Tus Sau: Judy Howell
Hnub Kev Tsim: 3 Lub Xya Hli Ntuj 2021
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Mycoplasma Kev mob ntsws - Noj Qab Haus Huv
Mycoplasma Kev mob ntsws - Noj Qab Haus Huv

Zoo Siab

Mycoplasma mob ntsws yog dabtsi?

Mycoplasma pneumonia (MP) yog ib tus kab mob sib kis tau yooj yim uas kis tau yooj yim los ntawm kev sib chwv nrog kua dej ua pa. Nws tuaj yeem ua rau kis sib kis.

MP muaj npe hu ua kev mob ntsws atypical thiab qee zaum hu ua "taug kev mob ntsws." Nws kis tau sai heev hauv thaj chaw muaj neeg coob coob, xws li tsev kawm ntawv, tsev kawm qib siab, thiab tsev laus. Thaum tus neeg mob hnoos lossis txham, noo noo uas muaj MP cov kab mob yuav tso rau saum cua. Cov neeg tsis huv rau lawv qhov chaw tuaj yeem yooj yim ua pa rau cov kab mob.

tias cov tib neeg tsim kho hauv lawv lub zej zog (sab nraum tsev kho mob) yog tshwm sim los ntawm Mycoplasma mob ntsws cov kab mob. Cov kab mob no tuaj yeem ua rau mob tracheobronchitis (mob hauv siab), mob qa, thiab mob pob ntseg thiab mob ntsws.

Qhov hnoos qhuav yog qhov pom tseeb ntawm kev kis tus kab mob. Kev tsis kho lossis mob hnyav tuaj yeem cuam tshuam rau lub hlwb, lub plawv, lub hlwb ntawm cov leeg hlwb, tawv nqaij, thiab ob lub raum thiab ua rau mob ntshav qab zib (hemolytic anemia). Qee zaus, MP tuag taus.

Kev paub thaum ntxov yog qhov nyuaj vim tias muaj ob peb yam tsis txawv. Raws li MP hloov zuj zus, kev ntsuas ntsuas thiab ntsuas hauv chaw kuaj yuav pom tau nws. Cov kws kho mob siv tshuaj tua kab mob los kho MP. Koj tuaj yeem xav tau cov tshuaj tua kab mob txhawm rau yog tias cov tshuaj tua kab mob hauv qhov ncauj tsis ua haujlwm lossis yog tias qhov mob ntsws muaj qhov hnyav.


MP cov tsos mob sib txawv ntawm cov kev mob ntsws uas tshwm sim los ntawm cov kab mob tshwm sim, xws li Streptococcus thiab HaemophilusCov. Cov neeg mob feem ntau tsis muaj mob ua pa hnyav, ua npaws kub, thiab hnoos zoo nrog MP. Lawv feem ntau muaj kub taub hau qis, hnoos qhuav, ua pa luv luv tshwj xeeb nrog kev tawm dag zog, thiab qaug zog.

Dab tsi ua rau mob mycoplasma mob ntsws?

Tus Mycoplasma mob ntsws cov kab mob yog ib qho pom tseeb ntawm txhua tus tib neeg cov kab mob. Muaj ntau dua 200 ntau hom tsiaj paub. Cov neeg feem coob uas muaj lub ntsws ua pa los ntawm Mycoplasma mob ntsws tsis txhob mob ntsws. Thaum nkag mus rau hauv lub cev, tus kab mob tuaj yeem txuas nws tus kheej mus rau koj cov ntaub so ntswg thiab ntau yam kom txog thaum kis tiav. Feem ntau ntawm tus mob mycoplasma mob ntsws yog mob me.

Leej twg yuav muaj kev pheej hmoo rau kev tsim tus mob mycoplasma mob ntsws?

Hauv ntau tus neeg laus noj qab haus huv, lub cev tiv thaiv kab mob tuaj yeem tawm tsam MP ua ntej nws nce mus rau kis mob. Cov feem ntau pheej hmoo yuav suav nrog:


  • cov neeg laus dua qub
  • cov tib neeg uas muaj cov kab mob uas ua rau lawv muaj zog tiv thaiv kab mob, xws li HIV, lossis tus neeg uas siv tshuaj kho lub cev ntev, siv tshuaj tiv thaiv, lossis tshuaj kho mob
  • cov neeg uas mob ntsws
  • cov neeg uas muaj cov kab mob ntsws
  • cov menyuam yau dua 5 xyoos

Cov tsos mob ntawm tus mob ntsws mycoplasma no zoo li cas?

