Pertussis

Pertussis yog ib hom kab mob kis tau yooj yim heev uas ua rau tswj tsis tau tus mob, hnoos hnyav. Qhov hnoos tuaj yeem ua rau ua pa nyuaj. Lub suab sib sib zog nqus "whooping" feem ntau hnov ​​thaum tus neeg sim ua pa.

Pertussis, lossis hnoos qhuav, yog mob ntsws ib theem. Nws yog tshwm sim los ntawm tus Bordetella mob hnoos qhuav cov kab mob. Nws yog ib hom mob hnyav uas tuaj yeem cuam tshuam rau tib neeg tsis hais hnub nyoog li cas thiab ua rau muaj mob xiam oob qhab rau menyuam mos, thiab tas sim neej.

Thaum ib tus neeg kis tau txham lossis hnoos, mob me me uas muaj cov kab mob txav mus los ntawm huab cua. Tus kab mob yooj yim kis ntawm ib tug neeg mus rau lwm tus.

Cov tsos mob ntawm tus kab mob feem ntau kav 6 lub lim tiam, tab sis nws tuaj yeem ntev mus ntev li 10 lub lis piam.

Cov tsos mob thawj zaug yog zoo li tus mob khaub thuas. Feem ntau, lawv pib txog li ib lim tiam tom qab kis tau cov kab mob.

Thaum raug mob hnyav hnoos yuav pib txog 10 txog 12 hnub tom qab. Hauv cov menyuam mos thiab menyuam yaus, qhov hnoos qee zaum xaus nrog "suab". Lub suab tau tsim tawm thaum tib neeg sim ua pa. Lub suab nrov ntawd tsis tshua muaj rau cov menyuam mos hnub nyoog qis dua 6 hli thiab cov menyuam yaus lossis cov neeg laus.

Kev hnoos hnoos tej zaum yuav ua rau ntuav lossis tsis nco qab. Pertussis yuav tsum xav txog txhua lub sijhawm thaum ntuav tshwm sim nrog hnoos. Hauv cov menyuam mos, zawm caj dab thiab ntev ntev los ntawm kev ua pa yog qhov muaj.

Lwm cov tsos mob pertussis suav nrog:

• Los ntswg
• Ua npaws me ntsis, 102 ° F (38.9 ° C) lossis qis dua
• Zawv plab

Kev kuaj pom thawj zaug feem ntau yog ua raws li cov tsos mob. Txawm li cas los xij, thaum cov tsos mob tsis tshua pom tseeb, mob hnoos qeev yuav ua rau muaj kev nyuaj rau kev txheeb xyuas. Hauv cov me nyuam mos me, cov tsos mob tuaj yeem yog mob ntsws txhaws dej.

Txhawm rau kom paub tseeb, tus kws kho mob tuaj yeem nqa ib qhov hnoos qeev los ntawm qhov ntswg zais cia. Qhov hnoos qeev raug xa mus rau qhov chaw kuaj ntshav kuaj thiab kuaj rau mob hnoos qhuav. Thaum qhov no tuaj yeem muab qhov kev kuaj mob tseeb, qhov kev kuaj yuav siv qee lub sijhawm. Feem ntau ntawm cov sijhawm, kev kho mob yog pib ua ntej cov txiaj ntsig npaj tau.

Qee tus neeg yuav tau ua tiav cov ntshav suav uas pom tias muaj cov lymphocytes ntau heev.

Yog tias pib ntxov txaus, cov tshuaj tua kab mob xws li erythromycin tuaj yeem ua rau cov tsos mob ploj mus sai dua. Hmoov tsis zoo, cov neeg feem ntau raug txheeb xyuas tau lig dhau lawm, thaum cov tshuaj tua kab mob tsis ua haujlwm tau zoo. Txawm li cas los xij, cov tshuaj tuaj yeem pab txo tus neeg muaj peev xwm kis tus kabmob mus rau lwm tus.

Cov menyuam mos hnub nyoog qis dua 18 lub hlis yuav tsum tau muaj kev saib xyuas tas li vim tias lawv kev ua pa yuav nres ib ntus thaum hnoos hnoos. Cov menyuam mos uas mob hnyav yuav tsum tau mus pw hauv tsev kho mob.

Lub tsev pheebsuab oxygen nrog cov av noo siab yuav siv.

Yuav muab kua dej los ntawm txoj hlab ntshav yog tias hnoos heev txaus kom tus neeg ntawd haus dej txaus.

Cov tshuaj Sedatives (tshuaj ua kom koj tsaug tsaug zog) tej zaum yuav tshuaj rau cov menyuam yaus.

Cov tshuaj hnoos, qhov cia siab, thiab tshuaj tua kab yog feem ntau tsis muaj txiaj ntsig. Cov tshuaj no yuav tsum tsis txhob siv.

Hauv cov menyuam yaus me, qhov pom ntawm sab nrauv yog feem ntau zoo heev. Cov menyuam mos yog cov muaj kev pheej hmoo siab tuag, thiab xav tau kev saib xyuas zoo.

