Mycoplasma mob ntsws

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

Mycoplasma mob ntsws dej los ntawm cov kab mob Mycoplasma mob ntsws (M mob ntsws).

Hom kab mob ntsws no tseem hu ua atypical pneumonia vim tias cov tsos mob sib txawv ntawm cov ntsws uas yog vim muaj lwm cov kab mob.

Mycoplasma mob ntsws feem ntau cuam tshuam rau cov neeg hluas dua 40 xyoo.

Cov neeg uas nyob lossis ua haujlwm hauv thaj chaw muaj neeg coob coob xws li tsev kawm ntawv thiab cov tsev tsis muaj tsev nyob muaj feem ntau yuav tau tus mob no. Tab sis coob tus neeg uas muaj mob nrog nws tsis paub txog cov teeb meem txaus ntshai.

Cov tsos mob feem ntau mob me thiab tshwm sim ntev li 1 mus rau 3 lis piam. Tej zaum lawv yuav dhau los ua neeg hnyav dua qee leej neeg.

Cov tsos mob tshwm sim suav nrog qee yam nram qab no:

• Kev mob hauv siab
• Ua daus no
• Hnoos, feem ntau qhuav thiab tsis los ntshav
• Dhau hws
• Kub taub hau (tej zaum yuav siab)
• Mob taub hau
• Mob caj pas

Cov tsos mob tshwm sim tsawg yog:

• Mob taub hau
• Qhov muag mob lossis mob mob
• Mob leeg thiab pob txha sib zog
• Caj dab caj dab
• Ua pa ceev
• Cov tawv nqaij ua xua lossis ua pob xua

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.

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)
• Kuaj ntshav
• 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
• Qhib qhov ntsws me me (tsuas yog ua rau muaj mob hnyav heev thaum kuaj tsis tau los ntawm lwm qhov chaw)
• Cov mob hnoos qeev txhawm rau kuaj seb puas muaj tus kab mob mycoplasma

Feem ntau, nws tsis tas yuav ua rau kev kuaj mob tshwj xeeb ua ntej pib kho.

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 tau tham ua ntej nrog koj tus kws kho mob. 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.

Cov tshuaj tua kab mob yog siv los kho tus mob ntsws atypical:

• 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.

Cov neeg feem coob yuav rov qab zoo yam tsis muaj tshuaj tua kab mob, txawm hais tias cov tshuaj tua kab mob tuaj yeem ua kom rov zoo. Hauv cov neeg laus tsis tau kho, hnoos thiab tsis muaj zog tuaj yeem dhau txog li ib hlis. Tus kab mob no yuav hnyav dua rau cov laus thiab cov neeg tsis muaj zog tiv thaiv kab mob.

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

• Mob pob ntseg
• Hemolytic anemia, ib qho mob uas tsis muaj cov ntshav liab txaus hauv cov ntshav vim lub cev tau rhuav tshem lawv
• Daim tawv nqaij ua pob

Hu rau koj tus kws kho mob yog tias koj mob 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 sib cuag nrog lwm tus neeg mob.

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 - mycoplasma; Kev mob ntsws hauv zej zog - mob ntsws atypical

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

• Lub ntsws
• Erythema multiforme, ncig txhab - ob txhais tes
• Erythema multiforme, phiaj txhab rau ntawm xib teg
• Erythema multiforme ntawm txhais ceg
• Exfoliation tom qab erythroderma
• 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.

Torres A, Menéndez R, Wunderink RG. Cov kab mob ntsws mob ntsws thiab mob ntsws. Hauv: Broaddus VC, Mason RJ, Ernst JD, li al, eds. Murray thiab Nadel Cov Ntawv Phau Ntawv Qhia Txog Cov PaCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 33.