Koj tus me nyuam puas feem ntau mob khaub thuas thiab hnoos? Peb txhua tus paub tias cov no yog ib yam dab tsi uas cov menyuam yaus ib txwm muaj. Tab sis qee zaum, tom qab tus kab mob uas tshwm sim ntau heev, tej zaum yuav muaj tus kab mob uas peb yuav tsum txhawj xeeb me ntsis. Enterovirus D68 (EV-D68) yog ib tus kab mob zoo li no. Tsis txhob txhawj, qhov no feem ntau tsis loj heev. Tab sis nws yog ib qho tseem ceeb heev rau koj thiab koj tsev neeg kom paub txog qhov no.
Hais yooj yim xwb, Enterovirus D68 (EV-D68) yog dab tsi?
Qhov no yog ib tug kab mob. Yog hais kom meej, nws kis rau peb lub cev ua pa, uas yog, lub cev uas koom nrog kev ua pa. Feem ntau nws cuam tshuam rau cov menyuam yaus thiab cov hluas. Txawm li cas los xij, nws kuj tuaj yeem cuam tshuam rau cov neeg laus.
Feem ntau, thaum tus kab mob no kis tau, nws ua rau muaj cov tsos mob zoo li mob khaub thuas. Qhov ntawd txhais tau tias kub taub hau, hnoos, thiab ntswg ntws. Yog li peb yuav tsis saib nws ua qhov tseem ceeb.
Txawm li cas los xij, rau qee tus neeg, tshwj xeeb tshaj yog cov menyuam yaus, nws tuaj yeem ua rau ua pa nyuaj heev. Qhov tsawg dua, tus kab mob tuaj yeem ua rau muaj mob hlwb hu ua mob acute flaccid myelitis (AFM) . Qhov no yog qhov tsis muaj zog sai sai ntawm lub cev cov leeg, ua rau tuag tes tuag taw. Txawm hais tias qhov mob hnyav no tsis tshua muaj, nws yog ib qho tseem ceeb uas yuav tsum paub txog nws.
Cov tsos mob no yog dab tsi? Peb yuav ua li cas thiaj saib xyuas tau lawv?
Cia peb saib cov tsos mob ntawm tus kab mob no. Nws yooj yim dua rau kev nkag siab yog tias koj muab nws faib ua ob ntu. Ib qho yog cov tsos mob yooj yim uas feem ntau pom, thiab qhov thib ob yog cov tsos mob hnyav uas peb yuav tsum txhawj xeeb txog.
| Hom tsos mob | Kev piav qhia |
|---|---|
| Cov tsos mob yooj yim uas pom ntau zaus | |
| Cov yam ntxwv ntawm lub cev ua pa | Qhov ntswg txhaws los yog ntswg ntws, hnoos, mob caj pas, ua pa nrov nrov, ua pa nyuaj. |
| Lwm yam ntxwv zoo sib xws | Kub taub hau, mob lub cev lossis mob nqaij, thiab qee tus neeg kuj yuav raws plab. |
| Cov tsos mob hnyav uas yuav tsum tau kev kho mob tam sim ntawd (cuam tshuam nrog tus mob AFM) | |
| Cov leeg tsis muaj zog | Cov leeg nqaij ntawm ib sab caj npab, ceg, lossis lub ntsej muag tsis muaj zog tam sim ntawd. |
| Nyuaj hais lus thiab nqos | Cov lus tsis meej thaum hais lus, nyuaj nqos (dysphagia). |
| Kev hloov pauv ntawm lub ntsej muag | Qhov muag poob qis, qhov muag txav tsis tau yooj yim, lub ntsej muag tuag tes tuag taw. |
| Mob | Mob nraub qaum, caj dab, caj npab, lossis ceg. |
Qhov tseem ceeb yog tias cov tsos mob hnyav no feem ntau pib ob peb hnub mus rau ob lub lis piam tom qab pib muaj cov tsos mob zoo li mob khaub thuas. Yog li ntawd, yog tias ib tug me nyuam mob khaub thuas thiab pom tias nws txhais ceg tsis muaj zog hauv ob peb hnub, tsis txhob tsis quav ntsej nws.
