Nws yuav txaus ntshai me ntsis yog tias koj saib hauv daim iav ib hnub thiab pom tias koj tus nplaig, lossis koj tus me nyuam tus nplaig, liab dua li niaj zaus, nrog cov pob me me uas zoo li cov noob ntawm qhov saum npoo ntawm txiv pos nphuab. Hauv kev kho mob, qhov no yog qhov peb hu ua 'Strawberry Tongue'. Qee tus neeg kuj hu nws tias 'Raspberry Tongue' vim nws qhov tsos. Txawm hais tias lub npe no yuav ua rau koj nco txog txiv hmab txiv ntoo qab, qhov mob no tsis yog ib yam zoo heev. Tab sis tsis txhob txhawj. Hnub no, peb yuav tham txog yuav ua li cas yog tias koj pom qhov no thiab dab tsi tuaj yeem ua rau nws.
'Strawberry Tongue' yog dab tsi?
Hais yooj yim xwb, tus nplaig noj qab nyob zoo feem ntau yog xim liab dawb, thiab muaj cov pob me me (papillae) ntawm nws qhov chaw. Tab sis nyob rau hauv rooj plaub ntawm 'strawberry tongue', tus nplaig hloov mus ua xim liab ci, thiab cov pob me me ntawd yuav o thiab loj, zoo li cov noob ntawm strawberry.
Qhov tseem ceeb yog, 'tus nplaig strawberry' tsis yog kab mob. Nws yog ib qho tsos mob ntawm lwm yam kab mob. Ib yam li muaj kub taub hau. Kub taub hau tsis yog kab mob, nws yog ib qho tsos mob ntawm kev kis kab mob. Thiab qhov no kuj yog ib yam nkaus.
Yog li ntawd, yog tias koj lossis koj tus menyuam muaj cov tsos mob no, nws yog qhov tseem ceeb heev uas yuav tsum mus ntsib kws kho mob kom paub tseeb tias yog dab tsi ua rau nws.
Cov ua rau muaj 'tus nplaig strawberry' yog dab tsi?
Muaj peb yam mob tseem ceeb uas ua rau muaj tus kab mob 'strawberry tongue'. Cov no yuav tsum tau kho sai.
1. Mob kub taub hau liab
2. Mob Toxic Shock Syndrome (TSS)
3. Kab mob Kawasaki
Ntxiv rau peb yam tseem ceeb no, cov tsos mob no kuj tseem tuaj yeem tshwm sim los ntawm lwm yam, tsis tshua muaj, ua rau. Piv txwv li, ua xua rau qee yam khoom noj lossis tshuaj, tsis txaus vitamin B12, thiab qee yam kab mob sib kis tsis tshua muaj (piv txwv li Yersinia pseudotuberculosis, mob ua npaws daj). Txawm li cas los xij, peb yam ua rau thawj zaug yog qhov tshwm sim ntau tshaj plaws.
Tam sim no cia peb saib peb yam mob tseem ceeb no thiab lwm yam tsos mob uas lawv yuav muaj ntxiv rau cov tsos mob 'strawberry tongue' hauv daim ntawv teev lus no. Qhov no yuav ua rau nws yooj yim dua rau koj nkag siab txog qhov sib txawv ntawm cov mob no.
| Mob | Cov tsos mob cuam tshuam |
|---|---|
| kub taub hau liab |
|
| Kev mob ua rau muaj kev phom sij (TSS) |
|
| Kab mob Kawasaki |
|
Me ntsis ntxiv txog mob kub taub hau liab
Qhov no yog ib qho kev kis kab mob los ntawm cov kab mob hu ua pawg A Streptococcus. Qhov no yog tib yam kab mob uas ua rau mob caj pas. Tab sis hauv tus mob kub taub hau liab, cov kab mob no tsim cov tshuaj lom. Cov tshuaj lom ntawd ua rau cov qhov txhab liab thiab 'tus nplaig txiv pos nphuab'. Txawm hais tias tus kab mob no tuaj yeem cuam tshuam rau txhua tus neeg txhua lub hnub nyoog, nws feem ntau tshwm sim rau cov menyuam yaus hnub nyoog ntawm 5 thiab 15. Tus nplaig yuav pib dawb, tom qab ntawd tig liab li ob peb hnub.
