Kab mob ntsws - kev tiv thaiv kab mob tsis muaj zog
Mob ntsws yog mob ntsws. Nws tuaj yeem tshwm sim los ntawm ntau cov kab mob sib txawv, suav nrog cov kab mob, kab mob, thiab hu ua fungi.
Tsab ntawv xov xwm no tham txog kev mob ntsws uas tshwm sim hauv tus neeg uas muaj kev nyuaj tawm tsam kev kis mob vim tias muaj teeb meem nrog lub cev tsis muaj zog. Hom kab mob no hu ua "tus kab mob ntsws rau hauv lub tsev tshuaj tiv thaiv kab mob."
Lwm yam mob muaj xws li:
- Yuav tau mob ntsws hauv tsev kho mob
- Pneumocystis jiroveci (yav dhau los hu ua Pneumocystis carinii) mob ntsws
- Kev mob ntsws - cytomegalovirus
- Mob ntsws o
- Tus mob khaub thuas kis
- Taug kev mob ntsws
Cov neeg uas lub nruab nrog cev tsis ua haujlwm zoo tsis muaj peev xwm tua tau cov kab mob. Qhov no ua rau lawv muaj kev kis mob los ntawm cov kab mob uas tsis yog feem ntau ua rau cov kab mob hauv cov neeg noj qab haus huv. Lawv tseem ua rau lub siab ntsws txhawm rau mob ntsws, uas tuaj yeem cuam tshuam rau txhua tus.
Koj lub cev tiv thaiv kab mob tsis muaj zog lossis ua haujlwm tsis tau zoo vim tias:
- Hloov hlwb pob txha
- Kws khomob
- HIV kis
- Mob ntshav siab, mob qog ntshav, thiab lwm yam mob uas ua mob rau koj cov leeg pob txha
- Autoimmune ntshawv siab
- Tshuaj noj tshuaj (suav nrog steroids, thiab cov uas siv los kho mob qog noj ntshav thiab tswj kab mob autoimmune)
- Hloov khoom nruab nrog cev (suav nrog raum, plawv, thiab ntsws)
Cov tsos mob tuaj yeem suav nrog:
- Hnoos (tej zaum yuav qhuav los yog ua cov hnoos qeev zoo li, ntsuab, lossis hnoos qeev zoo li hnoos qeev)
- Ua daus no nrog co
- Nkees
- Ua npaws
- Qhov tsis xis nyob, tsis xis nyob, los yog mob siab (mob siab)
- Mob taub hau
- Tsis qab los noj mov
- Xeev siab thiab ntuav
- Ntse lossis chij mob hauv siab uas mob heev dua nrog kev ua pa lossis hnoos
- Ua tsis taus pa
Lwm cov tsos mob uas yuav tshwm sim:
- Hnyav hws lossis tsaus ntuj hws
- Cov pob qij txha tsis tshua muaj (tsawg)
- Cov leeg txhav (tsis tshua muaj)
Koj tus kws kho mob yuav hnov suab nrov lossis nrov nrov ua pa nrov thaum mloog koj lub hauv siab nrog lub taub hau tsom. Kev ua kom tsawg ntawm cov pa ua pa tawm yog lub cim tseem ceeb. Qhov kev tshawb pom no txhais tau tias nws muaj cov kua dej ntawm lub hauv siab phab ntsa thiab lub ntsws (pleural effusion).
Kev ntsuam xyuas yuav muaj xws li:
- Arterial ntshav roj
- Ntshav chemicals
- Ntshav kev coj noj coj ua
- Bronchoscopy (qee kis)
- Hauv siab CT scan (nyob rau qee kis)
- Kev ntsuas hluav taws xob xoo
- Ua kom tiav cov ntshav suav
- Lub ntsws me (qee kis)
- Ntsuas cov tshuaj cryptococcus antigen
- Ntsuas cov tshuaj galactomannan
- Galactomannan kuaj los ntawm cov kua qaub ua kua dej (alveolar)
- Sputum kab lis kev cai
- Sputum Gram stain
- Cov hnoos qeev ua kom hnoos qeev zoo (lossis lwm yam kev tiv thaiv kab mob hauv lub cev)
- Tso ntshav kuaj (kom paub tus kab mob Legionnaire lossis Histoplasmosis)
Yuav siv tau cov tshuaj tua kab mob los yog tshuaj tua kab mob, nyob ntawm seb cov kab mob uas ua rau muaj mob. Cov tshuaj tua kab mob tsis zoo rau kev kis kab mob. Tej zaum koj yuav xav tau nyob hauv tsev khomob thaum ntxov ntawm kev mob.
