Kuv puas noj tshuaj tiv thaiv kab mob khaub thuas thiab mob khaub thuas?

Cov txheej txheem:

Kuv puas noj tshuaj tiv thaiv kab mob khaub thuas thiab mob khaub thuas?
Kuv puas noj tshuaj tiv thaiv kab mob khaub thuas thiab mob khaub thuas?
Anonim

Kuv puas noj tshuaj tua kab mob khaub thuas thiab mob khaub thuas?

Koj puas noj tshuaj tua kab mob
Koj puas noj tshuaj tua kab mob

Txhua tus kws kho mob muaj ntawv tso cai muaj kev paub ruaj khov tias kev kho tshuaj tua kab mob rau khaub thuas thiab mob khaub thuas yog qhov tsis muaj txiaj ntsig. Cov kws kho mob hauv zos thiab cov kws kho mob hauv tsev kho mob paub txog qhov no. Txawm li cas los xij, cov tshuaj tua kab mob tau sau tseg, thiab feem ntau ua li ntawd raws li kev tiv thaiv. Tom qab tag nrho, tus neeg mob uas tig mus rau kws kho mob xav tau kev kho mob los ntawm nws.

Yog koj nug tus kws kho mob seb puas yuav noj tshuaj tua kab mob ua npaws thiab mob khaub thuas, cov lus teb yuav tsis zoo. Tag nrho cov kev kho mob rau ARVI tsuas yog los haus dej kom ntau, pw tsaug zog, noj cov vitamins, noj zaub mov zoo, ntxuav lub qhov ntswg, gargling, inhalations thiab kho cov tsos mob. Cov tshuaj tua kab mob tsis tas yuav tsum tau, tab sis feem ntau tus neeg mob nws tus kheej hais rau lawv, thov tus kws kho mob kom teem sij hawm.

Qhov phem tshaj, thaum ib tus neeg ntawm nws tus kheej yuav tshuaj tua kab mob hauv lub tsev muag tshuaj thiab coj nws yam tsis muaj lus qhia kho mob. Nws yuav siv sij hawm mus ntsib tus kws kho mob tshwj xeeb, thiab mus rau lub tsev muag tshuaj yog yooj yim npaum li mus rau tom khw. Ntxiv mus, tsuas yog nyob rau hauv Lavxias teb sab Federation, kev muag khoom ntawm cov tshuaj tua kab mob yog nqa tawm nyob rau hauv lub khw muag khoom thiab qhib, uas yog tsis muaj nyob rau hauv tej lub teb chaws nyob rau hauv lub ntiaj teb no. Txawm hais tias niaj hnub no feem ntau ntawm cov tshuaj no tseem xav tau cov tshuaj, tab sis tsis yog txhua lub tsev muag tshuaj ua raws li txoj cai no. Tseeb tiag, vim yog kev muag tshuaj tua kab mob hauv khw muag khoom, qhov kev hloov pauv tau nce ntxiv.

Hauv kev xyaum menyuam yaus, cov tshuaj tua kab mob feem ntau tau muab rau lub hom phiaj ntawm kev rov ua pov thawj, kom tsis txhob muaj kab mob tshwm sim tawm tsam keeb kwm ntawm tus kab mob. Yog li, tus kws kho mob pom zoo kom siv tshuaj zoo rau cov niam txiv, hu nws ua "cov menyuam yaus" tshuaj tua kab mob, txhawm rau tiv thaiv lawv tus kheej los ntawm cov lus nug tsis tsim nyog. Txawm li cas los xij, cov teeb meem tuaj yeem zam tau yooj yim los ntawm kev muab tus menyuam haus dej hauv lub sijhawm, ua kom cov huab cua nws ua pa, ntxuav nws lub qhov ntswg thiab siv lwm yam kev kho mob. Lub cev, nrog kev txhawb nqa txaus, yuav tiv thaiv tus kabmob ntawm nws tus kheej.

