Lymphocytic choriomeningitis (LCM) yog kab mob kis los ntawm nas. Feem ntau, kev mob ua rau tsis muaj tsos mob dab tsi hlo li; txawm li cas los xij, yog tias koj qhia pom tus mob, koj yuav ntsib ob theem. Hauv thawj theem, koj yuav pom cov tsos mob zoo li ua npaws xws li kub cev, mob thiab mob, thiab ntuav lossis xeev siab. Hauv theem ob koj yuav pib pom cov tsos mob hnyav dua li kev tsis meej pem, nyuaj txav, thiab kev xav tsis meej. Tsis muaj kev kho tus qauv rau LCM, yog li koj yuav tsum tsim kho txoj kev kho mob nrog koj tus kws kho mob raws li koj qhov xwm txheej tshwj xeeb.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Txheeb Xyuas Thawj Cov tsos mob
Kauj Ruam 1. Mus ntsib kws kho mob
Vim tias ntau cov tsos mob cuam tshuam nrog LCM tshwm sim hauv ntau lwm yam mob, nws yog qhov tseem ceeb mus ntsib kws kho mob kom lawv tuaj yeem txheeb xyuas koj tus mob tshwj xeeb. Txawm hais tias nws tsis yog LCM, ua ke ntawm ntau cov tsos mob qhia tias koj xav tau qee yam kev kho mob. Nco ntsoov qhia tus kws kho mob txog kev kis tus nas, thaj chaw muaj kab mob nrog quav nas, tsiaj xws li hamsters, lossis ib txoj haujlwm uas koj tau ua nrog nas tsuag.
- Txawm hais tias koj zoo li rov zoo li cas, mus ntsib kws kho mob. Qee zaum tib neeg kis tus kab mob LCM zoo li yuav rov zoo ua ntej rov mus rau theem thib ob, mob hnyav dua.
- Koj tus kws kho mob yuav sau ntawv kho mob tshwj xeeb raws li koj tus mob.
- Txawm tias muaj kev pab kho mob, kev rov zoo tuaj yeem siv sijhawm ntau lub hlis; txawm li cas los xij, kev rov qab saib xyuas tau zoo heev, vim tias tsawg dua 1% ntawm cov neeg tuag thaum tuag.
Kauj Ruam 2. Qhia koj cov tsos mob rau koj tus kws kho mob
Cov tsos mob ntawm LCM tuaj yeem tshwm sim los ntawm ntau tus kab mob sib txawv thiab txawv txav. Qhia rau koj tus kws kho mob paub txog txhua yam teeb meem uas koj tau muaj nrog koj kev noj qab haus huv. Cov tsos mob tshwm sim tshaj plaws ntawm LCM suav nrog:
- Ua npaws
- Malaise thiab qaug zog
- Mob taub hau
- Xeev siab thiab ntuav
- Tsis qab los noj mov
- Mob thiab mob hauv siab, hauv puab tsaig, thiab cov noob qes
Kauj Ruam 3. Mus kuaj
Nws yog ib qho tseem ceeb kom tau kuaj xyuas kom ntseeg tau tias koj muaj LCM. Muaj ntau qhov kev sim uas tuaj yeem lees paub lossis txiav tawm qhov muaj ntawm LCM.
- Koj tus kws kho mob yuav ntsuas koj cov qe ntshav dawb thiab suav cov platelet. Yog tus kws kho mob pom cov lej no tsawg, koj yuav muaj LCM.
- Koj kuj tseem yuav tau kuaj koj cov ntshav rau qib siab enzyme. Cov enzymes no, yog tias nce me ntsis, tuaj yeem qhia txog LCM.
- Lwm qhov kev sim uas tuaj yeem pab txiav txim siab yog tias muaj LCM tam sim no yog tus txha nqaj qaum. Cov txheej txheem no suav nrog muab rab koob tso rau hauv koj cov nqaj qaum kom sau cov kua dej hauv lub paj hlwb. Kev tshuaj xyuas cov kua dej, tus kws kho mob tuaj yeem nrhiav qhov txo qis hauv cov piam thaj uas tuaj yeem qhia txog LCM.
Kauj Ruam 4. Xav txog qhov koj kis tau nas
Cov tsos mob xws li cov saum toj no tuaj yeem tshwm sim los ntawm ntau yam kev txawv txav, tsis yog LCM. Yog tias koj tau kis tus nas, tso quav nas, lossis thaj chaw muaj kab mob los ntawm nas qaub ncaug, tso zis thiab quav, koj yuav muaj laj thawj tshwj xeeb los xav txog LCM.
Txoj Kev 2 ntawm 3: Txheeb Xyuas Cov tsos mob hnyav nyob rau theem ob
Kauj Ruam 1. Hu rau kev kho mob xwm txheej ceev yog tias koj cov tsos mob hnyav dua
Nco ntsoov tias tom qab ob peb hnub ntawm kev rov zoo, koj tuaj yeem rov mus rau theem ob ntawm LCM. Qib ob no tuaj yeem ua rau muaj kev phom sij ntau dua. Yog tias koj tab tom muaj caj dab txhav, kub taub hau, tsis meej pem, teeb meem nrog kev txav mus los, lossis tuag tes tuag taw, mus ntsib kws kho mob tam sim.
Kauj Ruam 2. Txheeb xyuas tus mob meningitis
Meningitis yog mob ntawm cov ntaub so ntswg uas nyob ib puag ncig lub hlwb. Nws yog tus yam ntxwv ntawm ntau cov tsos mob tib yam uas koj tau ntsib hauv thawj theem ntawm LCM. Cov tsos mob no suav nrog ua npaws, mob taub hau, caj dab txhav, ua npaws, tsis zoo, thiab ntuav; txawm li cas los xij, cov tsos mob no yuav mob zuj zus ntxiv thaum tus kab mob txav mus rau theem thib ob. Cov tsos mob ntxiv ntawm tus mob meningitis tuaj yeem suav nrog kev tsis meej pem thiab tawm pob.
