Ib txoj kev txaus ntshai uas ua rau mob meningitis! Cia peb kawm txog Bacterial Meningitis.

Niaj hnub no peb yuav tham txog ib yam kab mob loj heev, tab sis yog ib yam uas txhua tus yuav tsum paub txog. Tej zaum koj twb tau hnov ​​​​​​lo lus "mob hlwb"? Ib hom kab mob txaus ntshai tshaj plaws hu ua Bacterial Meningitis. Qhov no tsis yog lus tso dag, vim tias yog tsis kho sai sai, nws tuaj yeem ua rau tuag taus. Yog li cia peb nkag siab qhov no zoo, puas yog?

Kab mob Bacterial Meningitis yog dab tsi? Hais yooj yim xwb...

Hais yooj yim xwb, mob meningitis yog kev o ntawm cov ntaub so ntswg tiv thaiv (meninges) uas nyob ib puag ncig peb lub hlwb thiab cov hlab ntsha hauv lub hlwb (cov hlab ntsha uas khiav mus rau hauv lub hlwb) . Nws zoo ib yam li o thaum peb lub cev raug mob. Qhov ua rau mob o no yog kev kis kab mob hauv cov kua dej (Cerebrospinal Fluid - CSF) uas nyob ib puag ncig lub hlwb thiab cov hlab ntsha hauv lub hlwb. Yog tias mob meningitis no yog los ntawm cov kab mob bacterial, peb hu nws ua mob meningitis los ntawm cov kab mob bacterial. Qhov no yog hom mob txaus ntshai tshaj plaws. Yog tias ib tug neeg muaj cov tsos mob no, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob sai li sai tau. Vim tias mob meningitis los ntawm cov kab mob bacterial tuaj yeem ua rau tuag tau hauv ob peb teev. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.

Qhov txawv ntawm tus kab mob viral meningitis thiab tus kab mob bacterial meningitis yog dab tsi? Puas yog lawv zoo ib yam?

Tsis yog, lawv tsis zoo ib yam. Muaj ob hom mob meningitis tseem ceeb: Kab mob Bacterial Meningitis thiab Kab mob Viral Meningitis. Ob qho tib si cuam tshuam nrog kev o ntawm cov ntaub so ntswg uas nyob ib puag ncig lub hlwb. Txawm li cas los xij, kab mob bacterial meningitis yog tshwm sim los ntawm kev kis kab mob bacterial, thaum kab mob viral meningitis yog tshwm sim los ntawm kev kis kab mob viral. Kab mob viral meningitis yog qhov feem ntau. Txawm li cas los xij, nws feem ntau tsis hnyav npaum li kab mob bacterial meningitis. Thaum kab mob bacterial meningitis tshwm sim, cov ntaub so ntswg nyob ib puag ncig lub hlwb o, thaiv cov ntshav ntws mus rau lub hlwb. Qhov no tuaj yeem ua rau tuag tes tuag taw, mob stroke, thiab qee zaum txawm tias tuag. Yog vim li cas peb thiaj hu kab mob bacterial meningitis ua xwm txheej ceev kho mob.

Cov tsos mob ntawm tus kab mob bacterial meningitis yog dab tsi? Yuav tsum ceev faj rau cov no!

Cov tsos mob ntawm tus kab mob bacterial meningitis feem ntau tshwm sim sai sai, qee zaum txawm tias tsis pub dhau 24 teev tom qab raug tus kab mob. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum paub txog cov tsos mob no.

Cov tsos mob ntawm cov neeg laus thiab cov menyuam yaus loj dua:

Nov yog qee cov cim qhia kom ceev faj:

• Kub taub hau heev
• Mob taub hau uas tsis muaj zog
• Lub caj dab nruj, zoo li lub puab tsaig tsis tuaj yeem khoov kom kov lub hauv siab (qhov no yog ib qho tsos mob tshwj xeeb heev)
• Mob thiab mob lub cev , ib yam li thaum koj mob khaub thuas lossis mob ntsws .
• Xeev siab thiab ntuav
• Photophobia - Qhov no txhais tau hais tias lub qhov muag zoo li tig xiav thaum raug lub teeb lossis tshav ntuj.
• Kev Hloov Pauv ntawm Lub Siab
• Kev chim siab, kev chim sai
• Maj mam tsaug zog zuj zus
• Ib txhia neeg yuav muaj qaug dab peg thiab txawm tias mob stroke .

Cov tsos mob ntawm cov menyuam mos thiab cov menyuam yaus:

Cov tsos mob yuav txawv me ntsis thaum tus menyuam yaus muaj tus kab mob no. Yog li ntawd, cov niam txiv ntawm cov menyuam yaus yuav tsum paub txog qhov no.

