Viral gastroenteritis (mob npaws)

Tus mob viral gastroenteritis muaj thaum tus kab mob ua rau mob ntawm lub plab thiab txoj hnyuv. Tus kab mob tuaj yeem ua rau mob raws plab thiab ntuav. Qee zaum nws hu ua "mob npaws."

Gastroenteritis tuaj yeem cuam tshuam rau ib tus neeg lossis ib pawg neeg uas txhua tus noj zaub mov ib yam lossis haus cov dej ua ke. Cov kab mob tuaj yeem nkag mus rau hauv koj li kab ke:

• Ncaj nraim los ntawm zaub mov lossis dej
• Los ntawm cov khoom xws li cov paib thiab cov tais diav
• Los ntawm ib tug neeg mus rau lwm tus los ntawm txoj kev sib chwv sib ze

Ntau hom kab mob tuaj yeem ua rau mob plab zom mov. Tus kab mob uas nquag siv tshaj plaws yog:

• Norovirus (Norwalk-zoo li tus kab mob) yog hom muaj rau cov menyuam yaus hnub nyoog kawm ntawv. Nws kuj tseem tuaj yeem ua rau kis mob hauv tsev kho mob thiab hauv nkoj nkoj.
• Kab mob rotavirus yog tus ua kom mob plab zom mov hauv menyuam yaus. Nws kuj tseem kis tau rau cov neeg laus uas tau kis tus menyuam yaus tus kab mob thiab cov neeg nyob hauv tsev laus.
• Astrovirus.
• Cov kab mob enteric adenovirus.
• DAIM-19 tej zaum yuav ua rau mob plab ua npaws, txawm hais tias thaum ua pa tsis muaj.

Cov neeg muaj kev pheej hmoo siab tshaj plaws rau kev kis mob hnyav nrog rau cov menyuam yaus, cov neeg laus, thiab cov neeg uas lub zog tiv thaiv kab mob.

Cov tsos mob feem ntau tshwm sim li ntawm 4 mus rau 48 teev tom qab tau chwv tus kab mob. Cov tsos mob tshwm sim suav nrog:

• Mob plab
• Zawv plab
• Xeev siab thiab ntuav

Lwm cov tsos mob tuaj yeem suav nrog:

• Ua daus no, tawv nqaij tawv, lossis tawm hws
• Ua npaws
• Kev sib koom tes txhav lossis mob leeg
• Pluag mov noj
• Lub cev yuag

Tus kws kho mob yuav saib xyuas lub cim ntawm lub cev qhuav dej, suav nrog:

• Lub qhov ncauj qhuav lossis nplaum
• Qaug zog los yog tsis nco qab (muaj dej tsis txaus)
• Cov ntshav siab qis
• Qhov qis lossis tsis tso zis, cov zis muaj ntau xim daj tsaus
• Qhov muag tsis pom tawv nqaij (fontanelles) nyob rau sab saum toj ntawm tus menyuam mos lub taub hau
• Tsis muaj kua muag
• Sunken ob lub qhov muag

Kev kuaj quav hauv qhov quav yuav siv los txheeb xyuas tus kab mob uas ua rau muaj mob. Feem ntau, qhov kev ntsuas no tsis xav tau. Kev kuaj quav yuav ua li cas kom paub tias qhov teeb meem yog ua los ntawm cov kab mob.

Lub hom phiaj ntawm kev kho mob yog ua kom lub cev muaj dej txaus thiab kua dej kom txaus. Cov dej thiab kua roj (ntsev thiab lwm yam kua) uas poob los ntawm raws plab thiab ntuav yuav tsum tau hloov los ntawm haus dej ntxiv. Txawm hais tias koj muaj peev xwm noj, koj yuav tsum tau haus dej haus ntxiv thaum noj mov.

• Cov menyuam yaus me thiab cov neeg laus tuaj yeem haus dej haus xws li Gatorade, tab sis cov no yuav tsum tsis txhob siv rau cov menyuam yau. Hloov chaw, siv lub ntsuas hluav taws xob thiab kua dej hloov pauv lossis dej txias khov muaj nyob hauv cov khw muag khoom noj thiab tshuaj yeeb.
• TSIS TXHOB siv cov kua txiv (nrog rau kua txiv), kua dej qab zib lossis cov kuab (ua kua lossis ua npuas), Jell-O, lossis kua zaub. Cov kua no tsis hloov pauv cov zaub mov uas ploj lawm thiab tuaj yeem ua rau mob raws plab.
• Haus me me ntawm kua (2 txog 4 oz. Lossis 60 txog 120 mL) txhua 30 mus rau 60 feeb. Tsis txhob sib zog ua kom nqus cov kua dej ntau hauv ib zaug, uas tuaj yeem ua rau ntuav. Siv cov me nyuam diav (5 millilitres) los yog tso rau ib leeg rau cov menyuam mos lossis menyuam yaus.
• Cov menyuam mos tseem tuaj yeem haus niam mis lossis mis mos tau nrog kua dej ntxiv. Koj TSIS tas yuav hloov mus ua kua mis ua kua mis.