Tus kab mob no kis tau ntawm ib tus neeg mus rau lwm tus li cas?
Yog, qhov no yog ib yam kab mob sib kis tau yooj yim. Qhov no txhais tau tias nws tuaj yeem kis tau yooj yim ntawm ib tus neeg mus rau lwm tus. Muaj ntau txoj hauv kev tseem ceeb uas nws tuaj yeem kis tau:
- Los ntawm kev txham lossis hnoos: Los ntawm cov tee dej ntawm cov qaub ncaug uas nkag mus rau hauv huab cua thaum tus neeg mob hnoos lossis txham.
- Los ntawm kev kov cov chaw muaj kab mob: Kov cov khoom xws li cov khoom ua si, lub qhov rooj, rooj, thiab lwm yam uas tau muaj kab mob thiab tom qab ntawd kov koj lub qhov ntswg, qhov ncauj, lossis qhov muag nrog tib txhais tes.
- Los ntawm kev sib koom siv cov khoom siv: Los ntawm kev siv tib lub khob, phaj, diav, thiab lwm yam.
- Los ntawm kev kov cov quav uas muaj kab mob: Qhov no yuav zoo li tsis zoo me ntsis, tab sis nws yog qhov tseeb. Piv txwv li, tsis ntxuav koj txhais tes kom huv si nrog xab npum tom qab hloov daim ntaub qhwv menyuam yaus lossis siv chav dej tuaj yeem kis tus kab mob.
Qhov no ua rau muaj teeb meem dab tsi ntxiv?
Ntxiv rau qhov mob AFM uas peb tau tham ua ntej lawm, tus kab mob EV-D68 tuaj yeem ua rau muaj ntau yam teeb meem ntxiv.
- Mob ntsws (pneumonia): Qhov no txhais tau tias cov ntsws muaj kab mob thiab puv nrog kua dej.
- Kab mob hlwb (Encephalitis): Kev kis kab mob thiab o ntawm lub hlwb.
- Meningitis: Kev kis kab mob thiab o ntawm cov ntaub so ntswg uas npog lub hlwb thiab tus txha caj qaum.
Cov neeg uas muaj mob hawb pob lossis lub cev tiv thaiv kab mob tsis muaj zog yuav muaj feem ntau dua los ua teeb meem ua pa hnyav yog tias lawv kis tus kab mob no. Tsis tas li ntawd, cov menyuam yaus hnub nyoog qis dua 7 xyoo muaj feem ntau dua los ua tus kab mob ntawm lub paj hlwb hu ua AFM.
Yuav kho nws li cas? Kuv ua tau dab tsi hauv tsev?
Tseem tsis tau muaj kev kho mob tshwj xeeb los tua tus kab mob EV-D68. Kev kho mob yog raws li cov tsos mob.
Tej yam koj ua tau hauv tsev
Yog koj muaj cov tsos mob ib txwm muaj, tsis hnyav heev, feem ntau lawv yuav zoo dua li ntawm ib lossis ob lub lis piam. Thaum lub sijhawm ntawd, koj tuaj yeem ua cov hauv qab no:
- Haus dej thiab kua dej ntau ntau. So kom txaus.
- Yog tias koj lub qhov ntswg txhaws, da dej kub lossis nyob hauv chav dej uas muaj pa dej kub ib pliag tuaj yeem ua rau cov hnoos qeev tawm thiab pab kom zoo.
- Koj noj tau tshuaj tua mob rau qhov kub taub hau thiab mob lub cev. Txawm li cas los xij, ua ntej muab tshuaj rau koj tus menyuam, koj yuav tsum nug koj tus kws kho mob thiab tsuas yog muab cov tshuaj uas nws sau tseg xwb.
Kev kho mob hauv tsev kho mob
Yog tias cov tsos mob hnyav heev, yuav tsum tau mus pw hauv tsev kho mob thiab kho mob. Tus kws kho mob yuav soj ntsuam tus neeg mob tus mob thiab muab cov kev kho mob hauv qab no:
- Txo qhov o nrog cov tshuaj xws li 'Corticosteroids' .
