Koj tus menyuam puas feem ntau mob caj pas lossis mob tonsillitis? Qee zaum peb xav tias nws tsuas yog mob khaub thuas xwb thiab tsis quav ntsej txog nws. Tab sis yog tias tom qab ob peb hnub koj tus menyuam pib hais tej yam xws li "Niam, kuv lub hauv caug mob," lossis "Kuv txhais ceg loog," tsis txhob tso tseg nws. Vim tias, nws yuav yog qhov pib ntawm tus mob hu ua rheumatic fever uas peb tab tom tham txog hnub no. Qhov no yog ib yam dab tsi uas yuav tsum tau ceev faj txog, yog li cia peb tham txog nws kom ntxaws ntxiv.
Hauv lwm lo lus, mob rheumatic fever yog dab tsi?
Kab mob Rheumatic fever yog ib yam kab mob autoimmune uas tsis tshua muaj neeg paub uas ua rau lub cev cov nqaij thiab cov kabmob o. Hauv cov lus yooj yim, nws ua haujlwm li no. Xav txog peb lub cev tiv thaiv kab mob zoo li ib pab tub rog tiv thaiv lub tebchaws. Txoj haujlwm ntawm pab tub rog no yog txheeb xyuas thiab tawm tsam cov neeg txawv teb chaws (cov kab mob, cov kab mob me me) thiab tiv thaiv peb ntawm kab mob.
Tam sim no, cia peb hais tias koj tus menyuam muaj mob caj pas lossis mob ntshav liab. Ob qho kev kis mob no yog tshwm sim los ntawm ib hom kab mob hu ua Group A Streptococcus. Yog tias peb tsis kho tus kab mob kom zoo nrog cov tshuaj tua kab mob, peb lub cev cov tub rog yuav ntxhov siab me ntsis. Thaum lawv tab tom tawm tsam cov kab mob, lawv ua yuam kev me ntsis. Lawv pom peb cov nqaij noj qab haus huv thiab xav tias, "Auj, ntawm no yog tus yeeb ncuab," thiab lawv pib tawm tsam nws thiab. Nws zoo li peb cov tub rog foob pob rau peb lub nroog.
Qhov kev tiv thaiv kab mob no ua rau mob pob qij txha, plawv, cov hlab ntsha, daim tawv nqaij, thiab lub hlwb ntawm tus menyuam. Qhov mob no hu ua mob rheumatic fever.
Qhov tseem ceeb yog tias tus mob rheumatic fever tsis yog kab mob caj pas. Nws yog ib qho teeb meem tsis tshua muaj tab sis loj heev ntawm kev kis kab mob caj pas uas tsis tau kho.
Cov tsos mob ntawm tus mob rheumatic fever hauv ib tug menyuam yog dab tsi?
Cov tsos mob ntawm tus mob rheumatic fever yuav txawv ntawm ib tug me nyuam mus rau lwm tus. Qee zaum tus me nyuam tus kab mob caj pas tsis hnyav heev uas koj yuav tsis pom nws. Cov tsos mob ntawm tus mob rheumatic fever feem ntau tshwm sim ob mus rau peb lub lis piam tom qab. Cov tsos mob no zoo ib yam li lwm yam kab mob uas feem ntau tshwm sim, yog li qee zaum peb yuav raug dag. Tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov no.
Cia peb saib seb cov tsos mob tseem ceeb yog dab tsi hauv lub rooj hauv qab no.
