Cov mob botulism

Botulism menyuam mos yog ib tus mob uas yuav txo tau txoj sia vim yog cov kab mob hu ua Clostridium botulinumCov. Nws hlob hauv tus menyuam lub plab zom mov.

Clostridium botulinum yog ib hom muaj sia uas muaj ntau hom. Cov noob kab ntsig tuaj yeem pom hauv av thiab qee yam khoom noj (xws li zib ntab thiab qee pob kws pob kws).

Tus mob mos ab cov menyuam yaus feem ntau tshwm sim rau cov menyuam mos hnub nyoog 6 lub hlis mus txog 6 hli. Nws yuav tshwm sim ntxov li 6 hnub thiab lig li 1 xyoos.

Cov kev pheej hmoo txaus ntshai muaj xws li nqos zib ntab thaum menyuam mos, nyob ib puag ncig hauv av, thiab muaj tsawg dua ib qho quav nyob hauv ib hnub rau ntau tshaj 2 hlis.

Cov tsos mob tuaj yeem suav nrog:

• Ua pa uas nres lossis plam
• Cem quav
• Cov plaub muag uas sag lossis ib nrab kaw
• "Laj."
• Qhaj ntawv ntawm gagging
• Poob taub hau
• Tuag tes tuag taw uas kis mus rau sab hauv
• Txom nyem tsis zoo noj thiab tsis muaj zog ntxais
• Kev ua pa tsis ua haujlwm
• Nkees heev (qaug zog)
• Nkees quaj

Tus kws kho mob yuav kuaj xyuas lub cev. Qhov no yuav ua rau cov leeg poob qis, poob qis lossis poob qis gag reflex, ploj lawm lossis poob qis rau cov leeg ntshav siab, thiab tawv muag daj.

Kuaj cov quav los ntawm tus menyuam yuav raug kuaj tus kab mob botulinum lom lossis kab mob.

Electromyography (EMG) tuaj yeem ua los pab qhia qhov sib txawv ntawm cov leeg mob thiab leeg hlwb.

Botulism tiv thaiv kab mob globulin yog qhov kev kho mob tseem ceeb rau tus mob no. Cov menyuam mos uas tau txais kev kho mob no muaj lub tsev kho mob luv thiab muaj mob me me.

Cov menyuam mos ab uas mob botulism yuav tsum tau txais kev pab txhawb thaum lawv rov zoo los. Qhov no suav nrog:

• Ua kom muaj kev noj haus kom zoo
• Ua kom cov pa huv
• Saib rau kev ua pa muaj teeb meem

Yog tias muaj teeb meem ua pa, pab txhawb kev ua pa, suav nrog kev siv lub tshuab ua pa.

Cov tshuaj tua kab mob tsis tuaj yeem pab cuam rau tus menyuam sai sai. Yog li, lawv tsis xav tau tshwj tsis yog muaj lwm yam kab mob xws li mob ntsws.

Kev siv ntawm tib neeg los ntawm botulinum antitoxin kuj tseem yuav pab tau.

Thaum kuaj pom tus mob thiab kho tau ntxov, feem ntau tus menyuam rov qab los. Kev tuag los sis kev xiam oob qhab mus ntev yuav ua rau muaj kev nyuaj.

Kev ua pa ntawm lub ntsws tsis muaj zog tuaj yeem tsim muaj. Qhov no yuav xav tau kev pab ua pa (tshuab pa tshuab ua pa).

Botulism menyuam mos yuav ua lub neej tsis zoo. Mus rau chav khomob xwmtxheej ceev lossis hu rau tus xovtooj xwm ceev hauv nroog (xws li 911) tamsis yog koj tus menyuam mos liab muaj mob botulism.

Hauv txoj kev xav, tus kab mob yuav zam kom tsis txhob raug spores. Clostridium spores muaj nyob hauv zib ntab thiab pob kws phoov. Cov khoom noj no yuav tsum tsis txhob muab rau me nyuam mos hnub nyoog qis dua 1 xyoos.

Birch TB, Bleck TP. Botulism (Clostridium botulinum)). 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 245.

Khouri JM, Arnon SS. Cov mob botulism. Hauv: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. Feigin thiab Cherry Cov Ntawv Phau Ntawv Qhia Txog Cov Kab Mob Kis MenyuamCov. 8 tus ed. Philadelphia, PA: Elsevier; 2019: chap 147.

Norton LE, Schleiss MR. Botulism (Clostridium botulinum). 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 237.