj kev ua neej thiab kev noj haus
Txawm hais tias tej yam hauv lub neej thiab kev noj zaub mov tsis ua rau muaj tus kab mob pertussis, lub cev tiv thaiv kab mob tsis muaj zog vim yog kev noj zaub mov tsis zoo lossis kev ntxhov siab ntev tuaj yeem ua rau muaj kev kis kab mob ntau ntxiv, suav nrog tus kab mob pertussis.
Yam Tseem Ceeb Risk
- Hnub nyoog: Cov menyuam mos hnub nyoog qis dua ib xyoos muaj feem yuav muaj teeb meem loj tshaj plaws.
- Kev txhaj tshuaj tiv thaiv kab mob: Cov tib neeg uas tsis tau txhaj tshuaj tiv thaiv kab mob lossis tsis tau txhaj tshuaj tiv thaiv txaus yuav muaj kev pheej hmoo ntau dua.
- Qhov chaw Geographic: Kev sib kis kab mob tuaj yeem tshwm sim hauv cov cheeb tsam uas muaj tus nqi txhaj tshuaj tsawg.
- Cov xwm txheej hauv qab: Cov tib neeg uas muaj mob ua pa lossis lub cev tiv thaiv kab mob tsis muaj zog yuav muaj kev phom sij ntau dua.
Cov tsos mob
Cov tsos mob ntawm tus kab mob pertussis feem ntau muaj xws li:
- Hnoos hnyav heev uas yuav ua rau muaj suab "whoop"
- Ntuav tom qab hnoos
- Kev qaug zog tom qab hnoos
- Hlob qhov ntswg
- Ua npaws me ntsis
Cov Cim Ceeb Toom
Nrhiav kev kho mob tam sim yog tias koj lossis koj tus menyuam tau ntsib:
- Ua tsis taus pa
- Xim tawv nqaij xiav los yog ntshav (cyanosis)
- Ua npaws siab
- Lub cev qhuav dej hnyav
mob
Kev kuaj mob pertussis pib nrog kev soj ntsuam mob, suav nrog keeb kwm tus neeg mob thiab kev kuaj lub cev kom meej.
Kev kuaj mob
- Laboratory xeem: Ib daim ntaub so ntswg los yog ib daim ntaub nqus pa yuav kuaj tau seb puas muaj cov kab mob hauv lub qhov ntswg. Bordetella pertussis.
- Kev tshawb fawb duab: Yuav ua tau cov duab X-ray hauv siab kom tshem tawm lwm yam mob ua pa.
- Differential Diagnosis: Yuav tsum xav txog tej yam mob xws li mob ntsws viral bronchitis, mob hawb pob, lossis lwm yam kab mob bacterial.
Cov Kev Xaiv Kho
Kev kho mob kev kho mob
- tshuaj tua kab mob: Cov tshuaj tua kab mob macrolide xws li azithromycin feem ntau yog sau tseg kom txo qhov hnyav thiab lub sijhawm ntawm cov tsos mob.
- Corticosteroids: Qee zaum, corticosteroids tuaj yeem siv los txo qhov mob.
Cov Kev Kho Mob Tsis-Pharmacological
- Kev co: Kev xyuas kom meej tias haus dej txaus yog qhov tseem ceeb heev.
- So: Kev so kom txaus pab lub cev rov zoo.
- Humidifiers: Siv lub tshuab ua kom noo noo tuaj yeem pab txo qhov hnoos.
Kev Txiav Txim Tshwj Xeeb
- Pediatric: Cov menyuam mos yuav xav tau kev mus pw hauv tsev kho mob rau cov mob hnyav.
- Geriatric: Cov neeg laus dua yuav muaj cov tsos mob thiab teeb meem ntev.
Teeb meem
Yog tias tsis kho, tus kab mob pertussis tuaj yeem ua rau muaj teeb meem loj, suav nrog:
- Pneumonia
- qaug dab peg
- Kev puas tsuaj rau lub hlwb (hauv qee kis tsis tshua muaj)
- Pob txha tav tawg vim hnoos hnyav
Cov teeb meem luv luv yuav suav nrog ua pa nyuaj thiab qhuav dej, thaum cov teeb meem ntev yuav suav nrog hnoos tas li thiab qaug zog.
Kev tiv thaiv
Kev tiv thaiv kab mob pertussis muaj ntau txoj hauv kev:
- Txhaj tshuaj tiv thaiv: Cov tshuaj tiv thaiv DTaP rau cov menyuam yaus thiab cov tshuaj Tdap booster rau cov hluas thiab cov neeg laus yog qhov tseem ceeb.
- Cov kev coj huv huv: Ntxuav tes tsis tu ncua thiab npog qhov ncauj thaum hnoos tuaj yeem txo qhov kev sib kis.
- Kev Hloov Kho Kev Noj Qab Haus Huv: Kev noj zaub mov kom sib npaug pab txhawb nqa lub cev tiv thaiv kab mob kom noj qab nyob zoo.
Prognosis & Long-Term Outlook
Tus kab mob pertussis feem ntau yuav kav ntev li ob peb lub lis piam, thiab cov tsos mob hnyav tshaj plaws yuav tshwm sim hauv ob lub lis piam thawj zaug. Cov neeg feem coob yuav zoo tag nrho, tab sis qee tus yuav hnoos ntev mus txog ntau lub hlis. Kev kuaj mob thiab kev kho mob thaum ntxov yuav ua rau qhov kev kwv yees zoo dua.
