Tsis ntev los no, peb tau hnov ntau yam txog ntau yam kab mob ntsig txog kub taub hau, puas yog? Nrog rau kev txhawj xeeb xws li dengue lossis mob khaub thuas, lwm lo lus tau tshwm sim ntau dua: "Scrub Typhus." Nws yog qhov nkag siab tias koj txhawj xeeb, tab sis cia peb piav qhia ua ke. Nws yog dab tsi tiag tiag? Puas yog nws txaus ntshai? Koj yuav tiv thaiv koj tus kheej li cas? Cia peb tham txog nws yooj yim, zoo li peb tab tom tham nrog ib tug phooj ywg.
Hauv cov lus yooj yim: Scrub Typhus yog dab tsi?
Txawm hais tias nws lub npe hu ua Scrub Typhus, qhov tseeb tsis yog kis los ntawm cov kab. Nws yog tshwm sim los ntawm kev tom ntawm tus kab mob larval mite, feem ntau hu ua '(chigger)'. Cov kab no me me heev lawv yuav luag tsis pom rau lub qhov muag liab qab. Tus kab mob nws tus kheej yog tshwm sim los ntawm cov kab mob hu ua 'Orientia tsutsugamushi' .
Xav txog nws li no: cov kab me me no khaws cov kab mob los ntawm cov nas xws li nas tsuag thiab nas tsuag. Yog tias tus kab mob tom koj, cov kab mob nkag mus rau hauv koj lub cev. Cov kab no me heev thiab feem ntau yog xim liab, daj, lossis txiv kab ntxwv.
Kab mob no nyob qhov twg?
Kab mob no feem ntau pom muaj nyob rau hauv cov cheeb tsam thoob plaws Asia, tshwj xeeb tshaj yog nyob rau hauv cov cheeb tsam nyob deb nroog lossis hav zoov.
- Cov teb chaws Es Xias Qab Teb
- Is Nrias teb
- Indonesia
- Tuam Tshoj
- Nyiv
- Sab Qaum Teb Australia
Cov kab no vam meej nyob rau hauv cov nyom, cov nroj tsuag, cov av noo, thiab cov chaw ntxoov ntxoo . Qhov no txhais tau tias koj yuav ntsib lawv nyob rau hauv cov chaw tsis tau saib xyuas ntawm koj lub vaj, ntug hav zoov, cov nplooj lwj, lossis cov ntoo me me. Cov kab no feem ntau tshwm sim ntau tshaj plaws thaum lub caij nplooj ntoo hlav thiab lub caij ntuj sov kawg.
Cov tsos mob ntawm tus kab mob Scrub Typhus yog dab tsi?
Tej zaum koj yuav tsis hnov qhov chigger tom; feem ntau nws tsis mob. Txawm li cas los xij, tom qab ob peb teev, thaj chaw ntawd yuav pib khaus, thiab koj yuav pom ib lub pob liab me me.
Tom qab cov kab mob nkag mus rau hauv koj lub cev, muaj lub sijhawm incubation li ntawm 6-10 hnub uas koj yuav xav tias zoo. Cov tsos mob feem ntau tshwm sim sai li ntawm 10-12 hnub tom qab kis tau tus kab mob. Kev paub txog cov cim no yog qhov tseem ceeb heev.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Ua npaws | Kub taub hau sai sai nrog rau mob khaub thuas thiab tshee hnyo. |
| Eschar | Qhov no yog ib qho cim qhia txog tus kab mob. Ib daim tawv nqaij me me, dub, zoo li pob khaus tshwm sim ntawm qhov chaw uas tus chigger tom koj. |
| Mob pob khaus | Koj yuav muaj pob liab ntawm koj lub cev. |
| Mob lub cev | Mob taub hau hnyav, mob lub cev, thiab mob nqaij. |
| Lwm Cov tsos mob | Kev tsis meej pem, cov qog ntshav o, qhov muag liab, ntuav, raws plab, thiab mob ntsws. |
Qhov Tseem Ceeb Tshaj Plaws: Yog tias cov tsos mob no tsis kho, tus kab mob tuaj yeem hloov mus rau qhov teeb meem loj heev, suav nrog kev tsis nco qab lossis lub cev tsis ua haujlwm.
Tus kws kho mob kuaj mob Scrub Typhus li cas?
Yog tias koj muaj cov tsos mob no, tshwj xeeb tshaj yog tias koj nyuam qhuav mus rau hauv hav zoov lossis thaj chaw muaj nyom, mus ntsib koj tus kws kho mob tam sim ntawd .
Koj tus kws kho mob yuav kuaj koj lub cev, tshwj xeeb yog nrhiav cov "eschar". Tsis tas li ntawd xwb, lawv yuav hais kom kuaj ntshav kom paub txog cov tshuaj tua kab mob uas koj lub cev tsim los tawm tsam cov kab mob.
Kev kuaj mob no yuav nyuaj vim tias cov tsos mob zoo ib yam li cov kab mob xws li dengue, leptospirosis, lossis typhoid. Vim li no, koj tus kws kho mob yuav tsum xav txog ntau yam uas ua tau. Qee zaum, yog tias qhov kev kuaj ntshav thawj zaug tsis muaj txiaj ntsig, koj yuav xav tau kev kuaj mob tom qab 1-3 lub lis piam. Hauv cov xwm txheej zoo li no, koj tus kws kho mob yuav pib kho mob raws li cov tsos mob hauv tsev kho mob es tsis txhob tos cov txiaj ntsig ntawm kev kuaj mob.
Yuav kho li cas?
Qhov xov xwm zoo yog tias tus kab mob Scrub Typhus kho tau tag nrho los ntawm kev siv tshuaj tua kab mob. Kauj ruam tseem ceeb tshaj plaws yog pib kho sai li sai tau kom paub tseeb tias nws rov zoo sai.