Cov lus nug tseem ceeb heev vim li cas tus kws kho menyuam yaus tseem sau tshuaj tiv thaiv kab mob khaub thuas thiab SARS. Qhov tseeb yog tias qhov kev pheej hmoo ntawm kev mob khaub thuas thiab mob khaub thuas hauv cov menyuam kawm ntawv preschool yog qhov tseeb heev. Lawv lub cev tiv thaiv kab mob tsis zoo, thiab lawv txoj kev noj qab haus huv feem ntau cuam tshuam los ntawm kev noj zaub mov tsis zoo, ib puag ncig tsis zoo, thiab lwm yam. Yog li ntawd, yog tias muaj teeb meem tshwm sim, tsuas yog tus kws kho mob yuav raug liam. Nws yog nws leej twg yuav raug liam tias tsis muaj peev xwm, txawm tias raug foob thiab poob haujlwm tsis raug txiav tawm. Qhov no yog qhov ua rau ntau tus kws kho menyuam yaus pom zoo kom siv tshuaj tua kab mob thaum lawv tuaj yeem muab faib nrog.

Nws yog ib qho tseem ceeb kom nkag siab tias feem ntau ntawm cov mob khaub thuas (90%) yog kab mob hauv cov xwm txheej, thiab cov kab mob tsis tuaj yeem rhuav tshem nrog cov tshuaj tua kab mob.

Ib qho qhia txog tshuaj tua kab mob yog qhov sib ntxiv ntawm cov kab mob sib kis, uas yog qhov ua rau mob khaub thuas thiab mob khaub thuas. Qhov no tshwm sim thaum lub cev tsis tuaj yeem kov yeej tus kab mob ntawm nws tus kheej.

Nws puas tuaj yeem nkag siab los ntawm kev sim tshuaj tua kab mob?

Nws yog qhov ua tau kom nkag siab los ntawm cov kev sim uas yuav tsum tau siv tshuaj tua kab mob.

Txawm li cas los xij, lawv tsis raug tsim hauv txhua kis:

  • tso zis los yog hnoos qeev rau kab lis kev cai yog ib qho kev sim kim uas cov chaw kho mob nrhiav kom txuag tau ntawm cov peev nyiaj muaj;
  • Feem ntau, ib qho swab yog muab los ntawm lub qhov ntswg kab noj hniav thiab pharynx nrog tus mob caj pas. Ib tug swab yog noj ntawm ib tug pas Lefler, uas yog ua rau kev loj hlob ntawm kab mob diphtheria. Tsis tas li ntawd, cov kws kho mob tuaj yeem xa tus neeg mob mus rau lub qhov ntswg los ntawm cov tonsils rau kab mob kab mob yog tias tus neeg mob raug haunted los ntawm tonsillitis ntev. Lwm qhov kev sim yog xaiv cov zis kab lis kev cai rau pathologies ntawm cov zis;
  • Qhov nce hauv ESR thiab qib ntawm leukocytes, nrog rau kev hloov pauv ntawm cov mis leukocyte mus rau sab laug, yog qhov qhia tsis ncaj uas cov kab mob o tshwm sim hauv lub cev. Koj tuaj yeem pom daim duab no los ntawm kev kuaj ntshav.

Koj paub li cas thaum koj xav tias muaj teeb meem?

Qee zaum koj tuaj yeem nkag siab tias muaj kab mob tshwm sim ntawm koj tus kheej.

Qhov no yuav qhia los ntawm cov cim hauv qab no:

  • Qhov zais cia uas cais tawm ntawm ENT kab mob lossis los ntawm qhov muag ua huab, hloov daj lossis ntsuab. Feem ntau, qhov tso tawm yuav tsum pob tshab;
  • Ua ntej muaj kev txhim kho, thiab tom qab ntawd qhov kub nce ntxiv. Qhov thib ob dhia hauv lub cev kub yuav tsum tsis txhob ignored;
  • Yog cov kab mob tua cov kab mob tso zis, cov zis dhau los ua huab, tej zaum yuav pom cov av hauv nws;
  • Yog tias muaj kab mob kis tau rau cov hnyuv, ces cov hnoos qeev lossis cov kua paug yuav tshwm sim hauv cov quav. Qee zaum txawm tias cov ntshav impurities pom, nyob ntawm qhov hnyav ntawm tus kab mob.

