Tus mob khaub thuas kis

Kev mob ntsws yog mob los yog o ua qog ua kua ntswg vim kis tus kab mob.

Tus mob viral mob ntsws yog los ntawm tus kab mob.

Tus mob viral mob ntsws feem ntau yuav tshwm sim rau cov menyuam yaus thiab cov neeg laus dua. Qhov no vim tias lawv lub cev muaj lub sijhawm siv zog sib kis zoo dua li cov neeg muaj lub zog tiv thaiv kab mob.

Tus mob viral pneumonia feem ntau yog tshwm sim los ntawm ib qho ntawm ntau cov kab mob:

• Kab mob ntsws syncytial (RSV)
• Tus kab mob khaub thuas
• Tus kab mob Parainfluenza
• Adenovirus (tsis tshua muaj)
• Kab mob qhua pias
• Coronaviruses xws li SARS-CoV-2, uas ua rau kev tiv thaiv kabmob NKAUS-19

Muaj mob hnyav txhawm rau mob ntsws ntau dua nyob rau cov tsis muaj zog tiv thaiv kab mob, xws li:

• Cov menyuam menyuam yug ntxov dhau.
• Cov menyuam yaus uas muaj teeb meem ntawm lub siab thiab lub ntsws.
• Cov neeg muaj mob HIV / AIDS.
• Cov neeg tau txais kev siv tshuaj kho rau mob qog noj ntshav, lossis lwm yam tshuaj ua kom lub cev tsis muaj zog tiv thaiv kab mob.
• Cov neeg uas muaj kev hloov khoom nruab nrog.
• Qee cov vais lav zoo li mob khaub thuas thiab SARS-CoV2 tuaj yeem ua rau mob ntsws loj hauv cov neeg hluas thiab lwm tus neeg noj qab haus huv.

Cov tsos mob ntawm tus kab mob khaub thuas feem ntau yuav pib qeeb thiab tej zaum yuav tsis mob heev thaum xub thawj.

Cov tsos mob feem ntau ntawm kev mob ntsws yog:

• Hnoos (nrog rau qee qhov mob ntsws koj tuaj yeem hnoos hnoos qeev, lossis tseem hnoos tau ntshav)
• Ua npaws
• Tuav txias txias
• Ua tsis taus pa (tej zaum tsuas tshwm sim thaum koj siv koj tus kheej)

Lwm cov tsos mob muaj xws li:

• Tsis meej pem, feem ntau hauv cov neeg laus
• Ntau dhau hws thiab tawv nqaij
• Mob taub hau
• Kev poob qis, tsis muaj zog, thiab nkees
• Ntse lossis siv pob tw hnoos mob hauv lub siab thaum koj nqus pa lossis hnoos
• Nkees

Tus kws kho mob yuav kuaj ib ce thiab nug txog cov tsos mob.

Yog tus kws kho mob xav tias koj muaj mob ntsws, koj tseem yuav raug xoo fais fab ntawm lub hauv siab. Qhov no yog vim hais tias qhov kev kuaj mob lub cev tsis tuaj yeem qhia tus mob ntsws los ntawm lwm cov kab mob ntsws.

Ua raws li koj tus mob heev npaum li cas, lwm yam kev kuaj yuav ua tau, suav nrog:

• Ua kom tiav cov ntshav suav (CBC)
• CT scan ntawm lub hauv siab
• Kev kuaj ntshav mus kuaj kab mob hauv cov ntshav (lossis cov kab mob uas tej zaum yuav ua rau kis mob zaum ob)
• Bronchoscopy (tsis tshua muaj xav tau)
• Kev kuaj mob caj pas thiab qhov ntswg mus kuaj seb puas muaj kab mob xws li khaub thuas
• Qhib qhov ntsws me me (tsuas yog ua rau muaj mob hnyav heev thaum kuaj tsis tau los ntawm lwm qhov chaw)
• Cwj pwm kab lis kev cai (los txiav tawm lwm yam ua rau)
• Kev ntsuas qib ntawm cov pa oxygen thiab carbon dioxide nyob rau hauv cov ntshav

Cov tshuaj tua kab mob tsis kho hom mob ntsws no. Cov tshuaj tua kab mob tuaj yeem ua haujlwm tawm tsam qee qhov kev mob ntsws los ntawm kab mob khaub thuas thiab tsev neeg tus mob virus. Cov tshuaj no tau sim yog tias muaj tus kab mob tau pom thaum ntxov.

Kev kho mob kuj yuav koom nrog:

• Cov tshuaj Corticosteroid
• Muaj dej ntau ntau
• Cov pa
• Kev siv cov cua tshuab cua

Xav tau pw hauv tsev kho mob yog tias koj tsis haus dej txaus thiab pab ua pa yog cov pa oxygen tsawg.

