Mob hnoos hawb pob, tseem hu ua tshuaj kho tus mob hnoos hawb pob, yog kis tau tus kab mob ua pa rau sab hauv siab uas ua rau tsis tuaj yeem tswj tau, ua rau hnoos tsis haum. Qhov hnoos hnyav ua rau nws ua pa nyuaj thiab feem ntau ua rau lub suab "whooping" thaum tib neeg sim nqus. Kuaj rau hnoos hnoos feem ntau yog suav nrog thiab txheeb xyuas cov hnoos qeev (qhov ntswg tawm los yog hnoos caj pas) thiab ntsuas ntshav saib tus naj npawb ntawm cov qe ntshav dawb (lymphocytes).
Cov kauj ruam
Ntu 1 ntawm 2: Kuaj rau hnoos hnoos
Kauj Ruam 1. Teem caij nrog koj tus kws kho mob
Ua ntej txhaj tshuaj tiv thaiv tus mob hnoos hawb pob, hnoos hnoos feem ntau yog mob thaum yau. Niaj hnub no, hnoos hnoos feem ntau cuam tshuam rau menyuam mos tseem tsis tau txhaj tshuaj, nrog rau cov neeg laus (hluas thiab laus) uas nws lub cev tsis muaj zog lossis tsis tau txhaj tshuaj tiv thaiv. Yog tias koj lossis koj tus menyuam muaj mob hnoos hawb pob loj heev uas yuav tsis ploj mus tom qab ob peb hnub lossis ntau dua, tom qab ntawd sab laj nrog kws kho mob kom kuaj nws thiab kho.
- Thaum koj kis tus kab mob (los ntawm Bordetella pertussis cov kab mob) cov tsos mob yuav siv sijhawm li xya mus rau 10 hnub los txhim kho thiab zoo ib yam li cov mob khaub thuas: ntuav ntswg, txhaws, ua npaws me me, hnoos me ntsis. Nov yog thawj theem ntawm hnoos hnoos, hu ua theem catarrhal.
- Tom qab ib mus rau ob lub lim tiam, cov tsos mob yuav hnyav dua yog tias koj muaj hnoos hnoos vim tias hnoos hnoos qeev nyob hauv koj cov hlab pas thiab ua rau hnoos tsis haum. Nov yog theem ob, lossis theem paroxysmal.
- Koj tus kws kho mob yuav tshuaj xyuas koj tus kab mob nrog rau kev kuaj tshwj xeeb (saib hauv qab), tab sis tseem yuav txiav tawm cov xwm txheej uas ua rau muaj cov tsos mob zoo sib xws, xws li mob ntsws thiab mob ntsws.
- Theem thib peb ntawm hnoos hnoos (lossis theem rov zoo) yog thaum tus neeg maj mam rov zoo li qub, feem ntau nyob rau ob lossis peb lub lis piam. Koj tseem tuaj yeem hnov hnoos thiab ua pa kab mob hauv lub hlis tom qab koj rov zoo los ntawm hnoos qeev.
Kauj Ruam 2. Mloog lub suab ntawm koj hnoos/ua pa
Cov yam ntxwv tshwj xeeb tshaj plaws ntawm tus mob hnoos qeev yog qhov txawv txav "suab" ua los ntawm nqus cov pa tom qab hnoos hnoos, thiab kom tsawg dua, lub zog ntawm hnoos hnoos. Txawm li cas los xij, qee tus neeg (kwv yees li 50% ntawm cov neeg laus) tsis txhim kho tus yam ntxwv ntawm lub suab mos mos thiab qee zaum qhov hnoos hnoos tsis tu ncua yog qhov cim qhia tias qhia tias muaj tus kab mob pertussis. Mloog koj tus menyuam tom qab hnoos qeev rau lub suab sib txawv.
- Qhov hnoos hnoos tuaj yeem mus kuaj tsis tau los ntawm kws kho mob vim tias nws tau dhau los tsawg, thiab lawv tsis tau hnov dua lossis muaj lub sijhawm los hnov tus yam ntxwv "whoop."
- Lwm cov tsos mob uas tuaj yeem nrog hnoos hnoos thiab hnoos nrov nrov suav nrog: lub ntsej muag daj lossis lub ntsej muag liab los ntawm kev hnoos thiab tsis tuaj yeem ua pa zoo, qaug zog heev, tuaj yeem ntuav.
- Cov menyuam mos yuav tsis hnoos tag nrho yog tias lawv cov hlab pas kaw los ntawm cov hnoos qeev. Hloov chaw, lawv tuaj yeem tawm tsam ua pa thiab txawm tias tawm mus.
Kauj Ruam 3. Cia koj tus kws kho mob coj lub qhov ntswg thiab/lossis hnoos qeev
Rau qhov kev kuaj pom tseeb dua, koj tus kws kho mob yuav siv tus swab los ntawm thaj chaw uas koj lub qhov ntswg thiab caj pas sib ntsib (hu ua nasopharynx). Cov hnoos qeev ntawm tus swab tom qab ntawd tau loj hlob hauv kab lis kev cai thiab tshawb xyuas hauv qab lub tshuab tsom iav kom pom cov pov thawj ntawm tus kab mob hnoos hawb pob, Bordetella pertussis. Nov yog txoj hauv kev zoo tshaj plaws thiab tshwj xeeb tshaj plaws los tshuaj xyuas thiab lees paub tias hnoos hnoos.
- Cov kab mob sib kis feem ntau tshwm sim nrog hnoos hnoos, yog li tus kws kho mob (lossis lab thev naus laus zis) yuav pom pov thawj ntawm lwm cov kab mob lossis kab mob hauv cov hnoos qeev.
- Muaj ntau hom kab mob Bordetella pertussis thiab kab lis kev cai hauv tsev tuaj yeem txheeb xyuas qhov twg koj muaj, uas tuaj yeem pab txiav txim siab qhov tshuaj tua kab mob zoo tshaj plaws los siv rau kev kho mob.
- Lub sijhawm zoo tshaj plaws los siv swab thiab kab lis kev cai nws yog thawj ob lub lis piam ntawm kev kis mob. Tom qab ntawd, qhov kev nkag siab ntawm kev sim kab lis kev cai tau qis dua thiab qhov kev pheej hmoo ntawm qhov tsis zoo-tsis zoo nce ntxiv.
Kauj Ruam 4. Tau txais kev kuaj polymerase chain reaction (PCR) thiab
Ib qho swab lossis cov hnoos qeev los ntawm koj lub qhov ntswg kuj tseem xav tau ua PCR qhov kev sim, uas ua kom nrov nrov lossis txhim kho cov khoom siv ntawm cov kab mob kom nws tuaj yeem tshawb pom thiab txheeb xyuas tau sai. Nws yog qhov kev tshuaj ntsuam xyuas sai thiab muaj qhov ua tau zoo heev txhawm rau txheeb xyuas seb hom kab mob dab tsi ua rau kis mob. Cov hnoos qeev uas siv los cog kev coj noj coj ua kuj tseem tuaj yeem siv los ua qhov kev xeem PCR.
- Kev kuaj PCR yuav tsum ua tiav hauv peb lub lis piam ntawm cov tsos mob (hnoos) txhim kho kom tau txais txiaj ntsig zoo tshaj plaws.
- Tom qab lub lim tiam thib plaub ntawm kev hnoos, tus nqi ntawm tus kab mob hnoos qeev DNA hauv cov nasopharynx sai zuj zus, yog li kev kuaj PCR dhau los ua qhov tsis txaus ntseeg rau kev sim.
- Feem ntau, kab mob hnoos qeev thiab kuaj PCR yuav ob qho tib si ua ke thaum cov tsos mob nyob hauv ob peb lub lis piam qub.
Kauj Ruam 5. Ua kom kuaj ntshav tas
Koj tus kws kho mob tseem yuav coj koj cov ntshav thiab xa mus rau chav kuaj mob txhawm rau tshuaj xyuas txhawm rau txiav txim siab seb koj puas muaj kab mob. Yuav luag txhua hom kab mob sib kis (ob hom kab mob thiab kab mob) ua rau cov qe ntshav dawb suav (leukocytes) nce ntxiv, uas yog lub cim qhia tias koj lub cev tiv thaiv kab mob tau sim ua kom sib kis tus kab mob. Xws li, saib qib leukocytes yog qhov pom tseeb ntawm kev kis tus kab mob, tab sis tsis tshwj xeeb rau hnoos hnoos.
- Qee qhov chaw kuaj mob tuaj yeem kuaj tus kab mob pertussis, uas yog ib txoj hauv kev tshwj xeeb rau kev kuaj mob hnoos hnoos. Qhov teeb meem yog tib neeg tsim cov tshuaj tiv thaiv kab mob pertussis tiv thaiv kab mob qub dhau lawm.
- Yog li ntawd, kev sim tshuaj tiv thaiv kab mob tsis muaj txiaj ntsig los txiav txim siab yog tias ib tus neeg muaj mob hnoos hnoos (tsis ntev los no).
- Qee cov tshuaj tiv thaiv kab mob pertussis muaj nyob hauv cov ntshav ib ntus tom qab txhaj tshuaj tiv thaiv kab mob thiab tsis qhia tias muaj tus kab mob.
Kauj Ruam 6. Tau xoo hluav taws xob hauv siab
Yog tias koj cov tsos mob nyob ntev lossis tshwj xeeb tshaj yog mob hnyav, koj tus kws kho mob kuj tseem tuaj yeem siv xoo hluav taws xob ntawm koj lub hauv siab txhawm rau kuaj xyuas seb puas muaj mob o lossis kua dej hauv koj lub ntsws. Qhov hnoos hnoos feem ntau tsis ua rau mob ntsws ntau ntawm nws tus kheej, tab sis kev sib kis nrog mob ntsws feem ntau ua rau muaj dej ntau ntxiv.
- Cov kab mob thiab kab mob kis mob ua rau mob hnyav ua rau hnoos hawb pob (thiab lwm yam kab mob ua pa), uas ua rau muaj kev pheej hmoo tuag.
- Cov kua dej ua los ntawm mob ntsws ua rau mob hauv siab hnyav thiab ua pa nyuaj, ob qho tib si nqus thiab nqus pa.
Ntu 2 ntawm 2: Kho thiab Tiv Thaiv Mob Quav
Kauj Ruam 1. Tham nrog koj tus kws kho mob txog kev noj tshuaj tua kab mob
Yog tias koj tus mob hnoos hnoos tau kuaj los ntawm koj tus kws kho mob lub sijhawm (tsis pub dhau ob txog peb lub lis piam) tshuaj tua kab mob xws li erythromycin tuaj yeem ua rau koj cov tsos mob ploj mus sai dua vim tias lawv tuaj yeem tua Bordetella pertussis kab mob tau ncaj qha. Txawm li cas los xij, tib neeg feem ntau kuaj pom lig dhau (dhau peb lub lis piam), thaum tshuaj tua kab mob zoo li tsis muaj txiaj ntsig. Nug koj tus kws kho mob yog tias koj yog tus neeg sib tw zoo los noj tshuaj tua kab mob rau hnoos hawb pob lossis tsis yog.
- Txawm hais tias nws lig dhau los ua qhov txawv ntawm koj cov tsos mob, noj tshuaj tua kab mob tuaj yeem pab txo qhov kev pheej hmoo ntawm koj kis tus kabmob mus rau lwm tus.
- Yog tias koj hnoos hawb pob tshwj xeeb, koj tsev neeg kuj tseem yuav muab tshuaj tua kab mob los ntawm koj tus kws kho mob rau kev tiv thaiv.
- Yog tias koj tau txais tshuaj tua kab mob (feem ntau yog ob lub lis piam), nco ntsoov ua raws koj tus kws kho mob cov lus qhia kom raug, txawm tias koj pib hnov zoo dua ua ntej ua tiav tag nrho cov tshuaj.
- Ntxiv nrog rau tshuaj tua kab mob, koj tseem tuaj yeem kho tus mob hnoos hawb pob, tab sis nrog koj tus kws kho mob tham seb kev kho tsev twg zoo tshaj.