Kev mob ua rau muaj kev phom sij (TSS)
Qhov no yog ib qho mob uas tsis tshua muaj tab sis mob hnyav heev. Nws yog tshwm sim los ntawm kev loj hlob ntawm cov kab mob Staphylococcus thiab Streptococcus uas tsis tuaj yeem tswj tau thiab cov tshuaj lom uas lawv tsim tawm nkag mus rau hauv lub cev. Muaj ntau tus neeg xav tias qhov no tsuas yog tshwm sim rau cov poj niam thaum lawv siv tampons, tab sis qhov no tsis yog qhov tseeb. Txhua tus neeg, tsis hais poj niam txiv neej, tuaj yeem tau txais qhov mob no. Vim tias cov tsos mob TSS tshwm sim sai heev, yog tias koj muaj cov tsos mob no, koj yuav tsum mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
Kab mob Kawasaki
Qhov no kuj yog ib yam kab mob tsis tshua muaj. Nws yog los ntawm kev o ntawm cov hlab ntsha hauv lub cev. Yog tias tsis kho kom zoo, cov hlab ntsha uas muab ntshav rau lub plawv (coronary arteries) tuaj yeem puas tsuaj. Qhov ua rau qhov no tseem tsis tau paub meej. Txawm li cas los xij, nws feem ntau tshwm sim rau cov menyuam yaus hnub nyoog ntawm 6 lub hlis thiab 5 xyoos. Yog li ntawd, yog tias ib tug menyuam yaus muaj tus nplaig xim txiv pos nphuab thiab cov tsos mob tau hais los saum toj no nrog rau kub taub hau, cov kws kho mob yuav tsum tsis ntseeg.
Yog li koj yuav kho qhov no li cas?
Vim tias 'tus nplaig strawberry' yog ib qho tsos mob, kev kho mob yog tsom mus rau qhov mob uas ua rau muaj qhov mob ntawd. Thaum qhov mob ntawd kho tau zoo lawm, tus nplaig yuav rov qab zoo li qub.
- Tshuaj tua kab mob: Rau cov kab mob bacterial xws li mob kub taub hau liab thiab TSS, koj tus kws kho mob yuav sau ntawv kom noj tshuaj tua kab mob. Feem ntau yuav tsum tau kho li ntawm 10 hnub.
- Tshuaj tiv thaiv kab mob (IVIG): Kev kho mob no yog muab rau ib tug menyuam yaus uas muaj tus kab mob Kawasaki hauv tsev kho mob los ntawm cov hlab ntsha (IV). Nws tswj qhov o uas ua rau muaj cov tsos mob.
- Cov Tshuaj Antihistamines: Yog tias cov tsos mob yog los ntawm kev ua xua, cov tshuaj no tuaj yeem pab txo qhov o thiab liab.
- Vitamin B12: Qhov no yog ib qho tsis tshua muaj. Yog tias nws yog vim tsis muaj vitamin B12 txaus, koj yuav tsum noj ntau yam khoom noj uas muaj vitamin B12 lossis noj tshuaj ntxiv raws li koj tus kws kho mob qhia.
Yog tsis kho ces yuav muaj dab tsi tshwm sim?
Qhov no yog qhov peb txhua tus ntshai. Tab sis tsis txhob ntshai. Yog tias koj mus ntsib kws kho mob thaum ntxov thiab tau txais kev kho mob, yuav tsis muaj qhov kev pheej hmoo no tshwm sim. Tab sis yog tias koj tsis tau txais kev kho mob, nws tuaj yeem ua rau muaj kev pheej hmoo loj rau kev noj qab haus huv.
Piv txwv li, yog tias tsis kho, tus kab mob Kawasaki tuaj yeem ua rau cov hlab ntsha hauv lub plawv ntawm tus menyuam mus tas li, ua rau muaj kab mob plawv mus ib txhis. Ib yam li ntawd, tus kab mob kub taub hau liab thiab tus kab mob TSS uas tsis kho tuaj yeem kis mus thoob plaws lub cev, ua rau cov kab mob sab hauv xws li lub raum puas tsuaj.
