Yog koj yog tus tswv miv, koj puas muaj cov tsos mob no? Cia peb kawm txog Kab Mob Khawb Miv (CSD)!

Peb txhua tus nyiam miv thiab miv me, puas yog? Peb nyiam saib lawv qhov ntxim hlub thiab ua si. Txawm hais tias kev ua si nrog lawv thiab kov lawv feem ntau ua rau peb zoo siab, qee zaum cov tsiaj no tuaj yeem kis tau qee yam kab mob rau peb yam tsis paub. Hnub no, peb yuav tham txog ib yam kab mob uas tuaj yeem kis tau los ntawm miv, tab sis tsis tshua paub zoo. Qhov no hu ua "Miv khawb kab mob".

Kab mob khawb miv (CSD) yog dab tsi? Hais yooj yim xwb...

Hais yooj yim xwb, Kab mob khawb miv (CSD) yog ib qho kab mob uas tshwm sim los ntawm cov kab mob hu ua '(Bartonella henselae)'. Koj tuaj yeem kis tau nws yog tias miv khawb koj, tom koj, lossis liab qhov txhab ntawm koj lub cev. Cov tsos mob tseem ceeb ntawm tus kab mob no yog cov qog o (kuj tseem hu ua '(lymph nodes)' los ntawm cov kws kho mob), cov pob me me ntawm daim tawv nqaij ('(papules)'), thiab kub taub hau.

Qhov no puas yog ib txwm muaj? Puas yog qhov teeb meem loj heev?

Qhov tseeb, tus kab mob no hu ua '(CSD)' tsis yog ib yam uas neeg feem ntau pom. Piv txwv li, hauv lub tebchaws zoo li Asmeskas, tsuas muaj li ntawm 12,000 tus neeg tau tus kab mob no txhua xyoo. Qhov ntawd txhais tau tias nws yuav tsawg dua hauv Sri Lanka.

Qhov zoo tshaj plaws yog tias feem ntau tus kab mob no tsis loj heev thiab zoo dua yam tsis muaj kev kho mob tshwj xeeb. Txawm li cas los xij, tsis tshua muaj, uas yog, tsuas yog muaj ob peb tus neeg xwb, kwv yees li 500 tus neeg hauv ib xyoos, muaj teeb meem thiab yuav tsum tau mus pw hauv tsev kho mob. Yog li, tsis muaj dab tsi yuav tsum ntshai, tab sis nws yog ib qho tseem ceeb heev uas yuav tsum paub.

Leej twg muaj feem yuav mob no ntau dua?

Txhua tus neeg uas nrog miv sib cuag tuaj yeem mob "(CSD)" no. Txawm li cas los xij, kev tshawb fawb pom tias tus kab mob no feem ntau tshwm sim rau cov menyuam yaus hnub nyoog qis dua 15 xyoos. Qhov no yog vim tias cov menyuam yaus yuav raug miv khawb thiab tom ntau dua thaum lawv ua si nrog lawv, kov lawv, thiab qee zaum txawm tias raug miv khawb thiab tom.

Ib qho tseem ceeb ntxiv yog tias yog koj kis tus kab mob '(HIV)' lossis yog tias koj lub cev tiv thaiv kab mob tsis muaj zog vim lwm yam, koj muaj feem yuav muaj teeb meem loj dua los ntawm tus kab mob no. Yog li ntawd, cov neeg zoo li no yuav tsum ceev faj me ntsis thaum nrog lawv cov miv.

Cov tsos mob ntawm tus kab mob khawb miv (CSD) yog dab tsi?

Cov tsos mob no feem ntau pib tshwm sim ntawm 3 thiab 10 hnub tom qab tus miv raug tom lossis raug mob. Cia peb saib seb cov tsos mob no yog dab tsi:

• Tej pob me me los yog cov pob liab me me (papules) yuav tshwm sim rau ntawm daim tawv nqaij, los yog lawv yuav zoo li pob khaus: Cov no feem ntau pom nyob ze ntawm qhov chaw uas tus miv khawb. Qee zaum lawv yuav liab thiab tsa me ntsis.
• Lymphadenopathy (o thiab mob):Qhov no yog ib qho ntawm cov tsos mob tseem ceeb ntawm tus kab mob no. Cov pob khaus uas nyob ze tshaj plaws rau qhov khawb (piv txwv li, cov pob khaus ntawm qhov chaw khaus yog tias nws yog qhov khawb ntawm tes) yuav o thiab mob thaum kov.
• Kub taub hau: Tej zaum koj yuav kub me ntsis.
• Mob lub cev: Tej zaum yuav mob rau cov leeg, pob txha, thiab pob qij txha.
• Tsis xav noj mov los yog poob phaus: Kev xav tsis xav noj mov, uas tuaj yeem ua rau poob phaus.
• Kev qaug zog ntawm lub cev: Tej zaum koj yuav xav tias koj nkees thiab tsis muaj sia nyob.