• Ntuav nrog kub taub hau
• Tsis kam noj mov los yog haus dej
• Tsis muaj zog, nyuaj sawv, lossis teb qeeb rau kev sawv (Lethargy)
• Quaj ntau zaus, tsis so
• Sab saum toj ntawm lub taub hau (qhov chaw mos mos ntawm lub taub hau - 'Fontanelle') zoo li bulging thiab o (qhov no kuj yog ib qho cim txaus ntshai)
• Qaug dab peg

Ceeb Toom! Yog tias koj xav tias koj lossis koj tus menyuam muaj ib lossis ntau yam ntawm cov tsos mob no, mus rau chav kho mob ceev ntawm lub tsev kho mob ze tshaj plaws yam tsis muaj kev ncua sijhawm, lossis hu rau 1990. Kab mob meningitis yog ib yam kab mob uas tuaj yeem ua rau tsis nco qab thiab tuag hauv ob peb teev. Yog li ntawd, kev ua sai yog qhov tseem ceeb.

Cov kab mob dab tsi ua rau muaj mob meningitis?

Muaj li ntawm 50 hom kab mob uas ua rau mob hlwb. Tab sis ntawm no yog qee hom kab mob uas feem ntau thiab tseem ceeb tshaj plaws:

• Pawg B Streptococcus
• Streptococcus pneumoniae - Qhov no kuj hu ua pneumococcal.
• Neisseria meningitidis - Qhov no kuj hu ua meningococcal.
• Haemophilus influenzae
• Listeria monocytogenes `(Listeria monocytogenes)`
• Escherichia coli (E. coli)

Txawm hais tias cov npe no yuav zoo li nyuaj me ntsis los xij, nws zoo uas koj tau hnov ​​​​​​lawv vim cov kws kho mob siv lawv.

Kab mob bacterial meningitis tshwm sim li cas?

Xav txog nws, ntau cov kab mob ua rau muaj kab mob no yeej ib txwm muaj nyob hauv peb ib puag ncig, uas yog, nyob rau hauv ib puag ncig peb. Qee zaum cov kab mob no tuaj yeem nyob hauv koj lub qhov ntswg thiab caj pas yam tsis ua rau muaj teeb meem. Tej zaum koj yuav tsis mob, tab sis lwm tus neeg ntawm koj tuaj yeem tau txais cov kab mob no thiab lawv tuaj yeem mob. Cov kab mob no kis tau los ntawm ib tus neeg mus rau lwm tus los ntawm kev sib cuag ze. Lawv feem ntau kis tau los ntawm cov tee dej me me uas tso tawm los ntawm txoj hlab pa thaum lub sijhawm xws li txham, hnoos, lossis hnia.

Yog li ntawd, cov kab mob meningitis puas kis tau?

Yog, nws yeej kis tau yooj yim. Yog tias koj muaj kab mob meningitis, koj yuav tsum qhia rau txhua tus neeg uas tau nyob ze koj kom nrhiav kev pab kho mob tam sim ntawd thiab, yog tias tsim nyog, noj tshuaj tua kab mob los kho kom tsis txhob muaj kab mob. Qhov no tuaj yeem pab tiv thaiv lwm tus kom tsis txhob kis tau tus kab mob.

Leej twg muaj feem yuav mob hlwb los ntawm cov kab mob bacterial meningitis ntau dua?

Txawm hais tias leej twg los xij tuaj yeem muaj tus kab mob no, qee tus neeg muaj kev pheej hmoo siab dua.

• Cov menyuam yaus hnub nyoog ntawm 1 hlis thiab 2 xyoos feem ntau yuav kis tus kab mob no.

Nws kuj tseem tuaj yeem tshwm sim rau cov neeg laus uas muaj qee yam kev pheej hmoo. Koj muaj kev pheej hmoo siab dua yog tias koj muaj:

• Kev Siv Tshuaj Yeeb Tsis Zoo
• Kab mob pob ntseg lossis qhov ntswg uas tshwm sim ntau zaus thiab kav ntev
• Kev raug mob taub hau
• Kab mob ntsws pneumococcal (mob ntsws hnyav heev)
• Lub cev tiv thaiv kab mob tsis muaj zog (piv txwv li, rau cov neeg uas muaj HIV, cov neeg uas noj tshuaj kho mob qog noj ntshav)
• Yog tias lub cev tau raug tshem tawm
• Yog tias koj muaj qee yam kab mob ntshav, xws li kab mob ntshav liab

Tsis tas li ntawd xwb, yog tias koj tau phais koj lub hlwb lossis koj tus txha caj qaum, lossis yog tias koj muaj kab mob ntshav kis mus rau lwm qhov, koj kuj muaj feem yuav mob hlwb ntau dua. Tsis tas li ntawd xwb, tus kab mob no kuj tseem tuaj yeem kis mus rau ntau qhov chaw uas muaj neeg nyob ze, xws li cov chaw pw hauv tsev kawm ntawv qib siab thiab cov chaw tub rog .