Kauj Ruam 3. Tshawb xyuas seb nws puas tuaj yeem yog tus kab mob encephalitis
Encephalitis yog mob ntawm lub hlwb. Zoo li tus mob meningitis, nws tuaj yeem ua rau muaj tsos mob zoo li mob khaub thuas, mob taub hau, thiab mob thoob plaws lub cev. Nws kuj tseem tuaj yeem ua rau muaj kev tsis meej pem lossis kev xav tsis sib xws, ua kom pom kev tsis meej pem, thiab kev nkag siab txog qhov tsis hnov tsw uas tsis muaj nyob. Lwm cov tsos mob suav nrog teeb meem nrog kev txav chaw, kev sib koom tsis zoo, thiab tuag tes tuag taw. Nyuaj rau caj dab, ntuav, rhiab rau lub teeb kuj tseem tuaj yeem tshwm sim.
Yog tias mob meningitis thiab encephalitis tshwm sim ua ke, koj muaj tus mob hu ua meningoencephalitis. Qhov no tsis yog ib qho kev txhim kho tsis tu ncua nyob rau qhov mob hnyav ntawm LCM
Kauj Ruam 4. Saib xyuas hydrocephalus
Hydrocephalus yog kev nce siab ntawm cov kua dej hauv nruab nrab ntawm lub hlwb thiab pob txha taub hau. Nws yuav ua rau nyuaj tswj kev txawj tsav tsheb xws li taug kev lossis txav tes. Nws kuj tseem tuaj yeem ua rau cov zis tsis txaus, pom qhov muag tsis pom, tsaug zog thiab tsis muaj zog, lossis tsis txaus siab.
Txoj Kev 3 ntawm 3: Tau Txais Kev Kho Mob
Kauj Ruam 1. Tau txais tshuaj
Nyob ntawm qhov mob hnyav ntawm koj rooj plaub, koj tus kws kho mob yuav sau tshuaj noj. Corticosteroids thiab lwm yam tshuaj tiv thaiv kab mob yog cov tshuaj feem ntau siv rau LCM. Lawv tsis tua tus kab mob LCM, tab sis qee zaum lawv pab nrog cov tsos mob thiab qee qhov ua rau muaj mob hnyav ntxiv, xws li mob qog noj ntshav.
- Cov tshuaj corticosteroids feem ntau suav nrog prednisone thiab methylprednisolone.
- Ribavirin tau kawm raws li kev kho mob rau LCM, tab sis cov txiaj ntsig tau sib xyaw, thiab muaj kev phiv.
- Ib txwm siv tshuaj raws li qhia.
Kauj Ruam 2. Tau txais kev tshem tawm
Yog tias koj li LCM tau tsim los rau hauv hydrocephalus, koj yuav tsum tau txais kev tshem tawm. Ib qho shunt lossis shunt system yog lub cuab yeej phais mob uas hloov cov kua dej hauv lub cev (CSF) los ntawm lub hlwb lossis tus nqaj qaum mus rau lwm qhov ntawm lub cev, feem ntau yog lub plab, tab sis qee zaum lub ntsws lossis lub plawv.
- Shunts yuav tsum tau hloov yog tias lawv ua tsis tiav lossis ua rau muaj kev cuam tshuam.
- Muaj peev xwm ua rau muaj kev phom sij xws li kev kis kab mob, hla cov dej tawm (tshem CSF ntau dhau los ntawm lub hlwb lossis tus txha nqaj qaum), thiab hauv qab dej (tsis tshem CSF txaus los ntawm lub hlwb lossis tus nqaj qaum). Koj yuav zoo li yuav tsum tau taug kev mus ntsib kws kho mob ntau zaus kom ntseeg tau tias koj lub shunt system ua haujlwm tau zoo.
Kauj Ruam 3. Tiv thaiv cov tib neeg uas muaj kev pheej hmoo
Txhua tus tuaj yeem ntes LCM. Cov poj niam cev xeeb tub muaj kev pheej hmoo tshwj xeeb vim tias tus kab mob tuaj yeem kis mus rau tus menyuam hauv plab thiab ua rau muaj teeb meem loj. Txhua tus neeg yuav tsum tau saib xyuas tshwj xeeb kom cov nas thiab lwm yam nas nyob deb. Siv mousetraps thiab thaiv cov peev txheej nkag mus rau hauv koj lub tsev los ntawm nas thiab nas. Piv txwv li, plaster hla tej kab nrib pleb hauv phab ntsa uas cov nas tsuag tuaj yeem nkag tau.
- "Khaws zaub mov rau hauv cov ntim kaw. Ntxuav thaj chaw uas muaj kab mob nas, tso zis lossis tso quav kom zoo, siv lub ntsej muag npog lossis npog, hnab looj tes, thiab tshuaj tua kab mob.
- Cov neeg ua haujlwm kuaj mob uas tuav lossis nyob ib puag ncig los ntawm nas thiab nas hauv lawv txoj haujlwm kuj tseem muaj kev pheej hmoo siab rau LCM ntau dua li tus neeg nruab nrab. Saib xyuas kev tu cev zoo thiab ua raws cov txheej txheem hauv chav kuaj kom ntseeg tau tias koj tsis kis tus kabmob. Rov ntsuas cov nas ib ntus kom ntseeg tau tias lawv tsis muaj LCM.