MP yuav ua qaav ua paa khaub thuas lossis mob khaub thuas ntau dua li qhov ua pa qis dua lossis mob ntsws. Ib zaug ntxiv, cov tsos mob no feem ntau muaj cov hauv qab no:

  • hnoos qhuav
  • ua npaws kub heev
  • malaise
  • ua pa txog siav

Muaj qee zaus, kis tau tuaj yeem ua rau txaus ntshai thiab ua rau lub plawv lossis lub paj hlwb nruab nrab. Piv txwv ntawm cov kev tsis zoo no suav nrog:

  • mob caj dab, nyob rau hauv uas ua pob qij txha ua mob
  • pericarditis, ib qho mob ntawm pericardium uas nyob ib puag ncig lub plawv
  • Guillain-Barré syndrome, txoj kev xav txog lub hlwb tsis zoo uas tuaj yeem ua rau tuag tes tuag taw thiab tuag
  • encephalitis, yog qhov muaj feem yuav txo tau txoj sia nyob hauv lub hlwb
  • raum tsis ua hauj lwm
  • hemolytic anemia
  • muaj cov tawv nqaij uas tsis tshua muaj mob thiab tsis zoo xws li Stevens-Johnson syndrome thiab mob ua paug daim tawv nqaij ua kom tsis haum
  • tsis tshua muaj teeb meem pob ntseg xws li mob caj pas tsis huv

Yuav kuaj li cas thiaj paub hais tias yog mycoplasma pneumonia?

MP feem ntau loj hlob yam uas tsis muaj cov tsos mob tshwm sim rau thawj ib mus rau peb lub lis piam tom qab kis tas. Kev kuaj thaum ntxov-theem yog qhov nyuaj vim tias lub cev tsis tshwm sim tam sim ntawd.


Raws li tau hais dhau los, tus kab mob tuaj yeem tshwm sab nraum koj lub ntsws. Yog tias qhov no tshwm sim, cov cim ntawm kev kis tus kab mob yuav suav nrog kev tawg ntawm cov ntshav liab, ua pob rau ntawm daim tawv nqaij, thiab kev koom tes sib koom tes. Kev kuaj mob tuaj yeem qhia cov pov thawj ntawm MP kis tau peb rau xya hnub tom qab thawj cov tsos mob tshwm sim.

Txhawm rau ntsuas qhov mob, koj tus kws kho mob siv stethoscope mloog seb puas muaj suab txawv hauv koj qhov kev ua pa. Kev xoo hluav taws xob hauv siab thiab tsom iav ntsuas CT kuj tseem yuav pab koj tus kws kho mob los kuaj. Koj tus kws kho mob yuav xaj kuaj ntshav kom paub meej tias yog tus mob.

Cov kev kho mob rau tus mob mycoplasma pneumonia yog li cas?

Tshuaj tua kab mob

Tshuaj tua kab mob yog thawj kab kev kho mob rau MP. Cov menyuam yaus nyias siv nyias cov tshuaj tua kabmob ntau dua li cov laus los txhawm rau txhawm rau tiv thaiv kev phiv tshuaj.

Macrolides, qhov kev xaiv thawj cov tshuaj tua kab mob rau menyuam yaus, suav nrog:

  • erythromycin
  • clarithromycin
  • roxithromycin
  • azithromycin

Tshuaj tua kab mob kho rau cov neeg laus muaj xws li:

  • doxycycline
  • tetracycline
  • quinolones, xws li levofloxacin thiab moxifloxacin

Corticosteroids

Qee zaum cov tshuaj tua kab mob ib leeg tsis txaus thiab koj yuav tsum tau kho nrog corticosteroids kom tswj hwm tus mob. Piv txwv ntawm cov corticosteroids muaj xws li:

  • prednisolone
  • methylprednisolone

Kev siv tshuaj tiv thaiv kev tiv thaiv

Yog tias koj muaj MP heev, koj yuav tsum tau siv lwm cov tshuaj tiv thaiv “immunomodulatory” ntxiv rau corticosteroids, xws li cov tshuaj tiv thaiv kab mob immunoglobulin lossis IVIG.

Kuv yuav ua li cas thiaj tiv thaiv kom tus mob ntsws mycoplasma?

Txoj kev pheej hmoo ntawm kev cog lus MP peaks hauv lub caij nplooj zeeg thiab lub caij ntuj no. Cov chaw nyob sib ze lossis qhov chaw muaj neeg coob ua rau nws kis yooj yim rau kis tau ntawm ib tus neeg mus rau lwm tus.

Txo koj txoj kev pheej hmoo ntawm kis tus kab mob, sim cov hauv qab no:

  • Pw rau 6 mus rau yim teev pw tsaug zog ib hmos.
  • Noj zaub mov kom haum.
  • Txav deb ntawm cov neeg muaj mob MP.
  • Ntxuav koj txhais tes ua ntej noj mov lossis tom qab cuam tshuam nrog cov neeg muaj kab mob.