Xav txog seb, ob peb hnub tom qab koj tus me nyuam ua si nrog ib tug miv me, ib lub pob me me tshwm sim rau ntawm qhov chaw khawb ntawm lawv txhais tes, ib lub pob hauv lawv lub qhov tso quav o, thiab lawv kuj muaj kub taub hau me ntsis. Thaum lub sijhawm zoo li no, koj yuav tsum xav txog qhov no `(CSD)`.

Ua li cas qhov no thiaj ua rau? Nws kis tau li cas?

Raws li peb tau hais ua ntej lawm, tus ua rau muaj tus kab mob no `(CSD)` yog ib hom kab mob hu ua `(Bartonella henselae).` Tam sim no cia peb saib seb tus kab mob no kis mus rau miv li cas thiab los ntawm miv mus rau peb li cas.

Cov kab mob no kis tau rau miv los ntawm cov kab mob me me. Qhov zoo kawg nkaus yog tias miv (tshwj xeeb tshaj yog cov menyuam miv) tuaj yeem nqa cov kab mob no tau ntau lub hlis yam tsis muaj tsos mob. Qhov no txhais tau tias koj tus miv tuaj yeem muaj cov kab mob no ntawm lawv lub cev txawm tias lawv zoo li noj qab nyob zoo.

Tom qab ntawd, cov kab mob kis mus rau peb los ntawm tus miv cov qaub ncaug . Qhov no txhais tau tias yog tias tus miv khawb koj, tom koj, lossis nws cov qaub ncaug rau ntawm qhov txhab ntawm koj lub cev, koj tuaj yeem kis tau tus kab mob.

Muaj ib txhia neeg xav tias yog tom ncaj qha los ntawm tus kab mob no ces yuav ua rau muaj tus kab mob no, tiam sis qhov no tseem tsis tau muaj pov thawj tseeb.

Tus kws kho mob paub qhov no li cas?

Yog koj muaj cov tsos mob ntawm '(CSD)', tus kws kho mob feem ntau yuav ua cov hauv qab no:

• Kev kuaj lub cev:
• Koj qhov khawb lossis qhov txhab (yog tias muaj) yuav raug kuaj xyuas.
• Xyuas daim tawv nqaij seb puas muaj pob khaus los yog pob me me.
• Lawv yuav kov koj lub txiv mis thiab xyuas seb lawv puas o lossis mob.
• Feem ntau, tsuas yog kuaj lub cev no xwb thiaj paub tias muaj tus kab mob no.
• Qee zaum, tus kws kho mob kuj tseem yuav:
• Yuav muab cov ntshav coj mus kuaj seb puas muaj cov kab mob (B. henselae).
• Tsis tshua muaj, yuav muab cov kua dej ntawm lub hlwv o thiab kuaj seb puas muaj cov kab mob no.

Yuav kho li cas?

Feem ntau, CSD yuav zoo li qub yam tsis tas yuav kho tshwj xeeb . Yog li ntawd, cov kws kho mob feem ntau tsuas yog pab txo cov tsos mob xwb.

Txawm li cas los xij, yog tias koj lub cev tiv thaiv kab mob tsis muaj zog, lossis yog tias koj cov tsos mob tsis zoo dua tom qab li ob lub hlis, kws kho mob yuav muab tshuaj tua kab mob rau koj xws li azithromycin. Qhov no yuav sim tua cov kab mob.

Yuav ua li cas thiaj tswj tau cov tsos mob hauv tsev?

Muaj qee yam yooj yim uas koj ua tau hauv tsev los pab tswj cov tsos mob:

• Noj tshuaj tua kab mob: Yog tias kub taub hau thiab mob lub cev, siv cov tshuaj tua kab mob uas yuav tsis tas yuav muaj daim ntawv yuav tshuaj xws li ibuprofen (piv txwv li, Advil®) lossis naproxen (piv txwv li, Aleve®). Txawm li cas los xij, nws yog qhov zoo tshaj plaws los sab laj nrog kws kho mob.
• Siv ib daim ntaub sov so rau ntawm cov qhov txhab uas mob: Muab ib daim ntaub huv ntub rau hauv dej kub, muab nws zawm tawm, thiab muab tso rau saum cov qhov txhab uas mob. Qhov no yuav pab txo qhov mob.