Raws li tus kab mob ua pa hnyav, qhov sib ntxiv ntawm cov kab mob flora tuaj yeem xav tau los ntawm cov cim hauv qab no:

  • Txog keeb kwm yav dhau los ntawm tus mob khaub thuas uas twb muaj lawm, muaj lub cev kub nce ntxiv, uas pib txo qis rau hnub 3-4, tab sis tom qab ntawd dhia rov mus rau qib siab. Feem ntau qhov no tshwm sim nyob rau hnub 5-6 ntawm kev mob, thiab lub xeev ntawm kev noj qab haus huv rov qab deteriorates sharply. hnoos ua kom muaj zog, ua pa luv tshwm sim, mob hauv siab tshwm sim. Feem ntau, tus mob no qhia txog kev loj hlob ntawm mob ntsws. Saib ntxiv: cov tsos mob ntawm mob ntsws;
  • kab mob plab thiab tonsillitis kuj yog ib qho teeb meem ntawm SARS. Koj tuaj yeem xav tias lawv qhov pib los ntawm mob caj pas, uas tshwm sim tawm tsam keeb kwm ntawm lub cev kub, txheej txheej ntawm cov quav hniav ntawm cov tonsils. Qee lub sij hawm muaj kev hloov pauv hauv cov qog nqaij hlav - lawv loj tuaj thiab ua rau mob;
  • tso tawm ntawm pob ntseg thiab qhov mob uas hnyav zuj zus thaum lub tragus nias yog cov cim qhia ntawm otitis media, uas feem ntau tshwm sim hauv cov menyuam yaus;
  • Yog tias qhov mob nyob hauv thaj chaw hauv pliaj hauv pliaj, hauv thaj tsam ntawm lub ntsej muag, lub suab ua qhov ntswg thiab mob rhinitis, ces yuav tsum tsis suav nrog sinusitis lossis sinusitis. Xws li ib qho kev mob tshwm sim thaum lub taub hau tig mus rau pem hauv ntej thiab tsis hnov tsw tuaj yeem lees paub qhov tsis txaus ntseeg.

Yog tias koj xav tias muaj kab mob kis tau zoo heev vim yog cov tsos mob ntawm tus kab mob thiab kev noj qab haus huv tsis zoo, ces tsuas yog tus kws kho mob tshwj xeeb tuaj yeem xaiv cov kab mob tshwj xeeb.

Qhov no cuam tshuam los ntawm ntau yam, suav nrog:

  • Localization ntawm qhov mob;
  • Hnub nyoog ntawm tus neeg mob;
  • kab mob keeb kwm;
  • Tus neeg intolerance rau ib qho kev kho mob tshwj xeeb;
  • Kev tiv thaiv kab mob rau cov tshuaj tua kab mob.

Thaum twg tshuaj tua kab mob tsis qhia rau tus mob khaub thuas lossis mob SARS?

Thaum cov tshuaj tua kab mob tsis qhia
Thaum cov tshuaj tua kab mob tsis qhia
  • Rhinitis nrog mucopurulent tso tawm ntev dua 2 lub lis piam;
  • Viral conjunctivitis;
  • Tonsillitis ntawm tus kab mob kis;
  • YRhinopharyngitis;
  • Tracheitis thiab tsis mob bronchitis tsis muaj lub cev kub;
  • Kev txhim kho ntawm tus kab mob herpetic;
  • Tshuaj mob plab.

Thaum twg nws tuaj yeem siv tshuaj tua kab mob rau cov kab mob ua pa tsis yooj yim?

  • Yog tias muaj kev cuam tshuam hauv kev ua haujlwm ntawm lub cev tiv thaiv kab mob, raws li qhia los ntawm cov cim tshwj xeeb. Cov no yog cov kab mob xws li HIV, mob qog noj ntshav, lub cev kub tsis tu ncua (subfebrile kub), kab mob kis tau tshwm sim ntau tshaj tsib zaug hauv ib xyoos, kev tsis haum xeeb hauv lub cev.
  • Kab mob ntawm cov kab mob hematopoietic: aplastic anemia, agranulocytosis.
  • Yog hais tias peb tab tom tham txog tus menyuam yaus hnub nyoog qis dua rau lub hlis, ces nws yuav raug pom zoo kom noj tshuaj tua kab mob tiv thaiv keeb kwm yav dhau los ntawm rickets, nrog lub cev tsis txaus thiab muaj ntau yam tsis zoo.