Teeb meem yuav suav nrog:

• Mob ntsws o
• Qhov pom tseeb
• Teeb meem mob chua leeg (mus tas li)
• Kab Ntsig
• Mob pob ntseg
• Hlwb puas tsuaj los ntawm qhov tsis muaj oxygen
• Los ntshav nyob rau hauv lub hlwb (cerebral hemorrhage)
• Kev txawj ntse
• Ua pa qeeb lossis tsis ua pa (ua pa)
• Kev Tuag

Hu rau koj tus kws kho mob yog tias koj lossis koj tus menyuam muaj mob hnoos qhuav.

Hu 911 lossis mus rau chav kho mob ceev yog tias tus neeg ntawd muaj cov tsos mob li nram no:

• Bluish daim tawv nqaij xim, uas qhia tias tsis muaj oxygen
• Lub sij hawm uas tsis ua pa (ua pa)
• Qaug dab peg los yog tawv ncauj
• Ua npaws kub siab
• Pheej ntuav ntuav
• Lub cev qhuav dej

Koob tshuaj DTaP, yog ib ntawm kev txhaj tshuaj tiv thaiv kab mob rau cov menyuam yaus, tiv thaiv menyuam yaus tawm tsam kev mob hnoos qhuav. Koob tshuaj DTaP tuaj yeem siv tau rau cov menyuam mos muaj kev nyab xeeb. Pom zoo tsib koob tshuaj DTaP. Feem ntau lawv muab rau cov menyuam muaj hnub nyoog 2 hlis, 4 hlis, 6 hlis, 15 txog 18 hlis, thiab 4 txog 6 xyoos.

Cov tshuaj txhaj TdaP yuav tsum raug muab thaum hnub nyoog 11 lossis 12 xyoos.

Thaum mob hnoos qhuav, cov menyuam tsis muaj hnub nyoog 7 xyoo rov hauv yuav tsum tsis txhob mus koom tsev kawm ntawv lossis kev sib sau noj mov. Lawv kuj yuav tsum cais tawm ntawm ib tus neeg paub los yog xav tias muaj kab mob. Qhov no yuav tsum kav mus txog 14 hnub tom qab kis tas los.

Nws kuj tseem pom zoo tias cov neeg laus hnub nyoog 19 thiab laus dua tau txais 1 koob tshuaj TdaP tiv thaiv mob hnoos qhuav.

TdaP yog ib qho tseem ceeb rau cov kws paub txog kev noj qab haus huv thiab txhua tus neeg muaj kev sib raug zoo nrog tus menyuam hnub nyoog qis dua 12 lub hlis.

Cov poj niam cev xeeb tub yuav tsum txhaj koob tshuaj TdaP nyob rau txhua lub sijhawm cev xeeb tub ntawm 27 thiab 36 lub lis piam ntawm cev xeeb tub, txhawm rau txhawm rau tiv thaiv tus menyuam mos los ntawm tus kabmob hnoos qeev.

Kabmob hnoos hawbpob

• Cov txheej txheem kev ua pa puag ncig

Kim DK, Hunter P. Pawg Neeg Tawm Tswv Yim Txog Kev Txhaj Tshuaj Tiv Thaiv pom zoo muab kev teem caij txhaj tshuaj rau cov neeg laus hnub nyoog 19 xyoos lossis tshaj saud - Tebchaws Asmeskas, 2019. MMWR Morb Mortal Wkly RepCov. 2019; 68 (5): 115-118. PMID: 30730868 www.ncbi.nlm.nih.gov/pubmed/30730868.

Robinson CL, Bernstein H, Romero JR, Szilagyi P; Pawg Neeg Pab Tswv Yim rau Kev Tshuaj Tiv Thaiv (ACIP) Pab Pawg Menyuam / Tub Ntxhais Hluas Kev Txhaj Tshuaj Tiv Thaiv. Pawg Kws Pab Tswv Yim Txog Kev Txhaj Tshuaj Tiv Thaiv tau pom zoo cov caij txhaj tshuaj tiv thaiv rau cov menyuam yaus thiab cov tub ntxhais hluas hnub nyoog 18 xyoo lossis qis dua - Tebchaws Asmeskas, 2019. MMWR Morb Mortal Wkly RepCov. 2019; 68 (5): 112-114. PMID: 30730870 www.ncbi.nlm.nih.gov/pubmed/30730870.

Khoom Noj Khoom Haus E, Ntev SS. Pertussis (Bordetella pertussis thiab Bordetella parapertussis)). 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 224.

Tebchaws Asmeskas Cov Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob lub vev xaib. Cov ntaub ntawv qhia txog tshuaj tiv thaiv: Tdap txhaj tshuaj (mob kab xeb, kabmob qafoob thiab kabmob hnoos qeev). www.cdc.gov/vaccines/hcp/vis/vis-statements/tdap.pdf. Hloov kho Lub Ob Hlis 24, 2015. Nkag mus Lub Cuaj Hlis 5, 2019.