Cov teeb meem ntawm tus kab mob meningitis uas muaj cov kab mob bacterial meningitis no yog dab tsi? Cov no yog cov teeb meem loj heev!

Zoo li peb tau hais ua ntej lawm, yog tias tsis kho sai sai, nws tuaj yeem ua rau tuag tes tuag taw, mob hlwb, thiab txawm tias tuag tau. Txawm tias tus kab mob kho tau zoo lawm los xij, qee tus neeg yuav muaj teeb meem mus sij hawm ntev . Uas yog, cov teeb meem uas txuas ntxiv mus tom qab tus kab mob zoo lawm. Cov no suav nrog:

• Qaug dab peg rov tshwm sim.
• Teeb meem nco qab thiab mloog zoo.
• Teeb meem nrog kev sib npaug, kev sib koom tes, thiab kev taug kev.
• Kev tsis taus kawm ntawv.
• Nyuaj siab hais lus.
• Tsis pom kev lossis hnov ​​lus zoo lossis tsis hnov ​​lus kiag li.

Nws yog qhov txaus ntshai heev thaum hnov ​​​​​​tej yam no, puas yog? Yog vim li ntawd peb thiaj hais kom tsis txhob saib tus kab mob no yooj yim.

Yuav kuaj mob li cas rau cov kab mob meningitis? Cov kws kho mob ua dab tsi?

Yog tias koj xav tias koj muaj mob meningitis, qhov zoo tshaj plaws uas yuav tsum ua yog nrhiav kev kho mob tam sim ntawd. Tus kws kho mob yuav nug koj txog koj cov tsos mob thiab kuaj koj. Koj tus kws kho mob mam li xa cov qauv ntawm koj cov ntshav, zis, thiab cov ntaub so ntswg/caj pas mus kuaj. Tej zaum koj kuj yuav tsum tau muaj lub qhov lumbar puncture (tseem hu ua spinal tap). Qhov no suav nrog kev coj ib qho qauv me me ntawm cov kua dej nyob ib puag ncig koj lub hlwb qaum, hu ua cerebrospinal fluid (CSF), los ntawm koj nraub qaum. Cov kua dej no tuaj yeem kuaj xyuas kom paub meej tias dab tsi ua rau muaj kev kis kab mob thiab cov kab mob twg yog tus ua rau muaj.

Qhov tseem ceeb tshaj plaws yog tias yog tus kws kho mob xav tias muaj mob meningitis, lawv yuav pib kho tam sim ntawd, tsis tas tos cov txiaj ntsig ntawm kev kuaj mob. Vim tias txhua ob ntawm qhov no tsim nyog nws.

Yuav kho tus kab mob meningitis li cas?

Cov kws kho mob kho cov kab mob meningitis nrog cov tshuaj tua kab mob. Cov tshuaj no raug muab rau hauv cov hlab ntsha (IV). Lawv kuj tseem yuav muab cov tshuaj corticosteroid rau koj kom txo qhov o ntawm cov ntaub so ntswg nyob ib puag ncig koj lub hlwb. Thaum cov kev kuaj pom cov kab mob tseeb uas ua rau muaj kev kis kab mob, koj tus kws kho mob yuav hloov cov tshuaj tua kab mob uas koj noj.

Puas muaj tshuaj tiv thaiv kab mob rau cov kab mob meningitis? Yog lawm, qhov no yog xov xwm zoo!

Zoo hmoo, yog lawm! Muaj ntau yam tshuaj tiv thaiv kab mob uas siv tau los tiv thaiv qee hom kab mob tseem ceeb uas ua rau mob hlwb. Cov no yog:

• Tshuaj Tiv Thaiv Kab Mob Meningococcal: Qhov no tiv thaiv cov kab mob N. meningitidis.
• Tshuaj Tiv Thaiv Kab Mob Pneumococcal: Qhov no tiv thaiv cov kab mob S. pneumoniae.
• Tshuaj tiv thaiv kab mob Haemophilus influenzae hom b (Hib): Qhov no tiv thaiv cov kab mob H. influenzae.

Cov tshuaj tiv thaiv kab mob no suav nrog hauv National Immunization Program, tshwj xeeb tshaj yog rau cov menyuam yaus. Lawv kuj muaj rau cov neeg laus uas muaj feem yuav kis tau kab mob ntau dua. Tham nrog koj tus kws kho mob kom paub ntau ntxiv txog qhov no.

Muaj lwm txoj hauv kev dab tsi los tiv thaiv kab mob meningitis?

