Yog tias koj tus menyuam tau kis tus mob caj pas, nws muaj peev xwm lawv tuaj yeem ua npaws rheumatic yog tias tus kab mob no tsis kho. Txawm li cas los xij, nco ntsoov tias ua npaws rheumatic tsis tshua muaj neeg pom nyob hauv cov tebchaws tsim. Nws feem ntau cuam tshuam rau menyuam yaus hnub nyoog 5 txog 15. Nws yog qhov tseem ceeb los kuaj mob hnoos qeev thaum ntxov yog tias koj tuaj yeem nqa koj tus menyuam mus rau kws kho mob sai li sai tau thaum koj pom cov tsos mob. Yog tias koj pom cov tsos mob ua npaws rheumatic, nws tseem ceeb dua kom mus ntsib kws kho mob.
Cov kauj ruam
Ntu 1 ntawm 3: Txheeb Xyuas Kab Mob Strep
Kauj Ruam 1. Saib xyuas cov tsos mob ntawm tus mob caj pas
Thawj cov tsos mob ntawm tus mob caj pas yog mob caj pas, tshwj xeeb yog thaum nqos. Qhov mob caj pas feem ntau tuaj sai sai. Koj tus menyuam kuj tseem yuav ua npaws ntawm 101 txog 104 ° F (38 txog 40 ° C), mob taub hau, lossis mob plab.
Thaum nws tsis tshua muaj los ua npaws rheumatic los ntawm tus mob caj pas, nws tuaj yeem tshwm sim. Uas tau hais tias, nws yuav nyuaj rau koj tus kws kho mob txhawm rau txheeb xyuas ua npaws rheumatic nyob rau theem pib
Kauj Ruam 2. Mus ntsib kws kho mob
Yog tias koj xav tias koj tus menyuam muaj mob caj pas, koj yuav tsum mus ntsib kws kho mob kom paub. Tsuas yog txoj hauv kev kom paub yog ua qhov kev kuaj mob strep, uas koj tus kws kho mob tuaj yeem ua tau.
- Mob caj pas feem ntau yog cov tsos mob ntawm tus mob, yog li yog tias koj tus menyuam muaj mob caj pas, koj yuav xav kom lawv mus ntsib kws kho mob.
- Qhia rau koj tus kws kho mob yog tias koj tus menyuam tab tom nthuav tawm lwm cov tsos mob ntawm tus mob khaub thuas, xws li ua npaws, o ntawm qhov txhab, ua pob, xeev siab lossis ntuav, thiab mob lub cev.
Kauj Ruam 3. Cia siab tias yuav kuaj antigen sai
Qhov kev xeem no tuaj yeem ua sai sai hauv chaw ua haujlwm. Tus kws kho mob yuav maj mam siv lub paj rwb swab hla koj tus menyuam lub caj pas. Qhov kev kuaj xyuas rau antigens uas qhia tias muaj kab mob. Yog tias koj tus menyuam tab tom siv tshuaj tua kab mob, txawm li cas los xij, qhov kev xeem no tuaj yeem rov qab tsis zoo txawm tias koj tus menyuam muaj tus mob strep. Koj tus kws kho mob yuav ua qhov kev sim zaum thib ob hauv qhov no.
Kauj Ruam 4. Nug txog kab lis kev cai caj pas
Yog tias qhov tshuaj tiv thaiv antigen nrawm rov qab tsis zoo, nug seb tus kws kho mob puas tuaj yeem ua caj pas kab lis kev cai, uas yog qhov kev ntsuas raug dua. Hauv qhov no, tus kws kho mob swab nraub qaum koj tus menyuam lub caj pas thiab lawv cov tonsils, uas tuaj yeem ua rau me ntsis gagging. Tom qab ntawd cov qauv raug xa mus rau chav kuaj. Nws yuav siv sijhawm ntev txog 2 hnub kom tau txais cov txiaj ntsig.
Thaum koj tos rau qhov kev coj noj coj ua hauv caj pas, koj tus kws kho mob yuav tso koj tus menyuam rau tshuaj tua kab mob ib yam nkaus
Kauj Ruam 5. Saib seb ua npaws liab
Ua npaws liab tuaj yeem tshwm sim los ntawm caj pas. Yog tias nws tshwm sim, koj tus menyuam tuaj yeem tsim cov ntawv xuab zeb-ua pob liab liab, liab ntawm lub cev ua pob (liab qab, lub luj tshib, thiab lwm yam), thiab pleev xim dawb ntawm tus nplaig lossis tom qab, tus nplaig zoo li strawberry. Koj tus menyuam kuj tseem tuaj yeem qog qog hauv lawv caj dab.
- Tham nrog koj tus kws kho mob kom sai li sai tau yog koj xav tias koj tus menyuam muaj kub cev liab. Tus kws kho mob yuav xa koj mus rau kws kho mob dermatologist kom kuaj. Tus kws kho mob daim tawv nqaij tuaj yeem txiav txim siab yog tias koj tus menyuam muaj kub cev liab lossis ua npaws rheumatic.
- Ua npaws rheumatic tuaj yeem tsim los ntawm ua npaws liab. Ob qho ua npaws liab thiab ua npaws rheumatic muaj cov tsos mob zoo sib xws, tab sis ua npaws rheumatic tuaj yeem ua rau lub sijhawm ntev. Vim li no, nws yog ib qho tseem ceeb kom koj tus menyuam kuaj mob los ntawm kws kho mob.
Ntu 2 ntawm 3: Saib Mob Rheumatic Fever
Kauj Ruam 1. Saib cov tsos mob
Cov tsos mob tseem ceeb ntawm ua npaws rheumatic yog o, mob pob qij txha, ua npaws, mob hauv siab, thiab ua tsis taus pa. Cov tsos mob no tshwm sim thaum cov tshuaj tiv thaiv kab mob hauv lub cev tsim los tua cov kab mob pib ua rau cov nqaij zoo, suav nrog lub plawv. Nws yog qhov ib txwm hnov me ntsis ntshai. Tsuas yog sim nyob twj ywm, thiab coj koj tus menyuam mus rau kws kho mob sai li sai tau.
- Mus ntsib kws kho mob thaum xub thawj ntawm cov tsos mob. Yog koj tus menyuam tab tom mob hauv siab lossis ua tsis taus pa, mus rau chav kho mob ceev.
- Koj tus menyuam kuj tuaj yeem ua pob rau ntawm lawv lub hauv siab lossis hauv plab, nrog rau cov pob hauv qab daim tawv nqaij.
- Cov tsos mob tseem ceeb tshaj plaws ntawm kev ua npaws rheumatic yog mob hnyav heev. Muaj ntau zaus, tus menyuam yuav taug kev tsis tau. Yog tias qhov no tshwm sim, mus ntsib kws kho mob tam sim.
Kauj Ruam 2. Cia siab tias yuav kuaj ntshav
Cov kab mob strep kuj tseem yuav ploj mus ntawm koj tus menyuam lub cev. Txawm li cas los xij, cov tshuaj tiv thaiv kab mob tseem yuav nyob ntawd, yog li qhov kev kuaj ntshav yuav kuaj xyuas. Tus kws kho mob tseem yuav siv qhov ntsuas ntshav los kuaj xyuas qhov ntsuas ntawm qhov mob hauv cov ntshav.
Txawm li cas los xij, tus kws kho mob tseem yuav nrhiav cov kab mob hauv koj tus menyuam cov ntshav
Kauj Ruam 3. Npaj kom tau txais lub tshuab electrocardiogram
Qhov kev ntsuas no ntsuas ntsuas hluav taws xob uas taug kev hla koj tus menyuam lub siab. Tus kws kho mob siv qhov kev xeem no kom paub tseeb tias koj tus menyuam lub plawv ua haujlwm zoo li nws yuav tsum tau ua.
- Rau qhov kev ntsuas no, hluav taws xob yuav muab tso rau ntawm koj tus menyuam lub hauv siab, caj npab, thiab ob txhais ceg. Cov electrodes yog thaj ua rau thaj me me. Qhov kev xeem tsis ua mob, txawm hais tias tshem tawm thaj ua rau thaj yuav ua rau me ntsis.
- Yog tsis ua npaws rheumatic raws sijhawm, tus menyuam tuaj yeem tsim teeb meem hauv lub plawv. Qhov mob no hu ua sub-acute bacterial endocarditis (SABE). Koj tus kws kho mob yuav saib xyuas koj tus menyuam thoob plaws lawv txoj kev kho mob rau cov teeb meem no.
