Thaum koj tus menyuam kub taub hau, mob khaub thuas, lossis mob qhua pias, koj feem ntau ua li cas? Qee zaum peb xav tias, "Auj ... tsuas yog muab me ntsis aspirin rau lawv xwb." Tab sis koj puas paub tias kev muab aspirin rau lub sijhawm zoo li ntawd tuaj yeem ua rau koj tus menyuam muaj kev phom sij heev? Hnub no peb tab tom tham txog ib qho mob uas tsis tshua muaj neeg tham txog, tab sis loj heev uas ua rau nws. Ntawd yog Reye's Syndrome, lossis Reye's Syndrome .
Hais yooj yim xwb, Reye's Syndrome yog dab tsi?
Reye's Syndrome yog ib yam kab mob uas tsis tshua muaj tab sis loj heev uas ua rau lub siab thiab lub hlwb o. Nws tuaj yeem cuam tshuam rau txhua tus neeg txhua lub hnub nyoog, tab sis feem ntau tshwm sim rau cov menyuam yaus thiab cov tub ntxhais hluas uas rov zoo los ntawm kev kis kab mob xws li mob khaub thuas lossis mob qhua pias.
Cov kev tshawb fawb los ntawm cov kws kho mob pom tias qhov tseem ceeb tshaj plaws rau qhov no yog kev muab tshuaj aspirin lossis lwm yam tshuaj zoo sib xws, uas yog, cov tshuaj uas muaj salicylates, rau ib tug menyuam thaum muaj kab mob viral.
Vim li no, cov kws kho mob thiaj li pom zoo kom tsis txhob siv tshuaj aspirin rau cov menyuam mos thiab cov menyuam yaus uas tab tom rov zoo los ntawm kev kis tus kab mob viral.
Vim li cas qhov xwm txheej no thiaj tshwm sim?
Cov kws kho mob tseem tsis tau nkag siab tag nrho qhov ua rau muaj tus kab mob Reye's Syndrome, tab sis lawv paub tias qee tus menyuam yaus yuav muaj tus mob no ntau dua yog tias lawv noj tshuaj aspirin thaum muaj kab mob viral.
Ntxiv rau qhov ntawd, qee cov menyuam yaus muaj feem yuav mob no ntau dua. Cov no suav nrog:
- Yog tias lawv muaj teeb meem caj ces uas cuam tshuam nrog cov txheej txheem ntawm kev rhuav tshem cov roj fatty acids hauv lub cev (Fatty Acid Oxidation Disorder).
- Yog tias koj tau raug tshuaj lom xws li cov tshuaj pleev xim, tshuaj tua kab, thiab tshuaj tua nroj.
Thaum muaj tus kab mob Reye's Syndrome, cov hlwb ntawm lub cev yuav o thiab cov rog pib sib sau ua ke hauv lawv. Tib lub sijhawm, cov ntshav qab zib yuav poob qis sai sai. Cov tshuaj lom xws li ammonia thiab acidity yuav nce ntxiv hauv cov ntshav. Cov kev hloov pauv no tuaj yeem ua rau lub siab puas tsuaj loj heev thiab tshwj xeeb tshaj yog lub hlwb, vim tias cov kabmob no yuav o loj heev.
Cov tsos mob yog dab tsi? Peb yuav paub lawv li cas?
Cov tsos mob ntawm Reye's Syndrome feem ntau tshwm sim li 3 txog 5 hnub tom qab pib muaj tus kab mob viral. Cov tsos mob no yuav txawv me ntsis nyob ntawm hnub nyoog, yog li nws yog ib qho tseem ceeb uas yuav tsum tau ua tib zoo saib xyuas qhov no.
Cia peb saib cov yam ntxwv no hauv ib lub rooj kom yooj yim nkag siab.
| Lub Sijhawm / Pawg Hnub Nyoog | Cov tsos mob uas pom tau |
|---|---|
| Cov tsos mob thaum ntxov | |
| Cov menyuam yaus hnub nyoog qis dua 2 xyoos | Raws plab thiab ua pa sai |
| Cov menyuam yaus thiab cov tub ntxhais hluas | ntuav tas li thiab tsaug zog tsis zoo li qub |
| Cov tsos mob hnyav | |
| Kev hloov pauv tus cwj pwm | Sudden chim siab, kev chim siab thiab kev npau taws. |
| Lub siab lub ntsws | Kev tsis meej pem, pom lossis hnov tej yam uas tsis muaj (kev ua khawv koob). |
| Kev hloov pauv ntawm lub cev | Tsis muaj zog los yog loog ntawm ob txhais ceg, qaug dab peg , tsis nco qab. |
Qhov no yog xwm txheej ceev! Yog tias koj pom ib qho ntawm cov tsos mob hnyav no, xws li kev hloov pauv tseem ceeb hauv tus cwj pwm, qaug dab peg, lossis tsis nco qab, coj koj tus menyuam mus rau chav kho mob ceev (ETU) ntawm tsev kho mob yam tsis muaj kev ncua sijhawm . Qhov no tuaj yeem ua rau tuag taus, yog li kev kuaj mob thiab kev kho mob sai yog qhov tseem ceeb.
