Tus Mob Reye Syndrome

Tus Mob Reye yog ib qho mob sai (mob) los ntawm lub hlwb thiab lub siab ua teeb meem. Tus mob no tsis muaj neeg paub.

Cov tsos mob no tau tshwm sim rau cov menyuam yaus uas tau muab tshuaj aspirin thaum lawv muaj mob qhua dej lossis ua npaws. Tus Mob Reye syndrome tau muaj tsawg heev. Qhov no yog vim tias tshuaj aspirin tsis pom zoo rau kev siv niaj hnub hauv menyuam yaus.

Kuj tsis paub meej tias tus mob Reye Syndrome no zoo li cas. Feem ntau pom rau cov menyuam yaus hnub nyoog 4 txog 12. Feem ntau uas tshwm sim mob qhua maj yog nyob rau cov menyuam hnub nyoog 5 txog 9 xyoos.

Cov menyuam yaus mob Reye syndrome yuav mob sai sai. Cov tsos mob feem ntau pib nrog ntuav. Nws yuav nyob ntev ntau teev. Qhov ntuav tau nrawm nroos los ntawm kev txob taus thiab kev coj tsis zoo. Thaum tus mob hnyav dua tuaj, tus menyuam yuav tuaj yeem tsis tsaug zog thiab ceev faj.

Lwm cov tsos mob ntawm Tus Mob Reye:

• Tsis meej pem
• Qaug zog
• Plam nco qab lossis tsis nco qab lawm
• Hlwb pauv
• Xeev siab thiab ntuav
• Qaug dab peg
• Kev coj tsis txawv ntawm caj npab thiab ceg (dag txog lub cev). Lub caj npab nthuav dav ncaj thiab tig mus rau hauv lub cev, ob txhais ceg tau ncaj ncaj, thiab cov ntiv taw taw taw sab hauv

Lwm cov tsos mob uas tuaj yeem tshwm sim nrog tus mob no suav nrog:

• Ob lub zeem muag
• Hnov tsis hnov ​​lus
• Cov leeg muaj nuj nqi poob lossis txhav ntawm caj npab lossis ceg
• Hais lus nyuaj
• Kev tsis muaj zog hauv caj npab lossis ceg

Cov kev ntsuam xyuas hauv qab no yuav raug siv los kuaj Reye syndrome:

• Kev kuaj ntshav cov ntshav
• Lub taub hau CT lossis lub taub hau MRI scan
• Mob siab me me
• Kev kuaj mob siab ua haujlwm
• Ntshav dej ammonia mus kuaj
• Tus txha nqaj qaum

Tsis muaj kev kho kom meej rau tus mob no. Tus kws saib xyuas kev noj qab haus huv yuav saib xyuas cov ntshav siab hauv lub hlwb, cov roj ntsha, thiab cov ntshav acid-base balance (pH).

Cov kev kho mob yuav suav nrog:

• Ua tsis taus pa pab (siv lub tshuab ua pa thaum sib sib zog nqus tsis xeev tau)
• Cov kua dej los ntawm IV muab cov electrolytes thiab qabzib
• Cov tshuaj steroid kom txo qhov o hauv lub hlwb

Ib tug neeg zoo npaum li cas nyob ntawm qhov mob ntawm lub coma, thiab lwm yam.

Qhov tshwm sim rau cov uas muaj sia nyob ib ntu xwm txheej yuav yog qhov zoo.

Teeb meem yuav suav nrog:

• Coma
• Kev puas hlwb li qub lawm
• Qaug dab peg

Thaum tsis kho, qaug dab peg thiab tsis xeev yuav yog qhov yuav phom sij txog lub neej.

Mus rau chav khomob xwmtxheej ceev lossis hu rau tus xovtooj xwm ceev hauv nroog (xws li 911) tamsis yog koj tus menyuam muaj:

• Tsis meej pem
• Qaug zog
• Lwm yam kev hloov pauv

Tsis txhob muab tshuaj aspirin rau menyuam tshwj tsis yog koj tus kws khomob hais kom ua.

Thaum menyuam yaus yuav tsum noj tshuaj aspirin, saib xyuas kom tus menyuam muaj feem pheej yuav kis tus kabmob kis, xws li mob npaws thiab qhua quav. Zam kev rau tshuaj aspirin rau ob peb lub lis piam tom qab tus menyuam tau txhaj tshuaj tiv thaiv dej qhua taum.

Nco tseg: Lwm cov tshuaj yuav tom khw, xws li Pepto-Bismol thiab tshuaj nrog roj ntawm lub caij ntuj no tseem muaj cov tshuaj aspirin hu ua salicylates. TSIS TXHOB muab cov tshuaj no rau tus menyuam uas mob khaub thuas lossis kub cev.

• Digestive system plab hnyuv siab raum

Aronson JK. Acetylsalicylic acid. Hauv: Aronson JK, ed. Meyler Qhov tshwm sim los ntawm Cov TshuajCov. 16th ed. Waltham, MA: Elsevier B.V .; 2016: 26-52.

Cherry JD. Tus Mob Reye Syndrome. 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 50.

Johnston MV. Laj Sab. 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: chap 616.