Ua npaws

Kub taub hau yog qhov nce me ntsis nyob rau hauv lub cev qhov kub thiab teb rau tus mob lossis kab mob.

Tus menyuam kub taub hau thaum kub txog rau siab lossis siab tshaj cov theem ntawm cov theem no:

• 100.4 ° F (38 ° C) ntsuas hauv qab (ntsuas)
• 99.5 ° F (37.5 ° C) ntsuas hauv lub qhov ncauj (hais tawm)
• 99 ° F (37.2 ° C) ntsuas hauv qab npab (axillary)

Ib tus neeg laus tej zaum yuav kub taub hau thaum tus kub siab tshaj 99 ° F txog 99.5 ° F (37.2 ° C mus rau 37.5 ° C), nyob ntawm lub sijhawm nruab hnub.

Qhov kub ntawm lub cev ib ce hloov tau thaum ib hnub twg. Nws yog feem ntau siab tshaj plaws nyob rau yav tsaus ntuj. Lwm qhov ua rau lub cev kub tuaj yeem ua rau:

• Tus poj niam lub cev ntas. Hauv ntu thib ob ntawm lub voj voog no, nws qhov kub yuav nce siab li 1 degree lossis ntau dua.
• Cov kev tawm dag zog lub cev, lub siab lub ntsws, noj mov, hnyav khaub ncaws, tshuaj, chav sov, thiab cov av noo tuaj yeem nce tag nrho lub cev kub.

Kub taub hau yog ib qho tseem ceeb ntawm kev tiv thaiv ntawm lub cev tiv thaiv mob. Feem ntau cov kab mob thiab cov kab mob uas ua rau muaj mob kis rau cov neeg tau zoo tshaj plaws ntawm 98.6 ° F (37 ° C). Coob tus menyuam mos thiab menyuam yaus muaj tus mob ua npaws siab uas muaj mob hnyav. Txawm hais tias kub taub hau qhia tias qhov kev sib ntaus sib tua yuav tawm tsam hauv lub cev, kub taub hau yog sib ntaus rau, tsis yog tawm tsam tus neeg.

Lub hlwb puas tsuaj los ntawm kub taub hau yuav tsis tshwm sim tshwj tsis yog kub taub hau dhau 107.6 ° F (42 ° C). Yog tsis kho tus mob kub taub hau los ntawm kev kis tus kab mob yuav tsis tshua tshaj 105 ° F (40.6 ° C) tshwj tsis yog tus me nyuam dhau heev los yog hauv qhov chaw sov.

Qee zaum cov leeg kab mob chua leeg. Feem ntau ua rau qaug dab peg tag sai thiab tsis txhais tau tias koj tus menyuam muaj mob vwm. Qhov chua leeg no kuj tsis ua rau muaj mob dabtsi tas mus li.

Cov npaj tsis muaj quav tau ploj mus uas tau txuas mus ntxiv rau ntau hnub lossis ntau lub asthiv yog hu ua fevers ntawm qhov tsis paub txog keeb kwm (FUO).

Yuav luag txhua qhov kis mob tuaj yeem ua npaws, suav nrog:

• Cov kab mob hauv pob txha (osteomyelitis), mob hnyuv tws, mob rau daim tawv lossis cellulitis, thiab mob hlwb
• Cov mob ua pa xws li mob khaub thuas lossis zoo li mob khaub thuas, mob qa, mob pob ntseg, mob ntsws, mob mononucleosis, mob ntsws, mob ntsws, thiab mob ntsws.
• Mob txeeb zig
• Tus mob viral gastroenteritis thiab kab mob gastroenteritis

Cov menyuam yaus yuav ua npaws qis dua li 1 lossis 2 hnub tom qab qee yam tshuaj tiv thaiv kab mob.

Kev txhuam hniav yuav ua rau me nyuam qhov kub nce ntxiv, tab sis tsis siab tshaj 100 ° F (37.8 ° C).

Autoimmune lossis mob ua rau mob plab hnyuv tuaj yeem tuaj yeem ua rau muaj kev kub taub hau. Qee cov qauv yog:

• Mob caj dab los yog mob ua mob rau cov nqaij mos xws li mob caj dab thiab mob caj pas lupus erythematosus
• Ulcerative colitis thiab Crohn kab mob
• Vasculitis los yog periarteritis nodosa

Thawj cov tsos mob tshwm sim ntawm tus mob cancer tej zaum yuav yog kub cev. Qhov no muaj tseeb tshwj xeeb ntawm tus kab mob Hodgkin, tsis-Hodgkin lymphoma, thiab mob roj ntsha.