- Yog tias koj ua pa nyuaj heev, siv cov tshuaj bronchodilators (xws li nebulizers) kom ua pa tau yooj yim dua.
- Kev kho mob tiv thaiv kab mob xws li kev txhaj tshuaj immunoglobulin rau hauv cov hlab ntshav kom pab lub cev tawm tsam cov kab mob.
Thaum twg kuv yuav tsum mus rau tsev kho mob (ETU) tam sim ntawd?
Yog tias koj lossis koj tus menyuam muaj cov tsos mob no, mus rau Chav Kho Mob Ceev (ETU) ze tshaj plaws tam sim ntawd.
- Ua pa nyuaj heev.
- Tawv nqaij, daim di ncauj, lossis rau tes muaj xim xiav (cyanosis). Qhov no txhais tau tias lub cev tsis tau txais oxygen txaus.
- Tej yam tsos mob ntawm AFM, xws li hais lus tsis tau zoo, cov leeg tsis muaj zog, lossis tuag tes tuag taw.
- Tsis meej pem lossis tsis nco qab.
Kuv yuav tiv thaiv kuv tus kheej li cas ntawm tus kab mob no?
Ib yam li lwm yam kab mob sib kis, txoj hauv kev zoo tshaj plaws los tiv thaiv koj tus kheej ntawm qhov no yog kev xyaum tu cev thiab kev tu cev kom huv.
- Ntxuav koj txhais tes kom huv si nrog xab npum thiab dej tsis tu ncua. Nws yog ib qho tseem ceeb uas yuav tsum ntxuav koj txhais tes tsawg kawg yog 20 vib nas this. Qhov no tseem ceeb heev tom qab siv chav dej, hloov cov ntaub so ntswg rau menyuam yaus, thiab ua ntej noj mov lossis npaj zaub mov.
- Thaum hnoos los yog txham, hnoos rau sab hauv ntawm koj lub luj tshib los yog rau hauv daim ntaub so ntswg.
- Ntxuav cov chaw uas nquag kov (cov khoom ua si, lub qhov rooj, xov tooj) nrog tshuaj tua kab mob.
- Tsis txhob sib koom siv cov khoom siv noj mov, khob, diav, phuam da dej, lossis khaub ncaws nrog lwm tus.
- Yog koj tus menyuam mob, cia lawv nyob hauv tsev tsis txhob mus kawm ntawv. Thiab tsis txhob coj lawv mus rau qhov chaw uas muaj neeg coob coob.
Thaum kawg, thaum koj hnov lo lus Enterovirus D68, koj yuav ntshai thaum koj hnov txog tej yam zoo li kev tuag tes tuag taw. Qhov ntawd yog ib txwm muaj. Tab sis nco ntsoov, cov teeb meem loj no tsis tshua muaj. Feem ntau cov neeg muaj nws thiab nws ploj mus zoo li mob khaub thuas. Qhov tseem ceeb tshaj plaws yog kom paub txog cov tsos mob thiab nrhiav kev kho mob tam sim ntawd yog tias koj pom muaj cov cim qhia txaus ntshai.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Enterovirus D68 (EV-D68) yog ib hom kab mob uas feem ntau ua rau muaj cov tsos mob me me zoo li mob khaub thuas.
- Tab sis tsis tshua muaj, qhov no tuaj yeem ua rau muaj teeb meem ua pa hnyav lossis mob xws li amyloidosis (AFM).
- Yog tias koj ua pa nyuaj heev, tawv nqaij xiav, lossis cov leeg nqaij tsis muaj zog tam sim ntawd, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Txoj hauv kev zoo tshaj plaws los tiv thaiv koj tus kheej ntawm qhov no yog ua raws li kev coj ua kom huv si, suav nrog kev ntxuav koj txhais tes kom huv si.
- Yog koj muaj lus nug lossis kev tsis ntseeg txog qhov no, tsis txhob ntshai tham nrog koj tus kws kho mob.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus