Mob ntsws ntsws actinomycosis

Pulmonary actinomycosis yog ib txoj kev mob ntsws uas tsis tshua muaj tshwm sim los ntawm cov kab mob.

Pulmonary actinomycosis tshwm sim los ntawm qee cov kab mob ib txwm pom muaj nyob hauv lub qhov ncauj thiab lub plab zom mov. Cov kab mob feem ntau tsis ua rau muaj kev phom sij. Tab sis kev ntxuav hniav tsis zoo thiab ua rau cov hniav xau tuaj yeem ua rau koj muaj kev pheej hmoo mob ntsws mob los ntawm cov kab mob no.

Cov neeg muaj teeb meem kev noj qab haus huv nram qab no tseem muaj feem ntau ntawm kev tsim tus kabmob:

• Siv dej cawv
• Caws pliav rau ntawm lub ntsws (bronchiectasis)
• COPD

Tus kab mob no muaj tsawg heev hauv Asmeskas. Nws yuav tshwm sim thaum muaj hnub nyoog li cas, tab sis, feem ntau yog cov neeg 30 txog 60 xyoo. Tus txiv neej kis tus mob no ntau dua li poj niam.

Tus kab mob feem ntau tuaj qeeb. Nws yuav yog ntau lub hlis lossis hli ua ntej kev paub tseeb.

Cov tsos mob tuaj yeem suav nrog ib qho hauv qab no:

• Kev mob hauv siab thaum sib sib zog nqus pa
• Hnoos nrog hnoos qeev (hnoos qeev)
• Ua npaws
• Ua tsis taus pa
• Tsis yuag yuag poob
• Qaug zog
• Hmo ntuj tawm fws (tsis muaj dab tsi)

Tus kws kho mob yuav kuaj ib ce thiab nug txog koj li keeb kwm kev mob thiab cov tsos mob. Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Bronchoscopy nrog cov kab lis kev cai
• Ua kom tiav cov ntshav suav (CBC)
• Kev ntsuas hluav taws xob xoo
• Hauv siab CT scan
• Lub ntsws me
• Hloov kho AFB pleev qhov hnoos qeev
• Sputum kab lis kev cai
• Qhov nqaij thiab hnoos qeev Gram stain
• Thoracentesis nrog kev coj noj coj ua
• Ntaub tawv nqaij

Lub hom phiaj ntawm txoj kev kho yog kho tus kab mob. Nws yuav siv sijhawm ntev dua kom zoo dua. Txhawm rau txhawm rau kom zoo, koj yuav tsum tau txais cov tshuaj penicillin los ntawm txoj hlab ntshav (tso ntshav) li 2 mus rau 6 lub lim tiam. Tom qab ntawd koj yuav tsum noj tshuaj penicillin ntawm qhov ncauj kom ntev. Qee tus neeg xav tau kev kho mob siv ntev txog 18 lub hlis.

Yog tias koj tsis tuaj yeem siv penicillin, koj tus kws kho mob yuav sau ntawv rau lwm cov tshuaj tua kab mob.

Kev phais mob yuav tsum tau txhawm rau txhaws cov kua hauv lub ntsws thiab tswj tus kab mob.

Cov neeg feem coob tau zoo dua tom qab kho nrog tshuaj tua kab mob.

Teeb meem yuav suav nrog:

• Hlwb pob qog
• Kev rhuav tshem qhov chaw ntawm lub ntsws
• COPD
• Ua mob rau daim tawv nqaij
• Osteomyelitis (mob pob txha)

Hu rau koj tus kws khomob yog:

• Koj muaj cov tsos mob ntawm ntsws ntsws actinomycosis
• Koj cov tsos mob mob heev los yog tsis txhim kho nrog kho
• Koj tsim cov tsos mob tshiab
• Koj kub taub hau txog 101 ° F (38.3 ° C) lossis siab dua

Kev tu hniav kom zoo yuav pab txo koj cov kev phom sij rau actinomycosis.

Actinomycosis - mob ntsws; Actinomycosis - thoracic

• Kev ua pa system
• Gram stain of tissue biopsy

Brook I. Actinomycosis. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 313.

Russo TA. Cov neeg sawv cev ntawm actinomycosis. 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 254.