Ntxiv rau kev txhaj tshuaj tiv thaiv kab mob, muaj ob peb yam yooj yim uas koj tuaj yeem ua tau los tiv thaiv koj tus kheej ntawm tus kab mob txaus ntshai no.

• Yog tias koj cev xeeb tub, nrog koj tus kws kho mob tham txog kev kuaj mob Group B Streptococcus thaum koj cev xeeb tub tau 36 lossis 37 lub lim tiam. Yog tias paub tseeb tias koj muaj cov kab mob no, koj yuav tau txais tshuaj tua kab mob thaum lub sijhawm yug menyuam kom tiv thaiv tus menyuam kom tsis txhob kis tau tus kab mob no.
• Yog koj haus luam yeeb, tsum.
• Pw tsaug zog zoo.
• Nyob deb ntawm cov neeg muaj mob.
• Ntxuav koj txhais tes kom huv si nrog xab npum.
• Npog koj lub qhov ntswg thiab qhov ncauj nrog daim phuam so tes lossis daim ntaub so ntswg thaum txham lossis hnoos.

Cov cwj pwm no tuaj yeem tiv thaiv koj tsis yog los ntawm cov kab mob meningitis xwb, tab sis kuj tseem muaj ntau yam kab mob sib kis.

Yog tias kuv muaj tus kab mob meningitis uas ua rau mob bacterial meningitis, yuav ua li cas? Puas muaj kev cia siab?

Kab mob ua rau daim tawv nqaij mob yog ib yam mob hnyav heev. Muaj li ntawm 10% txog 15% ntawm cov neeg uas muaj tus kab mob no tuag. Qhov ntawd yog qhov tu siab heev. Tab sis yog tias kuaj pom tus kab mob thaum ntxov thiab kho nrog tshuaj tua kab mob sai sai, ces yuav muaj feem rov zoo dua.

Kuv yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) thaum twg?

Kab mob ua rau daim tawv nqaij tsis zoo li qub. Txawm li cas los xij, nws yog ib qho xwm txheej ceev kho mob. Nws tuaj yeem mob hnyav dua sai heev. Yog tias koj muaj ib qho ntawm cov tsos mob ntawm tus kab mob no, nrhiav kev pab kho mob tam sim ntawd. Tsis txhob ncua sijhawm.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Yog tias koj lossis ib tus neeg koj paub muaj tus mob no, nws yog ib lub tswv yim zoo los nug koj tus kws kho mob cov lus nug no:

• Kuv tau mob meningitis los ntawm cov kab mob bacterial li cas?
• Kuv xav tau kev kho mob hom twg?
• Kuv yuav tsum rov qab los thaum twg rau kev kuaj mob tom qab?
• Kuv yuav tsum ua li cas thiaj li tiv thaiv kuv tus kheej kom tsis txhob rov qab kis tus kab mob meningitis dua?
• Kuv puas yuav muaj teeb meem mus sij hawm ntev los ntawm kab mob meningitis?
• Kuv puas kis tau tus kab mob no rau lwm tus?

Cov yam tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov los ntawm qhov no (Cov Lus Coj Mus Tsev)

Zoo, yog li cia peb rov qab qhia koj txog qee yam tseem ceeb tshaj plaws uas peb tau tham txog:

Kab mob Bacterial Meningitis yog ib yam kab mob txaus ntshai heev thiab muaj peev xwm ua rau tuag taus.

Yog koj muaj cov tsos mob (tshwj xeeb tshaj yog kub taub hau, mob taub hau, caj dab txhav ), nrhiav kev kho mob tam sim ntawd.

Yog tias kuaj pom tus kab mob thaum ntxov thiab siv tshuaj tua kab mob, ces yuav zoo tag nrho. Txawm li cas los xij, yog tias nws qeeb, tej zaum yuav muaj teeb meem mus sij hawm ntev thiab txawm tias tuag tau.

Muaj cov tshuaj tiv thaiv kab mob no. Tham nrog koj tus kws kho mob txog qhov no thiab nrhiav seb puas muaj teeb meem no.

Ua raws li cov cwj pwm noj qab haus huv zoo, xws li ntxuav tes ntau zaus thiab nyob deb ntawm cov neeg mob, kuj tuaj yeem pab tiv thaiv qhov no.

Vam tias cov ntaub ntawv no yuav pab tau koj. Kev paub txog tej yam no yuav pab tau koj thiab koj cov neeg koj hlub. Nyob kom noj qab nyob zoo! Kab mob meningitis, meningitis, cov tsos mob ntawm meningitis, kev kho mob meningitis, tshuaj tiv thaiv meningitis, cov kab mob sib kis, kev kis kab mob hauv lub hlwb