Atypical mob ntsws o

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

Nrog atypical mob ntsws, mob sib kis los ntawm cov kab mob sib txawv dua li cov neeg niaj hnub ua rau mob ntsws. Atypical mob ntsws kuj tseem ua rau muaj cov tsos mob me dua li mob ntsws tshwj xeeb.

Cov kab mob ua rau mob ntsws atypical ntsws muaj xws li:

• Mycoplasma mob ntsws dej los ntawm cov kab mob Mycoplasma mob ntswsCov. Feem ntau cuam tshuam rau cov neeg muaj hnub nyoog yau dua 40 xyoo.
• Kab mob ntsws vim Chlamydophila mob ntsws o cov kab mob tshwm sim ib puag ncig xyoo.
• Kab mob ntsws vim Legionella pneumophila cov kab mob feem ntau pom nyob rau cov muaj hnub nyoog nruab nrab thiab laus dua, cov haus luam yeeb, thiab cov uas muaj kab mob ntev los yog lub cev tsis muaj zog tiv thaiv kab mob. Nws tuaj yeem ua ntau dua hnyav tau. Hom mob ntsws no tseem hu ua tus kab mob Legionnaire.

Kev mob ntsws vim muaj tus kab mob mycoplasma thiab chlamydophila feem ntau yog mob me. Lub ntsws muaj dej vim muaj tus mob legionella yuav mob heev ntxiv thaum thawj 4 mus rau 6 hnub, thiab tom qab ntawd zoo dua 4 txog 5 hnub.

Cov tsos mob feem ntau ntawm kev mob ntsws yog:

• Ua daus no
• Hnoos (nrog legionella mob ntsws, koj yuav hnoos tau ntshav ua pa)
• Kub taub hau, uas tej zaum yuav mob sib khuav lossis siab
• Ua tsis taus pa (tej zaum tsuas tshwm sim thaum koj siv koj tus kheej)

Lwm cov tsos mob muaj xws li:

• Kev mob hauv siab mob heev dua thaum koj nqus pa lossis hnoos
• Tsis meej pem, feem ntau ntawm cov neeg laus los yog cov mob legionella mob ntsws
• Mob taub hau
• Kev poob qis, tsis muaj zog, thiab nkees
• Mob leeg thiab pob txha sib zog
• Tawm hws thiab tawv nqaij tawv

Cov tsos mob tshwm sim tsawg yog:

• Raws plab (feem ntau mob legionella mob ntsws)
• Mob hauv pob ntseg (nrog rau mob ntsws mycoplasma)
• Qhov muag mob lossis mob mob (nrog mycoplasma mob ntsws)
• Caj dab caj dab (nrog mycoplasma mob ntsws)
• Pob xoo (nrog rau mob mycoplasma mob ntsws)
• Mob ntsws caj pas (nrog rau mob ntsws mycoplasma)

Cov neeg uas xav tias mob ntsws yuav tsum muaj kev tshuaj ntsuam mob tiav. Nws tej zaum yuav nyuaj rau koj tus kws kho mob qhia seb koj puas mob ntsws, ntsws, lossis mob ntsws lwm yam, yog li koj yuav tau xoo fais fab hauv siab.

Nyob ntawm seb cov tsos mob hnyav npaum li cas, lwm yam kev sim tuaj yeem ua, suav nrog:

• Ua kom tiav cov ntshav suav (CBC)
• Kev kuaj ntshav kom paub cov kab mob tshwj xeeb
• Bronchoscopy (tsis tshua muaj xav tau)
• CT scan ntawm lub hauv siab
• Ntsuas theem ntawm oxygen thiab carbon dioxide nyob rau hauv cov ntshav (arterial blood gases)
• Lub taub ntswg lossis lub qa o mus qaum kev kuaj xyuas seb puas muaj kab mob thiab kab mob
• Ntshav kev coj noj coj ua
• Qhib qhov ntsws me me (tsuas yog ua rau muaj mob hnyav heev thaum kuaj tsis tau los ntawm lwm qhov chaw)
• Hnoos qeev kab lis kev cai txheeb xyuas cov kab mob tshwj xeeb
• Tso zis sim ntsuas cov kab mob legionella

Txhawm rau kom zoo dua, koj tuaj yeem nqa cov kev ntsuas saib xyuas tus kheej hauv tsev:

• Tswj koj tus ua npaws nrog tshuaj aspirin, 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 ntxiv.
• 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.