| Cov tsos mob | Kev piav qhia thiab cov khoom yuav tsum tau ceev faj |
|---|---|
| Mob pob qij txha thiab o (Arthritis) | Qhov no yog cov tsos mob feem ntau. Cov pob qij txha loj ntawm tus menyuam, xws li lub hauv caug, pob luj taws, lub luj tshib, thiab dab teg, yuav liab, o, thiab mob. Qhov mob feem ntau 'dhia' ntawm ib pob qij txha mus rau lwm qhov. Yog tias lub hauv caug mob hnub no, pob luj taws yuav mob tag kis. |
| Kab mob plawv | Qhov no yog cov tsos mob hnyav tshaj plaws ntawm tus mob rheumatic fever. Nws tuaj yeem ua rau mob hauv siab, ua tsis taus pa, thiab xav tias lub plawv dhia ceev. Qee zaum, thaum tus kws kho mob muab lub stethoscope tso rau ntawm tus menyuam lub hauv siab, nws yuav hnov lub suab txawv txawv (murmur). |
| Kev txav mus los tsis tswj tau (Chorea) | Qhov no yog ib qho tsos mob txawv txawv. Tus me nyuam txhais tes, ceg, thiab cov leeg nqaij ntawm lub ntsej muag co tsis tu ncua, zoo li lawv tab tom seev cev. Tus me nyuam ua tsis tau tej yam xws li sau ntawv, noj mov, lossis khawm lawv cov khaub ncaws. Qhov no yog vim muaj kev puas tsuaj rau lub hlwb. |
| Cov pob me me hauv qab daim tawv nqaij (Nodules) | Tej pob me me uas zoo li pob txha yuav tshwm sim hauv qab daim tawv nqaij ze ntawm cov pob qij txha xws li tus menyuam lub luj tshib, lub hauv caug, thiab dab teg. Feem ntau cov no yuav ploj mus li ob peb lub lis piam. |
| Mob pob liab ntawm daim tawv nqaij | Muaj ib txhia menyuam yaus muaj cov pob liab, puag ncig, thiab pom tseeb rau ntawm lawv lub cev, tshwj xeeb tshaj yog rau ntawm lawv lub hauv siab, lub plab, thiab nraub qaum. Feem ntau cov no tsis khaus. |
| Lwm yam ntxwv zoo sib xws | Ntxiv rau cov tsos mob tseem ceeb no, koj kuj tseem yuav muaj kub taub hau, qaug zog heev, mob lub cev, mob taub hau, thiab o, liab ntawm cov tonsils . |
Leej twg muaj feem yuav mob no tshaj?
Txawm hais tias leej twg los xij tuaj yeem mob rheumatic fever, qee tus neeg muaj kev pheej hmoo siab dua.
- Hnub nyoog: Tus kab mob no feem ntau cuam tshuam rau cov menyuam yaus thiab cov hluas hnub nyoog ntawm 5 thiab 15 xyoos. Nws tsis tshua muaj neeg mob rau cov neeg hnub nyoog qis dua 5 xyoos thiab hnub nyoog tshaj 15 xyoos.
- Nyob ib puag ncig: Qhov kev pheej hmoo siab dua nyob rau hauv cov chaw uas muaj neeg coob coob sib sau ua ke (piv txwv li, tsev kawm ntawv, chaw zov menyuam, tsev neeg coob coob) vim tias cov kab mob kis tau yooj yim.
- Keeb kwm tsev neeg: Yog tias ib tug neeg hauv tsev neeg tau muaj tus mob rheumatic fever, lwm tus kuj yuav muaj tus mob no thiab.
- Kab mob caj pas ntau zaus: Yog tias ib tug me nyuam muaj kab mob caj pas ntau zaus, qhov kev pheej hmoo ntawm kev mob rheumatic fever yuav nce ntxiv.
- Cov chaw kho mob: Cov menyuam yaus nyob hauv thaj chaw deb uas nyuaj rau mus cuag cov chaw kho mob muaj kev pheej hmoo ntau dua vim tias lawv yuav tsis tau txais kev kho mob raws sijhawm rau kev kis kab mob caj pas.
Puas muaj tseeb tias tus mob rheumatic fever cuam tshuam rau lub plawv?
Yog lawm, qhov no yog qhov txaus ntshai thiab txhawj xeeb tshaj plaws thaum peb tham txog tus kab mob rheumatic fever. Tus kab mob rheumatic fever tsis yog ib txwm cuam tshuam rau lub plawv. Tab sis thaum nws cuam tshuam, nws tuaj yeem ua rau cov nqaij ntawm lub plawv puas tsuaj, tshwj xeeb tshaj yog cov qhov ntawm lub plawv .
Xav txog cov qhov rooj ntawm lub plawv ua qhov rooj hauv peb lub siab. Lawv txoj haujlwm yog cia cov ntshav ntws mus rau ib qho kev taw qhia xwb thiab tiv thaiv kom nws tsis txhob ntws rov qab. Mob pob qij txha tuaj yeem ua rau cov nqaij caws pliav tsim rau ntawm cov qhov rooj no, ua rau lawv tsis kaw zoo lossis tsis qhib zoo. Qhov no tuaj yeem cuam tshuam rau kev ua haujlwm ntawm lub plawv.
Peb hu qhov mob no ua Kab Mob Plawv Rheumatic . Qhov txaus ntshai tshaj plaws yog tias cov tsos mob ntawm tus kab mob plawv no qee zaum tuaj yeem tshwm sim 10-20 xyoo tom qab pib mob rheumatic fever.
Yog vim li ntawd kev saib xyuas mob mus sij hawm ntev yog qhov tseem ceeb heev rau tus menyuam uas muaj tus mob rheumatic fever. Qhov no ua rau pom tau qhov puas tsuaj ntawm lub plawv thiab kho tau sai.
Tus kws kho mob kuaj mob li cas?
Yog koj tus menyuam mob caj pas ntau tshaj ob lossis peb hnub, nco ntsoov mus ntsib kws kho mob. Kev kho tus kab mob strep yog txoj hauv kev zoo tshaj plaws los tiv thaiv tus mob rheumatic fever.
Yog tias tus kws kho mob kuaj koj tus menyuam thiab xav tias muaj tus kab mob rheumatic fever, lawv yuav ua ntau yam kev kuaj mob, xws li:
1. Kev Soj Ntsuam Qhov Ncauj: Yuav muab ib qho qauv me me ntawm qhov ncauj los xyuas seb puas muaj cov kab mob 'Group A Streptococcus'. Qhov no ua tau los ntawm 'Kev Kuaj Mob Sai Sai' uas yuav muab cov txiaj ntsig hauv 10 feeb, lossis xa mus rau 'Kev Kuaj Mob Qhov Ncauj' uas yuav siv sijhawm ob peb hnub los kuaj.
2. Kev Kuaj Ntshav:Cov ntshav ntawm tus menyuam tuaj yeem kuaj xyuas seb puas muaj cov tshuaj tiv thaiv kab mob Strep. Lawv kuj tseem tuaj yeem kuaj xyuas cov qib ntawm cov khoom xws li CRP thiab ESR, uas qhia seb puas muaj kev o hauv lub cev.
3. Kev Kuaj Lub Plawv: Cov kev kuaj no tseem ceeb heev los txiav txim seb lub plawv puas tau raug cuam tshuam.
- EKG (Electrocardiogram): Ib qho kev kuaj uas saib xyuas kev ua haujlwm hluav taws xob ntawm lub plawv.
- Echocardiogram (Echo): Ib yam li kev luam theej duab, qhov no tuaj yeem pom tseeb tias lub plawv cov hlab ntsha thiab cov leeg ua haujlwm li cas.
Cov Qauv Jones
Cov kws kho mob siv cov txheej txheem tshwj xeeb hu ua "Jones criteria" los kuaj mob rheumatic fever. Qhov no zoo li lub tshuab ntsuas qhab nia. Yuav kom paub meej tias tus kab mob yog dab tsi, tus menyuam yuav tsum muaj tsawg kawg yog ob qho ntawm cov qauv tseem ceeb hauv qab no, lossis ib qho qauv tseem ceeb thiab ob qho qauv me, nrog rau pov thawj ntawm kev kis tus kab mob strep yav dhau los.
| Cov Qauv Tseem Ceeb | Cov Qauv Me Me |
|---|---|
| Kev o ntawm ntau cov pob qij txha (Arthritis) | Ua npaws |
| Kab mob plawv | Cov qib ESR lossis CRP siab hauv cov ntshav |
| Cov pob me me hauv qab daim tawv nqaij (Nodules) | Mob pob qij txha (Arthralgia) |
| Kev txav mus los tsis tswj tau (Chorea) | Kev hloov pauv hauv kev kuaj EKG |
| Erythema marginatum (mob tawv nqaij) | Tau muaj mob rheumatic fever los yog mob rheumatic heart disease ua ntej lawm |
Cov kev kho mob rau tus mob rheumatic fever yog dab tsi?
Muaj ntau lub hom phiaj tseem ceeb thaum kho tus mob rheumatic fever.