Yog tias koj lub cyst o thiab ua rau mob heev, koj tuaj yeem tham nrog kws kho mob thiab nug seb lawv puas tuaj yeem ntws qee cov kua dej tawm.

Yuav ua li cas thiaj tiv thaiv koj tus kheej ntawm qhov no? Cov kev tiv thaiv

Muaj ob peb yam yooj yim uas koj ua tau los tiv thaiv koj tus kheej ntawm tus kab mob no (CSD) thaum nyob nrog miv:

• Sim tsis txhob kom miv khawb lossis tom: Ceev faj thaum ua si nrog miv thiab kov lawv. Tsis txhob ua si rau txoj kev uas yuav ua rau lawv ntshai lossis chim siab.
• Ntxuav koj txhais tes kom huv si nrog xab npum tom qab ua si nrog, tuav, lossis kov tus miv.
• Sim ua kom koj tus miv nyob hauv tsev: Cov miv uas mus sab nraud nyuaj dua los tiv thaiv cov ntshauv. Lawv yuav muaj feem ntau dua los tiv thaiv cov ntshauv thaum lawv nyob hauv tsev.
• Tsis txhob kov lossis khaws cov miv thiab cov menyuam miv uas ploj ntawm txoj kev. Peb tsis paub tias lawv muaj hom kab mob dab tsi.
• Tsis txhob cia koj tus miv liab koj cov khawb thiab cov qhov txhab.
• Nug koj tus kws kho tsiaj seb yuav ua li cas thiaj tiv thaiv tau koj tus miv ntawm cov ntshauv. Muaj cov tshuaj thiab cov hau kev uas ua haujlwm rau qhov no.
• Yog tias koj lub cev tiv thaiv kab mob tsis muaj zog, nws yog qhov zoo tshaj plaws los txais yuav ib tug miv uas muaj hnub nyoog tshaj ib xyoos es tsis txhob yog ib tug menyuam miv , vim tias cov menyuam miv feem ntau yuav muaj cov kab mob no.

Yav tom ntej ntawm tus kab mob no yuav zoo li cas?

Feem ntau, CSD yog ib yam kab mob uas nws tus kheej tswj tau . Qhov ntawd yog, nws zoo dua nws tus kheej yam tsis muaj teeb meem lossis cov teebmeem mus sij hawm ntev. Txawm li cas los xij, rau cov neeg tsawg heev, tus kab mob no tuaj yeem kis mus rau lwm lub cev thiab ua rau muaj mob hnyav dua.

Qhov no yuav kav ntev npaum li cas?

Cov tsos mob tseem ceeb ntawm CSD yog cov pos hniav o, uas tuaj yeem kav ntev li ob mus rau yim lub lis piam . Tab sis feem ntau nws yuav zoo dua nws tus kheej.

Tej yam teeb meem loj uas yuav tshwm sim yog dab tsi?

Txawm hais tias cov no tsis tshua muaj los xij, lawv tseem ceeb heev uas yuav tsum paub txog. Yog tias CSD kis mus rau lwm qhov chaw hauv lub cev, cov teeb meem hauv qab no tuaj yeem tshwm sim:

• Kab mob Endocarditis: Qhov no yog kev o ntawm daim tawv nqaij sab hauv ntawm lub plawv. Qhov no tuaj yeem ua rau muaj cov tsos mob xws li mob nqaij thiab mob pob qij txha, mob hauv siab, thiab hws hmo ntuj.Qhov no yog qhov xwm txheej uas yuav ua rau muaj kev phom sij rau lub neej.
• Hepatosplenomegaly: Qhov no yog thaum koj lub siab thiab tus po loj hlob tuaj. Qhov no tuaj yeem ua rau mob plab, xeev siab, thiab ntuav.
• Parinaud's oculoglandular syndrome: Hauv qhov mob no, lub conjunctiva yuav liab thiab o, thiab cov qog ze ntawm pob ntseg kuj yuav o.
• Neuroretinitis: Mob qhov muag thiab cov hlab ntsha optic. Qhov no tuaj yeem ua rau pom tsis meej.
• Kab mob hlwb: Teeb meem nrog kev ua haujlwm ntawm lub hlwb. Qhov no tuaj yeem ua rau tsis meej pem, mob taub hau hnyav, thiab qee zaum qaug dab peg.