Kauj Ruam 2. Tsis txhob noj tshuaj hnoos tom khw
Txawm hais tias muaj coob tus neeg uas hnoos hnoos tau sim siv ntau hom hnoos hnoos los txo lossis tshem tawm lawv cov tsos mob, feem ntau tsis muaj txiaj ntsig thiab tuaj yeem tiv thaiv kom tshem tau cov hnoos qeev. Yog li ntawd, zam txhua qhov sib tov hnoos, tso zis thiab tshem tawm. Hloov chaw, tsom mus rau kev ua kom muaj dej ntau (dej ntau) thiab ua pa kom huv.
- Kev haus dej ntau ntau kom huv (tsawg kawg yog yim 8-ounce tsom iav ib hnub) pab ntxuav cov hnoos qeev kom koj cov hlab pas tsis txhaws.
- Ua pa huv huv pab txo qhov hnoos hnoos. Ua kom koj lub tsev tsis muaj kev kub ntxhov xws li haus luam yeeb, ntxuav cov khoom thiab cov pa taws.
Kauj Ruam 3. Tau txhaj tshuaj tiv thaiv kab mob
Txoj hauv kev zoo tshaj los tiv thaiv hnoos hnoos yog txhaj tshuaj tiv thaiv koj tus menyuam thiab txhaj koob tshuaj tiv thaiv kab mob thaum tseem hluas thiab laus. Cov tshuaj tiv thaiv tus mob hnoos hnoos feem ntau yog muab rau menyuam yaus hauv kev txhaj tshuaj tiv thaiv kab mob uas tiv thaiv los ntawm ob yam kab mob ntxiv, mob khaub thuas thiab tetanus. Thiaj li, cov tshuaj tiv thaiv kab mob hu ua DTaP txhaj tshuaj.
- Tsib qhov kev txhaj tshuaj DTaP raug pom zoo thaum tseem me, feem ntau yog hnub nyoog ob hlis, plaub hlis, rau hli, 15 txog 18 hlis thiab plaub txog rau rau xyoo.
- Kev tiv thaiv kab mob los ntawm DTaP txhaj tshuaj tiv thaiv kom tsis txhob muaj hnub nyoog 11 xyoos, yog li cov kws kho mob pom zoo kom txhaj tshuaj tiv thaiv lub sijhawm ntawd.
- Tus kws kho mob tseem tau hais qhia tias cov neeg laus hnub nyoog 19 xyoos thiab laus dua tau txais kev txhaj tshuaj tiv thaiv TdaP rau kev tiv thaiv, vim tias lawv txoj kev tiv thaiv kab mob yuav ploj mus.
- Feem ntau cov kev mob tshwm sim los ntawm kev txhaj tshuaj suav nrog: ua npaws me ntsis, crankiness, mob taub hau, qaug zog (nkees) thiab/lossis mob leeg ntawm qhov chaw txhaj tshuaj.
Lub tswv yim
- Cov tub ntxhais hluas thiab cov neeg hluas muaj kev pheej hmoo ntawm hnoos hnoos thaum qhov ua tau zoo ntawm lawv cov tshuaj tiv thaiv tsis zoo.
- Feem ntau, menyuam yaus tsis muaj zog tiv thaiv hnoos hnoos kom txog thaum lawv tau txhaj yam tsawg 3 zaug.
- Cov menyuam yaus thiab cov laus tau txhaj tshuaj tiv thaiv kab mob tuaj yeem kis tus mob hnoos hawb pob, txawm hais tias tus kab mob feem ntau mob hnyav dua.
- Cov menyuam yaus hnub nyoog 6 hli thiab hluas dua muaj kev pheej hmoo loj tshaj los hnoos hnoos vim tias lawv tsis muaj sijhawm txaus los txhaj peb koob tshuaj tiv thaiv kab mob.
- Kwv yees li 50% ntawm cov menyuam yaus hnub nyoog qis dua ib xyoos uas tau hnoos hnoos xav tau kev kho mob hauv tsev kho mob.
- Thoob ntiaj teb, muaj kwv yees li ntawm 16 lab tus neeg mob hnoos hawb pob thiab yuav luag 200, 000 tus neeg tuag txhua xyoo.