Lwm qhov ua rau ua npaws muaj xws li:

• Cov ntshav txhaws lossis thrombophlebitis
• Cov tshuaj noj, xws li qee yam tshuaj tua kab mob, antihistamines, thiab tshuaj chua leeg

Qhov mob khaub thuas yooj yim lossis lwm yam kis tau yooj yim qee zaum ua rau kub taub hau (102 ° F txog 104 ° F lossis 38.9 ° C txog 40 ° C). Qhov no tsis txhais tau tias koj lossis koj tus menyuam muaj teeb meem hnyav. Qee qhov mob hnyav tsis ua rau kub taub hau lossis tuaj yeem ua rau lub cev tsis tshua kub kub, feem ntau ua rau menyuam yaus.

Yog tias kub taub hau me thiab koj tsis muaj lwm yam teeb meem, koj tsis tas yuav mus kho. Haus dej thiab so kom txaus.

Tus mob kuj yuav tsis loj yog tias koj tus menyuam:

• Yog tseem xav mus ua si
• Yog haus thiab haus zoo
• Yog ceev faj thiab ntxhi rau koj
• Muaj lub cev tawv nqaij ib ce
• Zoo nkaus li zoo thaum lawv qhov kub poob los

Ua raws li qhov kub taub hau yog tias koj lossis koj tus menyuam tsis xis nyob, ntuav, ziab tawm (qhuav dej), lossis pw tsis tsaug zog. Nco ntsoov, lub hom phiaj yog qis dua, tsis yog tshem tawm, ua npaws.

Thaum ua kom kub taub hau kom qis:

• TSIS TXHOB muab pob khoom rau tus neeg uas cia li ua daus no.
• Tshem cov khaub ncaws ntau dhau lossis pam vov. Chav yuav tsum xis nyob, tsis txhob sov dhau lossis txias. Sim ua ib txheej ntawm cov khaub ncaws sib, thiab ib daim pam hnyav rau kev pw tsaug zog. Yog hais tias chav sov los yog txhaws, kiv cua yuav pab tau.
• Daim da dej sov so los yog daim txhuam cev rau dej da dej yuav pab txias kom tus neeg kub taub hau. Qhov no siv tau tom qab muab tshuaj - tsis li ntawd, qhov kub yuav rov qab sai sai.
• TSIS TXHOB siv dej da dej txias, dej khov, lossis dej cawv. Cov txias ntawm daim tawv nqaij, tab sis feem ntau ua rau cov xwm txheej tsis zoo los ntawm qhov ua rau tshee, uas ua rau cov tub ntxhais lub cev kub.

Nov yog qee qhov kev qhia rau kev noj tshuaj los txo qhov kub taub hau:

• Acetaminophen (Tylenol) thiab ibuprofen (Advil, Motrin) pab txo kev ua npaws rau menyuam yaus thiab cov neeg laus. Qee zaum cov kws kho mob qhia koj kom siv ob hom tshuaj.
• Noj tshuaj acetaminophen txhua txhua 4 txog 6 teev. Nws ua haujlwm los ntawm kev txo qis lub ntsuas sov ntawm lub hlwb.
• Siv ibuprofen txhua 6 rau 8 teev. TSIS TXHOB siv tshuaj ibuprofen rau menyuam yaus hnub nyoog 6 hli lossis qis dua.
• Cov tshuaj aspirin zoo heev rau kev kho mob npaws rau cov neeg laus. TSIS TXHOB muab cov tshuaj aspirin rau tus menyuam tshwj tsis yog koj tus neeg zov menyuam hais kom.
• Paub tias koj lossis koj tus menyuam nyhav npaum li cas. Tom qab ntawv xyuas cov lus qhia ntawm lub pob kom nrhiav tau qhov tseeb.
• Hauv cov menyuam muaj 3 hlis lossis qis dua, hu koj tus menyuam tus kws khomob uantej muab tshuaj rau.

Noj thiab haus:

• Txhua tus, tshwj xeeb yog menyuam yaus, yuav tsum haus dej kom ntau. Cov dej, cov dej khov, cov kua zaub, thiab cov kua dej gelatin yog txhua qhov kev xaiv zoo.
• Hauv cov menyuam yaus me tsis txhob muab kua txiv hmab txiv ntoo lossis kua txiv ntau dhau rau nws haus, thiab tsis txhob muab dej haus rau hauv kis las.
• Txawm hais tias noj kom zoo, tsis txhob yuam kom noj.