Kauj Ruam 4. Npaj rau echocardiogram
Qhov kev ntsuas no yog siv los tshuaj xyuas cov kua dej nyob ib ncig ntawm lub plawv, li qub, lossis lub plawv ua haujlwm tsis zoo. Nws yog ultrasound, yog li nws tau ua tiav zoo ib yam nkaus li ua tiav ultrasound rau tus poj niam cev xeeb tub.
Tus kws tshaj lij yuav muab cov gel tso rau ntawm koj tus menyuam lub hauv siab, tom qab ntawd lawv yuav ua haujlwm sojntsuam hla koj tus menyuam lub hauv siab. Qee qhov xwm txheej, koj tus menyuam yuav muaj lub tshuab electrocardiogram ua ke nrog echocardiogram, txhais tau tias koj tus menyuam tseem yuav muaj hluav taws xob ntawm lawv lub hauv siab thaum ntsuas qhov no
Ntu 3 ntawm 3: Kho Mob Rheumatic Fever
Kauj Ruam 1. Cia siab tias yuav siv tshuaj tua kab mob mus sij hawm ntev
Thawj cov tshuaj uas koj tus kws kho mob yuav yuav yog tshuaj tua kab mob. Cov tshuaj tua kab mob yuav pab tshem koj tus menyuam cov kab mob strep, uas yog qhov ua rau muaj teeb meem loj. Feem ntau, koj tus menyuam yuav muaj cov txheej txheem tshuaj tua kab mob, thiab tom qab ntawd muab cov tshuaj tua kab mob los tiv thaiv kev rov tshwm sim.
- Hauv ntau qhov xwm txheej, koj tus menyuam yuav tsum nyob hauv tshuaj tua kab mob ntev txog 5 xyoos lossis txog thaum lawv muaj hnub nyoog 21 xyoos, uas tshwm sim zaum kawg. Yog tias lawv muaj mob plawv, nws yuav zoo li yog 10 xyoo lossis txog thaum lawv muaj hnub nyoog 25 xyoos los tiv thaiv kom tsis txhob rov kis tus kab mob.
- Qee qhov xwm txheej uas mob plawv hnyav tshwm sim, tus kws kho mob tuaj yeem pom zoo tshuaj tua kab mob qib qis thaum tus neeg tab tom ua haujlwm kho hniav. Hauv cov xwm txheej hnyav heev, tus neeg yuav siv tshuaj tua kab mob kom txog thaum lawv muaj hnub nyoog 45 lossis 50 xyoos.
Kauj Ruam 2. Tham txog tshuaj tiv thaiv kab mob nrog tus kws kho mob
Tshuaj tiv thaiv kab mob kuj yog ib qho kev kho mob, tshwj xeeb yog naproxen lossis tshuaj aspirin. Cov tshuaj no pab daws qhov mob thiab txo qhov mob. Yog tias cov no tsis ua haujlwm, koj tus menyuam yuav raug tso rau hauv corticosteroid.
Txawm hais tias tshuaj aspirin feem ntau tsis pom zoo rau cov menyuam hnub nyoog qis dua 16 xyoos, cov kws kho mob tau zam qhov xwm txheej ua npaws rheumatic. Koj tus menyuam yuav zoo li yuav tsum tau txhaj tshuaj tsawg rau 2 lub lis piam, thiab nws tuaj yeem pab kho qhov mob o
Kauj Ruam 3. Nug cov lus qhia txog tshuaj noj tshuaj tiv thaiv kab mob
Qee qhov xwm txheej, koj tus menyuam tuaj yeem tsim kev txav mus los yam tsis xav paub, tus mob hu ua Sydenham chorea. Hauv qhov xwm txheej ntawd, ib qho tshuaj tiv thaiv kab mob tuaj yeem tsim nyog. Cov tshuaj nquag siv rau tus mob no suav nrog carbamazepine.
Kauj Ruam 4. Kom koj tus menyuam nyob hauv txaj
Koj tus menyuam yuav xav tau so ntau kom rov zoo los ntawm tus mob no. Nyob hauv txaj pab nrog kev nkees thiab ua pa nyuaj. Ntxiv rau, nws tuaj yeem tuaj yeem ua rau lawv so thiab txo txoj hauv kev muaj teeb meem. Raws li koj tus menyuam pib muaj kev zoo siab, lawv tuaj yeem pib ua ntau npaum li cas lawv ua txhua hnub.
