Kab mob ntsws syncytial (RSV)

Respiratory syncytial virus (RSV) yog tus kab mob uas nquag pom muaj los yog ua mob khaub thuas sib xws li txias rau cov neeg laus thiab cov menyuam muaj hnub nyoog loj dua. Nws yuav raug ntau dua hauv cov menyuam yaus, tshwj xeeb cov uas muaj tej pawg uas muaj feem yuav ua tau haujlwm.

RSV yog yam kabmob tshwm sim tshaj plaws uas ua rau mob ntsws thiab ua pa rau cov menyuam mos thiab menyuam yaus. Cov menyuam mos feem ntau muaj tus kabmob no thaum muaj hnub nyoog 2. Cov kab mob RSV feem ntau pib thaum lub caij nplooj zeeg thiab dhia mus rau lub caij nplooj ntoo hlav.

Tus kab mob yuav tshwm sim rau cov neeg ntawm txhua tus neeg. Tus kab mob kis tau los ntawm cov tee me me uas mus rau saum cua thaum tus neeg mob tshuab ntswg, hnoos, lossis txham.

Koj tuaj yeem ntes RSV yog tias:

• Tus neeg mob RSV txham txhaws ntswg, hnoos, lossis tshuab ntswg lawv qhov ntswg nyob ze koj.
• Koj kov, hnia, lossis tuav tes nrog lwm tus neeg kis tus kabmob.
• Koj chwv koj lub qhov ntswg, qhov muag lossis qhov ncauj tom qab koj tau chwv tej yam kabmob los ntawm tus kabmob, ib yam khoom ua si lossis qhov rooj.

RSV feem ntau kis tau sai heev hauv cov tsev neeg coob thiab chaw zov menyuam nruab hnub. Tus kab mob no tuaj yeem nyob rau ntawm ib nrab ib teev lossis ntev dua ntawm txhais tes. Tus kab mob no tseem tuaj yeem nyob txog li 5 teev rau ntawm cov txee thiab rau ob peb teev ntawm cov ntaub so ntswg siv.

Cov hauv qab no ua rau muaj kev pheej hmoo rau RSV:

• Mus zov hauv tsev zov menyuam
• Nyob ze cov pa luam yeeb
• Muaj hnub nyoog kawm ntawv cov kwv tij los sis cov muam
• Nyob hauv neeg mob coob

Cov tsos mob tuaj yeem sib txawv thiab txawv raws lub hnub nyoog:

• Feem ntau lawv tshwm rau 2 rau 8 hnub tom qab ntsib tus kab mob.
• Cov menyuam yaus hnub nyoog loj feem ntau tsuas muaj mob me me, xws li mob khaub thuas, xws li txham hnoos, txhaws ntswg, lossis kub tob hau.

Cov menyuam mos hnub nyoog qis dua 1 xyoos yuav muaj cov tsos mob hnyav dua thiab feem ntau muaj teeb meem ua tsis taus pa:

• Bluish daim tawv nqaij xim vim qhov tsis muaj oxygen (cyanosis) hauv kev mob hnyav dua
• Ua pa rau qhov nyuaj lossis ua pa ua pa
• Nas lis yaj
• Nqus pa sai (tachypnea)
• Ua tsis taus pa
• Whistling suab (hawb pob)

Ntau lub tsev kho mob thiab chaw kho mob tuaj yeem kuaj ceev ceev rau RSV siv cov kua dej coj los ntawm lub qhov ntswg nrog lub paj rwb pas rwb.

Cov tshuaj tua kab mob thiab tshuaj tua kab mob bronchodilators tsis yog siv los kho RSV.

Kab mob mentsis mus tsis tau kho.

Cov menyuam mos thiab menyuam yaus uas muaj tus kab mob RSV kis loj tuaj yeem mus pw hauv tsev kho mob. Txoj kev kho yuav suav nrog:

• Pab ntxiv oxygen
• Huab cua (noo noo) huab cua
• Xuas qhov ntswg tso pa tawm
• Cov kua dej los ntawm txoj hlab ntshav (los ntawm IV)

Yuav tsum siv lub tshuab ua pa (tshuab ua pa tawm).