Kuv tsis tau hais txog cov teeb meem no kom koj ntshai, tab sis nws zoo kom nkag siab me ntsis txog tej yam zoo li no.

Kuv yuav saib xyuas kuv tus kheej li cas?

Yog tias miv khawb lossis tom koj, thawj qhov uas yuav tsum ua yog ntxuav qhov txhab kom huv si . Ntxuav nws nrog xab npum thiab dej. Tom qab ntawd ua tib zoo saib xyuas qhov txhab. Nrhiav cov cim qhia tias muaj kev kis kab mob (liab, o, kua paug) lossis cov cim ntawm "CSD" (tawv nqaij o, kub taub hau). Yog tias koj pom ib qho ntawm cov no, mus ntsib kws kho mob tam sim ntawd.

Thaum twg tus miv yuav tsum mus ntsib kws kho mob?

Yog koj pom ib qho ntawm cov no, nws yog ib lub tswv yim zoo kom mus ntsib kws kho mob tom qab tus miv ntuav lawm:

• Yog qhov khawb tsis zoo, lossis yog qhov liab nyob ib puag ncig nws tseem nyob ntev tshaj ob hnub.
• Yog koj kub taub hau tau ob peb hnub.
• Yog tias lub cev kub hnyiab heev.
• Yog tias koj muaj mob hauv koj cov leeg, pob txha, lossis pob qij txha.

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

Yog tias koj qhov txhab tsis zoo thiab koj qhia tias tus kab mob tau kis mus rau lwm qhov ntawm koj lub cev, koj yuav tsum mus rau chav kho mob ceev tam sim ntawd. Cov tsos mob no suav nrog:

• Kub taub hau heev.
• Kev tsis meej pem ntawm lub siab.
• Mob taub hau hnyav heev.
• Qaug dab peg.
• Mob hauv siab los yog ua pa nyuaj.
• Mob plab nrog rau xeev siab los yog ntuav.

Koj yuav tsum nug tus kws kho mob li cas?

Thaum koj mus ntsib kws kho mob, nws yuav pab tau koj nug cov lus nug zoo li no:

• Puas zoo rau kuv noj tshuaj tua kab mob?
• Kuv yuav tsum saib xyuas cov tsos mob dab tsi ntxiv?
• Kuv yuav tsum rov qab los ntsib koj dua thaum twg?
• Thaum muaj xwm txheej dab tsi kuv yuav tsum hu rau koj lossis mus rau chav kho mob ceev?

Cov miv uas nyob hauv tsev puas tuaj yeem kis tau tus kab mob no thiab?

Miv muaj tus kab mob "(B. henselae)" los ntawm cov ntshauv, yog li ntawd tus miv uas tsis tau mus sab nraud thiab nyob hauv tsev yuav tsis muaj tus kab mob no. Txawm li cas los xij, yog tias koj tus miv tau muaj ntshauv ua ntej, lossis yog tias koj muaj miv tshiab (tshwj xeeb tshaj yog menyuam miv), nws kuj tseem yuav muaj tus kab mob "(B. henselae)" no. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tiv thaiv txawm tias cov miv hauv tsev los ntawm ntshauv.

Puas yog miv yuav tsum tau txhaj tshuaj tiv thaiv kab mob tetanus?

Feem ntau tus miv tsis tas yuav txhaj tshuaj tiv thaiv kab mob tetanus. Txawm li cas los xij, nws yog ib qho tseem ceeb heev uas yuav tsum tau txhaj tshuaj thawj zaug thiab txhaj tshuaj ntxiv rau lub sijhawm tsim nyog los tiv thaiv kab mob tetanus, vim tias kab mob tetanus yuav kis tau los ntawm lwm txoj kev dua li kev khawb miv.

Cov lus tseem ceeb tshaj plaws rau koj yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Yog li ntawd, "Miv khawb mob" lossis '(CSD)' yog ib yam kab mob tiag tiag. Tab sis, cov neeg nyiam miv, tsis muaj dab tsi yuav tsum ntshai. Muaj cov txoj hauv kev yooj yim los tiv thaiv koj tus kheej thiab koj tus miv hlub ntawm cov kab mob zoo li no. Kev nyob huv si, ceev faj thaum nrog miv, thiab tiv thaiv koj tus miv ntawm cov ntshauv yog cov yam tseem ceeb tshaj plaws.

Yog koj xav tias koj muaj cov tsos mob ntawm '(CSD)', nco ntsoov mus ntsib kws kho mob. Nws yuav muab cov lus qhia tsim nyog rau koj thiab saib xyuas koj kom paub txog tej yam teeb meem.

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