1. Tshem tawm cov kab mob bacterial: Kauj ruam thawj zaug yog tshem tawm cov kab mob Strep uas ua rau mob rheumatic fever tawm ntawm lub cev. Rau qhov no, tus kws kho mob yuav sau ntawv kom muab tshuaj tua kab mob . Qhov no yuav yog txhaj tshuaj ib zaug xwb lossis siv tshuaj tua kab mob 10 hnub. Qhov tseem ceeb tshaj plaws yog noj tshuaj kom tag nrho, txawm tias tus menyuam zoo dua los xij. Txwv tsis pub, tus kab mob yuav rov qab los.
2. Tswj kev o: Cov tshuaj tiv thaiv kev o yog muab rau kom txo qhov o thiab mob hauv lub cev. Cov no pab tau zoo heev rau kev mob pob qij txha. Yog tias cov tsos mob hnyav heev, tshwj xeeb tshaj yog tias lub plawv raug cuam tshuam, cov tshuaj muaj zog dua xws li 'Corticosteroids' kuj tseem yuav muab tau.
3. Tiv thaiv kom tsis txhob rov qab mob dua: Qhov no tseem ceeb heev. Yog tias ib tug me nyuam tau mob rheumatic fever ib zaug lawm, lawv yuav muaj feem ntau dua yuav mob rheumatic fever dua yog tias lawv tau mob strep dua. Yuav kom tiv thaiv qhov no, tus kws kho mob yuav muab tus me nyuam noj tshuaj tua kab mob mus sij hawm ntev . Qhov no yuav yog kev txhaj tshuaj penicillin txhua hli. Kev kho mob no yuav tsum tau ua mus ntxiv rau ntau xyoo, qee zaum kom txog thaum tus me nyuam loj hlob.
Peb yuav tiv thaiv peb cov menyuam li cas ntawm tus kab mob no?
Txoj kev zoo tshaj plaws thiab tib txoj kev los tiv thaiv kab mob rheumatic fever yog kuaj mob thiab kho mob caj pas thiab mob liab sai thiab kom raug.
- Tsis txhob tsis quav ntsej mob caj pas: Yog tias ib tug me nyuam mob caj pas ntev tshaj peb hnub, nyuaj nqos, o cov qog ntshav hauv caj dab, lossis kub taub hau, nco ntsoov mus ntsib kws kho mob.
- Muab cov tshuaj tua kab mob raws li tau qhia: Muab cov tshuaj raws li tus kws kho mob tau qhia kom tag nrho lub sijhawm. Tsis txhob tsum noj ib nrab hnub, thiab hais tias koj tus menyuam yuav zoo dua hauv ob hnub.
- Kev coj ua zoo rau kev tu cev:
- Qhia koj tus menyuam kom ntxuav lawv txhais tes kom huv si nrog xab npum tsis tu ncua.
- Qhia lawv kom npog lawv lub qhov ncauj thiab lub qhov ntswg nrog daim ntaub so ntswg lossis lawv lub luj tshib thaum hnoos lossis txham.
- Xyuas kom tseeb tias lwm tus neeg tsis siv koj tus menyuam cov tais, khob, thiab diav.
Thaum koj saib xyuas tej no, koj ua tau ntau yam los tiv thaiv koj tus menyuam ntawm tus mob hnyav xws li mob rheumatic fever.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Yog koj tus menyuam mob caj pas ntev tshaj ob lossis peb hnub, nrog rau cov tsos mob xws li kub taub hau, tsis xav noj mov, lossis muaj pob hauv caj dab, nco ntsoov mus ntsib kws kho mob.
- Kab mob ua pob qij txha (rheumatic fever) tshwm sim los ntawm kev kis tus kab mob Strep uas tsis tau kho.
- Tus kab mob no tuaj yeem ua rau lub plawv, pob qij txha, thiab lub paj hlwb puas tsuaj mus sij hawm ntev rau tus menyuam, yog li kev kuaj mob thiab kho mob thaum ntxov yog qhov tseem ceeb heev.
- Muab cov tshuaj tua kab mob uas tus kws kho mob tau sau rau koj tus menyuam kom tag nrho lub sijhawm. Tsis txhob tsum noj txawm tias cov tsos mob ploj mus lawm los xij.
- Ib tug me nyuam uas tau mob rheumatic fever yuav tsum tau noj tshuaj tua kab mob ntev heev kom tiv thaiv nws kom tsis txhob rov qab los. Ua raws li koj tus kws kho mob cov lus qhia kom zoo.
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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