Yog tias xav tau, koj yuav tau noj tshuaj tua kab mob.

• Koj tuaj yeem noj tshuaj tua kab mob los ntawm qhov ncauj nyob hauv tsev.
• Yog tias koj tus mob hnyav, yuav zoo rau koj mus pw hauv tsev kho mob. Nyob ntawd, koj yuav muab cov tshuaj tua kab mob los ntawm txoj hlab ntshav (leeg ntshav), nrog rau oxygen.
• Cov tshuaj tua kab mob yuav siv rau 2 lub lis piam los yog ntau dua.
• Ua kom tag nrho cov tshuaj tua kab mob uas koj tau sau tseg rau, txawm hais tias koj xis neej dua. Yog tias koj tso tshuaj sai dhau, kev mob ntsws tuaj yeem rov qab tuaj thiab tej zaum yuav kho tau nyuaj dua.

Feem ntau cov neeg mob ntsws muaj dej vim yog mycoplasma lossis chlamydophila tau zoo dua nrog cov tshuaj tua kab mob zoo. Legionella mob ntsws txhaws yuav mob hnyav. Nws tuaj yeem ua rau muaj teeb meem, feem ntau yog cov neeg muaj lub raum tsis ua haujlwm, mob ntshav qab zib, mob ntsws ntev (COPD), lossis lub cev tsis muaj zog tiv thaiv kab mob. Nws tseem tuaj yeem ua rau tuag taus.

Teeb meem uas tej zaum yuav tshwm sim suav nrog ib qho hauv qab no:

• Kev kis mob rau lub paj hlwb thiab cov hlab ntsha, xws li mob rau daim npluag qhwv paj hlwb, mob hlwb txha hlwv, thiab mob hlwb
• Hemolytic anemia, ib qho mob uas tsis muaj cov ntshav liab txaus hauv cov ntshav vim lub cev tau rhuav tshem lawv
• Lub ntsws muaj mob hnyav
• Kev ua pa tsis ua haujlwm xav tau kev pab txhawb lub tshuab ua pa (tshuab ua pa)

Hu rau koj tus kws kho mob yog tias koj ua npaws, hnoos, lossis ua tsis taus pa. Muaj ntau yam ua rau cov tsos mob no. Tus kws kho mob yuav tau txiav txim tawm txoj hlab ntsws.

Tsis tas li, hu yog tias koj tau txheeb pom tias muaj tus kab mob ntsws no thiab koj cov tsos mob haj yam zoo ntxiv tom qab zoo thawj zaug.

Ntxuav koj ob txhais tes ntau zaus thiab muaj lwm tus neeg nyob puag ncig koj ua tib yam.

Zam kev tiv tauj nrog cov neeg mob thaum twg ua tau.

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

TSIS TXHOB haus luam yeeb. Yog koj ua, thov nrhiav kev pab txiav.

Txhaj tshuaj tiv thaiv khaub thuas txhua xyoo. Nug koj tus kws kho mob yog tias koj xav tau cov tshuaj tiv thaiv kab mob ntsws.

Taug kev mob ntsws; Kev mob ntsws hauv zej zog - mob ntsws atypical

• 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

Baum SG, Goldman DL. Mycoplasma kis tau tus mob. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 301.

Holzman RS, Simberkoff MS, Nplooj HL. Mycoplasma mob ntsws thiab atypical mob ntsws. 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 183.

Moran GJ, Waxman MA. Mob ntsws o. 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: tshooj 66.