Hu rau tus kws khomob tamsis yog koj tus menyuam:

• Yog 3 lub hlis lossis hluas dua thiab muaj qhov siab ntawm 100.4 ° F (38 ° C) lossis siab dua
• Yog hnub nyoog 3 txog 12 hlis thiab kub taub hau 102.2 ° F (39 ° C) lossis siab dua
• Yog 2 xyoos lossis hluas dua thiab muaj kub taub hau ntev dua li 24 txog 48 teev
• Laus dua thiab muaj kub cev ntev dua 48 txog 72 teev
• Ua npaws kub txog 105 ° F (40.5 ° C) lossis siab dua, tshwj tsis yog tias nws nqis los nrog kho thiab tus neeg yooj yim
• Muaj lwm cov tsos mob uas qhia tias mob yuav tsum tau kho mob, xws li mob caj pas, hnov ​​pob ntseg, lossis hnoos
• Tau kub taub hau tshwm sim thiab mus txog li ib lub lim tiam lossis ntev dua, txawm hais tias cov plaub hau no kub tsis heev
• Muaj mob nyhav, xws li teeb meem mob plawv, ntshav qia ntshav ntshav ntshav qab zib, mob ntshav qab zib, lossis mob hlab ntaws
• Nyuam qhuav tau txhaj tshuaj tiv thaiv
• Ua pob tshiab lossis doog ntshav
• Muaj mob nrog tso zis
• Muaj lub cev tsis muaj zog tiv thaiv kab mob (vim hais tias siv sij hawm ntev [ntev] kev kho steroid, kho pob txha los yog hloov khoom nruab nrog, hloov tus po, HIV / AIDS, lossis kho mob cancer)
• Tau nyuam qhuav mus txawv tebchaws

Hu rau koj tus kws khomob sai sai yog tias koj yog ib tus neeg laus thiab koj:

• Ua npaws kub txog 105 ° F (40.5 ° C) los yog siab dua, tshwj tsis yog tias nws nqis los nrog kho thiab koj xis nyob
• Ua npaws kub uas nyob ntawm siab los yog nce siab tshaj 103 ° F (39.4 ° C)
• Ua npaws ntev dua li 48 mus rau 72 teev
• Tau kub taub hau tuaj thiab mus txog li ib asthiv lossis ntau dua, txawm tias lawv tsis kub heev
• Muaj mob nyhav, xws li mob plawv, mob ntshav tes ntshav ntswg, ntshav qab zib, mob leeg, COPD, lossis lwm yam mob ntsws ntev (ntev).
• Ua pob tshiab lossis doog ntshav
• Muaj mob nrog tso zis
• Muaj lub cev tsis muaj zog tiv thaiv kab mob (los ntawm kev kho tus mob steroid, hloov pob txha los yog hloov khoom nruab nrog cev, tshem tus po, HIV / AIDS, lossis kho mob cancer)
• Tau nyuam qhuav mus txawv tebchaws

Hu rau 911 lossis tus npawb xov tooj thaum muaj xwm ceev yog tias koj lossis koj tus menyuam kub cev thiab:

• Puas tau quaj thiab tsis tuaj yeem txias (menyuam)
• Tsis tuaj yeem tsim taus yooj yim lossis txhua
• Nkawd tsis meej pem
• Tsis tuaj yeem taug kev
• Ua pa nyuaj, txawm tias tom qab lub qhov ntswg huv
• Muaj daim di ncauj xiav, tus nplaig, lossis ntsia hlau
• Muaj mob taub hau heev
• Muaj caj dab txhav txhav
• Tsis kam rhais ib sab caj npab lossis ceg (menyuam)
• Muaj qaug dab peg

Koj tus kws khomob yuav kuaj ib ce lub cev. Qhov no suav nrog kev txheeb xyuas ntxaws ntawm daim tawv nqaij, ob lub qhov muag, pob ntseg, lub qhov ntswg, lub caj pas, caj dab, hauv siab thiab lub plab kom paub qhov ua rau kub taub hau.

Kev kho mob yog nyob ntawm lub sijhawm thiab ua kom kub taub hau, nrog rau lwm cov tsos mob.

Cov kev xeem hauv qab no tuaj yeem ua:

• Kev ntsuam xyuas ntshav, xws li CBC lossis ntshav sib txawv
• Mob Lub Hlaus
• Xoo hluav taws xob ntawm lub hauv siab

Kom siab kub; Hyperthermia; Pyrexia; Lub ob hlis ntuj

• Mob khaub thuas thiab mob aws - yam yuav nug koj tus kws kho mob - neeg laus
• Mob khaub thuas thiab mob aws - yam yuav nug koj tus kws kho mob - menyuam
• Kev chua leeg Febrile - dab tsi yuav nug koj tus kws kho mob
• Thaum koj tus menyuam lossis menyuam yaus muaj mob kub cev

• Ntsuas sov thiab txias
• Kev ntsuas kub thiab txias

Leggett JE. Txoj kev ua kom kub taub hau lossis xav tias tsam kis tau tus mob hauv ib tus tswv qub. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: tshooj 264.

Nield LS, Kamat D. Ua npaws. 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 201.