Mob ncauj plab

Kab mob diphtheria yog ib hom mob los ntawm tus kab mob Corynebacterium diphtheriae.

Cov kab mob uas ua rau mob diphtheria kis los ntawm qhov mob ntsws (xws li los ntawm hnoos lossis txham) ntawm tus neeg mob lossis tus neeg uas nqa tus kabmob no tab sis tsis muaj tsos mob dab tsi.

Cov kab mob feem ntau kis koj lub qhov ntswg thiab caj pas. Kev mob caj pas ua rau lub ntsej muag grey rau xim dub, tawv, zoo li npog fiber ntau, uas tuaj yeem thaiv koj txoj hlab pa. Muaj qee kis, kab mob diphtheria kis koj cov tawv nqaij ua ntej thiab ua rau tawv nqaij mob.

Thaum koj tau kis tus kab mob lawm, cov kab mob ua rau cov txaus ntshai hu ua co toxins. Cov co toxins kis tau los ntawm koj cov hlab ntshav mus rau lwm qhov hauv nruab nrog, xws li lub plawv thiab lub hlwb, thiab ua rau puas tsuaj.

Vim tias muaj ntau yam kev txhaj tshuaj tiv thaiv kab mob (txhaj tshuaj tiv thaiv kab mob) ntawm cov menyuam yaus, kab mob diphtheria tam sim no muaj ntau yam hauv ntau lub ntiaj teb.

Cov teeb meem pheej hmoo rau kab mob diphtheria suav nrog thaj chaw muaj neeg coob coob, tsis muaj kev nyiam huv, thiab tsis muaj kev txhaj tshuaj tiv thaiv kab mob.

Cov tsos mob feem ntau tshwm sim 1 rau 7 hnub tom qab tus kab mob nkag mus rau hauv koj lub cev:

• Ua npaws thiab ua daus no
• Mob caj pas, txhaws qa
• Mob nqos
• Croup-zoo li (barking) hnoos
• Drooling (qhia txog txhaws kev ua pa txog yuav tshwm sim)
• Bluish xim ntawm daim tawv nqaij
• Ntshav, los kua zis tawm ntawm lub qhov ntswg
• Cov teeb meem ua pa, suav nrog ua pa nyuaj, ua pa ceev, suab sib sib zog ua pa nrov (stridor)
• Daim tawv nqaij tawm (feem ntau pom ntawm thaj chaw sov)

Qee zaum tsis muaj tsos mob dab tsi.

Tus kws kho mob yuav kuaj mob lub cev thiab saib hauv koj lub qhov ncauj. Qhov no yuav qhia qhov grey rau dub npog (pseudomembrane) hauv caj pas, nthuav cov qog ntshav, thiab o ntawm lub caj dab lossis lub suab nrov.

Kev ntsuam xyuas siv xws li:

• Gram stain lossis caj pas kab lis kev cai txhawm rau txhawm rau txheeb xyuas kab mob kabmob qafoob
• Toxin assay (txhawm rau kuaj pom muaj cov taug ua los ntawm cov kab mob)
• Electrocardiogram (ECG)

Yog tus kws kho mob xav tias koj muaj mob qa foob, kev kho yuav pib tam sid, txawm tias ua ntej cov txiaj ntsig kev ntsuam xyuas rov los.

Tshuaj tiv thaiv kab mob diphtheria antitoxin raug txhaj raws li txhaj tshuaj rau hauv cov leeg nqaij lossis mus rau ntawm cov ntshav IV (txoj leeg tso ntshav). Qhov kis tau tus mob yog kho cov tshuaj tua kab mob, xws li penicillin thiab erythromycin.

Koj yuav tsum tau nyob hauv tsev khomob thaum koj tau txais tshuaj tiv thaiv antitoxin. Lwm yam kev kho mob suav nrog:

• Kua dej los ntawm IV
• Cov pa
• Txaj chaw so
• Kev soj ntsuam lub plawv
• Tso ntxig txoj pa ua pa
• Kev kho cov hlab pas

Cov neeg uas tsis muaj cov tsos mob uas muaj tus kab mob diphtheria yuav tsum tau kho nrog tshuaj tua kab mob.

Mob qa foob yuav mob mentsis lossis mob hnyav. Qee tus neeg tsis hnov ​​mob. Hauv lwm cov, tus kab mob tuaj yeem qeeb qeeb. Rov qab los ntawm kev mob yog qeeb.

Tib neeg kuj yuav tuag, tshwj xeeb tshaj yog thaum muaj tus kab mob cuam tshuam rau lub plawv.

Qhov tshwm sim feem ntau yog qhov mob hlab plawv (myocarditis). Lub paj hlwb kuj tseem tu ncua thiab cuam tshuam ntau dua, uas tuaj yeem ua rau tuag tes tuag taw ib ntus.

Kab mob ua rau mob qa foob ntshav kuj tseem tuaj yeem ua rau lub raum puas thiab.

Kuj tseem tuaj yeem ua xua cov lus teb rau cov tshuaj tiv thaiv antitoxin.

Hu rau koj tus kws kho mob sai li sai tau yog tias koj tau chwv tus neeg uas muaj kabmob qafoob.

Mob caj pas yog ib tug mob uas tsis tshua muaj mob. Nws kuj tseem yog ib tus kabmob uas tau tshaj tawm, thiab txhua kis tau raug tshaj tawm hauv ntawv xov xwm lossis hauv TV. Qhov no pab koj paub yog tias muaj kabmob hnoos hawbpob hauv koj thaj chaw.

Kev txhaj tshuaj tiv thaiv kab mob rau menyuam yaus thiab cov neeg loj txhawb kev tiv thaiv kabmob.

Ib tug neeg uas tau nyob nrog ib tus neeg muaj mob yuav tsum tau txhaj tshuaj tiv thaiv lossis koob tshuaj tiv thaiv kev mob qa dej, yog tias lawv tsis tau siv. Kev tiv thaiv los ntawm tshuaj tiv thaiv tsuas kav 10 xyoo. Yog li nws yog qhov tseem ceeb rau cov neeg laus tau txais koob tshuaj tiv thaiv kabmob txhua txhua 10 xyoo. Qhov tshuaj tiv thaiv kab mob no yog hu ua tetanus-diphtheria (Td). (Qhov tshuaj tiv thaiv kuj tseem muaj tshuaj txhaj tiv thaiv rau tus mob hu ua mob kab xeb.)

Yog tias koj tau nyob ze nrog ib tus neeg uas muaj kabmob qafoob, tiv tauj koj tus kws khomob tamsis. Nug saib koj puas xav tau tshuaj tiv thaiv kab mob txhawm rau tiv thaiv kev mob diphtheria.

Kab mob ntsws tsis haum; Pharyngeal diphtheria; Kab mob hauv hlab plawv; Mob caj dab kab mob ntsws

• Tshuaj tua kabmob

Cov Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob lub vev xaib. Mob ncauj plab. www.cdc.gov/diphtheria. Hloov kho thaum Lub Kaum Ob Hlis 17, 2018. Nkag Mus Txog Lub Kaum Hlis 30, 2019.

Saleeb PG. Corynebacterium diphtheriae (mob qa ntshav). 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: cha 204.

Stechenberg BW. Mob ncauj plab. 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 90.