Oxygen thiab kev kho mob kom tshem tawm cov kua dej thiab hnoos qeev los ntawm cov pa ua pa rau lub cev feem ntau xav tau.
Cov hauv paus ntsiab lus uas tuaj yeem ua rau kom tshwm sim tsis zoo muaj xws li:
- Lub ntsws mob uas ua los ntawm ib qho pwm.
- Tus neeg muaj lub cev tsis muaj zog tiv thaiv kab mob.
Teeb meem yuav suav nrog:
- Kev ua pa tsis ua haujlwm (qhov mob uas tus neeg mob tsis tuaj yeem nqus pa oxygen thiab tau txais cov pa carbon dioxide uas tsis siv lub tshuab xa pa tawm.)
- Sepsis
- Kis ntawm tus kab mob
- Kev Tuag
Hu rau koj tus kws kho mob yog tias koj lub cev tsis muaj zog tiv thaiv kab mob thiab koj muaj cov tsos mob ntsws.
Yog tias koj muaj lub cev tsis muaj zog tiv thaiv kab mob, koj yuav tau txais cov tshuaj tua kab mob txhua hnub kom tiv thaiv qee hom mob ntsws.
Nug koj tus kws kho mob yog tias koj yuav tsum tau txhaj tshuaj tiv thaiv kab mob npaws (khaub thuas) thiab mob ntsws (mob ntsws) (kab mob ntsws).
Xyaum tu cev kom huv si. Ua tib zoo ntxuav koj ob txhais tes nrog xab npum thiab dej:
- Tom qab tawm mus nraum zoov
- Tom qab hloov pawm
- Tom qab ua cov haujlwm hauv tsev
- Tom qab mus siv chav dej
- Tom qab kov lub cev hauv lub cev, xws li hnoos qeev lossis ntshav
- Tom qab siv xov tooj
- Ua ntej tuav zaub mov lossis noj mov
Lwm yam koj tuaj yeem ua los txo qis koj li kis kab mob nrog:
- Tu koj lub tsev kom huv.
- Txav deb ntawm cov neeg coob coob.
- Nug cov neeg qhua uas mob khaub thuas hnav lub npog ntsej muag lossis tsis tuaj xyuas.
- TSIS TXHOB mev ua haujlwm lossis tu cov nroj tsuag lossis paj (lawv tuaj yeem nqa cov kab mob).
Kev mob ntsws hauv cov neeg siv tshuaj tiv thaiv kab mob; Kab mob ntsws - immunocompromised party; Kab Mob Cancer - mob ntsws; Kws khomob - mob ntsws; HIV - mob ntsws
- Pneumococci muaj sia
- Lub ntsws
- Lub ntsws
- Kev ua pa system
Hlawv MJ. Cov neeg siv tshuaj tiv thaiv kab mob. 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 187.
Donnelly JP, Blijlevens NMA, van der Velden WJFM. Cov kab mob hauv lub tsev tshuaj tiv thaiv kab mob: cov qauv dav dav. Hauv: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, thiab Bennett's Cov Ntsiab Cai thiab Kev Coj Ua ntawm Cov Kab Mob Kis, Hloov Kho TshiabCov. 8 tus ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2015: chap 309.
Marr KA. Txoj hauv kev rau kub taub hau thiab xav tias tsam kis tau tus kab mob hauv tus tswv tsev. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 281.
Wunderink RG, Restrepo MI. Kab mob ntsws: xav txog kev mob nyav. Hauv: Parrillo JE, Dellinger RP, eds. Tshuaj Kho Mob Nkaus: Cov hauv paus ntsiab lus ntawm kev kuaj mob thiab kev tswj hwm hauv Cov Neeg LojCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2019: chap 40.