Tshuaj tiv thaiv kab mob

Cov tshuaj tiv thaiv kab mob yog:

  • Angina, tus kab mob uas tau lees paub los ntawm kev kuaj sim. Feem ntau, kev kho mob yog nqa tawm nrog kev siv tshuaj los ntawm pawg macrolides lossis penicillins. Saib ntxiv: tshuaj tua kab mob angina rau ib tug neeg laus;
  • mob ntsws mob ntsws, laryngotracheitis, rov tshwm sim ntawm mob ntsws ntev, bronchiectasis xav tau tshuaj tua kab mob los ntawm pab pawg macrolide, xws li Macropen. Txhawm rau tiv thaiv kev mob ntsws, yuav tsum tau x-ray hauv siab kom paub meej tias mob ntsws;
  • Noj tshuaj tua kab mob, mus ntsib kws kho mob thiab kws kho mob hematologist yuav tsum muaj kab mob xws li purulent lymphadenitis;
  • Kev sab laj ntawm tus kws kho mob otolaryngologist txog kev xaiv tshuaj los ntawm pawg cephalosporins lossis macrolides yuav yog rau cov neeg mob uas kuaj mob otitis media nyob rau theem mob hnyav. Tus kws kho mob ENT kuj kho cov kab mob xws li sinusitis, ethmoiditis, sinusitis, uas yuav tsum tau teem caij tshuaj tua kab mob txaus. Qhov teeb meem no tuaj yeem lees paub los ntawm x-ray;
  • Penicillin kho yog qhia rau mob ntsws. Nyob rau tib lub sijhawm, kev tswj hwm nruj tshaj plaws ntawm kev kho mob thiab kev pom zoo ntawm kev kuaj mob nrog kev pab los ntawm X-ray duab yog qhov yuav tsum tau ua.

Qhia tau zoo heev ntawm kev sau tshuaj tsis txaus ntawm cov tshuaj tua kab mob yog qhov kev tshawb fawb uas tau ua nyob rau hauv ib qho ntawm cov chaw kho mob menyuam yaus. Yog li, kev soj ntsuam ntawm cov ntaub ntawv kho mob ntawm 420 tus menyuam yaus hnub nyoog preschool qhia tias 89% ntawm lawv muaj ARVI lossis mob ua pa nyuaj, 16% muaj mob bronchitis, 3% otitis media, 1% mob ntsws thiab lwm yam kab mob. Nyob rau tib lub sijhawm, kev kho tshuaj tua kab mob tau raug sau tseg hauv 80% ntawm cov neeg mob kis kab mob, thiab rau mob ntsws thiab mob ntsws hauv 100% ntawm cov neeg mob.

Cov kws kho menyuam yaus tau pom tias paub tias kev kis kab mob tsis tuaj yeem kho nrog tshuaj tua kab mob, tab sis tseem muab tshuaj tua kab mob rau cov laj thawj xws li:

  • qhia kev txhim kho;
  • Hnub nyoog ntawm cov menyuam yaus hnub nyoog qis dua 3;
  • Yuav tsum tiv thaiv kev nyuaj;
  • Tsis xav mus saib me nyuam tom tsev.

Tib lub sijhawm, tshuaj tua kab mob tau pom zoo kom noj 5 hnub thiab noj me me, thiab qhov no yog qhov txaus ntshai ntawm kev txhim kho cov kab mob tiv thaiv. Tsis tas li ntawd xwb, tsis muaj qhov kuaj tau, yog li nws tsis paub tias tus kab mob twg ua rau tus kab mob no.

Meanwhile, hauv 90% ntawm cov neeg mob, cov kab mob yog qhov ua rau mob. Raws li cov kab mob kab mob, lawv feem ntau provoked los ntawm pneumococci (40%), Haemophilus influenzae (15%), staphylococci thiab mycotic kab mob (10%). Cov kab mob xws li mycoplasmas thiab chlamydia tsis tshua muaj txiaj ntsig rau kev txhim kho tus kab mob.

Koj tuaj yeem noj cov tshuaj tua kab mob tsuas yog tom qab kev sab laj kho mob. Tsuas yog tus kws kho mob tuaj yeem txiav txim siab qhov tsim nyog ntawm lawv lub sijhawm teem tseg tom qab sau cov anamnesis, suav nrog lub hnub nyoog ntawm tus neeg mob thiab qhov hnyav ntawm cov kab mob.