Sim noj me me ntawm cov khoom noj kom ntau. Cov zaub mov yuav tsum muaj:

• Cov pob kws, mov ci, qos yaj ywm, nqaij ntshiv xwb
• Dawb yogurt, txiv tsawb, txiv apples tshiab
• Zaub

Yog tias koj mob raws plab thiab haus tsis tau dej lossis haus dej vim yog xeev ntuav lossis ntuav, koj yuav tau haus dej raws txoj leeg (IV). Cov menyuam mos thiab menyuam yaus feem ntau yuav tsum tau txhaj tshuaj tiv thaiv kab mob IV.

Cov niam txiv yuav tsum ua tib zoo saib tus naj npawb ntawm cov pawm ntub uas cov menyuam mos lossis menyuam yaus muaj. Txoj phuam ntub dej ntau dua yog qhov qhia tias tus minyuam mos xav tau dej ntau dua.

Cov neeg uas noj cov tshuaj dej (tshuaj tua kab mob) uas muaj mob raws plab yuav tau hais los ntawm lawv tus kws kho mob kom lawv tsis txhob noj lawv kom txog thaum pom tsos mob zoo tuaj. Txawm li cas los xij, TSIS TXHOB tsum txiav cov tshuaj noj yam tsis tau tham nrog koj tus kws kho mob.

Cov tshuaj tua kab mob tsis ua haujlwm rau kab mob.

Koj tuaj yeem yuav cov tshuaj ntawm lub tsev muag tshuaj uas tuaj yeem pab nres lossis qeeb plab.

• Tsis txhob siv cov tshuaj no yam tsis tau tham nrog koj tus kws kho mob yog tias koj muaj mob raws plab ntshav, ua npaws, lossis yog mob raws plab.
• Tsis txhob muab cov tshuaj rau cov menyuam yaus.

Rau feem ntau ntawm cov neeg, tus mob mus dhau ob peb hnub yam tsis tau kho.

Lub cev qhuav dej ntau tuaj yeem tshwm sim hauv menyuam mos thiab menyuam yaus.

Hu koj tus kws kho mob yog tias mob raws plab mus ntev dua ob peb hnub lossis yog lub cev qhuav dej. Koj yuav tsum hu rau koj tus kws kho mob yog tias koj lossis koj tus menyuam muaj cov tsos mob no:

• Cov ntshav hauv cov quav
• Tsis meej pem
• Kiv taub hau
• Lub qhov ncauj qhuav
• Ntsej muag tsaus muag
• Xeev siab
• Tsis muaj kua muag thaum quaj
• Tsis tso zis li 8 teev lossis ntau dua
• Sunken tsos rau lub qhov muag
• Qhov muag tsis pom nqaij mos rau ntawm tus menyuam mos lub taub hau (fontanelle)

Hu rau koj tus kws kho mob sai li sai tau yog tias koj lossis koj tus menyuam muaj mob hawb pob, kub ib ce los yog raug kis rau COVID-19.

Feem ntau cov kab mob thiab cov kab mob kis tau los ntawm ib tug neeg mus rau lwm tus los ntawm kev siv tes tsis tau ntxuav. Txoj hauv kev zoo tshaj plaws los tiv thaiv tus mob khaub thuas hauv plab yog kov zaub mov kom raug thiab ntxuav koj txhais tes kom huv si tom qab siv tsev dej tag.

Nco ntsoov soj ntsuam kev nyob ib leeg hauv tsev thiab txawm yog qhov kev txwv tus kheej yog tias xav tias COVID-19 xav tias tsam tsis muaj.

Cov tshuaj tiv thaiv txhawm rau tiv thaiv kab mob rotavirus yog pom zoo rau cov menyuam mos txij thaum muaj hnub nyoog 2 hlis.

Kab mob rotavirus - mob ncauj plab; Norwalk tus kab mob; Gastroenteritis - kis; Mob plab mob khaub thuas; Raws plab - kis; Xoob cov quav - kis; Upset plab - kis

• Thaum koj xeev siab thiab ntuav

• Lub plab zom mov
• Digestive system plab hnyuv siab raum

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DuPont HL, Okhuysen PC. Txoj kev rau tus neeg mob uas xav tias muaj tus kab mob nkag. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 267.

Kotloff KL. Mob caj dab mob hauv cov menyuam yaus. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: cha 366.

Melia JMP, Suab quaj CL. Kab mob enteritis thiab proctocolitis. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob SiabCov. 11th ed. Philadelphia, PA: Elsevier; 2021: chap 110.