Yuav muaj tus mob RSV hnyav dua rau cov menyuam mos hauv qab no:

• Cov me nyuam yug ntxov
• Cov menyuam mos uas mob ntsws ntev
• Cov menyuam mos uas lub nruab nrog cev ua tsis tau haujlwm zoo
• Cov menyuam mos uas muaj qee yam mob plawv

Tsis tshua muaj, kev kis tus mob RSV tuaj yeem ua rau tuag taus ntawm cov menyuam mos. Txawm li cas los xij, qhov no yuav tsis yooj yim yog tias tus menyuam yaus tau pom los ntawm tus kws kho mob thaum ntxov ntawm tus kabmob.

Cov menyuam yaus uas mob RSV bronchiolitis feem ntau yuav ua kom mob ntsws asthma.

Hauv cov menyuam yaus, RSV tuaj yeem ua rau:

• Bronchiolitis
• Lub ntsws tsis ua haujlwm
• Mob ntsws o

Hu rau koj tus kws khomob sai sai yog tias koj muaj:

• Ua pa nyuaj
• Ua npaws kub siab
• Ua tsis taus pa
• Bluish daim tawv xim

Ib qho teeb meem ua pa ntawm menyuam mos yog qhov xwm ceev. Nrhiav kev pab kho mob sai li sai tau.

Txhawm rau tiv thaiv qhov mob RSV no, ntxuav koj ob txhais tes kom ntau, tshwj xeeb yog ua ntej kov koj tus menyuam. Nco ntsoov tias lwm tus neeg, tshwj xeeb yog cov neeg saib xyuas, ua cov kauj ruam kom tsis txhob muab cov tshuaj RSV rau koj tus menyuam.

Cov kauj ruam yooj yim hauv qab no tuaj yeem tiv thaiv koj tus menyuam los ntawm kev mob:

• Qhia ntxiv kom lwm tus ntxuav tes nrog dej sov thiab xab npum ua ntej kov koj tus menyuam.
• Kom lwm tus zam kev sib cuag nrog tus menyuam yog hais tias lawv mob khaub thuas lossis kub taub hau. Yog tias tsim nyog, kom lawv hnav lub npog ntsej muag.
• Nco ntsoov tias kev hnia tus menyuam tuaj yeem kis RSV.
• Sim ua kom cov menyuam yaus nyob deb ntawm koj tus menyuam. RSV muaj ntau yam ntawm cov menyuam yaus thiab kis yooj yim ntawm ib tus menyuam rau ib tus.
• Tsis txhob haus luam yeeb hauv koj lub tsev, tsheb lossis lwm qhov ze koj tus menyuam. Kev tiv thaiv kev haus luam yeeb ua rau muaj feem ua rau muaj mob RSV.

Cov niam txiv ntawm cov menyuam yaus uas muaj kev pheej hmoo siab yuav tsum tsis txhob muaj neeg coob coob thaum tawm tsam RSV. Feem ntau ntawm kev sib kis sib kis mus rau loj feem ntau tau hais los ntawm xov xwm hauv zos los qhia cov niam txiv kom tsis txhob muaj kev cuam tshuam.

Cov tshuaj Synagis (palivizumab) tau pom zoo rau kev tiv thaiv tus kab mob RSV hauv cov menyuam yaus hnub nyoog qis dua 24 lub hlis uas muaj kev pheej hmoo siab rau tus mob RSV hnyav. Nug koj tus kws kho mob yog tias koj tus menyuam yuav tsum tau txais cov tshuaj no.

RSV; Palivizumab; Kab mob ntsws syncytial kab mob tiv thaiv kab mob globulin; Bronchiolitis - RSV; URI - RSV; Cov mob ua pa sab sauv - RSV; Bronchiolitis - RSV

• Bronchiolitis - paug

• Bronchiolitis

Simµes EAF, Bont L, Manzoni P, li al. Yav dhau los, tam sim no thiab cov txheej txheem yav tom ntej rau kev tiv thaiv thiab kev kho mob ntawm kev ua pa ntawm tus kab mob ua pa rau menyuam yaus. Kab Mob Tsis YogCov. 2018; 7 (1): 87-120. PMID: 29470837 pubmed.ncbi.nlm.nih.gov/29470837/.

Smith DK, Seales S, Budzik C. Kab mob ntsws hnoos qhuav ntshav hauv cov menyuam yaus. Am Nkaub Tus Kws Kho MobCov. 2017; 95 (2): 94-99. PMID: 28084708 pubmed.ncbi.nlm.nih.gov/28084708/.

Talbot HK, Walsh EE. Tus kab mob vais lav ua mob rau txoj hlab ua pa. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 338.

Walsh EE, Englund JA. Kab mob ntsws syncytial virus (RSV). 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; Xyoo 2020: chap 158.