Qee zaum cov tsos mob no yuav tsis meej pem nrog rau mob hlwb, mob ntshav qab zib, lossis lom. Yog tias koj xav tias muaj tshuaj lom (piv txwv li tshuaj tua nyom), hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Colombo National kom tau lus qhia tam sim ntawd.
Tus kws kho mob kuaj mob li cas tiag?
Tsis muaj ib qho kev kuaj mob uas tshwj xeeb rau Reye's Syndrome, yog li cov kws kho mob feem ntau yuav saib xyuas cov tsos mob thiab keeb kwm thiab ua ntau qhov kev kuaj mob kom paub tseeb tias tsis muaj lwm yam mob.
Ntawm lawv:
- Kev kuaj ntshav thiab zis: Cov no kuaj xyuas tej yam xws li kev ua haujlwm ntawm daim siab, qab zib hauv cov ntshav, thiab cov qib ammonia.
- Kev kuaj mob rau cov teeb meem ntawm cov metabolism fatty acid: Kev kuaj ntshav tshwj xeeb tau ua rau qhov no.
- Kev Ntsuas Pob Txha / Kev Txhaws Lub Nraub Qaum: Qhov kev kuaj no yog ua los ntsuas qhov siab hauv lub hlwb thiab cov hlab ntsha hauv qab thiab los xyuas seb puas muaj kev kis kab mob.
- Kev kuaj mob siab: Qhov no pab txiav txim siab qhov tseeb ntawm kev puas tsuaj rau cov hlwb siab.
- Kev luam theej CT lossis MRI: Cov no tuaj yeem saib qhov o ntawm lub hlwb thiab nrhiav seb puas muaj lwm yam teeb meem.
Puas muaj kev kho rau qhov no?
Tsis muaj kev kho mob tshwj xeeb uas yuav tiv thaiv tau tus kab mob Reye's Syndrome tag nrho. Txawm li cas los xij, cov kws kho mob tuaj yeem tswj tau tus mob no los ntawm kev tso tus neeg mob mus rau tsev kho mob, tiv thaiv cov tsos mob hnyav, thiab tshwj xeeb tshaj yog tswj lub hlwb o. Nov yog qee yam uas yuav tsum ua:
- Cov kua dej hauv cov hlab ntsha (IV) thiab kev noj haus.
- Cov tshuaj diuretics yog cov tshuaj uas tshem tawm cov dej thiab ntsev ntau dhau ntawm lub cev thiab txo qhov o.
- Cov tshuaj siv los tiv thaiv kev los ntshav.
- Yog tias muaj mob xws li los ntshav hauv siab, yuav muab vitamin K, plasma, thiab platelets los pab kom cov ntshav txhaws.
Tej zaum yuav muaj tej yam tshwm sim mus sij hawm ntev li cas?
Qhov xov xwm zoo yog tias nrog kev nce qib hauv kev kho mob, tus kab mob tam sim no tuaj yeem kuaj pom ntxov dua, thiab tus nqi tuag tau poob qis los ntawm 50% mus rau tsawg dua 20%. Qhov no txhais tau tias feem ntau cov menyuam yaus thiab cov tub ntxhais hluas uas kis tus kab mob no rov zoo tag nrho.
Ib tug neeg rov zoo li cas thiab qhov kev pheej hmoo ntawm kev puas tsuaj rau lub hlwb mus sij hawm ntev yog nyob ntawm seb lub hlwb tau o npaum li cas . Qhov kev pheej hmoo ntawm kev puas tsuaj rau lub hlwb yog siab dua thaum cov tsos mob hnyav zuj zus sai, ua rau tsis nco qab.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tsis txhob muab tshuaj aspirin rau cov menyuam yaus thiab cov hluas thaum lawv muaj kab mob viral xws li mob khaub thuas, mob khaub thuas, lossis mob qaib ntxhw.
- Ua ntej muab tshuaj rau koj tus menyuam, xyuas seb puas muaj aspirin lossis salicylates. Yog tias koj tsis paub meej, nco ntsoov nug koj tus kws kho mob .
- Yog tias koj tus menyuam muaj cov tsos mob xws li ntuav tas li, tsaug zog ntau dhau, thiab hloov tus cwj pwm tom qab kis tus kab mob viral, tsis txhob tsis quav ntsej lawv.
- Yog koj pom cov tsos mob hnyav xws li qaug dab peg lossis tsis nco qab, coj koj tus menyuam mus rau chav kho mob ceev (ETU) hauv tsev kho mob tam sim ntawd. Kev kho mob sai sai tuaj yeem cawm tau txoj sia thiab txo qhov kev puas tsuaj mus sij hawm ntev.
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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