Cov tshuaj tua kab mob hauv qab no tuaj yeem siv:

  • Penicillin npaj. Semi-synthetic penicillins raug pom zoo thaum tsis muaj kev fab tshuaj rau lawv. Nws tuaj yeem ntxuav Amoxicillin thiab Flemoxin Solutab. Yog tias tus kab mob hnyav heev, cov kws tshaj lij pom zoo kom noj cov tshuaj tiv thaiv penicillins, piv txwv li, Amoxiclav, Augmentin, Flemoclav, Ecoclave. Hauv cov kev npaj no, amoxicillin tau ntxiv nrog clavulanic acid;
  • Tshuaj tua kab mob-macrolides yog siv los kho mob ntsws thiab mob ua pa los ntawm chlamydia thiab mycoplasmas. Qhov no yog Azithromycin (Zetamax, Sumamed, Zitrolid, Hemomycin, Azitrox, Zi-factor). Nrog bronchitis, kev teem caij ntawm Macropen yog ua tau;
  • Los ntawm cov tshuaj cephalosporin, nws muaj peev xwm sau tau Cefixime (Lupin, Suprax, Pancef, Ixim), Cefuroxime (Zinnat, Aksetin, Zinacef), thiab lwm yam;
  • Los ntawm fluoroquinolone series, Levofloxacin (Floracid, Glevo, Hyleflox, Tavanic, Flexid) thiab Moxifloxacin (Moximac, Plevilox, Avelox) tau sau. Cov menyuam yaus hauv pawg tshuaj no yeej tsis raug sau tseg vim tias lawv cov pob txha tseem raug tsim. Tsis tas li ntawd, fluoroquinolones yog cov tshuaj uas siv tshwj xeeb tshaj yog mob hnyav, thiab lawv sawv cev rau ib qho chaw cia uas cov kab mob ntawm tus menyuam loj hlob yuav tsis tiv taus.

Tus kws kho mob yuav tsum txiav txim siab seb cov tshuaj tua kab mob twg siv los kho tus kab mob tshwj xeeb. Ib qho teeb meem cais yog tias cov tuam txhab tshuaj nrhiav kom tau txais txiaj ntsig zoo tshaj plaws. Lawv muab cov tshuaj tso rau hauv kev ncig uas yuav tsum tau tuav tseg rau ib lub sijhawm. Hauv qhov no, qhov kev tiv thaiv ntawm cov kab mob rau cov tshuaj yog loj hlob, uas yuav ua rau muaj teeb meem loj rau yav tom ntej, thaum tib neeg yuav raug tso tseg yam tsis muaj tshuaj tua kab mob zoo.

Key Findings

Cov ntsiab lus xaus
Cov ntsiab lus xaus
  • Kev siv tshuaj tua kab mob rau tus mob khaub thuas uas muaj kab mob kis tsis tau tsuas yog tsis muaj txiaj ntsig, tab sis kuj tsim kev puas tsuaj. Lawv yuav tsum tau kho tus kab mob.
  • Cov tshuaj tua kab mob muaj cov npe dav dav ntawm cov kev mob tshwm sim: lawv tuaj yeem cuam tshuam tsis zoo rau kev ua haujlwm ntawm daim siab thiab lub raum, tuaj yeem ua rau kev loj hlob ntawm kev ua xua, muaj kev nyuaj siab rau lub cev tiv thaiv kab mob, cuam tshuam cov microflora hauv lub cev..
  • Nws tsis tuaj yeem siv tshuaj tua kab mob rau kev tiv thaiv kab mob. Nws yog ib qho tseem ceeb uas yuav tau saib xyuas tus neeg mob tus mob thiab muab tshuaj tua kab mob tsuas yog tias muaj teeb meem tshuaj tua kab mob tshwm sim.
  • Cov tshuaj tua kab mob tsis zoo yog tias lub cev kub tsis txo qis tom qab 3 hnub txij li pib ua haujlwm. Hauv qhov no, tus neeg sawv cev yuav tsum tau hloov.
  • Ntau tus neeg siv tshuaj tua kab mob ntau dua, cov kab mob sai dua yuav tiv thaiv lawv. Tom qab ntawd, qhov no yuav xav tau kev teem sijhawm ntawm cov tshuaj hnyav dua uas muaj kev cuam tshuam tsis zoo rau cov kab mob pathogenic nkaus xwb, tab sis kuj rau tus neeg mob lub cev.

Pom zoo: