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Kev txhais ntawm meningococcal C meningitis
Meningitis yog ib qho kab mob ntawm cov kab mob meninges, daim nyias nyias uas tiv thaiv thiab nyob ib puag ncig lub hlwb thiab qaum qaum. Muaj kab mob meningitis, txuas mus rau tus kab mob, kab mob meningitis, thiab txawm meningitis txuas mus rau ib tug fungus los yog parasite.
Meningococcal meningitis C yog a kab mob meningitis tshwm sim los ntawm cov kab mob Neisseria meningitidislos yog meningococcus. Nco ntsoov tias muaj ntau hom, lossis serogroups, feem ntau yog serogroups A, B, C, W, X thiab Y.
Hauv 2018 hauv Fabkis, raws li cov ntaub ntawv los ntawm lub teb chaws siv chaw rau meningococci thiab Haemophilus influenzae los ntawm lub koom haum Pasteur, ntawm 416 tus neeg mob meningococcal meningitis uas serogroup paub, 51% yog serogroup B, 13% C, 21% W, 13% Y thiab 2% tsawg los yog tsis yog serogroups "serogroupable".
Invasive meningococcal kab mob feem ntau cuam tshuam rau cov menyuam mos, menyuam yaus, cov hluas thiab cov hluas.
Meningococcal meningitis C: ua rau, tsos mob thiab kis tau tus mob
Cov kab mob no Neisseria meningitidis lub luag hauj lwm rau hom C meningitis yog ib txwm tam sim no nyob rau hauv ENT sphere (lub caj pas, qhov ntswg) los ntawm 1 txog 10% ntawm cov pej xeem raws li Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Ntiaj Teb, sab nraum lub sijhawm muaj kabmob sib kis.
Kev kis kab mob Neisseria meningitidis rau ib tus neeg uas tsis yog tus cab kuj tsis ua rau mob meningitis. Feem ntau, cov kab mob yuav nyob hauv ENT sphere thiab muaj nyob hauv lub cev tiv thaiv kab mob. Vim hais tias tus kab mob no tshwj xeeb tshaj yog virulent, thiab / los yog tus neeg muaj kev tiv thaiv kab mob tsis txaus, cov kab mob tej zaum kuj kis mus rau hauv cov hlab ntsha, mus txog rau meninges thiab ua rau mob meningitis.
Peb paub qhov txawv ob lub ntsiab ntawm cov tsos mob meningococcal meningitis: cov uas poob hauv qab meningeal syndrome (lub caj dab txhav, rhiab heev rau lub teeb lossis photophobia, cuam tshuam ntawm kev nco qab, lethargy, txawm coma lossis qaug dab peg) thiab cov uas tshwm sim los ntawm kab mob syndrome (muaj zog ua npaws, mob taub hau, xeev siab, ntuav….).
Qee cov tsos mob no tuaj yeem ua tau nyuaj rau pom hauv tus menyuam me, yog vim li cas kub taub hau yuav tsum tau hais kom muaj kev sab laj thaum muaj xwm ceev, tshwj xeeb tshaj yog tias tus me nyuam coj txawv txawv, quaj tsis tu ncua lossis yog tias nws nyob hauv lub xeev qaug zog ze rau qhov tsis nco qab.
Ceev faj: qhov tsos ntawm a cov purpura fulminans, uas yog, liab los yog purplish me ntsis nyob rau hauv daim tawv nqaij yog ib qho kev kho mob xwm txheej ceev thiab ib tug txheej txheem ntawm loj. Nws yuav tsum tau mus pw hauv tsev kho mob xwm txheej ceev.
Meningococcus hom C kis tau li cas?
Meningococcal hom C kis kab mob tshwm sim thaum nyob ze nrog ib tus neeg uas muaj tus kab mob los yog tus kab mob noj qab haus huv, los ntawm nasopharyngeal secretions (xiav, postilions, hnoos). Kev sib kis ntawm tus kab mob no yog li nyiam nyob rau hauv tsev neeg lub tsev tab sis kuj, piv txwv li, nyob rau hauv tej chaw ntawm kev txais tos, vim hais tias ntawm promiscuity ntawm cov me nyuam yaus thiab kev sib pauv khoom ua si muab tso rau hauv lub qhov ncauj.
La ncua sij hawm ncu, uas yog, lub sij hawm ntawm tus kab mob thiab qhov pib ntawm cov tsos mob ntawm meningitis txawv los ntawm 2 mus rau 10 hnub kwv yees.
Kev kho mob meningococcal C meningitis
Kev kho tus kab mob meningococcal invasive ntawm txhua yam yog nyob ntawm tshuaj tua kab mob, intravenously los yog intramuscularly, thiab sai li sai tau tom qab pib cov tsos mob. Meningococcal meningitis C yuav tsum tau mus pw hauv tsev kho mob xwm txheej ceev.
Feem ntau, nyob rau hauv lub ntsej muag ntawm cov tsos mob qhia tias mob meningitis, tshuaj tua kab mob yog tswj xyuas thaum muaj xwm txheej ceev, txawm tias qhov kev kho mob tau hloov kho, ib zaug ib lub lumbar puncture tau ua los xyuas seb nws puas yog kab mob meningitis (thiab hom dab tsi) lossis kab mob.
Muaj teeb meem tshwm sim
Kev kho mob meningitis ua ntej, qhov tshwm sim zoo dua thiab muaj kev pheej hmoo tsawg dua.
Hloov pauv, qhov tsis tuaj yeem kho sai tuaj yeem ua rau muaj kev puas tsuaj rau lwm qhov ntawm lub paj hlwb (tshwj xeeb yog peb hais txog encephalitis). Tus kab mob kuj tuaj yeem cuam tshuam rau tag nrho lub cev: qhov no hu ua sepsis.
Ntawm qhov ua tau tshwm sim thiab qhov teeb meem, cia peb hais hauv kev lag ntseg, lub hlwb puas, kev pom lossis kev xav cuam tshuam ...
Hauv cov menyuam yaus, Kev soj ntsuam ntev yog muab tso rau hauv qhov chaw nrog kho.
Nco ntsoov tias, raws li Health Insurance lub vev xaib Ameli.fr, ib feem peb ntawm cov neeg tuag thiab cov neeg mob hnyav uas cuam tshuam rau meningitis hauv cov menyuam yaus yog tiv thaiv tau los ntawm kev txhaj tshuaj.
Puas yog tshuaj tiv thaiv kab mob meningitis hom C yuav tsum tau los yog tsis?
Thawj zaug pom zoo txij li xyoo 2010, kev txhaj tshuaj tiv thaiv kab mob meningococcal hom C tam sim no yog ib qho ntawm 11 qhov yuav tsum txhaj tshuaj tiv thaiv rau txhua tus menyuam mos yug los lossis tom qab Lub Ib Hlis 1, 2018.
Nws txav 65% them los ntawm kev tuav pov hwm kho mob, thiab cov nyiaj seem feem ntau yog them rov qab los ntawm kev tuav pov hwm kev noj qab haus huv ntxiv (sib koom).
Nws yuav tsum raug sau tseg tias kev tiv thaiv kab mob meningococcal C muaj kev txhaj tshuaj tiv thaiv kab mob kom tiv thaiv cov neeg tsis muaj zog, tshwj xeeb yog cov menyuam mos uas khaws cia hauv zej zog thiab cov uas tsis muaj hnub nyoog txaus los txhaj tshuaj.
Meningitis C: tshuaj tiv thaiv twg thiab lub sijhawm txhaj tshuaj twg?
Hom tshuaj tiv thaiv kab mob meningococcal hom C nyob ntawm tus menyuam lub hnub nyoog:
- rau tus menyuam mos, nws yog Neisvac® leej twg yog tus sau, thiab noj nyob rau hauv ob koob tshuaj, ntawm 5 lub hlis tom qab ntawd 12 lub hlis;
- ua ib feem ntawm a txhaj tshuaj tiv thaiv, peb yuav xaiv rau Neisvac® lossis Menjugate® hauv ib koob tshuaj rau cov menyuam yaus hnub nyoog ib xyoos lossis ntau dua, thiab txog thaum muaj hnub nyoog 24 xyoos thaum tsis muaj kev txhaj tshuaj thawj zaug.
qhov chaw:
- https://www.pasteur.fr/fr/centre-medical/fiches-maladies/meningites-meningocoques
- https://www.santepubliquefrance.fr/maladies-et-traumatismes/maladies-a-prevention-vaccinale/infections-invasives-a-meningocoque/la-maladie/
- https://www.has-sante.fr/upload/docs/application/pdf/2020-05/recommandation_vaccinale_contre_les_meningocoques_des_serogroupes_a_c_w_et_y_note_de_cadrage.pdf