Tus mob mycoplasma mob ntsws cuam tshuam rau cov menyuam li cas?

Feem ntau, cov menyuam yaus yuav tawm tsam tus kabmob yooj yim dua li cov laus. Qhov no muaj kev hnyav ntxiv rau qhov tseeb tias lawv ib puag ncig feem ntau ntawm lwm pab pawg, lwm tus tuaj yeem sib kis tau menyuam yaus. Vim tias qhov no, lawv yuav muaj kev pheej hmoo siab rau MP tshaj li cov laus. Coj koj tus menyuam mus cuag kws kho mob yog tias koj pom muaj cov tsos mob no:

  • ua mob qes-rau kub tsawg
  • mob khaub thuas lossis mob khaub thuas zoo li mob ntev dua 7-10 hnub
  • pheej pheej qhuav hnoos
  • hawb pob thaum ua pa
  • lawv muaj qhov nkees lossis tsis xis nyob thiab nws tsis xis nyob
  • mob hauv siab lossis mob plab
  • ntuav

Txhawm rau kuaj xyuas koj tus menyuam, lawv tus kws kho mob yuav ua ib lossis ntau yam hauv qab no:

  • mloog koj tus menyuam txoj pa
  • nqa lub hauv siab Xoo hluav taws xob
  • coj tus kab mob kab mob los ntawm lawv lub qhov ntswg lossis caj pas
  • kom kuaj ntshav

Thaum kuaj tau koj tus menyuam lawm, lawv tus kws kho mob yuav sau ntawv tuaj tshuaj rau 7-10 hnub los kho tus mob. Cov tshuaj tua kab mob feem ntau rau menyuam yaus yog macrolides, tab sis lawv tus kws kho mob kuj tseem tuaj yeem sau ntawv rau lub caij khaub thuas lossis quinolones.

Tom tsev, xyuas kom meej tias koj tus menyuam tsis txhob sib faib tais diav lossis tais diav kom lawv tsis txhob kis tus kabmob. Kom lawv haus dej kom ntau. Siv ib daim ntaub thaiv cua sov los kho qhov mob uas ua rau mob hauv siab.

Koj tus menyuam tus MP kis mob yuav kis tawm tom qab ob lub lis piam. Txawm li cas los xij, qee kis mob tuaj yeem siv sijhawm ntev txog 6 lub lim tiam kom zoo hlo.

Cov mob mycoplasma pneumonia mob dab tsi?

Muaj qee kis, MP kis tau tuaj yeem ua kev phom sij. Yog tias koj muaj mob hawb pob, MP tuaj yeem ua rau koj cov tsos mob hnyav dua. MP kuj tseem tuaj yeem tshwm sim ua mob hnyav dua ntawm kev mob ntsws.

MPS ntev lossis mob ntev yog tsis tshua muaj tab sis muaj peev xwm ua rau lub ntsws puas tsuaj mus tas li, raws li tau hais hauv ua rau nas. Muaj qee zaus, yog tsis kho tus tso MP yuav ua rau neeg tuag taus. Ntsib koj tus kws kho mob tam sim ntawd yog tias koj muaj cov tsos mob tshwm sim, tshwj xeeb yog tias lawv kav ntev dua ob lub lis piam.

Dab tsi yog qhov ntev ntawm kev saib xyuas?

M. mob ntsws yog qhov mob ntsws ntsig txog kev pw hauv tsev kho mob hauv cov neeg laus, raws li Lub Chaw Tiv Thaiv thiab Tswj Xyuas Kab Mob.

Cov neeg feem ntau tsim cov tshuaj tiv thaiv rau MP tom qab kis mob hnyav. Cov tshuaj tiv thaiv tiv thaiv lawv los ntawm kev kis tus kabmob tshiab. Cov neeg mob uas lub cev tsis muaj zog tiv thaiv kab mob, xws li cov neeg uas muaj tus kabmob HIV thiab cov neeg uas siv tshuaj kho mob steroids, tshuaj tiv thaiv kab mob, lossis tshuaj kho mob, tej zaum yuav muaj teeb meem tawm tsam MP kis mob thiab muaj feem yuav rov kis tau dua yav tom ntej.

Txog rau lwm cov, cov tsos mob yuav tsum tso ib mus rau ob asthiv tom qab kho tas. Ib tus hnoos yuav nyob ntev, tab sis feem ntau daws tau yam tsis muaj qhov tshwm sim ntev mus rau plaub mus rau rau lub lis piam. Ntsib koj tus kws kho mob yog tias koj tseem muaj cov tsos mob hnyav lossis yog tias tus mob cuam tshuam nrog koj lub neej. Tej zaum koj yuav tsum nrhiav kev kho lossis kuaj mob rau lwm yam mob uas tej zaum yog koj tus neeg mob MP kis mob.

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