Koj tus kws kho mob yuav sau ntawv kom koj noj tshuaj tua kab mob hu ua 'doxycycline' , feem ntau yog li 7 hnub lossis ntau dua. Yog tias mob hnyav, koj yuav tsum txhaj tshuaj rau hauv cov hlab ntshav (IV). Rau cov menyuam yaus, feem ntau yuav tsum noj tshuaj luv dua 5 hnub kom tiv thaiv tau cov teeb meem xws li cov hniav hloov xim. Rau cov poj niam cev xeeb tub lossis cov neeg uas ua xua rau doxycycline, lwm cov tshuaj tua kab mob zoo li 'azithromycin' yuav raug siv.
Tej Yam Yuav Ua Rau Muaj Kab Mob Tsis Kho
Yog tias tsis kho, tus kab mob Scrub Typhus tuaj yeem ua rau puas tsuaj rau cov kab ke tseem ceeb:
| Lub cev System | Tej zaum yuav muaj teeb meem |
|---|---|
| Lub plawv | Arrhythmias, myocarditis (mob ntawm cov leeg plawv). |
| Kev zom zaub mov | Ntuav, raws plab, teeb meem siab, pancreatitis, thiab los ntshav sab hauv. |
| Kev ua pa | Hauv cov mob hnyav, Acute Respiratory Distress Syndrome (ARDS), ib qho mob uas ua rau tuag taus uas cov kua dej sib sau ua ke hauv lub ntsws. |
| Cov raum | Kev Raug Mob Raum Ceev (AKI) thiab kev ua haujlwm raum tsis ua haujlwm. |
| Lub paj hlwb | Kab mob meningitis lossis meningoencephalitis, uas tuaj yeem ua rau qaug dab peg thiab hloov pauv tus cwj pwm. |
Yog tias koj muaj cov tsos mob hnyav, nrhiav kev kho mob tam sim ntawd los ntawm koj tus kws kho mob lossis mus rau koj lub tsev kho mob chav kho mob ceev ze tshaj plaws.
Puas muaj tshuaj tiv thaiv kab mob? Koj yuav ua li cas thiaj nyob tau nyab xeeb?
Tam sim no, tsis muaj tshuaj tiv thaiv kab mob Scrub Typhus.
Yog li ntawd, kev tiv thaiv yog qhov zoo tshaj plaws. Lub hom phiaj yog kom tsis txhob raug tom los ntawm cov kab chiggers.
Yog tias koj mus rau hauv hav zoov lossis thaj chaw muaj nyom, ua raws li cov kev ceev faj no:
- Hnav khaub ncaws tiv thaiv. Hnav ris ntev thiab tsho tes ntev. Muab koj lub ris ntsaws rau hauv koj lub thom khwm tuaj yeem ntxiv kev tiv thaiv ntxiv.
- Siv tshuaj tua kab. Siv tshuaj tua kab uas muaj DEET rau ntawm daim tawv nqaij thiab khaub ncaws uas raug tshav ntuj.
- Tsis txhob zaum ncaj qha rau ntawm cov nyom lossis cov hav txwv yeem.
- Rau cov menyuam mos thiab cov menyuam yaus me, npog lawv ob txhais ceg kom zoo. Tiv thaiv lawv lub stroller lossis lub hnab nqa khoom nrog cov ntaub thaiv.
- Tsis txhob tsuag tshuaj tua kab ncaj qha rau ntawm daim tawv nqaij ntawm tus menyuam. Tsuag rau ntawm koj txhais tes ua ntej, tom qab ntawd muab rau tus menyuam. Tham nrog koj tus kws kho mob menyuam yaus ua ntej siv tshuaj tua kab rau cov menyuam yaus hnub nyoog qis dua 2 xyoos.
- Tom qab koj tawm mus sab nraum zoov lawm, ntxuav koj cov khaub ncaws hauv dej kub (zoo tshaj yog tsawg kawg 30 feeb) thiab da dej sov so nrog xab npum.
- Yog tias koj feem ntau mus rau hauv thaj chaw hav zoov, xav txog kev kho koj cov khaub ncaws thiab cov khoom siv ua ntej nrog 0.5% permethrin . Qhov no tua cov kab chiggers thaum kov thiab tseem ua haujlwm tau los ntawm kev ntxuav ntau zaus. Tsis txhob siv qhov no ncaj qha rau ntawm daim tawv nqaij. Nws yog rau khaub ncaws thiab cov khoom siv xwb.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Scrub Typhus yog ib yam kab mob uas kis los ntawm cov kab mob bacterial . Nws tuaj yeem ua rau mob hnyav, tab sis nws kho tau tag nrho los ntawm kev siv tshuaj tua kab mob .
- Nws kis tau los ntawm kev tom ntawm cov kab me me uas pom muaj nyob rau hauv cov nyom thiab cov chaw muaj nyom.
- Cov tsos mob uas pom ntau muaj xws li kub taub hau, mob lub cev, thiab pom cov pob dub (eschar) ntawm qhov chaw tom.
- Yog koj muaj cov tsos mob no, nyob twj ywm thiab mus ntsib kws kho mob tam sim ntawd. Kev kho mob thaum ntxov yog qhov tseem ceeb.
- Kev tiv thaiv yeej ib txwm zoo dua li kev kho mob: npog koj daim tawv nqaij thiab siv tshuaj tua kab thaum nyob sab nraum zoov hauv thaj chaw muaj kev pheej hmoo.
Kab mob Scrub Typhus, typhus, chiggers, Orientia tsutsugamushi, eschar, doxycycline, cov lus qhia txog kev noj qab haus huv, cov tsos mob ntawm kev kub taub hau