Cov neeg muaj feem ntau yuav tau mus nyob hauv tsev kho mob yog tias lawv:

• Laus dua 65 xyoos los yog me nyuam yaus
• Tsis muaj peev xwm saib xyuas lawv tus kheej hauv tsev, noj mov, lossis haus dej
• Muaj lwm qhov teeb meem kev mob hnyav ntxiv, xws li teeb meem lub plawv lossis raum
• Tau siv tshuaj tua kab mob hauv tsev thiab tsis zoo dua
• Muaj cov tsos mob hnyav

Txawm li cas los xij, ntau tus neeg tuaj yeem kho nyob hauv tsev. Koj tuaj yeem coj cov kauj ruam no hauv tsev:

• Tswj koj qhov kub taub hau nrog cov tshuaj aspirin, nonsteroidal anti-inflammatory tshuaj (NSAIDs, xws li ibuprofen lossis naproxen), lossis acetaminophen. TSIS TXHOB muab cov tshuaj aspirin rau menyuam yaus vim tias nws yuav ua rau muaj kev phom sij hu ua Reye syndrome.
• TSIS TXHOB noj cov tshuaj hnoos yam tsis tham nrog koj tus kws khomob. Cov tshuaj hnoos yuav ua rau koj lub cev tawv ncauj kom hnoos tau cov hnoos qeev.
• Haus kua dej kom ntau ntxiv kom pab txoj kev tso quav tawm thiab tso cov hnoos qeev.
• So kom ntau. Hais kom lwm tus ua haujlwm hauv tsev.

Feem ntau ntawm cov mob voos kis tau mob me me thiab tau zoo dua yog tias tsis muaj kev kho mob hauv 1 txog 3 lim tiam. Qee kis mob hnyav dua thiab yuav tsum tau pw hauv tsev kho mob.

Cov mob hnyav dua tuaj yeem ua rau ua pa tsis ua hauj lwm, mob siab, thiab lub siab tsis ua haujlwm. Qee zaum, kab mob kis tau thaum lub sijhawm lossis tom qab kis tus kab mob ntsws, uas tuaj yeem ua rau ntau hom mob ntsws.

Hu rau koj tus kws kho mob yog tias cov tsos mob ua mob pneumonia mob heev lossis koj tus mob hnyav dua tom qab pib txhim kho.

Nco ntsoov ntxuav koj txhais tes kom ntau, tom qab tshuab ntswg, mus rau chav dej, ntxuav menyuam yaus, thiab ua ntej noj mov lossis ua zaub mov noj.

Zam kev sib cuag nrog lwm cov neeg mob.

TSIS TXHOB haus luam yeeb. Luam yeeb ua rau koj lub ntsws tsis muaj peev xwm cais kev kis mob.

Cov tshuaj hu ua palivizumab (Synagis) tuaj yeem muab rau cov menyuam yaus hnub nyoog qis dua 24 hli txhawm rau tiv thaiv RSV.

Cov tshuaj tiv thaiv khaub thuas, muab txhua xyoo los tiv thaiv kom tus mob ntsws muaj mob los ntawm tus kab mob khaub thuas. Cov muaj hnub nyoog laus dua thiab cov muaj ntshav qab zib, mob hawb pob, mob ntsws tsis txawj zoo (COPD), mob qog noj ntshav, lossis lub cev tsis muaj zog tiv thaiv yuav tsum paub meej kom tau txais tshuaj tiv thaiv kab mob npaws.

Yog tias koj lub cev tsis muaj zog tiv thaiv, nyob nrug deb ntawm cov neeg coob coob. Nug cov qhua uas mob khaub thuas hnav daim npog qhov ncauj thiab ntxuav lawv txhais tes.

Kab mob ntsws - kis; Taug kev mob ntsws - kis

• Kev mob ntsws tshwj xeeb hauv cov laus - kev tso tawm mus
• Kev mob ntsws ntawm cov menyuam yaus - tso tawm

• Lub ntsws
• Kev ua pa system

Daly JS, Ellison RT. Mob ntsws o. Hauv: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, thiab Bennett's Cov Ntsiab Cai thiab Kev Coj Ua ntawm Kab Mob KisCov. 9le ed. Philadelphia, PA: Elsevier; 2020: chap 67.

McCullers JA. Kab mob npaws. Hauv: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. Feigin thiab Cherry Cov Ntawv Phau Ntawv Qhia Txog Cov Kab Mob Kis MenyuamCov. 8 tus ed. Philadelphia, PA: Elsevier; 2019: chap 178.

Musher DM. Txheej txheem cej luam ntawm kev mob ntsws. Hauv: Goldman L, Schafer AI eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020; tshooj 91.

Koos Loos GE. Kev kub ntxhov ceev rau menyuam yaus: kab mob ntawm lub ntsws. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 169.