Yog li ntawd, thaum koj pom tus mob 'strawberry tongue', tsis txhob txhawj txog qhov tshwm sim tsis zoo li no. Txawm li cas los xij, nco ntsoov tias qhov no yog ib qho mob hnyav txaus uas yuav tsum tau mus ntsib kws kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- 'Tus nplaig Strawberry' tsis yog ib yam kab mob, nws yog ib qho tsos mob ntawm lwm yam kab mob.
- Qhov no yuav yog ib qho cim qhia txog ib qho mob hnyav xws li mob kub taub hau liab, mob toxic shock syndrome (TSS), lossis mob Kawasaki.
- Yog koj pom cov tsos mob no ntawm koj lossis koj tus menyuam tus nplaig, tsis txhob ntshai thiab mus ntsib kws kho mob tam sim ntawd.
- Kev kho mob sai sai rau tus kab mob tseem ceeb uas ua rau muaj cov tsos mob no tuaj yeem tiv thaiv tau cov teeb meem loj heev.
- Qhov no tsis yog ib yam mob uas yuav kho tau nws tus kheej, yog li ntawd tsis txhob tsis quav ntsej txog nws.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Dab tsi yog qhov ua rau daim tawv nqaij tsis muaj zog?
Qhov no tsis yog kev laus ib txwm muaj! 'Kev txo qis ntawm daim tawv nqaij Turgor' yog thaum daim tawv nqaij ntawm sab nraub qaum ntawm koj txhais tes (tes dorsum) lossis ntawm koj lub plab (pinch test) tsis rov qab mus rau qhov qub tam sim ntawd, tab sis hloov chaw 'tsev pheeb suab' rau ob peb feeb / feeb (Lub cim tsev pheeb suab / daim tawv nqaij tenting) thiab yog qhov xwm txheej ceev heev! Qhov no txhais tau tias tus neeg mob lub cev dej tau poob 100% (Kev Qhuav Dej Hnyav).
💬 Dab tsi yog cov laj thawj tseem ceeb uas ua rau ib tug neeg daim tawv nqaij poob nws qhov elasticity / sag (Txo Turgor)?
Qhov laj thawj tseem ceeb thiab tib qho laj thawj rau qhov no hauv ntiaj teb yog tias muaj ntau liv dej hauv lub cev raug pov tseg tam sim ntawd thiab 'Qaug dej ntau heev' tshwm sim! 1) Mob raws plab (Raws plab hnyav/zoo li mob cholera) thiab ntuav tas li (Ntuav). 2) Cov neeg mob ntshav qab zib muaj cov piam thaj ntawm 500-600 thiab tso zis tas hnub (DKA / Hyperosmolar state). 3) Hws vim kub heev (Heat stroke). 4) Cov neeg laus tsis nco qab/tsis tuaj yeem haus dej.
💬 Vim li cas tus neeg mob uas muaj cov leeg nqaij me me uas tsis tau zoo tom qab raug rub tawm thiab tso tawm yuav tsum raug coj mus rau tsev kho mob tam sim ntawd, es tsis txhob muab ORS rau hauv tsev?
Kev ua kom daim tawv nqaij zoo li no txhais tau tias txawm koj haus dej/kua ntau npaum li cas hauv tsev los xij, nws tsis muaj teeb meem! Qhov txaus ntshai loj tshaj plaws thiab ua rau tuag taus! Nrog rau cov tsos mob no, 1) 'Tsis meej pem/Nqaij qaug', 2) Tsis tso zis tas hnub/zaub hloov daj tsaus (Oliguria-kidney failure!), 3) Lub plawv dhia ceev (Lub plawv dhia ceev >120), tus neeg mob yuav mus rau hauv lub xeev tsis nco qab (Hypovolemic shock) hauv ob peb teev, thiab koj yuav tsum tau coj mus rau chav kho mob ceev hauv tsev kho mob tam sim ntawd thiab muab cov kua IV!
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