Cov Lus Nquag Nug (FAQ)
- Cov tsos mob thaum ntxov ntawm tus kab mob pertussis yog dab tsi? Cov tsos mob thaum ntxov muaj xws li ntswg ntws, hnoos me ntsis, thiab kub taub hau me ntsis. Tej zaum yuav nkag siab yuam kev tias yog mob khaub thuas.
- Yuav kho tus mob pertussis li cas? Feem ntau kev kho mob yuav siv tshuaj tua kab mob los txo cov tsos mob thiab tiv thaiv kev kis tus kab mob. Kev saib xyuas txhawb nqa, xws li haus dej thiab so, kuj tseem ceeb heev.
- Puas tiv thaiv tau tus kab mob pertussis? Yog, kev txhaj tshuaj tiv thaiv kab mob yog txoj hauv kev zoo tshaj plaws los tiv thaiv kab mob pertussis. Cov tshuaj tiv thaiv DTaP raug pom zoo rau cov menyuam yaus, thaum Tdap yog rau cov hluas thiab cov neeg laus.
- Kab mob pertussis puas kis tau? Yog, tus kab mob pertussis sib kis tau yooj yim heev thiab tuaj yeem kis tau yooj yim los ntawm kev hnoos thiab txham.
- Yog tias kuv xav tias kuv muaj tus kab mob pertussis, kuv yuav tsum ua li cas? Yog koj xav tias koj muaj mob pertussis, hu rau koj tus kws kho mob kom lawv soj ntsuam thiab kuaj seb puas muaj mob dab tsi.
- Cov neeg laus puas muaj feem yuav mob pertussis? Yog, cov neeg laus tuaj yeem kis tus kab mob pertussis, tshwj xeeb tshaj yog tias lawv tsis tau txhaj tshuaj tiv thaiv kab mob ntxiv hauv 10 xyoo dhau los.
- Muaj teeb meem dab tsi tshwm sim los ntawm tus kab mob pertussis? Cov teeb meem tuaj yeem suav nrog mob ntsws, qaug dab peg, thiab qee zaum tsawg, ua rau lub hlwb puas tsuaj.
- Kab mob pertussis kav ntev npaum li cas? Qhov hnoos yuav kav ntev li ob peb lub lis piam, thiab cov tsos mob hnyav tshaj plaws yuav tshwm sim hauv ob lub lis piam thawj zaug.
- Kuv puas tuaj yeem mob pertussis ntau tshaj ib zaug? Yog, nws muaj peev xwm kis tau tus kab mob pertussis ntau tshaj ib zaug, tshwj xeeb tshaj yog tias tsis tau txhaj tshuaj tiv thaiv kab mob raws sijhawm.
- Thaum twg kuv yuav tsum nrhiav kev pab kho mob? Nrhiav kev pab kho mob yog tias koj ua pa nyuaj, kub taub hau heev, lossis lub cev qhuav dej heev.
Thaum Mus ntsib Tus Kws Kho Mob
Yuav tsum tau nrhiav kev kho mob tam sim yog tias koj lossis koj tus menyuam tau ntsib:
- Ua tsis taus pa
- Hnoos hnyav heev uas tsis zoo dua
- Cov cim ntawm lub cev qhuav dej
- Ua npaws siab tas mus li
Xaus & Tsis lees paub
Kab mob Pertussis yog ib yam kab mob ua pa hnyav uas muaj feem cuam tshuam rau kev noj qab haus huv, tshwj xeeb tshaj yog rau cov menyuam mos thiab cov neeg uas lub cev tiv thaiv kab mob tsis muaj zog. Kev nkag siab txog nws cov ua rau, cov tsos mob, thiab cov tswv yim tiv thaiv yog qhov tseem ceeb rau kev tswj hwm zoo. Ib txwm sab laj nrog tus kws kho mob kom tau txais cov lus qhia kho mob rau tus kheej. Tsab xov xwm no tsuas yog rau lub hom phiaj qhia xwb thiab tsis hloov cov lus qhia kho mob tshaj lij.
To taub koj tus mob zoo dua
Nyuam qhuav ntxiv
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Disclaimer:
Cov ntaub ntawv muab rau ntawm nplooj ntawv no tsuas yog rau kev qhia dav dav thiab kev kawm xwb. Txawm hais tias peb siv zog ua kom cov ntaub ntawv no muaj tseeb, txhim khu kev qha, thiab tshuaj xyuas tas li, nws yuav tsum tsis txhob raug suav hais tias yog ib qho kev hloov pauv rau cov lus qhia kho mob, kev kuaj mob, lossis kev kho mob.
Cov tsos mob, ua rau muaj, qhov hnyav, kev nce qib, thiab cov kev xaiv kho rau ib tus kab mob lossis tus mob yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Cov ntaub ntawv muab yuav tsis suav nrog txhua yam ntawm tus mob lossis txhua txoj kev xaiv kho mob.
Tsis txhob siv cov ntaub ntawv no rau kev kuaj mob lossis kev kho mob tus kheej. Thov nrog ib tus kws kho mob uas tsim nyog tham kom tau txais kev kuaj mob thiab cov lus qhia raws li koj tus mob.
Yog tias koj muaj cov tsos mob hnyav, tam sim ntawd, lossis mob hnyav zuj zus, nrhiav kev kho mob tam sim ntawd.
Yog xav paub ntxiv txog peb cov ntsiab lus kho mob raug tsim, tshuaj xyuas, hloov kho tshiab, thiab tswj hwm li cas, thov nyeem peb [Txoj Cai Kho Mob].
